跟读练习: Các tình huống trong bệnh viện bằng tiếng anh - Sepsis - 通过YouTube学习英语口语
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Hi Mr. Daniels, this is Enmer.
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Hi Mr. Daniels, this is Enmer.
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He'll be the nurse that's taking over your care today, okay?
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I'm just going to let him know what's been happening with you since you last came All right,
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this is Mr. James Daniel,
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date of birth, January 17, 1986.
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No known drug allergies came in around 0,400 with complaints of fatigue,
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fever, and malaise for the past three weeks.
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Says his temps have ranged between 101 to 104 in the past week.
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Temps on admission was around 100.2 orally.
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He's been taking acetaminophen and ibuprofen every four to six hours at home and thinks that it's helped a little.
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Vitals are okay otherwise.
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Only past medical history is pre-hypertension and Raynons disease.
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No past surgical or med at home.
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Labs are okay too, so NP wrote DC orders.
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We're just waiting for his ride to arrive.
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Okay thanks Carrie.
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Thank you.
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I'll take it for her.
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Thank you.
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Mr. Daniels, I see you haven't had any medications since you've been here.
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When was the last time you've had acetaminophen or ibuprofen?
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Just before I left to come here,
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around four hours ago maybe?
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I'm going to do an assessment to see how you're doing right now.
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Open your mouth and do the tongue.
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Blood pressure is 113 over 80,
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temperature is 101, full socks 95%,
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heart rate 110, Respiratory rate 18.
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Any pain right now?
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Nope, but I don't have any energy at all.
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I feel like I want to sleep all the time.
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Hmm.
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What's your usual blood pressure?
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The night nurse said you have pre-hypertension.
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I think the top number is usually 130 or 140, I guess.
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I'm not sure.
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I had hoped when I came here they were gonna help me,
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but I guess if they think I'm okay to go home,
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I'll sleep better in my own bed.
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All right, can you sit up for a moment, please?
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I'm going to have to take a listen to your lungs.
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Excuse me, Wendy, are you the nurse practitioner for Mr. Daniels?
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Yes.
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I see he has a discharge order.
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Yes, correct.
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Well, I'm concerned because his temp is 101 and he's tachycardic.
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I understand the WBCs are normal,
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but the high temperature and the high heart rate are two indicators of sexes.
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Seems really unsafe to send him home without ruling out a systemic bacteria infection.
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Hey, can you check out Mr. Daniels?
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I'm really concerned.
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He just fell up to a void and said he felt like he might pass out.
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Yeah.
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Alright, let's start a Montelli and let's start a 1 liter bolus of normal saline and blood pressure every 5 minutes.
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Lizelle, can you get the charge nurse please?
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We're going to need some help.
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Just open your mouth please.
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What do you need?
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Sarah, can you start a normal saline bolus please?
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Yes, starting a normal saline bolus.
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Lizelle says you need some help.
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Record everything that you see.
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I just started tele, Sara starting normal saline bolus,
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and I have Lizelle checking BP every 5 minutes.
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Okay, I am recording.
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We have sinus tach and BP is at 96 over 72.
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And I see temperature at 102.5.
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20 gauge in right anticubital is now in with saline wide open.
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Okay, saline bolus via right anticubital 20 gauge started at 1519.
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Let's get a lactate, CBC,
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Chem 7 blood cultures and an ABG.
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Orders for lactate, CBC, Chem 7 blood cultures and ABG in at 1519.
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I'll get the blood gas started.
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What are you doing?
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Sir, I'm concerned that you might have an infection in your blood.
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We're going to run some tests to check instead of sending you home right now.
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I have a lactate of 7 and a pH of 7.2 on the ice bath.
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Lactate of 7 and pH of 7.2.
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Start a second liter normal saline bolus.
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Try for an 18 gauge in his right arm.
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Start a gram of vancomycin after you get the blood cultures.
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I'm going to call the MICU for a bet.
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Okay.
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Lactate of 7, pH of 7.2,
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another normal saline bolus, and second IV access,
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and one gram of vancomycin ordered at 1526.
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Sarah, can you take over for Inmer?
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Sure.
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Can I talk to you for a second?
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Sure.
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You were right to question that patient's discharge order.
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I didn't think he was that sick.
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I've been working for five nights straight.
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I think I'm just tired.
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I think your knowledge on early sepsis criteria may have saved this guy's life.
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Good job.
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Thank you.
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关于本课
在这一课中，学习者将通过修习与医院相关的英语对话，提升自己的口语能力。通过对Mr. Daniels的入院情况和医疗评估的了解，您将学习如何准确表达病症、体征和医疗术语。此课对于希望提高他们的医疗英语交流能力并深入了解与医院环境相关的情境的学习者尤其重要。
关键词汇与短语
- nurse (护士) - 在医疗环境中负责照顾患者的人。
- admission (入院) - 患者进入医院接受治疗的过程。
- temperature (体温) - 用来检查健康状况的身体温度。
- tachycardic (心动过速) - 表示心跳加速的医疗术语。
- discharge order (出院指示) - 医生给出的允许患者离开医院的命令。
- assessment (评估) - 医生对患者健康状况的检查过程。
- malaise (不适) - 一种普遍的不适或无力感。
- pre-hypertension (前期高血压) - 表示血压接近高血压的状态。
练习小贴士
为了更好地掌握与医院相关的英语表达，您可以采用英语影子跟读的技巧来提升您的发音和流利度。此视频的对话语速适中，非常适合进行shadow speech练习。当您重复每一句话时，注意模仿说话者的语气与语调，从而有效地提高您的英语口音和口语能力。
此外，推荐您进行英语口语练习时，尝试先理解对话的内容，再进行模仿。您可以先默念内容，确保理解后，再进行口头重复。每次练习时，尽量保持轻松的心态，以便更容易吸收新知识。
结合以上技巧，您可以更有效地掌握医院英语用语，提升您的英语对话能力，准备好迎接与医疗相关的交流！
什么是跟读法？
跟读法 (Shadowing) 是一种有科学依据的语言学习技巧，最初开发用于专业口译员的培训，并由多语言者Alexander Arguelles博士普及。这个方法简单而强大：您在听英语母语原声的同时立即大声重复——就像是一个延迟1-2秒紧跟说话者的影子。与被动听力或语法练习不同，跟读法强迫您的大脑和口腔肌肉同时处理并模仿真实的讲话模式。研究表明它能显着提高发音准确性，语调，节奏，连读，听力理解和口语流利度——使其成为雅思口语备考和真实英语交流最有效的方法之一。