.
Emergency Care Anaesthesiology and Reanimatology
Study Course Description
Course Description Statuss:Approved
Course Description Version:4.00
Study Course Accepted:21.03.2022 10:40:07
| Study Course Information | |||||||||
| Course Code: | AURK_004 | LQF level: | Level 6 | ||||||
| Credit Points: | 2.00 | ECTS: | 3.00 | ||||||
| Branch of Science: | Clinical Medicine; Anaesthesiology and Resuscitation | Target Audience: | Nursing Science | ||||||
| Study Course Supervisor | |||||||||
| Course Supervisor: | Arta Bārzdiņa | ||||||||
| Study Course Implementer | |||||||||
| Structural Unit: | Department of Anaesthesiology and Intensive Care | ||||||||
| The Head of Structural Unit: | |||||||||
| Contacts: | Riga, 13 Pilsonu Street, VSIA P.Stradiņa KUS, Block No. 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) | 11 | Class Length (academic hours) | 2 | Total Contact Hours of Classes | 22 | ||||
| Total Contact Hours | 32 | ||||||||
| Study course description | |||||||||
| Preliminary Knowledge: | Completed required courses of previous academic years. | ||||||||
| Objective: | To teach students how to handle emergency situations of life, promote the acquisition of knowledge on intensive therapy in the most common emergency situations in obstetrics, teach basics of resuscitation and basics of advanced cardiopulmonary resuscitation; to acquire basic knowledge of general and regional anaesthesia, its types and stages of surgery and anaesthetic risk of post-operative analgesia, including obstetrics specific anaesthesia and analgesia. | ||||||||
| Topic Layout (Full-Time) | |||||||||
| No. | Topic | Type of Implementation | Number | Venue | |||||
| 1 | Introduction. Basic concepts of life and death. Basic resuscitation algorithm for adults, children and newborns | Lectures | 1.00 | clinical base | |||||
| 2 | Advanced resuscitation algorithm for adults, children and newborns | Lectures | 1.00 | clinical base | |||||
| 3 | Haemostasis disorders and their prevention. Bleeding and shock | Lectures | 1.00 | clinical base | |||||
| 4 | Environmental trauma. Thermoregulation, overheating, hypothermia and frostbite. First aid in cases of acute poisoning | Lectures | 1.00 | clinical base | |||||
| 5 | Anaesthetic techniques in obstetrics | Lectures | 1.00 | clinical base | |||||
| 6 | Basic resuscitation algorithm for adults | Classes | 1.00 | clinical base | |||||
| 7 | Basic resuscitation algorithm in pediatrics and neonatology | Classes | 1.00 | clinical base | |||||
| 8 | Advanced resuscitation algorithm for adults | Classes | 1.00 | clinical base | |||||
| 9 | Airway management for adults, children and newborns | Classes | 1.00 | clinical base | |||||
| 10 | First aid for casualties with soft tissue damage (wounds) | Classes | 1.00 | clinical base | |||||
| 11 | First aid for patient with musculoskeletal injuries (bone fractures, dislocation, sprain and strain) | Classes | 1.00 | clinical base | |||||
| 12 | First aid in cases of overheating, hypothermia and frostbite. Acute poisoning | Classes | 1.00 | clinical base | |||||
| 13 | First aid for patients with different kinds of shocks | Classes | 1.00 | clinical base | |||||
| 14 | Burns. Burn surface and depth levels. First aid | Classes | 1.00 | clinical base | |||||
| 15 | Acquisition of visually informative material on regional anesthesia methods in obstetrics | Classes | 1.00 | clinical base | |||||
| 16 | Repetition of basic resuscitation and advanced resuscitation algorithm. Situation tasks | Classes | 1.00 | clinical base | |||||
| Assessment | |||||||||
| Unaided Work: | Prepare for the relevant topics of lecture using recommended literature and Internet sources, followed with their evaluation and practical application during practical lessons. | ||||||||
| Assessment Criteria: | Exam: multi choice question answer test and oral questions on the topic of the course, checking of practical skills using adult, children and newborns manikins. The marking scheme for resuscitation of the dummy: (1) sequence of steps and algorithm for action when performing cardiopulmonary resuscitation – know and perform precisely without any mistakes; (2) the victim's primary investigation (ABC) – know and comply precisely without any mistakes; (3) locating of the indirect heart massage point and massage depth – know and comply precisely without any mistakes; (4) manual opening of respiratory ways and realisation of artificial pulmonary ventilation "mouth-mouth" or "mouth-nose" – exact knowledge and at least 70% success rate at achieving the correct inspiratory volume; (5) Preparing defibrillator, rhythm analysis, practical defibrillation of a patient; (6) practical realisation of the strong side stance – know and comply precisely without any mistakes; (7) Realisation of Heimlich manoeuvre and other techniques in case of choking – know and comply precisely without any errors. Marking scheme for the multiple choice theoretical test: more than 75% correct answers required. | ||||||||
| Final Examination (Full-Time): | Exam | ||||||||
| Final Examination (Part-Time): | |||||||||
| Learning Outcomes | |||||||||
| Knowledge: | After completing the study course the students will be able to carry out a systematic evaluation of the patient (victim's) condition during the pre-hospitalisation stage, will be able to name and find the latest European guidelines on cardiopulmonary resuscitation for adults and children. Will be able to perform defibrillation, as well as inform about the role of cardiovascular and respiratory systems in the maintenance and regulation of vital functions. Will be able to talk about the importance of blood loss, soft tissue and support apparatus traumatic damage to the development of shock, and also will be able to apply the direct and indirect pressure methods in stopping bleeding. Will know the course of action for shock prevention in an emergency, will be able to name and describe the types of fractures, joint dislocations, tendon and muscle sprains and will be able to provide first aid to the victims to implement immobilisation. Will be able to name the adverse effects on the human body (overheating, hypothermia, frostbite) caused by the external environment harmful factors and provide assistance in cases of burns, overheating, hypothermia; name types of acute intoxication, their clinic and first aid in cases of acute poisoning. Will know how to perform manual airway management techniques, as well as be able to name the instrumental and surgical techniques. Will be able to name the anaesthetic techniques in obstetrics and tell the indications of their application. Will be able to name the advantages and limitations of childbirth epidural analgesia. Will be able to discuss the importance of assessing the patient's condition in the most common pregnancy complications from the point of view of anaesthesiologist-reanimatologist. Will be able to name the basic principles of a comatose patient care. | ||||||||
| Skills: | After completing the study course students will be able to perform basic and advanced cardiopulmonary resuscitation measures as well as be able to perform heart defibrillation, ensure openness of patent’s airway with both manual and instrumental techniques. Will be able to stop the bleeding by applying direct and indirect pressure method will be able to assess a comatose patient's condition and provide assistance. | ||||||||
| Competencies: | The student will be able to respond appropriately to the victim's vital functions disorders: perform initial (primary) and secondary investigations of the victim; provide medical first aid in the pre-hospitalisation stage, analyse the situation, using basic algorithms of resuscitation and other first-aid operational guidelines, will be able to assess the impact of environmental physical factors on the human body and health. Will be able to develop a competent action plan by assessing the vital indicators of a particular clinical situation in obstetrics; match it with the performance of other members of the health care system, analyse the situation, demonstrate individual treatment to every patient by balancing the general operational guidelines with a creative approach to each clinical case. Use argumentative, verifiable and scientific way of thinking when making decisions relating to patients' health or life. | ||||||||
| Clinical Skills: | |||||||||
| No. | Skill | Level | |||||||
| 1 | Cardiopulmonary resuscitation (basic) | B1 - Basic level | |||||||
| 2 | Defibrilation | B1 - Basic level | |||||||
| 3 | High O2 concentration mask placement | B1 - Basic level | |||||||
| 4 | Laryngeal tube insertion | B1 - Basic level | |||||||
| Bibliography | |||||||||
| No. | Reference | ||||||||
| Required Reading | |||||||||
| 1 | Klīniskā anestezioloģija un intensīvā terapija. I.Vanaga un A.Sondores redakcijā. Rīga: Medicīnas Apgāds, 2017, 1243-1249, 1259-1283. lpp. | ||||||||
| 2 | Toksikoloģijas rokasgrāmata. V.Liguts. Nacionālais medicīnas apgāds, Rīga, 2001, 1070 lpp. (akceptējams izdevums) | ||||||||
| 3 | Intensīvās terapijas rokasgrāmata. V.Liguts. Rīga: Nacionālais Apgāds, 2008, 560 lpp. (akceptējams izdevums) | ||||||||
| 4 | Greif, R., Lockey, A., Breckwoldt, J., Carmona, F., Conaghan, P., Kuzovlev, A., . . . Monsieurs, K. (2021). European Resuscitation Council Guidelines 2021: Education for resuscitation. Resuscitation, 161, 388-407. | ||||||||
| Additional Reading | |||||||||
| 1 | ACOG Practice Bulletin No. 36: Obstetric Analgesia and Anesthesia. Obstetrics & Gynecology: July 2002 - Volume 100 - Issue 1 - p 177-191 | ||||||||
| 2 | Cyna, A., & Dodd, J. (2007). Clinical update: Obstetric anaesthesia. The Lancet (British Edition), 370(9588), 640-642. | ||||||||
| Other Information Sources | |||||||||
| 1 | Lekciju un praktisko nodarbību materiāli. | ||||||||
| 2 | Interneta resursi. | ||||||||
