问题 问答题

二、患者系一位建筑工人,45岁,不慎从15米高处跌下,疑脊柱损伤,你正好在现场请你实施脊柱损伤的搬运(在医学模拟人上操作)。

答案

参考答案:

解析:能叙述脊柱损伤搬运原则 保持模拟人脊柱伸直位,严禁弯屈。 (2)就地取材 木板床或硬质子板担架。 (3)搬运操作方法正确 用木板或门板搬运。 搬运时必须保持脊柱伸直位,不能屈曲或扭转,三人或四人施以平托法使模拟人平稳移到木板上(可以边口述边示范操作);(禁用搂抱或一人抬头、一人抬足的搬运方法,若发现此种情况不能得分!) 在伤处垫一薄枕,使此处脊柱稍向上突,然后用几条带子把伤员固定在木板或硬质门板上,使患者不能左右转动、移动;(一般用4条带子;胸、肱骨水平,前臂腰水平,大腿水平,小腿水平,各1条带子将伤员绑在硬质担架上) (4)提问:如果搬运伴有颈椎损伤患者还应注意什么 答:一人托住其头部,其余人协调一致用力将伤病员平直地抬到担架上或木板上,然后头部的左右两侧用软枕或衣报等物固定。

阅读理解

I went through a training program and became a literacy volunteer last surnmen The training

I received, though excellent, did not tell me how it was to work with a real student, however. When I began to discover what other people's lives were like because they could not read, I realized the true importance of reading.

My first student Marie was a 44-year-old single mother of three. In the first lesson, I found out she walked two miles to the nearest supermarket twice a week because she didn't know which bus to take. When I told her I would get her a bus schedule, she told me it would not help because she could not  read it. She said she also had difficulty once she got to the supermarket,because she couldn't always remember what she needed. Since she did not know words, she could not write out a shopping list. Also, she could only recognize items by sight, so if the product had a different label, she would not recognize it as the product she wanted.

As we worked together, learning how to read built Marie's self-confidence,which encouraged her to continue her studies. She began to make rapid progress and was even able to take the bus to the supermarketelt. After this successful trip, she reported how self-confident she felt. At the end of the program, she began helping her youngest son,Tony, a shy first grader with his reading. She sat with him before he went to sleep and together they would read bedtime stories. When his eyes became wide with excitement as she read, pride was written all over her face. As she described this experience, I was proud of myself as well. I found that helping Marie to build her self-confidence was more rewarding than anything I had ever done before.

As a literacy volunteer, I learned a great deal about teaching and helping others. In fact, I may have learned more from the experience than Marie did.

小题1:What did the author do last summer?

A.She worked in the supermarket

B.She helped someone to learn to read

C.She gave single mothers the help they needed

D.She went to a training program to help a literacy volunteer小题2:Why didn’t Marie go to the supermarket by bus at first?

A.Because she liked to walk to the supermarket

B.Because she lived far away from the bus stop

C.Because she couldn’t afford the bus ticket

D.Because she couldn’t find the right bus小题3:How did Marie use to find the goods she wanted in the supermarket?

A.She knew where the goods were in the supermarket

B.She asked others to take her to the right place

C.She managed to find the goods by their looks

D.She remembered the names of the goods小题4:What did the writer think of her work as a literacy volunteer?

A.Interesting

B.Meaningful

C.Tiring

D.Touching

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