Universitat Internacional de Catalunya
Trauma and Surgical Emergencies and Anaesthesia
Other languages of instruction: English, Spanish
Teaching staff
You can contact by email the director of the Master Dr. Jordi Castillo (jcastillo@uic.es)
Introduction
This subject addresses the theoretical study of the main acute pathological processes (and acute complications of chronic processes) in surgery and trauma, both in their pathophysiological and clinical, diagnostic, and therapeutic aspects, as well as sedoanalgesia and anesthesia in emergencies and emergencies.
It includes theoretical and practical training in emergency ultrasound and in performing invasive techniques in emergencies and emergencies.
Pre-course requirements
There are no prerequisites for taking this subject
Competences/Learning outcomes of the degree programme
- CB7 - Students should be able to apply the knowledge acquired and have the ability to solve problems in new or little-known environments within broader (or multidisciplinary) contexts related to the field of study.
- CB8 - Students should be able to integrate their knowledge so that they can deal with the complexity involved in making judgements based on information that may be incomplete or limited, and may therefore require considerations of the social and ethical responsibilities involved in applying knowledge or judgement.
- CE01 - To have the ability to communicate with patients suffering from a disease that requires urgent treatment, managing resources for a patient-doctor conversation that is initially focused on the most important medical aspects.
- CE02 - Planning emergency care, assessing the psychological dimension of the suffering of patients and family members
- CE03 - When a patient has an intense or worsening condition, students should know how to identify and assess clinical indications of a risk to their life or a serious danger to their functions, establishing priorities for their treatment.
- CE04 - To have the ability to act and/or coordinate the process of moving a seriously ill patient from the place of the emergency to a healthcare centre suited for their treatment, in a decisive, confident and official way within the professional sphere.
- CE05 - To use a patient's medical history and physical examination to identify the signs and symptoms of the most common serious conditions and serious complications to chronic conditions, correctly interpreting the information.
- CE06 - To demonstrate their knowledge and flexible and decisive handling of protocols and guidelines for clinical practice when dealing with the most serious or common conditions in urgent and emergency care.
- CE07 - To carry out a continuous re-evaluation of the patient in urgent and emergency care in order to readjust the provisional diagnosis and consequent change to the treatment plan when necessary.
- CE08 - To act decisively, accurately and efficiently when applying the invasive and non-invasive treatment techniques used in emergencies.
- CE09 - To recognise the risks associated with operation procedures and the diagnostic techniques and treatments employed in emergencies, and to carry them out as safely as possible in terms of the safety of the student, other professionals and the patient.
- CG1 - To know how to work in a multidisciplinary team in an independent way, and how to take the initiative to resolve any disputes or problems that arise between different professional perspectives.
- CG2 - To act fairly, making sure to offer equal opportunities and universal access to patients who require medical attention, encouraging respect for human rights and a social and sustainable coexistence.
- CG3 - To practice effective timekeeping and to manage activities so as to ensure efficient organisation and the best possible ability to adapt to unforeseen circumstances.
- CG6 - To apply current healthcare legislation related to both pre-hospital and hospital care.
- CT01 - To respect the ethical standards and laws that govern healthcare and the relationship with the patient in urgent and emergency care, as well as the ability to provide information on basic aspects of the same when required.
Learning outcomes of the subject
- Know the fundamentals, indications, and complications of analgesia, sedation, and relaxation in emergencies and emergencies.
- Knows the etiology, pathophysiology, clinic, and approach to musculoskeletal trauma emergencies: limb fractures, dislocations, sprains, acute muscle-tendon pathologies, cervicalgia, painful shoulder, brachialgia, back pain, lumbago, knee pathology.
- Knows the etiology, pathophysiology, clinic, and approach to other trauma emergencies: traumatic brain injury, spinal cord trauma, chest trauma, abdominal trauma, pelvic trauma.
- Know the fundamentals, indications, and complications of compression and functional bandages, plaster and metallic splints, immobilization devices for transfer
- Know the fundamentals and indications in the traumatic pathology of antithrombotic prophylaxis in the immobilized patient, tetanus, rabies, and antibiotic prophylaxis in traumatic injuries.
- Knows the etiology, pathophysiology, clinic, and approach to general surgical emergencies: acute abdomen, bile duct obstruction, intestinal obstruction/perforation, pancreatitis, appendicitis, hernia incarceration, hemorrhoidal crisis, abscesses.
- Know the fundamentals, indications, and complications of wound healing and sutures, bite treatment, burn treatment.
- Knows the etiology, pathophysiology, clinic, and approach to emergencies by physical and chemical agents: burns, electrocution, near-drowning, acute poisonings, drug deprivation, blast wave pathology, crush pathology, heat pathology, pathology by cold.
- Know the etiology, pathophysiology, clinic, and approach to the main emergencies of other medical-surgical specialties: otorhinolaryngological, ophthalmological.
- Knows how to interpret: fundamental ultrasound in emergencies.
- Knows how to interpret fundamental radiology in emergencies: conventional radiology, CT, MRI.
- Know the fundamentals, indications, and complications of bladder catheterization, nasogastric and orogastric catheterization, gastric lavage.
- Know the fundamentals, indications, and complications of peripheral venous canalization, intraosseous canalization, central venous canalization.
- Know the fundamentals, indications, and complications of nasal tamponade.
Syllabus
Analgesia, sedation, relaxation, and anesthesia in the emergency department
- Assessment of pain and agitation in the emergency department
- Analgesia in the emergency room
- Sedation in the emergency room
- Rapid intubation sequence in the emergency department
- Locoregional blocking techniques in emergencies
Traumatology and rheumatology emergencies
- General aspects of fractures.
- Basic principles of treatment of traumatic injuries
- General complications of fractures. Open fractures. Compartment syndrome.
- Craniofacial fractures
- Vertebral fractures and dislocations.
- Acute disc pathology
- Musculotendinous traumatic pathology of upper limb
- Upper limb fractures and dislocations
- Musculotendinous traumatic pathology of the lower limb
- Lower limb fractures and dislocations
- Traumatic knee pathology
- Pelvic fractures
- Rib fractures. Clavicular fractures
- Management of reimplantable amputations
- Cervico-brachialgia. Lumbo-ciatalgia
- Arthritis. Bursitis. Necrotizing fasciitis. Osteomyelitis
- Acute complications of chronic rheumatologic pathology
Emergency Radiology in Traumatology
Ultrasound in the ER
Functional bandages and immobilizations in the emergency department
Emergencies due to physical and chemical agents
- Burns. The Great Burned Patient
- Electrocution
- Crush syndrome
- Shock wave syndrome
- Hypothermia. Freezing
- Heat pathology
- drowning
- Accidents due to immersion.
- Altitude sickness
Poisonings
- General management of the intoxicated patient in the emergency department
- Smoke inhalation syndrome. CO poisoning, Cyanide poisoning.
- Intoxication by alcohol and derivatives
- Antidepressant poisoning
- Sedative and hypnotic poisoning
- NSAID poisoning. AAS poisoning. Paracetamol poisoning
- Drug abuse poisoning
- Caustic poisoning
- Hydrocarbon poisoning
- Pesticide poisoning
- Mushroom poisoning
- Bite of poisonous animals.
Surgical emergencies
- General assessment of wounds. Treatment of wounds in the emergency department.
- Stab and firearm injuries
- Suture techniques
- Incision and drainage of abscesses
Ophthalmic Emergencies
- Ophthalmological examination in the emergency department. Slit-lamp.
- Conjunctivitis. Episcleritis. Scleritis. Keratitis Corneal ulceration. Uveitis. Dacryocystitis. Stye. Orbital cellulitis.
- Retinal detachment
- Foreign body
- Eye trauma
- Acute glaucoma
- Management of red-eye in the emergency department.
- Addressing acute vision loss.
- Frequent drugs in ophthalmology
Teaching and learning activities
In person
The following teaching methodologies will be used to develop the subject:
Theoretical class (CT) in the classroom: The teacher will present his syllabus with audiovisual help if he sees fit. In these activities, the student has a basically receptive role, although with the possibility of active participation individually or in groups.
Practical Workshop (TP). This training resource will be carried out mainly at the Comprehensive Advanced Simulation Center (CISA) available at the UIC. In this way, scenarios close to reality will be created in small groups of students, mainly oriented to the development of practical skills, using expository and interactive methodological resources such as role-play, group dynamics, and simulation resources.
Clinical Cases (CC). In the virtual classroom, activities scheduled for the student to solve clinical assumptions on their own or in teams, under the supervision of the teacher, thus contributing to advance in the practical application of the theoretical knowledge acquired and in The process of decision making.
Self-learning activities (AAP). For these activities, the UIC virtual platform "Moodle" will be your main tool. In it you will be able to find different resources (study material, discussion forums, multimedia resources ...) and various activities (evaluation questionnaires, carrying out tests ...) designed for the student to advance on his own, tutored by the teacher, in the development of its fundamentally theoretical competences.
Individual student activity (AIA). Outside or inside the academic space, activities carried out autonomously by the student tutored by the teachers, to achieve the objectives of the program.
Evaluation systems and criteria
In person
FIRST CALL
There will be a mixed evaluation that will have 3 components:
1) Class participation and attendance (10%)
2). Bandages Workshop. Online exercise (15%)
. Emergency Ultrasound Workshop. Online exercise (15%)
3) Theoretical examination of the subject (60%)
The student must obtain a minimum score of 4 points in each of the components of the evaluation of the subject. To pass the subject, you must get at least a 5.
SECOND CALL
Those students who do not exceed the minimum of 4 points in any of the aforementioned evaluations will have to appear at the second call of these parts. The approved parts will be kept with the grade obtained on the first call.
To pass the subject, you must get at least a 5.
Bibliography and resources
They will be in the Virtual Platform "Moodle". Each teacher will generate their bibliography and resources depending on the subject taught.