쉐도잉 연습: Focused Assessment With Sonography in Trauma (FAST) - 영상으로 영어 말하기 배우기

레슨 만드는 중...
1
so now let's move on to the next topic
2
which is basically fast
3
so anybody can you please tell me what is the full
4
form of this particular fast what does fast stand for can you please help me with this okay
5
so what this particular this particular fast stands for okay
6
so fast basically stands for your focused assessment sonography for trauma okay
7
so what does this stands for so first thing
8
which you need to understand is the full form of this
9
so what is this particular fast stands for fast basically stands for okay
10
so this is focused assessment sonography
11
for trauma okay what is FAST stands for this is a focused assessment sonography for trauma
12
so what happens is
13
that first of all let's try to understand why this is needed why this is
14
that so whatever you do in your life you always need to have some kind of an aim
15
so what is an aim of performing this particular fast the
16
aim of this performing this particular fast is to look for to look for intraperitoneal fluid.
17
You understand my point?
18
So what is the aim of this?
19
The aim of this is to look for intraperitoneal fluid.
20
So what do you understand by this particular intraperitoneal fluid?
21
Intraperitoneal fluid basically means that, let's assume that, okay, so you and I, we all have like some amount of the intraperitoneal fluid,
22
but let's assume that after a trauma okay so let's say there is a patient who has suffered from a trauma
23
okay and after the trauma if you examine this particular patient and there is an increased
24
intraperitoneal fluid okay in these particular patients what does it tell you this basically tells you
25
that there is some significant significant intra -abdominal injury intra -abdominal injury.
26
Are you understanding my point?
27
So if at all there is a patient after the trauma
28
if at all you perform a fast
29
and on the fast there is a significant intra -palatal fluid is present in
30
that particular patient it basically tells you
31
that there is some significant intra -abdominal injury is present in
32
that particular patient okay so why are we performing the first
33
because we want to know whether some significant interabdomal injury has kind of taken place there
34
or not okay I hope you understood this point okay now
35
when we've been talking about the first okay
36
when we talk about the first how do you do
37
that okay so how is this particular first performed
38
so this is nothing this is basically a USG which is basically done in emergency room in emergency
39
room
40
and this is basically completed completed in three to four minutes
41
okay in three to four minutes you complete this particular whatever the test and
42
that is what is basically done in the emergency room this
43
is what you need to understand this is this is how the basically fast is performed
44
and how do you kind of perform it I'll tell you
45
so what you need to understand is that let's assume
46
that this is the abdomen right this is the coastal margin
47
this is the abdomen then what we have is this is what is the pelvis
48
and everything right so what you need to understand is
49
that you keep your ultrasound probe at four positions so this is what is in epigastric then what we have is right
50
hypochondriac region then we have the left oh sorry uh right subcostal
51
or hypochondriac whatever you want to call it right subcostal or hypochondriac region left kind of hypochondriac region
52
and then at the pelvis okay
53
so keep your probe at these particular four positions okay so
54
when you keep your probe at the epigastric region what are you looking for
55
so when you keep your probe in the epigastric region you are basically looking for pericardial
56
tamponade okay so you are trying to rule out pericardial tamponade
57
when you are basically keeping your probe at the right hypochondriac region you're basically trying to look for
58
any particular fluid around this liver when you're keeping it in the left
59
hypochondriac region you're basically looking for any fluid
60
around the spleen then
61
when you are keeping it in the pelvic region you are
62
basically looking for any fluid in the pelvis okay obviously right
63
so this is how you kind of keep the probe at the four positions
64
and this is how you basically perform the fast now uh
65
this is separate from uh the other kind of ultrasound okay
66
so let's assume that i want to get an abdominal ultrasound done
67
so in that the radiologist is basically going to report everything it is going to the he
68
or she is going to report whether the gallbladder stone is present
69
or not or whether the gallbladder is thickened or not
70
and all these particular things is going to be reported
71
but over here what you need to understand no doubt
72
that it is an ultrasound which is being done
73
but the aim of the ultrasound is just to detect the
74
intraperitoneal fluid all we are trying to see is the intraperitoneal fluid for
75
which we quickly keep the probe at the four positions
76
and we look for the fluid now the question is how
77
much amount of the fluid can be detected by this particular fast okay
78
so can you please tell me how much fluid how much fluid can be detected detected
79
with the fast okay
80
so the answer to this is how much amount of the
81
fluid is kind of detected in this particular fast how much amount of the fluid can be detected
82
so what you need to understand is yes
83
so it is around 100 to 150 cc so by
84
and large it is considered to be 150
85
but 11 really mentions it as like 100 cc
86
so around 100 to 150 cc this is the minimum amount of the fluid
87
which can be detected by this particular fast now what is it drawback
88
or the problem of this particular fast we were not getting information about the right
89
and the left lung field and that is why we came up with something
90
which is called as an e -fast okay
91
so what is this particular e -fast in the e -fast
92
what you're basically doing is instead of keeping the probe
93
and the four positions over here you keep the probe at six positions
94
so here the probe is kept at six positions okay you understand my point
95
so probe is basically kept at the six positions
96
so what are these particular six positions the four we already talked about the two additionals is the right
97
and the left lung field okay
98
so over here what you need to understand in the e first you keep the probe
99
so probe is kept at six positions which basically include the right
100
and the left lung fields as well okay
101
so i hope you've understood this point
102
and based on this what do you have you have something
103
which is called as a seashore sign seashore sign
104
and then what we have is a barcode
105
or what you refer to as your stratosphere sign okay
106
so what is this particular seashore sign can you please help me with this particular seashore sign
107
so seashore sign is something which is basically present
108
in normal individuals okay in the normal individuals
109
so for example let's say you and me okay in the you and me
110
if at all let's say we are kind of keeping the
111
probe what is going to happen the lungs is going to expand
112
and it is going to come
113
and hit to the hit the whatever the rib cage
114
and then that particular lung is going to go back you understand my point
115
so this is what is basically referred to as a seashore
116
sign like in the seashore what happens the waves come they hit the seashore
117
and then they basically go back
118
so this is what is present in the normal individuals now what is this barcode
119
or the stratosphere sign so this particular barcode
120
or the stratosphere sign this is basically present in the patients who are having the pneumothorax
121
so what you need to understand is that air is basically going to create a lot of artifacts
122
okay so air basically creates a lot of artifacts and
123
because of these particular artifacts what happens is uh they basically appear like a barcode
124
or whatever the stratosphere or something so bar code
125
or the stratosphere sign is basically what you basically see in the pneumothorax patients okay
126
so as you can see over here that yeah
127
so this is what you need to understand the normal lung
128
here what you basically get is a seizure sign in the pneumothorax what you basically get is a barcode
129
or a stratosphere sign okay i hope you've understood this particular points in a decent manner okay understood

이 레슨의 어휘와 말하기 포인트

이 말하기 레슨은 영상 “Focused Assessment With Sonography in Trauma”을(를) 바탕으로 합니다. 가장 자주 반복되는 단어는 다음과 같습니다: particular, fast, fluid, probe, sign. 이 영상에는 섀도잉할 문장 129개와 단어 1498개가 있습니다. 말하는 구간의 길이는 9:16입니다. 화자는 분당 약 162단어로, 일상 대화에 가까운 자연스러운 속도로 말합니다. 단어의 88%가 영어에서 가장 많이 쓰이는 3,000단어에 속해 어휘가 쉬운 편입니다.

이 영상의 핵심 어휘

영상에 나오는 익혀 둘 만한 단어 15개를 발음, 뜻과 함께 정리했습니다.

단어발음뜻
fluid 명사/ˈflu.ɪd/유체, 유동체
trauma 명사/ˈtɹɔm.ə/외상, 손상
detect 동사/dɪˈtɛkt/찾다, 탐지하다
lung 명사/ˈlʌŋ/허파, 폐
ultrasound 명사/ʌl.tɹə.saʊnd/초음파
assessment 명사/əˈsɛsmənt/평가
refer 동사/ɹɪˈfɜː/언급하다
abdomen 명사/ˈæb.də.mən/배, 복
topic 명사/ˈtɑpɪk/화제, 주제
suffer 동사/ˈsʌfɚ/괴로와하다, 시달리다
expand 동사/ɪkˈspænd/펴다, 피다
margin 명사/ˈmɑɹ.d͡ʒɪn/여백, 마진
examine 동사/ɪɡˈzæmɪn/검사하다, 조사하다
cage 명사/keɪd͡ʒ/우리
seashore 명사/ˈsiːʃoɹ/바닷가, 해변

영상에 나오는 구동사

단어뜻
go back 동사돌아가다

이 영상의 문법

화자가 가장 많이 쓰는 문형을 영상 속 실제 표현과 함께 정리했습니다.

문형영상 속 표현
수동태 be + 과거분사 — 누가 하는지보다 무슨 일이 일어나는지에 초점is needed · is performed · is thickened
현재완료 have/has + 과거분사 — 과거의 일이 지금도 관련이 있을 때has suffered · you've understood
관계절 who / which + 절 — 사람이나 사물에 대한 추가 정보USG which is · ultrasound which is · something which is

주의할 발음

화자는 you're, you've, I'll 같은 축약형과 약화된 형태를 8번 사용합니다. 들리는 대로 짧게 발음하세요.

  • “th” 소리: pneumothorax /ˈnju.moʊˌθɔ.ɹæks/, thicken /ˈθɪkən/
  • “sh”와 “zh” 소리: seizure /ˈsi.ʒɚ/, seashore /ˈsiːʃoɹ/
  • 긴 단어 — 강세 위치에 주의: hypochondriac /ˌhaɪpoʊˈkɑndɹiæk/, pneumothorax /ˈnju.moʊˌθɔ.ɹæks/, radiologist /ˌɹeɪ.diːˈɒl.ə.d͡ʒɪst/

한국어 화자가 어려워하는 소리:

  • /f/ — ㅍ(/p/)으로 바꾸지 말고 윗니를 아랫입술에 대기: fluid /ˈflu.ɪd/, refer /ɹɪˈfɜː/, suffer /ˈsʌfɚ/, stratosphere /ˈstɹætəsfɪɚ/, artifact /ˈɑɹtɪfækt/
  • /v/ — ㅂ(/b/)과 구별하기: pelvis /ˈpɛlvɪs/, pelvic /ˈpɛlvɪk/
  • /r/과 /l/ 구별하기: ultrasound /ʌl.tɹə.saʊnd/, radiologist /ˌɹeɪ.diːˈɒl.ə.d͡ʒɪst/

이 영상으로 연습하는 방법

  1. 먼저 말하지 않고 영상을 끝까지 듣고 모르는 단어를 적어 둡니다.
  2. 0.75배속으로 한 문장씩 섀도잉을 시작하고, 익숙해지면 보통 속도로 돌아갑니다.
  3. 자신의 목소리를 녹음해 원본과 비교하고, fluid, trauma, detect 같은 단어에 특히 주의합니다.

쉐도잉이란? 영어 실력을 빠르게 키우는 과학적 방법

쉐도잉(Shadowing)은 원래 전문 통역사 훈련을 위해 개발된 언어 학습 기법으로, 다언어 학자인 Dr. Alexander Arguelles에 의해 대중화된 방법입니다. 핵심 원리는 간단하지만 매우 강력합니다: 원어민의 영어를 들으면서 1~2초의 짧은 지연으로 즉시 소리 내어 따라 말하는 것——마치 '그림자(shadow)'처럼 화자를 따라가는 것입니다. 문법 공부나 수동적인 청취와 달리, 쉐도잉은 뇌와 입 근육이 동시에 실시간으로 영어를 처리하고 재현하도록 훈련합니다. 연구에 따르면 이 방법은 발음 정확도, 억양, 리듬, 연음, 청취력, 말하기 유창성을 크게 향상시킵니다. IELTS 스피킹 준비와 자연스러운 영어 소통을 원하는 분들에게 특히 효과적입니다.

섀도잉 방법: 단계별 전체 가이드 읽기 →