Intensive Therapy

Study Course Description

Course Description Statuss:Approved

Course Description Version:6.00

Study Course Accepted:07.09.2021 14:07:50

Study Course Information
Course Code:		LF_140		LQF level:		Level 5
Credit Points:		2.00		ECTS:		3.00
Branch of Science:		Clinical Medicine		Target Audience:		Medicine
Study Course Supervisor
Course Supervisor:		Mihails Dolguševs
Study Course Implementer
Structural Unit:		RSU Liepāja Branch
The Head of Structural Unit:
Contacts:		Liepāja, Riņķu Street 24/26, lfrsu[pnkts]lv, +371 63442118, +371 63442119, +371 63484632
Study Course Planning
Full-Time - Semester No.1
Lectures (count)		4	Lecture Length (academic hours)		2	Total Contact Hours of Lectures		8
Classes (count)		12	Class Length (academic hours)		2	Total Contact Hours of Classes		24
Total Contact Hours								32
Study course description
Preliminary Knowledge:
Anatomy, physiology, internal and surgical diseases, pharmacology.
Objective:
To develop an understanding of the aetiology, pathogenesis, diagnosis, emergency care and treatment of acute disorders, diseases, injuries and life-threatening health conditions.
Topic Layout (Full-Time)
No.	Topic			Type of Implementation		Number	Venue
1	Patient monitoring. Emergency assistance and resuscitation manipulations. Specifics of CPR and artificial ventilation for newborns and children.			Lectures		1.00	auditorium
2	Patient monitoring.			Classes		4.00	auditorium
3	Emergency assistance and resuscitation manipulations.			Classes		4.00	auditorium
4	Resuscitation measures and drug therapy, algorithms.			Lectures		1.00	auditorium
5	Acute respiratory insufficiency, respiratory support. Shock. Diagnosis of acute pain. PE.			Lectures		1.00	auditorium
6	Comas. Cramp syndrome. Hanging. Drowning. Electrical injury. Burns. Hyperthermia. Hypothermia.			Classes		4.00	auditorium
7	Acute renal failure. Hepatorenal syndrome			Lectures		1.00	auditorium
Assessment
Unaided Work:
Preparation for the topic of the respective class, using recommended literature and Internet sources, with subsequent evaluation thereof and practical application in practical classes. Independent acquisition of practical skills under the guidance of the lecturer.
Assessment Criteria:
Mandatory attendance of lectures, seminars, practical classes – 30%. Positive assessments in tests – 20%, exam – 50%.
Final Examination (Full-Time):		Exam (Oral)
Final Examination (Part-Time):
Learning Outcomes
Knowledge:		Upon completing the study course, the student is able to name life-threatening, acute situations, diseases, list their symptoms and syndromes, outline the aetiology and pathogenesis, explain possible complications, describe the basic principles of treatment according to age specifics and necessary manipulations.
Skills:		As a result of completing the study course, the student knows how to recognise life-threatening, acute situations, diseases and syndromes, choose the most appropriate treatment methods. Able to perform CPR measures according to age specifics, apply algorithms and evaluate their effectiveness, predict possible complications. Able to assess the patient’s physical condition and perform necessary IT and resuscitation manipulations (defibrillation, artificial cardiac pacemaker, SKV, tracheal intubation, conicotomy).
Competencies:		As a result of completing the course, the student is able to determine the dynamics of changes in the state of health in life-threatening situations and provide assistance according to algorithms and established guidelines.
Clinical Skills:
No.	Skill					Level
1	12-Lead Electrocardiogram (ECG) recording , result interpretation					A - Beginner level
2	12-Lead Electrocardiogram (ECG) recording , result interpretation					B1 - Basic level
3	Administration of Medication by i/v Route using a Syringe with a Needle					A - Beginner level
4	Administration of Medication by i/v Route using a Syringe with a Needle					B1 - Basic level
5	Administration of Medication using a PVC (System)					A - Beginner level
6	Administration of Medication using a PVC (System)					B1 - Basic level
7	Administration of Medication using a PVC (Syringe)					A - Beginner level
8	Administration of Medication using a PVC (Syringe)					B1 - Basic level
9	Administration of Medication using a PVC (Perfusor)					A - Beginner level
10	Administration of Medication using a PVC (Perfusor)					B1 - Basic level
11	Assessing Apical Pulse					A - Beginner level
12	Assessing Apical Pulse					B1 - Basic level
13	Assessing Apical Pulse					B2 - Intermediate level
14	Assessing Blood Pressure					A - Beginner level
15	Assessing Blood Pressure					B1 - Basic level
16	Assessing Blood Pressure					B2 - Intermediate level
17	Cardiopulmonary resuscitation (basic)					A - Beginner level
18	Cardiopulmonary resuscitation (basic)					B1 - Basic level
19	Cardiopulmonary resuscitation (basic)					B2 - Intermediate level
20	Defibrilation					A - Beginner level
21	Defibrilation					B1 - Basic level
22	Defibrilation					B2 - Intermediate level
23	Detecting Respiratory Rate					A - Beginner level
24	Detecting Respiratory Rate					B1 - Basic level
25	High O2 concentration mask placement					A - Beginner level
26	High O2 concentration mask placement					B1 - Basic level
27	High O2 concentration mask placement					B2 - Intermediate level
28	High O2 concentrations masks					A - Beginner level
29	High O2 concentrations masks					B1 - Basic level
30	Insertion and removal of the nasogastric tube					A - Beginner level
31	Insertion and removal of the nasogastric tube					B1 - Basic level
32	Insertion and removal of the nasogastric tube					B2 - Intermediate level
33	Insertion of Peripheral Venous Catheter					A - Beginner level
34	Insertion of Peripheral Venous Catheter					B1 - Basic level
35	Intracutaneous injection					A - Beginner level
36	Intracutaneous injection					B2 - Intermediate level
37	Intramuscular injection					A - Beginner level
38	Intramuscular injection					B1 - Basic level
39	Intramuscular injection					B2 - Intermediate level
40	Intraosseous access					A - Beginner level
41	Intraosseous access					B1 - Basic level
42	Intraosseous access					B2 - Intermediate level
43	Intravenous Infusion of Medications with a Butterfly Needle					A - Beginner level
44	Intravenous Infusion of Medications with a Butterfly Needle					B1 - Basic level
45	Laryngeal tube insertion					A - Beginner level
46	Laryngeal tube insertion					B1 - Basic level
47	Laryngeal tube insertion					B2 - Intermediate level
48	Low O2 concentration masks					A - Beginner level
49	Low O2 concentration masks					B1 - Basic level
50	Measurement of arterial pulse					A - Beginner level
51	Measurement of the arterial pressure					A - Beginner level
52	Monitoring					A - Beginner level
53	Monitoring					B1 - Basic level
54	Monitoring					B2 - Intermediate level
55	Nasopharyngeal airway insertion					A - Beginner level
56	Nasopharyngeal airway insertion					B1 - Basic level
57	Nasopharyngeal airway insertion					B2 - Intermediate level
58	Neck trasport immobilization					A - Beginner level
59	Oropharyngeal airway insertion					A - Beginner level
60	Oropharyngeal airway insertion					B1 - Basic level
61	Oropharyngeal airway insertion					B2 - Intermediate level
62	Oxygen supply providing by nasal prongs					A - Beginner level
63	Oxygen supply providing by nasal prongs					B1 - Basic level
64	Oxygen supply providing by nasal prongs					B2 - Intermediate level
65	Withdrawing Medication from a Vial into a Syringe					A - Beginner level
66	Withdrawing Medication from a Vial into a Syringe					B1 - Basic level
67	Withdrawing Medication from an Ampoule into a Syringe					A - Beginner level
68	Withdrawing Medication from an Ampoule into a Syringe					B1 - Basic level
Bibliography
No.	Reference
Required Reading
1	Klīniskā medicīna. A. Lejnieka redakcijā, Rīga: Medicīnas apgāds, 2010. (akceptējams izdevums)
2	I. Vanags, A. Sondore. Klīniskā anestezioloģija un intensīvā terapija. Rīga: 2017.
3	Dz. Jakubaņeca. Neatliekamā medicīniskā palīdzība traumu guvušam pacientam. Pirmsslimnīcas etaps. RSU Nacionālais apgāds 2009. (akceptējams izdevums)
4	Dz. Jakubaņeca. Neatliekamā medicīniskā palīdzība pediatrijā. Pirmsslimnīcas etaps. RSU Nacionālais apgāds 2009. (akceptējams izdevums)
5	O. Kalējs. Padziļinātā kardiopulmonālā reanimācija. Slimnīcas etaps. RSU Nacionālais apgāds 2009. (akceptējams izdevums)
6	Dz. Jakubaņeca. Padziļinātā kardiopulmonālā reanimācija. Pirmsslimnīcas etaps. RSU Nacionālais apgāds 2009. (akceptējams izdevums)
7	Intensīvās terapijas rokasgrāmata. V. Liguts, Medicīnas apgāds, Rīga, 2008. (akceptējams izdevums)
Additional Reading
1	J. Vilmanis. Neatliekamā medicīniskā palīdzība traumu guvušam pacientam. Slimnīcas etaps. RSU Nacionālais apgāds 2009.
2	Biksone G. Medikamentozā ārstēšana un aprūpe. Rīga: Kerena, 2008
3	„ Šoks”, Dz. Jakubaņeca, Rīga, 2004.g
4	„ Apdeguma trauma”, M.Savicka, Rīga, 2004.g
5	Toksikoloģijas rokasgrāmata. V. Liguts. Nacionālais medicīnas apgāds, Rīga, 2001
6	A. Kalvelis. Klīniskā elektrokardioloģija. Rīga: Nacionālais apgāds 2008.
7	A. Kalvelis. Nearitmiskā elektrokardioloģija. Rīga: Nacionālais apgāds 2005
8	J. Jirgensons, O. Kalējs. Bradiaritmijas un elektrokardiostimulatori. Rīga: Nacionālais apgāds 2003.
9	Neatliekamā medicīniskā palīdzība. D.Krieviņa redakcijā (Traumas)R.:NMPC 2001.
10	Neatliekamā medicīniskā palīdzība. D. Krieviņa redakcijā (Atdzīvināšana)R.: NMPC 2004.
11	Lekciju un praktisko nodarbību materiāli.