Learning outcomes of the course unit
The student must achieve the ability to evaluate clinical emergency requiring the intervention of the specialist in the critical medecine, surgery, trauma, and cardiologic areas.
The student will achieve competence in recognizing main diseases with urgency implications for the prognosis quod vitam, describing the process for a correct diagnosis and basic treatment.
The course will be mainly focused on concepts of Triage and early differential diagnosis, and will be based on international guidelines and reccommendations proper of each specific area.
Course contents summary
Cardiocirculatory arrest: etiology, pathophysiology, epidemiology and treatment.
Acute myocardial infarction.
Acute renal insufficiency.
Circulation and respiratory tract ALS.
Principles of mechanical ventilation .
Shock: etiology, pathophysiology, epidemiology and treatment
Coma and cerebral death, organ donation.
Poisoning and intoxication
Monitoring the critical patient
Pulmonary diseases: ARDS, pulmonary embolism, edema,
Cardiac arrhythmias: etiology, pathophysiology, epidemiology and treatment.
Metabolism: uncompensated diabetes and other diseases
Pathophysiology and therapeutic diagnostic path of:
Acute abdomen: peritonitis and occlusion
Penetrating abdominal traumas: Hemoperitoneum.
Rupturing aneurysms and limb ischemias
Thoracic traumas and emergency diseases of the thorax and mediastinum
M. Chiaranda: Guida Illustrata delle Emergenze- Piccin 2004
other references will be given if needed during the course
SSD MED/41: Prof.Guido Fanelli (Coordinator), Prof.Andrea Casati
SSD MED/09: Prof.Enrico Fiaccadori
SSD MED/18: Prof.Luigi Bonati, Prof.Patrizia Rubini, Prof.Tiziano Tecchio, Prof.Enrico Foggi
SSD MED/26: Prof.GianCamillo Manzoni
The teaching methodology will be based on frontal lessons as wll as on the analysis of clinical scerarios with practical simulation of the diagnostic process and basis of treatment. The final evaluation will be based on an oral examination with the analysis of a clinical scenario together with one of the teachers.