semmelweis university 2 0 1 2 / 2 0 1 3

EMERGENCY MEDICINE - OXIOLOGY
Dept. of Anesthesiology and Intensive Therapy
Tutor: Dr. Krisztina Madách
Compulsory subject: Emergency Medicine and Prehospital Emergency Care (EMPEC) –
program and topics
2 credit
Content
Introduction: Definition and goals of emergency medicine. The
chain of emergency patient care. Emergency medical systems in
Hungary: connections, patient pathways and disposition
on-the-scene and in-hospital. Decisions and priorities during
emergency care according to dependency level. Role and tasks of
the emergency department (ED) in hospital systems.
Recommendations, protocols and algorythms during emergency
care. Triage in the field and in the ED. Intrahospital emergency
care (MET).
Emergency patient evaluation – ABCDE approach and it’s
patophysiological and clinical background.
CPR I. The chain of survival. Pathophysiology of resuscitation.
BLS-AED. Out-of-hospital CPR.
Responsible speciality
E/I = emergency/intensive
P = prehospital care
M-C-M = military and catastrophy medicine
Time distribution (min)
Together
P:45+E/I:45
E/I: 90
Together
P:60 + E/I:30
CPR II. ALS. In-hospital CPR. Postresuscitation life support (PLS). E/I: 90
A, B. Airway and Breathing problems. Acute respiratory failure.
Acute exacerbation of chronic respiratory failure (COPD). Acute
E/I: 90
life-threatening bronchial asthma. Pneumonia.
C. Differential diagnosis of chest pain inthe field and in the ED.
Process of ACS management from first responder to definitive
treatment. Pulmonary embolism. Aortic dissection.
C. Circulatory failure, hypotension, heart failure, hypertensive
crisis. Pathophysiology, differential diagnosis, treatment in the
field and in the ED. Peri-arrest arrhythmias.
D. Differential diagnosis and management of altered mental state.
Organic and metabolic causes. Management of convulsion.
Management of meningitis. Process of stroke management from
first responder to definitive treatment. Psychiatric emergencies.
Differential diagnosis and treatment of acute and chronic pain in
the field and in the ED. Pain syndromes. Pain management,
analgo-sedation, narcosis. Causes and management of fever
on-the-scene and int he ED.
Gastrointestinal symptomes (vomitus, diarrhoea, obsipation,
bloody stool). Measures in case of acute infectious disease.
Acute abdominal pain. Differential diagnosis and treatment of
acute OB/GYN problems in the field and in the ED. Emergency
management of labor and delivery out-of-hospital.
SEMMELWEIS UNIVERSITY / FACULTY OF MEDICINE
Together
P:30 + E/I:60
E/I: 90
Together
P:30+E/I:60
Together
E/I: 90
E/I: 90
Faculty of Medicine
217