Veidlapa Nr. M-3 (8)
Study Course Description
Placement. Interdisciplinary Approach to Emergency Medical Conditions
Course Code
KPUMTK_017
Branch of Science
Anaesthesiology and Resuscitation; Clinical medicine
ECTS
3.00
Target Audience
Medicine; Nursing Science
LQF
Level 6
Study Type And Form
Full-Time
Study Course Implementer
Course Supervisor
Marina Šarkele
Structure Unit Manager
Oļegs Sabeļņikovs
Structural Unit
Department of Anaesthesiology, Intensive Care and Clinical simulations
Contacts
Riga, 26a Anninmuizas boulevard, aurk@rsu.lv, +371 67061579
About Study Course
Objective
To improve skills in interdisciplinary approach to the most common clinical emergencies.
Preliminary Knowledge
Successfully finished A part study courses of the programme “Medicine” (Emergency Medicine; Obstetrics and Gynaecology; Anaesthesiology and Intensive Care).
Learning Outcomes
Knowledge
1.Student is able to: • describe principles of teamwork in medical emergencies; • implement effective communication techniques in medical emergencies; • describe principles of cardiopulmonary resuscitation in adults as well as in pregnant patient; • describe risk factors of severe pre-eclampsia, metabolic disorder and massive bleeding, their signs and symptoms and management principles in obstetrics; • describe approach to the trauma patient and principles of emergency management; • describe risk factors of massive bleeding and management principles in emergency cases; • describe signs and symptoms, management principles of emergency electrolyte/metabolic disorders; • describe risk factors of anaphylaxis, its symptoms and emergency treatment; • use emergency or difficult airways management techniques and devices; • describe causes for hypovolemic shock and an emergency treatment plan.
Skills
1.Student is able to collaborate in a multidisciplinary team, showing necessary communication and clinical skills during a simulated emergency case.
Competences
1.Student is confident and able to give effective treatment in most common medical emergencies by collaboration with multidisciplinary team members. Student is able to make decisions according to his/her medical knowledge and competencies.
Assessment
Individual work
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Title
|
% from total grade
|
Grade
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|---|---|---|
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1.
Individual work |
-
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-
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Theoretical preparation for practical classes, including the acquisition of clinical skills included in the course, using recommended study materials (literature, videos, etc.).
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Examination
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Title
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% from total grade
|
Grade
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|---|---|---|
|
1.
Examination |
-
|
-
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Theoretical knowledge (oral test) and clinical skills (simulation). Attendance is mandatory
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Study Course Theme Plan
FULL-TIME
Part 1
-
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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-
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2
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Topics
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Teamwork in medical emergencies 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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2
|
Topics
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Teamwork in medical emergencies 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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|---|---|---|
|
On site
|
-
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4
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Topics
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Adults advanced life support (ACLS). Life support in obstetrics.
Simulation No. 1: A patient admitted to the emergency department/hospital ward suffers from a sudden cardiac arrest
Simulation No. 2: A pregnant patient with a sudden cardiac arrest.
Description
Annotation: SIMULATION Nr.1: patient admitted to emergency department/hospital ward suffers from sudden cardiac arrest.
1. Male J.N. 64 years admitted to emergency ward with chest pain after physical activity. During transfer to another bed suddenly develops cardiac arrest.
2. Female K.L. 72 years found unconsciouss in therapeutic ward.
SIMULATION Nr.2: pregnant patient with sudden cardiac arrest.
1. Female I.F. 28 years admitted to emergency ward with progressive pulmonary insufficiency. First pregnancy 32.gestation weeks. Suddenly develops cardiac arrest.
2. Female Z.J. 32 years with third pregnancy in 36.gestation weeks admitted to obstetric ward with cardiac arrhythmia. Waiting for cardiologist. Suddenly develops cardiac arrest.
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-
Class/Seminar
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Modality
|
Location
|
Contact hours
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|---|---|---|
|
On site
|
-
|
4
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Topics
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Trauma patient.
Simulation No. 1: Assessment of a trauma patient admitted to the emergency ward.
Simulation No. 2: A patient with polytrauma after a road accident.
Description
Annotation: SIMULATION Nr.1: Assessment of trauma patient admitted to emergency ward.
Male 32 years admitted to hospital meergency ward after fall from high.
SIMULATION Nr.2: Patient with politrauma after road accident.
Male 46 years admitted to emergency ward after road accident. Possible spinal trauma and politrauma.
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-
Class/Seminar
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Modality
|
Location
|
Contact hours
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|---|---|---|
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On site
|
-
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4
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Topics
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Emergencies in obstetrics. Massive bleeding in obstetrics. Severe pre-eclampsia.
Simulation No.1: A patient admitted with extremely increased blood pressure (180/110 mmHg) and shows seizures in dynamics.
Simulation No. 2: A patient with massive postpartum bleeding with blood loss over two litres.
Description
Annotation: SIMULATION Nr.1: Patient admitted with extremely increased blood pressure (180/110 mmHg) and shows seizures in dynamics.
Female 36 years with second pregnancy 37.gestation weeks admitted to hospital with increased blood pressure (180/110 mmHg). She has second type diabetes, body mass index 35 and previous hystory of hypertension. Shortly develops seizures.
SIMULATION Nr.2: Patient with massive bleeding postpartum with blood loss over two liters.
Female 29 years has massive bleedinf after first delivery in 41 gestation week. Estimated blood loss over two liters.
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-
Class/Seminar
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Modality
|
Location
|
Contact hours
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|---|---|---|
|
On site
|
-
|
4
|
Topics
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Difficult airways. Airway emergency management techniques. Anaphylactic shock.
Simulation No.1: A patient with anaphylaxis.
Simulation No. 2: A patient with progressive breathing difficulty and laryngeal swelling. Failed intubation.
Description
Annotation: SIMULATION Nr.1: Patient with anaphylaxis.
Male 52 years arrives at hospital emergency ward with complaints to itching rush, breathlessness and weakness aftre antibiotic treatment. Shortly he becomes unconsciouss.
SIMULATION Nr.2: Patient with progressive breathing difficulty and laryngeal swelling. Failed intubation.
Female 62 years in ORL unit suffers from progressive breathing insufficiency and laryngeal edema. Three failed intubation attempts.
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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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4
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Topics
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Massive bleeding. Hypovolemic shock. Basic principles of infusion management in emergency.
Simulation No.1: A patient with liver rupture and massive blood loss.
Simulation No. 2: A patient with traumatic extremity amputation.
Description
Annotation: SIMULATION Nr.1: Patient with liver rupture and massive blood loss.
Male 31 year admittedt to hospital with liver rupture suspecta after fight and massive blood loss.
SIMULATION Nr.2: Patient with traumatic extremity amputation.
Male 50 years admitted to hospital after accident in work place, where hea had traumatic amputation of the left arm. External bleeding found, tourniquette was not effective.
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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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4
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Topics
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Metabolic disorders. Electrolyte and glucose related emergencies.
Simulation No.1: A patient with hypo/hyperkalaemia and cardiac insufficiency/a patient with hypo/hypernatremia and neurological deficit.
Simulation No.2: A patient with ketoacidosis.
Description
Annotation: SIMULATION Nr.1: Patient with hypo/hyperkalemia and cardiac insufficiency/ patient with hypo/hypernatremia and neurological deficit.
Male 68 years with chronic renal insufficiency forgot about dialysis procedure. Admitted to hospital with diskomfort behind the chest. Blood gas analyse shows potassium level of 9.4 mmol/l.
SIMULATION Nr.2: Patient with ketoacidosis.
Female 24 years of age found unconsciouss in surgical ward. She has type one diabetes. Blood gas shows glucose level of 28 mmol/l.
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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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4
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Topics
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A clinical case. Simulation.
Description
Annotation: Clinical case of medical emergency from the list mentioned above.
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Total ECTS (Creditpoints):
3.00
Contact hours:
32 Academic Hours
Final Examination:
Exam
Bibliography
Required Reading
1.
Klīniskā anestezioloģija un intensīvā terapija. I.Vanaga un A.Sondores redakcijā. Nacionālais Apgāds, 2017.
2.
Dzemdniecība. D.Rezebergas redakcijā. Medicīnas apgāds, 2017.
3.
Resuscitation Guidelines Available from: www.erc.edu
4.
LAG vadlīnijas Pieejams no: http://www.ginasoc.lv/kliniskas-rekomendacijas-2 -
Additional Reading
1.
Williams Obstetrics 8th edition 2008, Williams & Wilkins
2.
Management of Acute Obstetrics Emergencies. Baha M. Sibai 2011, Elsevier
3.
Obstetric Evidence based Guidelines.Evided by Vincenzo Berghella MD FACOG 2007.
4.
Anesthesia. Miller R.D.(ed). New York: Churchill Livingstone, Seventh Edition, 2010.
5.
Aitkenhead A.R., Rowbotham D.J., Smith G. Textbook of anaesthesia. Edinburgh: Churchill Livingstone, 2007.
6.
Textbook of Critical Care, sixth Edition. By Mitchell P. Fink, M.D., Edward Abraham, M.D., Jean-Louis Vincent, M.D., Ph.D., and Patrick M. Kochanek, M.D. Philadelphia, Elsevier Saunders, 2011.
7.
Medicīnas mācīšanās sistēmas platforma AMBOSS