Shadowing Practice: FAST Scan (Focused Assessment with Sonography in Trauma) - STEP by STEP - Learn English Speaking with Video

So now we're going to go over how to perform the FAST scan.

And this is a scan that's used in trauma.

It's called a focus assessment using sonography for trauma or in trauma.

You're basically looking for free fluid in the abdomen, around the heart, in the chest, as well as looking for nemothorax of the chest.

So we're just going to go over the protocol that I used.

So here we're going to use the phased array probe.

The patient is going to be in a supine position because it's in a trauma setting, so they're usually lying flat.

You're going to put the probe, you're going to assess the right upper quadrant, the left upper quadrant, the pelvis, and then you're going to assess the heart,

and then the lungs, and we'll go over through it in that order.

So the first scan is the right upper quadrant scan.

So here is the right upper quadrant scan.

Indicators up towards the head.

It's around the 8th to 10th intercostal space in the mid axillary line.

And you're looking for Morrison's pouch, the space between the liver and the kidney for free fluid.

Make sure, in addition, you look towards the edge of the liver because sometimes fluid can track there also.

The next scan you're going to do is the left upper quadrant scan.

So this is knuckles to the bed looking for fluid around the spleen.

And here we see the spleen.

and the fluid doesn't track between the spleen and the kidney usually unless there's rupture of the splenorenal ligament.

In addition to looking at fluid around the spleen, you want to look above the diaphragm looking for any fluid in the chest,

and here you see a good mirror artifact sign.

There's no fluid there.

That's completely normal, and remember to also do this on the right upper quadrant looking for fluid in the right chest.

The next portion is going to be the pelvic scan here you're looking for free fluid above the bladder

so indicator is up towards the head

and you see the bladder here there's no free fluid above

the bladder another organ to identify is a prostate in this view

and free fluid once again it is above the prostate

and above the bladder the next view is going to be the cardiac view looking for pericardial effusion

and there's two views you can use.

You can use either the subxiphoid view, and since this is on the standard mode, the indicator is going to be towards the patient's right side,

and you're going to identify the liver and sweep in and look for that heart.

And here we see the heart, the four chambers of the heart, and when the patient takes a big breath in, brings it closer, you get a better view,

that subxiphoid view, looking for pericardial effusion around the right ventricle or left ventricle, and looking for any collapse of these ventricles,

signifying tamponade, specifically right ventricular diastolic collapse or right atrial systolic collapse.

Another view you can use, if you can't get a good sub -xiphoid view, is a pericardial long axis view.

And once again, since we're in standard mode, the indicator is going to be towards the patient's left hip.

So here, you're going to get a pericardial long axis view.

And the main thing you're looking for is pericardial effusion.

You don't have to necessarily assess all the heart function, but look for pericardial fusion and looking for tamponade here.

And this looks normal here.

You can see the pericardia both anteriorly and posteriorly in this view.

And the last portion that you do is looking for pneumothorax, and that's looking for lung sliding.

So once again, the indicator is going to be towards the patient's head, second intercostal space, midclavicular line.

where you would do a needle thoracostomy basically

and you would decrease your depth

so you see I'm decreasing my depth all the way down here

and here you're looking for lung sliding so when the patient breathes in

so if you can take a big breath in you see there's lung sliding on the screen there

and that indicates there's no pneumothorax if there is no lung sliding

that is highly suggestive of pneumothorax in the setting of trauma

you want to make sure you do there both the right side

and the left side looking for lung sliding and this patient has lung sliding on both the left and right side

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Woordenschat en spreektips bij deze les

Deze spreekles is gebaseerd op de video “FAST Scan (Focused Assessment with Sonography in Trauma) - STEP by STEP”. Deze woorden komen het vaakst terug: fluid, view, scan, lung, pericardial. Deze video bevat 53 zinnen en 755 woorden om na te spreken. Het gesproken deel duurt 4:20. De spreker praat in een natuurlijk tempo van ongeveer 174 woorden per minuut, dicht bij een alledaags gesprek. Slechts 79% van de woorden hoort bij de 3.000 meest gebruikte Engelse woorden, dus de woordenschat is pittig.

Belangrijke woorden in deze video

15 woorden uit de video die het leren waard zijn, met uitspraak en betekenis:

Woord	Uitspraak	Betekenis
fluid zelfstandig naamwoord	/ˈflu.ɪd/	fluïdum, vloeistof
scan werkwoord	/skæn/	afspeuren
lung zelfstandig naamwoord	/ˈlʌŋ/	long
slide zelfstandig naamwoord	/ˈslaɪ̯d/	glijbaan, schuifaf
trauma zelfstandig naamwoord	/ˈtɹɔm.ə/	trauma
indicator zelfstandig naamwoord	/ˈɪn.dɪˌkeɪ.tə(ɹ)/	richtingaanwijzer
bladder zelfstandig naamwoord	/ˈblædɚ/	blaas
breathe werkwoord	/bɹiːð/	ademen, ademhalen
collapse werkwoord	/kəˈlæps/	instorten
assess werkwoord	/əˈsɛs/	beoordelen, evalueren
decrease werkwoord	/dɪˈkɹiːs/	afnemen, verminderen
kidney zelfstandig naamwoord	/ˈkɪdni/	nier
axis zelfstandig naamwoord	/ˈæksɪs/	as
prostate zelfstandig naamwoord	/ˈpɹɑs.teɪt/	prostaat
necessarily bijwoord	/ˌnɛs.əˈsɛɹ.ə.li/	nodig, noodzakelijk

Uitspraak om op te letten

De spreker gebruikt 21 samentrekkingen en verkorte vormen, zoals you're, we're, can't. Spreek ze kort uit, zoals je ze hoort.

De “th”-klanken: breathe /bɹiːð/, pneumothorax /ˈnju.moʊˌθɔ.ɹæks/
Lange woorden — let op de klemtoon: indicator /ˈɪn.dɪˌkeɪ.tə(ɹ)/, necessarily /ˌnɛs.əˈsɛɹ.ə.li/, pneumothorax /ˈnju.moʊˌθɔ.ɹæks/, intercostal /ˌɪn.tɚˈkɔ.stəl/, axillary /ˈæksɪlɛɹi/

Klanken die Nederlandstaligen lastig vinden:

Stemhebbende eindmedeklinker — /b/, /d/, /g/, /z/, /v/ niet verscherpen: fluid /ˈflu.ɪd/, slide /ˈslaɪ̯d/, probe /pɹoʊb/, tamponade /tæmpəˈneɪd/, suggestive /sə(ɡ)ˈd͡ʒɛs.tɪv/
/æ/ — opener dan de Nederlandse “e”: scan /skæn/, bladder /ˈblædɚ/, collapse /kəˈlæps/, axis /ˈæksɪs/, cardiac /ˈkɑɹdiˌæk/
/g/ — een harde plofklank, geen Nederlandse “g”: organ /ˈɔːɡən/, ligament /ˈlɪɡəmənt/, signify /ˈsɪɡnɪfaɪ/, suggestive /sə(ɡ)ˈd͡ʒɛs.tɪv/

Zo oefen je met deze video

Luister de hele video één keer zonder te spreken en noteer de woorden die je niet kent.
Begin op 0,75× snelheid, spreek zin voor zin na en ga terug naar normale snelheid zodra het makkelijk gaat.
Neem jezelf op en vergelijk met het origineel; let daarbij op woorden als fluid, scan, lung.

Wat is de Shadowing-techniek?

Shadowing is een wetenschappelijk onderbouwde taalleermethode die oorspronkelijk is ontwikkeld voor professionele tolkentraining en gepopulariseerd door polyglot Dr. Alexander Arguelles. De methode is eenvoudig maar krachtig: je luistert naar native Engelse audio en herhaalt het onmiddellijk hardop — als een schaduw die de spreker volgt met slechts 1–2 seconden vertraging. In tegenstelling tot passief luisteren of grammaticadrills, dwingt shadowing je hersenen en mondspieren om echte spraakpatronen tegelijkertijd te verwerken en te reproduceren. Onderzoek toont aan dat het de uitspraaknauwkeurigheid, intonatie, ritme, verbonden spraak, luisterbegrip en spreekvaardigheid aanzienlijk verbetert — waardoor het een van de meest effectieve methoden is voor IELTS Speaking-voorbereiding en echte Engelse communicatie.

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Woordenschat en spreektips bij deze les

Belangrijke woorden in deze video

Uitspraak om op te letten

Zo oefen je met deze video

Wat is de Shadowing-techniek?