Ateneo - UPO

Traumatology
Trauma Epidemiology
Fracture Classification and Morphology
Principles of Fracture Diagnosis
Fracture-Dislocations and Dislocations (General Principles)
Pediatric Fractures
Local and General Complications of Fractures, Immediate and Late
General Principles of Emergency Fracture Treatment
The Cast Room and Basic Limb Immobilization Procedures
Transskeletal Traction Positioning and Its Significance
Definitive Fracture Treatment Options
Orthopedic Emergencies (Dislocations, Open Fractures, Myelic Injuries, Compartment Syndrome, Pelvic Ring Fractures)
The Emergency Operating Room
Patient Preparation for Emergency Operating Room
Proximal Femoral Fractures (Epidemiology, Prognostic Classification, Diagnosis and Treatment, Patient Assessment)
Femoral Shaft Fractures
Pelvic Ring Fractures: Classification, Instability Concepts Hemodynamics, emergency criteria, principles of stabilization in shock rooms and emergency settings
Acetabular fractures: classification, diagnosis, clinical significance, and treatment principles / acute and post-acute nursing.
Acute spinal disorders: acute low back pain, paretic disc herniations, myelic and unmyelic vertebral fractures; principles of classification and acute management.
Dislocations (special section – specific dislocations) and acute complications (glenohumeral, acromioclavicular, elbow, hip, and hip, knee, patella, and ankle replacement dislocations).
Amputations and reimplantations: classification, principles of appropriate pre-hospital and in-hospital transport and preservation of amputated segments, general principles of emergency treatment.
Post-operative monitoring in the acute phase of limb reimplantations: elements of strict nursing expertise.
Failure of reimplantations and principles of treatment of amputation stumps, limb prosthetics.
Polytrauma: definition, ISS classification, pathophysiology of polytrauma (systemic inflammatory response syndrome, multiple organ dysfunction syndrome (MODS), multiple organ failure syndrome (MOF)), principles of emergency management, damage control, and second hits.
Compartment syndrome: clinical relevance, pathophysiology, clinical and instrumental diagnosis, principles of emergency and urgent treatment, failures, consequences, and outcomes.
Open fractures: pathophysiology, diagnosis and classification, principles of emergency treatment and empiric antibiotic therapy, failures, consequences, and outcomes.
Classroom learning through analysis of a clinical case (polytrauma patient)

Manuale di ortopedia e traumatologia di Federico A. Grassi (Autore), Ugo
E. Pazzaglia (Autore), Giorgio Pilato (Autore), Giovanni Zatti (Autore),
Terza Edizione
in alternativa:
Metodi
didattici/Teaching
methods
Lezioni frontali con supporto informatico PPT.
Modalità di verifica
dell'apprendimento/A
ssessment methods
Quiz a risposta multipla.
Programma
esteso/Content
Generalità dell' apparato locomotore (AL) e patologia generale traumatica
AL.
Traumi distorsivi e lussazioni, tr. distrattivi e lesioni muscolo-tendinee.
Fratture: generalità e classificazioni; gestione infermieristica del paziente
fratturato.
Complicanze delle fratture, distacchi epifisari; princìpi di trattamento e
guarigione delle fratture.
Trattazione sistematica delle fratture. Percorso assistenziale per le
fratture dell'estremo prossimale del femore nell'anziano.
Ortopedia pediatrica: Displasia Congenita dell'Anca, piede torto, torcicollo
congenito, scoliosi.
Artrosi; Artrite Reumatoide.
Lombalgia (sciatalgia/cruralgia) e cervicalgie/c-brachialgie, Sindromi
canalicolari.
Tumori scheletrici; Infezioni osteo-articolari; Osteoporosi.
Risultati di
apprendimento
attesi/Intended
learning objectives
Saper gestire dal punto di vista infermieristico i pazienti affetti da
malattie dell'apparato locomotore.
Obiettivi per lo sviluppo sostenibile
Codice Descrizione
Clinica Ortopedica di Morlacchi, Mancini; Editore: Piccin

Acquire knowledge of the topics covered by the program with the related
clinical-practical application skills.
Nursing management of the orthopedic-trauma patient.

Knowledge of the locomotor system.

Frontal lessons with PPT computer support.

To support teaching, supplementary teaching activities are planned aimed at acquiring technical-gestural skills.
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

Learning assessment will consist of a written and oral exam. The integrated written exam consists of 64 multiple-choice questions (38 correct answers equal to 60%). The written exam will be held on a computer-based computer, and the questions will be answered sequentially. Only those who pass the written exam will be admitted to the oral exam. The oral exam consists of a discussion of one clinical/care case in Emergency/Urgent and Intensive Care Nursing. Maximum time: 15 minutes. Evaluation criteria: - 25-30 points for a comprehensive answer, recognizing the priority care needs/problems and knowing how to manage them correctly; - 18-24 points for a partially comprehensive answer, partially recognizing the priority care needs/problems and knowing how to manage them incorrectly; - 0 points for an insufficient answer, not comprehensive, failing to recognize the priority care needs/problems and knowing how to manage them incorrectly.
The final grade represents an overall assessment of the integrated course.

Generality of the musculoskeletal system (MSS) and MSSgeneral
traumatic pathology.
Sprain traumas and dislocations, distractive traumas and musculotendon
injuries.
Fractures: generalities and classifications; Nursing management of the
fractured patient.
Complications of fractures, epiphyseal detachments; principles of
treatment and healing of fractures.
Systematic treatment of fractures. Care pathway for fractures of the
proximal femur in the elderly.
Pediatric orthopedics: Congenital Hip Dysplasia, clubfoot, congenital
torticollis, scoliosis.
Osteoarthritis; Rheumatoid arthritis.
Low back pain (sciatica/cruralgia) and neck pain/brachial pain, canalicular
syndromes.
Skeletal tumors; Bone and joint infections; Osteoporosis.

Knowing how to manage patients suffering from diseases of the
musculoskeletal system from a nursing point of view.