Principles of Emergency and Critical Care - FV109

• Title: Principles of Emergency and Critical Care
• Guaranteed by: Department of Anesthesiology, Resuscitation and Intensive Medicine (15-446)
• Faculty: Faculty of Medicine in Hradec Králové
• Actual: from 2021
• Semester: winter
• Points: 0
• E-Credits: 1
• Examination process: winter s.:
• Hours per week, examination: winter s.:3/12, C [HS]
• Capacity: 10
• Min. number of students: 5
• 4EU+: no
• Virtual mobility / capacity: no
• State of the course: not taught
• Language: English
• Teaching methods: full-time
• Teaching methods: full-time
• Note: course can be enrolled in outside the study plan; enabled for web enrollment
• Guarantor: doc. MUDr. Pavel Dostál, Ph.D., MBA
• Incompatibility : FA0109077
• Pre-requisite : FG10043

Annotation

Last update: Mgr. Martina Krymláková (14.08.2019)

This subject deals with the initial care of acutely and critically ill patients. Emergency and critical care, relationship to other medical specialities, critically ill patient, acute respiratory failure, mechanical ventilation, shock syndromes, trauma protocol, disturbed level of consciousness, severe head injury, metabolic care, initial fluid therapy, nutritional support, fluid and mineral disorders, poisoning.

Requirements to the exam

Last update: Mgr. Martina Krymláková (14.08.2019)

E-learning with a pretest, active participation at 75 % of practical courses and lectures.

Syllabus

Last update: Mgr. Martina Krymláková (14.08.2019)

Lecturers:

• doc. MUDr. Pavel Dostál, Ph.D.
• MUDr. Vlasta Dostálová, Ph.D.
• MUDr. Jitka Schreiberová, Ph.D.
• MUDr. Roman Škulec, Ph.D.
• MUDr. Anatolij Truhlář, Ph.D.
• MUDr. Zdeněk Turek, Ph.D.

Lectures:

1. Emergency and critical care - organization, perspectives, general considerations and relationship to the other medical specialties, approach to a critically ill patient (ABCD…)
2. Dyspnoea – definition, causes, diff. diagnosis, initial approach, choice of airway, initiation of mechanical ventilation, initial setting
3. Circulatory failure – shock, shock models, diagnostic approach, interventions – fluids, catecholamines, inotropes, practical targets, extracorporeal support

Practical courses: 12 hours, 3x3h of simulation cases + e-learning:

1. Simulation cases
2. Simulation cases
3. Simulation cases

E-learning:

1. Coma – aetiology, diagnostic approach, initial interventions, sedation outside operating theatre or ICU
2. Life threatening infections – clinical manifestation, sepsis, practical approach
3. Multiple trauma – aetiology, priorities, trauma protocol, life threatening bleeding
4. Traumatic brain injury – initial approach, multimodal monitoring, brain death, organ donation
5. Infusion therapy – basic requirements, correction of fluid deficits, common mineral disorders, nutritional support initiation, algorithm, complications
6. Poisoning

Literature

Last update: Mgr. Martina Krymláková (14.08.2019)

Recommended literature:

1. Moodle
2. Anesthesia and Intensive Care Courses for Medical students http://atimures.ro/wp-content/uploads/2012/09/Anesthesia-and-Intensive-Care-courses-for-medical-students.pdf