Veidlapa Nr. M-3 (8)
Study Course Description
Intensive Therapy in Children
Course Code
RPE_028
Branch of Science
Clinical medicine
ECTS
6.00
Target Audience
Medicine
LQF
Level 8
Study Course Implementer
Course Supervisor
Dace Gardovska
Residency Speciality
Speciality
Paediatrician
Supervisor of Medical Speciality
Dace Gardovska
Contacts
-
About Study Course
Objective
To ensure acquisition and improvement of theoretical knowledge and practical skills in accordance with the general concept on paediatric intensive care pursuant to the Regulations of Pediatric Speciality, allowing the practitioner to acquire competence when coming across an emergency situation in clinical practice, in order to be able to provide emergency aid in acute situations.
Learning Outcomes
Knowledge
1.During acquisition of the study course a resident acquires basic knowledge on paediatric intensive care, diagnostic testing algorithms and treatment.
Skills
1.Following acquisition of the study course the resident will be able to carry out examination and evaluation of the objective condition based upon the age of the child, to gather anamnesis of his/her illnesses, to draw up an examination plan, to order additional examination methods and evaluate the obtained results, to carry out cardiopulmonary resuscitation and peripheral venous catheter placement.
Competences
1.Upon successful completion of the study course the resident acquires mandatory competence of a certified paediatrician. The necessary level of competence varies for various cases of paediatric intensive care and is provided in the table below. The competence levels are the following: 1st level: acquired knowledge complies with general concept of the subject matter, allowing the practitioner to understand the situation by reading literature or when coming across in practice, by engaging in purposeful search for necessary additional information and referring the patient to a specialist, when necessary. 2nd level: acquired knowledge on the particular matter is sufficient for understanding its nature, to diagnose the problem and provide emergency aid, when necessary, refer to a specialist, as well as to carry out diagnostics, treatment and prevention under the supervision of a specialist. 3rd level: the knowledge allows the practitioner to solve the particular problem independently. Pathophysiology of body fluids and fluid therapy 3 1. Water 2. Sodium 3. Potassium 4. Chlorides 5. Calcium 6. Hydrogen ions (acid-base balance) 7. Fluid therapy 8. Principles of therapy 9. Fluid and electrolytes, therapy of specific illnesses 9.1. Acute diarrhoea 3 9.2. Pyloric stenosis 2 9.3. Starvation 2 9.4. Changes in electrolytes due to CNS disorders 2 9.5. Perioperative fluids 2 9.6. Changes of isolated blood pH and concentration of electrolytes 2 9.7. Seizure syndrome 3 Acutely ill child 1. Ambulatory assessment of an ill child and assessment in hospital 3 2. Provision of paediatric emergency care 3 3. Emergency conditions in paediatrics 3 3.1. Coma in children 3 3.2. Resuscitation 3 3.3. Shock 3 3.4. Drowning 3 3.5. Frostbite/burns 2 3.6. ARDS 2 4. Anaesthesia and perioperative care 2 5. Pain management 2 6. Principles of medication therapy for children 3 7. Seizures in children 7.1. Generalised seizures 2 7.2. Febrile seizure 3 7.3. Treatment of epilepsy 2 7.4. Neonatal seizure 2 7.5 Status epilepticus 3 8. Head injuries 2
Assessment
Individual work
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Individual work |
-
|
-
|
|
During the study course a resident has to acquire theoretical knowledge on paediatric intensive care and its algorithms; practical skills in paediatric intensive therapy, practical use of algorithms; a concept of possibilities and necessity of social care, paying attention to tasks of a paediatrician-practitioner in care for such children.
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Examination
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Examination |
-
|
-
|
|
1) At the end of the cycle the lecturer gives an assessment of the practical skills in the 10-point grading scale by entering the grade in the student’s gradebook.
2) Theoretical knowledge is assessed in written form; the 10-point grading system is used for knowledge assessment.
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Study Course Theme Plan
FULL-TIME
Part 1
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Intoxication in children.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Parenteral nutrition.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Basic principles in choosing fluids, their differences in the setting of intensive rehydration in different diseases.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
-
|
-
|
Topics
|
Cardiopulmonary resuscitation - purposeful training of mini cycles.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
-
|
-
|
Topics
|
Cardiopulmonary resuscitation - purposeful training of mini cycles.
|
Total ECTS (Creditpoints):
6.00
Number of Residency Seminars:
5
Length (weeks):
4
Final Examination:
Residency exam (Theory and practice)
Bibliography
Required Reading
1.
https://my.rsu.lv/ > E-datubāzes > E-grāmatas, https://www.clinicalkey.com/
2.
Kliegman R. M., Behrman R.E., Jenson H. B. Stanton B. F. „Nelson Textbook of Pediatrics” 21st ed, 2020.
3.
Zimmerman, Jerry J.” Fuhrman and Zimmerman's Pediatric Critical Care". 6th ed, 2022
4.
Lantos, John D.Ethics Rounds: a Casebook in Pediatric Bioethics American Academy of Pediatrics (AAP); American Academy of Pediatrics 2019