Sylabus
CLERKSHIP - PRACTICAL SKILLS IN PERIOPERATIVE MEDICINE (an optional subject)
Aim: 1. Learning clinical skills and decision-making process in anaesthesia, emergency medicine and intensive care through workshops and case-based disccusions. 2. Practice manual skills under a supervision from experienced tutors on manikins, models and simulators. 3. Feedbacks using MCQs, EMQs and targeted CBDs.
Course director:
A/Prof Pavel Michalek, MD PhD DESA MSc - Dept of Anaesthesia and Intensive Medicine, 1st Medical Faculty and General University Hospital, Prague, Czech Republic (E-mail: pavel.michalek@lf1.cuni.cz, pavel.michalek@vfn.cz )
Course tutors:
Jan Kunstyr, MD PhD - Dept of Anaesthesia and Intensive Medicine, 1st Medical Faculty and General University Hospital, Prague, Czech Republic
Robert Sachl, MD - Dept of Anaesthesia and Intensive Medicine, 1st Medical Faculty and General University Hospital, Prague, Czech Republic
Mjr. Tomas Henlin, MD - Dept of Anaesthesia and Intensive Medicine, 1st Medical Faculty and General Military University Hospital, Prague, Czech Republic
Workshops: 60min duration, small groups - 5 students maximum
A) Advanced life support
Objective: Recognise cardiac arrest on a simulator, recognise shockable and non-shockable rhythms, analyse ECG, initiate the algorithm of treatment.
Practiced skills:
· Recognition of asystole on ECG
· Recognition of ventricular fibrillation, ventricular tachycardia on ECG
· Recognition of atrial fibrillation, flutter, supraventricular tachycardia on ECG
· Recognition of AV blocks and other arrhythmias on ECG
· Simulation of treatment - defibrillation, cardioversion, pharmacotherapy
Date and venue: 11/04/2014, Cardiac ICU, Building A2, second floor
Group A - 11.00-12.00
Group B - 12.00-13.00
B) Basic and advanced airway management
Objective: Learn and practice techniques of basic and advanced airway management on a manikin and using a training head.
Practiced skills:
· bag-mask ventilation, insertion of an oropharyngeal and nasopharyngeal airways
· insertion of laryngeal mask airway, insertion of i-gel airway
· insertion of Intubating laryngeal mask airway with blind intubation through the device
· tracheal intubation using a laryngoscope and videolaryngoscope
· basics of fiberoptic intubation.
Date and venue: 18/04/2014, Cardiac ICU, Building A2, second floor
Group A - 11.00-12.15
Group B - 12.15-13.30
C) Ultrasound basics in anaesthesia and intensive care
Objective: Learn and practice basic ultrasound assessment in anaesthesia, emergency medicine and intensive care using students as models.
Practiced skills:
· US assessment of great veins (cannulation)
· US assessment of heart - cardiac arrest, tamponade
· US assessment of abdomen - FAST
· US assessment for pneumothorax and fluid
Date and venue: 25/04/2014, Cardiac ICU, Building A2, Second floor
Group A - 11.00-12.15
Group B - 12.15-13.30
D) Surgical airway, intraosseal infusion - life-saving procedures
Objective: Learn how to perform cricothyrotimy and intraosseal needle insertion on a model (cadaver).
Practiced skills:
· Cricothyrotomy
· Intraosseal needle insertion
Date and venue: 23/05/2014, Seminar room of KARIM, Building A6, basement floor
Group A - 11.00-12.00
Group B - 12.00-13.00
E) MCQs, EMQs, CBDs, credits
Date and venue: 30/05/2014, Seminar room of KARIM, Building A6, basement floor
Groups A + B: 11.00-12.30
Notes: a) Students will be divided to the groups on the 5th of April, 2014 and informed by e-mails. b) Course schedule will be posted on the website of KARIM: www.karim-vfn.cz c) Passing attendance mark - 75%. Due to restricted capacity of all workshops, the students are asked to inform the course director by e-mail at least 3 working days in advance about their presence/absence.
A/Prof Pavel Michalek, MD PhD DESA MSc (QUB-Pain)
Course Director
Anotace
Practical skills in perioperative medicine:
The aim of this course is to teach students in small groups main practical skills in perioperative medicine.
Students will be allocated into small groups (2-4 students) and will learn how to perform bag-mask ventilation, insertion of oral and nasal airway, insertion of different types of supraglottic airway devices, how to intubate trachea. They will also learn how to apply basic monitoring in the operating room and perform/assist during insertion of peripheral venous access, central venous access and arterial access.
Students will undergo two to three optional workshops - Advance Life Support Management, VIVA Airway Management
Stations and Canulation/Surgical Airway Station.