Teaching code

4S000102

Credits

8

Coordinatore

Luca Giuseppe Dalle Carbonare

Language

Italian

Moodle Seminars

The teaching is organized as follows:

Learning outcomes

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MM: CHIRURGIA D'URGENZA
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The teaching purpose is to discuss the clinical settings tipically observed in the context of emergency surgery. Main syndromes in emergency surgery setting will be considered and analyzed with a surgical and nursing approach. Diseases observed in emergency surgery will be reported considering the symptoms, diagnosis, treatment, indications to surgical treatment and type of surgery.
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MM: MEDICINA D'URGENZA
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The course is aimed to increase the knowledge on pathophysiological and clinical aspects of the more relevant emergency problems in the nursing clinical practice.
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MM: INFERMIERISTICA CHIRURGICA SPECIALISTICA
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MM: RIANIMAZIONE
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The teaching aims to study physiopathological aspects, clinical and nursing aspects in emergency situation, selected based on their epidemiological and exemplarity importance in different situations (territory, hospital, home); it focuses on risks’ individuation, on intervention’s complexity and compliance and on patient’s urgent and complex nursing need identifying the priorities.
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MM: INFERMIERISTICA IN SITUAZIONI DI CRITICITA'
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The student wil be able to recognize critical signs in patients recovered in different wards, to control and describe patient's clinical evolution supporting vital functions and prevent any complications, to assume and care patient and his family during permanence in Intensive Care Unit.
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MM: INFERMIERISTICA CLINICA NEI SERVIZI DI EMERGENZA
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The aim of the course is to provide useful tools and knowledge to evaluate and effectively deal with emergency situations both in the intro and in the extra hospital, recognizing the potential sources of risk that affect people's perception and reaction, identifying the best interventions corrective actions to act with awareness, protecting oneself and others.

Program

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MM: CHIRURGIA D'URGENZA
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1. Shock syndrome (hypovolemic shock, SIRS, sepsis, septic shock) Acute pancreatitis Burns 2. Acute abdomen and peritonitis Appendicites, cholecystitis, diverticulitis, bowel perforation, bowel ischemia 3. Bowel obstruction Upper and lower bowel obstruction Adhesions, volvolus, abdominal wall hernias, inflammatory bowel diseases (crohn and ulcerative colitis), colo-rectal tumors 4. Gastrointestinal bleeding Upper and lower gastrointestinal bleeding Mallory-Weiss, peptic ulcer, portal hypertension and esophageal varices, gastric tumors (adenocarcinoma e GIST), diverticular bleeding, other causes of colonic bleeding 5. Jaundice Metabolic and infective complications of jaundice Gallbladder and biliary tract lithiasis, chronic pancreatitis, pancreatic cancer, liver and biliary tract cancer 5. Trauma Abdominal and thoracic trauma Principles of damage control surgery Trauma of hollow and parenchymatous organs Thoracic wall, pulmonary and major vessels trauma. Pleural effusion, hemothorax and pneumothorax 6. Emergencies in vascular surgery Deep vein thrombosis Acute lower limb ischemia Abdominal aortic aneurysm rupture Visceral aneurysms rupture
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MM: MEDICINA D'URGENZA
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Diagnostic and therapeutic approach to patients with chest pain. Diagnostic and therapeutic approach to patients with pulmonary embolism, pulmonary oedema, metabolic coma, diabetic coma, intoxication and poisoning.
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MM: INFERMIERISTICA CHIRURGICA SPECIALISTICA
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MM: RIANIMAZIONE
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Diagnostic approach to shocked patient Severe breathing insufficiency, ARDS Post-anoxia coma Hypothermic therapy Cranial trauma trauma coma Burns
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MM: INFERMIERISTICA IN SITUAZIONI DI CRITICITA'
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1. Critical care and critical patient: how to care him 2. Patient's surveillance and monitoring during neurological and cardio-respiratory instability 3. Surveillance, expected risults and side effects during administration of complex drug' treatments and therapies 4. Patient experience in Intensive Care Unit 5. Nutrition in Critical Care patient
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MM: INFERMIERISTICA CLINICA NEI SERVIZI DI EMERGENZA
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Principles and methods of the emergency system of the Operations Center 118 and of the Departments of Emergency / Urgency (frontal lesson) Primary (primary survey) and secondary assessment (secondary survey) of the patient in emergency, with particular attention to the management of the airways, immobilization and transport to the most suitable structure (frontal lesson with connected laboratory of first aid techniques) Triage: principles, application criteria and assignment of appropriate color codes, to define the priorities in emergency according to the Drg n.1888 of 2015. Triage to the person with cognitive impairment of various degrees (lectures with use of a program for the assignment correct color codes in the proposed clinical cases) Evaluation of the patient in periarrest and in cardiac arrest, through the ABCDE / ABC method (lecture and case study) Emotional reactions of patients and principles of relationship / communication with the patient (frontal lesson) The wounds and tampering maneuvers of external hemorrhage and wound dressing (frontal lesson) First intervention situations for the burned patient, drowned, insects point, syncopated patient or with seizure in progress, patient with exposed limb fracture (frontal lesson)

Bibliography

Examination Methods

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MM: CHIRURGIA D'URGENZA
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Ten multiple choice questions plus oral exam if sufficient results are obtained in at least 5 modules
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MM: MEDICINA D'URGENZA
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Multiple choice test followed by oral examination if multiple choice test is positive.
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MM: INFERMIERISTICA CHIRURGICA SPECIALISTICA
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MM: RIANIMAZIONE
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Writing Test
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MM: INFERMIERISTICA IN SITUAZIONI DI CRITICITA'
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Test + oral exam
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MM: INFERMIERISTICA CLINICA NEI SERVIZI DI EMERGENZA
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The exam consists of a written test with closed questions, with multiple choice answers