Cu toate că ambulanța este aproape, medicul imobilizează fractura.

Yes. Cu toate că is a fixed expression meaning although, even though, or despite the fact that.

In this sentence, it introduces a contrast:

• Cu toate că ambulanța este aproape = Although the ambulance is nearby

It is very commonly used in Romanian, especially in slightly more careful or written language.

Close alternatives are:

• deși = although
• chiar dacă = even if / even though (depending on context)

So this sentence could also be phrased with deși:

• Deși ambulanța este aproape, medicul imobilizează fractura.

Because Cu toate că ambulanța este aproape is a subordinate clause placed before the main clause.

Romanian normally uses a comma to separate this kind of introductory subordinate clause from the main clause:

• Cu toate că ambulanța este aproape, medicul imobilizează fractura.

This is very similar to English punctuation in sentences like:

• Although the ambulance is nearby, the doctor immobilizes the fracture.

Romanian usually puts the definite article at the end of the noun, not before it like English does.

So:

• ambulanță = ambulance

• ambulanța = the ambulance

• medic = doctor

• medicul = the doctor

• fractură = fracture
• fractura = the fracture

This is one of the big differences between Romanian and English. Instead of a separate word like the, Romanian often adds the article as a suffix.

Because the definite article changes depending on the noun’s gender and form.

In this sentence:

• medic is masculine singular, so the definite form is medicul
• ambulanță is feminine singular, so the definite form is ambulanța
• fractură is feminine singular, so the definite form is fractura

So the endings are not random; they reflect grammatical gender and number.

Here, că is part of the conjunction cu toate că.

The accent mark matters because:

• că is a very common Romanian word meaning that in many contexts, and here it helps form although
• ca without the accent usually means as or like

So:

• că ≠ ca

The small mark changes both pronunciation and meaning.

Because aproape here is an adverb, meaning nearby / close.

So:

• ambulanța este aproape = the ambulance is nearby

It does not change form to match the noun.

By contrast, apropiat / apropiată is an adjective meaning something more like close in the sense of closely related, near, or sometimes intimate depending on context.

So in this sentence, aproape is the natural choice.

Yes. In everyday Romanian, e is a very common short form of este.

So both are correct:

• ambulanța este aproape
• ambulanța e aproape

The version with este may sound a little more neutral or careful, while e is very common in speech.

It is simply the 3rd person singular present tense of a imobiliza = to immobilize.

So:

• eu imobilizez = I immobilize
• tu imobilizezi = you immobilize
• el/ea imobilizează = he/she immobilizes

In this sentence:

• medicul imobilizează = the doctor immobilizes

Romanian uses the present tense here just as English does.

Yes, word-for-word it looks like immobilizes the fracture, but this is one of those places where Romanian and English package the idea a little differently.

In medical Romanian, a imobiliza fractura is a normal way to say that the doctor stabilizes or immobilizes the fractured area, usually with a splint, cast, or other support.

In more natural English, you might often say:

• the doctor immobilizes the fracture
• the doctor stabilizes the fracture
• the doctor immobilizes the injured limb

So the Romanian is normal, even if the literal English feels slightly unusual.

Yes. Romanian word order is fairly flexible, though not completely free.

The given order is very natural:

• Cu toate că ambulanța este aproape, medicul imobilizează fractura.

You could also say:

• Medicul imobilizează fractura, cu toate că ambulanța este aproape.

Both are grammatical, but the first version emphasizes the contrast right away by starting with although.

Exactly.

In:

• Cu toate că ambulanța este aproape
  • subject: ambulanța
  • verb: este

And in:

• medicul imobilizează fractura
  • subject: medicul
  • verb: imobilizează
  • direct object: fractura

So the sentence has two clauses, each with its own subject and verb.

A careful pronunciation is approximately:

ku ˈto̯a.te kə am.buˈlan.t͡sa ˈjes.te aˈproa.pe | ˈme.di.kul i.mo.bi.liˈze̯a.zə frakˈtu.ra

A few helpful points:

• ă in că sounds like a short neutral vowel, similar to the a in English sofa
• ț in ambulanța sounds like ts
• ce/ci and ge/gi rules do not apply here in a tricky way, so most of the sentence is quite phonetic
• este is often pronounced yes-te
• imobilizează has stress near the end: imobiliZEAză

Here are the basic forms:

• cu toate că = although / even though
• ambulanța → base form ambulanță = ambulance
• este → infinitive a fi = to be
• aproape = near / nearby
• medicul → base form medic = doctor
• imobilizează → infinitive a imobiliza = to immobilize
• fractura → base form fractură = fracture

This is useful because Romanian dictionary entries usually appear in the indefinite singular for nouns and the infinitive for verbs.