ECTS - University of Pisa
Corso Integrato di Emergenze Medico-Chirurgiche
CORE CURRICULUM
the course emphasize the introduction of basic concepts in anesthesiology, pain medicine, and critical care medicine.
731/5000 Integrated Course of Medical-Surgical Emergencies
CORE CURRICULUM
Acute pain syndromes
The shock.
The coma.
Acute organ failure (lung-heart-kidney).
MOF: multiple organ failure.
Poisonings and toxins.
Environmental emergencies.
Acute hydroelectric imbalances.
Hypertensive emergencies and emergencies.
Drug intoxication and drug addiction overdose.
Airway management: intubation and tracheotomy.
Resuscitation principles and techniques.
Soft tissue infections.
Abdominal trauma.
Chest trauma.
Politrauma.
Addomeacuto.
Acute abdominal ischemia.
Hernia emergencies.
Acute proctological pathology.
Le conoscenze verranno verificate attraverso la prova d'esame.
Ai fini dell'attribuzione del voto finale, espresso in trentesimi, la commissione valuterà i seguenti aspetti:
Methods:
Basi fisiopatologiche e cliniche delle principali insufficienze d'organo
Principi di trattamento farmacologico ed utilizzo dei principali devices in ambito di emergenza
Delivery: face to face
Learning activities:
Attendance: Mandatory
Teaching methods:
Programma Lezioni Anestesiologia e Terapia Intensiva
- Lo shock Il trasporto dell'ossigeno
Fisiopatologia delle principali forme di shock
Principi di trattamento
Casi clinici
- L'insufficienza respiratoria
Ipossia ed Ipercapnia
ARDS
Principi di ventilazione meccanica
- Misurazione ed interpretazione dei principali parametri vitali
- L'ecografia toracica a letto del malato critico
- Equilibrio acido base
- Disturbi idro-elettrolitici di interesse rianimatorio
- I comi
- Principi di anestesia generale
- Gestione delle viee aeree
- Valutazione preoperatoria
- Decorso intraoperatorio e principali complicanze post-operatorie
- Awareness
- L'insufficienza epatica
- AKI
- Il precondizionamento ischemico
- La sepsi:
definizione
fisiopatologia
trattamento
shock settico
MODULO CHIRURGIA d'URGENZA
TRAUMA
PATOLOGIA ACUTA NON TRAUMATICA
MODULO MEDICINA D'EMERGENZA
Emergenze - urgenze cardiovascolari
- Sindrome coronarica acuta
- Edema polmonare acuto
- Embolia polmonare
- Emergenze ipertensive
- Fibrillazione atriale
- Sincope
Emergenze-urgenza polmonari
- Asma bronchiale acuto
- BPCO riacutizzata
- Pneumotorace non traumatica
- Distress respiratorio e insufficienza respiratoria acuta
Emergenze-Urgenze nefrologiche
- Insufficienza renale acuta
Emergenze-urgenze digestive
- Pancreatite acuta
- Dolore addominale acuto
- Infiammazioni intestinali (diverticolite e appendicite acuta)
- Encefalopatia epatica
Terapia delle emergenze-urgenze neurologiche non traumatiche
- Crisi epilettica e stato di male epilettico
- Ictus ischemico
- Emorragie intracerebral ed emorragia subaracnoidea spontanea
Emergenze-urgenze endocrinologiche
- Tireotossicosi
- Chetoacidosi
- Sindrome iperglicemica -iperosmolare)
Emergenze-urgenze ematologiche
- Coagulopatia intravascolare disseminata
- Porpora trombotica trombocitopenica (M. di Moschcovitz)
- Anemie acute
Disturbi elettrolitici
Alterazioni dell’equilibrio acido-base e idroelettrolitico
1. Pulmonary disease 2. Cardiac disease 3. Renal disease 4. Critical care 5. Pain management 6. Obstetrics 7. Neurologic disease.
3950/5000 Anesthesiology and Intensive Care Lessons Program
- The shock The transport of oxygen
Pathophysiology of the main forms of shock
Treatment principles
Clinical cases
- Respiratory failure
Hypoxia and Hypercapnia
ARDS
Mechanical ventilation principles
- Measurement and interpretation of the main vital parameters
- The thoracic ultrasound in bed of the critically ill patient
- Acid base balance
- Hydro-electrolytic disorders of resuscitation interest
- The comi
- Principles of general anesthesia
- Management of the airways
- Preoperative evaluation
- Intraoperative course and main post-operative complications
- Awareness
- Liver failure
- AKI
- Ischemic preconditioning
- Sepsis:
definition
physiopathology
treatment
septic shock
URGENCY SURGERY MODULE
TRAUMA
general information on closed and penetrating trauma
definition and concept of polytrauma
evaluation and initial resuscitation of the traumatized patient
secondary assessment of the traumatized patient
diagnostic investigations in the traumatized patient
principles of surgical treatment of the traumatized patient
non-operative treatment of trauma
trauma in pregnancy, in the elderly and in the child
compartmental syndromes in trauma (skull, abdomen, lower limb)
ACUTE NON-TRAUMATIC PATHOLOGY
acute abdomen
primitive, secondary, tertiary peritonitis
abdominal abscesses
acute vascular abdomen and acute mesenteric insufficiency syndromes
acute complications of peptic disease
acute complications of biliary lithiasic disease
acute pancreatitis and its complications
acute complications of chronic inflammatory bowel disease (Crohn, RCU)
acute appendicitis
complications of diverticular disease
anal and perianal soft tissue infections
acute colitis and toxic megacolon
mechanical (simple / closed loop) and dynamic intestinal occlusions
upper digestive bleeding
lower digestive bleeding
non-traumatic abdominal compartment syndrome
EMERGENCY MEDICINE MODULE
Emergencies - cardiovascular emergencies
- Acute coronary syndrome
- Acute pulmonary edema
- Pulmonary embolism
- Hypertensive emergencies
- Atrial fibrillation
- Syncope
Pulmonary emergencies
- Acute bronchial asthma
- COPD exacerbated
- Non-traumatic pneumothorax
- Respiratory distress and acute respiratory failure
Emergencies-Nephrological emergencies
- Acute renal failure
Digestive emergencies-emergencies
- Acute pancreatitis
- Acute abdominal pain
Intestinal inflammation (diverticulitis and acute appendicitis)
- Hepatic encephalopathy
Non-traumatic neurological emergencies-emergencies therapy
- Epileptic crisis and epileptic bad state
- Ischemic stroke
- Intracerebral hemorrhage and spontaneous subarachnoid hemorrhage
Endocrinological emergencies-emergencies
- Thyrotoxicosis
- Ketoacidosis
- Hyperglycaemic-hyperosmolar syndrome)
Hematological emergencies-emergencies
- Disseminated intravascular coagulopathy
- Thrombotic thrombocytopenic purpura (M. di Moschcovitz)
- Acute anemias
Electrolyte disturbances
Alterations of the acid-base and hydroelectrolytic balance
Modulo di Chirurgia d'Urgenza
Si consiglia l’utilizzo del materiale didattico reso disponibile dal docente a lezione , integrato con lo studio dei corrispondenti capitoli del seguente manuale:
Chirurgia Addominale d'urgenza: il buon senso di Schein - Springer 2007
Modulo di Medicina d'Urgenza
Medicina di Emergenza - Urgenza - Web Tutorial Manual. Autori: Casagranda - Ghiselli - Editore: Idelson Gnocchi - Anno: 2017 - Pagine: 1457 - Figure: 330 - Tabelle: 710
Modulo di Anestesiologia
Appunti presi a lezione.
Per approfondimenti consultare il testo ARTID Anestesia, Rianimazione, Terapia Intensiva, Dolore (Italiano) 27 maggio 2020
Emergency Surgery Module
We recommend the use of the teaching material made available by the teacher in class, integrated with the study of the corresponding chapters of the following manual:
Emergency abdominal surgery: the common sense of Schein - Springer 2007
Emergency Medicine Module
Emergency Medicine - Urgency - Web Tutorial Manual. Authors: Casagranda - Ghiselli - Publisher: Idelson Gnocchi - Year: 2017 - Pages: 1457 - Figures: 330 - Tables: 710
Anesthesiology module
Notes taken in class.
For further information consult the text ARTID Anesthesia, Intensive Care, Intensive Care, Pain (Italian) May 27, 2020
Contestualizzazione clinica delle nozioni teoriche
Prova orale
Oral exam
RICEVIMENTO STUDENTI
I docenti ricevono su appuntamento preso via e-mail o per telefono.
