General Medicine
Fifth year
URGENT MEDICINE
Study program General Medicine in English
5th year – winter semester 2019/2020
Day/time: Friday, 14.15- 15,45 1-7 week, „A“
LECTURES - topics:
- Urgent medicine – historic significance, function and importance in medicine.
- Introduction to cardiopulmonary resuscitation, children, adult and newborn. When to start and to stop cardio-pulmonary resuscitation before hospital admission.
- Disorders of Consciousness (spontaneous comatose states, delirium) diagnostics of origin, treatment in urgent medicine. Transitory paroxysmal states in urgent medicine – diagnostics, management, and treatment.
- Life threatening stages - unconsciousness, polytrauma, massive haemorrhage, anaphylactic shock, status asthmaticus. Principles of diagnostic and therapeutic management.
- Skull injury a brain injury – basic treatment before admission on ICU.
- Emergent situation in cardiovascular system: acute coronary syndrome, arrhythmia, pulmonary edema, hypertension crisis and other.
Practical exercises will be in Clinic of Anesthesiology and Intensive Medicine University Hospital (Pavilion prof. Steiner, new Surgery building) on the 1st floor.
PRACTICAL EXERCISES – topics:
- The management of patient suffering from sudden cardio-respiratory arrest – adult, children and newborn.
- Cardiopulmonary resuscitation - practical training.
- The ventilation support the patients on ICU – intubation, tracheostomy
- The treatment of intoxicated patient – drugs, alcohol
- The care about the patient with brain injury, trauma and soft tissue injury.
- The mass injury, traumatic schedule and cooperation with other units.
- Summary and final test.
Anesthesiology and intensive medicine in summer semester 2018/2019
LECTURES - topics:
1.General anesthesia – history and current practice. The role of ananesthesiologist and collaboration with surgical and diagnostic disciplines.
2.General anesthesia – the theory of general anesthesia. Patient preparation for general anesthesia.
Pharmacological preparation of patient before general anesthesia (premedication, anesthesia induction, pharmacokinetics, peripheral muscle relaxant)
3.Patient safety during anesthesia, monitoring, legal aspects.
4.Epidural and spinal anesthesia – anatomy of epidural and spinal spaces. Benefits, indications and contraindications of regional anesthesia.
5.Basic disorders acidobasic balance, their causes and treatment.
6.Acute respiratory insuficiency and ARDS. 7.Acute intoxication in ICU.
8.Nociception a pain sensation.
9.Sepsis and multiorgan dysfunction.
10.Brain death diagnostic, organ procruitment program.
11.Volume therapy, blood products.
12.Intracranial injuries – primary and secondary brain damage.
13.Disseminated intravascular coagulation
14.Paliative Medicine
PRACTICAL EXERCISES - topics:
1. Principles of therapy, inhalatory a bronchodilatation therapy, corticosteroid therapy, prognostic aspects of mechanical ventilation – complications, monitoring, physiotherapy, nebulisation and oxygen therapy
2. The principles of therapy and nursing care about the septic patients in intensive care unit
3. Therapy and management of patients with decreased level of consciousness in intensive care (intracranial pressure monitoring, BIS monitoring and its contribution to patient care in intensive care unit)
4. Regional anesthesia – model education
5. Patient safety and technical equipment of the anesthesiologic workplace during anesthesia
6. Visit to patient on ICU, Test exam before final examination