Unit ANESTHESIOLOGY AND MEDICAL -SURGICAL EMERGENCY

ANESTHESIOLOGY - MOD. 1

Code	GP005820
Location	TERNI
CFU	1
Teacher	Marialaura Scarcella
Teachers	Marialaura Scarcella
Hours	12.5 ore - Marialaura Scarcella
Learning activities	Caratterizzante
Area	Emergenze medico-chirurgiche
Sector	MED/41
Type of study-unit	Obbligatorio (Required)

ANESTHESIOLOGY - MOD. 2

Code	GP005821
Location	TERNI
CFU	1
Teacher	Marialaura Scarcella
Teachers	Marialaura Scarcella
Hours	12.5 ore - Marialaura Scarcella
Learning activities	Caratterizzante
Area	Emergenze medico-chirurgiche
Sector	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
Sector	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	F. Coccolini , M. Chiarugi , E. Cucinotta. Chirurgia d'urgenza e del trauma. libreriauniversitaria.it. 2025
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
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	Altre informazioni ALTRO Sì Unità Didattica Elementari del Core Curriculum valido dal 2016-2017: UDE 790: Indicare l’approccio diagnostico all’addome acuto. UDE 1186: Rilevare i segni di infiammazione peritoneale. UDE 1268: Ipotizzare più diagnosi differenziali a partire dai dati dell’anamnesi per i quadri di esordio clinico di ileo meccanico e ileo paralitico, perforazione intestinale, occlusione intestinale indicando, ove necessari, gli approfondimenti diagnostici e gli indirizzi terapeutici. http://presidenti-medicina.it/core-curriculum/ 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	Prova orale della durata di 15 min circa articolata in 2 domande di cui 1 relativa alla chirurgia d'urgenza e 1 alla traumatologia. Un' ulteriore domanda potrà essere fatta nel caso di risposta poco soddisfacente alle 2 domande precedenti.
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
Sector	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	Marialaura Scarcella
Teachers	Marialaura Scarcella
Hours	12.5 ore - Marialaura Scarcella
Learning activities	Caratterizzante
Area	Emergenze medico-chirurgiche
Sector	MED/41
Type of study-unit	Obbligatorio (Required)

PROFESSIONALISING TRAINING IN ANESTHESIOLOGY

Code	GP005825
Location	TERNI
CFU	2
Teacher	Marialaura Scarcella
Teachers	Marialaura Scarcella
Hours	50 ore - Marialaura Scarcella
Learning activities	Altro
Area	Tirocini formativi e di orientamento
Sector	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
Sector	MED/18
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	The purpose of the course is to teach students the technique of the history and methodology of the patient visit. Will be taught how to perform general physical examination and subsequently the local physical examination
Reference texts	Cirocchi R, Boselli C, Noya G. Appunti di semeiotica chirurgica - Minerva Medica - 2013 Lumachi F, Norberto L, Angriman I. Semeiotica chirurgica. Unipress, 2010
Educational objectives	The student must be able to exercise independently and automatically the following procedures: - Perform complete physical examination of the abdomen - Run the identification and delimitation of ascites - Detecting signs of peritoneal inflammation and intestinal obstruction - Perform maneuvers semeiological to detect the sign of Murphy, McBurney and Blumberg - Scan for abdominal and inguinal hernias - Perform a physical examination of the arteries - Determine the signs of the inadequacy of the veins of the lower limbs
Prerequisites	Basic knowledge is need in anatomy, pathophysiology and surgical pathology.
Teaching methods	Simulation-Based Medical Education: skilllab, simulated patient and Technology Enhanced Learning:Terni site of the Master's Degree in Medicine and Surgery Training at the bedside
Learning verification modality	Interview regarding a clinical case
Extended program	The student must be able to exercise independently and automatically the following procedures: - Perform complete physical examination of the abdomen - Run the identification and delimitation of ascites - Detecting signs of peritoneal inflammation and intestinal obstruction - Perform maneuvers semeiological to detect the sign of Murphy, McBurney and Blumberg - Scan for abdominal and inguinal hernias - Perform a physical examination of the arteries - Determine the signs of the inadequacy of the veins of the lower limbs

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
Sector	MED/09
Type of study-unit	Obbligatorio (Required)