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Numrul total de ore (pe semestru) din

planul de nvmnt

FIA DISCIPLINEI

Denumirea disciplinei

MEDICINA DE URGENTA
IV
En
g.

Anul de studiu

Semestrul *

Tipul de evaluare final (E / V / C)

Regimul disciplinei (Ob obligatorie, Op opional, F - facultativ)


Total ore din planul de nvmnt
Titularul disciplinei

26

Total ore de studiu


individual

Ob

Numrul de credite

50

Total ore pe
semestru

26

Conf. Dr. Diana Carmen Cimpoesu

* Dac disciplina are mai multe semestre de studiu, se completeaz cte o fi pentru fiecare
semestru
Total
C**
S
L
Facultatea

Medicina Generala

Departamentul

Medicale II

Profilul

Medicina

Specializarea

Medicina Generala

26

14

22

** C curs, L activiti de laborator, P proiect sau


lucrri practice

Cunotine minime necesare studenilor pentru parcurgerea noiunilor de curs/stagii/lucrri


practice
Anatomie, Fiziopatologie, Cardiologie, Medicina Interna, Farmacologie

Course objectives
Theory and practice in cardiopulmonary resuscitation
Methods for assessing primary and secondary trauma patient
Diagnosis and treatment of shock
Comatose patient assessment and management, intoxicated patient assessment and management
Theoretical notions about environmental emergencies
Programa analitic a cursului
1. Cardiopulmonary Resuscitation: basic life support and advanced life support
2. PerriArrestArrhythmia. Postresuscitation Therapy
3. Shock. Hypovolemic and Traumatic Shock - pathophysiology, clasification,
diagnosis, evaluation, therapy.

Nr. ore
2
2

4. Shock. Anaphylaxis, Cardiogenic and Neurogenic Shock - pathophysiology,


clasification, diagnosis, evaluation, therapy.
5. Environmental Emergency Injuries: frostbites and burns, hypothermia, heat
emergencies, drowning, high altitude emergency.
6. Emergency polytrauma management. Primary and Secondary Evaluation in
Prehospital Setting and Emergency Department.
7. Intoxications and Comatose States: Evaluation and Therapy in Emergency
Department.
Programa analitic lucrri practice/stagii

1. Cardiopulmonary Resuscitation in Adults and Child (Basic Life Support).


a. Rescuer safety
b. Open upper airway
c. Ventilation mouth to mouth and mouth to mask
d. External chest compressions
e. Basic maneuvers for airway management
f. Recovery position

2. Advanced Airway Management Techniques.


a. Adjuncts to basic airway techniques
b. Mask-ballon ventilation technique
c. Endotracheal intubation: indications, technique, contraindications
d. Use laryngeal mask, combitube, I-Gel
e. Cricothyroidotomy and minitracheostomy

2
2
2
2

3. Defibrillation. Cardioversion. External Pacing Techniques.


a. Defibrillation: indications and technique. Types of defibrillators
b. Cardioversion: indications, technique, complications
c. Transcutaneous pacing: indications, technique
4. Ways of Acces for Medication. Peripheric and Central Venous Access. Fluid
Therapy in Resuscitation.
a. Peripheral venous access: indications, technique, complications
b. Peripheral venous catheters: types, indications, technique assembling an infusion
c. Fluids used in resuscitation: classification, indications, precautions,
complications
d. Central venous catheterization: indications, technique, complications
e. Intraosseous access

5. Guidelines for Advanced Cardiopulmonary and Cerebral Resuscitation


a.
Algorithms in ventricular fibrillation and in pulseless ventricular tachycardia
b.
Algorithm in asystole
c.
Algorithms in pulseless electrical activity
d.
Drugs and fluids for cardiac arrest

6. Peri-arrest arrhythmia.
a.
Tachyarrhythmias treatment algorithm in emergency
b.
Bradyarrhythmias treatment algorithm in emergency
7. Vasoactive Therapy. Use of Perfusion Pumps and Injectomats. Invasive and
Non-invasive Monitoring
a. Vasoactive therapy: indications, precautions, dosage, method of administration
b. Use of Perfusion Pumps and Injectomats: practical exercises
c. Non-invasive Monitoring of vital signs - diagnostic and therapeutic issue
d. Invasive Monitoring (CVP, invasive BP, arterial blood gas) techique and
practical issue
8. Cardiopulmonary Resuscitation in Special Situations
a. Cardiac arrest in special circumstances: pregnancy
b. Cardiac arrest in special circumstances: drowning, hypothermia, electrocution
c. Cardiac arrest in special circumstances: anaphylaxis and asthma
d. Cardiac arrest in special circumstances: acute coronary syndrome
e Cardiac arrest in special circumstances: electrolyte abnormalities
9. Practical Issues in Comatose Patient. Evaluation, Monitoring, Management
a. Emergency maneuver at the comatose patient: respiratory prosthesis, insertion of
catheters and issue for monitoring
b. Comatose patient care problems, respiratory prosthetic patient
c. Gastric tubes: types, indications, technique, contraindications, complications
d. Urinary catheter: types, indications, technique, contraindications, complications,
alternative techniques
e. Indications and technique of using tracheal suction tubes and vacuum discharge
10. Emergency Department Management in Intoxications
a. Decontamination techniques
b. Gastric lavage: indications, contraindications, technique, complications
c. Other techniques decrease the absorption of toxic
d. Increase toxic elimination methods: osmotic diuresis, hemodialysis,
hemofiltration
11. Emergency Department Approach to minor surgery. Antitetanus prophylaxis
a. Emergency wound solving technique
b. First aid for burns and frostbite
c. Performing various types of bandages and dressings in emergency
d. Antitetanus prophylaxis

2
2

12. Primary Evaluation in Trauma Patient


a. Primary Evaluation in Trauma Patient. Resuscitation in Trauma Patient
b. Cervical collar: indications, technique
c. Airway Management in emergency
d. Pneumothorax puncture. Pleural drainage: indications, technique in emergency
e. Types of hemostasis used in emergency
13. Secondary Evaluation in Trauma Patient.
a. Secondary Evaluation in Trauma Patient.
b. Sedation, analgesia in emergency in trauma patient
c. Peritoneal lavage in emergency: indications, technique, interpretation
d. Types of transport and immobilization used in trauma patient: rigid stretcher,
shovel stretcher, types of splints for temporary immobilization
14. Principles of intervention in emergency medicine: trauma patient and nontrauma patient

Competene practice dobndite la finalul anului/semestrului


Cardiopulmonary Resuscitation in Adults and Child
Basic and Advanced Airway Management Techniques
Defibrillation. Cardioversion. External Pacing Techniques
Ways of Acces for Medication. Peripheric and Central Venous Acces. Fluid Therapy in Resuscitation.
Guidelines for Advanced Cardiopulmonary and Cerebral Resuscitation
Vasoactive Therapy. Use of Perfusion Pumps and Injectomats. Invasive and Non-invasive Monitoring
Cardiopulmonary Resuscitation in Special Situations
Practical Issues in Comatose Patient. Evaluation, Monitoring, Management
Emergency Department Management in Intoxications
Emergency Department Approach to Penetrating Trauma. Antitetanus prophylaxis
Primary Evaluation in Trauma Patient
Secondary Evaluation in Trauma Patient. Immobilization Techniques

La stabilirea notei finale se iau n considerare


- rspunsurile la examen / colocviu (evaluarea final):
- rspunsurile finale la lucrrile practice de laborator
- testarea periodic prin lucrri de control

Ponderea n notare exprimat n


procente
(Total = 100%)
100%

- activitile gen teme / referate / eseuri / traduceri /


proiecte etc.
- alte activiti (PRECIZAI) : colocviu
Descriei modalitatea practic de evaluare final E/V (de exemplu: lucrare scris (descriptiv i
/ sau test gril i / sau probleme etc.), examinare oral, colocviu individual ori n grup, proiect,
etc.)
Examen final: examen practic i test gril unic (50 ntrebri cu rspunsuri multiple)
Estimai timpul total (ore pe semestru) al activitilor de studiu individual pretinse studentului
(completai cu 0 activitile care nu sunt cerute)
6
1. Descifrarea i studiul notielor de
8. Pregtire prezentri orale
0
curs
10
2. Studiu dup manual, suport de curs
9. Pregtire examinare final
10
3. Studiul bibliografiei minimale
indicate
4. Documentare suplimentar n
bibliotec
5. Activitate specific de pregtire
SEMINAR i / sau LABORATOR
6. Realizare teme, referate, eseuri,
traduceri, etc.
7. Pregtire lucrri de control

10

10. Consultaii

11. Documentare pe teren

12. Documentare pe Internet

13. Alte activiti ....

14. Alte activiti ....

TOTAL ore studiu individual (pe semestru) =


minimum 50

Bibliografie obligatorie :
Bibliografie
1. D. Cimpoesu Protocoale si ghiduri actuale in resuscitarea cardiopulmonara, Ed. Gr.T
Popa 2011
2. Consiliul Roman de Resuscitare Ghiduri in Resuscitare 2010
3. J. Tintinalli and co. ,,Medicina de urgenta - Ghid pentru studiu comprehensiv,
Tintinalli, editia VI, prima editie n limba romna, 2008, editor C.P.S.S.
4. R. Arafat Ministerul Sanatatii Manual de Prim Ajutor Calificat
5. Guidelines www.erc.edu
Bibliografie suplimentar pentru materia de curs i lucrri practice Fiziopatologie

Data completrii:

Semntura coordonatorului de activitate didactic