Universitat Internacional de Catalunya

Obstetric and Paediatric Emergencies

Obstetric and Paediatric Emergencies
4
13212
1
Second semester
OB
Main language of instruction: Catalan

Other languages of instruction: English, Spanish,

Teaching staff


You can contact by email the person in charge of the subject Dra. Carmen Climent (carmecliment8@gmail.com) or the director of the Master Dr. Jordi Castillo (jcastillo@uic.es)

Introduction

In the event that the health authorities announce a new period of confinement due to the evolution of the health crisis caused by COVID-19, the teaching staff will promptly communicate how this may effect the teaching methodologies and activities as well as the assessment.


This subject addresses the theoretical study of the main gynecological and obstetric acute pathological processes (and acute complications of chronic processes) (including outpatient delivery), as well as pediatric, all of them in their pathophysiological, clinical, diagnostic and therapeutic aspects.

Includes theoretical and practical training in advanced life support in pediatrics (SVAP).

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.
  • 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

  • Knows the etiology, pathophysiology, clinic, and approach to pediatric emergencies: regurgitation, vomiting, food refusal, diarrhea, acute and exanthematic infections, febrile infant syndrome, febrile infant syndrome, allergic reactions, asthma, seizures, difficulty respiratory, stridor, abdominal pain, dehydration, poisoning.     
  • Manages the patient in an emergency: respiratory arrest and cardiorespiratory arrest in the newborn, infant, and child.     
  • Manages the patient in an emergency: severe trauma pediatric patient.     
  • Knows the etiology, pathophysiology, clinic, and approach to gynecological emergencies: acute gynecological infectious and inflammatory disorders, abnormal vaginal bleeding.     
  • Knows the etiology, pathophysiology, clinic, and approach to obstetric emergencies: threatened abortion, eclampsia, hyperemesis gravidarum, abdominal pain in the pregnant patient, mastitis.     
  • Knows the eutocic mechanism of childbirth and the main dystocia.

Syllabus

  • Pediatric Emergencies     
    • General assessment of the pediatric patient in the emergency department.     
    • Febrile syndrome     
    • Management of seizures in pediatrics. Febrile seizure     
    • vomiting Diarrhea     
    • Rash in childhood     
    • Epiglottitis. Laryngitis. Laryngotracheitis. Bronchiolitis. Bronchospasm. Pneumonia     
    • Sudden death of newborns
    • Management of dyspnea and respiratory failure in pediatrics     
    • Management of abdominal pain in pediatrics     
    • Management of food refusal     
    • Management of child abuse     
    • Reye's syndrome     
    • Urgent manifestations of congenital injuries     
    • Legal aspects of urgent care for pediatric patients     
  • Pediatric and Neonatal Life Support. Neonatal Life Support     
    • Initial Newborn Assessment. Vitality test. Apgar test     
    • Neonatal resuscitation     
    • Umbilical route     
    • Pharmacological treatment in the resuscitation of the newborn     
  • Life Support in Pediatrics (SVAP)     
    • Specific aspects of PCR in pediatrics     
    • ECG rhythms in pediatric advanced life support     
    • International recommendations     
    • Basic life support in pediatrics     
    • Use of the semi-automatic defibrillator in pediatrics     
    • Airway management     
    • Ventilatory support in pediatric SVA     
    • Vascular accesses in pediatrics     
    • Intraosseous route     
    • Electric treatment     
    • Pharmacological treatment in pediatric VAS     
    • Post-resuscitation care     
    • SVA surgical techniques     
    • CPR in the pregnant woman. Cesarean section perimortem     
  • Care for severe pediatric trauma     
    • Assessment of severe pediatric trauma     
    • Means of rescue, immobilization, and mobilization of the traumatized pediatric patient     
    • Analgesia, sedation, and relaxation in the initial management of severe pediatric trauma     
    • Head injury     
    • Spinal cord injury      
    • Chest trauma     
    • Abdominal trauma     
    • Pelvic trauma     
    • Skeletal trauma     
    • Management of shock in pediatric severe trauma     
    • Airway management in severe pediatric trauma     
  • Gynecological and obstetric emergencies     
    • Acute gynecological infectious and inflammatory disorders     
    • Abnormal vaginal bleeding: hypermenorrhea, polymenorrhea, menorrhagia, metrorrhagia, menometrorrhagia     
    • Ovarian torsion     
    • Urgent contraception     
    • Threat of abortion     
    • Hyperemesis gravidarum     
    • Eclampsia     
    • HELLP syndrome     
    • Abdominal pain in the pregnant patient     
    • Assessment of the progression of labor. Assessment of dystocia. Outpatient delivery care     
    • Acute postpartum complications     
    • Mastitis     
    • Gynecological trauma     
    • Assistance to the patient with sexual assault     
    • Assistance to victims of gender violence     
    • Trauma in the pregnant woman     
    • Drugs and pregnancy. Drugs and lactation     

Bibliography and resources

They will be in the Virtual Platform "Moodle". Each teacher will generate their bibliography and resources depending on the subject taught.