Unit 12

Accident and Emergencies

Picture 3.1 Source; suryopod.blogspot.com

Talking about the first aids

Understanding and giving instructions

The symptoms of shock

Describing how to deal with an emergency

 Preview Activity

You are in a light aircraft when it crashes into the jungle. Your radio is broken
so you can‟t ask helping. There are two of you and you must ready to walk
around 3-5 kilometres for safety. You already have clothes, foods, and water.

Picture 3.2 Source: https://www.google.com/url?sa=1471086225926960

You can take only ten things with you take five from each list, discuss what to
take with your partner and explain your reasons.

Medical General

Bandages Disposable gloves A torch A knife

A scalpel A thermometer A box of matches Scissors
A snake bit kit Tweezers Scap Fish hooks a
Morhine A first aid manual A mirror cooking pot
aspirin Hypodermic needles A compass A mosquito net
 b. Listen again and complete these questions that the nurse asks.

Listening
Sub Topic: A patient record and instructions

a. The nurses' students receive instructions from a paramedic.

1. The nurse gives two/three breaths into the patient‟s mouth.

2. The paramedic counts up two/three after each down on the chest.
3. The nurse pushes down on the chest fifteen/sixteen times.
4. They set the charge on the defibrillator at 100/200.
5. The nurse applies the pads on each side of/ above and below the heart
6. The patient starts to respond after the first/second charge from the
defibrillator.
7. The patient is given Lidocaine/Atropine.
8. The dosage is over 200 ml over one minute/100 ml over
two minutes

c. Complete each sentence with a verb from the list and listen
again to check.

Check Hold Repeat Stand

Give Press Set up Support
Put
1. ____him CPR
2. _____him mouth-to-mouth first.
3. ______his head.
4. Right______his nose close, then....
 5. ________your hand on his chest.
6. ______ clear of his body.
7. ...then___________the buttons and hold for two second.
8. ______his pulse again.
9. Ok-______the procedure.
10. Well done. Now __________an VI and give....

Speaking

Sub Topic. Emergency helpline

a. Work in pair: Students A is a parent (P), student B is an

emergency helpline nurse (N)

Situation: Five minutes ago a poisonous snake bits your child (A). You called
an emergency helpline (B). Explain the situation to the emergency helpline
nurse, listen and write down the instructions to find out what to do. For
example:

Notes: wound-ice-bandage
Instrcuctions: What shall I do with the wound? Should I put it on ice? Should
I...?
Notes: Instructions
1. Child thirsty-milk OK? ____________________?
2. Walk around? ______________________?
3. Doctor? __________________________?

b. Student A= a nurse working on the telphone helpline. Listen to

your caller, student B explain the emergency. Use these notes to tell the
caller what to do.
Student B Notes


Fresh air (window/door)

Mouth-washh out

Skin- remove clothes if cover pesticide,
wash (running water, soap

Eyes- wash running water, 15 minutes
Student A Instructions

Make sure he gets fresh air, open the windows

and doors and...............................................................etc

Cars have crashed, you

were the first arrive on the
scene. The driver was
unconcious „

What to do?

Picture 3.2 Source: suryopod.blogspot.com

 Writing

Sub Topic. Information porter

You have been asked to produce a poster telling motorists what to do in

emergency. Write a list of instructions for the situation. Give reasons
where it will help people to understand.

Reading

Sub Topic. A surprise passanger.

A surprice passanger
Dg.Singki‟ is a taxi driver became a
midwife an hour when a passenger
gave to a baby in the back seat of
his taxi.
Mince‟s baby was due to in a
month, but when her contractions
started she called for a taxi to take
her to hospital. Mr Singki‟
answered the call.
The expectant mum was in the taxi
for ten minutes when she realized
that things were happening too
fast. The baby was not going to
wait. Its head appeared, and Mr.
Singki‟ stopped the taxi to help
birth.
A midwife at a hospital said „Giving
birth on the way to hospital doesn‟t
happen often, but if you are there when it
does, just support then clean the baby‟s
head and guide it out- don‟t pull. Then
clean the baby‟s nose and mouth, but
don‟t cut the umbbilical cord- justlay the
baby on the mother‟s chest, cord and all.
Dry the baby with a clean towel or cloth,
gently rub its back, then cover mum and
baby with a dry blanket to keep them
both warm, and wait for medical help to
arrive‟
„Dg. Singki‟ was the wonderful‟ the
mother said later „he did everything
Mr.Singki‟ said I was there when right‟. Mince was naming the baby
my kids were born, so this was not Cliff. Mother and baby are both doing
completedly new for me. I spoke to well. (From Nursing 2012.p25)
nurse on the taxi radio and she gave
me instructions. I only did what she
told me. There was nothing special
about that. One minute I had one
passanger, that I had two, but there
was no extra charge.
a . Read the article and answer the questions

1. Was this Dg.Singki‟s first experience of a birth?

2. Who gave instruction to Dg.Singki‟?
3. Who is Cliff?
4. How is the baby now?

b.. Work in pair. Cover the article . remember the midwife's

instructions. Look at the words below to help you remember.

Blanket mother’ chest

Medical help

Head nose and mouth

Back towel
 Vocabulary

Sub Topic. Firts aids

Complete each sentence with a word from the box

PATIENT RECORD
apply keep squeeze
check for make sure sterilize
immerse puncture wab
immobilize remove treat
1. ____a clean, sharp needle with alcohol.
2. ____there is no glass or other foreign body in the wound.
3. Use the needle to____the blister.
4. Don‟t_____burnt clothing.
5. ________a main artery if necessary.
6. ________the injured person lying down.
7. _______injured body part once the bleeding has stopped.
8. _______the person for shock.
9. Don‟t__________severe large burns in cold water.
10. _______sign of circulation.
11. ________with Iodine and rubbing alcohol.
12. _________antibiotic ointment and cover with a bandage.

GRAMMAR

Sub Topic. Instructions

 To tell somebody what to do, you can use the
imperative Examples:
1. Check for sign of circulation.
2. Apply he pads to his chest.
3. Dry the baby
4. Keep silent.
5. Don’t moved the person.
6. Work through the corridor.
 To emphasize what is imporant, you can use Make sure ...
Example:
1. Make sure the wound is clean.
2. Make sure you don‟t touch his body.
3. Make you keep well.
4. Make sure he is still alive.
5. Make sure your health is better.
6. Make sure he is still breathing.
 When asking for instructions, you can use the present simple: have to and
should.
Example:
1. Do I have to immobilize his leg?
2. Does he have to push into the ward?
3. Shall I take off the dressing now?
4. Shall I stop the taxi?
5. What dosage should I give him?
6. Should I give him drug?
 a. Match the beginnings and endings of the sentences

Beginnings Endings
1. Check that a. I count up to between breaths?
2. Make sure you b. I give her?
3. What do c. Have to apply the pads?
4. Don‟ let d. The patient is breathing
5. Should‟t let e. The patient try to stand up
6. Shall I bandage f. Put the burnt area under running water?
7. Don‟t g. The patient‟s pulse again.
8. What dosage shall h. Tie the bandage too tight
9. Take i. The wound now?
10. Where do I j. Use sterile needle.

b. Work in a small group, each thinks of three emergencies and

writes at least five instructions to help them.

For example: A patient in unconscious

Instructions:

1. Don‟t move the person

2. Make sure he is still breathing
3. Keep the person warm
4. Check for sign
5. Wash his face.