تدريب Shadowing: Focused Assessment With Sonography in Trauma (FAST) - تعلم التحدث بالإنجليزية عبر الفيديو

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so now let's move on to the next topic
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which is basically fast
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so anybody can you please tell me what is the full
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form of this particular fast what does fast stand for can you please help me with this okay
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so what this particular this particular fast stands for okay
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so fast basically stands for your focused assessment sonography for trauma okay
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so what does this stands for so first thing
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which you need to understand is the full form of this
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so what is this particular fast stands for fast basically stands for okay
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so this is focused assessment sonography
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for trauma okay what is FAST stands for this is a focused assessment sonography for trauma
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so what happens is
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that first of all let's try to understand why this is needed why this is
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that so whatever you do in your life you always need to have some kind of an aim
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so what is an aim of performing this particular fast the
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aim of this performing this particular fast is to look for to look for intraperitoneal fluid.
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You understand my point?
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So what is the aim of this?
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The aim of this is to look for intraperitoneal fluid.
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So what do you understand by this particular intraperitoneal fluid?
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Intraperitoneal fluid basically means that, let's assume that, okay, so you and I, we all have like some amount of the intraperitoneal fluid,
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but let's assume that after a trauma okay so let's say there is a patient who has suffered from a trauma
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okay and after the trauma if you examine this particular patient and there is an increased
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intraperitoneal fluid okay in these particular patients what does it tell you this basically tells you
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that there is some significant significant intra -abdominal injury intra -abdominal injury.
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Are you understanding my point?
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So if at all there is a patient after the trauma
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if at all you perform a fast
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and on the fast there is a significant intra -palatal fluid is present in
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that particular patient it basically tells you
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that there is some significant intra -abdominal injury is present in
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that particular patient okay so why are we performing the first
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because we want to know whether some significant interabdomal injury has kind of taken place there
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or not okay I hope you understood this point okay now
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when we've been talking about the first okay
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when we talk about the first how do you do
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that okay so how is this particular first performed
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so this is nothing this is basically a USG which is basically done in emergency room in emergency
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room
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and this is basically completed completed in three to four minutes
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okay in three to four minutes you complete this particular whatever the test and
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that is what is basically done in the emergency room this
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is what you need to understand this is this is how the basically fast is performed
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and how do you kind of perform it I'll tell you
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so what you need to understand is that let's assume
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that this is the abdomen right this is the coastal margin
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this is the abdomen then what we have is this is what is the pelvis
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and everything right so what you need to understand is
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that you keep your ultrasound probe at four positions so this is what is in epigastric then what we have is right
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hypochondriac region then we have the left oh sorry uh right subcostal
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or hypochondriac whatever you want to call it right subcostal or hypochondriac region left kind of hypochondriac region
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and then at the pelvis okay
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so keep your probe at these particular four positions okay so
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when you keep your probe at the epigastric region what are you looking for
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so when you keep your probe in the epigastric region you are basically looking for pericardial
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tamponade okay so you are trying to rule out pericardial tamponade
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when you are basically keeping your probe at the right hypochondriac region you're basically trying to look for
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any particular fluid around this liver when you're keeping it in the left
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hypochondriac region you're basically looking for any fluid
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around the spleen then
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when you are keeping it in the pelvic region you are
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basically looking for any fluid in the pelvis okay obviously right
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so this is how you kind of keep the probe at the four positions
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and this is how you basically perform the fast now uh
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this is separate from uh the other kind of ultrasound okay
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so let's assume that i want to get an abdominal ultrasound done
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so in that the radiologist is basically going to report everything it is going to the he
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or she is going to report whether the gallbladder stone is present
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or not or whether the gallbladder is thickened or not
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and all these particular things is going to be reported
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but over here what you need to understand no doubt
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that it is an ultrasound which is being done
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but the aim of the ultrasound is just to detect the
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intraperitoneal fluid all we are trying to see is the intraperitoneal fluid for
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which we quickly keep the probe at the four positions
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and we look for the fluid now the question is how
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much amount of the fluid can be detected by this particular fast okay
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so can you please tell me how much fluid how much fluid can be detected detected
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with the fast okay
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so the answer to this is how much amount of the
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fluid is kind of detected in this particular fast how much amount of the fluid can be detected
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so what you need to understand is yes
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so it is around 100 to 150 cc so by
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and large it is considered to be 150
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but 11 really mentions it as like 100 cc
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so around 100 to 150 cc this is the minimum amount of the fluid
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which can be detected by this particular fast now what is it drawback
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or the problem of this particular fast we were not getting information about the right
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and the left lung field and that is why we came up with something
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which is called as an e -fast okay
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so what is this particular e -fast in the e -fast
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what you're basically doing is instead of keeping the probe
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and the four positions over here you keep the probe at six positions
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so here the probe is kept at six positions okay you understand my point
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so probe is basically kept at the six positions
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so what are these particular six positions the four we already talked about the two additionals is the right
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and the left lung field okay
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so over here what you need to understand in the e first you keep the probe
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so probe is kept at six positions which basically include the right
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and the left lung fields as well okay
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so i hope you've understood this point
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and based on this what do you have you have something
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which is called as a seashore sign seashore sign
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and then what we have is a barcode
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or what you refer to as your stratosphere sign okay
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so what is this particular seashore sign can you please help me with this particular seashore sign
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so seashore sign is something which is basically present
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in normal individuals okay in the normal individuals
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so for example let's say you and me okay in the you and me
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if at all let's say we are kind of keeping the
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probe what is going to happen the lungs is going to expand
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and it is going to come
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and hit to the hit the whatever the rib cage
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and then that particular lung is going to go back you understand my point
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so this is what is basically referred to as a seashore
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sign like in the seashore what happens the waves come they hit the seashore
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and then they basically go back
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so this is what is present in the normal individuals now what is this barcode
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or the stratosphere sign so this particular barcode
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or the stratosphere sign this is basically present in the patients who are having the pneumothorax
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so what you need to understand is that air is basically going to create a lot of artifacts
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okay so air basically creates a lot of artifacts and
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because of these particular artifacts what happens is uh they basically appear like a barcode
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or whatever the stratosphere or something so bar code
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or the stratosphere sign is basically what you basically see in the pneumothorax patients okay
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so as you can see over here that yeah
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so this is what you need to understand the normal lung
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here what you basically get is a seizure sign in the pneumothorax what you basically get is a barcode
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or a stratosphere sign okay i hope you've understood this particular points in a decent manner okay understood

تنزيل التطبيق

كل ما تحتاجه للتحدث بطلاقة

تقييم النطق بالذكاء الاصطناعيتقييم كل جملة
تدريب IPAأتقن كل صوت
المفرداتابنِ رصيدك من الكلمات
لعبة المفرداتتعلّم أثناء اللعب

المفردات وملاحظات التحدث لهذا الدرس

هذا الدرس في المحادثة مبني على الفيديو “Focused Assessment With Sonography in Trauma”. أكثر الكلمات تكرارًا في الفيديو: particular, fast, fluid, probe, sign. يحتوي هذا الفيديو على 129 جملة و1498 كلمة للتدرب على الترديد. مدة الكلام 9:16. يتكلم المتحدث بسرعة طبيعية، نحو 162 كلمة في الدقيقة، قريبة من المحادثة اليومية. 88% من الكلمات ضمن أكثر 3,000 كلمة شيوعًا في الإنجليزية، فالمفردات سهلة المتابعة.

أهم المفردات في هذا الفيديو

15 كلمة من الفيديو تستحق التعلّم، مع النطق والمعنى:

الكلمةالنطقالمعنى
fluid اسم/ˈflu.ɪd/سَائِل, مَائِع
probe اسم/pɹoʊb/مِسْبَار
trauma اسم/ˈtɹɔm.ə/إِصَابَة
detect فعل/dɪˈtɛkt/كَشَفَ
lung اسم/ˈlʌŋ/رِئَة, سَحَر
ultrasound اسم/ʌl.tɹə.saʊnd/الْمَوْجَات فَوْقَ الصَّوْتِيَّة
abdominal صفة/æbˈdɑm.ə.nl̩/بَطْنِيّ
assessment اسم/əˈsɛsmənt/تَقْيِيم
refer فعل/ɹɪˈfɜː/أَشَارَ
abdomen اسم/ˈæb.də.mən/بَطْن, جَوْف
topic اسم/ˈtɑpɪk/مَوْضُوع, مَوَاضِيع
suffer فعل/ˈsʌfɚ/تَأَلَّمَ, عَانَى
expand فعل/ɪkˈspænd/وَسَّعَ
margin اسم/ˈmɑɹ.d͡ʒɪn/هَامِش
examine فعل/ɪɡˈzæmɪn/فَحَصَ, اِمْتَحَنَ

الأفعال المركبة التي ستسمعها

الكلمةالمعنى
come up with فعلجَاءَ بِـ, أَتَى بِـ

القواعد في هذا الفيديو

أكثر التراكيب التي يستخدمها المتحدث، مع العبارات نفسها من الفيديو:

التركيبفي الفيديو
المبني للمجهول be + اسم المفعول — التركيز على ما يحدث لا على من يفعلهis needed · is performed · is thickened
المضارع التام have/has + اسم المفعول — حدث ماضٍ ما زال له أثر الآنhas suffered · you've understood
جمل الوصل who / which + جملة — معلومة إضافية عن شخص أو شيءUSG which is · ultrasound which is · something which is

نطق يحتاج إلى انتباه

يستخدم المتحدث 8 من الصيغ المختصرة، مثل you're, you've, I'll. انطقها بصيغتها القصيرة كما تسمعها.

  • أصوات “th”: pneumothorax /ˈnju.moʊˌθɔ.ɹæks/, thicken /ˈθɪkən/
  • أصوات “sh” و“zh”: seizure /ˈsi.ʒɚ/, seashore /ˈsiːʃoɹ/
  • الكلمات الطويلة — انتبه لموضع النبر: hypochondriac /ˌhaɪpoʊˈkɑndɹiæk/, pneumothorax /ˈnju.moʊˌθɔ.ɹæks/, radiologist /ˌɹeɪ.diːˈɒl.ə.d͡ʒɪst/

أصوات يجدها متحدثو العربية صعبة:

  • /p/ — ليس /b/: انطقه مع نفخة هواء: probe /pɹoʊb/, topic /ˈtɑpɪk/, expand /ɪkˈspænd/, hypochondriac /ˌhaɪpoʊˈkɑndɹiæk/, pelvis /ˈpɛlvɪs/
  • /v/ — ليس /f/: مع اهتزاز الأوتار الصوتية: pelvis /ˈpɛlvɪs/, pelvic /ˈpɛlvɪk/
  • تتابع الصوامت — لا تضف حركة بينها: fluid /ˈflu.ɪd/, probe /pɹoʊb/, trauma /ˈtɹɔm.ə/, detect /dɪˈtɛkt/, ultrasound /ʌl.tɹə.saʊnd/

كيف تتدرب بهذا الفيديو

  1. استمع إلى الفيديو كاملًا مرة واحدة دون أن تتكلم، ودوّن الكلمات التي لا تعرفها.
  2. ابدأ بسرعة 0.75×، وردّد جملة جملة، ثم عُد إلى السرعة العادية عندما يصبح الأمر سهلًا.
  3. سجّل صوتك وقارنه بالأصل، مع الانتباه إلى كلمات مثل fluid, probe, trauma.

ما هي تقنية التظليل الصوتي؟

التظليل الصوتي (Shadowing) تقنية تعلم لغة مدعومة علمياً، طُورت أصلاً لتدريب المترجمين الفوريين المحترفين. الطريقة بسيطة لكنها قوية: تستمع لصوت إنجليزي أصلي وتكرره فوراً بصوت عالٍ — كظل يتبع المتحدث بتأخير 1-2 ثانية. تُظهر الأبحاث تحسناً كبيراً في دقة النطق والتنغيم والإيقاع وربط الأصوات والاستماع والطلاقة.

تقنية الشادوينغ: اقرأ الدليل الكامل خطوة بخطوة →