EMERGENCY AND CATASTROPHE MEDICINE
Code
11132
Academic unit
NOVA Medical School|Faculdade de Ciências Médicas
Department
MC
Credits
3
Teacher in charge
Prof. Doutor Rui Moreno
Teaching language
Portuguese
Objectives
This course aims to provide knowledge in the areas of emergency medicine and disaster medicine, in its multiple facets. From the strategies to address the emerging individual patient to different approaches in multi-victims major disasters.
Give to students the knowledge of the reality of emergency medicine in Portugal, outside and inside the hospitals, and its stakeholders including the INEM. Inform what are their structures (technical and human resources) their processes and respective results of their activity in the individual trauma or cardiac arrest patient or in a multi-victims scenario, natural or intentional disaster.
Students must develop skills in the approach of the emergent patient, understanding importance of education and training, the importance of acting in the adequate timing, doing the necessary and sufficient actions that a patient or patients require, acting in a hierarchical structure but doing a teamwork, recognizing the importance of the fundamental practices in disaster Medicine. Know how to triage patients, how to carefully do management of resources and the important benefits of having a correct preparedness planning and their impact in the response to such situations. Human values and medicine ethics are necessarily present in this context but often gain a new and bigger dimension.
Know the teams involved in the hospital response to disasters, including Emergency Departments, emergency rooms, ICUs, how they act and what can we expect from them. What changes can and should do the Hospital in his adapt efforts to those exception situations. The hospital disaster plans and their integration with local, regional and national plans.
Prerequisites
Subject matter
This course unit takes place over two weeks (34th and 35th weeks) of the academic year 2014---2015) being organized in lectures, practical classes with discussion of clinical cases, "table-top" exercise and guided visits to an Emergency Department, Intensive Care Unit (ICU), Emergency Medical rescue Vehicle (VMER), mobile vehicle for intervention in catastrophe (VIC), Guidance Centre of Emergency Patients (CODU), National Institute of Medical Emergency (INEM).
Bibliography
- The Fundamental Disaster Management, Third Edition (FDM) course handbook. SCCM.
- Transporte de Doentes Críticos. Recomendações, 2008. Comissão da Competência em Emergência Médica e Sociedade Portuguesa de Cuidados Intensivos (SPCI). http://www.spci.pt/Docs/GuiaTransporte/9764_miolo.pdf
- Plano Catástrofe Externa no Hospital. Hospitais SA, Unidade de Missão. www.hospitaisepe.min-saude.pt/.../Urgência%20-Plano%20Catástrofe.pdf
- Plano de Catástrofe e Emergência do CHLC. Comissão de Catástrofe e Emergência do Centro Hospitalar de Lisboa Central, E.P.E.
- The ICU Book, 3º edição, Paul Marino, Lippincott Williams and Wilkins
- Critical Care Medicine: The Essentials, 4ª edição, john J. Marini e Arthur P. Wheeler, Lippincott Williams and Wilkins
- Surgical Intensive Care Medicine, 2ª edição, John M. ODonnell, Flávio E. Nácul, Springer.
Teaching method
Assuming 3 ESTS (3 x 28 hours = 84 hours), from witch 40 hours of direct contact, divided, over the period of two weeks, these will be distributed as follows:
- Lectures: a total of 16,5 hours;
- Theoretic-Practical and practical Classes: 13.5 hours.
ü These will be dedicated to the presentation of material, their use, table-top exercises; they will include the use of simulators to teach in a mannequin of life supporting measures;
ü Visit and contact with pre-hospital emergency in order to recognise the material and the organization of a pre-hospital emergency team / mobile ICU (VMER);
ü Visit the command and control centre of the National Centre for Medical Emergency (INEM);
ü Visit the Centro de Informação Antivenenos CIAV (Poisons Information Centre);
ü Visit the VIC (mobile vehicle for intervention in catastrophe) and the (PMA) advanced medical post of the INEM; and the Subsystem of High-Risk Newborn Transport; Subsystem of Pediatric Transport; emergency motorbikes; BLS Ambulances; Immediate Life Support (ILS) Ambulances; emergency Helicopters.
ü Visit and contact with the hospital emergency department, in order to recognise the material and the organization of an emergency department and the pre-planned changes that will be implemented in case of disaster, emergency and catastrophe;
ü The visit and contact with an Intensive Care Unit, in order to recognise the material and the organization of an emergency department and the pre-planned changes that will be implemented in case of disaster, emergency and catastrophe.
Evaluation method
This evaluation will be based on the student performance (attendance and punctuality; professional behaviour in the different course settings; ability to perform assigned tasks; motivation and interest in professional development; integration in teamwork.
Students assessment will be continuous, during the practice classes, complemented by a short final written exam (30 questions MCQ); the 1st call for the final exam will be on June, 8 2015 (date to be confirmed) and the 2nd call for the final exam will be on June, 15 (date to be confirmed), on the Unidade de Cuidados Intensivos Neurocríticos (UCINC), Hospital de São José.
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