Shadowing Practice: How to use Direct Pressure to Control Life-Threatening Bleeding - Learn English Speaking with Video
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Use direct pressure to stop life-threatening bleeding when the wound is on the head, neck or trunk, the wound is on an arm or a leg and you are waiting for someone to bring you a tourniquet, or no tourniquet is available.
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You can also use direct pressure to stop non-life-threatening bleeding.
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It takes a lot of pressure to stop life-threatening bleeding.
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That's why you need to push hard.
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The amount of pressure might be painful for the injured person.
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That's OK! You need to use a lot of pressure for the bleeding to stop.
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A flat, hard surface underneath the injured body part allows you to press against something, increasing the effectiveness of the direct pressure.
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To begin, if you have gloves, wear them.
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But, if the bleeding is life-threatening and you don't have gloves, begin providing care immediately.
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Make sure you wash your hands thoroughly after giving care.
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Then, find the source of the life-threatening bleeding.
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Remember, there may be more than one wound.
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You need to focus on any wound that is causing life-threatening bleeding first.
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Next, you are going to place a dressing on the wound.
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A dressing is a pad that absorbs blood and can promote clotting.
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Bleeding control kits and First Aid kits often contain special dressings called hemostatic dressings.
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This is a hemostatic dressing.
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It contains a substance that promotes clotting and can help stop bleeding faster.
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When there is life-threatening bleeding, use a hemostatic dressing if you have one.
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Otherwise, use a gauze pad or other available material, such as a clean T-shirt, as a dressing.
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The technique of applying direct pressure is the same regardless of the type of dressing you use.
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Place the dressing on the wound and push down with both hands.
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You need to apply a lot of pressure to stop life-threatening bleeding, so let the person know it can be painful.
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Sir, this could hurt.
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Apply pressure directly over the wound until the bleeding stops.
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Position your body over the wound so your shoulders are directly over your hands, with your elbows locked.
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If you have been trained in CPR, you might recognize this position.
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Push down, using your body weight to increase the pressure.
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If you need your hands, use your knee to apply pressure.
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If blood soaks through the original gauze pad, you don't need to do anything.
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But you can apply an additional gauze pad and continue direct pressure.
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If that gauze pad becomes soaked, you can remove that one and replace it with a new pad.
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However, DO NOT remove the original gauze pad that is placed directly on the wound.
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Also, only add one pad on top of the original.
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Do not stack multiple pads as this weakens direct pressure.
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If the bleeding stops before EMS arrives, check for circulation beyond the injury.
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Note the temperature and color of the skin and ask the person if there is any tingling or numbness.
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Sir, are you experiencing any tingling?
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Any numbness?
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Then apply a roller bandage over the dressing to hold it in place and maintain pressure on the wound.
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Place the end of a bandage on the dressing at a 45 degree angle.
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Continue wrapping the bandage over the dressing.
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Then, tape to secure the dressing.
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Check again for circulation beyond the injury.
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If there is any change, the bandage may be too tight and you will need to carefully loosen the bandage.
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Sir, are you experiencing any tingling?
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Any numbness?
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After the bandage is appropriately applied, remove your gloves and wash your hands.
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So to summarize, when using direct pressure to stop bleeding, remember two key things: One... press as hard as you can, directly over the wound.
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Two... hold the pressure until the bleeding stops.
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Usually, this takes at least 5 minutes, but it could take much longer.
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Keep applying direct pressure until: the bleeding stops, a tourniquet is applied for life-threatening bleeding from an arm or leg, another person relieves you, you are too exhausted to continue or the situation becomes unsafe.
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Vocabulario y notas de pronunciación para esta lección
Esta lección de conversación de nivel B1 se basa en el vídeo “How to use Direct Pressure to Control Life-Threatening Bleeding”. Las palabras que más se repiten: bleeding, pressure, dressing, wound, pad. Este vídeo tiene 52 frases y 682 palabras para practicar shadowing. La parte hablada dura 5:12. El hablante mantiene un ritmo constante de unas 131 palabras por minuto, cómodo para el shadowing. Solo el 77 % de las palabras está entre las 3.000 más comunes del inglés, por lo que el vocabulario es exigente.
Vocabulario clave de este vídeo
Las 15 palabras más avanzadas del vídeo, con su pronunciación y significado:
| Palabra | Pronunciación | Significado |
|---|---|---|
| bleed verbo | /ˈbliːd/ | desangrar |
| threaten verbo | /ˈθɹɛt.n̩/ | conminar, amagar |
| bandage sustantivo | /ˈbæn.dɪd͡ʒ/ | venda, vendaje |
| gauze sustantivo | /ɡɔːz/ | gasa |
| numbness sustantivo | entumecimiento | |
| tingle verbo | /ˈtɪŋɡəl/ | hormiguear |
| tourniquet sustantivo | /ˈtɝ.nɪ.kɪt/ | torniquete, garrote |
| glove sustantivo | /ɡlʌv/ | guante, maniquete (fingerless) |
| clot sustantivo | /klɑt/ | coágulo, cuajarón |
| injure verbo | /ˈɪn.d͡ʒɚ/ | lastimar, lisiar |
| soak verbo | /soʊk/ | empaparse |
| circulation sustantivo | /ˌsɝkjʊˈleɪʃən/ | circulación |
| dressing sustantivo | /ˈdɹɛsɪŋ/ | vendaje, tirita |
| painful adjetivo | /ˈpeɪn.fl̩/ | doloroso |
| loosen verbo | /ˈluːsən/ | aflojar, soltar |
Gramática en este vídeo
Las estructuras que más usa el hablante, con las palabras exactas del vídeo:
| Estructura | En el vídeo |
|---|---|
| Voz pasiva be + participio pasado — importa lo que ocurre, no quién lo hace | have been trained · is placed · is applied |
| Posibilidad con “might / may” might/may + verbo — algo posible pero no seguro | might be · may be · might recognize |
| Verbo + -ing enjoy, keep, stop… + -ing — verbos seguidos de la forma en -ing | stop bleeding · Keep applying |
| Obligación: must / have to / need to decir que algo es necesario | need to push · need to use · need to focus |
Pronunciación a tener en cuenta
- Los sonidos de “th”: threaten /ˈθɹɛt.n̩/, underneath /ˌʌndɚˈniθ/, thoroughly /ˈθʌɹ.ə.li/
- Palabras largas — cuida el acento: circulation /ˌsɝkjʊˈleɪʃən/, effectiveness /ɪˈfɛk.tɪv.nɪs/
Sonidos difíciles para hispanohablantes:
- /v/ — no es /b/: los dientes tocan el labio inferior: glove /ɡlʌv/, relieve /ɹɪˈliːv/, effectiveness /ɪˈfɛk.tɪv.nɪs/
- /z/ — sonora, no /s/: gauze /ɡɔːz/, summarize /ˈsʌməˌɹaɪz/, exhaust /ɪɡˈzɔst/
- /dʒ/ — no es la “y” ni la “ch”: bandage /ˈbæn.dɪd͡ʒ/, injure /ˈɪn.d͡ʒɚ/
Cómo practicar con este vídeo
- Escucha el vídeo entero una vez sin hablar y anota las palabras que no conoces.
- Haz shadowing frase por frase a velocidad normal, repitiendo cada una hasta que tu ritmo coincida con el del hablante.
- Grábate y compara con el original, prestando atención a palabras como bleed, threaten, bandage.
¿Qué es la Técnica de Shadowing?
Shadowing es una técnica de aprendizaje de idiomas respaldada por la ciencia, desarrollada originalmente para la formación de intérpretes profesionales y popularizada por el políglota Dr. Alexander Arguelles. El método es simple pero poderoso: escuchas audio en inglés nativo y lo repites en voz alta de inmediato, como una sombra que sigue al hablante con solo 1-2 segundos de retraso. A diferencia de la escucha pasiva o los ejercicios de gramática, el shadowing obliga a tu cerebro y músculos de la boca a procesar y reproducir simultáneamente patrones de habla reales. Las investigaciones muestran que mejora significativamente la precisión de la pronunciación, la entonación, el ritmo, el habla conectada, la comprensión auditiva y la fluidez al hablar, convirtiéndola en una de las metodologías más efectivas para la preparación del IELTS Speaking y la comunicación en inglés en el mundo real.