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272<br />

SEMMELWEIS UNIVERSITY / FACULTY OF MEDICINE<br />

Topics to observe and concentrate on during the course:<br />

patient-physician communication (structure, methods)<br />

problem-based care<br />

problem-oriented solution<br />

decision-making responsibility<br />

common acute problems<br />

complex care of patients with chronic illnesses<br />

Make short notes in a 3–4 pages diary about:<br />

8–10 instructive and interesting cases/day<br />

(age, sex, problem, alteration in physical status, solution)<br />

The following should be practiced independently:<br />

history taking<br />

physical examination<br />

making medical record<br />

Assessment and evaluation:<br />

The performance of the students will be assessed on the diary and a written qualifying report by<br />

the GP tutor, so show these instructions to him/her, asking for an opinion about your<br />

medical knowledge<br />

pharmaceutical knowledge<br />

practical abilities (physical examination)<br />

attitude, interpersonal relations, communication skills<br />

PREHOSPITAL EMERGENCY MEDICINE (OXYOLOGY)<br />

Ambulance practice<br />

National Ambulance Service<br />

Lecturer: Dr. Gábor Gõbl<br />

Syllabus<br />

During the 2 weeks (70 hours) practice students will join the staff of an ALS (Advanced Life<br />

Support) Unit. They will experience the acute, in-field presentation of emergencies, occasionally<br />

urgencies, as well as the special viewpoints of interhospital transfer.<br />

Goal of the ambulance practice is to gain insight into<br />

– Patient’s assessment in the prehospital setting (primary and secondary survey)<br />

– Recognition of critically ill condition and the emergent interventions required (airway management,<br />

CPR, IV. line, volume substitution, pain relief, etc).<br />

– Recognition of several emergencies (ACS, stroke, hypertensive emergencies, bronchial asthma,<br />

poisoning, psychiatric disorders, etc).<br />

– Patient’s mobilization, immobilization, special viewpoints of extrication<br />

– Monitoring patient en route to the hospital, transportation trauma.

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