Shadowing Practice: SVINutes: VAN Score - Learn English Speaking with Video
Choose a practice mode
Each mode opens a full-screen practice room.
29 sentences
If sentences are too short or too long, click Edit to adjust them.
1
Hello, my name is Dr. Nidhi Ravi Shankar and will be speaking with you about the Vanscore and its utility.
2
There are many stroke scales that are currently used in the hospitals around the United States today.
3
The National Institute of Health Stroke Scale is the most widely used deficit rating scale in modern neurology.
4
Over 500,000 healthcare professionals have been certified to administer it using a web-based platform.
5
It is used in the hospital setting to guide therapeutic options when patient presents with ischemic stroke.
6
While useful, the scale is quite extensive and not pre-hospital friendly.
7
For the pre-hospital setting, the Cincinnati Pre-Hospital Stroke Scale was developed as a rapid way to identify strokes.
8
It is a scale based on the NIHSS, RAPID, but has a particular affinity towards anterior circulation strokes.
9
There are many other stroke scales that have been developed in order to identify the location of strokes.
10
The VAN score, however, as you can see, can be accounted for all the cortical areas.
11
The VAN score, mnemonic for verbal,
12
aphasia, and neglect, is a screening tool to assess for neurovascular anatomy for emergent LVO or large vessel occlusion.
13
It is quick and allows for early and specific emergency notifications for mobilization of appropriate teams and resources.
14
In order to determine whether the VAN test is positive, certain criteria must be met.
15
Step 1.
16
Just like the CPSS, if the patient presents with deficits in motor function, we move on to the second step.
17
Any deficits in vision or presence of neglect and aphasia, along with motor deficits, indicates a positive VAN score.
18
A positive VAN score assessment, assessment, the stroke designation protocol is implemented.
19
A positive VAN score assessment hopes to accurately identify patients with LVO
20
and result in early activation of the ELVO team so that door-to-groin puncture times were improved.
21
While both CPSS and VAN should be performed in any stroke patient, the utility of one scale can assist consistency among paramedics,
22
ED triage, and hospital providers.
23
The VAN tool for identification of ELVO has shown high sensitivity,
24
specificity, and accuracy in large number of patients and follows basic principles of neurological localization.
25
In comparison to previously published tools, the VAN tool offers simplicity,
26
speed, ease of use, and exclusion of mandatory scoring without sacrificing accuracy.
27
While regional stroke systems of care are uniquely designed,
28
ELVO pre-hospital assessments and bypass time windows allows for collaboration among primary and secondary stroke providers and prompt application to treatment.
29
Thank you.
Download App
Everything you need to speak fluently
AI PronunciationScore every sentence
IPA PracticeMaster every sound
VocabularyBuild your word bank
Vocab GameLearn while playing
Same Channel
C23
SVINutes: Super Large Bore Thrombectomy
Daily ConversationUniversity StudentsWorking Adults
C17
SVINutes: Cerebral Venous Sinus Anatomy
Daily ConversationUniversity Students
C13
SVINutes: Pulsatile Tinnitus
Daily ConversationUniversity StudentsWorking Adults
C15
SVINutes: Approach to Tandem Occlusions
University StudentsWorking Adults
C13
SVINutes: Basics of Subclavian Steal
Business EnglishUniversity StudentsWorking Adults
C15
SVINutes: Decoding Dizziness
Daily ConversationUniversity StudentsWorking Adults
C14
SVINutes: Collateral Circulation
IELTS PrepTOEFL PrepUniversity Students
C25
SVINutes: Intracranial Atherosclerotic Disease: Key Considerations for Stenting
University StudentsWorking Adults
C29
SVINutes: Pediatric Cerebrovascular Disease: Current Strategies, Future Directions
University StudentsWorking Adults
FOR YOU
Recommend Video
C11
60 sentences
Quick Study: How Venture Capitalists Make Decisions
Daily ConversationUniversity StudentsWorking Adults
C12
84 sentences
Heart Failure Medications: What to Monitor Before You Give Them (Video 4 of 5)
Daily ConversationUniversity Students
C12
17 sentences
Robotic Neurovascular Intervention
Daily ConversationUniversity StudentsWorking Adults
C11
406 sentences
Scoliosis: How to medically classify scoliosis (the Lenke System for AIS)
Daily ConversationUniversity Students
B2215 sentences
PTE SWT: One-Sentence Formula for 79+
Daily ConversationUniversity StudentsWorking Adults
C13
77 sentences
FAST Exam: Focused Assessment with Sonography in Trauma
Daily ConversationUniversity Students
C116
42 sentences
6 Warning Signs of a Stroke
Daily ConversationUniversity StudentsWorking Adults
C156 sentences
ST Elevation and Depression on an EKG Rhythm Strip
Daily ConversationUniversity Students
C13
36 sentences
Luyện nghe bản tin tiếng Anh y khoa VOA 03
Business EnglishDaily ConversationUniversity Students
C11
93 sentences
Introduction to ECMO Part 3 - V-A ECMO
Daily ConversationUniversity StudentsWorking Adults
C172 sentences
MRI-Negative Epilepsy
Daily ConversationUniversity Students
Vocabulary and speaking notes for this lesson
This video has 29 sentences and 419 words to shadow. The speech runs for 2:55. The speaker talks at a steady 144 words per minute, a comfortable pace for shadowing. Only 73% of the words are among the 3,000 most common in English, so the vocabulary is demanding.
Key vocabulary in this video
15 less common words from the video, with pronunciation and meaning:
- assessment /əˈsɛsmənt/ (noun) — The act of assessing or an amount (of tax, levy or duty etc) assessed.
- deficit /ˈdɛfəsɪt/ (noun) — Deficiency in amount or quality; a falling short; lack.
- rapid /ˈɹæp.ɪd/ (adjective) — Very swift or quick.
- utility /juːˈtɪlɪti/ (noun) — The state or condition of being useful; usefulness.
- accuracy /ˈæk.jɚ.ə.si/ (noun) — The state of being accurate; being free from error; exactness; correctness
- provider /pɹəˈvaɪ.də(ɹ)/ (noun) — One who, or that which, provides a service, commodity, or the means for subsistence.
- neglect /nɪˈɡlɛkt/ (verb) — To fail to care for or attend to something.
- assist /əˈsɪst/ (verb) — To help.
- resource /ɹɪˈzɔːs/ (noun) — Something that one uses to achieve an objective, e.g. raw materials or personnel.
- indicate /ˈɪndɪˌkeɪt/ (verb) — To point out; to discover; to direct to a knowledge of; to show; to make known.
- ease /iz/ (verb) — To free (something) from pain, worry, agitation, etc.
- principle /ˈpɹɪn.sɪ.pəl/ (noun) — A fundamental assumption, fundamental law or guiding belief.
- sacrifice /ˈsæk.ɹɪ.faɪs/ (noun) — Originally, the killing (and often burning) of a human being or an animal as an offering to a deity; later, also the offering of an object to a deity.
- collaboration /kəˌlæbəˈɹeɪʃən/ (noun) — The act of collaborating.
- vessel /ˈvɛsəl/ (noun) — Any craft designed for transportation on or in water, such as a ship, boat, or submarine.
Pronunciation to watch
- The “sh” and “zh” sounds: collaboration /kəˌlæbəˈɹeɪʃən/, identification /aɪˌdɛn(t)ɪfɪˈkeɪʃn̩/, circulation /ˌsɝkjʊˈleɪʃən/, notification /ˌnoʊtɪfɪˈkeɪʃn̩/, activation /ˌæktəˈveɪʃən/
- Long words — get the stress right: utility /juːˈtɪlɪti/, accuracy /ˈæk.jɚ.ə.si/, collaboration /kəˌlæbəˈɹeɪʃən/, identification /aɪˌdɛn(t)ɪfɪˈkeɪʃn̩/, mandatory /ˈmæn.dəˌtɔɹ.i/
How to practise with this video
- Listen to the whole video once without speaking and note the words you do not know.
- Shadow it sentence by sentence at normal speed, repeating each one until your rhythm matches the speaker.
- Record yourself and compare with the original, paying attention to words like assessment, deficit, rapid.
Grammar in this video
The structures the speaker uses most, with the exact words from the video:
| Structure | In the video |
|---|---|
| Passive voice be + past participle — the focus is on what happens, not who does it | have been certified · was developed · have been developed |
| Present perfect have/has + past participle — a past action that still matters now | have been certified · have been developed · has shown |
What is the Shadowing Technique?
Shadowing is a science-backed language learning technique originally developed for professional interpreter training and popularized by polyglot Dr. Alexander Arguelles. The method is simple but powerful: you listen to native English audio and immediately repeat it out loud — like a shadow following the speaker with just a 1–2 second delay. Unlike passive listening or grammar drills, shadowing forces your brain and mouth muscles to simultaneously process and reproduce real speech patterns. Research shows it significantly improves pronunciation accuracy, intonation, rhythm, connected speech, listening comprehension, and speaking fluency — making it one of the most effective methods for IELTS Speaking preparation and real-world English communication.