Ateneo - UPO

The course explores the clinical governance of the Emergency Department, focusing on medical decision-making under conditions of uncertainty and stress, with particular emphasis on the major cardiovascular, neurological, respiratory, and circulatory emergencies (shock) that characterize emergency care. Students will acquire practical clinical and operational knowledge to enable them to effectively integrate into the multidisciplinary team responsible for the management of patients presenting with these conditions.

Titinalli's Emergency medicine: a comprehensive study guide McGraw-Hill, 9th ed

Provide knowledge and skills in patient flow management and the clinical management of critically ill patients. The primary learning objective is to develop a thorough understanding of the main time-dependent clinical syndromes and the role of the critical care nurse in their assessment and management. Particular emphasis will be placed on the recognition of clinical priorities and their integration within the multidisciplinary teamwork that characterizes emergency care.

Lectures. All the teaching material of the course, supplementary and in-depth material will be found on the appropriate space of the University Moodle platform (Ditattica in Rete - DIR).

Students with physical disabilities, Learning Disabilities or Special Education Needs can request specific services and tools via the Staff Sviluppo e Coordinamento Carriere e Servizi alle Studentesse e agli Studenti, consulting the University webpage:
https://www.uniupo.it/en/services/services-students-physical-or-learning-disabilities

Students with disabilities, learning disabilities or special education needs, once they have contacted the University Staff, can refer to the tutor in charge of the course to define the examination modalities, concerning academic aspects.

The assessment of learning outcomes is conducted in an integrated manner through a single evaluation test, which covers:
1. Emergency management in the emergency department
2. Triage models and decision-making algorithms
3. Disaster medicine, mass emergencies, and safety in emergencies
4. Flow management and prevention of overcrowding in the emergency department
The assessment consists of a written exam featuring educational/organizational case studies developed by the course instructors. Each case is associated with Multiple Choice Questions (MCQs), featuring 4 response options, only one of which is correct.
The questions are designed to evaluate acquired knowledge, applied understanding, and autonomy of judgment. The number of questions for each module is proportional to the number of ECTS (CFU) credits assigned, based on the criterion of 4 questions per credit, up to a maximum of 12 questions per module. Consequently, the total number of questions varies according to the number of modules within the integrated course. Specifically, for the Integrated Course in Models and Methodologies for Educational Design, Teaching, Clinical Leadership, and Consultancy, the total number of questions will be 32.
Each question is awarded 1 point. The final result is re-scaled to a range of 0 to 32, where 18 represents the minimum passing grade (equivalent to 18/30). A score of 31 or 32 represents the maximum grade (30/30 cum laude); therefore, the exam is passed with a score of 18, corresponding to 18/30. To achieve a score of 30/30 cum laude, students must obtain a score of 31 or 32. The exam will have a duration of 48 minutes.

The Patient with Chest Pain
-Cardiac diseases
-Acute aortic syndromes
-Overview of pulmonary, gastrointestinal, and musculoskeletal causes
Neurological Emergencies
-Acute stroke
-Epileptic seizures and status epilepticus
Acute Circulatory Failure
-Hypovolaemic and haemorrhagic shock
-Cardiogenic shock
-Septic shock
Advanced Cardiovascular Life Support (ACLS)
-Review of the main cardiac arrest and peri-arrest algorithms
Acute Respiratory Failure
-Acute cardiogenic pulmonary oedema
-Acute exacerbation of chronic obstructive pulmonary disease (AECOPD)
-Acute severe asthma
-Pneumonia
Diagnostic and Therapeutic Protocols for the Polytrauma Patient

It is expected that students, at the end of the course:
1) know the emergency-urgency working method and the consequent organization of the emergency-urgency network, both extra- and intrahospital;
2) are aware of the determining role of time, as a limited resource in emergency-urgency contexts and as a dominant prognostic factor in many acute conditions (time-dependent pathologies);
3) know the priorities of the critically ill patient based on the presenting syndromes, with particular attention to the role of the critical care nurse within the emergency work team.