INTENSIVE CARE

Degree course: 
Corso di Long single cycle degree (6 years) in Medicine and Surgery
Academyc year when starting the degree: 
2012/2013
Year: 
6
Academyc year when helding the course: 
2017/2018
Course type: 
Compulsory subjects, characteristic of the class
Credits: 
1
Period: 
First Semester
Standard lectures hours: 
16
Detail of lecture’s hours: 
Lesson (16 hours)
Requirements: 

CHIRURGIA D’URGENZA
Pre-requisites are stated by the degree program. In order to be able to follow the course, the student should have solid knowledge of surgical disease, anatomy, clinic and diagnostics of the major surgical pathologies that require urgent treatment.
MEDICINA D’URGENZA E INFERMIERISTICA IN AREA CRITICA
- Pre-requisites are those provided by the course's degree program. In order to be able to take advantage of the course, the student should have a solid knowledge of physiopathology, clinic and diagnostics of major medical and surgical pathologies and adequate knowledge of the pharmacokinetics and pharmacodynamics of the main emergency molecules.

Assessment: 
Voto Finale

CHIRURGIA D’URGENZA
The aim is to teach the student, through the frontal lessons, the diagnostic and therapeutic aspects and the main clinical aspects of the most common pathologies that need a surgical treatment in urgency. The various pathologies will be treated in a practical way, starting from real or simulated clinical cases, referring, where available, to the reference guidelines.
At the end of the course, the student should have the basic concepts to provide nursing professional assistance in the most common emergency. He will need to know, among the most frequent surgical diseases, those that pose a risk of immediate life, He will also have to know the diagnostic pathways of other common urgent pathologies, knowing their management, applying critical nursing decision making and a nursing practice based on evidence.
Particular attention will be given to nursing care explanation through autonomous and complementary specific interventions

MEDICINA D’URGENZA E INFERMIERISTICA IN AREA CRITICA
The course aims to provide the students, with the help of front lessons and exercises on simulator mannequins, knowledge of the most common emergency situations that may threaten the survival of patients, adults or children, both intra- and extra-hospital, and the diagnostic-therapeutic algorithms of their management.
The expected learning outcomes in terms of skills are primarily those to acquire decision-making and nursing care capabilities in the most common clinical situations of acute failure of organs and apparatus, and in particular in case of cardiac arrest, cardiovascular insufficiency, respiratory failure, major trauma before and after hospitalization, sepsis and acute intoxications.

CHIRURGIA D’URGENZA
1. Wounds: classification, puncture wounds, cuts, shotgun
2. Abdominal trauma: general information, liver trauma, splenic trauma, pancreatic trauma, bowel trauma, kidney trauma, bladder and ureter trauma
3. Chest trauma and thoracic drainage
4. Crash syndrome
5. Digestive bleedings
6. Acute pancreatitis
7. Peritonitis
8. Bowel obstruction
9. Mesenteric ischaemia
10. Enterostomas
MEDICINA D’URGENZA E INFERMIERISTICA IN AREA CRITICA
The basic contents of lessons (L) and exercises on simulator mannequins (E) are:
1) typical and atypical emergencies (L 1 h);
2) decision-making in emergency situations (L 1 h);
3) organization of outpatient and intra-hospital emergency medical situations (L 1 h);
4) pathophysiology of respiratory and cardio-circulation (L 3 h);
5) Sudden Cardiac Attack and Basic Life Support with Early Defibrillation (L 5 h +E 5 h to obtain accreditation in BLSD of the Regione Lombardia);
6) care in the treatment of cardiac arrest with Advanced Life Support, threatening arrhythmias, cardio-circulatory and respiratory failure (L 5 h + E 3 h);
7) care in the treatment of major trauma, before and after hospitalization (L 4 h);
8) principles of general anaesthesia and pain control (L 2 h);
9) prevention tools of post-operative pulmonary complications (L 2 h);
10) application of Non Invasive Ventilation (L 2 h)
11) sepsis and septic shock (L 2 h);
12) acute intoxications and drugs (L 2 h).

CHIRURGIA D’URGENZA
R. Dionigi – Chirurgia - VI edizione, Masson, 2016
G. Carcano e R. Dionigi - Principi di Tecnica Chirurgica - Masson 1999

MEDICINA D’URGENZA E INFERMIERISTICA IN AREA CRITICA
-“Urgenze ed emergenze - Istituzioni” di Chiaranda M.
editore Piccin - Padova, IV edizione 2016; pagine 725;
“Guida illustrata delle emergenze” di Chiaranda M.
editore Piccin - Padova, 2007; pagine 677+ CD-rom multimediale;
“Diagnosi e trattamento delle emergenze medico-chirurgiche” di Androni B., Chiara O., Coen D., Vescovi S. editore Masson – Elsevier Milano, 2009; pagine 511;
“Emergenze medico chirurgiche” di Tiberio G.
editore Masson - Milano, 2001; pagine 586;
“Urgenze ed emergenze medico-chirurgiche” di Agrò F.
editore Edizioni Minerva Medica - Torino, 2000; pagine 540;
“European Resuscitation Council Guidelines for Resuscitation 2015” Resuscitation 2015, 95:1-80 (section 1); 81-99 (section 2 BLS adult and automated external defibrillation)”