Clinical Exposure

Block Book

Faculty of Medicine
Pelita Harapan University
Karawaci – Tangerang
2008/2009

Authors:
Shirley Ivonne Moningkey, dr., M.Kes

OVERVIEW
First aid is a very crucial part of medical practice since it will deal with the most urgent cases in the
field. Even from their very first time in medical school, students are not exceptional from being asked

FIRST AID

2

Banjarnahor. The course is intended to give the students basic first aid knowledge and skills that will be needed and better equip the students as part of health care provider. head and spinal in jury. the students will be divided into small groups which will be directed by a tutor.U. and each class will be taught simultaneously.to perform first aid.e. Lippo Karawaci. The first aid course will be studied within a week and comprises of lectures and clinical skill laboratories. and other emergency cases.. Therefore it is very important for medical students to cover up first aid from the very beginning. This block is implemented under the following main region. In the clinical skill laboratory. Course info FIRST AID 3 . June 13th 2008 Coordinators of First Aid. dr. musculoskeletal injury. dr Herfina Yohanna N. Because of the time limitation. bleeding and shock. i. This block will be delivered in parallel system where the students are divided into two classes. Norberta Dessy N. the clinical skill laboratory will be done right after the lectures and demonstration. dr Christine T. List of Content I. respiratory emergency.

Week objective 1. Clinical skill  Level of competency  Name of instructor V. References VI. Assessment VII. Competencies 1.II. Learning outcomes III. Component of competency 2. Timetable VIII. Approval CHAPTER I COURSE INFO FIRST AID 4 . Lecture  Topic  Name of lecture  Objective 2. Teaching and Learning method IV.

. CHAPTER II COMPETENCIES FIRST AID 5 .U Banjarnahor. 2008 Coordinators : Norberta Dessy N. 2008 Ended : October 10.Block : First Aid Semester : I Credits : 2 credits Duration : 1 week Started : October 6. Christine T.. dr. Herfina Yohanna N. dr.dr.

Effective communications The students should be able to:  Summarize the patient’s problems  Treat the patient as an equal and ask for his/her agreement in deciding on treatment and medical procedures  Give information about the patient’s problem and further referral b. Area of scientific basic of medical knowledge The students should be able to: o Apply the concepts and principles of biomedical. Clinical skills The students should be able to: o Collect and record accurate and important information about the patient c. Area of scientific basic of medical knowledge The students should be able to:  Explain the health problem in terms of the principles of the basic medical sciences of first aid  FIRST AID Justify the chosen intervention based on first aid knowledge 6 . Clinical skills The students should be able to:  Identify the patient’s problems (physical signs and record them clearly and correctly)  Perform first aid appropriately c. appropriate to the delivery of first aid 2. and behavioural science. Learning outcomes a. Effective Communication The students should be able to: o Explore and exchange information verbally and non-verbally in the first aid settings.1. clinical. b. Components of Competency a.

Leadership 6.CHAPTER III TEACHING AND LEARNING METHOD 1. Lecture : 6 hours/week 2. Character development : 2 hours/week 5. Clinical skill laboratory : 12 hours/week 3. Self learning : 4 hours/week 4. Religion Lecture : 2 hours/week : 3 hours/week CHAPTER IV FIRST AID 7 .

Instructors : First Aid Team Lecture Objectives a. First aid concepts The student should be able to:  Know the definition of first aid  Understand the principle of first aid  Know who can perform first aid  Understand the responsibilities of the first-aider b. and lateralization) FIRST AID 8 . pupil. respiratory rate. and circulation  Protect cervical spine (in-line traction)  Evaluate Big 5 (Conscious level.WEEK OBJECTIVES Lecture 1 : Introduction Lectures : Herfina Yohanna Nababan. dr. Assessment The students should be able to:  Understand initial assessment  Response  Airway and breathing  Circulation  Neurological  Know the type of the case (trauma or non-trauma) Clinical Skill Objectives: The students should be able to do primary survey  Evaluate response (alert/respond to voice/respond to pain/unresponsive)  Evaluate airway. breathing. extraoccular movement. Body system The students should be able to understand basic anatomy and physiology of the body c.

U. Banjarnahor. Acute SOB The students should be able to :  Evaluate airway and casualty positioning Lecture 3 : Wounds. Instructors : First Aid Team Lecture Objectives: FIRST AID 9 . dr. Airway Obstruction The students should be able to:  Know the causes of obstruction  Know the signs and symptoms of obstruction  Understand the first aid of obstruction b.. Obstruction The students should be able to :  Perform the management of choking ( Heimlich Maneuver. Bleeding. dr. Instructors : First Aid Team Lecture Objectives a.Lecture 2 : Respiratory Emergencies Lectures : Christine T. & Shock Lectures : Norberta Dessy N. Acute SOB The students should be able to:  Know the definition of acute SOB  Know the causes of acute SOB  Know the signs and symptoms of acute SOB  Understand the first aid of acute SOB Clinical Skill Competency: a.. Chest Thrust )  Maintain the airway ( Head – Tilt / Chin – Lift ) b.

Circulation   Perform simple handling for shock before the patient is brought to the hospital (by position) Lecture 4 : Musculoskeletal injuries Lectures : Herfina Yohanna Nababan. or capillary)  Understand the classification of bleeding (external and internal)  Understand the first aid of external bleeding b. Wounds & Bleeding The students should be able to :  Perform the first aid of wounds (how to bandage)  Manage the external bleeding (compression. Wounds & Bleeding The students should be able to :  Know the definition and types of wounds  Understand the first aid of wounds  Know the definition of bleeding  Know the source of bleeding (artery. Shock The students should be able to : Evaluate Airway. Breathing. dr. vein. Instructors : First Aid Team Lecture Objectives: The students should be able to: FIRST AID 10 . apply tourniquet) b.a. Shock The students should be able to :  Know the definition of shock  Know the sign and symptoms of shock  Understand the first aid of hypovolemic shock Clinical Skill Competency: a.

and clinical signs of fracture.. Instructors : First Aid Team Lecture Objectives: a. Know the definition. and muscle cramps  Understand the first aid of musculoskeletal injuries Clinical Skill Competency: The students should be able to:  Identify musculoskeletal injuries  Perform simple splinting for immobilization  Apply sling  Manage cramped muscles by stretching technique Lecture 5 : Head Injury & Spinal Injury Lectures : Norberta Dessy N. Spinal Injury The students should be able to: FIRST AID  Know the definition of spinal injury  Know the causes of spinal injury  Understand the sign and symptoms of spinal injury  Understand the first aid of spinal injury 11 . causes. dislocation. dr. sprain. Head Injury The students should be able to:  Know definition of head injury  Know causes of head injury (penetrated and blunted injury)  Know the classification of head injury  Assess unconsciousness (GCS)  Know the sign and symptoms of head injury  Know the first aid for head injury b. strain.

Circulation. Seizures Students should be able to:  Understand the clinical manifestation of seizures  Know the causes of seizures  Understand the first aid of seizures b. Poisoning  Know the general signs and symptoms of poisoning  Understand the causes of poisoning (ingested. and Big 5  Perform airway management (Jaw Thrust Maneuver)  Perform simple handling for head injury before the patient is brought to the hospital b.Clinical Skill Competency: a. drugs overdoses) FIRST AID  Understand the types of chemical poison (acid or base)  Understand the first aid of poisoning 12 . Instructors : First Aid Team Learning Objectives: The students should understand about: a.. insect bite. Banjarnahor. U. snake bite. Head Injury The students are able to :  Evaluate GCS  Evaluate Airway. Spinal Injury The students are able to :  Perform airway management (Jaw Thrust Maneuver)  Perform protection cervical spine by in line traction or sand bag  Apply the collar neck  Transport the patient without collar neck Lecture 6 : Emergencies Lecturers : Christine T. Breathing. inhaled. dr.

Poisoning The students should be able to :  Perform first aid for snake bite (tourniquet) c. Seizure The students should be able to :  Evaluate the airway b. Burns  FIRST AID Understand the first aid of burns (cooling and bandaging) 13 . Diabetic Emergency  Know the general signs and symptoms of diabetic emergency  Know the causes of diabetic emergency  Understand the first aid of diabetic emergency d.c. Burns  Know the general signs and symptoms of burns  Know the causes of burns  Understand the first aid of burns Clinical Skill Competency: a.

Jakarta: PMI 2. The Canadian Red Cross Society FIRST AID 14 . 2004. Canadian Red Cross : First Aid the Vital Link 2nd edition. 2004. Pedoman Pertolongan Pertama Edisi Ke-2.CHAPTER V REFERENCES 1.

Assessment of Student Performance a). Attendance requirements: 100% attendance at lectures and clinical skill laboratories Exceptions:  medical illness  special social circumstances 2.CHAPTER VI ASSESSMENT 1. Knowledge assessment Student’s applied knowledge will be assessed at the end of each block using Multiple Choice Questions (MCQ) b). Skills Assessment Student’s applied clinical skills will be assessed at the end of semester using Objective Structured Clinical Examination (OSCE) Relative values: The relative value of each component is as follows: Component FIRST AID Percentage MCQ 30% OSCE 70% 15 .

99 75.00 3.99 50.99 60.30 3.99 56.99 00.00) FIRST AID 16 .50 1.Grading system Grade A AB+ B BC+ C CD E Range 90.00 – 64.70 3.99 65.00 – 59.99 Value 4.30 2.00 – 100 80.00 Passing grade is C = 56.00 2.00 – 74.00 (GPA = 2.00 – 79.00 – 67.99 68.00 – 49.00 (pass) 1.00 – 89.00 0.00 – 55.99 40.00 – 39.70 2.

FIRST AID Academic week 8 Week 1 Time 07. Putranti.45 .05 6-Oct Monday Introduction : Herfina.50 7-Oct Tuesday Chapel for staffs Bleeding&Shock : Norberta. .12. Clinical skill All tutors Self learning 11.10.dr. dr 4. Deisy Budiono.35 ..50 . dr FIRST AID 17 .16..30 . Herfina.U.35 14. dr 5.40 13.55 . Rhendy Wijayanto. Sandraningrum T.00 10.14.10 . dr 2.40 . Clinical skill All tutors 09. dr. dr.45 12.15.11.15 .dr.25 Lunch break Respiratory : Christine.. dr 7. Clinical skill All tutors 8-Oct Wednesday Head-Spine Injury : Norberta. Herfina Yohanna N.08. Norberta Dessy N. Clinical skill All tutors Lecture lunch break Clinical skill Review Religions Lecture Chapel for students OSCE All tutors Contributors Lecturers and Tutors: 1.CHAPTER VII TIMETABLE Block coordinators : Norberta. Banjarnahor. dr.13. dr Clinical skill 9-Oct Thursday 10-Oct Friday Leaderships Lecture MCQ All tutors Clinical skill Self learning Review Character development lunch break Emergencies : Christine. dr.05 . Christine. Christine T. dr 3.10.09.10 08.00 .55 10. dr 6. Clinical skill All tutors lunch break Musculoskeletal : Herfina. dr.30 15. Eka Kencana. dr.

00 B6 Haryanto Surijadi.45 .15 .30 07.. dr 12.15.30 07.45 .00 Norberta Dessy N..15 . dr.. dr 12.10.15 .45 . dr Group of Tutors Group of students B1 B2 B3 B4 Tutors Christine T. PHK 13.10. Secilia Virena Timothy.. Vian Setyawan.30 07.15 . SpPK 9. SpPK Aileen Citradewi Laksmana. dr Jan Tambayong. B5 Deisy Budiono. PAK Secilia Virena Timothy.00 Sandraningrum T.15 . dr 12.15 . dr Thursday) 07.10. Putranti.15. dr 18. dr.45 .45 . Jan Tambayong. dr 12.15. dr 15.30 07. dr Fanny Hariadi.. dr 12.15.15.8. dr.30 07.30 07. Juliani. Banjarnahor.30 07.30 07. Haryanto Surijadi.10. dr.00 18 . dr.15 . Margaret Indirawati.. Erna Kristiani.00 B8 Hartono Gunadi..15 .15. Hartono Gunadi. Novita Hianto.15. PHK 12.30 (Tuesday. dr 10. dr 12. dr Novita Hianto.15.00 B10 Margaret Indirawati. Wednesday) FIRST AID Eka Kencana.00 B9 Juliani.10. Aileen Citradewi Laksmana.00 B7 Erna Kristiani.10.15. dr 12. dr Time 07.10. dr 16.15 . dr 12.45 .45 .45 .45 .10.15 .45 . PAK 12.10.. dr 14.00 Herfina Yohanna N.10.00 Rhendy Wijayanto.U. dr 11. dr 17.30 (Monday. dr 12.15. dr. Fanny Hariadi.

30 Group B1 No 1 2 3 4 5 6 7 8 9 10 NIM 07120080001 07120080002 07120080003 07120080004 07120080005 07120080006 07120080007 07120080008 07120080009 07120080010 Christine T. dr. dr 12.45 .Vian Setyawan. JOSE HADY PUTERA GUNAWAN ALI JEFFRY MIN JOO PARK TIFFANY JUNAWATI INDRA IVANNA DJAKARIA GRAECIA BUNGARAN ANASTASIA YANA AIRO DHANARIS S NIM 07120070025 07120080011 07120080012 07120080013 07120080014 07120080015 07120080016 07120080017 07120080018 07120080019 Norberta Dessy N.. dr. MARKUS ANTONIUS WIBISONO ROBBY SURACHMAN CYNTHIA SABRINA KARTIKA ELLEN SOEBIANTORO MARIA KRISTINA SURYANTO JEFFRY CAROLINE BUDIMAN THERESIA RISA DAVITA CHARLES KURNIAWAN NIM 07120080021 07120080022 07120080024 07120080025 07120080026 07120080027 07120080028 07120080029 07120080030 07120080031 Herfina Yohanna N. STEVEN WILSON FRISKA LEONARDY GIOVANNI SHELLA ELVINA YULITA SOEGIARTO ELISHAA SHIRLEY ALIKAZIN ERWIN K EDISON KOESWANTO YURICHO ALEXANDER YOGIANTO CYNTHIA FERNANDES DONATUS APRIANTO TUMEDIA Group B2 No 1 2 3 4 5 6 7 8 9 10 Group B3 No 1 2 3 4 5 6 7 8 9 10 Group B4 No FIRST AID NIM Rhendy Wijayanto. dr.U Banjarnahor. dr 19 .15..

. Putranti. dr 1 2 3 4 5 6 7 8 9 10 07120080032 07120080033 07120080034 07120080035 07120080036 07120080037 07120080038 07120080039 07120080040 07120080041 Eka Kencana. dr 1 2 3 4 5 6 7 8 9 10 07120080042 07120080044 07120080046 07120080047 07120080048 07120080049 07120080050 07120080051 07120080052 07120080053 Haryanto Surijadi. SpPK NOVITA KUSUMAWATI TAUFAN HERI ITANTO FEBRITA PRIMA KURNIA RAISYA TSAMARA MAYA ANDRIANA ARDISA PERMATA PUTRI LUSIANA VIMALA JESSICA FREDELINA HERLIANA ELIZABETH YUSUF JONNY WIJAYA No NIM Aileen Citradewi Laksmana. dr DYKA WIHARDJ O KEZIA TAALITA SYAFERAA PURWANTO ANDRI KRISTANTO M FIFI SETIAWATI KRISTINA ASTUTI WINARTO HARRY SUDARMA RUTH DOMEASI NATASYA P CHARLES GOCCIARDI PATRICIA GABRIELLE TJIPTA JOEWANA ALBERT SEDJAHTERA Group B7 No FIRST AID NIM Jan Tambayong.. PHK 20 . dr RHEMA WIGUNA PUSPARINA OENIASIH WINFREY PANGESTU RUTH ANINDYA RATIH DEWI HARTONO LAURA WIJAYA GABRIELA SABATINI GUNAWAN AMELIA TIRTA KRISTIONO SHEILA STEPHANIE CHANDRA SIMON GANESYA R RYAN PUTRA Group B5 No NIM Deisy Budiono. dr.Sandraningrum T. dr 1 2 3 4 5 6 7 8 9 10 07120080055 07120080056 07120080057 07120080058 07120080059 07120080060 07120080061 07120080062 07120080063 07120080065 Group B6 Erna Kristiani. dr.

dr FIRST AID 21 .1 2 3 4 5 6 7 8 9 10 07120080066 07120080067 07120080069 07120080070 07120080071 07120080072 07120080073 07120080074 07120080075 07120080076 Hartono Gunadi. PAK BERNARD HARRY SANTOSO GREGORY JOEY ANITA DARMAWIJAYA MALVIN SURYANTO IVAN SUSANTO WISNU ADIPUTRA IVAN EDGAR VERONICA PATRICIA SUDARSANA LIN TONY SALIM Group B8 No 1 2 3 4 5 6 7 8 9 10 NIM 07120080077 07120080079 07120080080 07120080081 07120080082 07120080083 07120080084 07120080085 07120080086 07120080087 Secilia Virena Timothy. dr Margaret Indirawati. dr ALDO VARIAN VINCHRISTO FEBRIANTY MAHA VIRA GUNTUR ATMANI WEDHANA MARSHELLA GIANNI HARDIANTO BENZ NAPOLI RISTI SETIAWAN ANASTASIA TJAN EDLIN ANTONY SOLIHIN LUVITA PEILOUW WULANDARI ROSTYANTI Group B9 No 1 2 3 4 5 6 7 8 9 10 NIM 07120080088 07120080089 07120080090 07120080091 07120080092 07120080093 07120080094 07120080095 07120080096 07120080097 Fanny Hariadi. dr. JONATHAN ISA OSCARIO RAIMON RINALDY FELICIA NATHANIA KOSASIH YONATHAN DJAJA DODY BOBBY SUTOJO IRIN FILZAHA ISMAN Group B10 No NIM Novita Hianto.. dr AUDREY BUDIONO MERYL JAYE KALLMAN PRAISILA GLORY F. dr Juliani. dr Vian Setyawan.

1 2 3 4 5 6 7 8 9 10 07120070051 07120080098 07120080099 07120080100 07120080101 07120080102 07120080103 07120080104 07120080105 07120080106 HIROHITO STEVANO GERALD SUMAYKU IAN HUANG BOBBY RIANTO ADI PUTRA DAVID PRANATA RAHARJO CYNTHIA CHRISTINE J MICHAEL ADITYA MARJOTO ANNASTASIA MARIYA GLORIP B M MANGIRI VELA ALTAIR AMALTHEA MICHAEL SPICA RAMPANGILEI CHAPTER VIII APPROVAL FIRST AID 22 .

. PAK.LAB. Dr.. 22th 2008 Pages Position 1-23 Sign Norberta Dessy N. Wahyuni L.. David Fairholm. dr.. Banjarnahor.D Supervised by Director Medical Education Unit Prof. dr. Block Coordinator Herfina Yohanna N..P/REV-00 Name September. dr.VII. SpBS Dean Approved by Legalized by FIRST AID 23 . Wahjoepramono.U. Written by Christine T. Ph. Neurosurgeon Executive Dean Eka J. dr. MHSc Vice Dean I Prof. Atmodjo dr.Block Book : First Aid No. Document Date FK/PRO-11.05. Bambang Sutrisna dr.