1. Course unit title Emergency Medicine, Disaster Medicine

1. Course unit title
Emergency Medicine, Disaster Medicine & Traumatology
2. Course unit code
3. Clinic / Department
Department of Anesthesiology and Intensive Therapy, Department of Emergency Medicine
4. Type of the course unit
Core unit
5. Level of the course unit
Master degree level
6. Year of study
7. Semester when the course unit is delivered
8. Number of ECTS credits allocated
9. Course unit coordinator
Wojciech Gaszynski Professor of Anesthesia, MD PhD
10. Names of faculty teachers
Tomasz Gaszynski Associate Professor of Anesthesia, MD PhD
Andrzej Wieczorek Assistant Professor of Anesthesia, MD PhD
Anna Domagalska Assistant Professor of Anesthesia, MD PhD
Anna Samborska- Sablik MD PhD
Tamara Trafidło MD PhD
Jarosław Timler MD PhD
Maciej Dudkiewicz MD PhD
Witold Żaryski MD
Przemysław Dobielski MD
11. Learning outcomes of the course unit
Knowledge component
To understand basic concepts and principles related to
Define, explain and give examples of pathology of
medical emergencies ex. respiratory failure, circulatory
emergency medicine, disaster medicine and
failure, traumatology,
To understand principles of medical emergencies
 List symptoms of medical emergencies;
treatment in emergency medicine, disaster medicine
 Define the life-threatening situations;
and traumatology
 List the laboratory tests and diagnostic
procedures in emergency medicine and
traumatology in ER;
Explain the qualification and interpretation of
results of laboratory and diagnostic procedures
in emergency medicine in ER;
List and describes the treatment methods of
medical emergencies in ER;
Skills component
To develop skills in treatment in emergency medicine
 Apply the proper treatment in selected
emergency, internal states in ER:
-myocardial infarction,
-cerebral stroke,
-pulmonary oedema,
 Apply the emergency help in case of
intoxications in ER;
 Choose the proper fluid resuscitation;
 Apply sedation and pain management
in emergency medicine;
 Apply treatment in case of wounds,
arrest external haemorrhage,
treatment of burns in ER;
 Apply the treatment in multilocal and
multiorgan injuries in ER:
- Pneumothorax,
- cardiac tamponade,
- flail chest,
 Apply immobilizations in different
types of fractures in ER,
Attitudes and transferrable skills
To develop and demonstrate ethical, professional and
personal attitudes to giving first aid
- following ethics and law aspects of
rescue medicine
high quality communications skills,
deep learning approaches including selfassessment abilities,
practical application of problem-solving
12. Mode of delivery
13. Number of face-to-face session hours
Seminars – 26 hours
Classes – 54 hours
14. Prerequisites and co-requisites
Pharmacology, physiology, pathology.
15. Recommended optional programme components
16. Course contents
Topics of lectures:
1 . Emergency drugs pharmacology,
2 . Advance Life Support in adults and children,
3 . Psychological and psychopathological problems of victims and rescuers in accidents
and catastrophes. Panic phenomenon and crowd reaction.
4 . organization of emergency department, emergency system description,
5 . pediatric emergency medicine.
6 . cardiopulmonary resuscitation in special situations: intoxications, hypothermia, Emergency in
pregnant woman.
7 . Sedation and pain management in emergency medicine.
Clinical classes topics;
Class 1:
- Transport of injured patients in pre-hospital and in-hospital conditions.
- Triage simulation. Cards of segregation. Marks of triage. Rescue conduct in triage.
Psychological and psychopathological problems of victims and rescuers in accidents and
catastrophes. Panic phenomenon and crowd reaction
- behavior In case of multiple casualties situation,
Class 2:
- shot wounds, combat injury, blast injury. Behavior in case of terrorist attack.
Class 3:
- Advanced Life Support: practical training on simulators, team working
- Airway management and ventilation (instrumental methods) for emergency
- Electrotherapy in emergency states
Class 4:
- Obtaining an approach to peripheral veins. Intramuscular injections.
- emergency drugs administration, fluid therapy for emergency,
Class 5:
- treatment in ER in case of myocardial infarction, cerebral stroke, pulmonary oedema
Class 6:
- pediatric emergency medicine, A child as a victim of injury
Class 7:
- Treatment in ER of trauma patient: taking care of wounds, Arrest external haemorrhage.
Conduct in burns. Treatment of simple types of fractures in ER,
- Direct help in multilocal and multiorgan injuries, treatment of pneumothorax, cardiac
tamponade, flail chest, Chest trauma,
Seminar rooms of Department of Anesthesiology and Intensive Therapy,
Emergency Room of Department of Emergency Medicine, Barlicki University Hospital, ul. Kopcinskiego
Emergency Room of Department of Emergency Medicine, Kopernika Hospital, ul. Pabianicka 52,
17. Learning activities and teaching methods
Teaching methods:
whole-class- sessions, small- groups – sessions, practical training on manikins, case discussion, PBL,
practical classes in emergency room, clinical simulation on manikins and medical simulation systems;
Students prepare short presentations on topics of course, case reports related to course topics and
literature overview and present them during small-group sessions;
Students develop ability to search for information in data bases including internet sources, and
make proper selection of acquired information basing on EBM, draw conclusions and introduce
them into practice and treatment,
The Emergency Medicine, Disaster Medicine & Traumatology course student should acquire
knowledge and understanding of:
- General principles of Emergency Medicine including safety issues for rescuer, personal
safety, decontamination in ER;
- Recognizing the symptoms of life-threatening situations ex respiratory problems,
cardiovascular problems,
- Pathology of medical emergency.
The Emergency Medicine, Disaster Medicine & Traumatology course student should acquire and
become proficient in:
1 . following the rules of full evaluation of emergency patient including: “triage” – patient
evaluation at the place of accident, in emergency room, primary evaluation of vital function:
airway, breathing, circulation, consciousness: GCS: Glasgow Coma Scale, AVPU, Revised
Trauma Score, secondary advanced evaluation, taking medical history of the emergency patient;
2 . interpreting of laboratory tests, advanced diagnostic in emergency medicine, following the
rules of qualification and interpretation of essential diagnostic investigations carried in
sudden cases (laboratory, radiological and others);
3 . providing Advanced Life Support, Automated and manual external defibrillation in adults and
children, performing the cardiopulmonary resuscitation following the ALS and ATLS protocols
in trauma patient and special conditions like pregnancy, intoxications etc.
4 . supplying wounds and immobilizing fractures in ER, treatment of simple fractures in ER;
5 . making intravenous injections of emergency drugs and introducing fluid therapy in
6 . performing the tracheal intubation and other methods airway management: rescue methods,
conicotomy, tracheotomy;
7 . using basic ventilation- self-inflation bag, automatic transport ventilators and simple
respirators in ER, follows the ventilation strategy in emergency and trauma patient,
7 . recognizing the central nervous system injury, evaluation the severity of the CNS injury and
using spinal immobilization equipment ex. collars;
8 . recognizing and treatment the pneumothorax, heart tamponade, myocardial contusion, aortic
aneurysm, tracheobronchial injury, traumatic asphyxia in ambulance and ER;
9 . pharmacotherapy in emergency, the transfusion strategy in traumatology, indications for blood
10 . rules of analgesia and sedation in trauma patients at place of accident and in ER;
11 . implementation of rules of early management and stabilization of trauma patient including
12 . introducing and interpreting the vital function monitoring and early treatment of lifethreatening multi organ injuries;
13 . recognizing and treatment of different shock types in ER,
The Emergency Medicine, Disaster Medicine & Traumatology course student should develop and
Ethical, professional and personal approach to emergency medicine
18. Recommended or required learning resources
Basic: Resuscitation The European Resuscitation Council Guidelines for Resuscitation 2005 (Full
version) Edited by Jerry Nolan, MB, ChB, FRCA; and Peter Baskett; ISBN 0080448704
• Hardback Elsevier (order info: www.erc.edu)
Recommended : . Macleod`s Clinical Examination. Edited by G Douglas, F Nicol and C
Robertson. Elsevier Churchill Livingstone 2005. Eleventh edition. ISBN 0443074046
19. Formative assessment and obtaining credits for the course
MSQ type test on last class, 30 questions, 4 answers – one correct,
all the presentations from lectures and seminars are available on web :
www.umed.lodz.pl/anestezja - english version
20. Assessment methods and criteria
knowledge component
MSQ type test
skills component
practical exam – performing cardiopulmonary resuscitation on manikins
attitudes and transferrable skills component
student evaluation form
21. Language of instruction
22. Additional info and support
Web : www.umed.lodz.pl/anestezja - link to english version