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

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so now let's move on to the next topic

which is basically fast

so anybody can you please tell me what is the full

form of this particular fast what does fast stand for can you please help me with this okay

so what this particular this particular fast stands for okay

so fast basically stands for your focused assessment sonography for trauma okay

so what does this stands for so first thing

which you need to understand is the full form of this

so what is this particular fast stands for fast basically stands for okay

so this is focused assessment sonography

for trauma okay what is FAST stands for this is a focused assessment sonography for trauma

so what happens is

that first of all let's try to understand why this is needed why this is

that so whatever you do in your life you always need to have some kind of an aim

so what is an aim of performing this particular fast the

aim of this performing this particular fast is to look for to look for intraperitoneal fluid.

You understand my point?

So what is the aim of this?

The aim of this is to look for intraperitoneal fluid.

So what do you understand by this particular intraperitoneal fluid?

Intraperitoneal fluid basically means that, let's assume that, okay, so you and I, we all have like some amount of the intraperitoneal fluid,

but let's assume that after a trauma okay so let's say there is a patient who has suffered from a trauma

okay and after the trauma if you examine this particular patient and there is an increased

intraperitoneal fluid okay in these particular patients what does it tell you this basically tells you

that there is some significant significant intra -abdominal injury intra -abdominal injury.

Are you understanding my point?

So if at all there is a patient after the trauma

if at all you perform a fast

and on the fast there is a significant intra -palatal fluid is present in

that particular patient it basically tells you

that there is some significant intra -abdominal injury is present in

that particular patient okay so why are we performing the first

because we want to know whether some significant interabdomal injury has kind of taken place there

or not okay I hope you understood this point okay now

when we've been talking about the first okay

when we talk about the first how do you do

that okay so how is this particular first performed

so this is nothing this is basically a USG which is basically done in emergency room in emergency

room

and this is basically completed completed in three to four minutes

okay in three to four minutes you complete this particular whatever the test and

that is what is basically done in the emergency room this

is what you need to understand this is this is how the basically fast is performed

and how do you kind of perform it I'll tell you

so what you need to understand is that let's assume

that this is the abdomen right this is the coastal margin

this is the abdomen then what we have is this is what is the pelvis

and everything right so what you need to understand is

that you keep your ultrasound probe at four positions so this is what is in epigastric then what we have is right

hypochondriac region then we have the left oh sorry uh right subcostal

or hypochondriac whatever you want to call it right subcostal or hypochondriac region left kind of hypochondriac region

and then at the pelvis okay

so keep your probe at these particular four positions okay so

when you keep your probe at the epigastric region what are you looking for

so when you keep your probe in the epigastric region you are basically looking for pericardial

tamponade okay so you are trying to rule out pericardial tamponade

when you are basically keeping your probe at the right hypochondriac region you're basically trying to look for

any particular fluid around this liver when you're keeping it in the left

hypochondriac region you're basically looking for any fluid

around the spleen then

when you are keeping it in the pelvic region you are

basically looking for any fluid in the pelvis okay obviously right

so this is how you kind of keep the probe at the four positions

and this is how you basically perform the fast now uh

this is separate from uh the other kind of ultrasound okay

so let's assume that i want to get an abdominal ultrasound done

so in that the radiologist is basically going to report everything it is going to the he

or she is going to report whether the gallbladder stone is present

or not or whether the gallbladder is thickened or not

and all these particular things is going to be reported

but over here what you need to understand no doubt

that it is an ultrasound which is being done

but the aim of the ultrasound is just to detect the

intraperitoneal fluid all we are trying to see is the intraperitoneal fluid for

which we quickly keep the probe at the four positions

and we look for the fluid now the question is how

much amount of the fluid can be detected by this particular fast okay

so can you please tell me how much fluid how much fluid can be detected detected

with the fast okay

so the answer to this is how much amount of the

fluid is kind of detected in this particular fast how much amount of the fluid can be detected

so what you need to understand is yes

so it is around 100 to 150 cc so by

and large it is considered to be 150

but 11 really mentions it as like 100 cc

so around 100 to 150 cc this is the minimum amount of the fluid

which can be detected by this particular fast now what is it drawback

or the problem of this particular fast we were not getting information about the right

and the left lung field and that is why we came up with something

which is called as an e -fast okay

so what is this particular e -fast in the e -fast

what you're basically doing is instead of keeping the probe

and the four positions over here you keep the probe at six positions

so here the probe is kept at six positions okay you understand my point

so probe is basically kept at the six positions

so what are these particular six positions the four we already talked about the two additionals is the right

and the left lung field okay

so over here what you need to understand in the e first you keep the probe

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

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Woordenschat en spreektips bij deze les

Deze spreekles is gebaseerd op de video “Focused Assessment With Sonography in Trauma”. Deze woorden komen het vaakst terug: particular, fast, fluid, probe, sign. Deze video bevat 129 zinnen en 1498 woorden om na te spreken. Het gesproken deel duurt 9:16. De spreker praat in een natuurlijk tempo van ongeveer 162 woorden per minuut, dicht bij een alledaags gesprek. 88% van de woorden hoort bij de 3.000 meest gebruikte Engelse woorden, dus de woordenschat is goed te volgen.

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
trauma zelfstandig naamwoord	/ˈtɹɔm.ə/	trauma
detect werkwoord	/dɪˈtɛkt/	detecteren
lung zelfstandig naamwoord	/ˈlʌŋ/	long
ultrasound zelfstandig naamwoord	/ʌl.tɹə.saʊnd/	ultrageluid
abdominal bijvoeglijk naamwoord	/æbˈdɑm.ə.nl̩/	abdominaal, buik-
assessment zelfstandig naamwoord	/əˈsɛsmənt/	schatting, inschatting
refer werkwoord	/ɹɪˈfɜː/	verwijzen, doorverwijzen
abdomen zelfstandig naamwoord	/ˈæb.də.mən/	onderbuik, abdomen
topic zelfstandig naamwoord	/ˈtɑpɪk/	onderwerp, thema
suffer werkwoord	/ˈsʌfɚ/	lijden
decent bijvoeglijk naamwoord	/ˈdiː.sənt/	integer, fatsoenlijk
expand werkwoord	/ɪkˈspænd/	vergroten, uitbreiden
margin zelfstandig naamwoord	/ˈmɑɹ.d͡ʒɪn/	kantlijn, marge
examine werkwoord	/ɪɡˈzæmɪn/	onderzoeken

Phrasal verbs die je zult horen

Woord	Betekenis
go back werkwoord	teruggaan
come up with werkwoord	bedenken, verzinnen
rule out werkwoord	uitsluiten

Grammatica in deze video

De structuren die de spreker het meest gebruikt, met de exacte woorden uit de video:

Structuur	In de video
Lijdende vorm be + voltooid deelwoord — het gaat om wat er gebeurt, niet om wie het doet	is needed · is performed · is thickened
Present perfect have/has + voltooid deelwoord — iets uit het verleden dat nu nog telt	has suffered · you've understood
Betrekkelijke bijzinnen who / which + zin — extra informatie over een persoon of ding	USG which is · ultrasound which is · something which is

Uitspraak om op te letten

De spreker gebruikt 8 samentrekkingen en verkorte vormen, zoals you're, you've, I'll. Spreek ze kort uit, zoals je ze hoort.

De “th”-klanken: pneumothorax /ˈnju.moʊˌθɔ.ɹæks/, thicken /ˈθɪkən/
De klanken “sh” en “zh”: seizure /ˈsi.ʒɚ/, seashore /ˈsiːʃoɹ/
Lange woorden — let op de klemtoon: hypochondriac /ˌhaɪpoʊˈkɑndɹiæk/, pneumothorax /ˈnju.moʊˌθɔ.ɹæks/, radiologist /ˌɹeɪ.diːˈɒl.ə.d͡ʒɪst/

Klanken die Nederlandstaligen lastig vinden:

Stemhebbende eindmedeklinker — /b/, /d/, /g/, /z/, /v/ niet verscherpen: fluid /ˈflu.ɪd/, probe /pɹoʊb/, ultrasound /ʌl.tɹə.saʊnd/, expand /ɪkˈspænd/, cage /keɪd͡ʒ/
/æ/ — opener dan de Nederlandse “e”: abdominal /æbˈdɑm.ə.nl̩/, abdomen /ˈæb.də.mən/, expand /ɪkˈspænd/, examine /ɪɡˈzæmɪn/, hypochondriac /ˌhaɪpoʊˈkɑndɹiæk/

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, trauma, detect.

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

Phrasal verbs die je zult horen

Grammatica in deze video

Uitspraak om op te letten

Zo oefen je met deze video

Wat is de Shadowing-techniek?