Medical and Surgical Emergency

A.Y. 2019/2020
4
Max ECTS
32
Overall hours
SSD
MED/09 MED/18 MED/41
Language
Italian
Learning objectives
‒ To identify and manage the most frequent medical and surgical clinical emergencies.
‒ To evaluate a patient's clinical status and stratify the risk of clinical deterioration.
‒ To know the current guidelines for the management and rescue of the vital functions, applying the appropriate diagnostic and therapeutic algorithms.
Expected learning outcomes
To describe, for each of the most frequent medical and surgical emergencies (see the following Modules for details)
‒ Pathophysiological mechanisms, etiologies and clinical picture
‒ Differential diagnosis and diagnostic workup
‒ Vital functions monitoring techniques
‒ Principles of treatment and therapeutic algorithms
Course syllabus and organization

Linea: Policlinico

Responsible
Prerequisites for admission
The students should have deep knowledge of physiology of the main body organs and systems. In addition, the students should know pathophysiology, signs and symptoms of the most common acute illnesses.
Assessment methods and Criteria
Assessment of learning objectives by means of oral examination. No intermediate test before the final exam.
Anestesiologia
Course syllabus
- Etiology, diagnosis and treatment of acute (pneumonia, ARDS) and chronic respiratory failure
- Etiology, diagnosis and treatment of exacerbation of bronchial asthma and COPD
- Diagnosis and treatment of pulmonary embolism
- Diagnosis and treatment of pneumothorax
- Treatment and differential diagnosis of potentially evolutionary clinical situations: disorders of consciousness, haemodynamic instability, dyspnea
- Pathophysiology, diagnosis and treatment of shock
- Identification and treatment of the main metabolic and endocrinological emergencies and of acid-base disorders
- Diagnosis and treatment of the main neurological emergencies and differential diagnosis of altered mental status
- Diagnosis and treatment of the principal intoxications
- Acute and chronic pain management
- Cardiac arrest, cardiopulmonary resuscitation, management of post-cardiac-arrest-syndrome.
Anesthesiology clinical skills (1 CFU): the students will attend the clinical activity in the Emergency department (medical and surgical sections) and will attend the activity of the Medical Emergency Team caring for in-hospital emergencies. The objective is to learn the diagnostic and therapeutic approach to the critically ill patients.
Pain Therapy clinical skills (1 CFU): seminars and attendance of Acute Pain Service and Chronic Pain Service, aimed at learning the diagnostic-therapeutic approach to the patients with acute and chronic pain.
Teaching methods
Formal lectures on the main topics of the program
Teaching Resources
- Manuale di Medicina di Emergenza - Francesco Della Corte et all. ‐ McGraw‐Hill Education (seconda edizione)
- Urgenze ed emergenze ‐ Maurizio Chiaranda - Piccin, Nuova Libraria (quarta edizione).
Teaching material (slide, relevant articles) available on Ariel platform.
Medicina interna
Course syllabus
- Approach and management of the patient presenting with dyspnea;
- Approach and management of the patient presenting with chest pain;
- Approach and management of the patient presenting with hyper and hypotension;
- Approach and management of the patient presenting with endocrinological emergencies.
During the attendance of the medical section of the Emergency Department, the students will learn the diagnostic approach to the patients with medical acute illnesses.
Teaching methods
Formal lectures and clinical case discussion on the main topics of the program
Teaching Resources
- Manuale di Medicina di Emergenza - Francesco Della Corte et all. ‐ McGraw‐Hill Education (seconda edizione)
- Urgenze ed emergenze ‐ Maurizio Chiaranda - Piccin, Nuova Libraria (quarta edizione).
Teaching material (slide, relevant articles) available on Ariel platform.
Chirurgia generale
Course syllabus
- Development and organization of trauma system for major trauma
- Principles of cardio-respiratory stabilization of trauma patient
- Clinical and instrumental diagnosis in major trauma
- General therapeutic strategies in major trauma
- Evaluation of abdominal pain and general approach to peritonitis.
During the attendance of the surgical section of the Emergency Department, the students will learn the diagnostic approach to the patients with surgical acute illnesses.
Teaching methods
Formal lectures and clinical case discussion on the main topics of the program
Teaching Resources
- Manuale di Medicina di Emergenza - Francesco Della Corte et all. ‐ McGraw‐Hill Education (seconda edizione)
- Urgenze ed emergenze ‐ Maurizio Chiaranda - Piccin, Nuova Libraria (quarta edizione).
Teaching material (slide, relevant articles) available on Ariel platform.
Anestesiologia
MED/41 - ANAESTHESIOLOGY - University credits: 2
Lessons: 16 hours
Chirurgia generale
MED/18 - GENERAL SURGERY - University credits: 1
Lessons: 8 hours
Professor: Chiara Osvaldo
Medicina interna
MED/09 - INTERNAL MEDICINE - University credits: 1
Lessons: 8 hours

Linea: San Donato

Responsible
Anestesiologia
MED/41 - ANAESTHESIOLOGY - University credits: 2
Lessons: 16 hours
Professors: Grasselli Giacomo, Langer Thomas, Stocchetti Nino
Chirurgia generale
MED/18 - GENERAL SURGERY - University credits: 1
Lessons: 8 hours
Medicina interna
MED/09 - INTERNAL MEDICINE - University credits: 1
Lessons: 8 hours
Professors: Bandera Francesco, Bet Luciano, Valenti Vincenzo

Linea: San Giuseppe

Responsible
Prerequisites for admission
The students should have deep knowledge of physiology of the main body organs and systems. In addition, the students should know pathophysiology, signs and symptoms of the most common acute illnesses.
Assessment methods and Criteria
Assessment of learning objectives by means of oral examination. No intermediate test before the final exam.
Anestesiologia
Course syllabus
- Etiology, diagnosis and treatment of acute (pneumonia, ARDS) and chronic respiratory failure
- Etiology, diagnosis and treatment of exacerbation of bronchial asthma and COPD
- Diagnosis and treatment of pulmonary embolism
- Diagnosis and treatment of pneumothorax
- Treatment and differential diagnosis of potentially evolutionary clinical situations: disorders of consciousness, haemodynamic instability, dyspnea
- Pathophysiology, diagnosis and treatment of shock
- Identification and treatment of the main metabolic and endocrinological emergencies and of acid-base disorders
- Diagnosis and treatment of the main neurological emergencies and differential diagnosis of altered mental status
- Diagnosis and treatment of the principal intoxications
- Acute and chronic pain management
- Cardiac arrest, cardiopulmonary resuscitation, management of post-cardiac-arrest-syndrome.
Anesthesiology clinical skills (1 CFU): the students will attend the clinical activity in the Emergency department (medical and surgical sections) and will attend the activity of the Medical Emergency Team caring for in-hospital emergencies. The objective is to learn the diagnostic and therapeutic approach to the critically ill patients.
Pain Therapy clinical skills (1 CFU): seminars and attendance of Acute Pain Service and Chronic Pain Service, aimed at learning the diagnostic-therapeutic approach to the patients with acute and chronic pain.
Teaching methods
Formal lectures on the main topics of the program
Teaching Resources
Suggested books:
- Manuale di Medicina di Emergenza - Francesco Della Corte et all. ‐ McGraw‐Hill Education (seconda edizione)
- Urgenze ed emergenze ‐ Maurizio Chiaranda - Piccin, Nuova Libraria (quarta edizione).
Teaching material (slide, relevant articles) available on Ariel platform.
Medicina interna
Course syllabus
- Approach and management of the patient presenting with dyspnea;
- Approach and management of the patient presenting with chest pain;
- Approach and management of the patient presenting with hyper and hypotension;
- Approach and management of the patient presenting with endocrinological emergencies.
During the attendance of the medical section of the Emergency Department, the students will learn the diagnostic approach to the patients with medical acute illnesses.
Teaching methods
Formal lectures and clinical case discussion on the main topics of the program
Teaching Resources
Suggested books:
- Manuale di Medicina di Emergenza - Francesco Della Corte et all. ‐ McGraw‐Hill Education (seconda edizione)
- Urgenze ed emergenze ‐ Maurizio Chiaranda - Piccin, Nuova Libraria (quarta edizione).
Teaching material (slide, relevant articles) available on Ariel platform.
Chirurgia generale
Course syllabus
- Development and organization of trauma system for major trauma
- Principles of cardio-respiratory stabilization of trauma patient
- Clinical and instrumental diagnosis in major trauma
- General therapeutic strategies in major trauma
- Evaluation of abdominal pain and general approach to peritonitis.
During the attendance of the surgical section of the Emergency Department, the students will learn the diagnostic approach to the patients with surgical acute illnesses.
Teaching methods
Formal lectures and clinical case discussion on the main topics of the program
Teaching Resources
Suggested books:
- Manuale di Medicina di Emergenza - Francesco Della Corte et all. ‐ McGraw‐Hill Education (seconda edizione)
- Urgenze ed emergenze ‐ Maurizio Chiaranda - Piccin, Nuova Libraria (quarta edizione).
Teaching material (slide, relevant articles) available on Ariel platform.
Anestesiologia
MED/41 - ANAESTHESIOLOGY - University credits: 2
Lessons: 16 hours
Chirurgia generale
MED/18 - GENERAL SURGERY - University credits: 1
Lessons: 8 hours
Professor: Bona Davide
Medicina interna
MED/09 - INTERNAL MEDICINE - University credits: 1
Lessons: 8 hours
Professor(s)
Reception:
To be arranged by e-mail
Istituto di Anestesiologia - Padiglione Litta, via Commenda 16, Milano - Ospedale Policlinico
Reception:
To be arranged throug mail contacts
Padiglione Monteggia, Ospedale Policlinico, II floor