Emergencies

A.Y. 2021/2022
8
Max ECTS
96
Overall hours
SSD
MED/09 MED/18 MED/41
Language
English
Learning objectives
The course integrates tree main disciplines: anesthesiology, general surgery and internal medicine. Aim of the course is to provide knowledge on the main pathologies that may rapidly and severely affect the integrity (or even the survival) of the patient. For each pathology the underlying mechanisms are clarified to students, in order to allow a targeted management.
Expected learning outcomes
At the end of the course students are expected to know how to deal with
(anestesiology):
- the comatose patient
- cardiac arrest and cardiopulmonary resuscitation (CPR)
- traumatic brain injury
- acid-base disturbances and blood gas analysis
- shock
- acute respiratory failure
- sepsis
- intensive care after major surgery
( internal medicine):
a critic patient
- shortness of breath
- hypertensive urgencies and emergencies
- chest pain
- endocrinologic emergency
- cardiac emergency
(general surgery):
- the organization of general and trauma emergencies in Italy
- intra-hospital management of trauma patient
- head, face, neck and chest trauma
- trauma of the abdomen, pelvis and extremities
- the peritonitis
- bowel obstruction
- gastro-intestinal bleeding and intestinal infarction
Course syllabus and organization

Single session

Responsible
More specific information on the delivery modes of training activities for academic year 2021/22 will be provided over the coming months, based on the evolution of the public health situation.
Prerequisites for admission
To take the Emergencies exam, students must have already passed all the exams of the first and second year (Fundamentals of Basic Sciences, Cells, Molecules and Genes 1 and 2, Human Body, Functions and Mechanisms of Diseases).
Furthermore, they must have already passed the following exams: Pharmacology 1 and 2, System Diseases 1, 2 and 3, Neurobiology Human Behaviour and Clinical Neuroscience, Clinical and Surgical Pathology.
A reasonable understanding of pathophysiological mechanisms involved in acute respiratory and haemodynamic failures is necessary.
Assessment methods and Criteria
The exam will be based on a written, multiple choice, test.
The exam is deemed to be passed successfully if the final grade is equal to or higher than 18/30. In the event of a full grade (30/30) honors (lode) may be granted with the consent of all the professors.
Internal medicine
Course syllabus
· TOPIC 1: How to recognize a critic patient
· TOPIC 2: Shortness of breath
· TOPIC 3: Hypertensive urgencies and emergencies
· TOPIC 4: Chest pain
· TOPIC 5: Endocrinologic emergency
· TOPIC 6: Cardiac Pump
· TOPIC 7: Circulatory Volume
· TOPIC 8: Heart rate
Teaching methods
Synchronous: lectures
Asynchronous: clinical cases discussion, journal club, videos in clinical medicine
Teaching Resources
Selected papers are listed in the "Course syllabus" or will be provided during classes, and will be uploaded in Ariel. Additional material, in particular to online content, will be made available during the course.
General surgery
Course syllabus
LECTION 1. The organization of general and trauma emergencies in Italy
LECTION 2. Intra-hospital management of trauma patient
LECTION 3. Head, face, neck and chest trauma
LECTION 4. Trauma of the abdomen, pelvis and extremities
LECTION 5. The peritonitis: physiopathology and general assessment
LECTION 6. Common clinical conditions with acute peritonitis (the itis four)
LECTION 7. Bowel obstruction
LECTION 8. Gastro-intestinal bleeding and intestinal infarction
Teaching methods
Synchronous: lectures
Asynchronous: clinical cases discussion, journal club, videos in clinical medicine
Teaching Resources
Selected papers are listed in the "Course syllabus" or will be provided during classes, and will be uploaded in Ariel. Additional material, in particular to online content, will be made available during the course.
Anesthesiology
Course syllabus
TOPIC 1: Introduction to the Course + "The comatose patient
TOPIC 2: "Traumatic brain injury"
TOPIC 3: "Ischemic stroke"
TOPIC 4: "Intracerebral hemorrhage and hydrocephalus" LECTURE 5: "Shock"
TOPIC 5: "Cardiac arrest and cardiopulmonary resuscitation (CPR)"
TOPIC 6: "Shock"
TOPIC 7: "Acute Respiratory Failure"
TOPIC 8: "Sepsis and MOF"
TOPIC 9: "Intensive Care after Major Surgery"
TOPIC 10: "Major burns"
TOPIC 11: "Pediatric Circulatory Failure"
TOPIC 12: "COVID-19 pandemic"
Teaching methods
Synchronous: lectures
Asynchronous: clinical cases discussion, journal club, videos in clinical medicine
Teaching Resources
Selected papers are listed in the "Course syllabus" or will be provided during classes, and will be uploaded in Ariel. Additional material, in particular to online content, will be made available during the course.
Anesthesiology
MED/41 - ANAESTHESIOLOGY - University credits: 4
Lessons: 48 hours
General surgery
MED/18 - GENERAL SURGERY - University credits: 2
Lessons: 24 hours
Professor: Chiara Osvaldo
Internal medicine
MED/09 - INTERNAL MEDICINE - University credits: 2
Lessons: 24 hours
Educational website(s)
Professor(s)
Reception:
To be arranged by e-mail
Istituto di Anestesiologia - Padiglione Litta, via Commenda 16, Milano - Ospedale Policlinico
Reception:
Tue. 9-11 am; Wed. 3-5 pm
Litta build., first floor
Reception:
To be arranged throug mail contacts
Padiglione Monteggia, Ospedale Policlinico, II floor