A Busy Day in The Er American English Teacher

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MEDICAL ENGLISH · MEDICAL ISSUES · PRE-INTERMEDIATE (A2-B1)
A BUSY DAY
IN THE ER
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1 Warm up
Look at the photos. What is happening / has happened in each?
Picture A Picture B Picture C Picture D
Picture E Picture F Picture G Picture H
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PRE-INTERMEDIATE (A2-B1)
A BUSY DAY IN THE ER
2 Vocabulary 1
Part A: Listen to the conversations and match them to the photos above.
1. Conversation 1 → Photo
Part B: Complete the sentences with the phrases in the box. Then listen again and check.
allergic / choked / attack / scalded / dislocated / sprained / unconscious / wound
1. The man has a on his leg.
2. The boy is having an reaction.
3. The man’s son thinks he his shoulder when he fell.
4. The woman her hand in hot water.
5. The man fell and his ankle.
6. The woman is having a heart .
7. The woman on an olive.
8. The woman found her grandfather .
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3 Vocabulary 2
Match the problems to the possible first aid procedure.
1. defibrillate 2. a sling 3. recovery position 4. CPR
5. stitches 6. elevate foot 7. ointment and 8. epinephrine

dressing (EpiPen) shot
1. wound →
2. an allergic reaction →
3. dislocated →
4. scalded arm →
5. sprained ankle →
6. heart attack →
7. after choking →
8. unconscious and not breathing →
Read and listen to the conversations to check your answers.
Conversation 1
Woman: My friend here was skateboarding and hurt his leg.
Nurse: Let me have a look ... that’s a deep wound. A doctor will have to see to that.
You’re going to need a few stitches there.

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Conversation 2
Operator: Emergency services, how can I help?
Man: Hello, it’s my son. He’s having an allergic reaction.
Operator: We’ll send an ambulance. Do you have an EpiPen to give him a shot?
Conversation 3
Receptionist: Can you tell me what happened?
Man: My dad was fixing the roof and fell. I think he has dislocated his shoulder.
Receptionist: OK. Take a seat over there and the doctor will see him soon.
Doctor: ... Right, Mr. Walker. I want you to keep your arm in this sling for a few days,
OK? And no more playing around on the roof! You were very lucky!
Conversation 4
Man: Hi, I was making dinner and I scalded my arm badly.
Receptionist: OK, please follow me to the burn unit.
Nurse: ... I’ve put some ointment and dressing on. I want you to replace it in a couple
of days. And be careful in the shower. You should put a plastic bag around
the dressing.
Conversation 5
Paramedic: It was a bad fall, but you were lucky. It seems you have only sprained your
ankle.
Woman: Do I need to go to the hospital?
Paramedic: No, but you shouldn’t be alone either. Is there anyone you can call to spend
the night with you?
Woman: Yes, I’ve already called my daughter.
Paramedic: Good. Just keep your foot elevated and you can take a painkiller if necessary.

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Conversation 6
Operator: 911, how can I help?
Woman: I think I’m having a heart attack. I can’t breathe properly, my chest hurts and
I’m feeling very dizzy.
Operator: OK, we’ll send an ambulance straightaway.
Conversation 7
Operator: 911?
Man: Yes, hello. We were having dinner and my wife choked very badly on an olive.
Operator: Did you manage to remove it?
Man: Yes, she’s breathing normally now, but she’s still very red. Should I take her
in?
Operator: No. Just put her in the recovery position and let her rest for a few minutes.
Conversation 8
Operator: 911?
Woman: Yes, hello. I’ve just found my grandfather unconscious in his kitchen.
Operator: Is he breathing normally?
Woman: No.
Operator: Do you know how to perform CPR?
Woman: No.
Operator: I’ll explain it to you. The ambulance is already on its way.

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4 Grammar
Part 1: Read the sentences from the dialogues. Are the underlined parts in the Present Perfect , Past
Simple, or Past Continuous?
1. My friend here was skateboarding and hurt his leg.
2. My dad was fixing the roof and fell.
3. I think he has dislocated his shoulder.
4. I was making dinner and I scalded my arm badly.
5. I’ve put some ointment and dressing on.
6. It seems you have only sprained your ankle.
7. Yes, I’ve already called my daughter.
8. You suffered a heart attack.
9. We were having dinner and my wife choked very badly on an olive.
10. Did you manage to remove it?
11. I’ve just found my grandfather unconscious in his kitchen.
Study the information below.
When we talk about a past event and mention when it happened, we use Past Simple.
• We took him to the ER this morning.

• She didn’t sleep well last night because of the pain.
We often use Past Continuous to describe the context of a past event.
• We were having a picnic when a wasp stung him.

• He had a heart attack while he was running in the park.
When we talk about past experiences and don’t mention the time specifically, we often
use Present Perfect.
• Mike has fallen off his bike.

• Have you seen a doctor about this?

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Part 2: Complete the sentences below with the Present Perfect, Past Simple or Past Continuous of
the verbs in brackets.
1. you ever (have) any major surgery?
2. I (sprain) my ankle while I was (play) soccer.
3. I (stitch) his wound and (send) him home about an hour ago.
4. I (not feel) these symptoms before.
5. She (climb) a mountain when she (fall) and (break)

her leg.
6. you (check) on Mr. Bailey this morning?
5 Speaking
In pairs, role play a conversation related to one of the pictures below.
Include:
• how the accident happened

• what injury or health problem there was
• what first aid will be / was necessary
Picture A Picture B Picture C

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6 Extension activity / homework
Part 1: Choose a situation from the lesson and complete the report about it. Explain what happened
and how you treated the casualty.
Part 2: Look at the photos and complete the words and phrases with vowels. Are these (A) injuries
and other health problems or (B) phrases for first aid?
1. s_v_r_ bl__d_ng
2. fr_ct_r_d l_g
3. st_rt IV (Intr_v_n__s th_r_p_)
4. g_v_ _ p_ink_ll_r
5. f__l d_zz_
6. f_t _ n_ck br_c_
7. h_v_ _n _sthm_ _tt_ck
8. g_ve m__th t_ m__th r_s_sc_t_t__n

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TEACHER MATERIALS · PRE-INTERMEDIATE (A2-B1)
Transcripts
2. Vocabulary 1
Conversation: 1
Nurse: Let me have a look ... that’s a deep wound. A doctor will have to see to that. You’re
going to need a few stitches there.
Conversation: 2
Conversation: 3
Doctor: ... Right, Mr. Walker. I want you to keep your arm in this sling for a few days, OK?
And no more playing around on the roof! You were very lucky!
Conversation: 4
Nurse: ... I’ve put some ointment and dressing on. I want you to replace it in a couple of days.
And be careful in the shower. Better to put a plastic bag around the dressing.
Conversation: 5
Paramedic: It was a nasty fall, but you were lucky. It seems you have only sprained your ankle.
Paramedic: No, but you shouldn’t be alone either. Is there anyone you can call to spend the night
with you?
Conversation: 6
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Woman: I think I’m having a heart attack. I can’t breathe properly, my chest hurts and I’m
feeling very dizzy.
Conversation: 7
Operator: 911?
Man: Yes, she’s breathing normally now, but she’s still very red. Should I take her in?
Conversation: 8
Operator: 911?
Woman: No.
Woman: No.
3. Vocabulary 2
Conversation: 1
Nurse: Let me have a look ... that’s a deep wound. A doctor will have to see to that. You’re
going to need a few stitches there.
Conversation: 2
Conversation: 3
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Doctor: ... Right, Mr. Walker. I want you to keep your arm in this sling for a few days, OK?
And no more playing around on the roof! You were very lucky!
Conversation: 4
Nurse: ... I’ve put some ointment and dressing on. I want you to replace it in a couple of days.
And be careful in the shower. Better to put a plastic bag around the dressing.
Conversation: 5
Paramedic: It was a nasty fall, but you were lucky. It seems you have only sprained your ankle.
Paramedic: No, but you shouldn’t be alone either. Is there anyone you can call to spend the night
with you?
Conversation: 6
Woman: I think I’m having a heart attack. I can’t breathe properly, my chest hurts and I’m
feeling very dizzy.
Conversation: 7
Operator: 911?
Man: Yes, she’s breathing normally now, but she’s still very red. Should I take her in?
Conversation: 8
Operator: 911?
Woman: No.
Woman: No.
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Key
1. Warm up
5 mins.
In pairs, guess what has happened in each photo. They might attempt to use present perfect or past simple in
some of them. Make notes of any mistakes for future reference, but don’t make any corrections yet.
Suggested answers:
A) He is having an allergic reaction; B) Her hand has been scalded; C) He has a wound on his leg; D) She is having
a heart attack; E) He has dislocated his shoulder; F) He is unconscious; G) She is choking; H) He has sprained his
ankle.
2. Vocabulary 1
Part A
10 mins.
Ask students to listen to the conversations and match to the photos above. Ask students to compare answers by
saying what’s happening in each, in order to practice the target language. Then correct as a whole class.
Please note that in the US Emergency services are referred to as ’911’ as that is the number you dial to contact
them.
1. C 2. A
3. E 4. B
5. H 6. D
7. G 8. F
Part B
10 mins.
Ask students to complete the sentence with the words from the box. Students then listen to the conversations
again to check their answers. When correcting, elicit the correct pronunciation, especially of the target language.
1. wound 2. allergic
3. dislocated 4. scalded
5. sprained 6. attack
7. choked 8. unconscious
3. Vocabulary 2
10 mins.
Tell students these are the problems from the listening task. What first aid should be given to these casualties?
Ask students to discuss in pairs, then match the pictures to the issues.
Please note that in the US "EpiPen" is used to refer to an epinephrine shot.
1. stitches 2. (epinephrine/EpiPen) shot

3. a sling 4. ointment and dressing
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5. elevate the foot 6. defibrillate

7. recovery position 8. CPR
Students then read and listen to extended versions of the conversations to check their answers. Ask them to
compare in pairs before you correct them as a whole class. When correcting, practice the pronunciation of the
target language.
4. Grammar
Part 1
10 mins.
Go over the grammar box with students, giving and eliciting further examples. Students then complete the task.
When correcting, elicit why this tense was used (e.g., to give a context for a past action, because the time is not
mentioned or because the time is mentioned).
1. Past Continuous 2. Past Simple

3. Present Perfect 4. Past Continuous
5. Present Perfect 6. Present Perfect
7. Present Perfect 8. Past Simple
9. Past Continuous 10. Past Simple
11. Present Perfect
Part 2
5 mins.
Do the first sentence as a whole group. Ask students which verb tenses would be more suitable here and why
(present perfect, because the time reference is not specific). Then elicit the form of the present perfect for this
question. Students complete the other sentences. Encourage them to think of the verb tense first, then write the
form. When correcting, elicit what tense was used and why.
1. Have ≀ had 2. sprained ≀ playing

3. stitched ≀ sent 4. haven’t felt
5. was climbing ≀ fell ≀ broke 6. Did ≀ check
5. Speaking
15 mins.
Pair students. Go over each photo, eliciting what might have happened and what first aid might be given. In pairs,
students choose one of the photos and write a dialogue on it. Students perform their dialogues in front of the
class.
6. Extension activity / homework
Part 1
10 - 15 mins.
Students choose one of the seven situations from the listening tasks and write about it. When finished, you can
display the reports on the classroom walls for the other students to see.
Part 2
10 mins.
This task aims to further develop students’ vocabulary within the lexical groups of the unit (injuries and other
health problems, and verbs for first aid). Ask students to look at the pictures to see what’s happening in each. Are
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they a health problem or a first aid action? They then complete the words using only vowels. When correcting,
elicit example sentences using the phrases.
1. severe bleeding - A 2. fractured leg - A

3. start IV (Intravenous therapy) - B 4. give a painkiller - B
5. feel dizzy - A 6. fit a neck brace - B
7. have an asthma attack - A 8. give mouth to mouth resuscitation - B
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HEAAADERLOGORIGHT

MEDICAL ENGLISH · MEDICAL ISSUES · PRE-INTERMEDIATE (A2-B1)

Picture A Picture B Picture C Picture D

Picture E Picture F Picture G Picture H

FOOOOTERRIGHT Learn without forgetting! 1/8

A BUSY DAY IN THE ER

allergic / choked / attack / scalded / dislocated / sprained / unconscious / wound

1. The man has a on his leg.

2. The boy is having an reaction.

3. The man’s son thinks he his shoulder when he fell.

4. The woman her hand in hot water.

5. The man fell and his ankle.

6. The woman is having a heart .

7. The woman on an olive.

8. The woman found her grandfather .

FOOOOTERLEFT Learn without forgetting! 2/8

A BUSY DAY IN THE ER

Match the problems to the possible ﬁrst aid procedure.

1. deﬁbrillate 2. a sling 3. recovery position 4. CPR

5. stitches 6. elevate foot 7. ointment and 8. epinephrine

8. unconscious and not breathing →

Read and listen to the conversations to check your answers.

Woman: My friend here was skateboarding and hurt his leg.

FOOOOTERRIGHT Learn without forgetting! 3/8

A BUSY DAY IN THE ER

Operator: Emergency services, how can I help?

Man: Hello, it’s my son. He’s having an allergic reaction.

Receptionist: Can you tell me what happened?

Man: Hi, I was making dinner and I scalded my arm badly.

Receptionist: OK, please follow me to the burn unit.

FOOOOTERLEFT Learn without forgetting! 4/8

A BUSY DAY IN THE ER

Operator: 911, how can I help?

Operator: Did you manage to remove it?

Operator: Is he breathing normally?

Operator: Do you know how to perform CPR?

Operator: I’ll explain it to you. The ambulance is already on its way.

FOOOOTERRIGHT Learn without forgetting! 5/8

A BUSY DAY IN THE ER

1. My friend here was skateboarding and hurt his leg.

2. My dad was ﬁxing the roof and fell.

3. I think he has dislocated his shoulder.

4. I was making dinner and I scalded my arm badly.

5. I’ve put some ointment and dressing on.

6. It seems you have only sprained your ankle.

7. Yes, I’ve already called my daughter.

8. You suﬀered a heart attack.

9. We were having dinner and my wife choked very badly on an olive.

10. Did you manage to remove it?

11. I’ve just found my grandfather unconscious in his kitchen.

Study the information below.

• We took him to the ER this morning.

We often use Past Continuous to describe the context of a past event.

• We were having a picnic when a wasp stung him.

• Mike has fallen oﬀ his bike.

FOOOOTERLEFT Learn without forgetting! 6/8

A BUSY DAY IN THE ER

1. you ever (have) any major surgery?

2. I (sprain) my ankle while I was (play) soccer.

4. I (not feel) these symptoms before.

5. She (climb) a mountain when she (fall) and (break)

6. you (check) on Mr. Bailey this morning?

• how the accident happened