Weeks 1 and 2 Checklist LO's Blood on the road

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MED1000 PBL
N Weekly PBL LO’s Checklist & Compilation
Weeks 1 and 2 – Blood on the Road
Week
LO Title
1&2
Infection Control and
Standard Precautions
LO Achieved
With linked docs.
LO Detail
1. Discuss the concept of infection
and infectious agents.
2. Describe how infection can
spread: external and internal
routes of transmission
3. Outline available methods of
infection control: sterilisation and
disinfection
4. Describe the preventive measures
covered by the terms universal
and standard precautions.
1
Overview of Cardiovascular
System
1. Describe the location, size, shape,
structure, chambers, valves of the
heart, coronary vessels and main
associated vessels.
2. Describe the pericardial sac
3. Define and distinguish between
the systemic circulation and
pulmonary circulation
Page 1 of 8
LO
Needs more work
Additional
Notes/Topics
MED1000 PBL
1&2
N Weekly PBL LO’s Checklist & Compilation
Anatomy of the Arterial and
venous system
Basic Anatomical Structures
1. Describe the structure of a blood
vessel
2. Describe the different types of
arteries, capillaries and veins
3. Trace the general route usually
taken by the blood from the
heart, to the systemic circulation,
pulmonary circulation and then
returning to the heart.
4. Describe the structure and special
function of the portal system of
circulation.
Surface & Functional Anatomy; be
able to
1. Locate and palpate (using surface
landmarks) the major arterial
pulses in the upper and lower
limbs and the common carotid
artery.
2. Locate the external and internal
jugular veins.
4. Locate common sites used for
venepuncture.
Page 2 of 8
MED1000 PBL
1&2
N Weekly PBL LO’s Checklist & Compilation
Homeostasis in the
Cardiovascular System
1. Discuss the principle of
homeostasis in the maintenance
of physiological parameters such
as body temperature, blood
pressure, acid-base balance, etc
2. Explain the concepts of blood
pressure [BP], blood flow and
their importance in homeostasis.
3. Define Total Peripheral
Resistance, and the relationship
between TPR, mean BP and
cardiac output [CO]
4. List and describe the
determinants of blood flow in a
tissue (autoregulation including
functional hyperaemia,
sympathetic nervous innervation
of resistance vessels, hormonal
influences on resistance vessels)
5. List and briefly describe the
physiological mechanisms which
defend against changes in arterial
blood pressure
6. Describe how a reduction in
blood volume, peripheral
resistance or the efficiency of the
heart as a pump, may lead to
Page 3 of 8
MED1000 PBL
N Weekly PBL LO’s Checklist & Compilation
reduced cardiac output and tissue
perfusion.
1&2
Cardiac Cycle & Cardiac
Output
1. Identify systole and diastole in
traces of blood pressure,
ventricular pressures or heart
sounds
2. Sketch the pressure changes in
the aorta, left ventricle and
central veins during the cardiac
cycle
3. Indicate the time of valve events
on graphs of the cardiac cycle
4. Define cardiac output and the
relationship to stroke volume and
heart rate
5. Sketch a graph of, and explain,
the relationship between cardiac
filling and cardiac output (FrankStarling Principle)
6. List and explain the 4
determinants of cardiac output
7. Describe the effect of altered
inotropic state on the FrankStarling graph.
Page 4 of 8
MED1000 PBL
1&2
N Weekly PBL LO’s Checklist & Compilation
Shock
1. Classify the causes of shock into
broad functional groups
2. Identify the signs and symptoms
of shock
List the sequence of clinical signs
that appear as a patient continues
to bleed
3. Describe the time-line of the
changes, in particular defining the
compensatory mechanisms
appearing in progressive
hypovolaemia and the change in
signs as compensation fails
7. Be aware of the positive feedback
of progressive damage in
irreversible shock.
Describe the role of the
autonomic nervous system in the
body's response to shock.
1&2
First Aid
1. Review senior first aid skills,
including cardiopulmonary
resuscitation and be able to
demonstrate basic life support.
2. Understand the principles of first
aid as applied in burns, head
injuries, spinal injury and bleeding
lacerations.
Page 5 of 8
MED1000 PBL
1&2
N Weekly PBL LO’s Checklist & Compilation
Public Health Perspective
on Injury
1. Apply a population and public
health framework to the issue of
injury.
2. Outline the principles of effective
injury prevention.
3. Identify effective interventions to
reduce the number and severity
of motor vehicle crashes and the
severity of injury.
4. Outline the impact of injury on
the health care system and
society in terms of acute care and
rehabilitation.
1&2
Community and Health
Impact of Alcohol
1. Describe the social, health and
economic impact of alcohol on
the community.
2. Describe the relationship
between the epidemiology of
alcohol consumption and the
incidence of motor vehicle
crashes and injury.
1&2
Medical Law
1. Understand broad principles of
the Australian legal system as it
pertains to medical practice
(Include key state differences).
Page 6 of 8
MED1000 PBL
N Weekly PBL LO’s Checklist & Compilation
2. Describe the categories of
Australian law relevant to medical
practice.
3. Be able to explain the ethical
basis for medical law.
8. Explain how the inter-related
fields of ethics and law provide a
context for medical practice.
1&2
Duty of Care
1. Understand the concept of duty
of care (as per Medical Board of
Australia), considering physical,
emotional and psychological
aspects.
2. Demonstrate an understanding of
how basic ethical and legal
concepts inform the medical duty
of care:
1. sympathy, compassion, care,
need, harm
2. autonomy, beneficence
consent, medical necessity
3. duty of care (definition: as per
Medical Practice Act of
relevant state).
4. standards of care,
negligence.
5. duty of care in emergencies.
Page 7 of 8
MED1000 PBL
2
N Weekly PBL LO’s Checklist & Compilation
Standard
precautions
1. Introduce and practice universal
safety precautions in the clinical
environment
2. Practice Hand-washing and
Aseptic technique
2
Principles of Fluid
Replacement
1. Outline the general principles of
fluid balance management in
hypovolaemic shock due to blood
loss.
2. State the physiological objectives
of fluid replacement with
particular regard to blood
pressure, heart rate and tissue
perfusion.
3. Describe and compare the types
of intravenous fluid available and
their mechanism of action.
Page 8 of 8
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