シャドーイング練習: Emergency Australia - S02E09 - 動画で英語スピーキングを学ぶ

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Is that the patient?

I was not expecting that. Was found unconscious.

Ambos came, shocked him, gave him three further shocks.

He's at risk of re -arresting any second.

Second, darling.

We're not able to get his oxygen any higher.

His prognosis is even more dire than we thought.

Would you rescue me when I'm by myself, when I need your love?

If I need your help, would you rescue me?

Would you rescue me?

But I start to wonder,

wonder If I'm sipping under,

under Would you rescue me?

Would you give my back?

We're going to staple your head back together.

There is a possibility he might die.

Would you rescue me?

Senora, your daughter is here.

At the Royal Melbourne Hospital, emergency doctor Michelle Thornhill is displaying one of her many talents.

Well, I grew up in a country just off the coast of South America, so there were a lot of Spanish -speaking people around,

and I really enjoyed studying Spanish at school.

Patients feel more at ease when somebody could just say a simple Hola, como estas?

Okay, we've closed the curtain up.

よし、カーテンを閉めたよ。

You definitely need to know a bit about everything in emergency because any and everything can come through the door.

救急の現場ではありとあらゆる事態がドアから入ってくる可能性があるため、あらゆる分野の知識を少しずつでも持っていることが絶対に必要です。

How are you going?

お元気ですか？

Yeah, pretty good.

うん、かなりいいよ。

Yeah?

はい？

Under control?

大丈夫ですか？

All under control.

すべて順調です。

All right.

Well, it is Friday, so it's midday, so it's about to go out of control.

Just putting it out there.

OK, I'm ready for it.

Yeah.

You don't ever really, truly relax, and you're always ready for the next big thing to whirl through the door.

Ah!

In the ambulance bay, paramedics are rushing in Dr. Michelle's next patient, 55 -year -old Matthew, who was found unconscious outside a local library.

Ah!

Matthew, a DJ, has been revived several times by the paramedics after going into cardiac arrest.

We've got an adrenaline we need while we're getting all that sorted.

Definitely make sure we accept our defibrillator.

Yeah.

Our priorities are making sure that his heart continues to beat

and we're also at the same time really concerned about his breathing.

Do you want to manage airway?

Yeah.

OK.

Because if we can't get the oxygen in, then it's useless getting the heart to pump.

Are you going to help me with airway?

Yep.

Dr. Luke De La Rue will take charge of Matthew's breathing and oxygen levels.

Almost as life -threatening as you can get if your heart's recurrently stopping. Is that the patient?

I was not expecting that.

Just relax, arms down for me.

My name's Luke.

I'm one of the doctors.

I'm going to take good care of you.

You just need to stay nice and still and in the bed.

Matthew's agitated.

He is screaming and yelling and he's confused, which could be a reflection of the lack of oxygen that's gone to his brain.

Unknown downtime was found unconscious.

Okay.

Then ambos came, shocked him, gave him three further shocks that broke him.

You're okay, mate breaths i think we need to secure his airway

because we can't have him like this let's go pads

then monitoring with all cardiac rests what we worry about the most is the brain

when the heart is stopped if not enough blood

or oxygen has reached the brain for a sufficient time then that can cause irreversible brain damage Sarah,

I'll scribe an airway.

Scribe an airway, please?

Yes.

Precedure.

Good, good.

Across the corridor, emergency nurses Sarah Thomas and Jess Chapman.. are setting up another trauma bay for an injured mum -to -be.

There's been a car accident involving a young female and she's 29 or 30 weeks pregnant.

We've been told that her heart rate's quite elevated.

Primary concern is that they've got to bleed somewhere.

They're bleeding internally.

34 -year -old Larissa was on her way to her doctor for a pregnancy check -up when the car crash happened.

Hey, my name's Jess.

I'm one of the nurses.

I'm going to be holding your head, OK?

And then we're going to slide across, OK?

You're just staying nice and still.

One, two, three.

A car accident is just so violent to the body.

And when there is damage to the placenta, it can release hormones that can induce labour.

Just copy a blood pressure cup on your arm.

We're going to be coming at you from all angles.

Straight away, the trauma team examine Larissa and her unborn baby.

We can do things concurrently.

So with the ultrasound, we can check the heart rate of the baby

and make sure that the heart rate is at an acceptable level and that there's no signs of fetal distress.

Larissa's heart is beating faster than normal, which could be a sign of shock or internal bleeding.

Hello.

100

I'm Sarah, one of the other nurses.

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Having a bit of a shitty day, huh?

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Yeah.

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It's always really good if we can kind of find some common ground that we can use to build a rapport.

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Definitely being a mum helps with that.

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First baby?

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Yeah.

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Boy or girl?

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Little boy.

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Oh, I've got a little boy.

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But little boys are great.

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I'm just worried about them.

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And you just let us do all the work, hey?

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As Larissa waits for the results of her ultrasound, news comes through about a seriously injured patient being treated next door.

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He's a driver in the same accident.

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The rear...

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The rear ender.

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Yeah, the partner.

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As in husband?

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Yes.

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Yeah, he was driving.

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Oh, no. Oh, you poor thing.

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Is he OK?

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You're OK, mate.

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Just relax.

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Arms down.

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In Royal Melbourne Emergency, Doctors Michelle Thornhill and Luke Delarue are trying to save 55 -year -old Matthew, whose heart keeps stopping.

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Just relax.

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Big breaths.

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It's critical to know, as best we can, how long somebody was in an arrest for.

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If they were down for just five minutes or less, we could continue this resuscitation and still hope for a positive outcome.

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If they've been down for more than half an hour, we know the chances are very slim to none.

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When you're ready, go ahead.

133

Matthew is struggling to breathe.

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His prognosis is even more dire than we thought.

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If we can't get his oxygen levels up, he's not gonna get the oxygen he needs for his brain.

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I think that you could have a look at his heart while they're preparing for intubation.

137

Thank you.

138

Senior emergency doctor

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Martin Dutch joins the team to help with Matthew's intubation.

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Some really getting great views through there.

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There might be blood outside his heart compressing it.

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It might be dilated because there's a big blood clot travelling to his lung.

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No matter what the cause, your heart stopping is almost always fatal.

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We have oxygen sats 87.

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It'd be great to optimise that oxygenation if we can.

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We're going to get set up the tube now.

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OK, yep.

148

All right, he has the drugs for intubation.

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Matthew's sedated, so a tube can be put down his throat to take over his breathing.

150

So we're not able to really get his oxygen any higher.

151

Okay.

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The most worrying thing is the lack of oxygen circulating in his body.

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Muscles are dying and his brain is suffering.

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So it really decreases his chances of survival.

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Okay, so where are we at with Aoi?

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We're good to go.

157

Yep, good blood pressure.

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Happy for you guys to proceed when you are.

159

But Matthew's oxygen level is dropping.

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We immediately start thinking about what we can do to get.. those oxygen levels back up as best we can.

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SATs are 87 percent.

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SATs are 86.

163

SATs are 80 percent.

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SATs are still dropping.

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What have we got this time?

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Allergic reaction.

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Senior emergency doctor Jonathan Papson has known his next patient for more than 20 years.

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In general, doctors and nurses make pretty good patients because they know what's going on, they know what to expect.

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How long did you get there?

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45 minutes ago.

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In the treatment bay, senior nurse Randall Britton has come to emergency after being stung by a swarm of bees.

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So you're covered in an urticaral rash.

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That's what made you think of the preventative.

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Randall knows the symptoms of an allergic reaction.

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He's worked at the Royal Melbourne for 25 years.

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So Randall's a friend.

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He's one of the top nurses at RMH.

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He's been here even longer than me, which is a really long time goes way back to like last century and beyond.

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Randall's having an allergic reaction, but when you get abdominal pain and nausea or tingling lips, it starts to put it in a more serious category.

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It's got a whole body reaction.

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It's got an anaphylactic reaction going on, which is much more dangerous.

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Have you got any other health problems just ordinarily?

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Do you have any medicines or anything?

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No. No. Thank you.

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Nurse Randall's inaugural honey harvest has landed him an emergency as a patient.

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I've got a home beehive and my wife and I were doing our first harvest.

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We were going to steal some honey and I got stung.

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Somehow or another some bees managed to get in my in my veil

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and I got stung in the ear and stung all over my face.

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My wife got stung too.

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They were Once they start stinging, they're just stinging everything.

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It isn't the first time Randall's been stung by his own bees, but it is the most severe.

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I got stung last week.

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Yeah, yeah.

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It's the same beehive.

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Yeah.

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It may just be the load of bees.

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Sometimes you get many stings.

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People die every year from anaphylactic reactions to bee stings.

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Randall's been stung by multiple bees, so he's had a much higher dose.

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If the reaction continues to get worse, your lips swell up, your tongue swells up, you can't breathe.

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And that can be fatal.

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So it can go either way.

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So you've got the cutaneous menstrual station continually around your lips.

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You're like, I am adrenaline that I'll talk about.

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Let's do that.

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We'll give you some adrenaline.

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An injection of adrenaline can have some serious side effects.

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Well, I had adrenaline once about 30 years ago.

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I didn't like it then, so I'm not looking forward to it now.

211

Back in trauma bay one anxious mum to be Larissa is

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having an ultrasound to look for her baby's heartbeat is he okay

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34 year old Larissa was in a car crash

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which may have injured her unborn baby

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or brought on early labor what's showing us

216

that the baby's heart rate is is within the normal ranges which is very reassuring for Larissa.

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It's just, it brings a sense of relief, not only to the mum, but also to us in the room.

218

This is the other person in the vehicle.

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Next door, Larissa's husband

220

Jake has suffered head injuries and is being treated by Dr Miriam Yasser.

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He's a partner with a depressed skull fracture, so we'll see what it is.

222

Jake was driving and hit his head on the steering wheel when the car crash happened.

223

Head injuries are often very common, especially if there's no airbags or, you know, if their head hits the window or the steering wheel.

224

Open your eyes for me.

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Look to the left.

226

Is that sore?

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Not really.

228

It hurts when I go to the right.

229

OK, look over here.

230

That's sore?

231

Yeah, more like a...

232

Ah, yeah.

233

Yeah.

234

Look over here.

235

That's sore to do.

236

Yeah, yeah.

237

Open your mouth as wide as you can.

238

It's sore to open your mouth?

239

Yeah.

240

Okay.

241

Sorry.

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Got some very nasty fractures which involve his eye and around his eye and so his vision becomes a hugely important concern.

243

The first time parents were on their way for a.. pregnancy checkup when the crash happened.

244

Given the mechanism of your accident and the injuries that we can see, we're going to be doing a scan of most of you,

245

so your head, your neck, the facial bones.

246

Yeah, here's a white baby, okay, just fearing the worst.

247

Apart from him having his own injuries to deal with, the one thing that I really am aware of is,

248

you know, the shock of being in a high -speed accident, the shock of having your own injuries

249

and then not knowing what's going on to a loved one or your baby is you know it's it's terrifying

250

andrea that's his partner in there yes can i just give him an update is she she's all right

251

when her baby's fine yeah thank you

252

hey jake i've just had a chat to your to the doctor who's looking after your partner next Yeah.

253

Baby's fine and your partner's okay. Are you okay?

254

Aw.

255

Just a relief?

256

Everything's fine.

257

Just take a minute to process it, okay?

258

You're alright.

259

You're okay.

260

The relief was there for me as well.

261

I think to be able to break some good news.

262

I mean, it is not always the case

263

that we have good news to break in an emergency department

264

and it is just lovely it is just the nicest thing to be able to tell him that things are okay.

265

But Jake faces some serious issues with his injured eye.

266

Your job is just to stay pain -free and lying flat on your back until the results of your scans come through.

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I'm worried.

268

Has he caused so much damage to the eye that it's going to be irreversible?

269

I mean, with eyes, you just don't want to mess around with them.

270

I'm going to see you have a fraction, OK?

271

Thank you.

272

In Royal Melbourne Emergency, first -time parents Larissa and Jake are waiting to be reunited after a car crash.

273

We're going to change that collar to a bit more comfortable one, yeah, I reckon.

274

27 -week pregnant Larissa is in danger of going into premature labour.

275

Her husband Jake has a serious eye injury and possible head injuries.

276

Sarah, I've already updated him on his partner so he knows.

277

How's he doing so I can update her?

278

So he's just going to have a scan?

279

Just a CT brain or a pool?

280

No, he's going to have a pool.

281

I'll let her know.

282

Thank you.

283

I've just spoken to the doctor.

284

They're going to do a bunch of scans

285

and then see what the actual damage is and then see if it needs surgery or not.

286

But I'll keep you updated and if I can, wheel you in there if you wanted to see him.

287

Oh, well.

288

OK.

289

All right.

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He does know the baby's OK.

291

Thank you.

292

As soon as we can get her in there and let her see her husband, we most definitely will do that.

293

Love your ring.

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Thank you.

295

It is a gorgeous ring, isn't it?

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It's beautiful.

297

Good job, hubby.

298

Very lucky.

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Larissa is going to the CT scanner ahead of Jake because of their unborn baby.

300

Before we can let Larissa move around and get out of bed, we need to make sure that her spine's clear.

301

All we need to do is stay still as you can and see what's going on.

302

Thank you.

303

It tugs at my heartstrings a little bit more because I just know how vulnerable I was when I was pregnant.

304

And then for something like a major trauma to happen, it's quite scary.

305

And then when you've got your husband in the bed next to you, it's scary.

306

You all right?

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Yeah.

308

All done?

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Is that a bit better?

310

Yeah.

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The CT results have come in for Larissa.

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Her scan results came back and everything looks really good.

313

We're still monitoring the baby with the CTG monitoring on her tummy.

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But the doctor is organising a bed for her over at the women's, which is just next door.

315

I'm OK because we've been in good hands.

316

So, yeah, still feeling OK.

317

I'm probably just more worried about Jake at this point.

318

Jake's injured eye is very worrying for Dr Miriam Yasser.

319

We need to get him to the scanner to assess the extent of the injuries that he has.

320

Any damage to the eye itself.

321

And then any potential injuries to his brain and to his neck.

322

Dr Miriam has an update for Jake, who's resting to protect his eyes.

323

The result of that scan came back, and it does look like you've got some fractures around that left, the bone that surrounds the eye.

324

And one of them is pressing on one of the muscles that moves the eye, which is why you're getting that pain.

325

So we've got specialists that have a look at fractures of the face.

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So we will have a chat to them and see what they reckon.

327

I recommend, OK?

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I think given the extent of his fractures, there's a very strong likelihood that

329

Jake is unfortunately going to have to have an operation.

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It is too early to appreciate if there's going to be any long -term limitation in his vision.

331

Your spine's fine, so I'm happy if you want to sit up.

332

Oh, yeah, that's a good one.

333

We'll take this one off here.

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I think your partner's still in the bed next door, so have a chat to her, that's OK.

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I just need to.

336

Hey, Meg, is it okay if she just...

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Oh, awesome.

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You're always so worried about me.

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Yes, I am.

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We're going to take you to the normal nurse, to my turn.

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Yeah.

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It's not being so hard.

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Yeah.

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Senior doctor Jonathan Pabson is prescribing a shot of adrenaline for workmate Randall,

345

who's come in on his day off after being stung by his own honeybees.

346

He's having an anaphylactic reaction, a serious reaction to the multiple bee stings.

347

He fits the criteria for adrenaline, he's getting it to turn off the reaction, otherwise the reaction's going to get worse.

348

Adrenaline will give you a bit of a rush

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but it'll sort it out you'll be otherwise you'll be like this all day.

350

So Randall would be worried and the adrenaline will make him jittery

351

and his heart rate go fast and there'll be side effects

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but he's given adrenaline many many times so Randall has seen all the side effects from adrenaline that can happen.

353

Randy I've got your doors in here.

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Here is okay.

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Yeah.

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Yeah.

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I'll get you some water.

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Right here.

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It seems to have turned off the allergic reaction he was having, so that's good.

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A for adrenaline, and that does the trick.

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We'll watch him for a while.

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While Randall recovers from his stings, he has other bee problems on his mind.

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We've got, like, 20 kilos of honey to clean up when we get home.

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There's going to be honey everywhere.

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So it's going to be a bit of a mess. So that's 80%.

366

In Trauma Bay 2, heart attack patient Matthew has dangerously low oxygen levels.

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OK, so, Martin, you're going to take over?

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Yeah.

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The emergency team needs to take over the 55 -year -old's breathing, but it's a very risky procedure.

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Can I have the stool to my end, Gina?

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Senior emergency doctor

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Martin Dutch has just seconds to put a breathing tube down Matthew's throat.

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Ideally, we'd have oxygen levels at 100%.

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We actually stop people breathing for a period of time while we're actually placing the tube.

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If you've got low oxygen levels and you stop breathing, they're only going to go lower and there's only so low

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that the body can cope with before Matthew's heart may stop again.

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We've got a plateau to 84.

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He's been planning.

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It's just on the turn.

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All right, we have CO2.

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Saks are slowly recovering.

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Having said that, his blood pressure was in the 200.

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It's now 129, so we need to keep an eye on C.

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Matthew's heart can rest again at any time

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and worst case scenario is we can't actually get it back

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and he doesn't get the circulation he needs to give his brain oxygen and he could die.

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Do you need your drugs topped off or you have enough?

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Yeah.

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Matthew, a disc jockey, had just left his local library when he collapsed from the first of many heart attacks.

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The laryngoscope, whenever you're ready.

391

We use a device called a laryngoscope, which essentially looks like a claw on a hammer, and it has a light at the end of it.

392

And we can lift the tongue and the jaw out of the way and put the tube in.

393

OK, tube over the top, please.

394

Placing a breathing tube into a patient's lungs is a complex procedure that has a number of different stages,

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all of which can go life -threateningly poorly.

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And now, two seconds.

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Just push the tube down so I can grab it.

398

Yes, grab the bougie.

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Yep.

400

The hole that's really hard to put the breathing tube in, that's the hole that we need to aim for.

401

It's around the corner and it's in a dark place.

402

And hopefully put the tube in that hole and do all of that while Matthew's holding his breath. And now two seconds.

403

Yep, grab the bougie.

404

Senior emergency doctor

405

Martin Dutch has just seconds to put a breathing tube into Matthew, who's clinging to life after multiple cardiac arrests.

406

Matthew literally stops breathing while Dr Martin works the tube down his throat.

407

The video laryngoscope allows us to make sure that our tube is tracking through Matthew's vocal cords into his windpipe.

408

Once we've done that, we can increase the amount of oxygen that Matthew is getting.

409

Okay.

410

Fouji out.

411

It's all right.

412

Cup up, please.

413

Get the bag ready to bag patient, please.

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Bag patient, please.

415

Cup's up.

416

Ready to bag.

417

It's out to lady six.

418

All right.

419

Good.

420

Let's secure the tube.

421

I'm happy.

422

Now that we've placed the breathing tube, his oxygen levels have begun to increase.

423

He's no longer distressed, and we can really begin to rest his heart

424

and take the strain off that heart that's having its worst day of its life.

425

Still have good blood pressure, maintaining sex.

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Even though we've treated the immediate life threats for Matthew, there's still a lot of challenges that he faces.

427

The fact that potentially there's an area of his heart that's still not being supplied with oxygen

428

because he may have had a heart attack need to be addressed.

429

So, UT tube looks great.

430

His lungs are inflated.

431

OK, I'm happy.

432

Thank you.

433

I think we've done what we can for him here.

434

Airways secure.

435

I think we just got him straight up.

436

OK.

437

Dr. Michelle decides Matthew is stable enough to be sent to a special heart unit.

438

The lab's ready for you.

439

The lab's ready.

440

Excellent.

441

Can we page for Gina, one of the EDAs?

442

Thanks.

443

But the move can be very dangerous.

444

Anything can happen in transport, and it's your worst nightmare, because you're out of your familiar environment.

445

He could rearrest at any point in time.

446

So we basically all hold our breaths until we get him onto the table and walk away.

447

We have a rest dose if we need to in a syringe.

448

HEM's coming in shortly.

449

Five o 'clock.

450

Five o 'clock, I'll team lead and Kin is around.

451

Okay.

452

Hailing from Sheffield in the UK, Dr Andrew Trezise joined

453

Royal Melbourne Emergency a year ago.

454

Being in a big, busy tertiary centre is, you know, it's pretty exciting.

455

We get some interesting cases.

456

Signpost came up through the floor of his car.

457

He'd like literally kebabbed himself.

458

We see everything really, patients from all walks of life.

459

It always brings its own interesting unique challenges every time you see a new patient.

460

Paramedics are bringing in a young tradie with a large gash in his upper arm from an accident at work.

461

He's been trying to go around a colleague who was using an angle grinder with a sander attachment.

462

Hit Stephen in the back of the arm, shoulder to elbow just on the back.

463

So I'm in the hospital.

464

Thank you.

465

Cheers.

466

All right, Stephen, yeah, so my name's Andrew.

467

I'm one of the doctors here.

468

Bit of a day for you, eh?

469

Yeah.

470

Yeah, a little bit.

471

Arm at the moment feeling OK down here?

472

Yeah.

473

Can you give me a big thumbs up and try and do an OK for me?

474

Good stuff.

475

All right, let's take a quick look.

476

It's always worth having a thought of what might I find.

477

Any kind of limb wound, we'd always think, do we need a tourniquet just in case we take this bandage down and it starts bleeding everywhere?

478

There's always the chance the angle grinder has actually got into the bone itself.

479

Am I going to sort of find something that's really significant that's going to cause serious impact to this patient?

480

All right, so let's have a good look.

481

It looks like the cutter has gone most of the way down his upper arm, which is a big wound.

482

It's gone down probably just about to the muscle there.

483

Stephen's right -handed, so the wound is likely to force him out of work for a while.

484

As I walked past it caught my arm.

485

So it kicked back?

486

Yeah, it kicked back.

487

It just got about that.

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Straightened into my arm.

489

If you have a deep enough injury, you could get a fracture in that bone.

490

And obviously we know that the average angle grinder is not particularly clean, so there's always the chance of introducing infection as well.

491

What I might do is I might...

492

Just put a bit of local anesthetic in the whole thing so that you won't be too sore.

493

Unfortunately for Steven, it's going to require him to have quite a few injections.

494

It does sting a little bit when it first goes in.

495

Ow.

496

Once the anesthetic starts working, it shouldn't hurt anymore.

497

We want to make sure the wound is nice and numb

498

and that he's not getting any pain from it so that we can give it a good wash.

499

Ah.

500

Just a couple more.

501

Almost there.

502

This side should be nice and feel a bit numb now.

503

Yeah, that's right.

504

I feel it.

505

Yeah, it's got to put me like.

506

All righty.

507

Doing OK?

508

Yep.

509

Good bye.

510

Give this a good wash.

511

Definitely infections is going to be the big thing that we would worry about, particularly if the infection gets into the bone and it spreads.

512

That can be really, really difficult to treat, and there is a small possibility that they would have to amputate the arm.

513

So I'll try and sort of shove this under your arm.

514

Yeah, that's good.

515

In Royal Melbourne Emergency, labourer Stephen is having a large gash in his arm numbed, so it can be cleaned to stop infection.

516

So try and sort of give it a bit of a scrub as I go, so tell me if it's very sore.

517

Yep.

518

What we would be particularly concerned about would be fragments of things left in there, so whether it's fragments of the angle grinder,

519

the disc itself, whatever was being cut, whether it was wood or metal, or plastic or something, you know,

520

you can get those fragments into these kind of wounds.

521

Yeah, give us five minutes and then mum's been funny and we'll just cover it up.

522

Yeah, how's your mum with blood?

523

She's not too bad with it, but she probably doesn't want to see it.

524

Don't want to run the roads.

525

It's different when it's your own son as well, I'm sure.

526

Stephen's mum, Caroline, has been waiting outside for news of her son's injury.

527

I'll just take a picture to put on the medical notes as well.

528

I'll take a photo for you too.

529

Yeah, you need a picture of yours.

530

You've got to show the mains down the path, haven't you?

531

I still want to put this on.

532

Here you go, it's gross.

533

Yeah.

534

A little bit gross, yeah.

535

I've seen better though.

536

It's all right.

537

We're probably all a bit weird in the emergency department.

538

I think we probably all quite like wounds like this.

539

I, yeah, it's difficult to think why anybody would like that, but I suppose it's probably just that little bit of,

540

a bit of sort of adrenaline rush you get from it.

541

You know, it's not something that you get to see every day.

542

Wonderful.

543

All right.

544

Good man.

545

So, yeah, we'll get some antibiotics into you just to cover for any infection, and then get you home.

546

Hi, Caroline.

547

Coming in.

548

Stephen's mum is finally able to see him.

549

I've just been giving it a good clean -out and washing it up.

550

We thought we'd bandage it before you came in.

551

I thought you might not appreciate it.

552

Look, it looks very dramatic, but actually it's quite a superficial injury.

553

I think he'll need to stay in at least tonight.

554

I'd like the plastic surgeons to probably, they'll need to do an operation to just stitch it up.

555

Just because of the depth of the wound and the size of the wound,

556

this is probably something that's going to need an operation to fix up.

557

Good stuff.

558

I'll let you sit with him for now and I'll come back and let you know when we've got an update.

559

Caroline arrived on the scene shortly after Stephen's accident.

560

Washed round to his workplace, to be told yeah he'd been hit with an angle grinder I think it was

561

but there was quite a few people there

562

so I just stayed a little bit out of the way is it's like

563

if I start crying he'll start crying or

564

if he starts crying I'll start crying

565

so it's like I'll just think we'll just

566

I'm just gonna stay out the way she's worried about a 21 year old son's future job prospects is

567

that a permanently damaging injury you know like the nerve damage

568

or you know so that sort of thing especially with sort of trade work, you know, you need your arms.

569

Yeah, the artery or anything.

570

Yeah.

571

Or the muscle.

572

Very lucky.

573

Just missed.

574

Yeah, thank his lucky stars that he's all right, and I think his arm will be fine.

575

Just with.. left with a bit of a scar and a good story at the end of it.

576

In an emergency, you have to switch gears very quickly from one to the next because the patients just keep on coming.

577

It's down by one of the nurses in ED.

578

Can I get a MEP pack for a traumatic arrest please?

579

A big emergency team headed by senior doctor Jonathan Papson is gathering quickly to treat a man with life -threatening stab wounds.

580

Stab two neck that's arrested.

581

Yeah, yeah.

582

We're about to receive a man who's been stabbed.

583

He is in traumatic arrest and it usually means someone has bled

584

so much that there's not enough blood in their system for the heart to pump now.

585

Can you page an EDA?

586

Nurse Gemma Hodson has worked in Royal Melbourne Emergency for nine years

587

and she's coordinating the trauma team, well aware of the pressures.

588

I've ordered it, I need an EDA.

589

I know straight away that I need to organise some urgent blood from our blood bank.

590

We need to make sure that we've got blood to replace what he has lost.

591

Can you run upstairs, get that, take it to T2.

592

So yeah, just the EDA is just bringing some blood back because obviously he'll need lots.

593

He'll possibly even need a second met pack but we'll just see how things go at the moment.

594

It definitely can be stressful when we are anticipating someone who's critically unwell.

595

So our training just kicks in and we know the processes, we know what to do.

596

Come in now.

597

Yep.

598

I'll do procedures.

599

I'll do airway.

600

This is as urgent as it gets.

601

We need to stop the bleeding and replace the blood that's been lost.

602

We have to act straight away to reverse what we can and we need to get it done within two minutes.

603

So we don't know the time the injury occurred, but it wouldn't have been long.

604

On our arrival, he was in cardiac arrest with a penetrating neck injury.

605

A significant amount of lives surrounding his body.

606

So we've essentially rated him, assessed and treated on route.

607

So this is our punctual injury?

608

Yeah.

609

This gentleman has a penetrating neck injury.

610

It's gone into all the deep structures.

611

It's gone in deep and it's hit something.

612

It's not one centimetre.

613

On the neck?

614

On the neck.

615

There may be other you do here having a seagull.

616

Necks full of blood vessels.

617

So the first thing we need to do is to stop any obvious bleeding, put pressure on it.

618

It's only small.

619

It's very, very deep.

620

While the patient gets oxygen, Dr Papson needs to make a small incision into his chest to release any built -up pressure.

621

Potentially the cause of his arrest arrest is air in the wrong place around the lungs, compressing the lungs, making the lungs unable to expand.

622

That can kill you.

623

So we need to reverse that by cutting the chest open to let the air out at the wrong spot.

624

Left side is compressed.

625

We don't know anything about this gentleman.

626

We don't know his name.

627

I'm ASAP, I'm sorry.

628

Police attended and is fed unconscious.

629

They commit CPR and call.

630

Assets over a video, asystolic.

631

That's the heart sync moment, because when you're asystolic after a penetrating injury, it means your heart's actually stopped. And they took their...

632

It's got no pulse.

633

Senior Dr Jonathan Papson and his team are desperately trying to revive a man who's been stabbed in the neck.

634

It looks like he's bled out.

635

We have only minutes to save this man if we can.

636

We got access or not?

637

I'll just drill him.

638

I'll just put an eye out in.

639

When people bleed a lot, their veins collapse and it's harder to get access.

640

So I need to drill into the hollow part in the middle of the bone and we can pump blood into there.

641

I only do it in the most extreme emergencies.

642

I understand.

643

We got some blood?

644

Please?

645

It's still the last story.

646

The team is running out of options.

647

We use our ultrasound to show us, as a last resort, is there anything else we can do?

648

So is there a surgical option we can take?

649

What are you seeing, Adam?

650

Nothing.

651

No heart.

652

The ultrasound has shown us that he's acetyl, his heart's not beating.

653

We've got no breathing, we've got no pulses, we've got cardiac spans.

654

And it's been how long?

655

20 minutes.

656

So it's the worst outcome.

657

It's an awful tragedy that this has happened.

658

We tried everything.

659

There's nothing further we can do that will help bring this guy back.

660

I'll just tell that side to sort of keep their curtains closed and get...

661

Gemma Hodson and her fellow nurses will watch over

662

and care for the patient until he is transferred out of the emergency department.

663

Uh, 12 by 5.

664

Thank you.

665

That's alright.

666

I think in any circumstance where someone has passed away,

667

especially in tragic circumstances, your thoughts are always with their family and friends and loved ones.

668

Are you all good?

669

Yeah.

670

It never really gets any easier, but we sort of, we get better at managing sort of how we feel about it.

671

That's not to say that some days we sort of, we might have a cry.

672

We do see death on a, say, regular basis but we're never shamed if we show emotion.

673

First baby?

674

Yeah.

675

I was worried about you.

676

Expectant parents Larissa and Jake were in a car crash and rushed to the emergency department.

677

The result of that scan came back

678

and it does look like you've got some fractures around that bone that surrounds the eye.

679

Jake had surgery to repair the damage to his eye.

680

And after a night in hospital, Larissa and baby were sent home with a clean bill of health.

681

All right, let's take a quick look.

682

Laborist Stephen's gash from an ankle grinder needed dozens of stitches.

683

He was discharged two days after his operation and soon after was given the all -clear to return to work.

684

Senior nurse Randall came to emergency on his day off with multiple stings from his honeybees.

685

Randall recovered and thanked his friend and colleague, Dr Jonathan, with a special gift.

686

I actually got a tub of honey from Randall when he came back to work.

687

So that was good.

688

The honey was good.

689

Doing a good job there.

690

Although we would advise against keeping bees if you've got an allergy to bees.

691

But the honey was good.

692

You're OK, mate.

693

Just relax.

694

Arms down.

695

DJ Matthew was found unconscious in the street and his heart stopped multiple times on the way to emergency.

696

Tim, how's the drugs for intubation?

697

Doctors battled to keep him alive with a breathing tube so he could be sent for surgery.

698

To find all the odds, Matthew survived and is grateful to everyone who helped him.

699

I am very lucky.

700

I had these wonderful angels around me like the nurses and the doctors.

701

So many people were involved.

702

So thankful for all the work that the Royal Melbourne staff put into there keeping me alive.

703

And I really appreciate it.

704

For Dr Michelle, Matthew's recovery is the greatest reward.

705

It feels really satisfying to know that he came in on what was the brink of death.

706

And we were able to literally save his life.

707

Surgeons put a stent in Matthew's heart and with regular medication he has a new lace on life.

708

I feel alive, I'm happy.

709

I feel that I can do anything but slowly.

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このレッスンの語彙とスピーキングのポイント

このスピーキングレッスンは、動画「Emergency Australia - S02E09」を教材にしています。この動画には、シャドーイング用の文が709文、単語が6361語あります。音声の長さは43:42です。話す速さは1分あたり約146語で安定しており、シャドーイングしやすいペースです。単語の82%は英語の頻出3,000語に含まれます。残りは練習の前に確認しておきましょう。

この動画の重要語彙

動画に出てくる覚えておきたい単語15語を、発音と意味つきで紹介します。

単語	発音	意味
oxygen 名詞	/ˈɑksɪd͡ʒən/	酸素
tube 名詞	/tuːb/	チューブ
breathe 動詞	/bɹiːð/	呼吸する, 息をする
sting 動詞	/ˈstɪŋ/	食う, 刺す
nurse 名詞	/nɝs/	看護師, 看護士
adrenaline 名詞	/əˈdɹɛnəlɪn/	アドレナリン, エピネフリン
bleed 動詞	/ˈbliːd/	出血する, 血を流す
rescue 動詞	/ˈɹɛs.kjuː/	救う, 助ける
bone 名詞	/boʊn/	骨
shock 名詞	/ʃɔk/	衝撃, ショック
honey 名詞	/ˈhʌni/	蜂蜜
bee 名詞	/ˈbiː/	蜂, 花蜂
fracture 名詞	/ˈfɹæk.t͡ʃʰəː/	骨折
trauma 名詞	/ˈtɹɔm.ə/	外傷, 損傷
lung 名詞	/ˈlʌŋ/	肺臓, 肺

動画に出てくる句動詞

単語	発音	意味
come back 動詞		戻る, 帰る
take over 動詞		引き受ける
turn off 動詞		消す, 切る
clean up 動詞		掃除する
come up 動詞		上がる, 登る
go ahead 動詞	/ˌɡoʊ əˈhɛd/	どうぞお先に
go down 動詞		降りる, 降下する
look forward to 動詞		楽しみにする

繰り返し練習したい文

動画に出てくる短く完結した文です。日常会話でそのまま使えます。

If I need your help, would you rescue me?
Would you give my back?
Do you want to manage airway?
It's sore to open your mouth?
How's he doing so I can update her?

この動画の文法

話し手がよく使っている文型を、動画の実際の表現とともに紹介します。

文型	動画での表現
現在完了進行形 have/has been + -ing — 以前に始まり今も続いている動作	He's been planning · He's been trying · has been waiting
条件文 if + 節, will/would + 動詞 — 条件とその結果	If I need your help, would you · if I start crying he'll start · if he starts crying I'll start
現在完了形 have/has + 過去分詞 — 過去の出来事が今も関係している	we've closed · has been revived · has reached
受動態 be + 過去分詞 — 誰がするかより、何が起きるかに焦点を当てる	Was found · has been revived · is stopped

注意したい発音

話し手はI'm, I'll, we'reなど、短縮形や弱形を161回使っています。聞こえたとおりの短い形で発音しましょう。

「th」の音: breathe /bɹiːð/, throat /ˈθɹoʊt/, threaten /ˈθɹɛt.n̩/, gather /ˈɡæðɚ/, anesthetic /ˌænəsˈθɛtɪk/
「sh」と「zh」の音: shock /ʃɔk/, unconscious /ˌʌnˈkɑnʃəs/, infection /ɪnˈfɛkʃən/, rush /ɹʌʃ/, shortly /ˈʃɔɹtli/
長い単語（アクセントの位置に注意）: adrenaline /əˈdɹɛnəlɪn/, essentially /ɪˈsɛnʃəli/, establishment /ɪˈstæb.lɪʃ.mənt/, potentially /pəˈtɛnʃ(ə)li/, acceptable /əkˈsɛp.tə.bəl/

日本語話者が苦手な音：

/r/ と /l/ の区別 — /l/ は舌先を歯茎につけ、/r/ はどこにもつけない: adrenaline /əˈdɹɛnəlɪn/, relax /ɹɪˈlæks/, ultrasound /ʌl.tɹə.saʊnd/, shortly /ˈʃɔɹtli/, drill /dɹɪl/
/v/ — /b/ にならないように、上の歯を下唇に当てる: reverse /ɹɪˈvɝs/, involve /ɪnˈvɑlv/, harvest /ˈhɑɹ.vəst/, violent /ˈvaɪ.ə.lənt/, arrival /əˈɹaɪ.vl̩/
/f/ — 「フ」ではなく、上の歯と下唇で出す: fracture /ˈfɹæk.t͡ʃʰəː/, infection /ɪnˈfɛkʃən/, fragment /ˈfɹæɡmənt/, fatal /ˈfeɪ.təl/, confused /kənˈfjuːzd/

この動画での練習方法

まず声を出さずに動画を最後まで聞き、知らない単語をメモします。
通常の速度で一文ずつシャドーイングし、話し手のリズムに合うまで繰り返します。
自分の声を録音して元の音声と比べます。oxygen, tube, breatheなどの単語に特に注意しましょう。

シャドーイングとは？英語上達に効果的な理由

シャドーイング（Shadowing）は、もともとプロの通訳者養成プログラムで開発された言語学習法で、多言語習得者として知られるDr. Alexander Arguelles によって広く普及されました。方法はシンプルですが非常に効果的：ネイティブスピーカーの英語を聞きながら、1〜2秒の遅延で声に出してすぐに繰り返す——まるで「影（shadow）」のように話者を追いかけます。文法ドリルや受動的なリスニングと異なり、シャドーイングは脳と口の筋肉が同時にリアルタイムで英語を処理・再現することを強制します。研究により、発音精度、抑揚、リズム、連音、リスニング力、そして会話の流暢さが大幅に向上することが確認されています。IELTSスピーキング対策や自然な英語コミュニケーションを目指す方に特におすすめです。

シャドーイングのやり方: ステップ別の完全ガイドを読む →

シャドーイング練習: Emergency Australia - S02E09 - 動画で英語スピーキングを学ぶ

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このレッスンの語彙とスピーキングのポイント

この動画の重要語彙

動画に出てくる句動詞

繰り返し練習したい文

この動画の文法

注意したい発音

この動画での練習方法

シャドーイングとは？英語上達に効果的な理由