King Saud University College of Medicine Department of Anaesthesia BASIC ANAETHESIA CARE and Resuscitation 4 Credit Hours Information Booklet Organized by: DR. AHMED A.TURKISTANI MD,FCCM Department of Anaesthesia College of Medicine King Saud University King Saud University College of Medicine Department of Anaesthesia King Saud University College of Medicine Department of Anaesthesia Course Title (Symbol and No.): 044 CMED Basic Anesthesia & Resuscitation Credit Hours: 4=1+3 Contact Hours: Theoretical: Tutorials & Practical Total Contents: Course Description Course Objectives Course Content Classification of the Course Grading & Evaluation 1 3 -----4 King Saud University College of Medicine Department of Anaesthesia 1. The course deals with the Basic knowledge of anaethesia (general &local),patient assessment (preoperative visit),Medical problems& anaethesia, postoperative cardiac& respiratory emergencies, standard of care and monitoring in anaethesia and ICU and preparation for blood transfusion the students improve his Knowledge of the above topics by means of lectures ,rotations in (OR),SICU and anaethesia clinic The student will practice in skill lab. Technique lumber punctures and local anaesthesia 2. The course deals with the theory and practice of Basic and Advanced Cardiac Life support All students will be certified in Basic Life Support (CPR) & Advanced Cardiac Life Support (ACLS) 3. oxygen therapy ,use of airway adjuncts, Indotracheal intubation and peripheral and central I.V cannulation will also be covered in ACLS course 4. Other Resuscitative skills such as Tracheostomy,Pericardiocentesis,Thracocentesis,Intraosseouse cannulation ,suctioning, use of Ryel tube,use of Foley catheter ,Mast suite and others will be covered by means of lectures and practice in skill lab. King Saud University College of Medicine Department of Anaesthesia Total credit hour is 8 hrs divided as follows: Lectures = 1 hrs. Practical & Assignment = 3 hrs -----4 hrs Total credit hours GOAL OF Course: To provide medical students with knowledges and skills in Resuscitation of critical cases and the basic anaesthesia King Saud University College of Medicine Department of Anaesthesia On completion of the course, the student should be oriented to the following topics 1. Scoop of Anesthesia. 2. Recognition of Medical problems in anesthetic practice. 3. Introduction to different techniques and practice in anesthetics including general and local anesthesia. 4. Safety in operating theater and Recovery room 5. Standard of care and monitoring in anesthesia 6. Recognition of post-op chest and cardiac complications and its management. 7. Learn basic patient care and monitoring in critical area. 8. Recognition and taking prompt action to prevent or preclude the effects of shock. 9. Recognition of basic information on fluid therapy and its use. 10. Learn the basis of blood transfusion and its complications. 11. Recognition, treat and follow-up Acute Coronary Syndrome 12. Resuscitation of special situations such as King Saud University College of Medicine Department of Anaesthesia 13. Drowning, heat stroke, hypothermia and electric shock 14. Be oriented about the work in the ICU & operating theatre. 15. Learn how to use various types of airway adjuncts 16. Procedures of endotracheal intubation. 17. Learn how to introduce I.V. Cannulation peripherally &centrally. 18. Be oriented in CPR training course of BLS & ACLS Provider. He/she will hold a valid certificate. 19. Be oriented on crash cart & code procedures (cardiac emergency procedures). 20. Learn proper procedures: application of the following resuscitative * Oxygen administration via mask or nasal cannula * Use of mechanical suction * Preparation of blood transfusion * Various route of drug administration * Insertion of Ryle’s tube *Treat of pneumothorax, cardiocenthesis,intraosseous cannulation * Tracheostomy. * Venouse cut down,Lumber puncture,Tracheostomy and the use of mast suit King Saud University College of Medicine Department of Anaesthesia COURSE CONTENTS: LECTURES: 1. Shock , pathophysiology , types ,clinical pictures & management 2. Transfusion of blood and its uses 3. Preoperative visit, medical problems & anaethesia 4. Scoop of naethesia 5. Safety in operating room and recovery room 6. post-operative chest and cardiac complications 7. standards of care and monitoring in anaethetic practices 8. General and local anaethetics 9. Environmental emergencies and Special Situations for resuscitations (heat exhaustion, heat stroke, hypothermia, toxic chemicals ,drowining ,electric shock etc.) 10. Airway adjuncts & endotracheal intubations 11. Peripheral and central I.V. Cannulation 12. Orientation on basic work in I.C.U. & operating theatre. 13. acute coronary syndrome 14. Arrhythmias & D.C Shock 15. Emergency cardiac drugs (Pharmacology I & II ) King Saud University College of Medicine Department of Anaesthesia PRACTICALS: 1. Basic Life Support ( In CPRcenter) Course Content: CPR Adults, Children & Infants The use of Barrier Devices The use of Automated External Defibrillator Foreign Body Obstructed Airway Audience: All Healthcare Provider Personnel Course Material: BLS Healthcare Provider Duration: 8 Hours Completion: Examination & Completion Card 2. Advanced Cardiac Life Support ( In CPR center) Course Content: Fewer lectures. Acute Coronary Syndromes, Stroke, Airway Adjuncts & Intubation, Arrhythmias & Direct Current Shock, I.V. Cannulation and Devices to assist circulation. More practical using different scenarios 10 Core ACLS Cases: 1) Respiratory Arrest 2) Pulseless Ventricular Fibrillation/Ventricular Tachycardia (VF/VT) treated with an Automated External Defibrillator 3) VF/VT refractory to Initial Defibrillation 4) Pulseless Electrical Activity 5) Asystole 6) Acute Coronary Syndromes 7) Bradycardia 8) Stable Tachycardia 9) Unstable Tachycardia Oxygen administration via mask or nasal cannula Use of mechanical suction crash cart & code procedures Student Material: Duration: Completion: ACLS Textbook 24 Hours Examination and Completion Cards King Saud University College of Medicine Department of Anaesthesia 3. Other resuscitative procedures ( In Skill lab.) o Insertion of Ryle’s tube o Insertion of foley’s catheter o Treat of pneumothorax, o Cardiocenthesis, o Intraosseous cannulation o Tracheostomy. o Venouse cut down o Tracheostomy o use of mast suit 4. Methods of Lumber puncture & local anaethesia ( in Skill Lab.) 5. Rotation in Anaethesia clinic (preoperative vist) SICU (monitoring of critical patient) OR (Methods of anaethesia) King Saud University College of Medicine Department of Anaesthesia Grading is according to the University and College Policy SUMMER COURSE ASSESSMENT: a.) Attendance 20 b.) CPR (Continuous Assessment) (BASIC & ACLS) 80 b.) Other resuscitative methods & Rotations in OR- SICU-Anaethesia clinic 100 c.) Final Examination 100 -----300 Total Student must be courteous, honest and well-mannered during his/her rotation. A letter from the course organizer will be issued & should be presented to Director of the consenting institution to facilitate the training procedure. King Saud University College of Medicine Department of Anaesthesia King Saud University College of Medicine Department of Anaesthesia DETAILED SCHEDULED OF THE TRAINING PROGRAMME: FOR about 55 students in TWO WEEKS LECTURES TO ALL STUDENTS (55) EVERY DAY FROM 01:00 PM – 03:00 PM EXCEPT THE LAST DAY (FOR WRITTEN EXAMINATION) PRACTICE WILL BE FROM 08:00 AM – 01:00 PM FOR PRACTICES THE ( 55) STUDENTS ARE DIVIDED TO 2 GROUPS GROUP A GROUP B FIRST WEEK GROUP A 28 STUDENTS TAKE THE CPR COURSES (BASIC ONE DAY AND ACLS FOR THREE DAYS) EVALUATION FOR PRACTICE OF CPR WILL BE IN Wednesday FROM 08:00 AM - 12:00 GROUP B 28 STUDENTS DIVIDED TO 2 SUBGROUPS EACH SUBGROUP ABOUT (19) STUDENTS (SATURDAY &SUNDAY) B1 GO TO SKILL LAB B2 GO TO OR-SICU-ANAETH.CLINIC (MONDAY &TUESDAY) B1 GO TO OR-SICU-ANAETH.CLINIC B2 GO TO SKILL LAB WEDESDAY (FROM 08:00 – 12:00) FOR EVALUATION SECOND WEEK GROUP B 28 STUDENTS TAKE THE CPR COURSES (BASIC ONE DAY AND ACLS FOR THREE DAYS) EVALUATION FOR PRACTICE OF CPR WILL BE IN Wednesday FROM 08:00 AM - 12:00 GROUP A 28 STUDENTS DIVIDED TO 2 SUBGROUPS EACH SUBGROUP ABOUT (19) STUDENTS (SATURDAY &SUNDAY) A1 GO TO SKILL LAB A2 GO TO OR-SICU-ANAETH.CLINIC (MONDAY &TUESDAY) A1 GO TO OR-SICU-ANAETH.CLINIC A2 GO TO SKILL LAB WEDESDAY (FROM 08:00 – 12:00) FOR EVALUATION King Saud University College of Medicine Department of Anaesthesia DATE TIME SATUREDAY 01:00 – 02:00 PM 02:00 – 03:00 PM Sunday TOPIC Airway adjuncts ,Oxygen therapy & endotracheal intubations 01:00 – 02:00 PM Peripheral and central I.V. Cannulation Acute coronary syndrome 02:00 – 03:00 PM Arrhythmias & D.C Shock LECTURER King Saud University College of Medicine Department of Anaesthesia DATE TIME SATUREDAY 01:00 – 02:00 PM 02:00 – 03:00 PM Sunday 01:00 – 02:00 PM 02:00 – 03:00 PM TOPIC LECTURER King Saud University College of Medicine Department of Anaesthesia King Saud University College of Medicine Department of Anaesthesia King Saud University College of Medicine Department of Anaesthesia King Saud University College of Medicine Department of Anaesthesia