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Paediatric Emergencies – Advanced Course

Study Course Description

Course Description Statuss:Approved
Course Description Version:3.00
Study Course Accepted:19.02.2021 15:55:25
Study Course Information
Course Code:PEK_048LQF level:Level 7
Credit Points:2.00ECTS:3.00
Branch of Science:Clinical Medicine; PaediatricsTarget Audience:Medicine
Study Course Supervisor
Course Supervisor:Reinis Balmaks
Study Course Implementer
Structural Unit:Department of Paediatrics
The Head of Structural Unit:
Contacts:Riga, 45 Vienibas gatve, pkatrsu[pnkts]lv, +371 67621730
Study Course Planning
Full-Time - Semester No.1
Lectures (count)0Lecture Length (academic hours)0Total Contact Hours of Lectures0
Classes (count)8Class Length (academic hours)4Total Contact Hours of Classes32
Total Contact Hours32
Study course description
Preliminary Knowledge:
Knowledge of emergency situations, intensive care and paediatrics relevant to 6th year of study at the Faculty of Medicine. It is desirable to take the course “Emergencies in Paediatrics” first. It is required to read the course material before the course.
Objective:
Learn the structured assessment of vital functions and prevention of their disorders in critically ill children by simulating clinical situations close to real situations.
Topic Layout (Full-Time)
No.TopicType of ImplementationNumberVenue
1Physiological monitoring in childrenClasses1.00METC
2Anatomically and physiologically difficult airways in childrenClasses1.00METC
3Initiation of mechanical lung ventilation in childrenClasses1.00METC
4Paediatric cardiogenic shockClasses1.00METC
5Analgesia and sedation in childrenClasses1.00METC
6Paediatric toxidromesClasses1.00METC
7Cardiopulmonary resuscitation in special circumstances in childrenClasses1.00METC
8Team work/ crisis resource managementClasses1.00METC
Assessment
Unaided Work:
The students will have access to a short summary of each topic, international guidelines or important review of articles and websites with videos in clinical medicine in order to practice the necessary procedures.
Assessment Criteria:
Attendance of lectures and classes is mandatory; work with study materials and literature; engagement in teamwork during simulations; demonstration of knowledge during the post simulation debrief.
Final Examination (Full-Time):Exam (Written)
Final Examination (Part-Time):
Learning Outcomes
Knowledge:The students will learn extended differential diagnosis of life-threatening conditions, their specific nature and compensatory mechanisms in the child’s body, and critical interventions to prevent them. In addition, the understanding of the use of a structured approach and the principles of crisis resource management will be gradually and purposefully developed.
Skills:Structured assessment of a critically ill child; Airway management: plan A, B and C; Positive pressure ventilation with mechanical devices; Provision of inotropic support; Blood gas interpretation; Leadership/ Teamwork/ Communication in crisis.
Competencies:The medical students will be able to do both: take leadership by using theory and management principles and be part of a productive team by using practical skills and effective communication. The competence acquired will be universally applicable, far beyond the simulated situations during the course.
Clinical Skills:
No.SkillLevel
1Administration of Medication using a PVC (System)A - Beginner level
2Administration of Medication using a PVC (System)B1 - Basic level
3Bag-mask ventilationA - Beginner level
4Bag-mask ventilationB1 - Basic level
5Bag-mask ventilationB2 - Intermediate level
6Cardiopulmonary resuscitation (basic)A - Beginner level
7Cardiopulmonary resuscitation (basic)B1 - Basic level
8Cardiopulmonary resuscitation (basic)B2 - Intermediate level
9Intraosseous accessA - Beginner level
10Intraosseous accessB1 - Basic level
11Intraosseous accessB2 - Intermediate level
12MonitoringA - Beginner level
13MonitoringB1 - Basic level
14MonitoringB2 - Intermediate level
15Nasopharyngeal airway insertionA - Beginner level
16Nasopharyngeal airway insertionB1 - Basic level
17Nasopharyngeal airway insertionB2 - Intermediate level
18Oropharyngeal airway insertionA - Beginner level
19Oropharyngeal airway insertionB1 - Basic level
20Oropharyngeal airway insertionB2 - Intermediate level
Bibliography
No.Reference
Required Reading
1Maconochie et al. European Resuscitation Council Guidelines for Resuscitation 2015. Section 6. Paediatric life support. Resuscitation 95 (2015) 223-248
2Kīniskā anestezioloģija un intensīvā terapija. Induļa Vanaga un Antoņinas Sondores redakcijā. Rīga, 2017
3VSIA BKUS Bērnu intensīvās terapijas ceļvedis v1.0. Reinis Balmaks, Ivars Veģeris, Arnita Tomiņa. Pieejams no: https://www.bkus.lv/sites/default/files/editor/celvedis.pdf
Additional Reading
1Kursa vadītāja sagatavoti konspekti, zāļu devas, algoritmi.
Other Information Sources
1New England Journal of Medicine – Videos in Clinical Medicine