集样片icu ep重症监护室生死攸关地

ICUAMatterofLifeorSeries1今晚在德医院的重症监护室TonightintheAlfredIntensiveCareJacobwasdrivinganddidn’tquitemakeitandhita医生告诉我们要做好的心理准YouknowweweretoldtoprepareourselvesfortheOh15TookfifteenmonthsIthinkbeforetheyactuallyputherontothetransntlist.IwassoscaredtoactuallygoingtothatIwasnevergoingtowakeupIworrythatshe’snotoutofthewoodsjust我听说是煤气炉UmIunderstanditwasagasheaterthat,thatWhenIclimbedintotheambulanceandsawhisfaceandIwasconvincedhewouldThesickestthemostadvancedtechnology,medicalcaresecondto这里上演生死攸关的故It’salwaysamatteroflifeor21岁的活得很潇TwentyoneyearoldJacobliveslifetotheLivelifetotheextreme,ButtwodaysJacobranheadonintoaHe’snowintheTraumapod才救回他intheAlfred’safterdoctorsworkedforhourstosavehisJakeisayoungmanthatwasinvolvedinquiteaseriousmotorcar身体有多处包括胸部和腹部andhesufferedmultipleinjuriesincludingchestandabdominalandmultiplebonefracture难以置信的是全身有20多处伤Incredibly,Jacobhadtwentyseparateincludingbruisedlungs,fracturedribs,bruised肝脾和大肠的切割伤和andcutsandtearsoftheliver,spleenandHealsohadcutsandtohisrightleg,knee,ankleandandhislittletoewastornHislaceratedliverwasbleedingsothathalfofithadtobetakenWehadachancetoseetheandyeahImeanourheart我们觉得可能见不到We’ve,wedidn’tthinkwe’d,wewouldseeJacobsooneofthenursesherecameinandjusttold现在我们要做好准thatumJacob’sinacriticalcondition,thatweneededtobe他有生命这件事是肯定Hisinjuriesarelifethreatening,there’snodoubtaboutThereisapotentialforhimtohaveabrainHehadamassivebloodtransfusionwhilehewasinHisbloodwasprobablyrecedby,hisentirevolume,threetimesinthetimehewasthere.Theyalsooperatedonhisandthenhewasbroughttousinherein现在持续以及我们能否止Mainlyhisbiggestriskatthispointisongoing是他的最大风andwhetherwecanactuallycontrolYou’vebeenreallystrong,we’reso的父母现在能探望他碰触到他Jacob’sparentscanseehimandtouchhim但他能否保住还是未知butthereiseverychancetheystillmightloseRachael’sjustarrivedinthecardiothoracicafteralungtransJustgoingtohaveafeelofyourhands,Rachael’sgotarareconditionwhichisprimarypulmonaryBasicallyahighbloodpressureintheRachael’sconditionstopsherfromabsorbingenough有生命andit’seventuallyTheonlycureisalungtransShewasdiagnosedwiththatthreeyears15IttookfifteenmonthsIthinkbeforetheyactuallyputherontothetransntlist15andwe’venowbeenwaitingfifteenThismorningatfivethatterriblewaitcametoanWhenthephonerangathome,IknewstraightRachaelwasontheIheardhersayyes,yeah,I’lldothis,I’lldoWhenIwentinshewasandIknewitwasExcuseme.AndIsaidto15Isaidwellthisiswhatwe’vewaitedfifteenmonthsYouknowshewas,shewasinsomuchachesandpainandchestandtabletsandeverythingshehadto100andyouknowshecanonlyprobablywalkahundredmetresbeforeshehastoShedoesn’tgoout.ImeanshebasicallystaysatRachael’soperationtookmorethansix医生摘除了两个病ShehadbothherfaultylungsandrecedwithdonorSurgeonsusedmicroscopictoattachherairwaystothenewRightheartheldtogetherreallyandumwewereabletojustIt’ssuchamajor,majorbutit’sgoingtobeforIt’lljustmakeherqualityoflifesomuchEveryonehopesRachael’snewlungswilldotheirbuttherearenoIfsomethingdoesgoRachael’sbestchanceisintheexpertcareoftheTheimmediateconcernsaretheoxygenationintheremainsadequateahastheysettlethatthere’snoexcessivebleedingahrelatedtothe,thesurgeryorimmediatepostoperativeandwekeepherah情况稳定初期可注射stableandsedatedinitiallywhilethesethingsaresortedSofar,Rachael’soxygenlevelsareHernewlungsareholdingtheirAseachdaygoesRachael’schancesofngwellwillgetbetterandbetterbutumIIIwouldstillIworrythatshe’snotoutofthewoodsjustThere’sstillalwaysthatinthebackofyourthatmaybetherewillbeatherewillbesomethingmaynot,youknow,goandRachaelwillbebacktowhereshestartedStephen’srighttoworry.蕾切尔的例行X光显Aroutinex-raywillRachael’snewlungsarefullofBackintheTraumaJacob’smumanddaddidn’tthinkthey’dseetheirsonaliveagain.Jacobwasdrivingandgettingreadytogotoandyeahdidn’tquitemakeitandhitaWethinkthatitwaseitherheadonorpartwayheadCertainlytherightsideoftheandrightsideofthetruckhaveWhenwegottoseehimfortheveryfirst才我们的儿子是多么珍itwasjustahyoujustrealizeyouknowhowpreciousyourkids挺过了最的时JacobhassurvivedagainstthebutstaffintheICUareworriedheisn’twakingIt’snowthreedaysposthimcomingintoandhehasn’tstartedtowakefullyWhatcanhappenisoedemawhichisswellingoftheistheshakingofthebraincanalsocausethebraintoAlsobecausehisbloodwasveryafterthemassivebloodhehaspotentialthathecouldhavehadasmallbleedintohisandthat’swhatwe’llbelookingSeeCTJacob’sofftohaveaCTscanofhisHisdoctorsneedtowhyhe’stakingsolongtowakeThreedaysagoRachaelgotanewsetof她现在仍在打剂不能自主呼She’sstillsedatedandhasn’ttakenabreathonher例行X光发Nowaroutinex-rayshowshernewlungsmaybe最开始照的胸部XTheoriginalchestx-raylookedveryUmbutthere’sabibasalcollapseandsuggestiveofpossiblysowe’reahhavingalooktoseeifthere’ssomemucusObviouslyshecan’tcoughwhileshe’sandit’ssometimeshardtoahclearthesowe’lljustpopthescopeSowe’rejustcomingdowntheendotrachaeltubeWegostraightdowntheleftlungdowntheleftmainAhquiteafewsecretionsdownthereLet’sjustgiveawashthereandsuckthemThemoremucusthatisaround,themoreinfectionwill的情况会andahahandgetItactuallylooksveryJoinlooksgoodandtheairwayslookonceyou’vesuckedthisstuff如果况不能拨管自己无法咳Thenwemighthavetodothisagaininacoupleofifshe’snotextubatedandcoughing在附近的一间中雷正在换绷Inanearbycubicle,Rayishavinghisdressingsthreedaysafterhewasburntinanatafriend’s我听说是煤气炉Iunderstanditwasagasheaterthat,that15%Hehasaboutfifteenpercentofhisskintissueis,isTohisfaceandhishandstothebackandtohisSomeofthatisfullthicknessandsomeofthatisonlypartialInces,Ray’shandswereburntdowntotheSurgeonstookskinfromhisthighsandgraftedittohistohelpthemThewaythattheyactuallysecurethegraftsiswithSotherearemanymanystaplesintheseSowe’vegottotakethoseouttoallowbetterRaywasveryluckytheburnsonhisfacedidn’tneedskinInstead,thetreatmentismuchThisdressinghereisactuallyumasyntheticnylonthathassomepigcollageninthathelpsitactuallyadheretotheAndthisisjustlikeatemporaryAndwhathappensisastheskinstartstohealtheactualbiobrainliftsTheideaisthathopefullythatitwillallbe10andthiswillallbeoffintendays在雷的妻子眼ForRay’swife,it’sbeenaterribleInitiallyitdidn’tlooklikehewasthatbecauseIsawhisshoulderherewheretherewasnoButthenwhenIclimbedintothe看到了他的脸和手的吓到andsawhisfaceandhands,realityreallyhitHishandswerejustlikesticfallingandhisfacewasandyouknowItriednottobecauseIdidn’twanthimtoseeme可的很难andumyouknowIjustfelt雷打了剂Ray’ssedatedandonabreathingmachinetoprotecthis烧伤可能会成为一个Burnscanbeahreallyquitenasty它不仅严重皮andnotonlydotheycausetheskintobebuttheyinjurealotoftheotherpartsoftheHismainproblemattheishislungsandhisairwayswerequitewhichmeansthathecan’tAndthatmadehisconditionfarmoreandheneededthereforetocometotheIntensiveRayisveryItcouldbedaysbeforetheswellinggoesdowninhis我们给他打了很多Buthe’sbeenonlotsof10Hewasontenandwiththeunderfiveof好UmsothatwasalldayJacob’sstillunconscious,离他出撞上卡车已经有四天fourdaysafteraheadoncollisionwithaHe’shavingatoughtime,isn’tButhe’smadesome24Inthelasttwentyfourhours,he’snotrequiringasmuchThemajorconcernswillbewhetherhedevelopsUmmanyofhiswoundswereverydirtywhenhecameinto所以他的伤口的风险很umsohe’satquiteariskfrominfectionpointofandalsoumwaitingtoseehimWe’llbemuchhappierwhenhe’smore迄今为止对外界的刺激全无反Sofar,Jacob’sbeentotallyHismumanddadareterrifiedhewon’twakeYougetsomeHow’sourboy?VeryOhOhoThereyou哦嗨Hi你好啊哥们OhJacob.oOhSonicetoseeyouthisGoodonOho.YouarengsowellOhYou’veputinthebiggestfightoverthelastfewYou’rengsoOh.OhhowWowyou’vejustgivenusthebestpresentthisOhyoulookWow.It’sbeenawhilesincewe’veseenhimopenhiseyesOhhe’sngveryOhgosh.He’stakingalongtimetostartNowthatcouldberelatedtothefactthathisliver’snotterriblywell对…whichistheinjuryit’sMm-Andandhehashadalotofdrugstokeephimrelaxed对…whilehe’sbeenwithHe’snotbringinghishandsuptothetubeorUmsqueezingoranythinglikethatsohopefullyhe’sjustabitHe’sjust,he’stakingawhiletoget,getridofthose嗯Buthis,hisbody’stakenafairMmSowe’vejustgottomakesurethere’snothinggoingontherethatwe哦Butthat’sthebesthe’ssoI’mquitepleasedWellGood哦真棒你表现得真棒Amazing.You’reamazing.OhwellwehadthebestgifteverthisJacobyeahrealizedthathismumanddadwereahwereandheopeneduphiseyesandjustanabsolutemagicSoIguessyouknowyou’realwayslivinginandit’syouknowminutebyminute他出了严重的可能有生ahhourbyhourandsincethemorningwefoundoutthathehadbeeninaseriouscaraccidentandthatumunlikelytosoumtoseehisfaceandtoseethathe’sopeneduphiseyesjustanabsoluybeautifulIt’sbeenagreatdayforJacob’smumandbuthisdoctorswon’thowdamagedhisbrainisuntilhe’sfullyFivedaysago,Rachaelwasbrought来到了德医院的重症监护theAlfredHospital’sIntensiveCareUnitafteradoublelungtransTakeabigbreathformeplease.That’sTheICUteamhasbeenable减少了剂的用windbackherandshe’sawakeandOkayyourbreathing’salotWe’llgetthebreathingtubeoutprettysoon.AllIt’sallgoing拔管表示的恢复有了很大的进HavingthebreathingtubeoutwillbeahugestepItmeansRachaelwillbeflying对父母而言这一刻等得够久Forhermumanddad,themomentcan’tcomesoonNowweshouldberighttoextubate请先出去10分sowhatwe’lldoiswe’llgetyouguystostepoutsidejustforYeah.减少剂用SowecanweanoffthesedationLetherwakerightup.Andjustassessthatshe’srighttoTakethetube如果况稳定我们就会拔 llytakethetubeoutif,that’sright,we’lltakeitGreat.Yep.ItsoundsThesoonerweletyougetyourjobthequickerwegetbackinhereThisisit.ThebigtestforRachael’snewTakeabigbreathandthenhaveagoodWeneededtocheckthatshewasableto所以要减少剂的soweneededtoturnhersedationandwhenweaskedherto,shecoughedBigbreathandthenwhenyouthat’sright,thenthetubewillcomeIt’sahugestepforShe’sgottotrusthernewlungswillI’lljustgiveyouabitmoreIt’sokay.We’reabouttotakeitout,Havingthatsupporttakenawayfromitwasquitescaryfor她必须开始地自主呼ShehadtostartbreathingonherownalotAndumeachbreathshe都能增强信shesortofgainedalittlebitmoreYou’rengveryButitwassortofonebreathataforawhilestraightaftertheButwitheveryitgotherclosertogettingoutofoutofthe呼吸没那么了YoucanbreatheproperlyabitbetterRachael’slongordealisfinallyHernewlungsarengtheirjobYouallYoujustrelax,love.YoujustYou’reontheroadtorecovery,WhereaboutsistheInmy离雷在朋友家因瓦斯烧It’snowfivedayssinceRaywasburntinagasatafriend’sTheswellinginhisairwayshasgoneandhisbreathingtubehasbeentakenHe’llprobablystaywithusforanothertwentyfourjusttomakesurehedoesn’tdevelopanyfurtherairwayButhe’llprobablygouptotheBurnsandobviouslybelookedafterbythesticsahandtheburnsRay’sdefiniygettingbuthemaynevergetbackthefulluseofhisBurnstothehandsareveryandyouneedalotofphysiotherapyandoccupationaltherapytogetthereturnofsoIthinkthatwillbealongertermproblemforAndhowaretheyfeelinginOhtheyfeelabittightandthatbutUmbutthey’regettingThreeweeksRay’sfaceandhandshavebeenTheimportantthingthatyoudoiswhatwecallthescarmanagement通过保证皮肤平整和松驰这很重Soit’sjustreallyimportantthatwekeepthatniceand我只记得的气流把我炸飞起来SoallIknowisthatIwasblown我本来站IthinkIwasatthefrontandIgotblownacrosstheontotheothersideoftheThat’swhatIthinkhappened.Ididn’tthinkIwasgoingtomakeit.IthoughtIwasDefiniythoughtIwasdead.They’relookingreally还有几处肿消掉就好JustafewlittlepocketstherethatthatneedtohealupalittlebitIt’sbeenatoughfewbutRayreckonshecouldn’thaveendedupinabetterYeahwordscan’texpresswhatthesepeopleNothingwouldbeabletorepaythemforwhatthey’vedoneforIt’sjustnothing.It’sOhI’vejustnevermetpeoplelikethembefore我是Jacob?Jacob,I’mAlex.I’moneofthedoctors.Canyouopenyoureyesfor21岁的出了几乎丧SixdayshavepassedsincetwentyoneyearJacobalmostHecrashedheadonintoaSqueezemyhandsforme.That’s放松手能抬起来Relax.Jacob,canyouliftyourarmsoffthebedforCTACTscanhasclearedofseriousbrainandhe’sstartingtowake你现在很安全好吗You’reverysafeokayJacob?你现在住在德医LikeIsaidyou’reintheJacob’sdaysixwithusandfromanorthopaedicsurgicalpointofviewhe’shadallofhisoperationsthat’llbeneededupuntilnowandobviouslywaitingforhimtowakeandseethathe’swhichweneverknowuntilwestopsomeone’sandtakethetube这张拍得不That’saniceone.That还有另外几张好想看There’sacoupleofgoodonesifyouwanttoJacob’sfamilyandfriendshavespentdaysatthehospitalhoforgoodThumbsup.GoodNowJacob’sontheIttookmorethanahundred100ofbloodtosavehis而自18岁起就一直在献ButJacob’sbeenablooddonorsincehewasHejustwouldn’tmissit.Hejustumrealizestheimportanceofgivingandahandnowhe’sbeentherecipientof我们儿子是靠别人献血挽救It’ssavedourson’slifeandumweweowemanymanypeoplemanymanythanksforfordonatingWellhe’sjuststartedopeninghiseyesandhe’sbreathingonhisAmazingforsixdaysandyouknowwewere医生还提醒我们做好的准toprepareourselvesfortheworstwhenhefirstcameJacob’sincrediblyluckytohavecomethisfar.ButhemayneverbetheboyheonceYouknowwe’resoproudofhimandhe’sdonesoOneweekafterhavingherlungstransRachael’sgotsomegreat我可以住进普通I’veactuallygotabedontheIcangetoutofthisnotthatthegirlshaven’tbeenThey’vereallyhelpedI,I’mgoingtohavetothankthemwhenIgetoutofWon’tbelongandyou’llbe对ThethingI’mlookingforwardtomostofallisthatshe’sgoingtohaveaqualityof能够出门做自己She’llbeabletogetoutanddoIwassoscaredtoactuallygoingtothatIwasnevergoingto