Shadowing Practice: FAST Scan (Focused Assessment with Sonography in Trauma) - STEP by STEP - Learn English Speaking with Video
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So now we're going to go over how to perform the FAST scan.
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And this is a scan that's used in trauma.
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It's called a focus assessment using sonography for trauma or in trauma.
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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.
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So we're just going to go over the protocol that I used.
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So here we're going to use the phased array probe.
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The patient is going to be in a supine position because it's in a trauma setting, so they're usually lying flat.
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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,
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and then the lungs, and we'll go over through it in that order.
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So the first scan is the right upper quadrant scan.
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So here is the right upper quadrant scan.
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Indicators up towards the head.
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It's around the 8th to 10th intercostal space in the mid axillary line.
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And you're looking for Morrison's pouch, the space between the liver and the kidney for free fluid.
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Make sure, in addition, you look towards the edge of the liver because sometimes fluid can track there also.
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The next scan you're going to do is the left upper quadrant scan.
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So this is knuckles to the bed looking for fluid around the spleen.
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And here we see the spleen.
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and the fluid doesn't track between the spleen and the kidney usually unless there's rupture of the splenorenal ligament.
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In addition to looking at fluid around the spleen, you want to look above the diaphragm looking for any fluid in the chest,
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and here you see a good mirror artifact sign.
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There's no fluid there.
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That's completely normal, and remember to also do this on the right upper quadrant looking for fluid in the right chest.
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The next portion is going to be the pelvic scan here you're looking for free fluid above the bladder
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so indicator is up towards the head
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and you see the bladder here there's no free fluid above
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the bladder another organ to identify is a prostate in this view
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and free fluid once again it is above the prostate
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and above the bladder the next view is going to be the cardiac view looking for pericardial effusion
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and there's two views you can use.
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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,
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and you're going to identify the liver and sweep in and look for that heart.
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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,
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that subxiphoid view, looking for pericardial effusion around the right ventricle or left ventricle, and looking for any collapse of these ventricles,
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signifying tamponade, specifically right ventricular diastolic collapse or right atrial systolic collapse.
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Another view you can use, if you can't get a good sub -xiphoid view, is a pericardial long axis view.
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And once again, since we're in standard mode, the indicator is going to be towards the patient's left hip.
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So here, you're going to get a pericardial long axis view.
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And the main thing you're looking for is pericardial effusion.
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You don't have to necessarily assess all the heart function, but look for pericardial fusion and looking for tamponade here.
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And this looks normal here.
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You can see the pericardia both anteriorly and posteriorly in this view.
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And the last portion that you do is looking for pneumothorax, and that's looking for lung sliding.
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So once again, the indicator is going to be towards the patient's head, second intercostal space, midclavicular line.
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where you would do a needle thoracostomy basically
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and you would decrease your depth
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so you see I'm decreasing my depth all the way down here
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and here you're looking for lung sliding so when the patient breathes in
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so if you can take a big breath in you see there's lung sliding on the screen there
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and that indicates there's no pneumothorax if there is no lung sliding
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that is highly suggestive of pneumothorax in the setting of trauma
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you want to make sure you do there both the right side
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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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Bu dersin kelimeleri ve konuşma notları
Bu konuşma dersi “FAST Scan (Focused Assessment with Sonography in Trauma) - STEP by STEP” videosuna dayanıyor. En çok tekrarlanan kelimeler: fluid, view, scan, lung, pericardial. Bu videoda gölgeleme çalışması için 53 cümle ve 755 kelime var. Konuşma bölümü 4:20 sürüyor. Konuşmacı dakikada yaklaşık 174 kelimeyle, günlük konuşmaya yakın doğal bir hızda konuşuyor. Kelimelerin yalnızca %79’i İngilizcede en sık kullanılan 3.000 kelime arasında, bu yüzden kelime dağarcığı zorlayıcı.
Bu videodaki önemli kelimeler
Videodan öğrenmeye değer 15 kelime, telaffuzu ve anlamıyla:
| Kelime | Telaffuz | Anlam |
|---|---|---|
| fluid isim | /ˈflu.ɪd/ | akışkan |
| lung isim | /ˈlʌŋ/ | akciğer |
| slide isim | /ˈslaɪ̯d/ | kaydırak |
| trauma isim | /ˈtɹɔm.ə/ | travma, sakatlık |
| breathe fiil | /bɹiːð/ | nefes alıp vermek, solumak |
| collapse fiil | /kəˈlæps/ | çökmek |
| assess fiil | /əˈsɛs/ | değerlendirmek |
| decrease fiil | /dɪˈkɹiːs/ | azalmak, düşmek |
| kidney isim | /ˈkɪdni/ | böbrek |
| axis isim | /ˈæksɪs/ | eksen |
| probe isim | /pɹoʊb/ | sonda |
| prostate isim | /ˈpɹɑs.teɪt/ | prostat, kestanecik |
| chamber isim | /ˈt͡ʃeɪ̯mbɚ/ | yatak odası |
| mirror isim | /ˈmiɹɚ/ | ayna, gözgü |
| indicate fiil | /ˈɪndɪˌkeɪt/ | belirtmek, göstermek |
Dikkat edilecek telaffuzlar
Konuşmacı you're, we're, can't gibi kısaltılmış biçimleri 21 kez kullanıyor. Bunları duyduğunuz gibi kısa söyleyin.
- “th” sesleri: breathe /bɹiːð/, pneumothorax /ˈnju.moʊˌθɔ.ɹæks/
- Uzun kelimeler — vurguyu doğru yere koyun: indicator /ˈɪn.dɪˌkeɪ.tə(ɹ)/, necessarily /ˌnɛs.əˈsɛɹ.ə.li/, pneumothorax /ˈnju.moʊˌθɔ.ɹæks/, intercostal /ˌɪn.tɚˈkɔ.stəl/, axillary /ˈæksɪlɛɹi/
Türkçe konuşanların zorlandığı sesler:
- /w/ — dudaklar yuvarlak, /v/ değil: sweep /swiːp/, quadrant /ˈkwɑ.dɹənt/
- Kelime başındaki ünsüz kümesi — araya ünlü eklemeyin: fluid /ˈflu.ɪd/, scan /skæn/, slide /ˈslaɪ̯d/, trauma /ˈtɹɔm.ə/, bladder /ˈblædɚ/
- /æ/ — “e”den daha açık: scan /skæn/, bladder /ˈblædɚ/, collapse /kəˈlæps/, axis /ˈæksɪs/, cardiac /ˈkɑɹdiˌæk/
Bu videoyla nasıl çalışılır
- Videonun tamamını konuşmadan bir kez dinleyin ve bilmediğiniz kelimeleri not edin.
- 0,75× hızla başlayın, cümle cümle tekrar edin ve kolaylaşınca normal hıza dönün.
- Kendinizi kaydedin ve orijinaliyle karşılaştırın; fluid, lung, slide gibi kelimelere özellikle dikkat edin.
Gölgeleme Tekniği Nedir?
Gölgeleme, başlangıçta profesyonel tercüman eğitimi için geliştirilen ve çok dilli Dr. Alexander Arguelles tarafından popüler hale getirilen, bilim destekli bir dil öğrenme tekniğidir. Yöntem basit ama güçlüdür: ana dili İngilizce olan bir sesi dinler ve hemen yüksek sesle tekrar edersiniz — konuşmacıyı 1-2 saniye gecikmeyle takip eden bir gölge gibi. Pasif dinleme veya dilbilgisi alıştırmalarının aksine, gölgeleme beyninizi ve ağız kaslarınızı gerçek konuşma kalıplarını eşzamanlı olarak işlemeye ve yeniden üretmeye zorlar. Araştırmalar, telaffuz doğruluğu, tonlama, ritim, bağlı konuşma, dinleme anlama ve konuşma akıcılığını önemli ölçüde geliştirdiğini göstermektedir — bu da onu IELTS Konuşma hazırlığı ve gerçek dünya İngilizce iletişimi için en etkili yöntemlerden biri yapar.