Medical and Surgical Emergency - Clinical Skills
A.Y. 2025/2026
Learning objectives
During the activities the student will:
‒ Learn how to identify a patient who needs pain therapy
‒ Know the main therapies to treat acute and chronic pain
‒ Learn how to identify a patient who needs pain therapy
‒ Know the main therapies to treat acute and chronic pain
Expected learning outcomes
At the end of the activities, the student will:
‒ Know how to approach a patient with acute or chronic pain
‒ Learn how to set a therapeutic plan
‒ Learn the most common interventional procedures for pain therapy
‒ Know how to approach a patient with acute or chronic pain
‒ Learn how to set a therapeutic plan
‒ Learn the most common interventional procedures for pain therapy
Lesson period: First semester
Assessment methods: Giudizio di approvazione
Assessment result: superato/non superato
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
In order to tackle the course content, students must be familiar with the physiology of the main organs and systems and the pathophysiology and semeiotics of the main acute diseases.
Assessment methods and Criteria
The learning of each UDE (Elementary Teaching Unit) will be verified by the tutors through the signing of the "Clinical skills" booklet.
The acquisition of the UDE is a mandatory prerequisite for taking the exam and does not give rise to a grade out of 30, but has a qualifying function.
The acquisition of the UDE is a mandatory prerequisite for taking the exam and does not give rise to a grade out of 30, but has a qualifying function.
General surgery
Course syllabus
Professional activities include the following UDE (Elementary Teaching Unit):
Understanding the diagnostic and therapeutic approach to the main causes of abdominal pain
Initial assessment of polytrauma patients
Initial treatment of skin lesions
Understanding the diagnostic and therapeutic approach to the main causes of abdominal pain
Initial assessment of polytrauma patients
Initial treatment of skin lesions
Teaching methods
Attendance at the medical and surgical emergency room and the external resuscitation service to learn the diagnostic and therapeutic approach to critical patients.
Seminars and attendance at the Acute Pain Service and Chronic Pain Clinics to learn the diagnostic and therapeutic approach to patients with acute and chronic pain.
Seminars and attendance at the Acute Pain Service and Chronic Pain Clinics to learn the diagnostic and therapeutic approach to patients with acute and chronic pain.
Teaching Resources
Recommended reading:
Urgenze ed emergenze ‐ Maurizio Chiaranda - Piccin, Nuova Libraria 2022 (fifth edition)
- Trauma Centers and Acute Care Surgery - Springer 2021 (eBook https://doi.org/10.1007/978-3-030-73155-7)
Teaching materials (slides, relevant articles) available on the Ariel platform.
Urgenze ed emergenze ‐ Maurizio Chiaranda - Piccin, Nuova Libraria 2022 (fifth edition)
- Trauma Centers and Acute Care Surgery - Springer 2021 (eBook https://doi.org/10.1007/978-3-030-73155-7)
Teaching materials (slides, relevant articles) available on the Ariel platform.
Internal medicine
Course syllabus
Professional activities include the following UDE (Elementary Teaching Unit):
Assessment of chest pain
Diagnostic classification and principles of treatment of the main arrhythmias
Diagnostic and management approach for patients with hypertension and hypotension
Assessment of chest pain
Diagnostic classification and principles of treatment of the main arrhythmias
Diagnostic and management approach for patients with hypertension and hypotension
Teaching methods
Attendance at the medical and surgical emergency room and the external resuscitation service to learn the diagnostic and therapeutic approach to critical patients.
Seminars and attendance at the Acute Pain Service and Chronic Pain Clinics to learn the diagnostic and therapeutic approach to patients with acute and chronic pain.
Seminars and attendance at the Acute Pain Service and Chronic Pain Clinics to learn the diagnostic and therapeutic approach to patients with acute and chronic pain.
Teaching Resources
Recommended reading:
Urgenze ed emergenze ‐ Maurizio Chiaranda - Piccin, Nuova Libraria 2022 (fifth edition)
- Trauma Centers and Acute Care Surgery - Springer 2021 (eBook https://doi.org/10.1007/978-3-030-73155-7)
Teaching materials (slides, relevant articles) available on the Ariel platform.
Urgenze ed emergenze ‐ Maurizio Chiaranda - Piccin, Nuova Libraria 2022 (fifth edition)
- Trauma Centers and Acute Care Surgery - Springer 2021 (eBook https://doi.org/10.1007/978-3-030-73155-7)
Teaching materials (slides, relevant articles) available on the Ariel platform.
Anaesthesiology
Course syllabus
Professional activities include the following UDE (Elementary Teaching Unit):
Initial assessment and support of patients with acute respiratory failure
Diagnostic approach and initial treatment of patients with sepsis/septic shock
Initial resuscitation of patients with cardiac arrest
Assessment of patients with altered consciousness
Initial assessment and support of patients with acute respiratory failure
Diagnostic approach and initial treatment of patients with sepsis/septic shock
Initial resuscitation of patients with cardiac arrest
Assessment of patients with altered consciousness
Teaching methods
Attendance at the medical and surgical emergency room and the external resuscitation service to learn the diagnostic and therapeutic approach to critical patients.
Seminars and attendance at the Acute Pain Service and Chronic Pain Clinics to learn the diagnostic and therapeutic approach to patients with acute and chronic pain.
Seminars and attendance at the Acute Pain Service and Chronic Pain Clinics to learn the diagnostic and therapeutic approach to patients with acute and chronic pain.
Teaching Resources
Recommended reading:
Urgenze ed emergenze ‐ Maurizio Chiaranda - Piccin, Nuova Libraria 2022 (fifth edition)
- Trauma Centers and Acute Care Surgery - Springer 2021 (eBook https://doi.org/10.1007/978-3-030-73155-7)
Teaching materials (slides, relevant articles) available on the Ariel platform.
Urgenze ed emergenze ‐ Maurizio Chiaranda - Piccin, Nuova Libraria 2022 (fifth edition)
- Trauma Centers and Acute Care Surgery - Springer 2021 (eBook https://doi.org/10.1007/978-3-030-73155-7)
Teaching materials (slides, relevant articles) available on the Ariel platform.
Anaesthesiology "Pain therapy"
Course syllabus
Professional activities include the following UDE (Elementary Teaching Unit):
Assessment and principles of acute pain treatment
Assessment of patients with chronic pain
Understanding the main pain relief procedures
Assessment and principles of acute pain treatment
Assessment of patients with chronic pain
Understanding the main pain relief procedures
Teaching methods
Attendance at the medical and surgical emergency room and the external resuscitation service to learn the diagnostic and therapeutic approach to critical patients.
Seminars and attendance at the Acute Pain Service and Chronic Pain Clinics to learn the diagnostic and therapeutic approach to patients with acute and chronic pain.
Seminars and attendance at the Acute Pain Service and Chronic Pain Clinics to learn the diagnostic and therapeutic approach to patients with acute and chronic pain.
Teaching Resources
Recommended reading:
Urgenze ed emergenze ‐ Maurizio Chiaranda - Piccin, Nuova Libraria 2022 (fifth edition)
- Trauma Centers and Acute Care Surgery - Springer 2021 (eBook https://doi.org/10.1007/978-3-030-73155-7)
Teaching materials (slides, relevant articles) available on the Ariel platform.
Urgenze ed emergenze ‐ Maurizio Chiaranda - Piccin, Nuova Libraria 2022 (fifth edition)
- Trauma Centers and Acute Care Surgery - Springer 2021 (eBook https://doi.org/10.1007/978-3-030-73155-7)
Teaching materials (slides, relevant articles) available on the Ariel platform.
Modules or teaching units
Anaesthesiology
MED/41 - ANAESTHESIOLOGY - University credits: 1
Professional training: 25 hours
Shifts:
Gruppo 6
Professor:
Zanella Alberto
Anaesthesiology "Pain therapy"
MED/41 - ANAESTHESIOLOGY - University credits: 1
Professional training: 25 hours
General surgery
MED/18 - GENERAL SURGERY - University credits: 1
Professional training: 25 hours
Professor:
Costantino Giorgio Massimiliano
Internal medicine
MED/09 - INTERNAL MEDICINE - University credits: 1
Professional training: 25 hours
Professor:
Cimbanassi Stefania
Linea: San Donato
Prerequisites for admission
In order to tackle the course content, students must be familiar with the physiology of the main organs and systems and the pathophysiology and semeiotics of the main acute diseases.
Assessment methods and Criteria
The learning of each UDE (Elementary Teaching Unit) will be verified by the tutors through the signing of the "Clinical skills" booklet.
The acquisition of the UDE is a mandatory prerequisite for taking the exam and does not give rise to a grade out of 30, but has a qualifying function.
The acquisition of the UDE is a mandatory prerequisite for taking the exam and does not give rise to a grade out of 30, but has a qualifying function.
General surgery
Course syllabus
Professional activities include the following UDE (Elementary Teaching Unit):
Understanding the diagnostic and therapeutic approach to the main causes of abdominal pain
Initial assessment of polytrauma patients
Initial treatment of skin lesions
Understanding the diagnostic and therapeutic approach to the main causes of abdominal pain
Initial assessment of polytrauma patients
Initial treatment of skin lesions
Teaching methods
Attendance at the medical and surgical emergency room and the external resuscitation service to learn the diagnostic and therapeutic approach to critical patients.
Seminars and attendance at the Acute Pain Service and Chronic Pain Clinics to learn the diagnostic and therapeutic approach to patients with acute and chronic pain.
Seminars and attendance at the Acute Pain Service and Chronic Pain Clinics to learn the diagnostic and therapeutic approach to patients with acute and chronic pain.
Teaching Resources
Recommended reading:
Urgenze ed emergenze ‐ Maurizio Chiaranda - Piccin, Nuova Libraria 2022 (fifth edition)
- Trauma Centers and Acute Care Surgery - Springer 2021 (eBook https://doi.org/10.1007/978-3-030-73155-7)
Teaching materials (slides, relevant articles) available on the Ariel platform.
Urgenze ed emergenze ‐ Maurizio Chiaranda - Piccin, Nuova Libraria 2022 (fifth edition)
- Trauma Centers and Acute Care Surgery - Springer 2021 (eBook https://doi.org/10.1007/978-3-030-73155-7)
Teaching materials (slides, relevant articles) available on the Ariel platform.
Internal medicine
Course syllabus
Professional activities include the following UDE (Elementary Teaching Unit):
Assessment of chest pain
Diagnostic classification and principles of treatment of the main arrhythmias
Diagnostic and management approach for patients with hypertension and hypotension
Assessment of chest pain
Diagnostic classification and principles of treatment of the main arrhythmias
Diagnostic and management approach for patients with hypertension and hypotension
Teaching methods
Attendance at the medical and surgical emergency room and the external resuscitation service to learn the diagnostic and therapeutic approach to critical patients.
Seminars and attendance at the Acute Pain Service and Chronic Pain Clinics to learn the diagnostic and therapeutic approach to patients with acute and chronic pain.
Seminars and attendance at the Acute Pain Service and Chronic Pain Clinics to learn the diagnostic and therapeutic approach to patients with acute and chronic pain.
Teaching Resources
Recommended reading:
Urgenze ed emergenze ‐ Maurizio Chiaranda - Piccin, Nuova Libraria 2022 (fifth edition)
- Trauma Centers and Acute Care Surgery - Springer 2021 (eBook https://doi.org/10.1007/978-3-030-73155-7)
Teaching materials (slides, relevant articles) available on the Ariel platform.
Urgenze ed emergenze ‐ Maurizio Chiaranda - Piccin, Nuova Libraria 2022 (fifth edition)
- Trauma Centers and Acute Care Surgery - Springer 2021 (eBook https://doi.org/10.1007/978-3-030-73155-7)
Teaching materials (slides, relevant articles) available on the Ariel platform.
Anaesthesiology
Course syllabus
Professional activities include the following UDE (Elementary Teaching Unit):
Initial assessment and support of patients with acute respiratory failure
Diagnostic approach and initial treatment of patients with sepsis/septic shock
Initial resuscitation of patients with cardiac arrest
Assessment of patients with altered consciousness
Initial assessment and support of patients with acute respiratory failure
Diagnostic approach and initial treatment of patients with sepsis/septic shock
Initial resuscitation of patients with cardiac arrest
Assessment of patients with altered consciousness
Teaching methods
Attendance at the medical and surgical emergency room and the external resuscitation service to learn the diagnostic and therapeutic approach to critical patients.
Seminars and attendance at the Acute Pain Service and Chronic Pain Clinics to learn the diagnostic and therapeutic approach to patients with acute and chronic pain.
Seminars and attendance at the Acute Pain Service and Chronic Pain Clinics to learn the diagnostic and therapeutic approach to patients with acute and chronic pain.
Teaching Resources
Recommended reading:
Urgenze ed emergenze ‐ Maurizio Chiaranda - Piccin, Nuova Libraria 2022 (fifth edition)
- Trauma Centers and Acute Care Surgery - Springer 2021 (eBook https://doi.org/10.1007/978-3-030-73155-7)
Teaching materials (slides, relevant articles) available on the Ariel platform.
Urgenze ed emergenze ‐ Maurizio Chiaranda - Piccin, Nuova Libraria 2022 (fifth edition)
- Trauma Centers and Acute Care Surgery - Springer 2021 (eBook https://doi.org/10.1007/978-3-030-73155-7)
Teaching materials (slides, relevant articles) available on the Ariel platform.
Anaesthesiology "Pain therapy"
Course syllabus
Professional activities include the following UDE (Elementary Teaching Unit):
Assessment and principles of acute pain treatment
Assessment of patients with chronic pain
Understanding the main pain relief procedures
Assessment and principles of acute pain treatment
Assessment of patients with chronic pain
Understanding the main pain relief procedures
Teaching methods
Attendance at the medical and surgical emergency room and the external resuscitation service to learn the diagnostic and therapeutic approach to critical patients.
Seminars and attendance at the Acute Pain Service and Chronic Pain Clinics to learn the diagnostic and therapeutic approach to patients with acute and chronic pain.
Seminars and attendance at the Acute Pain Service and Chronic Pain Clinics to learn the diagnostic and therapeutic approach to patients with acute and chronic pain.
Teaching Resources
Recommended reading:
Urgenze ed emergenze ‐ Maurizio Chiaranda - Piccin, Nuova Libraria 2022 (fifth edition)
- Trauma Centers and Acute Care Surgery - Springer 2021 (eBook https://doi.org/10.1007/978-3-030-73155-7)
Teaching materials (slides, relevant articles) available on the Ariel platform.
Urgenze ed emergenze ‐ Maurizio Chiaranda - Piccin, Nuova Libraria 2022 (fifth edition)
- Trauma Centers and Acute Care Surgery - Springer 2021 (eBook https://doi.org/10.1007/978-3-030-73155-7)
Teaching materials (slides, relevant articles) available on the Ariel platform.
Modules or teaching units
Anaesthesiology
MED/41 - ANAESTHESIOLOGY - University credits: 1
Professional training: 25 hours
Professor:
Mistraletti Giovanni
Anaesthesiology "Pain therapy"
MED/41 - ANAESTHESIOLOGY - University credits: 1
Professional training: 25 hours
General surgery
MED/18 - GENERAL SURGERY - University credits: 1
Professional training: 25 hours
Professor:
Cimbanassi Stefania
Internal medicine
MED/09 - INTERNAL MEDICINE - University credits: 1
Professional training: 25 hours
Professor:
Zanichelli Andrea
Linea: San Giuseppe
Prerequisites for admission
In order to tackle the course content, students must be familiar with the physiology of the main organs and systems and the pathophysiology and semeiotics of the main acute diseases.
Assessment methods and Criteria
The learning of each UDE (Elementary Teaching Unit) will be verified by the tutors through the signing of the "Clinical skills" booklet.
The acquisition of the UDE is a mandatory prerequisite for taking the exam and does not give rise to a grade out of 30, but has a qualifying function.
The acquisition of the UDE is a mandatory prerequisite for taking the exam and does not give rise to a grade out of 30, but has a qualifying function.
General surgery
Course syllabus
Professional activities include the following UDE (Elementary Teaching Unit):
Understanding the diagnostic and therapeutic approach to the main causes of abdominal pain
Initial assessment of polytrauma patients
Initial treatment of skin lesions
Understanding the diagnostic and therapeutic approach to the main causes of abdominal pain
Initial assessment of polytrauma patients
Initial treatment of skin lesions
Teaching methods
Attendance at the medical and surgical emergency room and the external resuscitation service to learn the diagnostic and therapeutic approach to critical patients.
Seminars and attendance at the Acute Pain Service and Chronic Pain Clinics to learn the diagnostic and therapeutic approach to patients with acute and chronic pain.
Seminars and attendance at the Acute Pain Service and Chronic Pain Clinics to learn the diagnostic and therapeutic approach to patients with acute and chronic pain.
Teaching Resources
Recommended reading:
Urgenze ed emergenze ‐ Maurizio Chiaranda - Piccin, Nuova Libraria 2022 (fifth edition)
- Trauma Centers and Acute Care Surgery - Springer 2021 (eBook https://doi.org/10.1007/978-3-030-73155-7)
Teaching materials (slides, relevant articles) available on the Ariel platform.
Urgenze ed emergenze ‐ Maurizio Chiaranda - Piccin, Nuova Libraria 2022 (fifth edition)
- Trauma Centers and Acute Care Surgery - Springer 2021 (eBook https://doi.org/10.1007/978-3-030-73155-7)
Teaching materials (slides, relevant articles) available on the Ariel platform.
Internal medicine
Course syllabus
Professional activities include the following UDE (Elementary Teaching Unit):
Assessment of chest pain
Diagnostic classification and principles of treatment of the main arrhythmias
Diagnostic and management approach for patients with hypertension and hypotension
Assessment of chest pain
Diagnostic classification and principles of treatment of the main arrhythmias
Diagnostic and management approach for patients with hypertension and hypotension
Teaching methods
Attendance at the medical and surgical emergency room and the external resuscitation service to learn the diagnostic and therapeutic approach to critical patients.
Seminars and attendance at the Acute Pain Service and Chronic Pain Clinics to learn the diagnostic and therapeutic approach to patients with acute and chronic pain.
Seminars and attendance at the Acute Pain Service and Chronic Pain Clinics to learn the diagnostic and therapeutic approach to patients with acute and chronic pain.
Teaching Resources
Recommended reading:
Urgenze ed emergenze ‐ Maurizio Chiaranda - Piccin, Nuova Libraria 2022 (fifth edition)
- Trauma Centers and Acute Care Surgery - Springer 2021 (eBook https://doi.org/10.1007/978-3-030-73155-7)
Teaching materials (slides, relevant articles) available on the Ariel platform.
Urgenze ed emergenze ‐ Maurizio Chiaranda - Piccin, Nuova Libraria 2022 (fifth edition)
- Trauma Centers and Acute Care Surgery - Springer 2021 (eBook https://doi.org/10.1007/978-3-030-73155-7)
Teaching materials (slides, relevant articles) available on the Ariel platform.
Anaesthesiology
Course syllabus
Le attività professionalizzanti comprendono le Unità Didattiche Elementari (UDE) riportate di seguito:
Valutazione e supporto iniziale del paziente con insufficienza respiratoria acuta
Approccio diagnostico e trattamento inziale del paziente con sepsi/shock settico
Rianimazione iniziale del paziente con arresto cardiaco
Inquadramento del paziente con alterazione della coscienza
Valutazione e supporto iniziale del paziente con insufficienza respiratoria acuta
Approccio diagnostico e trattamento inziale del paziente con sepsi/shock settico
Rianimazione iniziale del paziente con arresto cardiaco
Inquadramento del paziente con alterazione della coscienza
Teaching methods
Attendance at the medical and surgical emergency room and the external resuscitation service to learn the diagnostic and therapeutic approach to critical patients.
Seminars and attendance at the Acute Pain Service and Chronic Pain Clinics to learn the diagnostic and therapeutic approach to patients with acute and chronic pain.
Seminars and attendance at the Acute Pain Service and Chronic Pain Clinics to learn the diagnostic and therapeutic approach to patients with acute and chronic pain.
Teaching Resources
Recommended reading:
Urgenze ed emergenze ‐ Maurizio Chiaranda - Piccin, Nuova Libraria 2022 (fifth edition)
- Trauma Centers and Acute Care Surgery - Springer 2021 (eBook https://doi.org/10.1007/978-3-030-73155-7)
Teaching materials (slides, relevant articles) available on the Ariel platform.
Urgenze ed emergenze ‐ Maurizio Chiaranda - Piccin, Nuova Libraria 2022 (fifth edition)
- Trauma Centers and Acute Care Surgery - Springer 2021 (eBook https://doi.org/10.1007/978-3-030-73155-7)
Teaching materials (slides, relevant articles) available on the Ariel platform.
Anaesthesiology "Pain therapy"
Course syllabus
Professional activities include the following UDE (Elementary Teaching Unit):
Assessment and principles of acute pain treatment
Assessment of patients with chronic pain
Understanding the main pain relief procedures
Assessment and principles of acute pain treatment
Assessment of patients with chronic pain
Understanding the main pain relief procedures
Teaching methods
Attendance at the medical and surgical emergency room and the external resuscitation service to learn the diagnostic and therapeutic approach to critical patients.
Seminars and attendance at the Acute Pain Service and Chronic Pain Clinics to learn the diagnostic and therapeutic approach to patients with acute and chronic pain.
Seminars and attendance at the Acute Pain Service and Chronic Pain Clinics to learn the diagnostic and therapeutic approach to patients with acute and chronic pain.
Teaching Resources
Recommended reading:
Urgenze ed emergenze ‐ Maurizio Chiaranda - Piccin, Nuova Libraria 2022 (fifth edition)
- Trauma Centers and Acute Care Surgery - Springer 2021 (eBook https://doi.org/10.1007/978-3-030-73155-7)
Teaching materials (slides, relevant articles) available on the Ariel platform.
Urgenze ed emergenze ‐ Maurizio Chiaranda - Piccin, Nuova Libraria 2022 (fifth edition)
- Trauma Centers and Acute Care Surgery - Springer 2021 (eBook https://doi.org/10.1007/978-3-030-73155-7)
Teaching materials (slides, relevant articles) available on the Ariel platform.
Modules or teaching units
Anaesthesiology
MED/41 - ANAESTHESIOLOGY - University credits: 1
Professional training: 25 hours
Anaesthesiology "Pain therapy"
MED/41 - ANAESTHESIOLOGY - University credits: 1
Professional training: 25 hours
General surgery
MED/18 - GENERAL SURGERY - University credits: 1
Professional training: 25 hours
Internal medicine
MED/09 - INTERNAL MEDICINE - University credits: 1
Professional training: 25 hours
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