Medical and Surgical Emergency
A.Y. 2023/2024
Learning objectives
The main learning objective of the course is to understand the diagnostic and therapeutic approach to the most common medical and surgical emergencies. To achieve this goal, the students will attend the activities of the Emergency Department (both medical and surgical sections) and will attend the presentation and interactive discussion of clinical cases (real or simulated).
Regarding Pain Therapy, the main learning objective of the course is to understand the clinical approach to a patient with pain and to learn the basis of pharmacological and interventional analgesic treatments. This will be achieved through dedicated seminars. In addition, the students will attend the activities of a hospital Pain Clinic.
Regarding Pain Therapy, the main learning objective of the course is to understand the clinical approach to a patient with pain and to learn the basis of pharmacological and interventional analgesic treatments. This will be achieved through dedicated seminars. In addition, the students will attend the activities of a hospital Pain Clinic.
Expected learning outcomes
At the end of the course the student should learn the differential diagnosis and the diagnostic pathway of patients with: hemodynamic instability, arrythmias, acute respiratory failure, sespsis, trauma and abdominal emergencies.
Pain Therapy: differential diagnosis and diagnostic pathway of acute and chronic pain sysndromes. Principles of treatment of acute postoperative pain.
Pain Therapy: differential diagnosis and diagnostic pathway of acute and chronic pain sysndromes. Principles of treatment of acute postoperative pain.
Lesson period: First semester
Assessment methods: Esame
Assessment result: voto verbalizzato in trentesimi
Single course
This course cannot be attended as a single course. Please check our list of single courses to find the ones available for enrolment.
Course syllabus and organization
Linea: Policlinico
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.
Anaesthesiology
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.
- 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.
- Urgenze ed emergenze ‐ Maurizio Chiaranda - Piccin, Nuova Libraria (quarta edizione).
Teaching material (slide, relevant articles) available on Ariel platform.
Internal medicine
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.
- 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.
- Urgenze ed emergenze ‐ Maurizio Chiaranda - Piccin, Nuova Libraria (quarta edizione).
Teaching material (slide, relevant articles) available on Ariel platform.
General surgery
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.
- 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.
- Urgenze ed emergenze ‐ Maurizio Chiaranda - Piccin, Nuova Libraria (quarta edizione).
Teaching material (slide, relevant articles) available on Ariel platform.
Anaesthesiology
MED/41 - ANAESTHESIOLOGY - University credits: 2
Lessons: 24 hours
Shifts:
Turno
Professors:
Grasselli Giacomo, Mauri Tommaso, Ristagno Giuseppe, Stocchetti Nino, Zanella Alberto
General surgery
MED/18 - GENERAL SURGERY - University credits: 1
Lessons: 12 hours
Shifts:
Internal medicine
MED/09 - INTERNAL MEDICINE - University credits: 1
Lessons: 12 hours
Professor:
Costantino Giorgio Massimiliano
Shifts:
Turno
Professor:
Costantino Giorgio MassimilianoLinea: San Donato
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.
Anaesthesiology
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.
- 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.
- Urgenze ed emergenze ‐ Maurizio Chiaranda - Piccin, Nuova Libraria (quarta edizione).
Teaching material (slide, relevant articles) available on Ariel platform.
Internal medicine
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.
- 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.
- Urgenze ed emergenze ‐ Maurizio Chiaranda - Piccin, Nuova Libraria (quarta edizione).
Teaching material (slide, relevant articles) available on Ariel platform.
General surgery
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.
- 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.
- Urgenze ed emergenze ‐ Maurizio Chiaranda - Piccin, Nuova Libraria (quarta edizione).
Teaching material (slide, relevant articles) available on Ariel platform.
Anaesthesiology
MED/41 - ANAESTHESIOLOGY - University credits: 2
Lessons: 24 hours
Shifts:
General surgery
MED/18 - GENERAL SURGERY - University credits: 1
Lessons: 12 hours
Professors:
Nano Giovanni, Vaienti Luca
Shifts:
Internal medicine
MED/09 - INTERNAL MEDICINE - University credits: 1
Lessons: 12 hours
Professor:
Zanichelli Andrea
Shifts:
Turno
Professor:
Zanichelli AndreaLinea: 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.
Anaesthesiology
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.
- 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.
- 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.
Internal medicine
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.
- 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.
- 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.
General surgery
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.
- 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.
- 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.
Anaesthesiology
MED/41 - ANAESTHESIOLOGY - University credits: 2
Lessons: 24 hours
General surgery
MED/18 - GENERAL SURGERY - University credits: 1
Lessons: 12 hours
Professors:
Bona Davide, Trimarchi Santi
Internal medicine
MED/09 - INTERNAL MEDICINE - University credits: 1
Lessons: 12 hours
Professor:
Costantino Giorgio Massimiliano
Educational website(s)
Professor(s)
Reception:
To be arranged by e-mail
Istituto di Anestesiologia - Padiglione Litta, via Commenda 16, Milano - Ospedale Policlinico
Reception:
available on request by appointment (call: +39.339.8245014 or write an email: [email protected])
Legnano General Hospital - Intensive Care Unit - Floor 2, Area C
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