TEDNYC
Todd Scott: An intergalactic guide to using a defibrillator
托德·斯科特: 在星球大战中如何使用心脏除颤器
Filmed:
Readability: 3.6
1,149,314 views
如果尤达不幸遭遇了心律骤停，你知道将如何处理吗？艺术家、急救爱好者托德·斯科特仔细阐述了如何在星球大战的世界中使用一台自动体外除颤器，简称AED。听过他的指引，你就可以去拯救绝地武士、楚巴卡（他可能需要先剃个须），或是任何需要紧急救助的人了！
Todd Scott - First aid instructor
Todd Scott uses humor and pop culture to make CPR training more memorable. Full bio
Todd Scott uses humor and pop culture to make CPR training more memorable. Full bio
Double-click the English transcript below to play the video.
00:12
Last year, I got a chance to watch
the new "Star Wars" movie,
the new "Star Wars" movie,
0
666
2898
去年我有一次去看了
全新的《星球大战》电影，
全新的《星球大战》电影，
这部电影很棒，
00:15
which was fantastic,
1
3588
1155
但是有件事一直让我很困惑。
00:16
but one thing kept bugging me.
2
4767
1437
我不知道你们有没有注意到。
00:18
I don't know if you noticed this or not.
3
6228
1932
在那个技术极其先进的世界，
00:20
In this entirely technically
advanced world,
advanced world,
4
8184
2080
我竟然找不到一台AED，
00:22
I did not see a single AED anywhere,
5
10288
2162
这让我非常震惊——
00:24
which was totally shocking --
6
12474
1408
00:25
almost as shocking
as not knowing what an AED is,
as not knowing what an AED is,
7
13906
2321
差不多和一个人不知道
AED到底是什么同样震惊，
AED到底是什么同样震惊，
00:28
which you guys do know.
8
16251
1393
我相信你们都知道的。
但对于那些不知道的人，
00:29
But for those at home,
9
17668
1151
00:30
an AED is an automated
external defibrillator.
external defibrillator.
10
18843
3022
AED是自动体外心脏除颤器。
你在心脏骤停时就会用这台仪器，
00:33
It's the device you use
when your heart goes into cardiac arrest
when your heart goes into cardiac arrest
11
21889
3058
去电击心脏使其恢复正常起搏，
00:36
to shock it back into a normal rhythm,
12
24971
1980
00:38
or, as one of the guys I was teaching
a class to referred to it as:
a class to referred to it as:
13
26975
3479
或者，用我其中一个学生的话说就是：
“那个电电心脏的盒子啥的。”
00:42
"The shocky-hearty-box thing."
14
30478
1550
（笑声）
00:44
(Laughter)
15
32052
1657
00:45
But I really can't blame the Empire,
16
33733
2511
但我真的没法怪罪银河帝国，
因为健康和安全规章
00:48
since health and safety regulations
17
36268
1668
也不是他们最重要的事情。
00:49
aren't really their first
order of business.
order of business.
18
37960
2146
00:52
Though, even if we --
19
40130
2114
虽然，如果我们……
00:54
I think worse than not having an AED
would be if there was one there,
would be if there was one there,
20
42268
3839
我觉得比没有AED更糟糕的是，
的确有一台AED，
的确有一台AED，
却没有人知道它放在哪里。
00:58
but just, no one knew where to find it.
21
46131
2048
这些设备可以极大提升
人们存活的几率，
人们存活的几率，
01:00
These devices can drastically increase
your chance of survival --
your chance of survival --
22
48203
3790
就好像咚咚兽对于霍斯星人一样。
01:04
almost like a tauntaun on Hoth.
23
52017
2610
（笑声）
01:06
(Laughter)
24
54651
1022
01:07
But I'm pretty sure
that stormtrooper is going to be toast,
that stormtrooper is going to be toast,
25
55697
3178
但我十分确信
帝国冲锋队会死得很惨，
帝国冲锋队会死得很惨，
无论我们手头是否有AED，
01:10
regardless if we have an AED or not,
26
58899
2185
因为他们的胸甲太难取下来了，
01:13
since what happens is the chest plate
is going to be quite hard to get off,
is going to be quite hard to get off,
27
61108
3717
而就像咚咚兽一样，
01:16
and like that tauntaun,
28
64849
1990
AED最高效的工作时间范围非常窄。
01:18
the AED has a very short window of time
at which it's highly effective.
at which it's highly effective.
29
66863
3412
01:22
In this case -- basically, we've got
to use it within the first 10 minutes.
to use it within the first 10 minutes.
30
70299
4388
对于这种情况，我们必须在
心脏骤停10分钟内使用。
心脏骤停10分钟内使用。
而绝地武士又不同，
他们的着装完全不会影响。
他们的着装完全不会影响。
01:26
The Jedi, on the other hand,
have no problems with their outfits.
have no problems with their outfits.
31
74711
3102
那些袍子直接就打开了，
01:29
Those robes open straight up,
32
77837
1732
你可以把电极板直接摁到胸口上，
01:31
you can place the pads
right onto the chest --
right onto the chest --
33
79593
2510
分别放在胸口右上侧，
01:34
so upper-right-hand side of the chest,
34
82127
1878
还有左下侧，
01:36
lower left,
35
84029
1159
等到AED自动判定
心律是否适合电击，
心律是否适合电击，
01:37
wait for the unit to determine
if it's a shockable rhythm
if it's a shockable rhythm
36
85212
3148
然后就自己放电了。
01:40
and get ready to shock.
37
88384
1518
但是绝地武士的确有个问题，
01:41
But, the Jedi do have a problem.
38
89926
1525
01:43
They have a head appendage issue.
39
91475
1642
就是他们头上长着的触角。
假如我都准备好给他电击了，
01:45
And so I can be totally clear,
thinking I'm ready to go,
thinking I'm ready to go,
40
93141
3195
但自己不小心碰到了他的触角，
01:48
but I'm accidentally touching a tentacle
41
96360
2250
结果很不幸地把我自己电死了。
01:50
and inadvertently shocking myself.
42
98634
1911
（笑声）
01:52
(Laughter)
43
100569
1420
01:54
So before you hit that button,
make sure you are clear
make sure you are clear
44
102013
4538
所以在你按下电击按钮前，
务必保证自己安全，
务必保证自己安全，
其他人也安全。
01:58
and everyone else is clear.
45
106575
1871
回到帝国冲锋队的话题，
02:00
Going back to that stormtrooper:
46
108470
2477
假如我把胸甲及时取下来了，
02:02
If I did get that chest plate off in time,
47
110971
2398
假如你突然发现是个伍基人，
你会怎么办？
你会怎么办？
02:05
what would you do if you suddenly found
there was a Wookiee under there,
there was a Wookiee under there,
48
113393
3830
或者是两个伊沃克人？
02:09
or possibly two Ewoks?
49
117247
2508
（笑声）
02:11
(Laughter)
50
119779
1351
那么很幸运的是，
02:13
Well, lucky for us,
51
121154
1273
AED套件里有剃须刀，
02:14
in the kit there's actually a razor,
52
122451
2200
能够把胸口右上方的毛发剃掉，
02:16
and we can use that to shave the chest
on the upper right-hand side
on the upper right-hand side
53
124675
3555
左下方也一样。
02:20
and the lower left.
54
128254
1529
伍基人还有一个问题，
02:22
Wookiees also have another problem.
55
130751
1746
他们身上会佩戴其他东西。
02:24
They have an accessory issue.
56
132521
1428
我们一定要把这些摘掉，
02:25
What we want to do is remove these --
57
133973
2556
任何挡在两个电极板间的东西
都要取下来，
都要取下来，
02:28
anything between the two pads
we want to remove,
we want to remove,
58
136553
3415
因为它可以造成一种叫
“电弧放电”的现象。
“电弧放电”的现象。
02:31
since it can cause
something called "arcing."
something called "arcing."
59
139992
2187
对于那些不知道电弧放电的人，
02:34
For those who don't know what arcing is,
60
142203
1950
你们大概记得西斯皇帝
02:36
do you remember the Emperor,
61
144177
1413
可以从手指尖放电……
02:37
when he shoots electricity
out the ends of his fingers --
out the ends of his fingers --
62
145614
2736
（笑声）
那大概跟电弧放电差不多了。
02:40
(Laughter)
63
148374
1013
02:41
that would be kind of like arcing.
64
149411
1631
另外一件事……
02:43
Another thing that --
65
151066
1151
哦！顺便提一句，
他能这么做是因为穿了羊毛袜子。
他能这么做是因为穿了羊毛袜子。
02:44
Oh! By the way, he creates that
by wearing wool socks under his robes.
by wearing wool socks under his robes.
66
152241
3329
（笑声）
02:47
(Laughter)
67
155594
1008
如果胸口太潮湿的话
也会引起电弧放电。
也会引起电弧放电。
02:48
We can also get arcing if we have
an extremely wet chest.
an extremely wet chest.
68
156626
3117
电流通过皮肤表面传导
而非经过心脏。
而非经过心脏。
02:51
The electricity travels across the surface
instead of through the heart.
instead of through the heart.
69
159767
3443
我们可以引用道格拉斯·亚当斯的
不朽名言予以修正：
不朽名言予以修正：
02:55
We can correct this with the immortal
words of Douglas Adams:
words of Douglas Adams:
70
163234
2899
“不要恐慌。”
我相信大家都会照做的……
我相信大家都会照做的……
02:58
"Don't panic," which most of us
have done today --
have done today --
71
166157
2770
然后赶紧去找一条毛巾。
03:00
and also always having a towel.
72
168951
2245
这些都是警世良言啊。
03:03
So, good words to go by.
73
171220
2007
不幸的是……这个金属的比基尼，
却让我们感到很恐慌，
却让我们感到很恐慌，
03:05
The metal bikini -- unfortunately,
this is where panic sets in --
this is where panic sets in --
74
173251
3759
就像现代的胸罩一样，
03:09
like the modern bra,
75
177034
1202
我们一定要把它取下来，
03:10
we have to make sure we remove,
76
178260
1869
因为它会造成强烈的电弧
还有灼伤现象。
还有灼伤现象。
03:12
because this can cause
severe arcing along with burns.
severe arcing along with burns.
77
180153
4871
但是这又引来一个棘手的问题，
03:17
But unfortunately this opens up an issue
78
185048
2353
几乎跟讨论星战前传一样棘手。
03:19
that's almost as controversial
as talking about the prequels.
as talking about the prequels.
79
187425
2923
（笑声）
03:22
(Laughter)
80
190372
1096
只需提到“乳头”这一个词，
03:23
The mere mention of the word "nipples,"
81
191492
1886
大家就开始感到很紧张。
03:25
and people get into a little
bit of a tizzy.
bit of a tizzy.
82
193402
2144
顺带提一下，这不是乳头，
这只是个纸杯蛋糕。
这只是个纸杯蛋糕。
03:27
By the way, that is not a nipple,
that's a cupcake.
that's a cupcake.
83
195570
2451
（笑声）
03:30
(Laughter)
84
198045
2423
03:32
Chances are, if you do have to use this,
85
200492
2873
比较现实的情况是，
假如你要用AED，
假如你要用AED，
也应该是用在你认识的人身上。
03:35
this is going to be on someone you know.
86
203389
1938
一定记得，每个人都有乳头，
03:37
And remember, everyone has nipples,
87
205351
1700
除了贾巴。
03:39
except for Jabba.
88
207075
1168
（笑声）
03:40
(Laughter)
89
208267
1265
但是他却很喜欢纸杯蛋糕。
03:41
But he does love cupcakes.
90
209556
2188
03:43
Speaking about Jabba,
91
211768
1151
提到贾巴，
03:44
if we do have to use an AED on him,
92
212943
2516
如果我们要对他用AED，
放置电极板的位置是一样的，
03:47
remember pad placement is the same,
93
215483
1842
即使他的确没有乳头。
03:49
even though he doesn't have nipples.
94
217349
1781
所以是胸口右上方、左下方。
03:51
So it's going to be
upper right-hand side, lower left.
upper right-hand side, lower left.
95
219154
3123
之后我们准备好了，
我们可以开始电击了……
我们可以开始电击了……
03:54
If we were going through, we're shocking,
getting ready to go --
getting ready to go --
96
222301
3172
在电击完了之后，
03:57
after we've done the shock,
97
225497
1347
我们记得要做的一件事是心脏按压。
03:58
one of the things we need to do
is remember to do compression.
is remember to do compression.
98
226868
3046
最好的方式是按压30次，
之后人工呼吸2次，
之后人工呼吸2次，
04:01
The preferred method
is 30 compressions and two breaths
is 30 compressions and two breaths
99
229938
3632
位置在胸口中心，乳头之间，
04:05
in the center of the chest,
between the nipples,
between the nipples,
100
233594
2513
向下按压至少5厘米，
04:08
pressing down at least two inches,
101
236131
1829
不要超过6.5厘米左右，
04:09
no more than two and a half,
102
237984
1944
频率至少每分钟100次，
04:11
at a rate of at least 100 beats a minute,
103
239952
3023
不要超过120次。
04:14
no more than 120.
104
242999
1675
04:17
Unfortunately, due to the size
of Jabba's mouth
of Jabba's mouth
105
245950
2832
但又有个问题，
鉴于贾巴的嘴尺寸太大，
鉴于贾巴的嘴尺寸太大，
而且他在嘴里塞的各种东西，
04:20
and also what he puts in said mouth,
106
248806
1765
我们可能不太想做嘴对嘴呼吸那部分。
04:22
we may not want to actually
do the mouth-to-mouth part.
do the mouth-to-mouth part.
107
250595
4433
那么我们就可以做
只有心脏按压的复苏。
只有心脏按压的复苏。
04:27
So instead, we can do
compression-only CPR.
compression-only CPR.
108
255052
2481
大家要记得这种只用按压的步骤，
04:29
The way of remembering
the compression-only part
the compression-only part
109
257557
2440
因为我们可以直接用帝国进行曲。
04:32
is we can actually use the Imperial March.
110
260021
2819
我可以唱给你们听……
04:34
I would sing it for you --
111
262864
1917
（笑声）
04:36
(Laughter)
112
264805
1441
但可惜的是，这种事情
还是交给审讯机器人去做吧。
还是交给审讯机器人去做吧。
04:38
Unfortunately, that would be more
something an interrogation droid would do.
something an interrogation droid would do.
113
266270
4857
聊聊尤达。
04:43
Yoda.
114
271151
1222
这个小个子，跟小孩儿一样。
04:44
Small little guy, like a baby.
115
272397
1655
我们某种程度把他当成一个小孩儿，
04:46
What we do is basically
treat him like a baby,
treat him like a baby,
116
274076
2435
其实意味着我们把一个电极板
放在他胸口中心，
放在他胸口中心，
04:48
in the sense that we're going to place
one pad in the center of the chest
one pad in the center of the chest
117
276535
3524
另一个放在背后。
04:52
and one in the back.
118
280083
1151
假如我们把它们都放在胸前，
04:53
If we place them both in the front,
119
281258
1668
它们因为靠的太近，
会引发强烈的电弧，
会引发强烈的电弧，
04:54
they can be too close
and cause severe arcing,
and cause severe arcing,
120
282950
2570
所以我们要尽量避免。
04:57
so we want to avoid that.
121
285544
1485
04:59
Hopefully, this helped to clarify
122
287053
2127
希望我的讲解能够
帮助大家理解在星战世界中
如何使用AED，
如何使用AED，
05:01
and put some light
on some of the darker issues
on some of the darker issues
123
289204
2302
解决了一些比较禁忌的问题，
05:03
of using an AED in the Star Wars universe,
124
291530
2220
在其它世界也一样。
05:05
or any universe in total.
125
293774
1464
05:07
I'll leave you with one point.
126
295262
1441
我最后给大家一个忠告。
务必记得，如果你真的要给
伍基人做心肺复苏，
伍基人做心肺复苏，
05:08
Remember, if you do find yourself
dealing with a Wookiee,
dealing with a Wookiee,
127
296727
2792
千万别把他全身的毛都剃了。
05:11
do not shave the entire Wookiee.
128
299543
1648
这实在太耗时间，
05:13
This takes way too much time,
129
301215
1466
而且他们也会相当不爽的。
05:14
and it only pisses them off.
130
302705
1488
（笑声）
05:16
(Laughter)
131
304217
1008
非常感谢。
05:17
Thank you very much.
132
305249
1164
（掌声）
05:18
(Applause)
133
306437
2529
ABOUT THE SPEAKER
Todd Scott - First aid instructorTodd Scott uses humor and pop culture to make CPR training more memorable.
Why you should listen
Todd Scott has been a CPR / first aid instructor for more than 23 years. In that time he has learned one thing: CPR classes are really boring. Not the subject matter; that's critically important. Especially to Scott, since his Dad died of a heart attack when he was a very young kid. And teaching other people how to use an automated external defibrillator AED is top of his list so they have the skills to one day save his life ... hopefully.
Other than being totally selfish and doing this to save his own, he is trying to make this subject engaging. Year after year the students get bored of being in CPR training, and they stop learning since they know the skills. Best practices in CPR do change over time, even of spans as short as five years, but people come into the classes knowing they know it all. Using humor and pop culture references that people can understand has helped to engage people. A universal love of toast and Star Wars can be used to help teach so many things.
Scott also has an extensive background as a naturalist, outdoor educator, underwater window washer (yes this is a thing), jewelry designer, wilderness EMT, massage practitioner, professional duct tape artist (creating an NBA court-sized duct tape American flag), national spokesman, writer and photographer.
Todd Scott | Speaker | TED.com