シャドーイング練習: Các tình huống trong bệnh viện bằng tiếng anh - Sepsis - YouTubeで英語スピーキングを学ぶ
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Hi Mr. Daniels, this is Enmer.
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Hi Mr. Daniels, this is Enmer.
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He'll be the nurse that's taking over your care today, okay?
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I'm just going to let him know what's been happening with you since you last came All right,
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this is Mr. James Daniel,
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date of birth, January 17, 1986.
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No known drug allergies came in around 0,400 with complaints of fatigue,
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fever, and malaise for the past three weeks.
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Says his temps have ranged between 101 to 104 in the past week.
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Temps on admission was around 100.2 orally.
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He's been taking acetaminophen and ibuprofen every four to six hours at home and thinks that it's helped a little.
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Vitals are okay otherwise.
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Only past medical history is pre-hypertension and Raynons disease.
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No past surgical or med at home.
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Labs are okay too, so NP wrote DC orders.
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We're just waiting for his ride to arrive.
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Okay thanks Carrie.
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Thank you.
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I'll take it for her.
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Thank you.
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Mr. Daniels, I see you haven't had any medications since you've been here.
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When was the last time you've had acetaminophen or ibuprofen?
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Just before I left to come here,
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around four hours ago maybe?
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I'm going to do an assessment to see how you're doing right now.
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Open your mouth and do the tongue.
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Blood pressure is 113 over 80,
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temperature is 101, full socks 95%,
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heart rate 110, Respiratory rate 18.
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Any pain right now?
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Nope, but I don't have any energy at all.
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I feel like I want to sleep all the time.
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Hmm.
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What's your usual blood pressure?
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The night nurse said you have pre-hypertension.
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I think the top number is usually 130 or 140, I guess.
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I'm not sure.
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I had hoped when I came here they were gonna help me,
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but I guess if they think I'm okay to go home,
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I'll sleep better in my own bed.
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All right, can you sit up for a moment, please?
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I'm going to have to take a listen to your lungs.
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Excuse me, Wendy, are you the nurse practitioner for Mr. Daniels?
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Yes.
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I see he has a discharge order.
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Yes, correct.
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Well, I'm concerned because his temp is 101 and he's tachycardic.
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I understand the WBCs are normal,
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but the high temperature and the high heart rate are two indicators of sexes.
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Seems really unsafe to send him home without ruling out a systemic bacteria infection.
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Hey, can you check out Mr. Daniels?
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I'm really concerned.
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He just fell up to a void and said he felt like he might pass out.
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Yeah.
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Alright, let's start a Montelli and let's start a 1 liter bolus of normal saline and blood pressure every 5 minutes.
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Lizelle, can you get the charge nurse please?
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We're going to need some help.
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Just open your mouth please.
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What do you need?
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Sarah, can you start a normal saline bolus please?
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Yes, starting a normal saline bolus.
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Lizelle says you need some help.
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Record everything that you see.
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I just started tele, Sara starting normal saline bolus,
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and I have Lizelle checking BP every 5 minutes.
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Okay, I am recording.
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We have sinus tach and BP is at 96 over 72.
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And I see temperature at 102.5.
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20 gauge in right anticubital is now in with saline wide open.
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Okay, saline bolus via right anticubital 20 gauge started at 1519.
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Let's get a lactate, CBC,
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Chem 7 blood cultures and an ABG.
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Orders for lactate, CBC, Chem 7 blood cultures and ABG in at 1519.
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I'll get the blood gas started.
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What are you doing?
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Sir, I'm concerned that you might have an infection in your blood.
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We're going to run some tests to check instead of sending you home right now.
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I have a lactate of 7 and a pH of 7.2 on the ice bath.
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Lactate of 7 and pH of 7.2.
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Start a second liter normal saline bolus.
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Try for an 18 gauge in his right arm.
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Start a gram of vancomycin after you get the blood cultures.
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I'm going to call the MICU for a bet.
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Okay.
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Lactate of 7, pH of 7.2,
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another normal saline bolus, and second IV access,
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and one gram of vancomycin ordered at 1526.
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Sarah, can you take over for Inmer?
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Sure.
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Can I talk to you for a second?
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Sure.
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You were right to question that patient's discharge order.
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I didn't think he was that sick.
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I've been working for five nights straight.
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I think I'm just tired.
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I think your knowledge on early sepsis criteria may have saved this guy's life.
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Good job.
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Thank you.
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このビデオでスピーキング練習をする理由は？
病院の状況についての会話を通して英語を学ぶことは、実際の体験に基づく貴重なスピーキング練習になります。特に、医療に関する用語や表現を身につけることで、IELTS スピーキング対策にも役立ちます。また、ビデオに出てくる医療関係者の会話は、現実の診療シーンに近いものであり、緊張感を伴う状況での英語コミュニケーション能力を向上させることができます。YouTubeで英語学習をする際には、このような具体的なシチュエーションが非常に効果的です。
文法とコンテキストにおける表現
- 「I'm going to do an assessment to see how you're doing right now.」 - 現在の状況を確認するための表現。未来形「I'm going to」は計画や意図を示すのに有効。
- 「Can you sit up for a moment, please?」 - 丁寧な依頼の仕方。相手に何かをしてもらうときは、pleaseを使うことで礼儀正しさが表現される。
- 「I'm concerned because his temp is 101 and he's tachycardic.」 - 心配する理由を示すための表現。理由を述べることで、コミュニケーションがより明確になる。
これらの文法構造を使うことで、医療従事者としての表現力を高め、より効果的なコミュニケーションが可能になります。英語スピーキング練習においては、shadow speechの技術を使ってこれらの構文を反復練習することが推奨されます。
一般的な発音のトラップ
ビデオ内では、特に注意が必要な単語やフレーズがいくつか存在します。「tachycardic」（タキカーディック）という言葉は、専門用語であり、発音が難しいかもしれません。また「assessment」や「temperature」なども、正しい発音を心がけることで、聴き手にとって理解しやすくなります。shadowingの練習を通じて、これらの発音を矯正し、実際の会話で自然に聞こえるようにしましょう。YouTubeで英語学習をしている際には、これらの発音を意識的に取り入れることが重要です。
シャドーイングとは？英語上達に効果的な理由
シャドーイング（Shadowing）は、もともとプロの通訳者養成プログラムで開発された言語学習法で、多言語習得者として知られるDr. Alexander Arguelles によって広く普及されました。方法はシンプルですが非常に効果的：ネイティブスピーカーの英語を聞きながら、1〜2秒の遅延で声に出してすぐに繰り返す——まるで「影（shadow）」のように話者を追いかけます。文法ドリルや受動的なリスニングと異なり、シャドーイングは脳と口の筋肉が同時にリアルタイムで英語を処理・再現することを強制します。研究により、発音精度、抑揚、リズム、連音、リスニング力、そして会話の流暢さが大幅に向上することが確認されています。IELTSスピーキング対策や自然な英語コミュニケーションを目指す方に特におすすめです。