COURSE UNIT DESCRIPTION 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 6th 7. Semester when the course unit is delivered 11 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 Aims Objectives 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, 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 Aims Objectives 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 Aims To develop and demonstrate ethical, professional and personal attitudes to giving first aid Objectives Develop: - following ethics and law aspects of rescue medicine Demonstrate: high quality communications skills, - deep learning approaches including selfassessment abilities, practical application of problem-solving strategies, 12. Mode of delivery Face-to-face 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, Place: Seminar rooms of Department of Anesthesiology and Intensive Therapy, Emergency Room of Department of Emergency Medicine, Barlicki University Hospital, ul. Kopcinskiego 22, 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 emergency; 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 products; 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 diagnostic; 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 demonstrate: 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 english 22. Additional info and support Web : www.umed.lodz.pl/anestezja - link to english version