MEDICAL AND SURGICAL EMERGENCY AND MEDICINE OF TERRITORY

Gennaro GALASSO MEDICAL AND SURGICAL EMERGENCY AND MEDICINE OF TERRITORY

1060100058
DEPARTMENT OF MEDICINE, SURGERY AND DENTISTRY "SALERNITANA MEDICAL SCHOOL"
EQF7
MEDICINE AND SURGERY
2024/2025

OBBLIGATORIO
YEAR OF COURSE 6
YEAR OF DIDACTIC SYSTEM 2016
SPRING SEMESTER
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
THE COURSE OF MEDICAL AND SURGICAL EMERGENCIES AND TERRITORY MEDICINE (1060100058) TAKES PLACE IN THE SECOND SEMESTER OF THE SIXTH YEAR. IT IS DIVIDED INTO SIX 8-ECTS TEACHING MODULES, FOR A TOTAL OF 96 HOURS OF LESSONS, AND TWO PROFESSIONAL TRAINING ACTIVITIES (A.F.P.) MODULES OF 2 CFU, FOR A TOTAL OF 50 HOURS OF INTERNSHIP.
THE COURSE AIMS TO ENCOURAGE THE STUDENT TO ACQUIRE THEORETICAL KNOWLEDGE REGARDING:

KNOWLEDGE AND UNDERSTANDING
- KNOWLEDGE OF THE DECISION-MAKING, DIAGNOSTIC AND DIFFERENTIAL PROCESS OF THE VARIOUS EMERGENCY CONDITIONS
- KNOWLEDGE OF THE TREATMENT OF DISEASES AND SYNDROMES THAT COMPROMISE VITAL FUNCTIONS
- KNOWLEDGE OF THE VARIOUS DIAGNOSTIC RADIOGRAPHIC METHODS IN URGENCY
- KNOWLEDGE OF DRUGS USED IN EMERGENCIES-EMERGENCIES
- KNOWLEDGE OF THE MAIN PRIMARY RESUSCITATION TECHNIQUES
ABILITY TO APPLY KNOWLEDGE AND UNDERSTANDING
- ABILITY TO RECOGNIZE AND RESOLVE URGENT AND EMERGENCY SITUATIONS IN THE MEDICAL AND SURGEON FIELD, IN THE PRE-HOSPITAL AND INTRA-HOSPITAL PHASE
- ABILITY TO BE ABLE TO EVALUATE REACTIONS AND BEHAVIORS IN RELATION TO GENDER IN URGENT-EMERGENCY SITUATIONS
- ABILITY TO IDENTIFY THE INSTRUMENTAL AND NON-INSTRUMENTAL TESTS NECESSARY FOR A CORRECT DIAGNOSIS
- ABILITY TO BASIC INTERPRETATION OF DIAGNOSTIC IMAGING OF VARIOUS TYPES OF PATHOLOGIES
- ABILITY TO BE ABLE TO EXPLAIN TO THE PATIENT THE OBJECTIVES OF ANESTHESIA, INDICATIONS AND DRAWBACKS OF GENERAL AND LOCO-REGIONAL ANESTHESIA,
- ABILITY TO BE ABLE TO ILLUSTRATE THE MAJOR EMERGENCIES OF GENERAL SURGERY, TRAUMATOLOGY AND INTERNAL MEDICINE
Prerequisites
THE COURSE REQUIRES IN-DEPTH KNOWLEDGE OF THE ANATOMY AND PHYSIOLOGY OF THE NERVOUS SYSTEM, GENERAL PATHOLOGY AND PHYSIOPATHOLOGY, ANATOMY AND PHYSIOLOGY OF THE MUSCULOSKELETAL SYSTEM.

THE STUDENT IS REQUIRED TO PASS THE EXAMS OF GENERAL SURGERY, INTERNAL MEDICINE, DISEASES OF THE RESPIRATORY AND CARDIOVASCULAR SYSTEM, DISEASES OF THE MUSCULOSKELETAL SYSTEM-PLASTIC SURGERY BEFORE TAKING THE EXAM OF MEDICAL AND SURGICAL EMERGENCIES AND LOCAL MEDICINE.
Contents
THE COURSE IS DIVIDED INTO 8 MODULES, CALLED GENERAL SURGERY MED / 18, LOCOMOTOR SYSTEM DISEASES MED / 33, ANESTHESIOLOGY MED / 41, INTERNAL MEDICINE MED / 09, CARDIOVASCULAR DISEASES MED / 11, INTERNAL MEDICINE MED / 09, AFP DISEASES OF THE CARDIOVASCULAR SYSTEM MED / 11, AFP ANESTHESIOLOGY AND RESUSCITATION MED / 41.
NN HOURS: 96 HOURS OF THEORY AND 50 OF INTERNSHIP

METHODOLOGY OF THE CLINICAL APPROACH TO URGENCY / EMERGENCY:
APPROACH TO THE POLYTRAUMA PATIENT. THE ATLS METHOD
HEAD TRAUMA
TRAUMA IN PEDIATRIC AGE, IN THE ELDERLY, IN PREGNANT WOMEN
DECISION-MAKING PROCESS IN COMPLEX PATIENTS AND IN “END-STAGE DISEASE”.
CARDIORESPIRATORY ARREST: ETIOLOGY, CONSEQUENCES, THE CHAIN OF SURVIVAL
CARDIOPULMONARY RESUSCITATION: ACLS
SEPTIC SHOCK
ANAPHYLACTIC SHOCK
VOLEMIC REPLENISHMENT AND THE CORRECT USE OF BLOOD, FRESH PLASMA AND PLATELETS
ACUTE RESPIRATORY FAILURE (IRA) AND ARDS
COMA STATES
PRINCIPLES OF PARENTERAL AND ENTERAL NUTRITION
PRINCIPLES OF PAIN RELIEF THERAPY
ANESTHESIA: OBJECTIVES
GENERAL AND LOCAL-REGIONAL ANESTHESIA
AIRWAY CONTROL AND TOOLS USED FOR THIS PURPOSE
RESPIRATORY MONITORING: PERIPHERAL SATURATION, CAPNOMETRY, BLOOD GAS ANALYSIS,
RESPIRATORY ASSISTANCE: OXYGEN THERAPY, CPAP, ARTIFICIAL VENTILATION
CARDIOCIRCULATORY MONITORING: ECG, INVASIVE AND NON-INVASIVE BLOOD PRESSURE, CENTRAL VENOUS PRESSURE
PERIPHERAL AND CENTRAL VENOUS CATHETERIZATION
DEFIBRILLATION, CARDIOVERSION, ELECTROSTIMULATION
DIFFERENT REACTIONS AND BEHAVIORS IN RELATION TO GENDER IN URGENCY-EMERGENCY SITUATIONS
(LESSONS 12 X 3 HOURS)

- MOD. GENERAL SURGERY:
ABDOMINAL TRAUMA
TRAUMA OF THE CHEST
SPONTANEOUS HEMOPERITONEUM
VASCULAR AND EMERGENCY SURGERY
DEEP VEIN THROMBOSIS
ACUTE CHOLECYSTITIS
PEPTIC ULCER
ACUTE PANCREATITIS
ABDOMINAL PAIN
ACUTE ABDOMEN
PERITONITIS
APPENDICITIS
DIVERTICULAR COLON DISEASE
INTESTINAL OCCLUSIONS
INGUINAL HERNIAS
(LESSONS 4 X 3 HOURS)

- MOD. LOCOMOTOR SYSTEM DISEASES:
MULTI-TRAUMA PATIENT (MANAGEMENT AND DECISION MAKING ON TRAUMA EMERGENCIES)
MANAGEMENT OF OPEN FRACTURES
COMPARTMENT MANAGEMENT SYNDROME AND CRUSH SYNDROME
FRACTURE MANAGEMENT DISLOCATIONS; DISLOCATIONS SPRAINS; MAJOR AND MINOR INJURIES OF MUSCULOSKELETAL SOFT TISSUES;
CERVICAL SPINE FRACTURES AND RELATED COMPLICATIONS; FRACTURES OF THE PELVIS; LONG BONE FRACTURES;
MANAGEMENT OF THE ELDERLY PATIENT WITH FRAGILITY FRACTURES
(LESSONS 4 X 3 HOURS)

-MOD. INTERNAL MEDICINE:
PNEUMONIA AND ARDS
MANAGEMENT OF SEVERE RESPIRATORY FAILURE IN ED
ANEMIAS IN EMERGENCY
ACUTE HEPATIC FAILURE
PULMONARY EMBOLISM
SYNCOPE
KETOACIDOSIC COMA AND HYPEROSMOLAR COMA
SEPSIS
HYPERTENSIVE EMERGENCIES
(LESSONS 4 X 3 HOURS)
Teaching Methods
THE COURSE IS DIVIDED INTO LECTURES (96 HOURS) AND TRAINING INTERNSHIP (50 HOURS). THE COURSE CONSISTS OF LECTURES, CLINICAL CASES WITH PROBLEM-BASED LEARNING (PBL) (INDEPENDENTLY DEEPENED AND DISCUSSED IN THE CLASSROOM IN SMALL GROUPS), EXERCISES IN INTENSIVE CARE, FIRST AID, OPERATING ROOM, AND IN A SIMULATION LABORATORY. HIGH FEDELITY.
Verification of learning
THE EXAM CONSISTS OF SEVERAL ORAL TESTS. EACH ORAL TEST LASTING ABOUT 15 MINUTES WILL VERIFY THE LEVEL OF THEORETICAL KNOWLEDGE, THE AUTONOMY OF ANALYSIS AND JUDGMENT, AS WELL AS THE STUDENT'S EXPOSITORY SKILLS. IN PARTICULAR, THE STUDENT'S ABILITY TO ORIENT HIMSELF IN A DIAGNOSTIC-THERAPEUTIC PATH IN FRONT OF THE PRESENTATION OF CLINICAL CASES WILL BE EVALUATED. THE EXAM IS AIMED AT ASSESSING THE STUDENT'S ABILITY TO HAVE LEARNED THE FUNDAMENTAL PRINCIPLES OF THE VARIOUS DISCIPLINES.
THE MINIMUM SCORE IN THE ORAL EXAM INCLUDES KNOWLEDGE OF THE GENERAL THEMES OF TERRITORIAL EMERGENCIES AND URGENCIES. THE MAXIMUM MARK IS ACHIEVED WHEN THE STUDENT DEMONSTRATES THAT HE CAN CORRECTLY ILLUSTRATE AND DISCUSS THE THEMES OF ALL THE MODULES. EXCELLENCE REQUIRES ACHIEVING THE MAXIMUM SCORE IN ALL TESTS AND HAVING DEMONSTRATED EXCELLENT QUALITY OF EXPOSURE, IN TERMS OF THE USE OF APPROPRIATE SCIENTIFIC LANGUAGE AND EXCELLENT AUTONOMY OF JUDGMENT. THE FINAL GRADE WILL RESULT FROM THE AVERAGE OF THE SCORES BETWEEN 18 AND 30 OF THE ORAL TESTS.
Texts
1. ATLS MANUALS
2. ERC / ILCOR GUIDELINES
3. HARRISON'S PRINCIPLES OF INTERNAL MEDICINE, MCGRAW-HILL
4. GOLDMAN'S CECIL INTERNAL MEDICINE, ELSEVIER
5. PAUL MARINO - THE ICU BOOK - MCGRAW-HILL
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