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Extreme and Wilderness Medicine
Study Course Description
Course Description Statuss:Approved
Course Description Version:6.00
Study Course Accepted:21.03.2022 10:48:03
| Study Course Information | |||||||||
| Course Code: | AURK_013 | LQF level: | Level 7 | ||||||
| Credit Points: | 2.00 | ECTS: | 3.00 | ||||||
| Branch of Science: | Clinical Medicine; Anaesthesiology and Resuscitation | Target Audience: | Medicine | ||||||
| Study Course Supervisor | |||||||||
| Course Supervisor: | Viesturs Liguts | ||||||||
| Study Course Implementer | |||||||||
| Structural Unit: | Department of Anaesthesiology and Intensive Care | ||||||||
| The Head of Structural Unit: | |||||||||
| Contacts: | Riga, Pilsoņu Street 13, VSIA P.Stradiņa KUS, Building 32, ark rsu[pnkts]lv, +371 67069452 | ||||||||
| Study Course Planning | |||||||||
| Full-Time - Semester No.1 | |||||||||
| Lectures (count) | 8 | Lecture Length (academic hours) | 2 | Total Contact Hours of Lectures | 16 | ||||
| Classes (count) | 0 | Class Length (academic hours) | 0 | Total Contact Hours of Classes | 0 | ||||
| Total Contact Hours | 16 | ||||||||
| Full-Time - Semester No.2 | |||||||||
| Lectures (count) | 0 | Lecture Length (academic hours) | 0 | Total Contact Hours of Lectures | 0 | ||||
| Classes (count) | 4 | Class Length (academic hours) | 4 | Total Contact Hours of Classes | 16 | ||||
| Total Contact Hours | 16 | ||||||||
| Study course description | |||||||||
| Preliminary Knowledge: | Knowledge of topographic anatomy, pathological physiology, biochemistry, clinical pharmacology, clinical laboratory tests, general course and treatment options of surgical (traumatic) and therapeutic patients, as well as first aid options for the patients at the scene of accident (pre-hospital level). | ||||||||
| Objective: | The goal of the course is to provide knowledge of the human exposure to the external environment extreme factors. Objectives – to learn about a relatively rare, but often fatal pathological conditions as a result of exposure to the different environmental harmful agents. | ||||||||
| Topic Layout (Full-Time) | |||||||||
| No. | Topic | Type of Implementation | Number | Venue | |||||
| 1 | Principles of survival in an extreme environment: characteristic of the harmful and dangerous environmental factors are. Oxygen demand. Principles of survival in low and high ambient temperature. Normothermia - maintenance methods. Body temperature regulation of physiological principles. Environmental-induced hypothermia and its pathophysiology. Predisposing factors. Clinical symptoms and treatment principles. | Lectures | 2.00 | auditorium | |||||
| 2 | Environment and core temperature. Physiological principles of thermoregulation. Hypothermia and its pathophysiology. Predisposing factors. The clinical symptoms and treatment principles. Immersion in cold water, pathophysiological changes, clinical course and the recommended treatment options. Frostbite. Environmental-induced hyperthermia, predisposing factors, pathophysiology and clinical forms. Clinical manifestations and treatment principles. Heat ilness. | Lectures | 2.00 | auditorium | |||||
| 3 | Low atmospheric pressure (high altitude) and the body's physiological response in accordance with the atmospheric pressure changes. Acclimatization principles. Chronic low pressure exposure. Low atmospheric pressure and acute clinical syndromes: acute hypoxia, acute mountain sickness, brain edema, focal neurological syndromes, blood clotting disorders. Principles of aero-medical transportation. Underwater pressure characteristic and physiological responses Definitions and terminology. | Lectures | 2.00 | auditorium | |||||
| 4 | Environmental toxicology - Reptiles and arthropod bites, the degree of hazard, risk groups, syndromes and their treatment recommendations. Toxic plants – worst plants, local and systemic exposure, clinical manifestations and treatment recommendations. Smoke inhalation and fires. Smoke chemical composition. Smoke inhalation pathology, clinical manifestations and treatment. Fires –protection, typical clinical pathology and treatment recommendations. | Lectures | 2.00 | auditorium | |||||
| 5 | Necessary equipment and medication in extreme situations | Classes | 1.00 | clinical base | |||||
| 6 | Thermoregulation control, methods, equipment | Classes | 1.00 | clinical base | |||||
| 7 | Environmental injuries | Classes | 1.00 | clinical base | |||||
| 8 | Environmental toxicological injuries | Classes | 1.00 | clinical base | |||||
| Assessment | |||||||||
| Unaided Work: | Preparing presentations, using the recommended literature and Internet sources, following evaluation and analysis in practical lessons. | ||||||||
| Assessment Criteria: | Test method: Test - multi-answer test (more than 50% of correct answers). Attendance and the degree of participation in classes are also assessed in the test. | ||||||||
| Final Examination (Full-Time): | Exam (Written) | ||||||||
| Final Examination (Part-Time): | |||||||||
| Learning Outcomes | |||||||||
| Knowledge: | If the study course is successfully finished, the students will have acquired knowledge of the impact of extreme environment factors, pathophysiological mechanisms, clinical manifestations and treatment options. | ||||||||
| Skills: | Students will be able to understand how to reduce the harmful environmental influences, to assess severity of clinical condition and provide treatment in pre-hospital setting and at the hospital. | ||||||||
| Competencies: | Provide emergency care, primary and secondary survey of the patient in pre-hospital stage, situation analysis and adoption of the appropriate medical action plan to the individual patient affected by harmful environmental factors. | ||||||||
| Bibliography | |||||||||
| No. | Reference | ||||||||
| Required Reading | |||||||||
| 1 | Paul S. Auerbach. Auerbach's Wilderness Medicine. 7th edition, Elsevier Inc., 2017 | ||||||||
| Additional Reading | |||||||||
| 1 | Paul S. Auerbach. Field Guide To Wilderness Medicine. 5th Edition, Elsevier Inc., 2019 | ||||||||
| 2 | Klīniskā anestezioloģija un intensīvā terapija. Induļa Vanaga un Antoņinas Sondores redakcijā. Nacionālais Apgāds, 2017. | ||||||||
| 3 | Ārvalstu studentiem/For International students: | ||||||||
| 4 | Paul S. Auerbach. Field Guide To Wilderness Medicine. 5th Edition, Elsevier Inc., 2019 | ||||||||
| Other Information Sources | |||||||||
| 1 | Wilderness & Environmental Medicine | ||||||||
| 2 | The Internet Journal of Rescue and Disaster Medicine | ||||||||
| 3 | U.S. National Library of Medicine | ||||||||
| 4 | UpToDate | ||||||||
