semmelweis university 2 0 1 2 / 2 0 1 3
semmelweis university 2 0 1 2 / 2 0 1 3 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
218 SEMMELWEIS UNIVERSITY / FACULTY OF MEDICINE Content Responsible speciality Prehospital and ED care of trauma and polytrauma. Together P:45+E/I:45 Military and disaster medicine I. M-C-M Military and disaster medicine II. M-C-M Toxycology I. General principles of toxycology. Recognition and treatment of common poisonings. E/I: 90 Children in the field and in the ED. Emergency pediatrics. Practices (1545 min + 2x12 hours shift „on call duty”) Közös P:30’+E/I:60 190 min basic emergency medicine hands on skill practice – (OMSZ / AITK / ED) airway management (OPA, LMA/LT, ET intubation, etc.) breathing (BMV) IV access (practice on training manikins) 190 min CPR basic skills - AITK; 290 perc CPR simulations - AITK; 390 min case based learning (90 min OMSZ; 90min AITK; 90 min ED) 212 hours shift „on call duty” in the ED according to the rotation schedule; OMSZ: National Ambulance Service AITK: Dept. of Anesthesia and Intensive Therapy (Kútvölgyi Hospital) ED: Emergency Department of Szt. Imre Hospital
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218<br />
SEMMELWEIS UNIVERSITY / FACULTY OF MEDICINE<br />
Content Responsible speciality<br />
Prehospital and ED care of trauma and polytrauma.<br />
Together<br />
P:45+E/I:45<br />
Military and disaster medicine I. M-C-M<br />
Military and disaster medicine II. M-C-M<br />
Toxycology I. General principles of toxycology. Recognition and<br />
treatment of common poisonings.<br />
E/I: 90<br />
Children in the field and in the ED. Emergency pediatrics.<br />
Practices (1545 min + 2x12 hours shift „on call duty”)<br />
Közös<br />
P:30’+E/I:60<br />
190 min basic emergency medicine hands on skill practice – (OMSZ / AITK / ED)<br />
airway management (OPA, LMA/LT, ET intubation, etc.)<br />
breathing (BMV)<br />
IV access (practice on training manikins)<br />
190 min CPR basic skills - AITK;<br />
290 perc CPR simulations - AITK;<br />
390 min case based learning (90 min OMSZ; 90min AITK; 90 min ED)<br />
212 hours shift „on call duty” in the ED according to the rotation schedule;<br />
OMSZ: National Ambulance Service<br />
AITK: Dept. of Anesthesia and Intensive Therapy (Kútvölgyi Hospital)<br />
ED: Emergency Department of Szt. Imre Hospital
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