MEDICAL AND SURGICAL EMERGENCY AND MEDICINE OF TERRITORY

Mario MASARONE MEDICAL AND SURGICAL EMERGENCY AND MEDICINE OF TERRITORY

1060100058
DIPARTIMENTO DI MEDICINA, CHIRURGIA E ODONTOIATRIA "SCUOLA MEDICA SALERNITANA"
EQF7
MEDICINE AND SURGERY
2020/2021

OBBLIGATORIO
YEAR OF COURSE 6
YEAR OF DIDACTIC SYSTEM 2015
SECONDO SEMESTRE
CFUHOURSACTIVITY
1EMERGENZE MEDICHE E CHIRURGICHE E MEDICINA DEL TERRITORIO - MOD CHIRURGIA GENERALE
112LESSONS
2EMERGENZE MEDICHE E CHIRURGICHE E MEDICINA DEL TERRITORIO - MOD MALATTIE APPARATO LOCOMOTORE
112LESSONS
3EMERGENZE MEDICHE E CHIRURGICHE E MEDICINA DEL TERRITORIO - MOD ANESTESIOLOGIA
336LESSONS
4EMERGENZE MEDICHE E CHIRURGICHE E MEDICINA DEL TERRITORIO - MOD 1 MEDICINA INTERNA
112LESSONS
5EMERGENZE MEDICHE E CHIRURGICHE E MEDICINA DEL TERRITORIO - MOD MALATTIE DELL'APPARATO CARDIOVASCOLARE
112LESSONS
6EMERGENZE MEDICHE E CHIRURGICHE E MEDICINA DEL TERRITORIO - MOD 2 MEDICINA INTERNA
112LESSONS
Objectives
KNOWLEDGE AND UNDERSTANDING

AT THE END OF THE COURSE THE STUDENT WILL KNOW THE DIAGNOSTIC-DIFFERENTIAL DECISION-MAKING PROCESS AND THE TREATMENT OF DISEASES AND SYNDROMES THAT COMPROMISE VITAL FUNCTIONS. IN ADDITION, IT WILL BE ABLE TO ASSESS DIFFERENT REACTIONS AND BEHAVIORS IN RELATION TO GENDER IN EMERGENCY-EMERGENCY SITUATIONS. PARTICULAR EMPHASIS WILL BE PLACED ON EMERGENCY ASSESSMENT, IMAGING. THE ATTITUDE TO REASONING, DEDUCTION AND SYNTHESIS WILL BE STIMULATED.

ABILITY TO APPLY KNOWLEDGE AND UNDERSTANDING

AT THE END OF THE COURSE THE STUDENT WILL BE ABLE TO RECOGNIZE AND DEAL WITH EMERGENCY AND EMERGENCY SITUATIONS IN THE MEDICAL AND SURGICAL FIELD, IN THE PRE-HOSPITAL AND INTRAHOSPITAL PHASE.
IT SHOULD ALSO BE ABLE TO EXPLAIN TO THE PATIENT THE OBJECTIVES OF ANESTHESIA, INDICATIONS AND DISADVANTAGES OF GENERAL AND LOCO-REGIONAL ANESTHESIA, THE MAJOR EMERGENCY OF GENERAL SURGERY, TRAUMATOLOGY AND INTERNAL MEDICINE.
Prerequisites
KNOWLEDGE OF THE BASICS OF ANATOMY AND PHYSIOLOGY OF NERVOUS SYSTEM, PATHOLOGY AND PHYSIOPATHOLOGY,PHARMACOLOGY.
ANATOMY AND PHYSIOLOGY OF LOCOMOTOR APPARATUS.

Student must have passed the following tests: General surgery, internal medicine, breath and cardiovascular apparatuses diseases.
Contents
METHODOLOGY OF THE CLINICAL APPROACH TO URGENCY/EMERGENCY.
APPROACH TO THE POLYTRAUMATIZED PATIENT. THE ATLS METHOD
TRAUMA.
TRAUMA IN PEDIATRIC, AGED AND PREGNANCY PATIENTS.

COMPLEX PATIENT DECISION-MAKING AND END-STAGE DISEASE.

CARDIAC FAILURE: EZIOLOGY, AND MANAGEMENT : ACLS
SEPTIC SHOCK:
ANAPHILATTIC SHOCK.
MANAGMENT OF BLOOD AND PLASMA ADMINISTERING
ACUTE RESPIRATORY SYNDROME AND ARDS
COMA STATES
PARENTERAL AND ENTERAL NUTRITION
PRINCIPLES OF PAIN THERAPY
ANESTESIA: GOALS. GENERAL AND LOCO-REGIONAL ANESTESIA.
RESPIRATION MONITOR: PERIPHERIC SATURATION, CAPNOMETRIA, EMOGASANALYSIS, RESPIRATION ASSISTANCE: OXIGENTHERAPY, CPAP, ARTIFICIAL VENTILATION
CARDIOCIRCOLATORY MONITOR: ECG, CENTRAL BLOOD PRESSURE DEFIBRILLATION, CARDIOVERSION, ELETTROSTIMOLATION
REACTIONS AND DIFFERENT BEHAVIORS DURING EMERGENCIES

LOCOMOTOR SYSTEM DISEASES

POLITRAUMA PATIENT (MANAGER AND DECISION MAKING ON TRAUMATOLOGIC EMERGENCIES)
MANAGEMENT OF OPEN FRACTURES
MANAGEMENT COMPARTIMENTAL SYNDROME AND CRUSH SYNDROME
MANAGEMENT OF THE DISLOCATION AND FRACTURE DISLOCATIONS SPRAINS ; SOFT TISSUE INJURIES ;
CERVICAL SPINE TRAUMAS AND RELATED COMPLICATION; FRACTURES OF THE PELVIS; LONG BONE FRACTURES;
ELDERLY PATIENT'S MANAGEMENT WITH FRAILTY FRACTURES

INTERNAL MEDICINE:
- PNEUMONIA
- MANAGEMENT OF SERIOUS RESPIRATORY INSUFFICIENCY IN ED
- ANEMIA IN EMERGENCY
- ACUTE LIVER FAILURE
- PULMONARY EMBOLISM
- SYNCOPE
- KETO ACIDOSIC AND HYPEROSMOLAR COMA
- SEPSIS
- HYPERTENSIVE EMERGENCIES AND URGENCIES

GENERAL SURGERY:

ABDOMINAL TRAUMA
CHEST TRAUMA
ACUTE COLECYSTITIS
PEPTIC ULCER
ACUTE PANCREATITIS
PERITONITIS
APPENDICITIS
BOWELS OCCLUSIONS
GROIN HERNIAS
Teaching Methods
FRONTAL LESSONS, CLINICAL CASES WITH DIDACTICS BASED ON PROBLEMS (PROBLEM BASED LEARNING, PBL) (DEEPENED INDIVIDUALLY AND DISCUSSED IN THE HALL IN SMALL GROUPS), EXERCISES IN INTENSIVE THERAPY, FIRST AID, HALF SIMULATION, AND IN A HI-FI SIMULATION LAB.
Verification of learning
THE EXAM CONSISTS OF AN ORAL INTERVIEW.
THE ORAL INTERVIEW AIMS TO VERIFY THE STUDENT’S LEVEL OF THEORETICAL KNOWLEDGE AND HIS ABILITIES TO DESCRIBE IT. THE EVALUATION TAKES INTO ACCOUNT THE EXACTNESS OF THE STUDENT’S RESPONSES AND, ESPECIALLY, HIS ABILITY TO DEFINE A DIAGNOSIS AND A THERAPEUTIC PROGRAM ON THE BASIS OF CASE VIGNETTES.

THE EXAM GRADE IS EXPRESSED IN THIRTIETHS.
COLLEGIAL EVALUATION OF THE MEMBERS OF THE EXAM COMMISSION.
Texts
ATLS BOOKS
GUIDELINES ERC/ILCOR

HARRISON'S PRINCIPLES OF INTERNAL MEDICINE, MCGRAW-HILL
GOLDMAN'S CECIL INTERNAL MEDICINE, ELSEVIER
PAUL MARINO -THE ICU BOOK – MCGRAW-HILL
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