Nursing in Emergency Medicine and Surgery and Critical Care
(objectives)
Aim of the teaching is to: • Provide knowledge of the principles of advanced nursing care for the early recognition, management, monitoring and re-evaluation of the person in a vitally critical condition with reference to the main medical-surgical emergencies and clinical problems in conditions of high complexity of care. • To provide knowledge of advanced nursing principles for clinical immunological evaluation and examination evaluation involving such critical evaluation. Among the training objectives, the assistance required in an internal medicine day hospital course, in particular the immunological one. • To provide knowledge about adverse drug reactions in procedures involving a therapeutic switch related to infectious prophylaxis. • To provide knowledge about clinical management of a patient undergoing systemic anaphylaxis characterized by: hypotension, angioedema, dyspnea, loss of consciousness. • Provide knowledge of pharmacological concepts including an overview of the history of drugs along with current issues. The topics discussed will include: pharmacotherapeutics, pharmacodynamics, pharmacokinetics, along with drugs contraindications and precautions. Major emphasis will be placed on the drugs used in the nursing field, as well as the nurse’s role in pharmacological research. • Provide the students with methodological nursing skills to deal with the clinical, laboratory and instrumental management of patients with medical emergencies. • Provide knowledge on monitoring in Intensive Care Unit, organ failure, physiopathology and treatment, mechanical ventilation, extracorporeal removal techniques, the patient in shock, stupor and coma. • Provide knowledge on early recognition of major life-threatening conditions and their immediate management. • Provide knowledge on advanced cardiopulmonary resuscitation, management of severe trauma and major incidents. • Provide knowledge and basic principles related to effective communication with patients and/or family members. • Provide students with knowledge of surgical diseases. In addition, general knowledge on diagnostic approaches is required. Moreover, general information concerning surgical approach on emergency will be explained.
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Code
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90209 |
Language
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ENG |
Type of certificate
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Profit certificate
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Module: Pharmacology
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Language
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ENG |
Type of certificate
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Profit certificate
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Credits
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2
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Scientific Disciplinary Sector Code
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BIO/14
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Contact Hours
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28
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Type of Activity
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Basic compulsory activities
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Teacher
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Di Cesare Franco
(syllabus)
General principles of pharmacology. Pharmacokinetics. Pharmacodynamics. Principles of therapy. Principles of toxicology. Active drugs on synapsis and neuroeffective junctions. Neurotransmission. Agonist antagonist muscarinic receptor. Catecholamines, sympathomimetic and adrenergic receptor antagonists. Principles of anesthesiology. Analgesics, opioids. Diuretics. Renine and angiotensin. Drugs for cardiac ischemia treatment. Anti-hypertensive drugs. Pharmacology of gastrointestinal tract. Chemotherapy of infectious diseases. Autacoids, pharmacologic therapy of inflammation.
(reference books)
• Professor’s notes. • Burchum, J.R., & Laura D. Rosenthal, L. D. Lehne’S Pharmacology for Nursing care, 10th Edition, Elsevier 2019.
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Dates of beginning and end of teaching activities
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From to |
Delivery mode
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Traditional
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Attendance
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Mandatory
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Evaluation methods
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Written test
Oral exam
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|
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Module: Internal Medicine – Emergency Medicine
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Language
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ENG |
Type of certificate
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Profit certificate
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Credits
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1
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Scientific Disciplinary Sector Code
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MED/09
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Contact Hours
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14
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Type of Activity
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Core compulsory activities
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Teacher
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Caruso Cristiano
(syllabus)
Lipothymia and syncope. Shock. Heart failure. Arrythmias. Acute abdomen. Stroke. Bleeding. Poisonings. Traumas. Epidemics and pandemics. Disaster Medicine.
(reference books)
• Bersten, A. D., Soni, N. (2015). Oh. Manuale di terapia intensiva (6° ed.). Elsevier Masson. • Tintinalli, J. E., Ma, O. J., Yealy, D. M., Meckler, G. D., Stapczynski, J. S., Cline, D. M., Thomas, S. H., (2019). Tintinalli's Emergency Medicine: A Comprehensive Study Guide (9° ed.). McGraw-Hill Edu-cation.
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Dates of beginning and end of teaching activities
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From to |
Delivery mode
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Traditional
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Attendance
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Mandatory
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Evaluation methods
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Written test
Oral exam
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Module: Nursing Sciences - Clinical Nursing Critical Care
(objectives)
Aim of the teaching is to: • Provide knowledge of the principles of advanced nursing care for the early recognition, management, monitoring and re-evaluation of the person in a vitally critical condition with reference to the main medical-surgical emergencies and clinical problems in conditions of high complexity of care. • To provide knowledge of advanced nursing principles for clinical immunological evaluation and examination evaluation involving such critical evaluation. Among the training objectives, the assistance required in an internal medicine day hospital course, in particular the immunological one. • To provide knowledge about adverse drug reactions in procedures involving a therapeutic switch related to infectious prophylaxis. • To provide knowledge about clinical management of a patient undergoing systemic anaphylaxis characterized by: hypotension, angioedema, dyspnea, loss of consciousness. • Provide knowledge of pharmacological concepts including an overview of the history of drugs along with current issues. The topics discussed will include: pharmacotherapeutics, pharmacodynamics, pharmacokinetics, along with drugs contraindications and precautions. Major emphasis will be placed on the drugs used in the nursing field, as well as the nurse’s role in pharmacological research. • Provide the students with methodological nursing skills to deal with the clinical, laboratory and instrumental management of patients with medical emergencies. • Provide knowledge on monitoring in Intensive Care Unit, organ failure, physiopathology and treatment, mechanical ventilation, extracorporeal removal techniques, the patient in shock, stupor and coma. • Provide knowledge on early recognition of major life-threatening conditions and their immediate management. • Provide knowledge on advanced cardiopulmonary resuscitation, management of severe trauma and major incidents. • Provide knowledge and basic principles related to effective communication with patients and/or family members. • Provide students with knowledge of surgical diseases. In addition, general knowledge on diagnostic approaches is required. Moreover, general information concerning surgical approach on emergency will be explained.
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Language
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ENG |
Type of certificate
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Profit certificate
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Credits
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2
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Scientific Disciplinary Sector Code
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MED/45
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Contact Hours
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28
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Type of Activity
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Core compulsory activities
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Teacher
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Cesare Manuele
(syllabus)
Fundamental concepts Overview of critical care nursing: Definition of critical care nursing. Evolution of critical care. Professional organizations. Critical care nurse characteristics. Nursing care models in critical care settings. Primary Nursing in the intensive care unit (ICU). Patient and family response to the critical care experience: The critical care environment. The critically ill patient. Family members of the critically ill patient. Transfer of the critically ill patient. Tools for the critical care nurse The use of Early Warning Scores (EWS) for the identification of clinical deterioration Comfort and Sedation in critical care: Assessment of pain and anxiety. Pain measurement tool. Anxiety and sedation measurement tools. Continuous monitoring of sedation. Management of pain and anxiety. Substance abuse. The risk of falls in the ICU Management of enteral nutrition in critical care: Nursing assessment of Nutritional Status. Enteral Nutrition and enteral access devices. Administering a tube feeding. Drug-Nutrient Interactions. Complications of Nutritional Support. Management of fluid in critical care: Composition and regulating of body fluid. Intravenous solutions. Intravenous catheters (peripheral and central catheters). Management of venous catheters’ exit site. Intravenous infusion equipment. Devices to control infusions. Adverse events from infusion catheters. Hemodynamic Monitoring: Hemodynamic monitoring modalities (invasive, non-invasive). Direct arterial pressure monitoring. Central venous pressure monitoring. Ventilatory Assistance in critical care: Physiology of breathing and respiratory mechanics. Nursing respiratory assessment. Arterial blood gas test and its interpretation. Oxygen administration. Oxygen delivery devices. Airway management. Endotracheal intubation. Tracheostomy. Endotracheal suctioning. Mechanical ventilation. Positive-pressure ventilation. Noninvasive positive-pressure ventilation. Respiratory monitoring during mechanical ventilation. Complications of mechanical ventilation. Nursing care during mechanical ventilation. Communication during mechanical ventilation. Weaning patients from mechanical ventilation. Extubation. Chest trauma and nursing management of pleural drainage. Rapid response teams and clinical emergency management: Rapid response teams. Basic life support. Advanced cardiac life support. Recognition and treatment of dysrhythmias. Electrical therapy. Pharmacological interventions during an emergency. Documentation of nursing in the critical care setting (PAI – Professional Assessment Instrument). Nursing care during specific critical situations The nursing role in the Covid-19 ICU.
(reference books)
• Badon, P., Giusti, G. D. (2022). Assistenza infermieristica in area critica e in emergenza. Rozzano, (MI): C.E.A. Casa Editrice Ambrosiana. • Sole, M. L., Klein, D. G., & Moseley, M. J. (2020). Introduction to Critical Care Nursing (8th ed.). St. Louis, Mo: Elsevier. • Berman, A., Snyder, S. J., & Frandsen, G. (2016). Kozier & Erb’s fundamentals of nursing: concepts, process, and practice (10th ed.). Boston: Pearson.
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Dates of beginning and end of teaching activities
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From to |
Delivery mode
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Traditional
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Attendance
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Mandatory
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Evaluation methods
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Written test
Oral exam
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Module: Anesthesiology
(objectives)
Aim of the teaching is to: • Provide knowledge of the principles of advanced nursing care for the early recognition, management, monitoring and re-evaluation of the person in a vitally critical condition with reference to the main medical-surgical emergencies and clinical problems in conditions of high complexity of care. • To provide knowledge of advanced nursing principles for clinical immunological evaluation and examination evaluation involving such critical evaluation. Among the training objectives, the assistance required in an internal medicine day hospital course, in particular the immunological one. • To provide knowledge about adverse drug reactions in procedures involving a therapeutic switch related to infectious prophylaxis. • To provide knowledge about clinical management of a patient undergoing systemic anaphylaxis characterized by: hypotension, angioedema, dyspnea, loss of consciousness. • Provide knowledge of pharmacological concepts including an overview of the history of drugs along with current issues. The topics discussed will include: pharmacotherapeutics, pharmacodynamics, pharmacokinetics, along with drugs contraindications and precautions. Major emphasis will be placed on the drugs used in the nursing field, as well as the nurse’s role in pharmacological research. • Provide the students with methodological nursing skills to deal with the clinical, laboratory and instrumental management of patients with medical emergencies. • Provide knowledge on monitoring in Intensive Care Unit, organ failure, physiopathology and treatment, mechanical ventilation, extracorporeal removal techniques, the patient in shock, stupor and coma. • Provide knowledge on early recognition of major life-threatening conditions and their immediate management. • Provide knowledge on advanced cardiopulmonary resuscitation, management of severe trauma and major incidents. • Provide knowledge and basic principles related to effective communication with patients and/or family members. • Provide students with knowledge of surgical diseases. In addition, general knowledge on diagnostic approaches is required. Moreover, general information concerning surgical approach on emergency will be explained.
|
Language
|
ENG |
Type of certificate
|
Profit certificate
|
Credits
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1
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Scientific Disciplinary Sector Code
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MED/41
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Contact Hours
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14
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Type of Activity
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Basic compulsory activities
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Teacher
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Piattoli Matteo
(syllabus)
Advanced Life Support - American Heart Association Guidelines. Major pediatric emergencies-urgencies: assessment, recognition, stabilization. Invasive hemodynamic monitoring, hemodynamic support: vasopressors and ExtraCorporeal Life Support. Organ support. Basics of electrocardiography in urgency-emergency settings. Airway management, mechanical ventilation, ARDS. Severe trauma. Death by neurological criteria. Major incidents. Effective communication techniques.
(reference books)
• Professor’s notes and slides. • Stoelting's Pharmacology & Physiology in Anesthetic Practice – Pamela Flood et al., edited by Wolters Kluwer. • Dubin, D. (2000). Rapid Interpretation of EKG's, Sixth Edition 6th revised. • Sitografia: https://cpr.heart.org/en/resuscitation-science/cpr-and-ecc-guidelines https://www.asahq.org/standards-and-practice-parameters https://www.sccm.org/SurvivingSepsisCampaign/Guidelines
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Dates of beginning and end of teaching activities
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From to |
Delivery mode
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Traditional
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Attendance
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Mandatory
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Evaluation methods
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Written test
Oral exam
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|
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Module: General Surgery – Emergency surgery
(objectives)
Aim of the teaching is to: • Provide knowledge of the principles of advanced nursing care for the early recognition, management, monitoring and re-evaluation of the person in a vitally critical condition with reference to the main medical-surgical emergencies and clinical problems in conditions of high complexity of care. • To provide knowledge of advanced nursing principles for clinical immunological evaluation and examination evaluation involving such critical evaluation. Among the training objectives, the assistance required in an internal medicine day hospital course, in particular the immunological one. • To provide knowledge about adverse drug reactions in procedures involving a therapeutic switch related to infectious prophylaxis. • To provide knowledge about clinical management of a patient undergoing systemic anaphylaxis characterized by: hypotension, angioedema, dyspnea, loss of consciousness. • Provide knowledge of pharmacological concepts including an overview of the history of drugs along with current issues. The topics discussed will include: pharmacotherapeutics, pharmacodynamics, pharmacokinetics, along with drugs contraindications and precautions. Major emphasis will be placed on the drugs used in the nursing field, as well as the nurse’s role in pharmacological research. • Provide the students with methodological nursing skills to deal with the clinical, laboratory and instrumental management of patients with medical emergencies. • Provide knowledge on monitoring in Intensive Care Unit, organ failure, physiopathology and treatment, mechanical ventilation, extracorporeal removal techniques, the patient in shock, stupor and coma. • Provide knowledge on early recognition of major life-threatening conditions and their immediate management. • Provide knowledge on advanced cardiopulmonary resuscitation, management of severe trauma and major incidents. • Provide knowledge and basic principles related to effective communication with patients and/or family members. • Provide students with knowledge of surgical diseases. In addition, general knowledge on diagnostic approaches is required. Moreover, general information concerning surgical approach on emergency will be explained.
|
Language
|
ENG |
Type of certificate
|
Profit certificate
|
Credits
|
1
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Scientific Disciplinary Sector Code
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MED/18
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Contact Hours
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14
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Type of Activity
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Core compulsory activities
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Teacher
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Giovinazzo Francesco
(syllabus)
Shock. Digestive hemorrhage. Acute abdomen. Thoracic-abdominal trauma. Nursing framework of emergency surgical patients. Management of closed and penetrating chest injuries. Management of blunt and penetrating injuries to thoracic, abdominal and pelvic viscera, parietals and vasculature. Indications and techniques of resuscitative laparotomy and thoracotomy. Principles of damage control surgery. Principles of management of pelvic fractures and the management of fractures and dislocations of the limbs. Principles of diagnostic radiography (including interventional radiology), ultrasonography, computed tomography, magnetic resonance imaging and related techniques. Peri-operative management of medical co-morbidities in the emergency surgical patient including respiratory, cardiovascular, hepatic and renal disease, endocrine and psychiatric disorders. Peri-operative management of medical co-morbidities in the emergency surgical patient including respiratory, cardiovascular, hepatic and renal disease, endocrine and psychiatric disorders. Techniques and technology of dissection, haemostasis, excision, resection and anastomosis used in emergency surgery. Management of vascular injuries of the limbs and the principles of amputation and rehabilitation. Acute abdominal pain, including aetiologies more commonly encountered in the Tropics, Africa and Asia than in Europe and North America. Pathophysiology and management of acute and chronic pancreatitis and their complications. Pathophysiology and management of peritonitis and intra-abdominal sepsis. Pathophysiology and management of obstruction, inflammation, infection and bleeding of the liver and biliary tree. Ascites. Mechanical and functional obstruction of the gastrointestinal tract. Aetiology, diagnosis and management of gastrointestinal tract perforation. Acute mesenteric ischemia: arterial, venous, and nonocclusive. Assessment and management of the acute presentation of malignant disease. Ethics and medico-legal aspects of emergency surgery including assessment of mental capacity and competence. Principles of informed consent and "best interest" care.
(reference books)
• Divizia, A., Fiorani, C., Maggi, G., Romano, F. (2015). Compendio di chirurgia per le professioni sanitarie. UniversItalia. • Giusti, G. D., Benetton, M. (2015). Guida al monitoraggio in area critica. Maggioli Editore.
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Dates of beginning and end of teaching activities
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From to |
Delivery mode
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Traditional
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Attendance
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Mandatory
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Evaluation methods
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Written test
Oral exam
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