Unit ANESTHESIOLOGY AND MEDICAL AND SURGICAL EMERGENCY

ANESTHESIOLOGY - MOD. 1

Code	GP005559
Location	PERUGIA
CFU	1
Teacher	Edoardo De Robertis
Teachers	Edoardo De Robertis
Hours	12.5 ore - Edoardo De Robertis
Learning activities	Caratterizzante
Area	Emergenze medico-chirurgiche
Academic discipline	MED/41
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Reference texts	Miller's Anesthesia - Editor Ronald D. Miller (Churchill Livingstone Elsevier) Basics of Anesthesia - Robert K. Stoelting and Ronald D. Miller (Churchill Livingstone) Critical Care - Civetta, Taylor and Kirby (Lippincott)
Educational objectives	- To frame anesthesia as "perioperative medicine" aimed at protecting the patient from surgical trauma. - Perform BLS correctly, tracheal intubation and electrical defibrillation, know the resuscitation problems posed by drowning, electrocution and asphyxial syndromes, know how to treat anaphylactic shock. - Know the therapeutic strategies to stabilize vital functions and prevent post-anoxic brain damage, learn the semeiotics of coma and the pathophysiology of hypovolemic shock, be able to discriminate nosologically and therapeutically the acute respiratory insufficiency due to obstruction of the pathways airborne, from impaired respiratory mechanics, from alterations in the chemical drive and from hemodynamic causes. - Be able to adequately treat acute and chronic algic syndromes.
Prerequisites	In order to understand the contents of the lessons and the learning objectives, the student must have a solid foundation of physiology, pathophysiology and clinical pharmacology, as well as the ability to integrate information from different disciplinary sectors.
Teaching methods	Frontal lessons, exercises on dummy, attendance in the Operating Room, in Intensive Care and in the outpatient clinics of Pain Medicine.
Extended program	Pharmacological basis anesthesia (Clinical pharmacology of intravenous and inhalation anesthetics, opioids, benzodiazepines, NSAIDs, local anesthetics) Perioperative medicine Preoperative evaluation and preparation General and locoregional anesthesia techniques Anesthesia work station and intraoperative monitoring Management of acute postoperative and first aid pain Chronic cancer pain Palliative therapy principles Cardiac arrest (BLS-D, ALS) Respiratory failure (ALI, ARDS, COPD) Basic concepts of mechanical ventilation Shock: possible causes and treatment Nosocomial infections in UTI and Sepsis Heart failure Coma Acid-base balance and related alterations CO intoxication Drowning electrocution Transplants and organ donation

ANESTHESIOLOGY - MOD. 2

Code	GP005560
Location	PERUGIA
CFU	1
Teacher	Simonetta Tesoro
Teachers	Simonetta Tesoro
Hours	12.5 ore - Simonetta Tesoro
Learning activities	Caratterizzante
Area	Emergenze medico-chirurgiche
Academic discipline	MED/41
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Reference texts	Miller's Anesthesia - Editor Ronald D. Miller (Churchill Livingstone Elsevier) Basics of Anesthesia - Robert K. Stoelting and Ronald D. Miller (Churchill Livingstone) Critical Care - Civetta, Taylor and Kirby (Lippincott)
Educational objectives	- To frame anesthesia as "perioperative medicine" aimed at protecting the patient from surgical trauma. - Perform BLS correctly, tracheal intubation and electrical defibrillation, know the resuscitation problems posed by drowning, electrocution and asphyxial syndromes, know how to treat anaphylactic shock. - Know the therapeutic strategies to stabilize vital functions and prevent post-anoxic brain damage, learn the semeiotics of coma and the pathophysiology of hypovolemic shock, be able to discriminate nosologically and therapeutically the acute respiratory insufficiency due to obstruction of the pathways airborne, from impaired respiratory mechanics, from alterations in the chemical drive and from hemodynamic causes. - Be able to adequately treat acute and chronic algic syndromes.
Prerequisites	In order to understand the contents of the lessons and the learning objectives, the student must have a solid foundation of physiology, pathophysiology and clinical pharmacology, as well as the ability to integrate information from different disciplinary sectors.
Teaching methods	Frontal lessons, exercises on dummy, attendance in the Operating Room, in Intensive Care and in the outpatient clinics of Pain Medicine.
Extended program	Pharmacological basis anesthesia (Clinical pharmacology of intravenous and inhalation anesthetics, opioids, benzodiazepines, NSAIDs, local anesthetics) Perioperative medicine Preoperative evaluation and preparation General and locoregional anesthesia techniques Anesthesia work station and intraoperative monitoring Management of acute postoperative and first aid pain Chronic cancer pain Palliative therapy principles Cardiac arrest (BLS-D, ALS) Respiratory failure (ALI, ARDS, COPD) Basic concepts of mechanical ventilation Shock: possible causes and treatment Nosocomial infections in UTI and Sepsis Heart failure Coma Acid-base balance and related alterations CO intoxication Drowning electrocution Transplants and organ donation

EMERGENCY SURGERY

Code	GP005563
Location	PERUGIA
CFU	1
Teacher	Roberto Cirocchi
Teachers	Carlo Boselli (Codocenza)
Hours	12.5 ore (Codocenza) - Carlo Boselli
Learning activities	Caratterizzante
Area	Emergenze medico-chirurgiche
Academic discipline	MED/18
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	Basic knowledge concerning the pathophysiology, the diagnostic process and the treatment of the main emergency surgical pathologies: abdominal trauma, intestinal obstruction, peritonitis and digestive hemorrhages
Reference texts	Di Minno G., Milone F. Manuale di emergenze medico-chirurgiche. EDRA 2019
Educational objectives	The course is aimed at allowing the student to acquire mastery of the diagnostic-therapeutic courses in emergency surgery.
Prerequisites	Knowledge of some topics of general surgery and gstroenterology is required: - Complications of peptic ulcer - Acute diverticulitis and its complications. - Acute cholecystitis and its complications. - Acute appendicitis and its complications. - Meckel's diverticulum - Acute pancreatitis and its complications. - Acute intestinal ischemias - Hernias of the abdominal wall - Portal hypertension
Teaching methods	Lectures using powerpoint projections. The lesson material (except copyright-protected illustrations) is always made available to students electronically (file in pdf) the day before the lesson on the ateneum platform: https://www.unistudium.unipg.it/unistudium/login/index.php.
Other information	Core Curriculum Elementary Teaching Unit valid from 2016-2017: UDE 790: Indicate the diagnostic approach to the acute abdomen. UDE 1186: Detect signs of peritoneal inflammation. UDE 1268: Hypothesize the diagnosis of acute intestinal obstruction (from mechanical or dynamic ileum) indicating the possible causes. Assume several differential diagnoses starting from the history data for the clinical onset of mechanical ileus and paralytic ileus, intestinal perforation, intestinal obstruction indicating, where necessary, the diagnostic investigations and therapeutic guidelines. http://presidenti-medicina.it/core-curriculum/
Learning verification modality	Interview
Extended program	Acute abdomen Intestinal obstructions - Peritonitis Intestinal infarction Gastrointestinal tract bleeding Principles of traumatology Abdominal trauma The Abdominal compatimental syndrome

EMERGENCY MEDICINE

Code	GP005562
Location	PERUGIA
CFU	1
Teacher	Gaetano Vaudo
Teachers	Gaetano Vaudo
Hours	12.5 ore - Gaetano Vaudo
Learning activities	Caratterizzante
Area	Emergenze medico-chirurgiche
Academic discipline	MED/09
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	The course consists of treating the most urgent-emergency diseases in the internal medicine field, with particular reference to those concerning the cardiovascular system, the respiratory and endocrine-metabolic.
Reference texts	VAUDO G.: dispense. SIMEU - MEDICINA DI EMERGENZA URGENZA ELSEVIER MASSON - 2011
Educational objectives	The main objective of the course is to empower students to recognize and treat internal diseases with urgency and emergency. The evaluation will take place by means of an oral examination lasting about 30 minutes,during which will be assessed the theoretical knowledge of the individual student in terms of diagnostics and therapy of diseases of internal medicine in the rapidly changing and will also discuss the issues raised during exercises practices carried out by the department according to frequency shifts clearly defined.
Prerequisites	Knowledge of medical and surgical semeiology and internal medicine
Teaching methods	The course is organized as follows: - Lectures on all topics of the course, through lectures with interaction between the teacher and the learners; - Practical training in internal medicine department, during which the students will be accompanied to the medical staff for a maximum of three students per shift; each turn provides for a duration of four hours to three shifts, for a total of 12 hours for each student. During these rounds the students will take vision of medical emergencies that belong in internal medicine department, they will put into practice the knowledge in terms of differential diagnosis and specific diagnosis for each disorder, take vision of the main therapeutic procedures for individual cases.
Learning verification modality	Oral examination
Extended program	Cerebrovascular emergencies. Chest pain. Acute coronary syndromes. Tachyarrhythmias and bradyarrhythmias. Heart failure and acute pulmonary edema. Cardiomyopathies, myocarditis and pericarditis. Pulmonary embolism and deep vein thrombosis. Emergency-Hypertensive urgency. Vascular dissection and aneurysms. Critical ischemia of the lower limbs. Acute respiratory failure. Pneumonia. Pneumothorax. Hemoptysis and hemoptysis. Acute asthma. Indications for Non Invasive Ventilation. Acute liver failure. Diabetes mellitus emergencies.

PAIN MEDICINE AND PALLIATIVE CARE

Code	A001708
Location	PERUGIA
CFU	1
Teacher	Edoardo De Robertis
Teachers	Edoardo De Robertis
Hours	12.5 ore - Edoardo De Robertis
Learning activities	Caratterizzante
Area	Emergenze medico-chirurgiche
Academic discipline	MED/41
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian/english
Contents
Reference texts
Educational objectives	- To frame anesthesia as "perioperative medicine" aimed at protecting the patient from surgical trauma. - Know the physiopathological bases as well as the main diagnostic and therapeutic strategies of the main acute and chronic algic conditions - palliation bases
Prerequisites	In order to understand the contents of the lessons and the learning objectives, the student must have a solid foundation of physiology, pathophysiology and clinical pharmacology, as well as the ability to integrate information from different disciplinary sectors.
Teaching methods	Frontal lessons, exercises on dummy, attendance in the Operating Room, in Intensive Care and in the outpatient clinics of Pain Medicine.
Other information
Learning verification modality	Oral and/or written examination
Extended program	Pathophysiology concepts of pain Pharmacological bases of the main drugs used in pain medicine Acute and chronic pain Pain monitoring Main acute and chronic algic conditions Main therapeutic approaches to acute pain Main therapeutic approaches to chronic pain Basic concepts of palliation

PROFESSIONALISING TRAINING IN ANESTHESIOLOGY I

Code	GP005564
Location	PERUGIA
CFU	1
Teacher	Gianmaria Cammarota
Teachers	Gianmaria Cammarota
Hours	25 ore - Gianmaria Cammarota
Learning activities	Altro
Area	Tirocini formativi e di orientamento
Academic discipline	MED/41
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Educational objectives	The course aims to provide students with the information and tools necessary to implement basic resuscitation maneuvers, deal with emergency clinical situations, adequately treat the most common pain syndromes, and use profitably analgesics, sedatives, hypnotics and local anesthetics.
Prerequisites	In order to understand the contents of the lessons and the learning objectives, the student must have a solid foundation of physiology, pathophysiology and clinical pharmacology, as well as the ability to integrate information from different disciplinary sectors.
Teaching methods	Theoretical lessons and practical exercises: Intensive Care Units, Pain Medicine and Operating Rooms, simulation center
Learning verification modality	oral
Extended program	Resuscitation maneuvers of (BLS); - Laryngoscopy and intubation; - Electrical defibrillation; - Stabilization of vital functions (ABS); - The asphyxiated patient (from foreign body); - The patient with severe cardiac arrhythmia; - Application of "triage"; - The patient with acute respiratory failure (asthma, bronchitis chronic obstructive pulmonary embolism); - The patient with severe hypertensive crisis; - The patient in a convulsive state; - The patient with acute low flow syndrome (cardiogenic shock, cardiac tamponade); - The patient in a septic state; - The patient burned and drowned; - The patient in acute ethyl crisis; - The freezing and hyperthermic patient (sunstroke or heat stroke); - The electrocuted patient; - The patient in opioid overdose; - The patient with acute bleeding (hemorrhagic shock); - Acute postoperative pain; - Chronic algic syndromes.

PROFESSIONALISING TRAINING IN ANESTHESIOLOGY II

Code	GP005567
Location	PERUGIA
CFU	1
Teacher	Edoardo De Robertis
Teachers	Edoardo De Robertis
Hours	25 ore - Edoardo De Robertis
Learning activities	Altro
Area	Tirocini formativi e di orientamento
Academic discipline	MED/41
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian/english
Contents
Reference texts
Educational objectives	The course aims to provide students with the information and tools necessary to implement basic resuscitation maneuvers, deal with emergency clinical situations, adequately treat the most common pain syndromes, and use profitably analgesics, sedatives, hypnotics and local anesthetics.
Prerequisites	In order to understand the contents of the lessons and the learning objectives, the student must have a solid foundation of physiology, pathophysiology and clinical pharmacology, as well as the ability to integrate information from different disciplinary sectors.
Teaching methods	Theoretical lessons and practical exercises: Intensive Care Units, Pain Medicine and Operating Rooms, simulation center
Other information
Learning verification modality	oral
Extended program	- Resuscitation maneuvers of (BLS); - Laryngoscopy and intubation; - Electrical defibrillation; - Stabilization of vital functions (ABS); - The asphyxiated patient (from foreign body); - The patient with severe cardiac arrhythmia; - Application of "triage"; - The patient with acute respiratory failure (asthma, bronchitis chronic obstructive pulmonary embolism); - The patient with severe hypertensive crisis; - The patient in a convulsive state; - The patient with acute low flow syndrome (cardiogenic shock, cardiac tamponade); - The patient in a septic state; - The patient burned and drowned; - The patient in acute ethyl crisis; - The freezing and hyperthermic patient (sunstroke or heat stroke); - The electrocuted patient; - The patient in opioid overdose; - The patient with acute bleeding (hemorrhagic shock); - Acute postoperative pain; - Chronic algic syndromes.

PROFESSIONALISING TRAINING IN EMERGENCY SURGERY

Code	GP005566
Location	PERUGIA
CFU	1
Teacher	Carlo Boselli
Teachers	Carlo Boselli
Hours	25 ore - Carlo Boselli
Learning activities	Altro
Area	Tirocini formativi e di orientamento
Academic discipline	MED/18
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	Initial evaluation and first surgical therapies in politrauma. Kinds of trauma
Reference texts	Sabiston "Textbook of Surgery" 18th edition
Educational objectives	The student will be able to know the most important surgical pathologies, to perform a correct clinical examination and specifically a surgical-oriented examination, to distinguish the signs and symptoms of the different affections and finally to uderstand the severity degree of every single disease
Prerequisites	nobody
Teaching methods	Departmental activities frequency
Learning verification modality	oral test
Extended program	Trauma: -initial evaluation and first surgical therapies in politrauma. -trauma in children, adult and pregnant patients -Kinds of trauma: a) cranial and spinal b) cervical and thoracic c) abdominal and perineal d) retroperitoneal e) Non operative treatment of close abdominal trauma

PROFESSIONALISING TRAINING IN EMERGENCY MEDICINE

Code	GP005565
Location	PERUGIA
CFU	1
Teacher	Gaetano Vaudo
Teachers	Gaetano Vaudo
Hours	25 ore - Gaetano Vaudo
Learning activities	Altro
Area	Tirocini formativi e di orientamento
Academic discipline	MED/09
Type of study-unit	Obbligatorio (Required)