Emergency medical and surgical care (2nd year) (qualifying activity)

A.Y. 2019/2020
Overall hours
Learning objectives
The course aims to provide the student with the knowledge and ability:
i) to make early diagnoses and implement, at the same time, the most appropriate treatment in the main clinical situations that put at risk the survival of an entire human body or a part of it;
ii) to use early warning systems in cases of acute alterations of the vital balance.
Expected learning outcomes
The student is able to:
i) undertake cardiopulmonary resuscitation maneuvers;
ii) how approach patients with trauma emergencies and medical-surgical emergencies ; ii) know the advanced brady- and tachyarrhythmia treatment algorithms in urgencies, the principles of defibrillation and electrical cardioversion;
iii) know theoretically and interpret invasive hemodynamic monitoring of arterial pressure, central venous pressure, pulmonary artery pressure and wedge pressure;
iv) interpret blood gas analysis and know the main emergency drugs.
Course syllabus and organization

Single session

Course syllabus
Professional activities pursue and are an integral part of the objectives and results of the learning expected from teaching, as they confer the skills and abilities useful for applying knowledge in clinical practice.
Prerequisites for admission
The knowledge of semeiotics, systematics, principles of pathophysiology of medical and surgical pathologies of the adults and pediatric patient, in particular reference to cardio-respiratory system, neurological system, digestive system, endocrine and metabolic system. The knowledge of acute pathologies and reacutization of chronic pathologies and their acute pathological consequences on anatomy and physiology of the human body.
The knowledge of Pharmacology and toxicology principles.
The knowledge of normal values of laboratory tests and their alterations possibly life threatening.
Teaching methods
The course is made up of:
· during the 2° year of study: professionalizing course of "Basic Life Support and Pediatric Life Support" (1CFU) including 3 two-hours frontal lessons, 1 one-hour practical lesson and 3 six-hours experiences on board of ANPAS-associated emergencies ambulances.
Teaching Resources
· Paul L. Marino, The ICU Book, Terapia Intensiva, principi fondamentali. Quarta edizione, Ed. Masson. (Ed. italiana a cura di Giorgio Conti)
Assessment methods and Criteria
The exam is made up of:
· a preliminary written test consisting of 30 multiple-choice questions (only one correct answer out of 4 options), which has to be conclude in 30 minutes. Each correct answer will give a score of 1 point; not given or incorrect answers will give a score of 0 point. Passing the written test with a minimum of 18/30 points allows admission to the oral examination.
· a subsequent oral examinaton in which the student will be evaluated for her/his ability to express with clarity and adequate language the pathophysiological, diagnostic and therapeutical basis of medical and surgical emergencies. The student will also be tested for her/his clinical reasoning skills, based on her/his acquired theoretical and practical knowledge, on realistic clinical cases. Passing the oral test will result in the final mark expressed in thirtieths.
MED/41 - ANAESTHESIOLOGY - University credits: 1
Professional training: 25 hours
available on request by appointment (call: +39.339.8245014 or write an email: giovanni.mistraletti@unimi.it)
San Paolo General Hospital - Intensive Care Unit - Floor -1, Block B