I ASSERT
Prorector on educational work
Prof.
Yo.I. Gouminsciy
in “----“---------------------2015
THEMATIC PLAN
practical employments for the students
of the pharmaceutic faculty.
No
Hour
s
T he m
Semantic module 1. Desmurgy. Asepsis and antiseptic (8 hours - 4 themes)
3
BASES of ASEPSIS And ANTISEPTIC. Determination of notion. Ways of penetration of infection in a wound. Types of modern antiseptic
(mechanical, chemical, biological). Prophylaxis of contact infection. Surgical tool, features of care of him and saving. Sterilization of tool, rubber
objects and scopes. Preparation of bandaging material, sterilization of silk, to the catgut, kapron. Preparation of hands of surgeon to the
operation. Peculiarities surgical operation when patient has incurable disease, indications. Basics of palliative surgery
DESMOURGIY. Determination of notion. Bandaging material and requirements to his properties. Types of bandages. Soft and tverdi (glue and
gipseous). Common rales of imposition of soft and hard bandages
DESMOURGIY. Typical bandages on a head, I sew, thorax.
4
DESMOURGIY. Typical bandages on a belly, overhead and lower extremities.
1
2
2
2
2
Semantic module 2. 1 he opened damages. Wounds. Determination of notion, classification, danger of separate types of wounds (4 hours - 2 themes)
Wounds. Notion. Classification. Structure of wound. Method of estimation of wounds (neurovascular component, area and depth of loss of
5
fabrics, degree of contamination, localization). The premedical first aid at different types of wounds. Damaging factors of human tissue in gunshot
wounds. Features of structural and functional changes in the tissues according types of weapon. Primary surgical treatment of wound, it features and
differences from gunshot wounds. damaging factors of human tissue in gunshot wounds. Features of structural and functional changes in the tissues
Wounds.
wounds.Primary
Phasessurgical
of motion
of wound
process.
Cicatrization
and medical
The diagnosis, prevention and treatment of
according Infected
types of weapon.
treatment
of wound,
it features
and differences
fromtreatment.
gunshot wounds
6
tetanus during military operations and emergency situations
Semantic module 3. Bleeding and bllodloss (4 hours - 2 themes)
Bleeding. Determination, classification of bleeding. Methods of temporal stop of bleeding (pinning of wound, finger pinning of projection points,
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put on -out a squeezing bandage, imposition of clamp, nose tamponade): technique, shows, contrindications, typical errors. Rules of aseptic and
antiseptic in case of stopping of bleeding. Eventual methods of stop of bleeding
Gemoragic shock. Notions, reasons, displays, index Algovera, first medical aid. Features, dangers and clinical signs of the internal bleeding. The
8
first medical aid at the internal bleeding. Blood transfusion, components of blood and blood substitution.
Semantic module 4. Trauma and damage (8hours - 4 themes)
Generals. Classification, mechanism, types of traumas. Study of place of trauma (circumstances, facilities of defence, aggravating factors).
Methods of evacuation of the victim from an emergency car (slow, rapid). Methods of stabilization of the victims. Priorities of actions in place of
9 event (primary review, the second review “from a hair to the tags of fingers”, collection of anamnesis, measures in place of trauma). The method
of the second overhaul is Principles of collection of anamnesis and review of injured. Vitally important parameters (pulse, arterial pressure,
breathing frequency ). Types of damages, that require the immediate reaction. Notion is a “gold hour” and “platinum “half-our” Preparation of
the victims to transporting. Registration of necessary medical information. Priorities of premedical treatment. Peculiarities of general and special
Trauma
of head
and spine.
Breaks
of bones,patients,
dislocations.
Diagnostics
and first
medicalwith
aid.corpse
Medical execution sequence at the breaks, and
care of patients
in critical
condition,
of incurable
patients
in agony. Basics
of behavior
dislocations. Diagnostics of dislocations, first medical aid. Traumatic amputations: the first medical aid. The closed damages of soft fabrics:
classification, diagnostics, first medical aid. The diagnosis, prevention and treatment of tetanus during military operations and emergency situations.
The volume of primary health, pre-hospital (paramedic), the first medical and skilled surgical care. Gunshot wounds of hands, feet, and their treatment
10
Trauma of head: mechanism of trauma. Method of inspection of injured. Estimation of weight of trauma of head: anamnesis, mechanism, vitalimportant indexes, scale of Glasgow, somatic review. Diagnostic signs of different types of trauma. Tactic of first aid: primary review,
immobilization, transporting, second review. Errors of the first aid. Trauma of spine: mechanism of trauma. Method of inspection of spine.
Spinalniy shock, tetra- and paraplegia. Tactic of first aid: primary review, immobilization, transporting, second review. Dynamic supervision.
Errors of the first aid
Trauma of thorax, abdomen and pelvis. Traumas of thorax: mechanism of trauma. Method of inspection of organs of thorax. Opened, closed and
1 1 valvular pnevmotoracs, massive gemotoracs, tamponada hearts, balloting thorax, trauma of heart, obstruction of respiratory' tracts. Principles
of premedical help. Errors of the first aid. Traumas of organs of abdominal region and pelvis: mechanism of trauma. Method of inspection.
Complications
for the
life (intraabdominal
peritonitis,
Burns,
getting,threatening
electrotravmi
frost-bitten.
Method of bleeding,
inspection
of burnt evisceration)
(determination of depth, area and weight of bum). Principles of
1 2 reanimation and given premedical first aid by the burnt and staggered electric current. Inhalation defeats: diagnostics is the that first medical
aid. Chemical, radial and radiation burns: features of diagnostics and first premedical aid. Pamaginy of light radiation during nuclear explosion and
incendiary
Semantic
module 5. Cardiac-pulmonary reanimation. Reanimation measures (2 hours - 1 themes)
Cardiac-pulmonary rcanimation (CPR). Anatomo-physiological bases of breathing and circulation of blood. Notions, reasons, signs and
diagnostics of clinical, biological and social death. Common rules of cardiac-pulmonary reanimation. Technique of the closed massage of heart
and artificial ventilation of lights (reception Heymliha, positions of body, heads and jaws for providing of freeways of respiratory tracts,
13
ventilation the mouth-in- mouth, mask-mouth, sack Ambou, masks, technique of presentation of oxygen, cricotireopounction). Indications and
contraindications to CPR. Algorithms (protocols) of the CPR adults and children for one and two reanimatoriv. Criteria of efficiency CPR.
Complication and their prophylaxis. Notions, reasons, signs and diagnostics of sharp respiratory and cardiac insufficiencv. rules of grant of the
first premedical
aid.
Peculiarities
of surgical
first aid and
basicofresuscitation
of incurable
patients
Semantic
module
6. Sharp
diseases
organs of abdominal
region.
Sharp surgical festering infection (2 hours - 1 themes)
Sharp abdomen. The diseases incorporated by a term «sharp abdomen»: sharp appendicitis, holecystitis, pancreatitis, perforative ulcer of
14
stomach and duodenum, falling bowel, strangulated hernia, intestinal impassability. Reasons, displays, diagnostics
EVENTUAL MODULE CONTROL
15
Chief, of the general surgery department
PHD., prof.
2
M.D.
Gheliba
2
2
2
2
2
2
2
2
2
2
2