Charles Explorer logo
🇬🇧

Introduction to Clinical Medicine IV - Propedeutics in Surgery

Class at Third Faculty of Medicine |
C3VL010

Syllabus

All students must come prepared in all white hospital scrubs and hospital shoes to be prepared for contact with patients. ALL STUDENTS WHO DO  NOT RESPECT THIS WILL NOT BE ALLOWED TO TAKE PART IN THE PRACTICE. 

Seminars:

S1 

Introduction, history of surgery, history of  surgery, surgical branches and specialization.Patient examination in surgery (history, physical examination, laboratory examination, basic imaging methods). Basics of conducting medical documentation in surgery, including legal aspects. 

S2 

Basics of first aid and emergency treatment (cardiovascular system and blood circulation, respiration, ventilation, state of consciousness). Fundamentals of cardiopulmonary resuscitation, indication, surgical approach. Basic characteristics of shock, definition, classification, symptomatology, prevention of first aid shock.

S3

Basic terminology, nomenclature in surgery (incision, excision, exstirpation, punctuation, excochleation, repositioning, exploration ...). Common surgical terms and findings (tumors, cysts, abscess, ulcers, sinuses, fistula, necrosis, gangrene-pathophysiology, places of the body and treatment), concomitant diseases and problems (metabolic, cardiovascular, ventilatory, psychological and psychiatric) childhood, old age). 

 S4 

Surgical medical devices - basic instruments, instruments (coagulation, suction, turnstile, magnifying glasses, microscope). Types of sewing material. Types of dressings and dressing material. Drug application: injection- distribution and administration, infusion, instillation, infiltration, and more (oral intake, patches, gel, cream, ointment, eye drops and ear drops). Vascular system cannulation (peripheral venous system, central venous system, arterial system, catheterization.

S5 

Types of wounds and their properties, wound healing (per primam intentionem, per secundam intentionem). Fundamentals of defect coverage. Internal haemorrhage, external, physiological and surgical haemostasis. Transfusion. Indications, application principles, complications ...

S6 

Operating theater management, operating group, operational protocol. Asepsis, antisepsis, means and types of sterilization and disinfection. Pre-operative preparation of the patient (local, general) including the actual operating field. Local and general postoperative treatment, postoperative complications-distribution, prevention, diagnostics, basics of therapy. Infusion therapy in surgery. 

S7 

Inflammation and infections in surgery (morning, local, systemic, general, phlegmone, abscess, furuncle, carbuncle, sepsis, anaerobic infections), tetanus prevention, nosocomial infections. Drainage methods in surgery, principles, indications. Puncture, types, method of execution, indication.

Types of anesthesia (total, local and regional anesthesia). Nutrition and Dietetics in Surgery. Rehabilitation in surgery.   

Practicals:

All students must come prepared in all white hospital scrubs and hospital shoes to be prepared for contact with patients. ALL STUDENTS WHO DO  NOT RESPECT THIS WILL NOT BE ALLOWED TO TAKE PART IN THE PRACTICE. 

P1:  Examination of the Surgical Patient.

P2:  Dressing and plastering techniques, ways of treating wounds.

P3:  Srubbing in, dressing gowns and gloves. Preparation of the operating area. Surgical instruments, types of suture materials, incision, excision, ligation, knots.

P4: Skin suture training, threaded stitches, knotting by hand, knotting by needle

P5: Practice of sutures, vascular sutures, suture of peripheral nerve, microsurgery

P6: Basic training of bone surgery- osteotomy, trepanation, amputation, reposition osteosynthesis of intramedullary and splint. Basics of plastic surgery - skin graft, local flaps, training on simulators

P7:  Outpatient, Trauma Theatres, Operating Theatres, Department: (changing dressings, assistance of operations, practical management of the operating theatre and outpatient ward...)

P8:  Outpatient, Trauma Theatres, Operating Theatres, Department: (changing dressings, assistance of operations, practical management of the operating theatre and outpatient ward...)  

Annotation

Propedeutics in surgery introduce basic surgery to students in theoretical and practical way.