ECTS - University of Pisa
Corso Integrato di Emergenze medico-Chirurgiche
CORE CURRICULUM
Al termine del corso lo studente avrà acquisito conoscenze in merito a:
Relativamente al modulo di Anestesiologia
Relativamente al modulo di Emergenze Mediche
CORE CURRICULUM
At the end of the course the student will have acquired knowledge about:
Anesthesiology/Critical care module
With regard to the Medical Emergencies module
Evaluation of vital signs and recognition of states of medical instability
Etiology, pathophysiology and clinical approach to the main medical conditions in the emergency-urgency
Principles of diagnostics and treatment of the above conditions
Per l'accertamento delle conoscenze saranno utilizzati test e/o incontri tra i docenti e il gruppo di studenti, ed esame finale
For the assessment of knowledge, tests and / or meetings between teachers and groups of students and final exam will be used
Al termine del corso lo studente avrà acquisito gli strumenti teorici e critici per la diagnosi e la gestione delle insufficienze d'organo nonchè dei principali eventi e quadri clinici caratterizzanti il paziente critico ed in emergenza/urgenza
At the end of the course the student will have acquired the theoretical and critical tools for the diagnosis and management of organs failure as well as the main events and clinical pictures characterizing the critical and emergency / urgent patient
Le capacità saranno verificate attraverso la discussione di casi clinici che verranno affrontati attraverso la metodica del problem solving
skills will be verified through the discussion of clinical cases that will be addressed through the problem solving method
Attraverso il corso lo studente otterrà gli strumeti per poter essere in grado di affrontare in maniera cosciente e critica i principali eventi caratterizzanti la malattia critica
with the course the student will get the tools to be able to consciously and critically address the main events characterizing critical illness.
L'acquisizione dei comportamenti verrà verificata attraverso la discussione di casi clinici che verranno affrontati attraverso la metodica del problem solving
The acquisition of behaviors will be verified through the discussion of clinical cases that will be addressed through the problem solving method
E' da considerarsi come prerequisito la conoscenza dei meccanismi fisiopatologici di base e dell'evoluzione delle patologie mediche e chirurgiche, nonché i principi fondamentali di farmacologia pertinenti.
Knowledge of the basic pathophysiological mechanisms and of the evolution of medical and surgical pathologies, as well as the fundamental principles of pharmacology must be considered as a prerequisite.
Le lezioni si svolgono secondo modalità frontali con ausilio di slides e filmati.
è previsto un ausilio/completamento fornito da codocenti esperti nella materia assegnata
l' interazione tra studenti e docenti si basa su discussioni in aula, ricevimenti ed uso della posta elettronica. Il docente incoraggia (previo appuntamento) incontri con piccoli gruppi di studenti per approfondimento e/o chiarimenti sugli argomenti trattati a lezione
lectures are delivered in frontal mode with the aid of slides and videos also taking advantage of co-experts in the assigned subject
interaction between students and teachers is based on classroom discussions and the use of electronic mail. Teacher encourages (by appointment) meetings with small groups of students for further information and / or clarifications on the topics included in the study program
Modulo di Anestesiologia
Modulo di Emergenze Mediche
Modulo di Chirurgia d'Urgenza
Trauma
Patologia acuta non traumatica
Anesthesia and Critical Care
MANAGEMENT IN OF TRAUMA (TRIAGE, ORGANIZATION OF THE TERRITORIAL EMERGENCY SERVICE, MAJOR TRAUMA, POLITRAUMA, CRANIAL-FACIAL TRAUMA, IMPORTANCE OF INTRA-ABDOMINAL PRESSURE)
STATE OF SHOCK, DIFFERENT TYPES OF SHOCK, PRINCIPLES OF OXYGEN TRANSPORT, FLUIDOTHERAPY
CARDIO-RESPIRATORY ARREST AND BASIC LIFE SUPPORT
SEPSIS / SEPTIC SHOCK
HEMORRHAGE, TRANSFUSIONS, PATIENT BLOOD MANAGEMENT
KIDNEY FAILURE
HEPATIC FAILURE
RESPIRATORY FAILURE
OXYGEN-THERAPY AND AIRWAY MANAGEMENT
BRAIN DEATH AND ORGAN HEMODYNAMIC MONITORING OF THE CRITICAL PATIENT
CENTRAL VENOUS ACCESSES
NOTES OF ANESTHESIOLOGY (GENERAL AND LOCO-REGIONAL ANESTHESIA)
PRINCIPLES OF MANAGEMENT OF THE MAJOR METABOLIC ALTERATIONS (INTERACTIVE DISCUSSION OF CLINICAL CASES FROM REAL LIFE)
ECOGRAPHY DIAGNOSTICS IN EMERGENCY / URGENCY
Medical Emergency Form
The teaching of emergency medicine as a "variant" of medicine
Stability / instability / criticality concepts. Clinical approach oriented for symptoms and problems.
Vital signs and MEWS
Orthostatic syncope and intolerance: definition, clinical presentations, outline of pathophysiology; treatment items
Pain: pathophysiological, semiotic, and principles of medical therapy
Palliative care: objectives, methods, care structures
End-of-life assistance: clinical, ethical, organizational and communication aspects
Atrial fibrillation in the context of emergency-emergency: epidemiological, pathophysiological, clinical aspects; FA paroxysmal, persistent, permanent
Atrial fibrillation: indications for cardioversion; principles for pharmacological cardioversion; treatment for embolic risk prophylaxis; relapse prophylaxis; comorbidities evaluation
New oral anticoagulants: essential principles of pharmacokinetics and pharmacodynamics
"Critical" bradi- and tachyarrhythmias: principles of drug therapy
Acute coronary syndromes, unstable angina, fixed and variable threshold angina, major complications of acute myocardial infarction. IMA type 1 and IMA type 2
Acute coronary syndromes: principles of diagnostics and therapy
Tako-Tsubo syndrome in the context of emergency-urgency
Hypertensive emergencies and emergencies: physiopathological notes, clinical pictures, principles of therapy
Acute aortic syndromes, and aortic dissection, and its classifications according to Stanford and DeBakey
Guide to the interpretation of the electrocardiogram in the context of emergency-urgency
Heart failure and acute pulmonary edema: clinical presentation, differential diagnosis and therapy
Pulmonary embolism: clinical presentation, differential diagnosis and therapy
Body water, water balance, crystalloids and colloids
Main hydro-electrolytic alterations, with particular reference to sodium and potassium disorders
Respiratory and metabolic acidosis and alkalosis
Guide to the interpretation of blood gas analysis
Disseminated intravasal coagulation: outline of pathophysiology and diagnosis
Emergency Surgery Module
Trauma
general information on closed trauma 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 in the traumatized patient
non-operative treatment of trauma
trauma in pregnancy, in children and in the elderly
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
Modulo di Anestesiologia
Si consiglia l’utilizzo del materiale didattico reso disponibile dal docente a lezione e sul portale E-learning, integrato con lo studio dei corrispondenti capitoli di uno dei seguenti manuali
* Bigatello LM. Manuale di terapia intensiva del Massachusetts General Hospital, Spriger
* Chiaranda M. Urgenze ed emergenze. Istituzioni. Piccin-Nuova Libraria
Modulo di Emergenze Mediche
Si consiglia l’utilizzo di materiale didattico presentato dal docente nelle lezioni, integrato con lo studio dei corrispondenti capitoli di uno dei seguenti manuali di Medicina Interna:
Per eventuale consultazione:
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
We recommend the use of the slides, papers and other documents made available by the teacher on the E-learning portal integrated with the study of the corresponding chapters of one of the following books
* Bigatello LM. Intensive care manual of the Massachusetts General Hospital, Spriger
* Chiaranda M. Urgencies and emergencies. Institutions. Piccin-Nuova Libraria
Da valutare caso per caso con i docenti
Esame orale.
Oral exam.
Possibile su richiesta stage presso le Aree Critiche di AOUP
RICEVIMENTO STUDENTI
I docenti ricevono su appuntamento preso via e-mail o per telefono.
teachers will meet students by appointment (by e-mail or by phone)
