UMH - CRITICAL PATIENT MEDICINE II

Contents

CRITICAL PATIENT MEDICINE II

Course

Code: 3661

Degree: Master's in Emergency Medicine

Faculty of Medicine

Year: Year 2 of Master's in Emergency Medicine

Semester: Spring

Type: Required

Language: Spanish

ECTS credits: 6

Lecture: 2

Laboratory: 4

Hours: 150

Directed: 150

Shared: 0

Autonomous: 0

Subject matter: Critical Adult Patient Medicine

Module: The Critical Patient

Degree website

Course instructors are responsible for the course content descriptions in English.

Description

This course describes the indications and complications of invasive and non-invasive multi-parameter and multimodal monitoring systems, static and dynamic tests on the hemodynamic profile of distinct nosological entities, invasive and non-invasive mechanical ventilation modes and their monitoring, and basic and advanced life support maneuvers. It also examines the action procedure in the polytrauma code, hypothermia code, and donor code in asystole, and the limitations of life-supporting treatments.

Faculty

Name	Coordinator	Lecture	Laboratory
HERNANDEZ BLASCO, LUIS MANUEL	■	■	■
SERRALTA GOMIS, MARIA JOSE		■	■
LOPEZ SANCHEZ, FRANCISCA		■	■
JAIME SANCHEZ, FRANCISCO ANGEL		■	■
SERRANO GARCIA, RICARDO		■	■
BAEZA ROMAN, ANNA		■	■
DE MIGUEL BALSA, EVA MARIA		■	■
CANOVAS ROBLES, JOSE		■	■
CATURLA SUCH, JUAN MANUEL		■	■
ALMANZA LOPEZ, SUSANA		■	■
TENZA LOZANO, EVA MARIA		■	■

Competencies and learning outcomes

General competencies

Differentiate and distinguish between a medical urgency and a medical emergency.
Know and apply the severity scale of the most frequent disease entities in medical emergencies.
Team working skills.
Communication skills with patients, family members, and their social environment. Know how to express bad medical news.
Know the chain of survival in medical emergencies.

Specific competencies

Know the guidelines of action for establishing the correct clinical diagnosis in the most frequent clinical emergency situations.
Relate therapeutic actions with severity levels.
Know and perform basic medical intervention techniques and procedures in critical patients.
Know and apply action protocols for possible organ donation after asystole for care outside hospitals.
Know and apply the recommended action guidelines in medical emergency situations, both in- and out-of-hospital.
Know the recommended action guidelines in disaster situations.
Know the action protocols in accidents involving multiple victims.
Understand the action protocols in accidents involving crush syndrome.
Understand the action protocols in accidents involving physical agents.
Understand the consequences and the initial action protocol in NBC (nuclear-biological-chemical) risk situations.
Know the action protocol in primary transport and transfer of NBC (nuclear-biological-chemical) victims.
Awareness of new forms of bioterrorism.
Recognize and treat potentially lethal cardiac arrhythmias.
Know and apply the concept of terminal illness.
Know the types of pain assessment scales.
Know and apply the concept of limiting life-sustaining treatment.
Know the sedoanalgesia protocols in terminal patients outside the hospital.
Understand the basic principles of current legislation and comprehensive patient care.
Recognize and understand psychological reactions to trauma.
Know the basics of psychological assistance in critical situations.
Know and apply the most common practical psychological techniques and abilities in medical emergencies.
Know how to administer psychological first aid.
Identify and manage situational stress on the job.
Know how to communicate appropriately in emergency situations.

Objectives (Learning outcomes)

Conceptualise and describe major severity scales used in the management of the critical patient
Analyze the concept of acute respiratory distress syndrome
Establish the main directions, clinical objectives and modes of ventilatory support conventional mechanical invasive and non-invasive
Establish clinical criteria of diagnosis and severity level and the algorithm of status asthmaticus
Set the scales of validation of sedation and analgesia in critical patient
Set the algorithm of therapeutic action on endocrine emergency
Describe the management of the most frequently abdominal syndromes in the critical patient management
Establish directions and patterns of nutrient in the critical patient management
Describe the concept, syndromes and clinical management of hypertensive emergency
Establish the general and specific management of poisoning more prevalent in critical units
Define the concept, diagnosis and management of delirium in critical patient

Teaching units

Basic bibliography

Irwin, Richard S. / Rippe, James M. "Intensive care medicine". Philadelphia Wolters Kluwer/Lippincott Williams & Wilkins Health cop. 2011.
Jiménez Murillo, L. dir. / Montero Pérez, F. J. dir. "Medicina de urgencias y emergencias guía diagnóstica y protocolos de actuación". Madrid Elsevier 2011.

Complementary bibliography

Parrillo, Joseph E. Dellinger, R, Phillip. "Critical Care Medicine, 4th Edition Principles of Diagnosis and Management in the Adult". Elsevier .
SATI. Sociedad Argentina de Medicina Intensiva . "Terapia Intensiva. 5ª Edición". Editorial Médica Panamericana .
Aragonés Manzanares, Rocío. "Cuidados Intensivos. Atención Integral del Paciente Crítico". Editorial Médica Panamericana .
Montejo González, Juan Carlos. "Manual de Medicina Intensiva ". Elsevier .

Methodology and grading

Methodology

Lecture: Pass on knowledge and activate cognitive processes in students, encouraging their participation.
Solving exercises and problems: Exercise, test, and apply previous knowledge through routine repetition.

Grading

Evaluation of 3 Clinical Cases. Each one of them with 5 open answers. -Forum: 30% -Review of 3 Clinical Cases: 70% Each Clinical Case with 5 questions with open answer. The exam will be online. DATE OF THE EXAM OF THE 3 CLINICAL CASES May 8, 2019 SIMULATION June, 26 to 27, 2019 Simulation Clinical Practices of high technological profile June, 26 to 27, 2018 (Simulation Centre. Severo Ochoa Building Campus of Sant Joan d'Alacant-Spain). Timetable: From 4:00 to 7:00 pm. REMEDIAL SUBJECTS: Remedial for the subjects of the first semester from June 2 or 20, 2019. A test exam or a task according to the subjects. Remedial for the subjects of the second semester from September 3, 2019. A test exam or a task according to the subjects. CALL FOR DECEMBER: Subjects: October 10 to 20, 2019 and TFM (Final Master's Degree Project): October 10 to 20, 2019 DEADLINE MARKS 1st SEMESTER: February 20, 2019 2nd SEMESTER: July 8, 2019 and TFM July 17, 2019 September: September 18, 2019 and TFM September 23, 2019

Students: CRITICAL PATIENT MEDICINE II

General competencies

Specific competencies

Objectives (Learning outcomes)

Lecture topics

Teaching units

Course contents

Basic bibliography

Complementary bibliography

Links

Software

Methodology

Grading