Emergency medical and surgical care (qualifying activity)

A.Y. 2020/2021
4
Max ECTS
100
Overall hours
SSD
MED/11 MED/33 MED/41
Language
Italian
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

Concerning clerkships, information will be directly given by professors during classes, following the current agreement with the San Paolo hospital concerning safety and health surveillance measures to be adopted for accessing wards, day-hospital, and laboratories.
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.
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.
Anaesthesiology
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.
Teaching methods
6th year professional course of "Management of Acute and Chronic Pain" (1CFU) consisting of 7 hours of frontal lessons and 3 experiences of 6 hours each alongside the anesthesiologists / resuscitators / oncologists of the San Paolo hospital.
Teaching Resources
· Paul L. Marino, The ICU Book, Terapia Intensiva, principi fondamentali. Quarta edizione, Ed. Masson. (Ed. italiana a cura di Giorgio Conti)
Musculoskeletal system diseases
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.
Teaching methods
IV Year Professionalising course of "Advanced Trauma Life Support"
Teaching Resources
Le diapositive proiettate saranno disponibili sulla piattaforma Ariel o direttamente in classe. (The slides projected in the lessons will be available on Ariel, or directly in the classroom.)

Te following textbooks could be used to prepare the final exam:
- Paolo Cabitza - Ortopedia - 2012 Esculapio Ed.
- Federico A. Grassi, Ugo E. Pazzaglia, Giorgio Pilato. Manuale di ortopedia e traumatologia. 2012 Elsevier Ed.
- Jennifer Hart, Mark D. Miller, Stephen R. Thompson. Miller's Review of Orthopaedics. 2016 Elsevier Ed.
- Franco Postacchini, Ernesto Ippolito, Andrea Ferretti. Ortopedia e Traumatologia. 2017 Antonio Delfino Ed.
- Attilio Mancini, Carlo Morlacchi. Clinica ortopedica. Manuale-atlante. 2018 Piccin-Nuova LibrariaEd.
Cardiovascular diseases
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.
Teaching methods
V year professional course Advanced Cardiac Life Support" (1CFU) including a short theoretical and practical cardiopulmonary resuscitation course and 2 six and a half-hours work shifts in the emergency department.
Teaching Resources
Harrison. Principi di medicina interna. Con Contenuto digitale (fornito elettronicamente)

di Dennis L. Kasper, Anthony S. Fauci, Dan L. Longo
Anaesthesiology
MED/41 - ANAESTHESIOLOGY - University credits: 2
Professional training: 50 hours
Shifts:
Gruppo 1
Professor: Chiumello Davide Alberto
Cardiovascular diseases
MED/11 - CARDIOVASCULAR DISEASES - University credits: 1
Professional training: 25 hours
Professor: Carugo Stefano
Musculoskeletal system diseases
MED/33 - ORTHOPAEDICS - University credits: 1
Professional training: 25 hours
Professor: Pietrogrande Luca