KING SAUD UNIVERSITY
COLLEGE OF MEDICINE
DEPARTMENT OF ANAESTHESIA
044 CMED
GENERAL CLINICAL PRACTICE IN SUMMER
“FIRST AID, BASIC NURSING CARE, & BASIC
LIFE SUPPORT”
(BASIC EMERGENCY CARE)
4 CREDIT HOURS
INFORMATION BOOKLET & LOG BOOK
COURSE DURATION: 1ST COURSE SUMMER OF 3RD YEAR
COURSE DURATION: 1ST COURSE SUMMER OF 4TH YEAR
TABLE OF CONTENTS
NO
Item
1
Course Content
II
Course Description & Goal of Basic Emergency Care
III
Course Objective
IV
Grading and Evaluation
V
Course Content – Lecture & Practical
VI
Course Program
Page
No.
I.
COURSE CONTENTS:
Course Title (Symbol and No.) :
General Clinical Practice in Summer
(First Aid and Emergency Care)
044 CMED
Credit Hours
:
Contact Hours: Theoretical
:
Tutorials-Practical:
Total
CONTENT:
Course Description
Goals
Objectives
Grading & Evaluation
Course Contents
Detailed Scheduled Programme
Logbook
:
4=1+3
1
3
----4
II.
COURSE DESCRIPTION:
The course deals with the theory and practice OF Basic Nursing Care & First
Aid (Basic Emergency Care). The course focuses on the assessment and care
head injuries, medical emergencies and covering general work in all
specialities such as general surgery, medicine, paediatrics, obstetrics &
gynecological wards, operating theater, intensive care units (ICU) and
Accident & Emergency Department. The course covers areas such as proper
clinical assessment & detail of patient, clerking, monitor & charting of vital
signs. The course will cover the different anaesthetic techniques and care of
patient in the surgical intensive care & besides caring of patient in other
critical areas. The student will spend time in the following areas such as:
1. Operating theater
- General
- Special
- Maternity
- Shockwaves
2. Critical care units
- Surgical
- Medical
- Coronary
- Pediatrics
3. Accident and emergency department
- Adult
- Pediatrics
In order to be exposed the students to real various life emergencies &
participate in their management. The practical component of the course will
be held at the National Training Center where demonstration and practice on
patient assessment, recording of vital signs, caring for unconscious, and
management of bleeding and shock.
Miscellaneous topics such as suctioning of secretion, oxygen therapy,
preparation for blood transfusion, use airway adjuncts, intubation procedure,
other resuscitative procedures and peripheral cannulation will also be
covered. All students will be certified as provider in Basic Life Support and
Advanced Cardiac Life Support (CPR).
Total Credit Hours
Lectures
=
Practical & Assignment =
Total Credit Hours
2 hour
6 hours
---------8 hours
GOAL OF BASIC EMERGENCY CARE:
To provide medical students with knowledge and skills in nursing care, first
aid and the concept of basic emergency care which can be utilized during
work on the wards, in the Emergency room and in emergency situations
arising in everyday life.
III.
COURSE OBJECTIVES:
On completion of the course, the student should:
I.
Be oriented to the following topics:
1.
Ethical issues of patient examination, patient care, hospital
policies including policy in Emergency Department
Administration.
2.
Accurate clinical assessment and charting of vital signs and
patients condition in pre-hospital & in hospital settings.
3.
Emergency care of multiple trauma and head injury and
unconscious patients.
4.
Recognition and taking prompt action to prevent or preclude the
effects of shock.
5.
Recognition of basic information on fluid therapy and its
uses.
6.
Learn the basis of blood transfusion and its complications.
7.
Learn basic patient care and monitoring in critical area.
8.
Medical emergencies
9.
Surgical emergencies
10.
Fracture & dislocation
11.
Paediatric, obstetric & gyne emergencies
12.
Basic environmental emergencies (heart exhaustion,
heart stroke, hypothermia, toxic chemicals etc.)
13.
Recognition of medical problems in anaesthetic practice.
14.
Scoop of anaesthesia.
15.
Introduction to different techniques and practice in anesthetics
including general and local anaesthesia.
16.
Safety in operating theatre and recovery room.
17.
Standard of care and monitoring in anaesthesia.
18.
Recognition of post-op chest and cardiac complications and
its management.
19.
Performance of I.V. cannulation, (peripherally or centrally)
20.
Intubation procedures.
21.
Learn how to use the various types of airway adjuncts.
22.
BLS provider and ACLS course. A full 5 day course.
II. Learn proper application of the following:
* Insertion of foley’s catheters
* Patient hygiene
* Oxygen administration via mask or nasal cannula
* Preparation of blood transfusion
* Various route of drug administration
* Insertion of Ryle’s tube
* The proper use of suctioning
* Other emergencies procedures, abdominal lavage,
pericardiocentesis, intraosseous cannulation, relief of tension
pneumothorax, etc.
* Cut down, lumbar puncture, trancheostomy & the use of mast
suit.
IV.
GRADING & EVALUATION:
Grading is according to the University and College Policy Assessment. The
student will be evaluated throughout the course by:
a.) Attendance
20
b.) Logbook
100
c.) Continuous Assessment - CPR
(Basic & Advanced Cardiac Life Support Course)
80
d.) OSCE
100
-----300
Total
Student must be courteous, honest and well-mannered during his clinical
assessment of the patient. He/she must have nurse attendance during patient
clinical assessment. He/she must complete his/her assignment daily in the
logbook and ensure that the patient’s admission chart and vital sign sheets
are completed.
V.
COURSE CONTENTS:
LECTURES:
1.
Ethical issues of patient care & the work in operating suite,
intensive care and hospital policies.
2.
Clinical patient assessment including clerking in pre-hospital
and in-hospital. Setting, charting and recording of vital signs.
3.
Multiple trauma and emergency care for head injury and
unconscious patient.
4.
Shock, pathophysiology, types, clinical pictures &
management.
5.
I.V. therapy & transfusion of blood and its uses.
6.
Head injured increased intracranial patient & unconscious
patients.
7.
Pre-operative visit, medical problems & anaesthesia.
8.
Scoop of Anaesthesia
9.
Safety in operating room and recovery room
10.
Post-operative chest and cardiac complications
11.
Standards of care and monitoring in anaesthetic practices.
12.
Airway adjuncts and intubation.
13.
I.V. Cannulation (peripherally or centrally)
14.
General and Local Anaesthetics
15.
Medical emergencies
16.
Paediatric emergencies
17.
Obstetric & gynaecology emergencies
18.
Surgical emergencies
19.
Environmental emergencies (heart exhaustion, heart stroke,
hypothermia, toxic chemicals etc.)
PRACTICALS:
1.
Clinical assessment
(Pre-hospital and in-hospital)
2.
Clerking & charting of vital signs and patient care in the
accident & emergency department.
3.
Basic and advanced cardiac life support (CPR)
4.
Other emergency procedure e.g.
* Intraosseous cannulation
* Lumbar Puncture
* Cardiocentesis
* Cut down
* Abdominal lavage
* Trancheostomy
* Management of open pnuemothorax & tension
pnuemothorax
* The use of mast suit
5.
Oxygen therapy
6.
Use of suction apparatus
7.
Insertion of foley’s catheter and Ryle’s tube
8.
Preparation for blood transfusion & complications of massive
transfusion.
VI.
COURSE PROGRAM:
044 CMED
1ST Week
Day One
TIME
TOPICS
08:00 – 09:00
Introduction to the course, Ethical Issues,
patient nursing care & hygiene ,
hospital policies and procedures
09:00- 10:00
Vital signs & record keeping
10:00 – 10:15
Break
10:15 – 11:15
Airway adjuncts, intubation and oxygen therapy
11:15 – 12:00
Intravenous & arterial cannulation
12:15 -13:30
Lunch & Prayer
13:30 – 14:15
Emergency Cardiac Drugs
14:15 – 15:15
Resuscitation for Infant & Children
15:15 – 16:00
Environmental emergencies
LECTURER
044 CMED
Day Two
TIME
TOPICS
08:00 – 08:45
Care unconscious patients & head injuries
08:45 – 09:45
Shock & anaphylactic shock
09:45 – 10:15
Fluid therapy & blood transfusion
10:15 – 10:30
Break
10:30 – 12:00
Other resuscitative procedures
- Tracheostomy
- Pericardiocentesis
- Thoracentesis
- Suctioning
- Intraosseous cannulation
- Use of Foley’s catheter
12:00 -13:00
Lunch & Prayer
13:00 – 14:00
Acute coronary syndrome
14:00 – 15:00
Recognition of dysrhythmias, therapeutic modalities
& defibrillation
15:00 – 15:15
Prayer
15:15 – 16:00
Special situations
16:00 – 16:45
Obstetric & Gynae Emergencies
LECTURER
044 CMED
Day Three
TIME
TOPICS
08:00 – 08:45
Surgical emergencies
08:46 – 09:30
Medical emergencies
09:30 – 10:15
Paediatric emergencies
10:15 – 10:30
Break
10:30 – 11:15
Scoop of anaesthesia
11:15 – 12:00
Patient assessment (Preoperative visit),
Medical problems,
12:15 – 13:30
Prayer & Lunch
13:30 – 14:15
General & Local Anaesthesia
14:15 – 15:15
Postoperative cardiac & respiratory emergencies
15:15 – 15:30
Break
15:30 – 16:15
Standard of care and monitoring
In anaesthesia
16:15 – 17:00
Patient management & monitoring in ICU
LECTURER
044 CMED
Day Four
TIME
TOPICS
07:30 – 07:50
Registration
07:50 – 09:00
Lecture on BLS
09:00 – 09:15
Break
09:15 – 12:15
Station 1
Station 2
Station 3
Station 4
Teaching Stations (45 min/station)
One-Rescuer CPR (Adult & Child)
Two-rescuer CPR
Obstructed Airway
Infant Resuscitation
a. Infant CPR
b. Conscious choking infant who becomes unconscious
STATION
09:15-10:00
10:00-10:45
10:45-11:30
11:30-12:15
LECTURER
1
A
D
C
B
2
B
A
D
C
3
C
B
A
D
4
D
C
B
A
12:15 – 13:15
Prayer & Lunch
13:15 – 15:55
Station 1
Station 2
Station 3
Station 4
Testing Station (40 min/station)
One-rescuer CPR
Two-rescuer CPR
Obstructed Airway
Infant Resuscitation
a. Infant CPR
b. Conscious choking infant who becomes unconscious
STATION
03:15-13:55
13:55-14:35
14:45-15:15
15:15-15:55
1
A
D
C
B
15:55 – 16:10
Break
16:10 – 17:10
Written Examination
2
B
A
D
C
3
C
B
A
D
4
D
C
B
A
044 CMED
Day Five
TIME
TOPICS
07:30 – 07:50
Registration
07:50 – 09:00
Lecture on BLS
09:00 – 09:15
Break
09:15 – 12:15
Station 1
Station 2
Station 3
Station 4
Teaching Stations (45 min./station)
One-Rescuer CPR (Adult & Child)
Two-rescuer CPR
Obstructed Airway
Infant Resuscitation
c. Infant CPR
d. Conscious choking infant who becomes unconscious
STATION
09:15-10:00
10:00-10:45
10:45-11:30
11:30-12:15
LECTURER
1
A
D
C
B
2
B
A
D
C
3
C
B
A
D
4
D
C
B
A
12:15 – 13:15
Prayer & Lunch
13:15 – 15:55
Station 1
Station 2
Station 3
Station 4
Testing Station (40 min/station)
One-rescuer CPR
Two-rescuer CPR
Obstructed Airway
Infant Resuscitation
c. Infant CPR
d. Conscious choking infant who becomes unconscious
STATION
03:15-13:55
13:55-14:35
14:45-15:15
15:15-15:55
1
A
D
C
B
15:55 – 16:10
Break
16:10 – 17:10
Written Examination
2
B
A
D
C
3
C
B
A
D
4
D
C
B
A
ADVANCED CARDIAC LIFE SUPPORT PROVIDER COURSE (CPR)
GROUP A
2 ½ Days
DAY ONE
TIME
TOPIC
08:30 – 12:00
TEACHING STATIONS (45 min/station)
STATION 1
STATION 2
STATION 3
STATION 4
Airway Adjuncts & Intubation
Intravenous Techniques (Peripheral & Central)
Arrhythmias Recognition & Therapeutic Modalities
Mega Code
STATION TIME
08:30-09:15
09:15-10:00
10:00-10:30
10:30-11:15
11:15-12:00
LECTURERS
1
A
D
C
B
2
B
A
Break
D
C
3
C
B
4
D
C
A
D
B
A
12:00 – 13:00
PRAYER AND LUNCH
13:00 – 16:30
TESTING STATIONS (45 min/station)
STATION TIME
03:00-13:45
03:45-14:30
14:30-15:00
15:00-15:45
15:45-16:30
1
A
D
C
B
2
B
A
Break
D
C
3
C
B
4
D
C
A
D
B
A
ADVANCED CARDIAC LIFE SUPPORT PROVIDER COURSE (CPR)
GROUP A
2 ½ Days
DAY TWO
TIME
TOPIC
08:30 – 12:00
TEACHING STATIONS (45 min/station)
STATION 1
STATION 2
STATION 3
STATION 4
Airway Adjuncts & Intubation
Intravenous Techniques (Peripheral & Central)
Arrhythmias Recognition & Therapeutic Modalities
Mega Code
STATION TIME
08:30-09:15
09:15-10:00
10:00-10:30
10:30-11:15
11:15-12:00
LECTURERS
1
A
D
C
B
2
B
A
Break
D
C
3
C
B
4
D
C
A
D
B
A
12:00 – 13:00
PRAYER AND LUNCH
13:00 – 16:30
TESTING STATIONS (45 min/station)
STATION 1
STATION 2
Revision: Airway & IV
Mega Codes 1
BREAK
STATION 3
Mega Code II
STATION 4
Arrhythmias Recognition & Therapeutic Modalities
STATION TIME
03:00-13:45
03:45-14:30
14:30-15:00
15:00-15:45
15:45-16:30
DAY THREE
08:00 – 12:00
OSCE
1
A
D
C
B
2
B
A
Break
D
C
3
C
B
4
D
C
A
D
B
A
ADVANCED CARDIAC LIFE SUPPORT PROVIDER COURSE (CPR)
GROUP B
2 ½ Days
DAY ONE
TIME
TOPIC
08:30 – 12:00
TEACHING STATIONS (45 min/station)
STATION 1
STATION 2
STATION 3
STATION 4
Airway Adjuncts & Intubation
Intravenous Techniques (Peripheral & Central)
Arrhythmias Recognition & Therapeutic Modalities
Mega Code
STATION TIME
08:30-09:15
09:15-10:00
10:00-10:30
10:30-11:15
11:15-12:00
LECTURERS
1
A
D
C
B
2
B
A
Break
D
C
3
C
B
4
D
C
A
D
B
A
12:00 – 13:00
PRAYER AND LUNCH
13:00 – 16:30
TESTING STATIONS (45 min/station)
STATION TIME
03:00-13:45
03:45-14:30
14:30-15:00
15:00-15:45
15:45-16:30
1
A
D
C
B
2
B
A
Break
D
C
3
C
B
4
D
C
A
D
B
A
ADVANCED CARDIAC LIFE SUPPORT PROVIDER COURSE (CPR)
GROUP B
2 ½ Days
DAY TWO
TIME
TOPIC
08:30 – 12:00
TEACHING STATIONS (45 min/station)
STATION 1
STATION 2
STATION 3
STATION 4
Airway Adjuncts & Intubation
Intravenous Techniques (Peripheral & Central)
Arrhythmias Recognition & Therapeutic Modalities
Mega Code
STATION TIME
08:30-09:15
09:15-10:00
10:00-10:30
10:30-11:15
11:15-12:00
LECTURERS
1
A
D
C
B
2
B
A
Break
D
C
3
C
B
4
D
C
A
D
B
A
12:00 – 13:00
PRAYER AND LUNCH
13:00 – 16:30
TESTING STATIONS (45 min/station)
STATION 1
STATION 2
Revision: Airway & IV
Mega Codes 1
BREAK
STATION 3
Mega Code II
STATION 4
Arrhythmias Recognition & Therapeutic Modalities
STATION TIME
03:00-13:45
03:45-14:30
14:30-15:00
15:00-15:45
15:45-16:30
DAY THREE
08:00 – 12:00
OSCE
1
A
D
C
B
2
B
A
Break
D
C
3
C
B
4
D
C
A
D
B
A
BASIC LIFE SUPPORT PROVIDER COURSE (CPR)
TIME
TOPICS
07:30 – 07:50
Registration
07:50 – 09:00
Lecture on BLS
09:00 – 09:15
Break
09:15 – 12:15
Station 1
Station 2
Station 3
Station 4
Teaching Stations (45 min/station)
One-Rescuer CPR (Adult & Child)
Two-rescuer CPR
Obstructed Airway
Infant Resuscitation
e. Infant CPR
f. Conscious choking infant who becomes unconscious
STATION
09:15-10:00
10:00-10:45
10:45-11:30
11:30-12:15
LECTURER
1
A
D
C
B
2
B
A
D
C
3
C
B
A
D
4
D
C
B
A
12:15 – 13:15
Prayer & Lunch
13:15 – 15:55
Station 1
Station 2
Station 3
Station 4
Testing Station (40 min/station)
One-rescuer CPR
Two-rescuer CPR
Obstructed Airway
Infant Resuscitation
e. Infant CPR
f. Conscious choking infant who becomes unconscious
STATION
03:15-13:55
13:55-14:35
14:45-15:15
15:15-15:55
1
A
D
C
B
15:55 – 16:10
Break
16:10 – 17:10
Written Examination
2
B
A
D
C
3
C
B
A
D
4
D
C
B
A