An intergalactic guide to using a defibrillator | Todd Scott

52,499 views ・ 2017-05-09

TED


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翻译人员: Hancheng Li 校对人员: Yaqi Huang
00:12
Last year, I got a chance to watch the new "Star Wars" movie,
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去年我有一次去看了 全新的《星球大战》电影,
这部电影很棒,
00:15
which was fantastic,
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00:16
but one thing kept bugging me.
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但是有件事一直让我很困惑。
我不知道你们有没有注意到。
00:18
I don't know if you noticed this or not.
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在那个技术极其先进的世界,
00:20
In this entirely technically advanced world,
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00:22
I did not see a single AED anywhere,
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我竟然找不到一台AED,
00:24
which was totally shocking --
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这让我非常震惊——
00:25
almost as shocking as not knowing what an AED is,
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差不多和一个人不知道 AED到底是什么同样震惊,
00:28
which you guys do know.
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我相信你们都知道的。
00:29
But for those at home,
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但对于那些不知道的人,
00:30
an AED is an automated external defibrillator.
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AED是自动体外心脏除颤器。
00:33
It's the device you use when your heart goes into cardiac arrest
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你在心脏骤停时就会用这台仪器,
00:36
to shock it back into a normal rhythm,
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去电击心脏使其恢复正常起搏,
00:38
or, as one of the guys I was teaching a class to referred to it as:
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或者,用我其中一个学生的话说就是:
00:42
"The shocky-hearty-box thing."
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“那个电电心脏的盒子啥的。”
00:43
(Laughter)
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(笑声)
00:45
But I really can't blame the Empire,
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但我真的没法怪罪银河帝国,
00:48
since health and safety regulations
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因为健康和安全规章
00:49
aren't really their first order of business.
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也不是他们最重要的事情。
00:51
Though, even if we --
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虽然,如果我们……
00:54
I think worse than not having an AED would be if there was one there,
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我觉得比没有AED更糟糕的是, 的确有一台AED,
00:57
but just, no one knew where to find it.
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却没有人知道它放在哪里。
这些设备可以极大提升 人们存活的几率,
01:00
These devices can drastically increase your chance of survival --
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01:03
almost like a tauntaun on Hoth.
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就好像咚咚兽对于霍斯星人一样。
01:06
(Laughter)
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(笑声)
01:07
But I'm pretty sure that stormtrooper is going to be toast,
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但我十分确信 帝国冲锋队会死得很惨,
01:10
regardless if we have an AED or not,
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无论我们手头是否有AED,
01:12
since what happens is the chest plate is going to be quite hard to get off,
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因为他们的胸甲太难取下来了,
01:16
and like that tauntaun,
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而就像咚咚兽一样,
01:18
the AED has a very short window of time at which it's highly effective.
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AED最高效的工作时间范围非常窄。
01:22
In this case -- basically, we've got to use it within the first 10 minutes.
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对于这种情况,我们必须在 心脏骤停10分钟内使用。
01:26
The Jedi, on the other hand, have no problems with their outfits.
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而绝地武士又不同, 他们的着装完全不会影响。
01:29
Those robes open straight up,
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那些袍子直接就打开了,
01:31
you can place the pads right onto the chest --
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你可以把电极板直接摁到胸口上,
01:33
so upper-right-hand side of the chest,
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分别放在胸口右上侧,
01:35
lower left,
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还有左下侧,
等到AED自动判定 心律是否适合电击,
01:37
wait for the unit to determine if it's a shockable rhythm
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01:40
and get ready to shock.
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然后就自己放电了。
01:41
But, the Jedi do have a problem.
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但是绝地武士的确有个问题,
01:43
They have a head appendage issue.
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就是他们头上长着的触角。
01:44
And so I can be totally clear, thinking I'm ready to go,
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假如我都准备好给他电击了,
01:48
but I'm accidentally touching a tentacle
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但自己不小心碰到了他的触角,
01:50
and inadvertently shocking myself.
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结果很不幸地把我自己电死了。
01:52
(Laughter)
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(笑声)
01:53
So before you hit that button, make sure you are clear
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所以在你按下电击按钮前, 务必保证自己安全,
01:58
and everyone else is clear.
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其他人也安全。
02:00
Going back to that stormtrooper:
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回到帝国冲锋队的话题,
02:02
If I did get that chest plate off in time,
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假如我把胸甲及时取下来了,
02:05
what would you do if you suddenly found there was a Wookiee under there,
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假如你突然发现是个伍基人, 你会怎么办?
或者是两个伊沃克人?
02:09
or possibly two Ewoks?
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02:11
(Laughter)
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(笑声)
02:12
Well, lucky for us,
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那么很幸运的是,
02:14
in the kit there's actually a razor,
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AED套件里有剃须刀,
02:16
and we can use that to shave the chest on the upper right-hand side
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能够把胸口右上方的毛发剃掉,
左下方也一样。
02:20
and the lower left.
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02:22
Wookiees also have another problem.
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伍基人还有一个问题,
02:24
They have an accessory issue.
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他们身上会佩戴其他东西。
02:25
What we want to do is remove these --
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我们一定要把这些摘掉,
02:28
anything between the two pads we want to remove,
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任何挡在两个电极板间的东西 都要取下来,
02:31
since it can cause something called "arcing."
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因为它可以造成一种叫 “电弧放电”的现象。
对于那些不知道电弧放电的人,
02:34
For those who don't know what arcing is,
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02:35
do you remember the Emperor,
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你们大概记得西斯皇帝
可以从手指尖放电……
02:37
when he shoots electricity out the ends of his fingers --
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(笑声)
那大概跟电弧放电差不多了。
02:40
(Laughter)
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02:41
that would be kind of like arcing.
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02:42
Another thing that --
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另外一件事……
哦!顺便提一句, 他能这么做是因为穿了羊毛袜子。
02:44
Oh! By the way, he creates that by wearing wool socks under his robes.
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(笑声)
02:47
(Laughter)
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02:48
We can also get arcing if we have an extremely wet chest.
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如果胸口太潮湿的话 也会引起电弧放电。
02:51
The electricity travels across the surface instead of through the heart.
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电流通过皮肤表面传导 而非经过心脏。
02:55
We can correct this with the immortal words of Douglas Adams:
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我们可以引用道格拉斯·亚当斯的 不朽名言予以修正:
02:57
"Don't panic," which most of us have done today --
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“不要恐慌。” 我相信大家都会照做的……
03:00
and also always having a towel.
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然后赶紧去找一条毛巾。
这些都是警世良言啊。
03:03
So, good words to go by.
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不幸的是……这个金属的比基尼, 却让我们感到很恐慌,
03:05
The metal bikini -- unfortunately, this is where panic sets in --
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03:08
like the modern bra,
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就像现代的胸罩一样,
03:10
we have to make sure we remove,
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我们一定要把它取下来,
03:11
because this can cause severe arcing along with burns.
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因为它会造成强烈的电弧 还有灼伤现象。
03:16
But unfortunately this opens up an issue
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但是这又引来一个棘手的问题,
03:19
that's almost as controversial as talking about the prequels.
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几乎跟讨论星战前传一样棘手。
03:22
(Laughter)
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(笑声)
03:23
The mere mention of the word "nipples,"
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只需提到“乳头”这一个词,
03:25
and people get into a little bit of a tizzy.
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大家就开始感到很紧张。
03:27
By the way, that is not a nipple, that's a cupcake.
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顺带提一下,这不是乳头, 这只是个纸杯蛋糕。
03:29
(Laughter)
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(笑声)
03:32
Chances are, if you do have to use this,
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比较现实的情况是, 假如你要用AED,
也应该是用在你认识的人身上。
03:35
this is going to be on someone you know.
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一定记得,每个人都有乳头,
03:37
And remember, everyone has nipples,
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03:38
except for Jabba.
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除了贾巴。
(笑声)
03:40
(Laughter)
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03:41
But he does love cupcakes.
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但是他却很喜欢纸杯蛋糕。
03:43
Speaking about Jabba,
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提到贾巴,
03:44
if we do have to use an AED on him,
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如果我们要对他用AED,
03:47
remember pad placement is the same,
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放置电极板的位置是一样的,
03:49
even though he doesn't have nipples.
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即使他的确没有乳头。
03:50
So it's going to be upper right-hand side, lower left.
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所以是胸口右上方、左下方。
03:54
If we were going through, we're shocking, getting ready to go --
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之后我们准备好了, 我们可以开始电击了……
在电击完了之后,
03:57
after we've done the shock,
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03:58
one of the things we need to do is remember to do compression.
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我们记得要做的一件事是心脏按压。
04:01
The preferred method is 30 compressions and two breaths
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最好的方式是按压30次, 之后人工呼吸2次,
04:05
in the center of the chest, between the nipples,
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位置在胸口中心,乳头之间,
04:07
pressing down at least two inches,
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向下按压至少5厘米,
04:09
no more than two and a half,
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不要超过6.5厘米左右,
04:11
at a rate of at least 100 beats a minute,
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频率至少每分钟100次,
04:14
no more than 120.
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不要超过120次。
04:17
Unfortunately, due to the size of Jabba's mouth
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但又有个问题, 鉴于贾巴的嘴尺寸太大,
04:20
and also what he puts in said mouth,
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而且他在嘴里塞的各种东西,
04:22
we may not want to actually do the mouth-to-mouth part.
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我们可能不太想做嘴对嘴呼吸那部分。
04:26
So instead, we can do compression-only CPR.
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那么我们就可以做 只有心脏按压的复苏。
04:29
The way of remembering the compression-only part
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大家要记得这种只用按压的步骤,
04:31
is we can actually use the Imperial March.
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因为我们可以直接用帝国进行曲。
04:34
I would sing it for you --
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我可以唱给你们听……
04:36
(Laughter)
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(笑声)
但可惜的是,这种事情 还是交给审讯机器人去做吧。
04:38
Unfortunately, that would be more something an interrogation droid would do.
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04:42
Yoda.
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聊聊尤达。
04:44
Small little guy, like a baby.
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这个小个子,跟小孩儿一样。
04:45
What we do is basically treat him like a baby,
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我们某种程度把他当成一个小孩儿,
04:48
in the sense that we're going to place one pad in the center of the chest
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其实意味着我们把一个电极板 放在他胸口中心,
04:51
and one in the back.
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另一个放在背后。
假如我们把它们都放在胸前,
04:53
If we place them both in the front,
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04:54
they can be too close and cause severe arcing,
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它们因为靠的太近, 会引发强烈的电弧,
04:57
so we want to avoid that.
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所以我们要尽量避免。
04:58
Hopefully, this helped to clarify
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希望我的讲解能够
帮助大家理解在星战世界中 如何使用AED,
05:01
and put some light on some of the darker issues
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05:03
of using an AED in the Star Wars universe,
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解决了一些比较禁忌的问题,
05:05
or any universe in total.
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在其它世界也一样。
05:07
I'll leave you with one point.
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我最后给大家一个忠告。
05:08
Remember, if you do find yourself dealing with a Wookiee,
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务必记得,如果你真的要给 伍基人做心肺复苏,
05:11
do not shave the entire Wookiee.
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千万别把他全身的毛都剃了。
这实在太耗时间,
05:13
This takes way too much time,
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05:14
and it only pisses them off.
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而且他们也会相当不爽的。
(笑声)
05:16
(Laughter)
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非常感谢。
05:17
Thank you very much.
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05:18
(Applause)
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(掌声)
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