时间:2019-01-14 作者:英语课 分类:VOA标准英语2013年(四月)


英语课

 


New Procedures Improve Chances for Trauma 1 Victims



At one of the largest trauma centers in the United States, a multi-disciplinary team of doctors and nurses works quickly to save the life of a 60-year-old man suffering from multiple stab wounds. Dr. Peep Talving is the trauma surgeon on call.


“When he was closing his shop there was a robbery, and they stabbed him. He got six stab wounds to the chest, one to the abdomen 2 and two to the neck,” said Talving.


Methodical processes


Dr. Demetrios Demetriades, director of Trauma Services at the Los Angeles County - University of Southern California Trauma Center, said when someone is severely 3 hurt, members of the trauma team are activated 4.


"Everybody in our center is expected to be in the emergency room within five minutes of activation 5. This means that they are there before the patient arrives. And each person has a dedicated 6 duty," he said.


Demetriades said this methodical way of treating patients at a trauma center has lowered the preventable trauma deaths to less than two percent.


Other advancements 7 also have improved survival rates. One of them is a change from having paramedics stabilize 8 the patient at the scene to what is called “scoop and run.”


“Don’t waste any valuable time trying to stabilize the patient. Put him in the ambulance and take him to the hospital to the trauma center immediately without any delay,” said Demetriades.


Different treatments


Talving said that is especially critical with gunshot and stab wounds. “Particularly with the penetrating 9 trauma because if you got a vascular 10 injury to the chest torso, there is nothing else than surgery that will stop the bleeding.” 


That is the case for the elderly stabbing victim. Talving had to operate to stop the internal bleeding. The concept of “scoop and run” also is one of the reasons why 18-year-old Juan Gallardo survived a drive-by shooting. Demetriades described the injuries.


“This patient has a gunshot injury to the heart and lung. Twenty years ago he would have been dead and buried - had memorial services every year,” he said.


After surgery, though, Gallardo is returning home two weeks after the shooting. “I’m planning on going back to school and go to church.”


In another change, the hospital operates selectively on patients with gunshots to the abdomen - especially if no vital organs are hit. Not operating reduces medical complications after surgery.


Additionally, in a lesson learned from the war zones of Iraq and Afghanistan, Demetriades said there's a new procedure instead of the traditional method of giving trauma patients large amounts of intravenous fluids such as saline.


“Now we give blood products. We restrict all types of fluids. We give fresh blood products and again this has made a very significant difference,” he said.


Changes like these have improved a patient's chances of survival in trauma centers by as much as 25%. As for the elderly man who was stabbed, he is expected to make a full recovery. 




n.外伤,精神创伤
  • Counselling is helping him work through this trauma.心理辅导正帮助他面对痛苦。
  • The phobia may have its root in a childhood trauma.恐惧症可能源于童年时期的创伤。
n.腹,下腹(胸部到腿部的部分)
  • How to know to there is ascarid inside abdomen?怎样知道肚子里面有蛔虫?
  • He was anxious about an off-and-on pain the abdomen.他因时隐时现的腹痛而焦虑。
adv.严格地;严厉地;非常恶劣地
  • He was severely criticized and removed from his post.他受到了严厉的批评并且被撤了职。
  • He is severely put down for his careless work.他因工作上的粗心大意而受到了严厉的批评。
n. 激活,催化作用
  • A computer controls the activation of an air bag.电脑控制着气囊的启动。
adj.一心一意的;献身的;热诚的
  • He dedicated his life to the cause of education.他献身于教育事业。
  • His whole energies are dedicated to improve the design.他的全部精力都放在改进这项设计上了。
n.(级别的)晋升( advancement的名词复数 );前进;进展;促进
  • Today, the pace of life is increasing with technological advancements. 当今, 随着科技进步,生活节奏不断增快。 来自《现代汉英综合大词典》
  • Great advancements in drought prediction have been made in recent years. 近年来,人们对干旱灾害的预报研究取得了长足的进步。 来自互联网
vt.(使)稳定,使稳固,使稳定平衡;vi.稳定
  • They are eager to stabilize currencies.他们急于稳定货币。
  • His blood pressure tended to stabilize.他的血压趋向稳定。
adj.(声音)响亮的,尖锐的adj.(气味)刺激的adj.(思想)敏锐的,有洞察力的
  • He had an extraordinarily penetrating gaze. 他的目光有股异乎寻常的洞察力。
  • He examined the man with a penetrating gaze. 他以锐利的目光仔细观察了那个人。
adj.血管的,脉管的
  • The mechanism of this anomalous vascular response is unknown.此种不规则的血管反应的机制尚不清楚。
  • The vascular changes interfere with diffusion of nutrients from plasma into adjacent perivascular tissue and cells.这些血管变化干扰了营养物质从血浆中向血管周围邻接的组织和细胞扩散。
学英语单词
Aegeriidae
alarm bell
alcoholic mass
all-around loading
and therefore
antifriction ball bearing
art cinema
arthroscopes
atrio-ventricular ring
bacteriological examination
bangin
Bilipac
binary insertion sort
bitumen-insulated wire
blast shock wave pressure
bluto
Boswellian
Botevgrad
bread wrapper
bull-nose stretcher
CCALI
cement setting
chinoiseries
cicatricial trachoma
compound arbitrage
consignment agency
correlation echo sounder processor
coxie
cutaway shot
dAlembert inertial force
deemphasized
determinable interest
dick conche
dovetail copacitor
Dunmow flitch
E. G. Marshall
echo ranging
Elatia
eye MDs
fanfold paper
feature code menu
fedtschenkoana
feed up (with)
feeding floors
form class volume table
full auto-bonding
funerally
galgate
glass-toppeds
grave-digging
hemping
human factors engineering
hunger swelling
infantile genitalia
internal standard
irreducible invariant subgroup
leakage method
leptobryum pyriforme
liman kati
low-speed agitator
making out
manual acting
McCutchenville
molybdenum dioxydichloride
Moraceae
myelolipomas
NAVAEROMEDRSCHLAB
non-core
non-stocked land
not make head or tail of
obsessive-compulsive
on-site reprocessing
orthohexagonal axis
passion-flowers
photosurface
pilot operated directional control valve
pogo-stick
polarization by reflection
portable belt conveyor
Pseudoraphis
pseudosulum
Quai
reinforced casting
rotor ground
Rānipur
salicylosalicylic acid
soldering flux paste
steam fitting
straight-line link motion
suction branch
sulmona
superfine grain developer
Terrinches
tetranucleotialase
township enterprises
trepanning
unconsiderance
under false pretenses
varec
warhead-booster
Wrockwardine
zero density