Chapter 22 Section 1 Guided Reading the Nation's Sick Economy Answers

a.the time the ambulance arrived

b.summary of events

c.the office of a large vehicle where the driver sits

d.child

due east.expiry

f.recovery

Phone CALLS

one Log Book	Fourth dimension of call: 06.l
Location of emergency	fourteen Friars Walk
Proper name of caller	Staff nurse Jenny Lewis
Nature of emergency	Suspected cardiac arrest
Synopsis	Victim is caller's 56-yr-old male neighbour. Caller reports victim has abdominal pains and is sweating and vomiting.
Activeness taken	Ambulance is dispatched. ETA: 07.10
Follow-upwardly	Heavy traffic and so ATA was 07.l. Victim DoA at infirmary.
ii Log Volume	Time of call: 09.23
Location of emergency	2 km north of motorway junction 17
Nature of emergency	RTA
Synopsis	Lorry driver is trapped in his cab but no other vehicles are involved
Activeness taken	Police and fire service are notified and ambulance dispatched
Follow-up	The commuter was released and transferred to infirmary. He had no serious injuries and was discharged later.
three Log Book	Time of call: fourteen.20
Location of emergency	Key park due north side perimeter fence
Proper name of caller	Mr. Fred Thomas (park keeper)
Nature of emergency	Juvenile trapped in park railings
Synopsis	Victim has put her legs through railings. They have become swollen and she is unable to free herself. Caller reports no bleeding and the victim is fully conscious
Activity taken	Fire service is notified. Ambulance is dispatched.
Follow-upwardly	Ambulance was not required. Burn down officer used hydraulic equipment to force open the railings and free the daughter. Hospital attendance was not necessary.
4 Log Book	Time of call: 22.10
Location of emergency	Loftier Street outside Lock Building
Proper name of caller	Male caller refuses to give his name.
Nature of emergency	Possible suicide attempt
Synopsis	Caller reports seeing victim jump from the roof of the edifice.
Action taken	Ambulance is dispatched and law are notified
Follow-upwardly	Police force officer reported fatality. Foul play is suspected and a murder investigation has been opened.
v Log Book	Fourth dimension of call: 00.00
Location of emergency	332 Rio Road
Name of caller	Shareen Heslop
Nature of emergency	Non-emergency
Synopsis	Caller reports injured wild bird
Action taken	Animal rescue notified
Follow-up	The bird was taken to an fauna sanctuary for treatment and rehabilitation.

You are in a light aircraft when it crashes into the jungle. Your radio is broken so you can't call for assistance. In that location are two of you and you must get ready to walk 100 kilometres to prophylactic. You lot already accept clothes, food, and water.

You lot tin can have just ten more things with you - five from each list. Discuss what to take with your partner and explain your reasons.

Vocabulary

	MEDICAL	Full general
	bandages	a torch
	a scalpel	a box of matches
	a snake bite kit	soap
	morphine	a mirror
	aspirin	a compass
	disposable gloves	a knife
	a thermometer	scissors
	tweezers	fish hooks
	a showtime aid manual	large plastic numberless
	hypodermic needles	a cooking pot
	adhesive tape	a mosquito net

Taxi drivers in Bangkok are now being trained to aid women give birth. An estimated 300—400 women in the city requite birth in taxis or tuk-tuks on the way to hospital each year.

Reading

Look at the pictures. What do you lot think the article is nearly?

Discuss these questions with a partner.

1. Have you ever helped with a birth? How was it?

two. Were you born in infirmary, at dwelling, or somewhere else?

3. Have you heard of any births that happened in an unusual place?

Read the text and answer the questions.

1. Was this Clive'due south offset feel of a nativity?

ii. Who gave instructions to Clive ?

3. Who is Mohammed Clive ?

4. How is the baby now?

Work in pairs. Cover the article. Can you call back the midwife's instructions? Await at the words beneath to help you remember.

mother's breast	nose and mouth	umbilical cord
medical help	back	head
blanket	towel

British taxi commuter, Clive Lawrence, became a midwife for an hour when a passenger gave nascence to a baby in the back of his taxi.

Asha Gemechu's baby was due in a month, merely when her contractions started she called for a taxi to have her to hospital. Mr. Lawrence answered the phone call.

The expectant mum was in the taxi for 10 minutes when she realized that things were happening too fast. The baby was non going to wait. Its caput appeared, and Mr. Lawrence stopped the taxi to aid with the nascence.

Mr. Lawrence said, 'I was at that place when my kids were born, so this was non completely new for me. I spoke to a nurse on the taxi radio and she gave me instructions - I but did what she told me. There's nothing special near that. One minute I had one rider, then I had two, but there's no extra charge!''

A midwife at the infirmary said, 'Giving birth on the fashion to infirmary doesn't happen frequently, but if you're at that place when information technology does, just back up the infant's head and guide it out - don't pull. And then clean the baby'south nose and mouth, simply don't cutting the umbilical string - only lay the baby on the female parent'south chest, cord and all. Dry the infant with a clean towel or material, gently rub its dorsum, then encompass mum and baby with a dry out blanket to go along them both warm, and await for medical help to arrive.'

'Clive was wonderful,' the mother said later on, 'he did everything right.'

Asha is naming the baby Mohammed Clive. Mother and infant are both doing well.

Writing

Accident report

1. Heed to a constabulary officer talk to a nurse about the RTA in Listening. Take notes most what happened.

ii. Write a report nearly the accident. Depict what happened (depict a diagram if necessary).

Include in the report your own stance well-nigh whether or not the driver should accept been driving. Say what, if anything, could have been done to avoid the accident. Make recommendations for what should be done to reduce the number of RTAs in your country.

Information technology's my job

Without looking at the list of abbreviations say which of these abbreviations medical problems are and which are medical staff.

Fx SHO S/N CVA

Read the text and answer the questions.

one. Why does Heidi not mind the stress of her job?

two. Why is 'triage nurse' a suitable task title?

3. What is Heidi'due south rank?

4. What is the A&Eastward doc'southward rank?

v. What does Heidi similar best about the job?

6. Why will the patient with the eye trouble not be keeping his medicines in his desk drawer in future?

Accept yous heard any stories of foreign or stupid accidents and emergencies? Tell your partner.

Heidi Vettraino

A repetitive chore is my thought of a nightmare, which is why I work in A&Eastward. It'south stressful, sometimes shocking, and often very upsetting, but I wouldn't change it for anything.

I specialize in emergency triage. 'Triage' means 'sorting' and that'south what I practise. I sort out patients in A&East according to the nature and severity of their affliction so that the doctors see the virtually severe cases kickoff and we don't waste matter precious time on non-emergencies. You could say that'due south similar specializing in everything. You don't know what'southward going to pop upward next - it could be an accident with multiple Fx, a sick baby, or a CVA. The day before yesterday a farming accident came in - a man had cutting his hand off with a chainsaw.

When the ambulance brought the patient in, he was haemorrhaging badly and nosotros had to open up an airway and get him on a ventilator immediately. He's OK. He'south in ICU, merely not on the critical list any more.

That was the same day a woman came in complaining of terrible pain in her feet. I was the Due south/N on duty and I categorized her equally a non-emergency. She sat waiting for iv hours before finally seeing the SHO. You'll never guess what the trouble was. Her shoes were too tight!

The best thing almost A&East work is the people you work with. Everyone pulls together, nosotros're all equal, and everyone shares the same sense of humour, which is essential. Sometimes yous've got to meet the funny side or requite upward all hope for human beings. Terminal calendar week, for example, an ambulance brought a homo in who was unable to open his eyes. Existence brusque-sighted, he had reached for his eye drops and didn't run into that he had picked upward a tube of superglue instead. Poor man!

We bathed his eyes for an hour and very slowly separated his

eyelids. He was able to laugh about it with the A&E staff afterwards,

only in the futurity he won't be keeping his medicines in his desk drawer.

In 1917, an Australian outback farmer seriously injured himself in a autumn. Considering the nearest doc was iii,000 km away, the local postmaster operated on the farmer's bladder using a penknife whilst receiving Morse code instructions by telegraph. The patient survived the operation, but not the journey to infirmary later.

What famous Australian medical service was created because of incidents similar this?

Reading

Air ambulance

Discuss with a partner the advantages of air ambulances like the ane in the film.

Read the text and compare your ideas with what the commodity says.

Read the text again and choose the correct respond.

ane. The idea of an air ambulance came from the need to

a. limit a patient's movements

b. move treatment fast to sick people

c. move patients fast only gently.

two. Letting wounded soldiers die is

a. cheaper than evacuating them by helicopter

b. economically necessary

c. inefficient.

1. The kickoff medical rescue by helicopter was

a. a response to an blow

b. a military exercise

c. afterward a battle.

1. The equipment in a Sikorsky Yr-4 helicopter is

a. elementary

b. sophisticated

c. circuitous.

1. The main problem for helicopter pilots is that they

a. cannot see where they are flying

b. cannot fly when they cannot come across

c. cannot utilize VFR.

1. Air ambulances are best employed for patients who

a. are non-emergencies

b. volition probably die

c. may live.

Rescue from the Air

When you cannot move treatment apace to sick people, you accept to move sick people chop-chop to handling. The problem is that when someone is severely injured, movement can kill and and then annihilation that can both speed up the journey and minimize the shock is a life-saver. This is why, over a hundred years agone, a long fourth dimension before the development of aircraft, someone came up with a blueprint for an 'air ambulance'. The idea was to put wounded people on a stretcher which was held in the air by balloons and pulled along by horses. Warfare has encouraged progress in ambulance technology. It is expensive and wasteful to let soldiers die on a battlefield and saving their lives justifies the expense of using aircraft (peculiarly helicopters) to transport casualties to hospital. In fact, the first fourth dimension a helicopter was used for a medical rescue was in Burma in 1945 by the American armed services. A soldier on a jungle-covered mount accidentally shot himself with a motorcar gun. At that place were no medics and the surface area was so wild that it would accept taken ten days for a rescue political party to reach the wounded man. A Sikorsky Yr-4 helicopter - very basic by modern standards - was sent out. Information technology had no radio and navigated by flying low over the treetops, just the pilot completed his mission and the soldier's life was saved.

Even today, helicopters are limited by atmospheric condition and darkness. Unlike aeroplanes, which have radar and computers, many helicopters have only essential flight equipment and pilots have to fly VFR (Visual Flight Rules) which means they can only fly when they can come across. However, the not bad value of a helicopter is that it can land and take off vertically and provide speed and comfort, which are not luxuries when information technology comes to saving lives and a helicopter can make a huge difference in a rural expanse where response time is normally slow. Air ambulances can increase the chances of survival of patients whose injuries are astringent merely survivable; an of import cistron to consider when sending one out.

a.the time the ambulance arrived

b.summary of events

c.the part of a big vehicle where the driver sits

d.child

e.death

f.recovery

PHONE CALLS

ane Log Book	Time of telephone call: 06.50
Location of emergency	fourteen Friars Walk
Name of caller	Staff nurse Jenny Lewis
Nature of emergency	Suspected cardiac abort
Synopsis	Victim is caller's 56-yr-old male neighbor. Caller reports victim has abdominal pains and is sweating and airsickness.
Action taken	Ambulance is dispatched. ETA: 07.x
Follow-up	Heavy traffic and then ATA was 07.50. Victim DoA at hospital.
2 Log Book	Time of call: 09.23
Location of emergency	ii km due north of state highway junction 17
Nature of emergency	RTA
Synopsis	Lorry driver is trapped in his cab merely no other vehicles are involved
Action taken	Constabulary and fire service are notified and ambulance dispatched
Follow-up	The commuter was released and transferred to hospital. He had no serious injuries and was discharged later on.
3 Log Volume	Time of call: 14.20
Location of emergency	Central park north side perimeter fence
Name of caller	Mr. Fred Thomas (park keeper)
Nature of emergency	Juvenile trapped in park railings
Synopsis	Victim has put her legs through railings. They take go bloated and she is unable to gratis herself. Caller reports no bleeding and the victim is fully conscious
Activity taken	Fire service is notified. Ambulance is dispatched.
Follow-upwards	Ambulance was not required. Fire officer used hydraulic equipment to force open up the railings and free the girl. Hospital attendance was not necessary.
4 Log Book	Time of telephone call: 22.10
Location of emergency	High Street outside Lock Building
Name of caller	Male caller refuses to requite his proper noun.
Nature of emergency	Possible suicide attempt
Synopsis	Caller reports seeing victim jump from the roof of the building.
Action taken	Ambulance is dispatched and police are notified
Follow-up	Constabulary officer reported fatality. Foul play is suspected and a murder investigation has been opened.
v Log Volume	Fourth dimension of call: 00.00
Location of emergency	332 Rio Route
Proper name of caller	Shareen Heslop
Nature of emergency	Not-emergency
Synopsis	Caller reports injured wild bird
Activeness taken	Animal rescue notified
Follow-up	The bird was taken to an animal sanctuary for treatment and rehabilitation.

You are in a light aircraft when it crashes into the jungle. Your radio is broken and so you can't call for help. At that place are two of y'all and you must go gear up to walk 100 kilometres to rubber. You lot already have wearing apparel, food, and water.

You can take merely x more than things with you - five from each list. Discuss what to take with your partner and explain your reasons.

Vocabulary

	MEDICAL	GENERAL
	bandages	a torch
	a scalpel	a box of matches
	a serpent seize with teeth kit	soap
	morphine	a mirror
	aspirin	a compass
	disposable gloves	a knife
	a thermometer	pair of scissors
	tweezers	fish hooks
	a commencement aid manual	large plastic bags
	hypodermic needles	a cooking pot
	adhesive tape	a mosquito cyberspace

Taxi drivers in Bangkok are now existence trained to help women give birth. An estimated 300—400 women in the urban center requite nativity in taxis or tuk-tuks on the way to hospital each yr.

Reading

Expect at the pictures. What exercise you think the article is most?

Discuss these questions with a partner.

1. Accept you ever helped with a nascency? How was it?

two. Were you lot born in infirmary, at habitation, or somewhere else?

3. Take you heard of any births that happened in an unusual place?

Read the text and respond the questions.

1. Was this Clive'southward get-go experience of a birth?

two. Who gave instructions to Clive ?

iii. Who is Mohammed Clive ?

4. How is the baby at present?

Work in pairs. Cover the article. Can you call back the midwife's instructions? Look at the words beneath to assist you remember.

mother'due south chest	nose and oral cavity	umbilical cord
medical help	back	caput
blanket	towel

British taxi driver, Clive Lawrence, became a midwife for an hour when a passenger gave birth to a baby in the dorsum of his taxi.

Asha Gemechu's babe was due in a month, only when her contractions started she chosen for a taxi to take her to hospital. Mr. Lawrence answered the call.

The expectant mum was in the taxi for ten minutes when she realized that things were happening too fast. The babe was non going to wait. Its head appeared, and Mr. Lawrence stopped the taxi to help with the birth.

Mr. Lawrence said, 'I was there when my kids were born, so this was non completely new for me. I spoke to a nurse on the taxi radio and she gave me instructions - I merely did what she told me. There's zippo special about that. One minute I had one passenger, then I had 2, only in that location's no extra charge!''

A midwife at the hospital said, 'Giving birth on the way to hospital doesn't happen often, but if you're there when it does, only support the baby'south head and guide it out - don't pull. Then make clean the baby'due south nose and oral fissure, but don't cut the umbilical cord - simply lay the baby on the mother's chest, cord and all. Dry the baby with a clean towel or fabric, gently rub its back, then comprehend mum and baby with a dry out blanket to continue them both warm, and wait for medical help to arrive.'

'Clive was wonderful,' the mother said later, 'he did everything right.'

Asha is naming the babe Mohammed Clive. Mother and infant are both doing well.

Writing

Blow report

one. Listen to a police officer talk to a nurse nearly the RTA in Listening. Take notes about what happened.

2. Write a study virtually the blow. Draw what happened (draw a diagram if necessary).

Include in the report your own opinion nigh whether or not the driver should have been driving. Say what, if anything, could accept been washed to avoid the accident. Brand recommendations for what should exist done to reduce the number of RTAs in your state.

Information technology's my task

Without looking at the list of abbreviations say which of these abbreviations medical problems are and which are medical staff.

Fx SHO S/Due north CVA

Read the text and respond the questions.

one. Why does Heidi not heed the stress of her job?

ii. Why is 'triage nurse' a suitable job title?

3. What is Heidi'due south rank?

four. What is the A&E doctor'south rank?

5. What does Heidi like best near the job?

6. Why will the patient with the eye problem not be keeping his medicines in his desk drawer in future?

Take y'all heard whatsoever stories of foreign or stupid accidents and emergencies? Tell your partner.

Heidi Vettraino

A repetitive chore is my idea of a nightmare, which is why I work in A&E. It'due south stressful, sometimes shocking, and oft very upsetting, just I wouldn't change it for annihilation.

I specialize in emergency triage. 'Triage' means 'sorting' and that's what I do. I sort out patients in A&Due east according to the nature and severity of their affliction and then that the doctors run into the almost astringent cases beginning and we don't waste precious fourth dimension on non-emergencies. You could say that'due south similar specializing in everything. You lot don't know what'south going to pop up next - it could exist an accident with multiple Fx, a sick baby, or a CVA. The twenty-four hours before yesterday a farming blow came in - a man had cut his paw off with a chainsaw.

When the ambulance brought the patient in, he was haemorrhaging badly and we had to open up an airway and get him on a ventilator immediately. He'southward OK. He's in ICU, but not on the critical list any more.

That was the same day a adult female came in complaining of terrible hurting in her feet. I was the S/N on duty and I categorized her as a non-emergency. She sat waiting for four hours before finally seeing the SHO. You'll never estimate what the problem was. Her shoes were too tight!

The best matter about A&E piece of work is the people you piece of work with. Everyone pulls together, nosotros're all equal, and everyone shares the same sense of humour, which is essential. Sometimes you've got to see the funny side or give up all hope for homo beings. Last week, for example, an ambulance brought a man in who was unable to open up his eyes. Being short-sighted, he had reached for his centre drops and didn't see that he had picked up a tube of superglue instead. Poor human!

We bathed his eyes for an hr and very slowly separated his

eyelids. He was able to express mirth about it with the A&E staff afterward,

only in the futurity he won't be keeping his medicines in his desk drawer.

In 1917, an Australian outback farmer seriously injured himself in a autumn. Considering the nearest doctor was 3,000 km away, the local postmaster operated on the farmer'southward float using a penknife whilst receiving Morse lawmaking instructions by telegraph. The patient survived the operation, only not the journey to hospital afterwards.

What famous Australian medical service was created because of incidents like this?

Reading

Air ambulance

Discuss with a partner the advantages of air ambulances similar the ane in the picture.

Read the text and compare your ideas with what the article says.

Read the text again and choose the right reply.

i. The idea of an air ambulance came from the demand to

a. limit a patient's movements

b. move handling fast to sick people

c. move patients fast but gently.

ii. Letting wounded soldiers dice is

a. cheaper than evacuating them by helicopter

b. economically necessary

c. inefficient.

1. The first medical rescue past helicopter was

a. a response to an accident

b. a armed services exercise

c. subsequently a battle.

1. The equipment in a Sikorsky YR-4 helicopter is

a. elementary

b. sophisticated

c. complex.

1. The main problem for helicopter pilots is that they

a. cannot see where they are flying

b. cannot wing when they cannot see

c. cannot use VFR.

1. Air ambulances are best employed for patients who

a. are non-emergencies

b. will probably die

c. may live.

Rescue from the Air

When you cannot move treatment quickly to sick people, y'all have to movement sick people chop-chop to handling. The trouble is that when someone is severely injured, movement can kill and and then annihilation that can both speed up the journeying and minimize the shock is a life-saver. This is why, over a hundred years agone, a long time before the development of shipping, someone came up with a blueprint for an 'air ambulance'. The idea was to put wounded people on a stretcher which was held in the air by balloons and pulled forth by horses. Warfare has encouraged progress in ambulance technology. It is expensive and wasteful to allow soldiers die on a battlefield and saving their lives justifies the expense of using aircraft (particularly helicopters) to transport casualties to hospital. In fact, the first fourth dimension a helicopter was used for a medical rescue was in Burma in 1945 past the American military. A soldier on a jungle-covered mount accidentally shot himself with a machine gun. There were no medics and the area was and then wild that information technology would have taken ten days for a rescue political party to reach the wounded man. A Sikorsky Year-4 helicopter - very basic by modernistic standards - was sent out. It had no radio and navigated by flying depression over the treetops, simply the pilot completed his mission and the soldier'southward life was saved.

Even today, helicopters are limited past weather and darkness. Dissimilar aeroplanes, which accept radar and computers, many helicopters take only essential flying equipment and pilots have to fly VFR (Visual Flying Rules) which means they tin only wing when they can see. Withal, the swell value of a helicopter is that information technology tin can state and accept off vertically and provide speed and comfort, which are not luxuries when it comes to saving lives and a helicopter can make a huge divergence in a rural surface area where response fourth dimension is normally slow. Air ambulances can increment the chances of survival of patients whose injuries are severe but survivable; an important gene to consider when sending one out.

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Source: https://studopedia.ru/22_57607_Find-words-and-abbreviations-in-the-log-that-mean.html

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