Veidlapa Nr. M-3 (8)
Study Course Description
Extreme and Wilderness Medicine
Course Code
AURK_013
Branch of Science
Anaesthesiology and Resuscitation; Clinical medicine
ECTS
3.00
Target Audience
Medicine
LQF
Level 7
Study Type And Form
Full-Time
Study Course Implementer
Course Supervisor
Viesturs Liguts
Structure Unit Manager
Oļegs Sabeļņikovs
Structural Unit
Department of Anaesthesiology, Intensive Care and Clinical simulations
Contacts
Riga, Pilsoņu Street 13, VSIA P.Stradiņa KUS, Building 32, aurk@rsu.lv, +371 67069452
About Study Course
Objective
The goal of the course is to provide knowledge of the human exposure to the external environment extreme factors.
Objectives – to learn about a relatively rare, but often fatal pathological conditions as a result of exposure to the different environmental harmful agents.
Preliminary Knowledge
Knowledge of topographic anatomy, pathological physiology, biochemistry, clinical pharmacology, clinical laboratory tests, general course and treatment options of surgical (traumatic) and therapeutic patients, as well as first aid options for the patients at the scene of accident (pre-hospital level).
Learning Outcomes
Knowledge
1.If the study course is successfully finished, the students will have acquired knowledge of the impact of extreme environment factors, pathophysiological mechanisms, clinical manifestations and treatment options.
Skills
1.Students will be able to understand how to reduce the harmful environmental influences, to assess severity of clinical condition and provide treatment in pre-hospital setting and at the hospital.
Competences
1.Provide emergency care, primary and secondary survey of the patient in pre-hospital stage, situation analysis and adoption of the appropriate medical action plan to the individual patient affected by harmful environmental factors.
Assessment
Individual work
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Title
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% from total grade
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Grade
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|---|---|---|
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1.
Individual work |
-
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-
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Preparing presentations, using the recommended literature and Internet sources, following evaluation and analysis in practical lessons.
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Examination
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Title
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% from total grade
|
Grade
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|---|---|---|
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1.
Examination |
-
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-
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Test method: Test - multi-answer test (more than 50% of correct answers). Attendance and the degree of participation in classes are also assessed in the test.
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Study Course Theme Plan
FULL-TIME
Part 1
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Lecture
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Auditorium
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2
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Topics
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Principles of survival in an extreme environment: characteristic of the harmful and dangerous environmental factors are. Oxygen demand. Principles of survival in low and high ambient temperature. Normothermia - maintenance methods. Body temperature regulation of physiological principles. Environmental-induced hypothermia and its pathophysiology. Predisposing factors. Clinical symptoms and treatment principles.
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-
Lecture
|
Modality
|
Location
|
Contact hours
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|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Principles of survival in an extreme environment: characteristic of the harmful and dangerous environmental factors are. Oxygen demand. Principles of survival in low and high ambient temperature. Normothermia - maintenance methods. Body temperature regulation of physiological principles. Environmental-induced hypothermia and its pathophysiology. Predisposing factors. Clinical symptoms and treatment principles.
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-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Environment and core temperature. Physiological principles of thermoregulation. Hypothermia and its pathophysiology. Predisposing factors. The clinical symptoms and treatment principles. Immersion in cold water, pathophysiological changes, clinical course and the recommended treatment options. Frostbite. Environmental-induced hyperthermia, predisposing factors, pathophysiology and clinical forms. Clinical manifestations and treatment principles. Heat ilness.
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-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Environment and core temperature. Physiological principles of thermoregulation. Hypothermia and its pathophysiology. Predisposing factors. The clinical symptoms and treatment principles. Immersion in cold water, pathophysiological changes, clinical course and the recommended treatment options. Frostbite. Environmental-induced hyperthermia, predisposing factors, pathophysiology and clinical forms. Clinical manifestations and treatment principles. Heat ilness.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
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|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Low atmospheric pressure (high altitude) and the body's physiological response in accordance with the atmospheric pressure changes. Acclimatization principles. Chronic low pressure exposure. Low atmospheric pressure and acute clinical syndromes: acute hypoxia, acute mountain sickness, brain edema, focal neurological syndromes, blood clotting disorders. Principles of aero-medical transportation. Underwater pressure characteristic and physiological responses Definitions and terminology.
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-
Lecture
|
Modality
|
Location
|
Contact hours
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|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Low atmospheric pressure (high altitude) and the body's physiological response in accordance with the atmospheric pressure changes. Acclimatization principles. Chronic low pressure exposure. Low atmospheric pressure and acute clinical syndromes: acute hypoxia, acute mountain sickness, brain edema, focal neurological syndromes, blood clotting disorders. Principles of aero-medical transportation. Underwater pressure characteristic and physiological responses Definitions and terminology.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
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Environmental toxicology - Reptiles and arthropod bites, the degree of hazard, risk groups, syndromes and their treatment recommendations. Toxic plants – worst plants, local and systemic exposure, clinical manifestations and treatment recommendations. Smoke inhalation and fires. Smoke chemical composition. Smoke inhalation pathology, clinical manifestations and treatment. Fires –protection, typical clinical pathology and treatment recommendations.
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-
Lecture
|
Modality
|
Location
|
Contact hours
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|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Environmental toxicology - Reptiles and arthropod bites, the degree of hazard, risk groups, syndromes and their treatment recommendations. Toxic plants – worst plants, local and systemic exposure, clinical manifestations and treatment recommendations. Smoke inhalation and fires. Smoke chemical composition. Smoke inhalation pathology, clinical manifestations and treatment. Fires –protection, typical clinical pathology and treatment recommendations.
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Total ECTS (Creditpoints):
1.50
Contact hours:
16 Academic Hours
Final Examination:
Test (Semester)
Part 2
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Class/Seminar
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Specialized room
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4
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Topics
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Necessary equipment and medication in extreme situations
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-
Class/Seminar
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Specialized room
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4
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Topics
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Thermoregulation control, methods, equipment
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-
Class/Seminar
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Modality
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Location
|
Contact hours
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|---|---|---|
|
On site
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Specialized room
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4
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Topics
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Environmental injuries
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-
Class/Seminar
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Specialized room
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4
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Topics
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Environmental toxicological injuries
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Total ECTS (Creditpoints):
1.50
Contact hours:
16 Academic Hours
Final Examination:
Exam (Written)
Bibliography
Required Reading
1.
Paul S. Auerbach. Auerbach's Wilderness Medicine. 7th edition, Elsevier Inc., 2017
Additional Reading
1.
Paul S. Auerbach. Field Guide To Wilderness Medicine. 5th Edition, Elsevier Inc., 2019
2.
Klīniskā anestezioloģija un intensīvā terapija. Induļa Vanaga un Antoņinas Sondores redakcijā. Nacionālais Apgāds, 2017.
3.
Ārvalstu studentiem/For International students:
4.
Paul S. Auerbach. Field Guide To Wilderness Medicine. 5th Edition, Elsevier Inc., 2019
Other Information Sources
1.
Wilderness & Environmental Medicine
2.
The Internet Journal of Rescue and Disaster Medicine
3.
U.S. National Library of Medicine
4.
UpToDate