FIRST AID WITH MULTIDISCIPLINARY APPROACH

Integrated educational activity

Course Sheet

Course code:

OST21B2

Academic Year of enrolment:

2020

Year of supply:

2021/2022

Degree:

Course of 1st Cycle Degree in MIDWIFERY

Moduls:

PHARMACOLOGY - 1 credits
GENERAL SURGERY - 1 credits
OBSTETRIC AND GYNECOLOGICAL EMERGENCY - 1 credits
ANESTESIOLOGIA - 1 credits
OBSTETRICAL ASSISTANCE IN EMERGENCIES - 2 credits

Location:

CHIETI

Credits:

Programme Year:

Cycle:

First semester

Hours of classroom activity:

Prerequisites:

As expected from academic regulations

Objectives

The course of anesthesiology aims to the acquisition knowledge of the techniques, procedures and drugs of emergency/urgency for the patient of obstetric relevance and for the newborn/infant/child
The course of Emergency in obstrectics and gynaecology contributes to the achievement of the training objective of the Degree Course in Obstetrics, providing students with the necessary knowledge for the diagnosis and management of the gynecological and obstetric emergencies. The students must acquire the knowledge related to the etiopathogenesis of obstetric-gynecological emergencies, and they must also learn the techniques of diagnosis and treatment of obstetric-gynecological emergencies through the application of diagnostic-therapeutic protocols written according to evidence-based medicine.

The course of general surgery aims to the acquisition of adequate knowledge in this fields.

The course of pharmacology is part of the specific objectives of the study program aimed at training a professional figure able to: know and understand the concepts of general pharmacology and the main classes of drugs (mechanism of action, therapeutic indications, side-effects).
In particular, this course aims to allow the student to develop:
i) the principles of pharmacokinetics (the path of the drug within the human organism, assessed in its qualitative / quantitative aspects) and of the pharmacodynamics (drug / target interactions and analysis of the dose-response relationship); ii) adequate knowledge on the pharmacological basis of therapy, with particular attention to oxytocic drugs and abortion inducers; tocolytic drugs; uterotonic drugs; non-steroidal anti-inflammatory drugs (NSAIDs); pro-coagulant and anti-coagulant drugs; some basic concepts of antibiotic therapy
At the end of the course the student will be able to: i) know the pharmacological basis of the therapy; ii) to know the collateral and toxic effects of drugs and the potential interactions between them.
The course will help to provide the student with tools that will enable him to enhance his ability to relate in team with other professional figures (doctors, nurses, etc.) who, in an increasingly multidisciplinary approach, will be called to take care of the patient.
The student will also be able to provide explanations to the patient and / or his family about the benefits and risks of drug therapy.

Contents

The course of FIRST AID WITH MULTIDISCIPLINARY APPROACH consists of the following teachings: Anesthesiology; Obstetric and gynecological emergency; I; General surgery; Pharmacology;
obstetric assistance in emergencies.

Extended Syllabus

ANESTHESIOLOGY
• BLS
• BLSD
• PBLS
• PBLSD
• emergency/urgency cart/bag
• anesthesia in obstetrics and its complications
• hemorrhagic emergencies
• partoanalgesia and its complications.

EMERGENCY IN OBSTETRICS AND GYNAECOLOGY
• GYNECOLOGY
• Genital bleeding
• Gynecological causes of acute abdomen (ovarian cyst torsion, haemorrhagic corpus luteum, pelvic inflammatory disease, endometriosis)
• OSTETRICIA
• First trimester hemorrhages: ectopic pregnancy, abortion, trophoblast pathology
• Third trimester hemorrhages: placenta previa, placenta detachment
• Preeclampsia
• Diabetic ketoacidosis
• Acute CTG alterations
• Shoulder dystocia
• Postpartum hemorrhages
• Vaginal operative birth (forceps, suction cup)
• Cord prolapse
• Uterine inversion
• Breech presentation

GENERAL SURGERY
GENERAL PART: -Shock;-Acute and chronic inflammatory processes; -Surgical infections (generalized and localized); clean, contaminated and dirty surgeries; -healing processes (physiologic and pathological); -Thrombophlebitis and thromboembolic risk in surgery; -Suture material and surgical instruments; --Drainages in surgery; -Surgical naming; Preoperative assessment: clinical history and physical examination; --Assessment of risk factors; -Preparation to surgical interventions; -Postoperative surveillance and treatment; -Postoperative complications; Fever in surgery.
SPECIALISTIC PART: - Acute abdomen; - Peritonitic syndrome; - Intestinal obstruction; -Hemoperitoneum; - Gastrointestinal bleedings

INTERNAL MEDICINE
Main nutrients
Energy needs
Evaluation of nutritional status
Obesity
Metabolic syndrome
Thinness
Diabetes
Gestational diabetes
Parenteral nutrition, enteral nutrition, Nutrition of the elderly
Pseudo-food intolerance
Celiac disease
hypertension and hypertension in pregnancy
Deep venous thrombosis and pulmonary embolism
Heart disease and pregnancy
Anemia
Nutrition and cancer
Feeding in pregnancy

PHARMACOLOGY
General Pharmacology
- Aspects of pharmacokinetics: absorption, plasma protein binding, distribution, metabolism and elimination of drugs; Half-life of a drug and
interval of administration.
- Aspects of pharmacodynamics: receptor mechanisms of signal transduction receptor, the concept of agonist and antagonist potency and
efficacy of a drug, therapeutic index.

Special Pharmacology
- Estrogens and progestins
- Toxytocic drugs and inducing abortion (oxytocin, prostaglandins);
- Tocolytic drugs (Ritodrine, calcium channel blockers); Uterotonic drugs (Ergometrine, methysergide).
- Nonsteroidal anti-inflammatory drugs (NSAIDs)
- Antiaggregant drugs and anticoagulant drugs
- Concepts of antimicrobial therapy: selective toxicity, minimum inhibitory concentration (MIC) or minimun bactericidal concentration (MBC) ; mechanisms of antibiotic resistance, mechanism of action of the main classes of antibiotics (Penicillins and Cephalosporins, Macrolides, Sulfonamides, Aminoglycosides, Fluoroquinolones).

Recommended Bibliography

-Anesthesiology
Il nursing nell' emergenza – urgenza. Autore/i: Fultz - Sturt | Editore: Elsevier - Masson EDIZIONI Edizione III 2007
Anestesia e rianimazione nell' emergenza pediatrica e neonatale. Autore/i: De Francisci - Iacobucci - Picoco Papapietro | Editore: Cic Edizione 2006
Anestesia - Analgesia e terapia intensiva in ostetricia. Autore/i: Celleno - Frigo | Editore: Cisu - Edizione 2008

-Emergency in obstrectics and gynaecology
Bacchi Modena, Gramellini, Verrotti: Emergenze in ginecologia e ostetriciaBolis G. Manuale di ginecologia ed ostetriciaNappi C. Ostetricia e Ginecologia Pescetto, De Cecco, Pecorari, Ragni: Ostetricia e Ginecologia Petraglia, Pelusi, Bocchi, Meriggiola: Ginecologia e OstetriciaZanoio, Barcellona, Zacchè: Ginecologia e Ostetricia

-General Surgery
Insegnamenti di Chirurgia, G. Marcozzi, Minerva Medica, Torino

-Internal medicine
Dietoterapia e Nutrizione Clinica di E. Del Toma, Il Pensiero Scientifico Editore.
Conoscenze attuali in Nutrizione di E.E. Ziegler – L.J. Filer Jr. (Ed. Italiana), Piccin Nuova Libraria.
Manuale di Nutrizione Clinica e Scienze Dietetiche Applicate di P. Binetti, M. Marcelli, R. Baisi, Società Editrice Universo.
Nutrizione umana di F. Fidanza, G. Liguori, Idelson Gnocchi Ed
Harrison's Principi di Medicina Interna

Pharmacology
Farmacologia. Principi di base e applicazioni terapeutiche” E. Rossi, V. Cuomo, C. Riccardi. 2° Edizione Minerva Medica.
Farmacologia generale e molecolare. F. Clementi e G. Fumagalli. Editore:UTET.
Panus PC, Katzung B, Jobst EE, Tinsley SL, Masters SB, Trevor AJ. Farmacologia in riabilitazione. Edi-ermes

Teaching Methods

Anesthesiology: Frontal lessons

Emergency in obstrectics and gynaecology: Frontal lessons

General Surgery: Frontal lessons

Pharmacology:The course includes lectures and interactive lessons. The course aims to provide the theoretical basis necessary for a reasoned understanding of what the drug produces once it has been introduced into the human organism (pharmacodynamics) taking into account how it is distributed and modified in the organism itself (pharmacokinetics). At the same time, special care will be taken in linking theoretical knowledge with the evidence emerging from the use of drugs as tools of therapeutic armamentarium. In itinere will be proposed exercises (multiple choice tests) to verify the level of personal learning

Evaluation methods

Verification of learning:

anesthesiology: oral exam

Emergency in obstrectics and gynaecology: oral exam

General Surgery: oral exam

Internal medicine: written test

Pharmacology: The learning will be evaluated through a final assessment, which includes a written test [multiple choice questions (each question has 4 answers, only the correct one)]and an oral one aimed at providing a balanced assessment of the achievement of the objectives of the Core Curriculum. The written exam must be completed within 30 minutes of the start. The examination procedure and its evaluation are indicated by the teacher at the beginning of the lessons

Contacts/More Information

Each teacher indicated the informations deemed appropriate

Università degli Studi
"G. d'Annunzio"

Chieti - Pescara

Aree