Emergency Medicine II

Code:

OPT5_23

Acronym:

EMII

Keywords
Classification	Keyword
OFICIAL	Medicine

Instance: 2021/2022 - 2S (of 28-02-2022 to 09-06-2022)

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	47	Official Study Plan	5	-	3	32	81

Teaching language

Portuguese

Objectives

Priority approach to Trauma related medical emergencies, destined to 5th year medical students, during the 2nd semester, with a minimum of 6 students (to organize the course) and a maximum of 48 students per semester.

Learning outcomes and competences

Approach to the Trauma Patient

At the conclusion of the course, the student should be able to:

-Know the principle types of emergency trauma situations, in general;

-Know emergencies in the context of firearms;

-Know the management norms of Mass Casualty / catastrophe situations;

-Know the norms for Critical Care Patient Transport;

-Know the principles of flight physiology and air transport;

-Proceed with basic immobilizations in the trauma context.

Working method

Presencial

Program

-Trauma Patient Approach – 2 hours: ANTONIO MARQUES

-Head Trauma – 2 hours: MÓNICA ALMEIDA

-Spinal Trauma - 2 hours: IRENE ARAGÃO

-Thoracic Trauma – 2 hours: TERESA CARDOSO

-Abdominal Trauma - 2 hours: HELOÍSA CASTRO

-Limb Trauma - 2 hours: ANTÓNIO CARLOS COSTA

-Trauma in Children – 2 hours: IRENE ARAGÃO

-Trauma in Old Age - 2 hours: ANTONIO MARQUES

-Trauma during Pregnancy - 2 hours: MÓNICA ALMEIDA

-Trauma Rehabilitation – 2 hours: ANTONIO MARQUES

-Trauma due to Firearm – 2 hours: RUI ANTUNES

-Trauma Patient Transport - 2 hours: LARA MARCELO

-Trauma Patient Air Transport - 2 hours: ANTONIO MARQUES

-Mass Casualty Incident Response - 2 hours: ANTONIO MARQUES

-Nuclear, Biological and Chemical Incident Response - 2 hours: ANTONIO MARQUES

-Trauma Registry – 2 hours: ANTONIO MARQUES

Mandatory literature

European Resuscitation Council CPR Guidelines 2015 ; https://cprguidelines.eu
European Resuscitation Council CPR Guidelines Update 2017 ; https://www.resuscitationjournal.com/article/S0300-9572(17)30776-1/fulltext
American Heart Association CPR Guidelines Update 2017; https://eccguidelines.heart.org/index.php/circulation/cpr-ecc-guidelines-2/
Jonathan Wyatt, Robin Illingworth ; Oxford Handbook of Emergency Medicine, Oxford University Press 4th edition, 2012. ISBN: 978-0199589562
Judith Tintinalli, Stephan Stapczynski, John Ma, Donald Yealy, Garth Meckler, David Cline; Tintinalli’s Emergency Medicine: A Comprehensive Study Guide, McGraw-Hill Medical Eighth edition, 2016. ISBN: 978-0-07-179476-3
Peter Driscoll, David Skinner ; ABC of Major Trauma, BMJ 2013. ISBN: 978-0727918598
Peter Driscoll, David Skinner ; Trauma Care, Beyond the Resuscitation Room, BMJ 1998 . ISBN: 978-0727909336
Mauricio Lynn; Mass Casualty Incidents, Springer Science+Business Media New York , 2016. ISBN: 978-1-4939-3494-2
David Hogan, Jonathan Burstein; Disaster Medicine, Wolters Kluwer - Lippincott - Williams and Wilkins, 2007. ISBN: 9780781762625

Teaching methods and learning activities

There are 2 hours - Primer at the beginning of the semester with 1 hour in each of the first two weeks of classes) and 30 hours of classes during the semester (in 2 hour units per class), with a total of 32 hours per semester.

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 with final exam

Assessment Components

Designation	Weight (%)
Exame	60,00
Participação presencial	40,00
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

A minimum of 75% attendance is required for the theoretical and theoretical-practical lessons. An absence rate of over 25% implies failure to pass the course. An attendance rate of 100% is mandatory for the practical classes.

Calculation formula of final grade

The evaluation is constituted by two components: the written final evaluation (worth 70% of the total) and the continuous evaluation (worth 30% of the total), a portion of which pertains to class attendance (worth 10% of the total).

The final classification grade is expressed on a scale of 0-20 points, rounded off to the decimal, with a minimum necessary grade of 9,5 points for passage (a point grade inferior to 9,5 implies course failure).

Special assessment (TE, DA, ...)

The final evaluation will be written (valued at 70%), considering the previous continuous evaluation at 30%.

Classification improvement

The possibility to improve the point grade classification is by oral exam.

Observations

COVID 19 Pandemic

RULES REGARDING EVALUATION

In the event of legal constraints regarding classes due to the Covid 19 pandemic, the final written evaluation of the cited course will correspond to the total of the final grade, without consideration of class attendance and continuous evaluation.