My Fish Is About to Have Babies How Do I Keep Them Separate

a.the fourth dimension the ambulance arrived

b.summary of events

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

d.child

e.death

f.recovery

Telephone CALLS

1 Log Book	Time of call: 06.l
Location of emergency	14 Friars Walk
Name of caller	Staff nurse Jenny Lewis
Nature of emergency	Suspected cardiac arrest
Synopsis	Victim is caller'south 56-yr-old male neighbor. Caller reports victim has intestinal pains and is sweating and vomiting.
Activity taken	Ambulance is dispatched. ETA: 07.10
Follow-upwards	Heavy traffic and so ATA was 07.50. Victim DoA at hospital.
2 Log Volume	Time of telephone 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 just 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 hospital. He had no serious injuries and was discharged later.
three Log Volume	Time of telephone call: 14.20
Location of emergency	Central park northward 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 have become bloated and she is unable to free herself. Caller reports no haemorrhage and the victim is fully conscious
Action taken	Fire service is notified. Ambulance is dispatched.
Follow-upwardly	Ambulance was not required. Fire officer used hydraulic equipment to force open the railings and free the girl. Infirmary attendance was non necessary.
4 Log Volume	Time of call: 22.10
Location of emergency	High Street outside Lock Edifice
Proper name of caller	Male caller refuses to give his proper noun.
Nature of emergency	Possible suicide endeavour
Synopsis	Caller reports seeing victim bound from the roof of the building.
Activeness taken	Ambulance is dispatched and constabulary are notified
Follow-upward	Constabulary officer reported fatality. Foul play is suspected and a murder investigation has been opened.
5 Log Volume	Time 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	Animate being 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 tin't call for aid. In that location are ii of you and you lot must get ready to walk 100 kilometres to safety. You lot already have dress, nutrient, and h2o.

You lot tin take only ten more than things with y'all - five from each list. Talk over what to take with your partner and explicate your reasons.

Vocabulary

	MEDICAL	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 first aid manual	big plastic numberless
	hypodermic needles	a cooking pot
	adhesive tape	a musquito net

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

Reading

Look at the pictures. What exercise yous think the article is most?

Discuss these questions with a partner.

one. Have you e'er helped with a birth? How was it?

ii. Were you built-in in hospital, at home, or somewhere else?

three. Have you heard of whatsoever births that happened in an unusual place?

Read the text and reply the questions.

1. Was this Clive's first experience of a nascency?

ii. Who gave instructions to Clive ?

3. Who is Mohammed Clive ?

iv. How is the baby now?

Piece of work in pairs. Cover the article. Can you recall the midwife's instructions? Look at the words below to assistance you think.

mother's chest	nose and oral fissure	umbilical cord
medical help	back	head
blanket	towel

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

Asha Gemechu'southward babe was due in a calendar month, only when her contractions started she called for a taxi to have her to hospital. Mr. Lawrence answered the call.

The expectant mum was in the taxi for x minutes when she realized that things were happening too fast. The baby was not going to expect. Its head appeared, and Mr. Lawrence stopped the taxi to aid with the nascence.

Mr. Lawrence said, 'I was there when my kids were built-in, so this was not completely new for me. I spoke to a nurse on the taxi radio and she gave me instructions - I only did what she told me. There's nothing special near that. One infinitesimal I had one rider, then I had 2, but there's no extra charge!''

A midwife at the infirmary said, 'Giving birth on the style to hospital doesn't happen often, but if you lot're there when it does, simply back up the baby's head and guide information technology out - don't pull. And so clean the infant'southward nose and mouth, but don't cut the umbilical string - just lay the infant on the mother's chest, string and all. Dry the baby with a clean towel or cloth, gently rub its back, then comprehend mum and infant with a dry out blanket to continue them both warm, and wait for medical assist to make it.'

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

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

Writing

Accident study

i. Listen to a police officer talk to a nurse virtually the RTA in Listening. Take notes near what happened.

2. Write a report about the accident. Describe what happened (depict a diagram if necessary).

Include in the report your ain stance nigh whether or not the commuter should accept been driving. Say what, if anything, could have been done to avoid the accident. Make recommendations for what should exist done to reduce the number of RTAs in your state.

It's my job

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

Fx SHO S/N CVA

Read the text and answer the questions.

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

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

3. What is Heidi's rank?

four. What is the A&East dr.'s rank?

5. What does Heidi similar best about the job?

6. Why volition the patient with the middle problem not exist keeping his medicines in his desk drawer in future?

Have yous heard any stories of strange 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&Eastward. It'south stressful, sometimes shocking, and often very upsetting, but I wouldn't change information technology for anything.

I specialize in emergency triage. 'Triage' means 'sorting' and that's what I do. I sort out patients in A&Eastward according to the nature and severity of their affliction and so that the doctors come across the well-nigh astringent cases starting time and we don't waste precious fourth dimension on non-emergencies. You could say that'southward similar specializing in everything. You don't know what's going to popular up 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 cut 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's in ICU, but not on the disquisitional list any more.

That was the same twenty-four hour period a woman came in complaining of terrible pain in her feet. I was the S/Northward on duty and I categorized her every bit a non-emergency. She sat waiting for four hours before finally seeing the SHO. You'll never approximate what the problem was. Her shoes were too tight!

The all-time thing nearly A&East work is the people y'all work with. Everyone pulls together, nosotros're all equal, and everyone shares the aforementioned sense of humor, which is essential. Sometimes yous've got to see the funny side or give up all hope for human beings. Last week, for example, an ambulance brought a man in who was unable to open his optics. Beingness short-sighted, he had reached for his eye drops and didn't encounter that he had picked upward a tube of superglue instead. Poor human being!

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

eyelids. He was able to express joy about it with the A&Due east staff afterwards,

but in the future he won't be keeping his medicines in his desk-bound drawer.

In 1917, an Australian outback farmer seriously injured himself in a fall. Considering the nearest medico was 3,000 km away, the local postmaster operated on the farmer'southward bladder using a penknife whilst receiving Morse code instructions by telegraph. The patient survived the functioning, merely not the journey to hospital subsequently.

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

Reading

Air ambulance

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

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

Read the text again and cull the correct respond.

1. The thought 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 but gently.

2. Letting wounded soldiers die is

a. cheaper than evacuating them by helicopter

b. economically necessary

c. inefficient.

1. The first medical rescue by helicopter was

a. a response to an accident

b. a military exercise

c. after 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 run into where they are flight

b. cannot fly when they cannot see

c. cannot use VFR.

1. Air ambulances are all-time employed for patients who

a. are not-emergencies

b. will probably dice

c. may alive.

Rescue from the Air

When y'all cannot move handling quickly to sick people, you lot have to move ill people rapidly to treatment. The problem is that when someone is severely injured, movement can impale and and then anything that can both speed upward the journey and minimize the stupor is a life-saver. This is why, over a hundred years ago, a long time before the development of shipping, someone came up with a pattern for an 'air ambulance'. The thought was to put wounded people on a stretcher which was held in the air by balloons and pulled along past 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 ship casualties to hospital. In fact, the first time a helicopter was used for a medical rescue was in Burma in 1945 by the American military. A soldier on a jungle-covered mountain accidentally shot himself with a motorcar gun. There were no medics and the area was and so wild that it would have taken ten days for a rescue political party to reach the wounded homo. A Sikorsky YR-4 helicopter - very bones by mod standards - was sent out. It had no radio and navigated by flight low over the treetops, but the pilot completed his mission and the soldier'southward life was saved.

Even today, helicopters are limited by weather and darkness. Unlike aeroplanes, which have radar and computers, many helicopters have but essential flight equipment and pilots take to fly VFR (Visual Flying Rules) which means they can only fly when they tin can see. Nevertheless, the great value of a helicopter is that information technology can land and take off vertically and provide speed and comfort, which are non luxuries when it comes to saving lives and a helicopter tin can brand a huge difference in a rural surface area where response time is normally irksome. Air ambulances tin increase the chances of survival of patients whose injuries are severe only survivable; an important gene to consider when sending 1 out.

a.the fourth dimension the ambulance arrived

b.summary of events

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

d.child

eastward.death

f.recovery

Phone CALLS

1 Log Book	Time of call: 06.l
Location of emergency	14 Friars Walk
Name of caller	Staff nurse Jenny Lewis
Nature of emergency	Suspected cardiac arrest
Synopsis	Victim is caller'south 56-yr-old male person neighbour. Caller reports victim has abdominal pains and is sweating and vomiting.
Activity taken	Ambulance is dispatched. ETA: 07.x
Follow-upward	Heavy traffic and so ATA was 07.l. Victim DoA at infirmary.
2 Log Book	Fourth dimension of phone call: 09.23
Location of emergency	two km north of motorway junction 17
Nature of emergency	RTA
Synopsis	Lorry commuter is trapped in his cab but no other vehicles are involved
Activity taken	Police and fire service are notified and ambulance dispatched
Follow-up	The driver was released and transferred to hospital. He had no serious injuries and was discharged later.
iii Log Volume	Fourth dimension of call: xiv.20
Location of emergency	Key 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 have become bloated and she is unable to complimentary herself. Caller reports no haemorrhage and the victim is fully witting
Activeness taken	Burn down service is notified. Ambulance is dispatched.
Follow-upwardly	Ambulance was not required. Fire officer used hydraulic equipment to forcefulness open the railings and free the daughter. Infirmary attendance was not necessary.
4 Log Book	Time of telephone call: 22.10
Location of emergency	High Street exterior Lock Building
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 building.
Action taken	Ambulance is dispatched and police are notified
Follow-upward	Constabulary officer reported fatality. Foul play is suspected and a murder investigation has been opened.
5 Log Book	Fourth dimension of phone call: 00.00
Location of emergency	332 Rio Road
Proper noun of caller	Shareen Heslop
Nature of emergency	Not-emergency
Synopsis	Caller reports injured wild bird
Action taken	Brute rescue notified
Follow-up	The bird was taken to an animal sanctuary for handling and rehabilitation.

You are in a calorie-free aircraft when it crashes into the jungle. Your radio is broken so you tin't phone call for assist. There are ii of you and you must get fix to walk 100 kilometres to rubber. You lot already accept apparel, food, and water.

You lot tin can take only 10 more things with yous - five from each listing. Talk over what to take with your partner and explain your reasons.

Vocabulary

	MEDICAL	GENERAL
	bandages	a torch
	a scalpel	a box of matches
	a serpent bite kit	soap
	morphine	a mirror
	aspirin	a compass
	disposable gloves	a pocketknife
	a thermometer	scissors
	tweezers	fish hooks
	a get-go aid manual	big plastic numberless
	hypodermic needles	a cooking pot
	adhesive tape	a mosquito net

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

Reading

Look at the pictures. What do y'all think the article is about?

Discuss these questions with a partner.

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

2. Were yous born in hospital, at home, or somewhere else?

3. Accept y'all heard of any births that happened in an unusual place?

Read the text and respond the questions.

ane. Was this Clive'due south first feel of a birth?

two. Who gave instructions to Clive ?

3. Who is Mohammed Clive ?

4. How is the baby now?

Piece of work in pairs. Cover the article. Can you lot remember the midwife'due south instructions? Await at the words beneath to help you lot remember.

female parent's chest	nose and mouth	umbilical cord
medical assistance	back	head
coating	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'south infant was due in a month, but when her contractions started she called for a taxi to have her to hospital. Mr. Lawrence answered the call.

The expectant mum was in the taxi for 10 minutes when she realized that things were happening too fast. The baby was not going to expect. 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, and then this was non completely new for me. I spoke to a nurse on the taxi radio and she gave me instructions - I only did what she told me. There's nothing special about that. One minute I had one passenger, then I had two, but in that location's no actress accuse!''

A midwife at the hospital said, 'Giving birth on the manner to infirmary doesn't happen often, merely if y'all're there when it does, just back up the baby's head and guide it out - don't pull. Then clean the babe's nose and mouth, only don't cutting the umbilical cord - but lay the baby on the mother's breast, string and all. Dry the infant with a clean towel or cloth, gently rub its back, and then cover mum and baby with a dry blanket to keep them both warm, and wait for medical help to make it.'

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

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

Writing

Blow report

1. Listen to a police force officer talk to a nurse about the RTA in Listening. Have notes virtually what happened.

two. Write a study well-nigh the accident. Describe what happened (draw a diagram if necessary).

Include in the written report your ain opinion about whether or not the driver should have been driving. Say what, if annihilation, could take been done to avoid the accident. Brand recommendations for what should be done to reduce the number of RTAs in your state.

Information technology's my task

Without looking at the listing 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.

1. Why does Heidi not listen the stress of her job?

2. Why is 'triage nurse' a suitable chore title?

3. What is Heidi's rank?

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

5. What does Heidi like best about the job?

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

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

Heidi Vettraino

A repetitive job is my idea of a nightmare, which is why I work in A&E. Information technology'due south stressful, sometimes shocking, and often very upsetting, but I wouldn't change it for anything.

I specialize in emergency triage. 'Triage' ways 'sorting' and that's what I do. I sort out patients in A&Due east co-ordinate to the nature and severity of their illness so that the doctors see the nearly severe cases showtime and nosotros don't waste precious fourth dimension on non-emergencies. You could say that'southward like specializing in everything. You lot don't know what'south going to popular up next - it could exist an accident with multiple Fx, a ill baby, or a CVA. The day earlier yesterday a farming accident came in - a man had cut his hand off with a chainsaw.

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

That was the aforementioned day a woman came in complaining of terrible pain in her feet. I was the S/Northward on duty and I categorized her as a non-emergency. She sabbatum waiting for four hours before finally seeing the SHO. You'll never guess what the trouble was. Her shoes were as well tight!

The all-time thing nearly A&E work is the people you lot piece of work with. Anybody pulls together, we're all equal, and anybody shares the same sense of humor, which is essential. Sometimes you lot've got to see the funny side or give upwardly all hope for human beings. Last calendar week, for example, an ambulance brought a human in who was unable to open his optics. Being curt-sighted, he had reached for his eye drops and didn't come across that he had picked up a tube of superglue instead. Poor homo!

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

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

merely in the hereafter he won't exist keeping his medicines in his desk-bound drawer.

In 1917, an Australian outback farmer seriously injured himself in a autumn. Because the nearest doctor was 3,000 km away, the local postmaster operated on the farmer's bladder using a penknife whilst receiving Morse lawmaking instructions past telegraph. The patient survived the performance, but not the journeying to infirmary later.

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

Reading

Air ambulance

Discuss with a partner the advantages of air ambulances like the i in the motion-picture show.

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

Read the text again and choose the correct reply.

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

a. limit a patient's movements

b. move treatment fast to sick people

c. move patients fast simply gently.

2. Letting wounded soldiers die is

a. cheaper than evacuating them by helicopter

b. economically necessary

c. inefficient.

1. The first medical rescue by helicopter was

a. a response to an accident

b. a military practise

c. after a battle.

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

a. elementary

b. sophisticated

c. complex.

1. The chief 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 handling speedily to sick people, you have to move sick people rapidly to handling. The problem is that when someone is severely injured, movement can kill and and so anything that can both speed upwardly the journey and minimize the shock is a life-saver. This is why, over a hundred years ago, a long fourth dimension before the development of aircraft, someone came up with a blueprint for an 'air ambulance'. The thought 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 applied science. It is expensive and wasteful to let 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 time a helicopter was used for a medical rescue was in Burma in 1945 by the American military machine. A soldier on a jungle-covered mount accidentally shot himself with a machine gun. There were no medics and the area was so wild that it would have taken ten days for a rescue party to reach the wounded homo. A Sikorsky YR-4 helicopter - very basic by modern standards - was sent out. It had no radio and navigated by flying depression over the treetops, but the pilot completed his mission and the soldier'due south life was saved.

Fifty-fifty today, helicopters are limited past weather and darkness. Unlike aeroplanes, which have radar and computers, many helicopters have simply essential flight equipment and pilots have to fly VFR (Visual Flight Rules) which ways they tin only fly when they can see. Withal, the bang-up value of a helicopter is that it can state and have 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 area where response time is normally slow. Air ambulances can increase the chances of survival of patients whose injuries are astringent but survivable; an important factor 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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