Unit ANESTHESIOLOGY AND MEDICAL -SURGICAL EMERGENCY

ANESTHESIOLOGY - MOD. 1

Code	GP005820
Location	TERNI
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
Contents
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.
Other information
Learning verification modality	Oral and/or written examination
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	GP005821
Location	TERNI
CFU	1
Teacher	Rachele Simonte
Teachers	Rachele Simonte
Hours	12.5 ore - Rachele Simonte
Learning activities	Caratterizzante
Area	Emergenze medico-chirurgiche
Academic discipline	MED/41
Type of study-unit	Obbligatorio (Required)

EMERGENCY SURGERY

Code	GP005824
Location	TERNI
CFU	1
Teacher	Roberto Cirocchi
Teachers	Roberto Cirocchi
Hours	12.5 ore - Roberto Cirocchi
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 asting approximately 15 minutes divided into 2 questions, 1 of which relating to emergency surgery and 1 to traumatology. A further question may be asked in the event of an unsatisfactory answer to the 2 previous questions.
Extended program	- Acute abdomen Intestinal obstructions - Peritonitis - Principles of traumatology - Abdominal trauma
Obiettivi Agenda 2030 per lo sviluppo sostenibile

EMERGENCY MEDICINE

Code	GP005823
Location	TERNI
CFU	1
Teacher	Giacomo Pucci
Teachers	Giacomo Pucci
Hours	12.5 ore - Giacomo Pucci
Learning activities	Caratterizzante
Area	Emergenze medico-chirurgiche
Academic discipline	MED/09
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	The course will deal with the main medical emergencies, with particular reference to those inherent to the cardiovascular, respiratory and endocrine-metabolic systems
Reference texts	Harrison' s principles of internal medicine Harrison - Jameson - Loscalzo - Fauci - Kasper - Hauser - Longo Cecil textbook of medicine Ferrari-Barletta ‘’Medicina di emergenza urgenza’’ ed. Elsevier
Educational objectives	Acquisition of the ability to frame the main internal pathologies with acute evolution. Ability to carry out diagnosis, differential and concomitant pharmacological treatment of clinical pictures with an urgent and emergency nature.
Prerequisites	Knowledge of medical semiotics, pharmacology and internal medicine.
Teaching methods	Frontal lessons. Teacher-learner interactions. Practical exercises in the internal department. Sharing interactive material for further information.
Other information	For information on support services for students with disabilities and / or DSA visit the page http://www.unipg.it/disabilita-e-dsa
Learning verification modality	METHOD OF CONDUCTING THE EXAM: Oral test lasting approximately 15 minutes divided into 2 questions, 1 of which relating to cardiovascular pathologies and 1 relating to the remaining pathologies. Any further questions relating to the minimum knowledge necessary for the management of medical emergencies may be asked in the event of an unsatisfactory answer to the 2 previous questions. TESTING OF CLINICAL SKILLS: interpretation of laboratory or instrumental data VERIFICATION OF THE SKILLS ACQUIRED DURING THE INTERNSHIP: description of a diagnostic or therapeutic path for a pathology treated in the program METHOD OF ALLOCATION OF THE FINAL VOTE: weighted average votes obtained in the individual modules
Extended program	Cardiogenic shock (SCA - EP - hemodynamically unstable arrhythmias) Syncope Hypertensive emergencies and emergencies Comi (hepatic - ethyl - uremic) Comi in the diabetic patient. Intoxication and overdosages.
Obiettivi Agenda 2030 per lo sviluppo sostenibile

MEDICINE OF PAIN AND PURE CARE

Code	A001704
Location	TERNI
CFU	1
Teacher	Rachele Simonte
Teachers	Rachele Simonte
Hours	12.5 ore - Rachele Simonte
Learning activities	Caratterizzante
Area	Emergenze medico-chirurgiche
Academic discipline	MED/41
Type of study-unit	Obbligatorio (Required)

PROFESSIONALISING TRAINING IN ANESTHESIOLOGY

Code	GP005825
Location	TERNI
CFU	2
Teacher	Rita Commissari
Teachers	Rita Commissari
Hours	50 ore - Rita Commissari
Learning activities	Altro
Area	Tirocini formativi e di orientamento
Academic discipline	MED/41
Type of study-unit	Obbligatorio (Required)

PROFESSIONALISING TRAINING IN EMERGENCY SURGERY

Code	GP005827
Location	TERNI
CFU	1
Teacher	Roberto Cirocchi
Teachers	Roberto Cirocchi
Hours	25 ore - Roberto Cirocchi
Learning activities	Altro
Area	Tirocini formativi e di orientamento
Academic discipline	MED/18
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	Core Curriculum Elementary Teaching Unit valid from 2016-2017: UDE 790 UDE 1186 UDE 1268
Reference texts	Case Files: Surgery 5e. Author(s): Eugene C. Toy; Terrence H. Liu; Andre R. Campbell; Barnard J. A. Palmer. https://accesssurgery.mhmedical.com/cases.aspx?groupid=386
Educational objectives	Ability of the student to make decisions and solve clinical problems in emergency surgery
Prerequisites	Basic knowledge of human anatomy, physiology, surgical semiotics, pathological anatomy and radiology
Teaching methods	Interactive presentation of clinical cases
Other information	Core Curriculum valid from the 2016-2017 Academic Year http://presidenti-medicina.it/core-curriculum/
Learning verification modality	Interview regarding a clinical case
Extended program	Indicate the diagnostic approach to the acute abdomen. 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. Detect signs of peritoneal inflammation.
Obiettivi Agenda 2030 per lo sviluppo sostenibile

PROFESSIONALISING TRAINING IN EMERGENCY MEDICINE

Code	GP005826
Location	TERNI
CFU	1
Teacher	Giacomo Pucci
Teachers	Giacomo Pucci
Hours	25 ore - Giacomo Pucci
Learning activities	Altro
Area	Tirocini formativi e di orientamento
Academic discipline	MED/09
Type of study-unit	Obbligatorio (Required)