.
Disaster Medicine. Toxicology and Narcology
Study Course Description
Course Description Statuss:Approved
Course Description Version:7.00
Study Course Accepted:21.03.2022 10:59:31
| Study Course Information | |||||||||
| Course Code: | AURK_017 | LQF level: | Level 7 | ||||||
| Credit Points: | 1.00 | ECTS: | 1.50 | ||||||
| Branch of Science: | Clinical Medicine; Anaesthesiology and Resuscitation | Target Audience: | Dentistry | ||||||
| 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) | 5 | Lecture Length (academic hours) | 2 | Total Contact Hours of Lectures | 10 | ||||
| Classes (count) | 3 | Class Length (academic hours) | 2 | Total Contact Hours of Classes | 6 | ||||
| Total Contact Hours | 16 | ||||||||
| Study course description | |||||||||
| Preliminary Knowledge: | Knowledge acquired in previous study years in topographic anatomy, pathological physiology, biochemistry, clinical pharmacology, course of surgical (traumatic) and therapeutic pathologies and treatment options, clinical laboratory examinations, as well as first aid for patients primary and secondary on-site examination and basic life support algorithm, and the basic principles of health care organization. | ||||||||
| Objective: | The goal of the course is to provide knowledge of disaster medicine, organizational structure and management principles of health effects of disasters, as well to provide knowledge about the epidemiology of acute poisoning, routes of exposure, toxicokinetics, clinical course and treatment options of certain types of poisons. | ||||||||
| Topic Layout (Full-Time) | |||||||||
| No. | Topic | Type of Implementation | Number | Venue | |||||
| 1 | General characteristics and types of disasters, definitions. Legislation. Description of the forces involved in the elimination of the disaster consequences. Principles of disaster management (on accident site, during transportation to hospital, hospital level) | Lectures | 1.00 | auditorium | |||||
| 2 | Consequences of chemical disasters. Protection equipment for rescuers. Decontamination – indications, procedures and methods | Lectures | 1.00 | auditorium | |||||
| 3 | Triage and treatment options of casualties on different levels of care, protection principles. START triage method. Implementation of ABCDE protocol in disasters | Lectures | 1.00 | clinical base | |||||
| 4 | Toxicological epidemiology. Mechanisms of poisoning (routes of contamination, toxicokinetics, toxicodynamics). Clinical manifestations and diagnosis of acute poisoning - symptoms and syndromes | Lectures | 1.00 | auditorium | |||||
| 5 | General principles of treatment of acute intoxications. Elimination methods, antidotes and principles of their use | Lectures | 1.00 | auditorium | |||||
| 6 | Poisoning with specific substances – ethanol and alcohol substitutes, sedative-hypnotic pharmaceuticals, irritants and corrosives | Classes | 1.00 | clinical base | |||||
| 7 | Poisoning with specific substances - carbon monoxide | Classes | 1.00 | auditorium | |||||
| 8 | Drug poisoning (opioids, cocaine, amphetamines, cannabinoids, LSD, new drugs) | 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: | Exam (multiple choice questions). | ||||||||
| Final Examination (Full-Time): | Exam | ||||||||
| Final Examination (Part-Time): | |||||||||
| Learning Outcomes | |||||||||
| Knowledge: | If the study course is successfully completed, students will have acquired the knowledge of the consequences of disaster medicine, principles of providing of emergency assistance to the largest possible number of casualties in the shortest possible time, as well will acquire knowledge about clinical toxicology. | ||||||||
| Skills: | Students will be able to provide triage on the accident site and at the hospital and emergency treatment according to the priority, as well based on anamnesis, patient complaints, clinical symptoms and laboratory test; will be able to diagnose poisoning, to assess severity and extent of treatment required. | ||||||||
| Competencies: | Understanding the assessment of the medical consequences of the disaster and possible threats, on the sorting of the victims and the volume of emergency assistance in the various stages of liquidation of the medical consequences of the disaster, given the limited medical resources; competences to take individual action decisions, according to the situation, while working in a team and following the general instructions for disaster management; competences on the risk factors of acute exogenous intoxication, epidemiology, on the preparation of a diagnostic, immediate diagnostic plan and far-reaching tactics based on the arguments of the acute toxicological patient, linking it to a specific clinical situation and demonstrating individual treatment of the patient. | ||||||||
| Bibliography | |||||||||
| No. | Reference | ||||||||
| Required Reading | |||||||||
| 1 | Klīniskā anestezioloģija un intensīvā terapija. Induļa Vanaga un Antoņinas Sondores redakcijā. Nacionālais Apgāds, 2017. | ||||||||
| 2 | I. Ciottone. Ciottone’s Disaster Medicine. 2nd edition, Elsevier, 2016 | ||||||||
| 3 | Ārvalstu studentiem/For international students | ||||||||
| 4 | I. Ciottone. Ciottone’s Disaster Medicine. 2nd edition, Elsevier, 2016 | ||||||||
| Additional Reading | |||||||||
| 1 | Lindsay Murray. Toxicology Handbook. 3rd Edition, Elsevier Australia, 2015 | ||||||||
| Other Information Sources | |||||||||
| 1 | TOXNET Databases | ||||||||
| 2 | Agency for Toxic Substances and Disease Registry | ||||||||
