Intensive Care Medicine

Code:

OPT5_06

Acronym:

MI

Keywords
Classification	Keyword
OFICIAL	Medicine

Instance: 2022/2023 - 1S (of 12-09-2022 to 06-01-2023)

Active?	Yes
Responsible unit:	Medical Teaching
Course/CS Responsible:	Integrated Masters Degree in Medicine

Cycles of Study/Courses

Acronym	No. of Students	Study Plan	Curricular Years	Credits UCN	Credits ECTS	Contact hours	Total Time
MIM	3	Official Study Plan	5	-	3	32	81

Teaching language

Portuguese

Objectives

Upon the successful conclusion of the curricular unit, the student must be able to:

- Understand the Intensive Care Medicine as a set of own knowledge, not exclusive to any existing specialty, which is based on intensive monitoring and support of patients with potentially reversible severe organ failures;

- Apply the set of technicalities, classically associated with different specialties required for diagnostic, surveillance, supervision and therapy;

- Understand the own model of practice performance, based on the concept of understanding the logic of pathophysiology, complemented by a strategy of continuous evaluation;

- Assume a responsible and humanistic attitude in end of life situations, which may require difficult ethical choices.

Learning outcomes and competences

By its scientific nature, all syllabus offered and worked in a dynamic manner during the classes (on a custom basis or as a group) are directly related to the objectives established for the curricular unit. There is a concern of adjusting the program depending on the students’ previous prior training. Being the primary objective to provide students with an organic / systemic view on acute disease and its consequences in the organism, often complicated by the presence of significant pre-existing co morbidities, the syllabus includes all organs and systems in a systematic perspective but also inclusive, valuing each in aspects related to the unit’s themes. The Handbook contains an extensive exhibition of the concepts, pathological conditions, diagnosis and patient’s therapy with acute illness attitudes, in a global and systemic perspective.

Working method

Presencial

Program

Theoretical concepts

1. Identification of the patient in risk
2. Initial Evaluation of Acid and Base Water-Electrolyte Balance
3. Air way
4. Cardiopulmonary and brain resuscitation
5. Acute Circulatory Failure
6. Acute Heart Failure
7. Hemodynamic Monitoring
8. Acute Coronary Syndromes
9. Acute respiratory failure, diagnosis and treatment
10. Mechanical Ventilation I
11. Ventilation II
12. Neurological Support
13. Trauma and burns
14. Severe metabolic disorders
15. Severe Infection, sepsis and septic shock
16. Other adult acute conditions
17. Acute Disorders of Pregnancy
18. End of Life: Palliative Care versus Intensive Care

Practical concepts

1. Electrical Defibrillation and Cardioversion
2. Vascular Access
3. Mechanical Ventilation
4. Trauma
5. Air way

Mandatory literature

Paul Marino; The ICU Book – 4th Ed. , Wolters Kluwer Health/ Lippingcotp Williams, Hans e Wilkins, 2014
Daniel Sloniewsky-Society of Critical Care Medicine ; Medical Student’s Guide to Intensive Care Medicine, 2005
.; Fundamental Critical Care Support, 2013

Teaching methods and learning activities

Theoretical and practical expository sessions, monitoring of daily visits, watching the discussion of each case-by-case patient, observation of techniques, discussion of papers presented in the Journal Club, attendance in training sessions of the Program of Intensive Care Medicine.

In the context of the COVID-19 pandemic, teaching / learning methodologies will depend on the existing epidemiological situation and we can have one of the 3 scenarios:

A. Face-to-face - classes will take place in the usual manner

B. Blended format for contact hours:

. Theoretical classes will be held with presence of some students or totally remotely via Zoom in a synchronous way.

. TP classes will be held with presence of some students or totally remotely via Zoom in a synchronous way with discussion of clinical cases.

. Practical classes: the groups will be divided into two parts, half should have contact with the real patient and the other half with the virtual patient or perform another activity indicated by the teacher, alternating the following week.

C. Distance learning - this model will only be applied if the conditions for semi-face-to-face teaching are impossible due to pandemic and will be done entirely with the use of virtual patients and digital platforms.

 

Evaluation Type

Distributed evaluation without final exam

Assessment Components

Designation	Weight (%)
Participação presencial	50,00
Trabalho escrito	50,00
Total:	100,00

Amount of time allocated to each course unit

Designation	Time (hours)
Estudo autónomo	49,00
Frequência das aulas	32,00
Total:	81,00

Eligibility for exams

In accordance with the legislation in force.

Calculation formula of final grade

Theoretical and practical expository sessions, monitoring of daily visits, watching the discussion of each case-by-case patient, observation of techniques, discussion of papers presented in the Journal Club, attendance in training sessions of the Program of Intensive Care Medicine (50%).

Distributed evaluation with discussion of final report (50%).

Special assessment (TE, DA, ...)

Oral Test.

Classification improvement

Oral test.