儿童急诊分诊台:说清孩子怎么摔的,争取先看头部

儿童急诊分诊台Linda · 美国口音 Dr. Evans · 美国口音

点「看一看」,Linda 和 Dr. Evans 就在这里把这一场演一遍;轮到你开口的 5 个地方会停下来,给你看要说的意思和三种说法。

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这一场在哪里,发生了什么?

周日下午 4 点 10 分左右,芝加哥一家儿童医院急诊科的分诊台,候诊区坐满了人

你六岁的儿子下午三点二十左右在小区游乐场从滑梯梯子上摔下来,左手腕肿了,后脑勺也碰到了地,来的路上还吐了一次。现在你在急诊分诊台,护士 Linda 要一项项核对情况,决定谁先看;旁边的分诊医生 Evans 听到头部受伤后会过来追问。

和谁对话?

Linda
美国口音。分诊护士,冷静,问得快,一项项核对
Dr. Evans
美国口音。分诊医生,听到撞头就过来追问,对孩子很温和

你要做到什么?

说清孩子几岁、几点怎么摔的、多高;描述手腕的情况;讲清楚撞到头、没昏迷、吐过一次、有点头晕;回答过敏、用药、吃喝;最后要冰袋,并问头晕能不能先看。

这一场轮到你开口 5 次:

  1. 说经过
  2. 说手腕
  3. 说头部
  4. 过敏用药
  5. 提请求

全文:这一场怎么说?

中英对照,不用注册。每一句都能点「听」,录音就是 App 里这一场的录音,只有角色的台词。轮到你的地方,写着你想说的意思、三种说法和值得记住的说法:能说清是短句,先保证对方听懂;自然是同事平时会说的;高密度更紧凑、信息更多。

Linda

Hi, I'm Linda, the triage nurse. Hi, buddy. I'll ask some quick questions so we know who's seen first.

你好,我是分诊护士 Linda。嗨,小朋友。我快速问几个问题,好决定谁先看。

听懂:triage nurse 分诊护士(决定看诊先后的护士) · who's seen first 谁先被看

Linda

It's busy today, so let's keep it short. How old is he, and what happened, and when?

今天人多,咱们说简短点。他几岁?怎么了?什么时候的事?

听懂:keep it short 说简短点 · what happened, and when 出了什么事,什么时候

轮到你:说经过

说清孩子年龄、几点在哪儿摔的、从多高摔下来。

你想说的意思:孩子六岁,大约三点二十在游乐场从滑梯梯子上摔下来,离地大概一米五。

  • 能说清
    He's six. He fell from the slide ladder at the playground at about 3:20. It was about 1.5 meters high.
  • 自然
    He's six. He fell off the ladder of the slide at the playground around 3:20, from about one and a half meters.
  • 高密度
    He's six. He took a fall off the slide ladder at the playground around 3:20, from roughly a meter and a half, about five feet.
值得记住的说法中文
fell off …从……摔下来比 fell from 更口语
took a fall off …从……摔了一跤take a fall 是常用说法
at the playground在游乐场
roughly a meter and a half大概一米五美国人常用英尺,可补一句 about five feet
Linda

Okay, noted. Which part of him hit the ground first? And where does it hurt most right now?

好,记下了。他身体哪个部位先着地?现在哪里最疼?

听懂:noted 记下了 · hit the ground first 先着地

轮到你:说手腕

描述手腕:左手撑地,很快肿了,一碰就哭,手指能动但不敢用力。

你想说的意思:他是左手撑地的,手腕一下就肿了,一碰就哭。手指能动,但不敢用力。

  • 能说清
    He landed on his left hand. His wrist swelled up fast. He cries when I touch it. He can move his fingers, but not hard.
  • 自然
    He landed on his left hand, and the wrist swelled up really fast. He cries if anyone touches it. He can move his fingers, but he won't use them.
  • 高密度
    He put his left hand out to break the fall, and the wrist swelled up right away. He cries the second you touch it. His fingers move, but he won't put any weight on it.
值得记住的说法中文
landed on ………着地
to break the fall(伸手)撑住、缓冲摔倒摔倒时伸手撑地就这么说
swelled up肿起来了swell 的过去式
the second you touch it一碰就……the second = 一……就
won't put any weight on it不敢用力、不敢压
Linda

Alright, we'll get that wrist checked. Now, this is important: did he hit his head? Any throwing up or feeling dizzy?

好,手腕我们会检查。现在这个很重要:他撞到头了吗?有没有吐,或者头晕?

听懂:throwing up 呕吐 · dizzy 头晕

轮到你:说头部

讲清后脑勺着地、没昏迷、路上吐过一次、说有点头晕。

你想说的意思:他说后脑勺也碰到地了。没有昏过去,但来的路上吐了一次,说有点头晕。

  • 能说清
    Yes, the back of his head hit the ground. He didn't pass out. He threw up once on the way. He feels a bit dizzy.
  • 自然
    Yes, he says the back of his head hit the ground too. He didn't pass out, but he threw up once on the way here, and he's a bit dizzy.
  • 高密度
    Yes, he says he hit the back of his head as well. He didn't lose consciousness, but he threw up once on the way over, and he feels a bit dizzy.
值得记住的说法中文
the back of his head后脑勺
didn't lose consciousness没有昏迷口语也可说 didn't pass out
threw up once on the way路上吐了一次throw up 比 vomit 口语
a bit dizzy有点头晕
Dr. Evans

Hi, I'm Dr. Evans, the triage doctor. With a fall and a head knock, I like to ask a few things myself.

你好,我是分诊医生 Evans。摔倒又撞到头的情况,我想亲自问几句。

听懂:head knock 头部磕碰 · ask a few things myself 亲自问几句

Dr. Evans

Hey, buddy, can you follow my finger? Good job. His eyes look okay, and he's talking well.

嘿,小家伙,眼睛跟着我的手指走好吗?真棒。他眼睛看着没问题,说话也清楚。

听懂:follow my finger 跟着我的手指看 · Good job 做得好

Dr. Evans

Does he have any allergies? Is he on any medicine? And has he eaten or drunk anything since the fall?

他有过敏吗?在吃什么药吗?摔了以后吃过或喝过东西吗?

听懂:allergies 过敏 · on any medicine 在吃什么药 · since the fall 摔了以后

轮到你:过敏用药

回答:没有过敏,没在吃药,摔后只喝过一点水,没吃东西。

你想说的意思:他没有过敏,没在吃药。摔了以后喝过一点水,没吃东西。

  • 能说清
    No allergies. He takes no medicine. He only drank a little water. He didn't eat anything.
  • 自然
    No allergies, and he's not on any medicine. Since the fall, he's only had a little water, nothing to eat.
  • 高密度
    No known allergies, and he's not on any medication. He's had a few sips of water since the fall, but nothing to eat.
值得记住的说法中文
No known allergies没有已知过敏医院里的标准说法
he's not on any …他没在用……be on medicine = 正在吃药
a few sips of water几口水
nothing to eat什么都没吃
Dr. Evans

Okay, good to know. For now, no food or drinks, please, just in case he needs something done later.

好,知道了。现在先别给他吃喝,以防后面需要做什么处理。

听懂:just in case 以防万一 · needs something done 需要做处理

Linda

I'll put that in his chart. Anything you'd like to ask us before you sit down?

我记到病历里。坐下之前,还有什么想问我们的吗?

听懂:chart 病历记录 · before you sit down 坐下之前

轮到你:提请求

说明你当时在旁边看着;要一个冰袋,再问头晕能不能先看。

你想说的意思:我当时就在旁边看着。能先给个冰袋吗?他头晕,是不是应该先看头?

  • 能说清
    I was with him the whole time. Can we have an ice pack now? He is dizzy. Can a doctor check his head first?
  • 自然
    I was right there the whole time. Could we get an ice pack for now? And with the dizziness, should his head be looked at first?
  • 高密度
    I was right there and saw it happen. Could we grab an ice pack in the meantime? And given the dizziness, should his head be looked at first?
值得记住的说法中文
I was right there我当时就在旁边
in the meantime在等的时候、先比 now 更客气
given the …考虑到……given the dizziness = 既然头晕
be looked at first先被检查
Linda

Of course. Here's an ice pack. Keep it on the wrist with this towel, about twenty minutes at a time.

当然。这是冰袋。用毛巾包着敷在手腕上,每次大约二十分钟。

听懂:ice pack 冰袋 · at a time 每次

Dr. Evans

And yes, the head comes first. Because of the head knock and the throwing up, he's in our higher priority group.

对,先看头。因为撞到头又吐过,他被排在优先级较高的一组。

听懂:comes first 优先 · higher priority group 优先级较高的一组

Dr. Evans

You should be called in about fifteen minutes. If he throws up again or gets very sleepy, tell us right away.

大约十五分钟会叫你们进去。要是他又吐了,或者特别想睡,马上告诉我们。

听懂:be called in 被叫进去 · gets very sleepy 变得很困 · right away 马上

Linda

Here's your number. Sit right over there, where I can see you both, okay?

这是你们的号码。坐在那边,我能看到你们俩的地方,好吗?

听懂:where I can see you both 我能看到你们俩的地方

没听清、卡住时怎么接?

这一场准备的救场的话:没听清、一时想不起词,先用一句接住,再想内容。

英文中文
Sorry, could you say that again more slowly?抱歉,能慢一点再说一遍吗
I'm not sure how to say it, but it looks like …我不知道怎么说,看起来像……
Is it serious?严重吗
What should I watch for while we wait?等的时候我要注意什么

在开口前练这一场

读过一遍,再开口说一遍:在开口前打开这一场,Linda 和 Dr. Evans 用各自的口音说话,轮到你时停下来等你开口,不限时间;想不起来,提示先给首字母,再给英文说法,最后才给中文。

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开口前 App 里的练习场景「儿童急诊分诊台:说清孩子怎么摔的,争取先看头部」:情境、角色、全文、三种说法和救场的话都是 App 里的原文,录音是 App 里这一场的录音。人名和情节是虚构的。
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