Inglese

Il corso ha l'obiettivo di esporre allo studente gli elementi essenziali della diagnosi e, soprattutto, dell'approccio terapeutico, in urgenza ed emergenza, alle seguenti malattie: bradi e tachiaritmie, emorragia intracranica e ictus ischemico, emorragia gastrointestinale, encefalopatia epatica, sindrome epato-renale, riacutizzazione di asma e BPCO. Inoltre, il corso ha la finalità di presentare e discutere le modalità di esecuzione delle seguenti procedure invasive diagnostico-terapeutiche in urgenza: inserimento di catetere venoso centrale, pericardiocentesi, cardioversione / defibrillazione, pacing cardiaco esterno, pulsossimetria / emogasanalisi, ventilazione con pallone valvolato e maschera, puntura lombare, paracentesi, toracentesi, inserimento di drenaggio pleurico.

Tintinalli's Emergency Medicine, A Comprehensive Study Guide - 9th edition, McGrow Hill Ed.
Kumar and Clark's Clinical Medicine, 10th Edition 2020, Elsevier

Lo studente, al termine del corso, avrà acquisito conoscenze in ordine ai principali quadri clinici di competenza medica internistica osservati nel dipartimento di emergenza e accettazione. Il corso consente l’acquisizione di competenze fondamentali per la gestione terapeutica delle
principali malattie di interesse medico che causano il ricovero in emergenza.

Aver superato gli esami del IV e V anno, inclusa la farmacologia.

Lezioni Frontali
Video didattici

Esame orale di fine corso

1) Central vein cannulation
Diagnosis and treatment of bradyarrhythmias.
External cardiac pacing

2) Pericardiocentesis
Diagnosis and treatment of tachyarrhythmias.
Basic defibillator training
Cardioversion / defibrillation

3) Bag-valve mask ventilation
Diagnosis and management of intracranial hemorrhage


4) Lumbar puncture NEJM video
Diagnosis and management of ischemic stroke
Rapid sequence intubation ppt

5) Paracentesis
Liver emergencies: GI bleed, hep encephal, hepato-renal syndrome
Variceal ligation

6) Pulse oximetry / Arterial blood gas analysis
COPD and asthma exacerbation
Acute respiratory failure / Oxygen therapy
Non-invasive positive pressure ventilation

7) Needle aspiration of pnx
Needle thoracostomy
Cricothyroidotomy
Treatment of COVID-19
Chest tube insertion pigtail

8) Septic shock management
Transfusion primer

English

The course aims to describe the basic concepts on the diagnosis of, and most importantly, the therapeutic approach, in the emergency setting, to the following diseases: bradyarrhythmias and tachyarrhythmias, intracranial hemorrhage and ischemic stroke, GI bleeding, hepatic encephalopathy, hepato-renal syndrome, COPD and asthma exacerbations. Furthermore, teaching aims to present and discuss how to perform the following invasive diagnostic-therapeutic procedures in the emergent setting: and to perform the following procedures: central vein cannulation, pericardiocentesis, cardioversion / defibrillation, external cardiac pacing, pulse oximetry / arterial blood gas analysis, bag-valve mask ventilation, lumbar puncture, paracentesis, chest tube insertion.

Tintinalli's Emergency Medicine, A Comprehensive Study Guide - 9th edition, McGrow Hill Ed.
Kumar and Clark's Clinical Medicine, 10th Edition 2020, Elsevier

At the end of the course, the student will have acquired basic knowledge on the main clinical presentations to the emergency department. The course will allow the acquisition of fundamental skills for the therapeutic management of major medical diseases that cause emergency hospitalization.

Having passed 4th and 5th year exams, including pharmacology.

F2F lessons
Videos and tutorials

Final Course Oral Exam

1) Central vein cannulation
Diagnosis and treatment of bradyarrhythmias.
External cardiac pacing

2) Pericardiocentesis
Diagnosis and treatment of tachyarrhythmias.
Basic defibillator training
Cardioversion / defibrillation

3) Bag-valve mask ventilation
Diagnosis and management of intracranial hemorrhage


4) Lumbar puncture NEJM video
Diagnosis and management of ischemic stroke
Rapid sequence intubation ppt

5) Paracentesis
Liver emergencies: GI bleed, hep encephal, hepato-renal syndrome
Variceal ligation

6) Pulse oximetry / Arterial blood gas analysis
COPD and asthma exacerbation
Acute respiratory failure / Oxygen therapy
Non-invasive positive pressure ventilation

7) Needle aspiration of pnx
Needle thoracostomy
Cricothyroidotomy
Treatment of COVID-19
Chest tube insertion pigtail

8) Septic shock management
Transfusion primer