Is it even healthy to consume charcoal?

食用木炭究竟是否健康？

No, it is not healthy to consume charcoal.

不，食用木炭是不健康的。

I know that there's all kinds of fad cleanses and this and that.

我知道有各種時尚的清潔方法，還有這個和那個。

I would not recommend any of them.

我不會推薦他們中的任何一個。

You don't need that toothpaste.

你不需要那個牙膏。

Trust me, I'm Annie Onishi and I'm a trauma surgeon.

相信我，我是安妮-大西，我是一名創傷外科醫生。

And this is surgery support.

而這就是手術支持。

Our first tweet comes from wes mull bash.

我們的第一條推文來自維斯-穆爾-巴什。

Wes asks, I'm a novice camper and I'm putting together my first aid kit.

韋斯問，我是個露營新手，我正在整理我的急救箱。

What do I need for a makeshift tourniquet?

我需要什麼來做臨時止血帶？

Well, wes why get a makeshift one when you can have a real one.

好吧，如果你能有一個真正的，為什麼要弄一個臨時的呢？

This is a combat application tourniquet.

這是一種戰鬥用止血帶。

It is readily available on the internet.

它在互聯網上很容易獲得。

It runs about 30 bucks and it is much better than anything.

它的價格約為30美元，比任何東西都要好得多。

You could fashion from a rope or a belt or a shirt.

你可以用繩子、皮帶或襯衫來做時裝。

So basically what you would do is say you had a wound here on the arm that was bleeding uncontrollably and you couldn't control that bleeding by simple pressure.

所以基本上你要做的是，你的手臂上有一個傷口，正在不受控制地流血，而且你無法通過簡單的壓力來控制出血。

You would pull out your trusty tourniquet, slide it on above the arm, tighten it just above where the injury is, tighten the belt and velcro it just in place like so next you're gonna turn this windless.

你會拿出你可靠的止血帶，把它滑到手臂上方，在受傷的地方收緊，收緊腰帶，用尼龍搭扣把它固定住，就像這樣，接下來你要把這個無風的地方打開。

This really hurts in real life so I'm not gonna do it.

這在現實生活中真的很傷人，所以我不打算這麼做。

But this windless basically titans this tourniquet to a pressure that is above arterial pressure.

但這種無風的情況基本上將這個止血帶的壓力提高到高於動脈壓力。

Once you tighten it, it locks into place underneath this little clip, you have this velcro strap to keep your windows in place and you would leave that on until you could seek definitive care.

一旦你擰緊它，它就會鎖定在這個小夾子下面，你有這個尼龍搭扣帶，以保持你的窗戶到位，你會把它留在上面，直到你可以尋求明確的護理。

Why use a fake one when you can use the real thing at Liz gillies writes, wow, how long does it take to feel normal slash not like a corpse after an appendectomy.

為什麼要用假的，因為你可以用真的東西，在Liz Gillies寫道，哇，做完闌尾手術後，需要多長時間才能感覺到正常，而不是像一具屍體。

I'm really over it.

我真的受夠了。

Really over it.

真的結束了。

Well, Liz in cases like this, what I usually recommend is a little can of suck it up, appendectomy is really a minor, you should really be feeling pretty much good as new within 24 48 hours.

好吧，Liz在這樣的情況下，我通常推薦的是一個小罐子吸起來，闌尾切除術真的是一個小事，你真的應該在24 48小時內感覺很好，就像新的。

Take some Tylenol and call me in the morning.

吃點泰諾，明天早上給我打電話。

Here's a question from red fulfill at creeps.

這裡有一個紅色履行在小兵的問題。

Creation asks how come at the er they cut off your clothes instead of just taking them off.

創造公司問道，為什麼在監獄裡他們要剪掉你的衣服，而不是直接把它們脫掉。

Like what is that?

就像那是什麼？

That was my favorite shirt.

那是我最喜歡的襯衫。

First of all, you're welcome for saving your life.

首先，歡迎你的救命之恩。

Second of all, we use these little kitty safety scissors.

其次，我們使用這些小貓咪的安全剪刀。

These are called trauma shears.

這些被稱為創傷剪。

They have a nice flat little lip here so we won't cut you in general.

他們在這裡有一個漂亮的平坦的小嘴脣，所以我們不會在一般情況下削減你。

If somebody's not super sick or dying right away, we try to make an effort to not cut stuff like jeans, nice pants belts, but t shirts are fair game.

如果有人不是病得很重或馬上就要死了，我們儘量不剪牛仔褲、漂亮的褲子腰帶等東西，但T恤衫是公平的。

Underpants are fair game, especially if they look old and dirty.

內褲是公平的遊戲，特別是如果它們看起來又舊又髒。

Sometimes we just have to get your clothes off in a great big hurry so we can see what's hurt and get you fixed.

有時，我們只需大大方方地把你的衣服脫掉，這樣我們就能看到什麼地方受傷了，並把你修好。

Next question comes from at t burn.

下一個問題來自於t燒。

Don't eat or drink before eight hours before surgery.

在手術前八小時前不要吃東西或喝水。

Oh and also take these four pills now before you get here.

哦，還有，在你來這裡之前，現在就把這四片藥吃了。

How?

如何？

Alright.

好吧。

Patrick, just chill out.

帕特里克，冷靜一下吧。

We just don't want you have a big cheeseburger on board when you're going to sleep and getting that breathing tube put in.

我們只是不希望你在睡覺和插呼吸管的時候在船上吃一個大奶酪漢堡。

If you barf that cheeseburger up while we're putting the breathing tube it and you get cheeseburger in your lungs, you're in for a long stay in the ICU with an aspiration pneumonia.

如果你在我們插呼吸管的時候把芝士漢堡吐出來，而且你的肺裡有芝士漢堡，你就會因為吸入性肺炎而在重症監護室裡待很久。

That's why you can't eat a couple of sips of water with your pills.

這就是為什麼你不能在吃藥的同時喝幾口水。

Not a big deal.

不是什麼大問題。

Next question comes from at sex Warlocks.

下一個問題來自於性愛術士。

Any doctors on here that know why my pissed stink like beef.

這裡有任何醫生知道為什麼我的小便像牛肉一樣臭。

No, no, there are no doctors on here.

不，不，這裡沒有醫生。

Who know why you're piss stink like beef.

誰知道為什麼你的小便像牛肉一樣臭。

Why are you smelling your piss?

你為什麼要聞你的尿？

Next question is from at Harris twist.

下一個問題來自Harris twist。

Okay, but in Grey's Anatomy, why do all the surgeons in the hospital go and wait outside when an ambulance is coming?

好吧，但在《實習醫生格蕾》中，為什麼醫院裡所有的外科醫生在救護車來的時候都去外面等？

Like does the hospital only hire eight surgeons and they do everything.

比如醫院是否只僱了八個外科醫生，而他們什麼都做。

There's a lot more than eight surgeons in any given hospital for trauma and emergency, There's usually only one on call.

任何一家醫院都有超過8名外科醫生負責創傷和急診，通常只有一名外科醫生待命。

No, we do not go outside and wait for the ambulance.

不，我們不會到外面去等救護車。

We got better stuff to be doing than that.

我們有比這更好的事情要做。

But every now and then if the chopper's coming in.

但每隔一段時間，如果直升機來了。

I love watching that thing land we get patients via chopper with some degree of frequency.

我喜歡看著那東西降落，我們通過直升機在一定程度上得到病人。

Probably once a day.

可能一天一次。

So I'll run out and see that once in a blue.

是以，我會跑出去看一次，在藍色的。

Next question comes from Jimmy Gems.

下一個問題來自Jimmy Gems。

22 Ouch Ouch just cut my finger.

22哎喲哎喲剛剛割傷了我的手指。

How do I know if I need a stitch or not?

我如何知道我是否需要縫合？

Sounds like if you're tweeting you're probably fine or maybe the cuts just not on your thumbs.

聽起來，如果你在發推特，你可能很好，或者也許切口只是不在你的大拇指上。

My friends from all walks of life call me all the time with all sorts of horrific photos of injuries on themselves, their pets, their kids, essentially.

我的各行各業的朋友經常給我打電話，說他們自己、他們的寵物、他們的孩子，基本上都有各種可怕的受傷照片。

You need a stitch if you can see subcutaneous fat.

如果你能看到皮下脂肪，你就需要進行縫合。

So if you can see little globules of yellow things that's fat, that probably could use a stitch or two.

是以，如果你能看到小球狀的黃色東西，那就是脂肪，這可能需要一兩針。

If you're in the neighborhood, knock on my door, I got all this stuff.

如果你在附近，請敲我的門，我有這些東西。

Come on by.

來吧。

We'll get you fixed up.

我們會把你弄好的。

Here's a question from brian at B.

這裡有一個來自B的布萊恩的問題。

A.

A.

Underscore 27 asks, can someone educate me on why is it that when I get a little cut on my finger, I bleed like crazy.

Underscore 27問：誰能告訴我，為什麼當我的手指上有一個小傷口時，我就會瘋狂地流血。

But when doctors do surgery, it seems like people don't bleed as much.

但是當醫生做手術時，人們似乎就不會有那麼多出血了。

Well brian, I'm a professional.

好吧，布萊恩，我是個專業人士。

I know where your arteries and veins live, therefore I avoid them.

我知道你的動脈和靜脈住在哪裡，是以我避開它們。

When I cut you don't.

當我切割時，你不會。

Next up from at heath underscore McGregor can an electric eel shock a person's heart back into rhythm?

接下來是來自heath underscore McGregor的報道，電鰻能將人的心臟震回到節奏中嗎？

Like a defibrillator.

像除顫器。

A defibrillator is a machine that delivers a targeted measured amount of electricity to a heart that is either in something called ventricular fibrillation or v ventricular tachycardia.

除顫器是一種機器，它向處於所謂的室顫或室速的心臟提供有針對性的、經測量的電力。

This is a heart rhythm where the heart is just shaking and not pumping blood.

這是一種心律，心臟只是在顫抖而不泵血。

The shock is meant to surprise the heart cells back into a normal pumping rhythm.

電擊是為了使心臟細胞驚喜地回到正常的泵送節奏中。

An electric eel would not be able to cardioverter patient back into a normal rhythm because it's not timed along with the patient's own heart rhythm.

電鰻將無法將心律轉復病人恢復到正常心律，因為它沒有隨著病人自己的心律而定時。

Next up is a question from at naps and mugs.

接下來是一個來自小睡和杯子的問題。

Sometimes I think about the fact that I had a surgery a while ago and they took a whole ass organ out of me.

有時我想，我前段時間做了一個手術，他們從我身上取出了一整個屁股的器官。

Like how do you show that ship back?

比如說你怎麼讓那艘船回來？

Where is my gallbladder?

我的膽囊在哪裡？

I have so many questions.

我有這麼多問題。

Well the gallbladder is a tiny little bag that lives underneath the right lobe of the liver.

膽囊是一個小小的袋子，住在肝臟右葉下面。

As you can see here it's attached via the cystic duct to the common bile duct.

正如你在這裡看到的，它通過囊狀管連接到總膽管。

That is sort of the plumbing of your liver.

這就是你的肝臟的管道。

That's how the bile gets out of your liver and into your intestines.

這就是膽汁如何從你的肝臟出來並進入你的腸道。

Once it's out it goes into a little jar about that big, sometimes it goes into a big bucket.

一旦它出來，就會進入一個大約那麼大的小罐子，有時會進入一個大桶裡。

If it's a big gallbladder we send it off to the pathology lab, they look at it under the microscope and then they discard it.

如果是一個大的膽囊，我們就把它送到病理實驗室，他們在顯微鏡下看，然後就把它丟掉。

I think it actually gets incinerated.

我認為它實際上被焚燒了。

So your gallbladder has probably been long incinerated and is just a memory at this point.

所以你的膽囊可能早已被焚燬，此時只是一個記憶。

Our next question comes from at don't mess with puppy when given anesthesia before surgery.

我們的下一個問題來自於在手術前給小狗打麻醉藥時不要亂來。

Why does the doctor have their patient count backwards from 10 rather than just counting 123.

為什麼醫生要讓病人從10開始倒數，而不是直接數123。

Hate to break it to you papi but we don't actually do that.

我不想打斷你，但我們實際上並沒有這樣做。

There's no counting involved.

這不涉及計數。

You just kind of drift off to sleep.

你就這樣昏昏沉沉地睡著了。

I usually try to make a little small talk as the patient's going off to sleep.

我通常會在病人進入睡眠狀態時嘗試進行一些小談話。

Little kids.

小孩子。

I try to tell them to have a nice dream and have a good rest and everything's gonna be fine.

我試圖告訴他們做個好夢，好好休息，一切都會好起來的。

Adults, I like to say, well what are you gonna eat after surgery?

大人們，我喜歡說，那你術後要吃什麼？

Because that's usually what most people are focused on next at Banzai soy.

因為這通常是大多數人在Banzai soy接下來關注的內容。

Do surgeons really wear diapers through long surgeries?

外科醫生真的在長時間的手術中穿著尿布嗎？

No, our next question is from at Umeda M.

不，我們的下一個問題是來自梅田M的。

Doctor.

醫生。

This has been cited as a major difference which is pneumonia and which is a covid X ray.

這被認為是哪個是肺炎和哪個是ovid X射線的主要區別。

This is a really tricky question briefly.

簡而言之，這是一個非常棘手的問題。

Just looking at these two X rays.

只是看了這兩張X光片。

If I had to guess, I think I would guess the X ray on the right, the one on the left looks more like a consolidated bacterial pneumonia.

如果讓我猜測，我想我會猜測右邊的X光片，左邊的看起來更像是綜合細菌性肺炎。

On the left again, all the inflammation is located to what I know to be the location of the right upper lobe.

再看左邊，所有的發炎都位於我知道的右上葉的位置。

Covid is not ever localized just one lobe, it's more diffuse meaning throughout all the lobes of both lungs.

Covid並不只是局部的一個肺葉，它更多的是瀰漫性的，即貫穿於兩個肺的所有葉子。

Our next question comes from at cara underscore Marie 12 to 0.

我們的下一個問題來自cara underscore Marie 12 to 0。

So if you have one of the dissolvable sutures from a surgery you had three weeks ago.

是以，如果你有一個三週前做的手術的可溶解縫合線。

It doesn't dissolve.

它並不溶解。

What the hell do you do asking for myself?

你到底是怎麼要求自己的？

Because I have both ends of suture sticking out of my abdomen upside down?

因為我腹部的縫合線兩頭都是倒著伸出來的？

Smiley face.

笑臉。

Dissolvable sutures.

可溶解的縫合線。

They are supposed to supposed to take about 7 to 10 days to dissolve, depending on the material.

它們應該應該需要大約7到10天的時間來溶解，這取決於材料。

Here's an example of an absorbable suture.

下面是一個可吸收縫合線的例子。

This is called P.

這就是所謂的P。

D.

D.

S.

S.

This is a mono filament types future meaning it's one long filament.

這是一個單絲類型的未來，意味著它是一條長絲。

Something like a fishing line is also a mono filament.

像釣魚線這樣的東西也是一種單絲。

This is a type of future that I personally have a strong preference for when I sew on bow.

這是我個人在縫製蝴蝶結時非常偏愛的一種未來。

So this is absorbable in about a week's time.

所以這在大約一週的時間內是可以吸收的。

If you have some sticking out of your skin, it's not that big of a deal.

如果你有一些粘在皮膚上，這並不是什麼大問題。

I would just take a pair of tweezers, yank it and cut it right at the skin to just remove those annoying little loose ends and then the not beneath is probably already dissolved or just leave it alone.

我只需拿一把鑷子，把它扯下來，在皮膚上切開，只需去除那些惱人的小松動，然後下面的不是可能已經溶解了，或者就不去管它。

It will eventually deal with itself.

它最終會自己處理。

Here's a question from at Megan Megan.

這裡有一個來自梅根-梅根的問題。

How the hell does a surgeon leave an instrument inside their patient.

外科醫生到底是如何將儀器留在病人體內的。

Unfortunately, this is something that has happened before.

不幸的是，這種事情以前也發生過。

You would be very surprised how big and deep and abdominal or chest cavity is.

你會非常驚訝，腹腔或胸腔有多大、多深。

I mean, in a tall guy, I can get my whole arm inside somebody's belly.

我的意思是，在一個高個子裡，我可以把我的整個手臂伸進別人的肚子裡。

So yes, there is room for instruments.

是以，是的，存在工具的空間。

Here's a question from at Beasley carry.

這裡有一個來自比斯利攜帶的問題。

Why did I schedule surgery when I can't drink alcohol for 24 hours afterwards.

我為什麼要安排手術，因為我在手術後24小時內不能飲酒。

On National Beer Day.

在全國啤酒日。

What the heck is wrong with me?

我到底是怎麼了？

Hashtag National Beer Day.

哈斯塔克國家啤酒日。

Can't is a strong word sort of depends what operation you had, whether you're taking heavy duty pain medication.

不能是一個強烈的詞，這取決於你做了什麼手術，你是否在服用重型止痛藥。

I don't see why one little beer is going to hurt anything.

我不明白為什麼一個小小的啤酒會傷害到什麼。

Just don't tell your doctor.

只是不要告訴你的醫生。

I said that next at brady to full 08 is over applying peroxide to a cut.

我說，接下來在布拉迪到全08年是在切口上過度使用雙氧水。

Bad.

不好。

I don't think you can over apply peroxide.

我認為你不能過度使用雙氧水。

The bottles only that big it's just it's dissolving into water and air.

瓶子只有那麼大，只是它被溶解在水和空氣中了。

So I really I wouldn't worry about it too much if you have a big open surface like road rash, peroxide can be good because the bubbles can sort of rinse the little dust bits away.

所以我真的不會太擔心，如果你有一個大的開放的表面，如路疹，雙氧水可以是好的，因為保麗龍可以有點沖洗小灰塵的碎片。

But over a cut I don't think it's really that helpful just running it under some water in the sink with some soap is usually enough to keep it clean.

但在切口上，我不認為這真的有什麼幫助，只是在水槽中用一些水和一些肥皂沖洗一下，通常就足以保持清潔。

I don't really use peroxide that much.

我並不經常使用過氧化物。

Except in that case.

除了在這種情況下。

Like I mentioned of road rash.

就像我提到的路疹。

Here's one from at S.

這裡有一個來自S.

Jones 565.

瓊斯565。

How long does it take a wounded distance to close asking for a friend?

受傷的距離要多長時間才能關閉問友？

A wounded his since for those of you who may not be familiar is when a surgical wound falls apart usually from an underlying infection.

對於那些可能不熟悉的人來說，受傷的他是指手術傷口破裂，通常是由於潛在的感染。

The D.

的D。

Hisense will then after the infection has been adequately treated and dealt with the wound will then sort of closed by what we call secondary intention.

在感染得到充分的治療和處理後，傷口將通過我們所說的次要意圖來關閉。

So it will basically fill in from the bottom up the length of time that takes will depend on a number of factors.

是以，它基本上會自下而上地填充，所需時間的長短將取決於許多因素。

Number one is the infection underneath the D.

第一是D區下面的感染。

Hisense adequately treated and controlled.

Hisense得到了充分的治療和控制。

Number two.

第二。

How big is the wound?

傷口有多大？

Number three, what is your nutrition like?

第三，你的營養情況如何？

So nutrition is probably the most important predictor of wound healing.

是以，營養可能是預測傷口癒合的最重要因素。

I think under the best circumstances in my experience with patients with big open surgical wounds.

我認為在最好的情況下，根據我對有大的開放性手術傷口的病人的經驗。

Once the infection is controlled and once the nutrition is optimized, big distance takes about 4 to 6 weeks to close up next from ap finegar.

一旦感染得到控制，一旦營養得到優化，大距離從ap finegar接下來需要4至6周的時間來關閉。

When the scrub machine gives you scrubs with holes, you would exchange them for better scrubs or be suture them with a Cron.

當擦洗機給你的擦洗服上有洞時，你會把它們換成更好的擦洗服，或者用克朗來縫合它們。

Hashtag ep fellowship hashtag life skills.

Hashtag ep fellowship hashtag生活技能。

I mean I use at home to fix stuff little tears and T shirts and things that I'm not ready to throw out.

我的意思是，我在家裡用它來修補一些小裂縫和T恤衫，以及一些我不準備扔掉的東西。

My dog's toys will sometimes get some surgery to get them to last a little bit longer.

我的狗的玩具有時會做一些手術，讓它們的壽命更長一點。

But scrubs, I mean, come on.

但是搓衣板，我的意思是，來吧。

Those are essentially disposable.

這些基本上是一次性的。

Next at kondo XX II.

下一步是在孔道XX II。

Is it even healthy to consume charcoal?

食用木炭究竟是否健康？

No, it is not health to consume charcoal.

不，食用木炭是不健康的。

I know that there's all kinds of fad cleanses and this and that.

我知道有各種時尚的清潔方法，還有這個和那個。

I would not recommend any of them.

我不會推薦他們中的任何一個。

We will occasionally, occasionally occasionally use activated charcoal down a tube into a patient's stomach.

我們偶爾會，偶爾會用活性炭順著管子進入病人的胃。

If we know that they have ingested certain medications, but this doesn't work for all poisons activated charcoal as a health trend is one of the stupidest things I've ever heard.

如果我們知道他們攝入了某些藥物，但這對所有的毒藥都不起作用，活性炭作為一種健康趨勢是我聽過的最愚蠢的事情之一。

Activated charcoal is used for medical poisoning emergencies only You don't need that toothpaste.

活性炭只用於醫療中毒的緊急情況 你不需要這種牙膏。

Trust me, thank you for your questions.

相信我，謝謝你的問題。

This has been surgery support.

這一直是手術支持。

I gotta say.

我得說。