Emergency medicine

A.Y. 2020/2021
Overall hours
MED/09 MED/18 MED/41
Learning objectives
- Know how to deal with the main medical, surgical and resuscitation urgencies.
- Know how to assess the patient's general condition and stratify the clinical risk.
- Know the guidelines for the restoration and maintenance of vital functions, following appropriate diagnostic-therapeutic pathways.
- Know the physiopathological mechanisms, etiology and clinical presentation
- Know the differential diagnosis and the diagnostic pathway
- Know the techniques for monitoring vital functions
- Know the treatment principles and therapeutic algorithms
Expected learning outcomes
At the end of the course the student will be able to:
- know how to deal with cardiopulmonary resuscitation maneuvers;
- know how to deal with the main medical and resuscitation urgencies
- know the advanced algorithms of treatment of bradi- and tacho-arrhythmias in urgency, the principles of defibrillation and electrical cardioversion
- interpret the emo-gas analysis and learn about the main emergency drugs
- interpret a monitoring
Course syllabus and organization

Single session

The lessons of the first semester will take place in mixed mode:
- in presence in the classroom with a limited number of students, who have booked themselves using Google Form and at the same time in synchrony through the "Teams platform" for students not present;
- the student is obliged to wear the surgical mask for the entire duration of his stay in the classroom and to sit in the free seats respecting the alternation of one occupied seat, one free seat, one occupied seat per single row;
- the lessons will also be video-recorded to allow students unable for documented needs to follow them in sync and made available on the teacher's Ariel / Teams website;
- the lessons will take place at the Vialba center as usual

Students must enter from the main atrium of the Lita Vialba teaching pavilion and undergo body temperature measurement using a Thermo-scanner. The entry / exit routes are differentiated and marked
Prerequisites for admission
Knowledge of main physiopathological mechanisms of regulation of cardio-circulatory, breathing and kidney homeostasis, included the acid-base balance.
Knowledge of the main methods of diagnostic imaging and laboratory medicine
Knowledge of the principles of medical and surgical therapy
Assessment methods and Criteria
The exam will consist of a written first part (multiple choice) with scenarios of clinical situations concerning topics dealt with frontal lessons (1 or more right or all right or one more adequate than the others). The written exam will last 20 minutes and will consist of 10 questions. Each question is worth 2.5 points. To access the oral exam, you must reach the result of 6 correct answers out of 10 questions. The score of the written part will be a premise not conditioning the overall outcome of the exam which can be improved or worsened by the oral exam.
General surgery
Course syllabus
Abdominal trauma
Acute respiratory failure
Abdominal trauma + clinical cases
Acid-base balance
Septic shock
Chest trauma
Acute pulmonary edema
The cardiogenic shock
Clinical cases of chest and abdominal trauma
Therapy fluid and electrolytes
Coma and meningitis
Burns: clinical classification and treatment
Non-invasive ventilation, asthma and COPD
How to set up an antibiotic therapy
End of life management
Treatment of acute and chronic pain
Substances of abuse and intoxication

Teaching methods
The course takes place through lectures and exercises at the hospital departments.
Teaching Resources
-Text book of surgery; Townsend ed: Elsevier;
-ATLS student course manual: advance trauma life support: ED: american college of surgeon.
MED/41 - ANAESTHESIOLOGY - University credits: 2
Lessons: 24 hours
General surgery
MED/18 - GENERAL SURGERY - University credits: 1
Lessons: 12 hours
Internal medicine
MED/09 - INTERNAL MEDICINE - University credits: 1
Lessons: 12 hours
Professor: Catena Emanuele