Name: 急診室醫師絕對不會做的12件事！#2 (12 Things I Would NEVER Do as an ER Doctor #2)
Uploaded: 2026-03-19T21:36:03.000Z
Duration: 10 min 7 s
Description: 【看影片學英語】數萬部 YouTube 影片，搭配英漢字典即點即查，輕鬆掌握單字發音與用法，長久累積看電影不必再看字幕。

From viral social media challenges to it'll be fine college decisions.

從爆紅的社群挑戰到「沒關係」的大學決定

I've seen enough in the emergency department to permanently retire certain life choices.

我在急診室看過的夠多了，足以讓我永久告別某些人生選擇。

So today we're counting down more things I would never do as an emergency medicine physician.

所以今天我們要來倒數，身為急診醫師我絕對不會做的幾件事。

Not because I'm boring, but because I've seen how the movie ends.

不是因為我無聊，而是因為我看過電影的結局是什麼。

I would never mix energy drinks with alcohol.

我絕對不會把能量飲料跟酒精混在一起喝。

I know vodka plus energy drink feels like a college rite of passage, right?

我知道伏特加加能量飲料感覺就像大學的成年禮，對吧？

And when you mix them together, the stimulant masks how intoxicated you actually are.

當你把兩者混合時，興奮劑會掩蓋你實際的醉意。

In other words, your brain feels alert, but your judgment is not.

換句話說，你的大腦感覺很清醒，但你的判斷力卻沒有。

This is when people over drink, blackout, get into fights.

這時候人們就會過量飲酒、斷片、甚至打架。

Medically speaking, you're stressing your cardiovascular system.

醫學上來說，這是在給你的心血管系統施加壓力。

Caffeine increases heart rate and blood pressure.

Alcohol causes dehydration and impairs coordination.

酒精會導致脫水並損害協調能力。

And together, they increase the risk of arrhythmias, AKA abnormal heart rhythms, especially in people with underlying conditions they may not even know they have.

兩者結合，會增加心律不整的風險，也就是異常的心臟節奏，特別是對於有潛在疾病但可能不知道自己有病的人。

I've seen young, otherwise healthy patients come into the ER with palpitations, chest pain, severe dehydration, and

我看過一些年輕、原本健康的病患來到急診室，出現心悸、胸痛、嚴重脫水，

in rare cases, dangerous rhythm disturbances.

而且在少數情況下，還會出現危險的心律失常。

I would never mess around with choking games or breath holding challenges.

我絕對不會玩窒息遊戲或憋氣挑戰。

Every few years, this comes back as some kind of social media trend, and

每隔幾年，這種東西就會以某種社群媒體趨勢重新出現，

What people don't realize is that the brain is incredibly sensitive to oxygen deprivation.

大家沒意識到的是，大腦對缺氧非常敏感。

It relies on constant blood flow and constant oxygen delivery.

它依賴持續的血流和氧氣供應。

So any weird challenge that requires you cutting off oxygen to your brain is not harmless.

所以任何需要你切斷大腦供氧的奇怪挑戰都不是無害的。

When oxygen levels drop, you lose consciousness within seconds.

當氧氣水準下降時，幾秒鐘內你就會失去意識。

What's worse, if no one intervenes quickly, brain cells begin dying within minutes.

更糟的是，如果沒有人及時介入，腦細胞會在幾分鐘內開始死亡。

In that short time frame, brain damage can be permanent.

在這極短的時間內，腦部損傷就可能永久發生。

I've seen teenagers brought in unresponsive after attempts at this, and the outcomes were not great.

我看過青少年嘗試這個後，送醫時毫無反應，結果都很糟糕。

We're talking intubation, ventilators, ICU admissions, and sometimes long term neurological consequences.

我們說的是插管、呼吸器、住進加護病房，有時還有長期的神經後遺症。

I would never ignore a bad head injury just because I feel fine.

我絕不會因為感覺還好就忽視嚴重的頭部傷害。

For sports, whether it's skateboarding, snowboarding, football, head injuries are incredibly common, especially in young, active people who think they're invincible.

在運動方面，無論是滑板、滑雪板、足球，頭部傷害都非常普遍，特別是那些認為自己無敵的年輕活躍人士。

You don't have to black out or forget your name for it to be serious.

你不必昏過去或忘記自己的名字，它才會很嚴重。

I've evaluated patients who are fully awake, answering questions and even cracking jokes.

我看過一些病人，他們完全清醒，能回答問題，甚至還會開玩笑。

And imaging later showed a significant brain bleed.

後續的影像檢查顯示有嚴重的腦出血。

In the er, if someone has a significant head impact, especially High speed.

在急診室裡，如果有人受到嚴重的頭部撞擊，特別是高速撞擊。

That often means neurologic exams and sometimes a CT scan to rule out bleeding.

這通常意味著需要神經學檢查，有時還需要電腦斷層掃描來排除出血。

Because some of these injuries can deteriorate over time, not just days.

因為其中一些傷害可能會隨著時間惡化，不只是幾天。

You can just stretch and ice and it's an entire operating system, so please protect it.

你不能只是伸展和冰敷，它是一個完整的作業系統，所以請好好保護它。

I would never take pills that aren't prescribed to me.

我絕對不會吃沒有處方籤的藥。

First off, I'm sorry to report, but sharing prescription medication is illegal in the United States.

首先，很抱歉告訴大家，在美國分享處方藥是違法的。

Second, and more importantly, counterfeit pills are everywhere right now.

第二，也是更重要的，現在到處都是假藥。

Some look identical to the legitimate medications, but instead contain fentanyl or other dangerous substances.

有些看起來跟真藥一模一樣，但裡面卻含有芬太尼或其他危險物質。

As someone who works close to a border town, this is something I see a lot people thinking they are taking one pill, but

我住在邊境小鎮附近，常常看到很多人以為自己吃的是某種藥，但

We're talking teeny tiny amounts causing respiratory depression where your breathing slows down or stops altogether.

我們說的是極微小的劑量就會造成呼吸抑制，讓你的呼吸變慢甚至完全停止。

When someone comes into the ER after taking an unknown pill, we're immediately focused on airway breathing and circulation.

當有人吃了不明藥丸後被送進急診室，我們最關注的就是呼吸道、呼吸和循環。

And sometimes we have to intubate and place someone on a ventilator because they just can't breathe on their own.

有時候我們必須插管，讓病人使用呼吸器，因為他們根本無法自主呼吸。

I would never jump off a roof into a pool.

我才不管那個角度看起來多好。

Jumping off a roof into a pool is one of those things that sounds fun right up until gravity reminds you it's undefeated.

從屋頂跳進泳池這件事，聽起來很有趣，直到重力提醒你，它永遠不會輸。

In matches like these, you're not just jumping into water.

在這種比賽中，你跳的不只是水。

You are jumping from a height with unpredictable trajectory into a space that may not be deep enough, may not be centered correctly, or might just not be cleared.

你是從高處跳下，軌跡難以預測，進入一個可能不夠深、可能不在中心、或根本沒清空的空間。

In the er, those poolside situations come in as trauma activations.

在急診室裡，這些泳池邊的狀況都會被視為創傷啟動。

We're talking cervical spine precautions, CT scans, head to pelvis, possible spinal fractures, burst of vertebrae, broken ankles.

我們會談論頸椎保護、電腦斷層掃描、從頭到骨盆的檢查、可能的脊椎骨折、椎體爆裂、腳踝骨折。

A bad landing can even mean spinal cord injury, which can equate to paralysis.

嚴重的墜落甚至可能導致脊髓損傷，這可能等於癱瘓。

And that's not dramatic exaggeration, that's physics and what keeps our hospital doors open.

這不是誇張的說法，這是物理定律，也是維持我們醫院運作的原因。

I would never swim alone in the ocean at night.

我絕對不會在晚上獨自去海邊游泳。

Living in Southern California, I live near the coast.

I love the ocean, but I also respect the ocean.

Rip currents are real, fatigue is real, visibility is minimal.

離岸流是真實存在的，疲勞是真實存在的，能見度也很差。

And while sharks get all the peace, PR and headlines, the real and greater danger is usually exhaustion and drowning.

雖然鯊魚總是能獲得所有的關注、公關和頭條新聞，但真正且更大的危險通常是精疲力盡和溺水。

Oftentimes, there's no dramatic splashing or yelling.

很多時候，並沒有戲劇性的濺水或呼喊。

It can happen quickly and without much noise at all.

它可能發生得很快，而且幾乎沒有什麼聲音。

When near drowning victims are lucky enough to survive and arrive in the emergency department, US Healthcare workers are first concerned about Hypoxia or low oxygen levels, which can affect the brain and other organs.

當差點溺水的人幸運存活並抵達急診室時，美國的醫護人員首先擔心的是缺氧或低血氧，這會影響大腦和其他器官。

If that's the case, some patients require oxygen therapy, monitoring, even ventilatory support.

如果是這樣，有些病患需要氧氣治療、監測，甚至呼吸器支持。

Some swim survivors can develop pneumonia from aspirated water or more serious lung complications.

有些游泳倖存者可能會因為吸入水分而罹患肺炎，或是更嚴重的肺部併發症。

I would never pop fireworks in my hand, even just for a second.

我絕對不會把煙火拿在手上點燃，哪怕只有一秒鐘。

Yes, we've talked fireworks before, but specifically this time around, I'm talking about the smaller ones.

是的，我們以前聊過煙火，但這次特別要說的是那種比較小的。

Bones, tendons, nerves, blood vessels all tightly packed together.

骨頭、肌腱、神經、血管全都緊密地擠在一起。

I've seen hands looking like the Stranger Things Demogorgon.

我看過有些手變得像《怪奇物語》裡的Demon。

When a firework explodes in your hand, it's not just a burn.

當煙火在你的手裡爆炸時，不只是燒傷而已。

It can lead to open fractures, tendon ruptures, nerve damage, even partial or full amputations.

它可能導致開放性骨折、肌腱斷裂、神經損傷，甚至部分或完全截肢。

And reconstructive surgery is intricate and not perfect.

而重建手術很複雜，也不是完美的。

In other words, function may never fully return to normal, which means grip strength, dexterity, all that can be permanently altered forever.

換句話說，功能可能永遠無法完全恢復正常，這意味著握力、靈巧度，所有這些都可能永遠永久改變。

I would never vape something just because it's not smoke.

我絕對不會因為某樣東西不是煙就去抽電子煙。

I understand vaping feels cleaner and less harsh.

我懂電子煙感覺比較乾淨，比較不刺激。

But your lungs were designed for one thing and one thing only, and that's air.

但你的肺只有一個設計用途，那就是空氣。

In the hospitals I've worked at, we've seen real lung injuries linked to vaping.

在我工作過的醫院裡，我們看過與電子煙有關的真實肺部損傷。

Something called evali, which stands for e cigarette or vaping product use.

叫做 evali，也就是電子煙或電子煙產品使用。