Workplace hygiene and emergency first aid

A.Y. 2021/2022
7
Max ECTS
70
Overall hours
SSD
MED/36 MED/41 MED/44 MED/45 MED/50 SPS/07
Language
Italian
Learning objectives
Acquire the knowledge of occupational hygiene, methods, tools and practices aimed at maintaining and promoting health and preventing illnesses and accidents in the workplace. Acquire the ability to identify situations when specific competences are required;
Acquire the knowledge related to radiation protection;
Know the main models of work organization and their effects on workers' health;
Acquire the ability to intervene, in the immediacy of the event, in emergency situations, implementing, as far as it is concerned, the necessary first aid measures, in order to guarantee survival and the best assistance allowed;
Know the main methods of intervention in catastrophe and natural disasters
Expected learning outcomes
Identify and assess occupational risk factors;
Know the methods for conducting a survey on occupational accidents;
Collaborate with other professional figures in facing emergency situations
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
There are no prerequisites
Assessment methods and Criteria
Multiple choice test with also open questions
All the exams take place on the same day
Occupational medicine
Course syllabus
Introduction to occupational medicine: historical notes and tools for assessing the association between environmental factors and possible health effects
Occupational cancers
Risk assessment in the workplace
Environmental and biological monitoring
Occupational accidents: trends and evaluation
Smoking cessation programs: protocols and efficacy
Teaching methods
Lectures
Teaching Resources
Medicina del lavoro, a cura di Pier Alberto Bertazzi. Ed Cortina 2013
Diagnostic imaging
Course syllabus
Basic physics of radiations
Radiation biology and radiation protection
Principles of radiographic image formation and radiology
Computed tomography
Ultrasonography
Magnetic resonance
Nuclear medicine
Radiation therapy
Teaching methods
Frontal Lessons
Teaching Resources
Slides used during lessons
General sociology
Course syllabus
· Health and reproductive rights: definitions and approaches
· Reproductive health and global inequalities
· The medicalization of human reproduction: from childbirth to the Assisted Reproductive Technologies
· Reproductive rights and social policies
Teaching methods
Frontal Lessons, practical session
Teaching Resources
Lombardi L., Riproduzione e salute nella società globale. Genere, medicalizzazione e mutamento sociale, Maggioli Editore, 2018
Applied medical techniques
Course syllabus
1° day
-what occupational medicine and industrial hygiene take care of
-risk and danger, exposure and harm(danno fisico)/damage(danno generale)
-exercises

2° day
-legislation on hygiene and job safety
- PSAL services point of view
-companies (SPP) point of view

3° day
-major work risks
-etiology of work related diseases
-professional diseases and accidents

4° day
-the most frequent MP today
-emerging MPs
-investigations for occupational disease
-group exercise

5° day
-surveillance systems of work related diseases
-healt visitor in PSAL services and companies
Teaching methods
Frontal Lessons, practical sessions
Teaching Resources
Laws
Anaesthesiology
Course syllabus
The critically ill subject
Respiratory insufficiency
Neurological deficits
Coronary syndromes
Shock
Cardial Life Support
Principles of anesthesia
Oran donation and transplantation
Teaching methods
Frontal Lessons
Teaching Resources
Slides used during lessons
Nursing sciences: general, clinical and paediatric
Course syllabus
· · emergency and mass casualty incidents definition
· Characteristics of first aid
· Early alerting emergency services
· Safety of the healthcare provider and accident area
· Recovery position
· Signs of ABC problems
· Characteristics and symptoms of shock
· Foreign body airway obstruction (unblocking techniques)
· First aid techniques in case of:
o Haemorrhage
o Electrical injuries
o Burns
o hypoglycaemia, hyperglycaemia
o Poisonings
o Seizures
o Fractures
o Alcohol intoxication
o Frostbite
o Frozen solid
o inconsolable crying of the child
o Allergic reaction
o Drug withdrawal crisis
Emergency network
Teaching methods
Frontal Lessons, practical sessions
Teaching Resources
Dispensa del docente
1. emergènza in Vocabolario - Treccani [Internet]. [citato 24 settembre 2019]. Available at: http://www.treccani.it//vocabolario/emergenza
2. Emergenza. In: Wikipedia [Internet]. 2018 [citato 24 settembre 2019]. Available at: https://it.wikipedia.org/w/index.php?title=Emergenza&oldid=101613947
3. Emergenza [Internet]. Sicurezza.com. [citato 24 settembre 2019]. Available at: https://www.sicurezza.com/emergenza
4. Ministero della Salute, Costa, curatori. Piano per il miglioramento del sistema di emergenza/urgenza. 2005.
5. Medicina delle catastrofi. In: Wikipedia [Internet]. 2019 [citato 24 settembre 2019]. Available at: https://it.wikipedia.org/w/index.php?title=Medicina_delle_catastrofi&ol…
6. Redazione. Maxiemergenza: Come opera la macchina dei soccorsi durante una catastrofe [Internet]. Nurse24.it. 2018 [citato 24 settembre 2019]. Available at: https://www.nurse24.it/specializzazioni/emergenza-urgenza/maxiemergenza…
7. Monsieurs KG, Nolan JP, Bossaert LL, Greif R, Maconochie IK, Nikolaou NI, et al. European Resuscitation Council Guidelines for Resuscitation 2015. Resuscitation. ottobre 2015;95:1-81.
8. Presidente della repubblica. Istituzione del Servizio Nazionale della protezione civile [Internet]. GU n 64 del 17 - 3- 1992 suppl. ordinario n 54, 225 feb 24, 1992. Available at: https://www.gazzettaufficiale.it/atto/stampa/serie_generale/originario
9. Singletary EM, Zideman DA, De Buck EDJ, Chang W-T, Jensen JL, Swain JM, et al. Part 9: First Aid: 2015 International Consensus on First Aid Science With Treatment Recommendations. Circulation. 20 ottobre 2015;132(16 suppl 1):S269-311.
10. protezione civile Regione Lombardia. Cosa fare in caso di emergenza [Internet]. regione.lombardia.it. 2017 [citato 23 settembre 2019]. Available at: https://www.regione.lombardia.it/wps/portal/istituzionale/HP/DettaglioR…
11. Perkins GD, Handley AJ, Koster RW, Soar J, Ristagno G, Wenzel V, et al. European Resuscitation Council Guidelines for Resuscitation 2015 Section 2. Adult basic life support and automated external defibrillation. Resuscitation. ottobre 2015;95:82-99.
12. Truhlář A, Deakin CD, Soar J, Khalifa GEA, Alfonzo A, Bierens JJLM, et al. European Resuscitation Council Guidelines for Resuscitation 2015. Resuscitation. ottobre 2015;95:148-201.
13. Tokuda Y, Kikuchi M, Takahashi O, Stein GH. Prehospital management of sarin nerve gas terrorism in urban settings: 10 years of progress after the Tokyo subway sarin attack. Resuscitation. febbraio 2006;68(2):193-202.
14. Bossaert LL, Perkins GD, Askitopoulou H, Raffay VI, Greif R, Haywood KL, et al. European Resuscitation Council Guidelines for Resuscitation 2015. Resuscitation. ottobre 2015;95:302-11.
15. Torabi-Parizi P, Davey RT, Suffredini AF, Chertow DS. Ethical and practical considerations in providing critical care to patients with Ebola virus disease. Chest. giugno 2015;147(6):1460-6.
16. Ulrich CM, Grady C. Cardiopulmonary Resuscitation for Ebola patients: Ethical considerations. Nurs Outlook. gennaio 2015;63(1):16-8.
17. Lamhaut L, Dagron C, Apriotesei R, Gouvernaire J, Elie C, Marx J-S, et al. Comparison of intravenous and intraosseous access by pre-hospital medical emergency personnel with and without CBRN protective equipment. Resuscitation. gennaio 2010;81(1):65-8.
18. Castle N, Pillay Y, Spencer N. Comparison of six different intubation aids for use while wearing CBRN-PPE: a manikin study. Resuscitation. dicembre 2011;82(12):1548-52.
19. Castle N, Bowen J, Spencer N. Does wearing CBRN-PPE adversely affect the ability for clinicians to accurately, safely, and speedily draw up drugs? Clin Toxicol Phila Pa. luglio 2010;48(6):522-7.
20. White L, Rogers J, Bloomingdale M, Fahrenbruch C, Culley L, Subido C, et al. Dispatcher-assisted cardiopulmonary resuscitation: risks for patients not in cardiac arrest. Circulation. 5 gennaio 2010;121(1):91-7.
21. Haley KB, Lerner EB, Pirrallo RG, Croft H, Johnson A, Uihlein M. The frequency and consequences of cardiopulmonary resuscitation performed by bystanders on patients who are not in cardiac arrest. Prehospital Emerg Care Off J Natl Assoc EMS Physicians Natl Assoc State EMS Dir. giugno 2011;15(2):282-7.
22. Moriwaki Y, Sugiyama M, Tahara Y, Iwashita M, Kosuge T, Harunari N, et al. Complications of bystander cardiopulmonary resuscitation for unconscious patients without cardiopulmonary arrest. J Emerg Trauma Shock. gennaio 2012;5(1):3-6.
23. Miller AC, Rosati SF, Suffredini AF, Schrump DS. A systematic review and pooled analysis of CPR-associated cardiovascular and thoracic injuries. Resuscitation. giugno 2014;85(6):724-31.
24. Hellevuo H, Sainio M, Nevalainen R, Huhtala H, Olkkola KT, Tenhunen J, et al. Deeper chest compression - more complications for cardiac arrest patients? Resuscitation. giugno 2013;84(6):760-5.
25. Sullivan F, Avstreih D. Pneumothorax during CPR training: case report and review of the CPR literature. Prehospital Disaster Med. marzo 2000;15(1):64-9.
26. Cheung W, Gullick J, Thanakrishnan G, Jacobs R, Au W, Uy J, et al. Injuries occurring in hospital staff attending medical emergency team (MET) calls--a prospective, observational study. Resuscitation. dicembre 2009;80(12):1351-6.
27. Peberdy MA, Ottingham LV, Groh WJ, Hedges J, Terndrup TE, Pirrallo RG, et al. Adverse events associated with lay emergency response programs: the public access defibrillation trial experience. Resuscitation. luglio 2006;70(1):59-65.
28. McDonald CH, Heggie J, Jones CM, Thorne CJ, Hulme J. Rescuer fatigue under the 2010 ERC guidelines, and its effect on cardiopulmonary resuscitation (CPR) performance. Emerg Med J EMJ. agosto 2013;30(8):623-7.
29. Sugerman NT, Edelson DP, Leary M, Weidman EK, Herzberg DL, Vanden Hoek TL, et al. Rescuer fatigue during actual in-hospital cardiopulmonary resuscitation with audiovisual feedback: a prospective multicenter study. Resuscitation. settembre 2009;80(9):981-4.
30. Yeung J, Okamoto D, Soar J, Perkins GD. AED training and its impact on skill acquisition, retention and performance--a systematic review of alternative training methods. Resuscitation. giugno 2011;82(6):657-64.
31. Hoke RS, Heinroth K, Trappe H-J, Werdan K. Is external defibrillation an electric threat for bystanders? Resuscitation. aprile 2009;80(4):395-401.
32. Sullivan JL, Chapman FW. Will medical examination gloves protect rescuers from defibrillation voltages during hands-on defibrillation? Resuscitation. dicembre 2012;83(12):1467-72.
33. Petley GW, Cotton AM, Deakin CD. Hands-on defibrillation: theoretical and practical aspects of patient and rescuer safety. Resuscitation. maggio 2012;83(5):551-6.
34. Deakin CD, Lee-Shrewsbury V, Hogg K, Petley GW. Do clinical examination gloves provide adequate electrical insulation for safe hands-on defibrillation? I: Resistive properties of nitrile gloves. Resuscitation. luglio 2013;84(7):895-9.
35. Petley GW, Deakin CD. Do clinical examination gloves provide adequate electrical insulation for safe hands-on defibrillation? II: Material integrity following exposure to defibrillation waveforms. Resuscitation. luglio 2013;84(7):900-3.
36. Axelsson A, Herlitz J, Ekström L, Holmberg S. Bystander-initiated cardiopulmonary resuscitation out-of-hospital. A first description of the bystanders and their experiences. Resuscitation. novembre 1996;33(1):3-11.
37. Axelsson A, Herlitz J, Karlsson T, Lindqvist J, Reid Graves J, Ekström L, et al. Factors surrounding cardiopulmonary resuscitation influencing bystanders' psychological reactions. Resuscitation. aprile 1998;37(1):13-20.
38. Jabre P, Belpomme V, Azoulay E, Jacob L, Bertrand L, Lapostolle F, et al. Family presence during cardiopulmonary resuscitation. N Engl J Med. 14 marzo 2013;368(11):1008-18.
Anaesthesiology
MED/41 - ANAESTHESIOLOGY - University credits: 1
Lessons: 10 hours
Professor: Valenza Franco
Applied medical techniques
MED/50 - APPLIED MEDICAL TECHNOLOGY AND METHODOLOGY - University credits: 2
Lessons: 20 hours
Diagnostic imaging
MED/36 - IMAGING AND RADIOTHERAPY - University credits: 1
Lessons: 10 hours
General sociology
SPS/07 - GENERAL SOCIOLOGY - University credits: 1
Lessons: 10 hours
Nursing sciences: general, clinical and paediatric
MED/45 - NURSING - University credits: 1
Lessons: 10 hours
Occupational medicine
MED/44 - OCCUPATIONAL MEDICINE - University credits: 1
Lessons: 10 hours
Professor(s)
Reception:
appointment to be agreed by email
Clinica del Lavoro, second floor
Reception:
Upon email contact
IRCCS Istituto Ortopedico Galeazzi, Radiology Unit, floor -2