MINISTERUL EDUCAȚIEI NAȚIONALE

Str. Universității nr.16, 700115, Iași, România

www.umfiasi.ro

SYLLABUS

1. Programme Details
1.1. GRIGORE T. POPA UNIVERSITY OF MEDICINE AND PHARMACY IASI
1.2. FACULTY : MEDICINE / DEPARTMENT: SURGERY II
1.3. DISCIPLINE: EMERGENCY MEDICINE
1.4. FIELD of STUDY: HEALTH
1.5. STUDY CYCLE: BACHELOR
1.6. PROGRAMME of STUDY: Medicine - English

2. Discipline Details
2.1. Name of the Discipline: EMERGENCY MEDICINE
2.2. Teaching staff in charge with lectures: Prof. Univ. Dr. Diana Cimpoesu, Lecturer Dr. Ovidiu Popa
2.3. Teaching staff in charge with seminar activities: SL Dr. Anca Haisan, SL Iulia Roca, SL. Dr. Ovidiu
Popa, As.Drd. Gabriela Grigorasi
2.4. Year IV 2.5. Semester I/II 2.6. Type of Exame 2.7. Mandatory
evaluation n Discipline
regimen

3. Overall Time Estimates (hours/semester of didactic activity)

3.1. Number of 4 Of which: 3.2. 2 3.3. seminar/ 2
hours per week lectures laboratory
3.4. Total hours 38 Of which: 3.5. 14 3.6. seminar/ 12
in the curriculum lectures laboratory
Distribution of time Hours
Study time using coursebook materials, bibliography and notes 20
Further study time in the libray, online and in the field 5
Preparation time for seminars / laboratories, homework, reports, portfolios and essays 11
Tutoring 2
Examinations 2
Other activities -
3.7. Total hours of individual study 38
3.8. Total hours / semester 39
3.9. Number of credits 6*

4. Prerequisites (where applicable)

4.1. curriculum First care

FACULTATEA DE MEDICINĂ
+40 232 301 615 tel / +40 232 301633 fax

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4.2. competences Not Necesary

5. Conditions (where applicable)

5.1. for lecture delivery Not Necesary
5.2. for seminar / laboratory delivery Not Necesary

6. Specific Competences Acquired

Professional Competences
(knowledge and skills)
Transversal Competences
(roles, personal and
professional development)
Basic cardiopulmonary resuscitation in adult and child
Basic and advanced airway management
Defibrillation. Cardioversion. External Pacing
Drug administration pathways. Peripheral and central venous approach.
Fluids used in resuscitation
Advanced cardiopulmonary and cerebral resuscitation protocols
Vasoactive therapy. Use of infusion pumps and injectors. Invasive and
non-invasive monitoring.
Cardiopulmonary resuscitation in special situations
Practical problems in the comatose patient: evaluation, monitoring,
care plan
Emergency approach in patients with acute poisoning
Emergency approach to open trauma. Anti-tetanos prophylaxis
Primary evaluation of the trauma patient
Secondary evaluation of the trauma patient. Techniques to immobilize
the trauma patient
Recognize the critical patient usin simulators manequin, monitor
critical patient, and apply the advanced life support protocol correctly
to the mannequin.
  Describe and carry on emergency medical management in the
traumatized patient using simulators manequin

7. Obiectives of the Discipline (related to the acquired competences)

7.1. General Obiective Applying Advenced Life Suport
7.2. Specific Obiectives Perform basic and advanced cardiopulmonary resuscitation
maneuvers, manual defibrillation on simulation manequin
Applying emergency first-aid measures in medical emergencies

8. Contents
8.1. Lecture Teaching methods Comments

Cardio-respiratory arrest, BLS and ALS - active - interactive 2h

- video projection
Peri-resuscitation rhythm disorders. Post-resuscitation - active - interactive 2h
therapy - video projection
Shock: pathophysiology, classification, diagnosis, - active - interactive 2h
assessment, therapy: hypovolemic shock, traumatic shock - video projection
Shock: pathophysiology, classification, diagnosis, - active - interactive 2h
assessment, therapy: anaphylactic shock, cardiogenic - video projection
shock, neurogenic shock
Environmental emergencies: burns and frostbite, - active - interactive 2h
hypothermia, hyperthermia, drowning, altitude accidents - video projection
Emergency approach in Politraumatism. Primary and - active - interactive 2h
secondary assessment in pre-hospital and emergency - video projection
department
Emergency approach of comatose patient and / or acute - active - interactive 2h
exogenous poisoning - assessment and emergency - video projection
treatment
Bibliography
1. D. Cimpoesu - Protocoale si ghiduri actuale in medicina de urgenta, Ed. Gr.T Popa 2011
2. Consiliul Roman de Resuscitare – Ghiduri in Resuscitare 2015
3. Guidelines 2015 www.erc.edu

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4. J. Tintinalli and co. – ,,Medicina de urgenta - Ghid pentru studiu comprehensiv, Tintinalli, editia
VI, prima editie în limba româna”, 2016, editor C.P.S.S
8.2. Seminar / Laboratory Teaching methods Comments
1. Basic resuscitation (Basic life support) in adult and Interactive 2h
child Practical demonstrations
a. The savior's safety on manequin
b. Upper airways desobstruction Case simulation,
c. Ventilation of mouth to mouth and mouth to mask Teamwork
d. External chest compressions
e. Basic maneuvers for airway desobstruction
f. Recovery position
2. Airways management Interactive 2h
a. Airway Adjuvants Practical demonstrations
b. Ventilation technique with mask and balloon on manequin
Endotracheal intubation: indications, technique, Case simulation,
contraindications Teamwork
d. Use of laryngeal mask, Combitube, I-Gel
e. Cricotiroidotomy and minitraheostomy
3. Defibrillation. Cardioversion. External pacing Interactive 2h
a. Defibrillation indications and technique. Types of Practical demonstrations
defibrillators on manequin
b. Electrical cardioversion: indications, technique, Case simulation,
complications Teamwork
c. Transcutaneous Pacing: Indications, Technique
4. Peripheral and central venous approach. Fluids used Interactive 2h
for resuscitation Practical demonstrations
a. Peripheral venous puncture: indications, technique, on manequin
complications Case simulation,
b. Peripheral venous catheters: types, indications, Teamwork
infusion technique
c. Resuscitation fluids: classification, indications,
precautions, complications
d. Central vein catheterization: indications, technique,
complications
e. Installing the intra-oseous line
5. Advanced cardiorespiratory and cerebral resuscitation Interactive 2h
a. Resuscitation protocol in ventricular fibrillation and Practical demonstrations
ventricular tachycardia without pulse on manequin
b. Resuscitation protocol in assistolia Case simulation,
c. Resuscitation protocol in pulseless electrical activity Teamwork
d. Cardiorespiratory drugs
6. Peri-resuscitation rhythm disorders Interactive 2h
a. Tachyarrhythmias - Emergency treatment algorithm Practical demonstrations
b. Bradyarrhythmias - Emergency treatment algorithm on manequin
Case simulation,
Teamwork
7. Vasoactive therapy. Use of infusion pumps and Interactive 2h
injectors. Invasive and non-invasive monitoring. Practical demonstrations
a. Vasoactive medication indicated in emergency: on manequin
indications, precautions, dose, mode of administration Case simulation,
b. The technique of using infusion pumps and injectors: Teamwork
Practical exercises
c. Non-invasive monitoring of vital parameters -
diagnostic and therapeutic importance
d. Invasive monitoring (CVP, invasive BP, arterial gas) -
technique and practical value
8. Resuscitation in special circumstances Interactive 2h
a. Particularities of resuscitation in the pregnant woman Practical demonstrations
b. Particularities of resuscitation in drowning, on manequin
hypothermia, electrocution Case simulation,
c. The resuscitation features in anaphylaxis and asthma Teamwork
d. Particularities of resuscitation in acute coronary
syndromes

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e. Particularities of resuscitation in hydroelectrolytic
disorders
10. Primary assesment of the traumatized patient Interactive 2h
a. Primary assessment in trauma. Resuscitation of the Practical demonstrations
traumatized patient on manequin
b. Cervical collar: indications, technique Case simulation,
c. Emergency airline management Teamwork
d. Puncture of pneumothorax. Emergency pleural
drainage: indications, technique
e. haemostasis used in emergency
Secondary assesment of the traumatized patient Interactive 2h
a. Secondary assessment of the traumatized patient Practical demonstrations
b. Sedation, emergency analgesia in the traumatized on manequin
patient Case simulation,
c. Peritoneal lavage in urgency: indications, technique, Teamwork
interpretation
d. Transport and immobilization used in the trauma
patient: rigid stretcher, shovel rake, types of temporary
restraining equipment
e. Principles of intervention in emergency medicine in
the traumatized and non-traumatized patient
9. Practical problems in the comatose patient: Interactive 2h
evaluation, monitoring, care plan Practical demonstrations
Emergency maneuvers required in comatose patient: on manequin
respiratory protections, catheter insertion and monitoring Teamwork
b. Care problems of the comatose, respiratory assisted
patient
c. Gastric tubes: types, indications, technique,
contraindications, complications
d. Urine catheter: types, indications, technique,
contraindications, complications, alternative techniques
e. The indications and technique of using the tracheal
aspiration and the vacuum cleaner
Emergency approach in front of a poisoned patient.
a. Decontamination techniques
b. Gastric lavage: indications, contraindications,
technique, complications
c. Other techniques for decreasing toxic uptake
d. Methods of increasing toxic elimination: osmotic
diuresis, hemodialysis, hemofiltration
Minor emergency surgery. Anti-tetanus prophylaxis Interactive 2h
a. The technique of wound treatment Practical demonstrations
b. First Aid in case of burns and frostbite on manequin
c. Making various types of bandages Teamwork
d. Antitetanic prophylaxis of wounds
Bibliography
1. D. Cimpoesu - Protocoale si ghiduri actuale in medicina de urgenta, Ed. Gr.T Popa 2011
2. Consiliul Roman de Resuscitare – Ghiduri in Resuscitare 2015
3. Guidelines 2015 www.erc.edu
4. J. Tintinalli and co. – ,,Medicina de urgenta - Ghid pentru studiu comprehensiv, Tintinalli, editia
VI, prima editie în limba româna”, 2016, editor C.P.S.S

9. Correlations between the contents of the discipline and the expectations of the
epistemic community, of profesional associations and of employers in the field
Knowledge and skills are set as teaching objectives and specified as such in analytical programs reviewed
annually. After analysis within the discipline, these are discussed and approved within the Curriculum
Bureau, in the sense of harmonization with other disciplines. Throughout this process, the correspondence
between content and the expectations of the academic community, community representatives,
professional associations and employers is systematically assessed, as far as possible. As a primary goal, the
discipline aims to provide students with the optimal prerequisites for the next years of study in the
Bachelor's degree program, in order to successfully engage, immediately after graduation, in residential

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programs in Romania and other EU countries

10. Evaluation
Type of activity 10.1. Evaluation criteria: 10.2. Methods of 10.3. Percentage of
evaluation final grade

10.4. Lecture Grade for multiple choice test standardized 50%

multiple choice
test
10.5. Seminar / Average grade of ongoing ongoing evaluation 10%
Laboratory examinations
Grade for practical examination practical exam 40%
Minimum standard of performance: at least grade 5 to pass the discipline

Date: 02.10.2018 Signiture of Didactic Co-ordinator

Prof. Univ. Dr. Diana Cimpoesu

Signiture of Department Director

Prof. Univ. Dr. Dan Cobzeanu

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