Nursing - Course B - Roma Azienda Policlinico Umberto I

Activity type

Primo soccorso

SSD

MED/09

Year

3rd year

Semester

1st semester

CFU

1

Hours distribution

12 classroom hours

Lecturers

LUIGI PETRAMALA

Activity type

Primo soccorso

SSD

MED/18

Year

3rd year

Semester

1st semester

CFU

1

Hours distribution

12 classroom hours

Lecturers

MASSIMO ROSSI

Activity type

Primo soccorso, Interdisciplinari e cliniche

SSD

MED/41, MED/41

Year

3rd year

Semester

1st semester

CFU

2

Hours distribution

24 classroom hours

Lecturers

ANDREA MORELLI

Activity type

Scienze infermieristiche

SSD

MED/45

Year

3rd year

Semester

1st semester

CFU

2

Hours distribution

24 classroom hours

Lecturers

Alessio Mazzotta

Module: EMERGENCY MEDICINE
N/D
Module: EMERGENCY SURGERY
N/D
Module: ANESTHESIA AND RESUSCITATION
N/D
Module: NURSING IN THE CRITICAL AREA
N/D

Module: EMERGENCY MEDICINE
N/D
Module: EMERGENCY SURGERY
N/D
Module: ANESTHESIA AND RESUSCITATION
N/D
Module: NURSING IN THE CRITICAL AREA
N/D

Module: EMERGENCY MEDICINE
N/D
Module: EMERGENCY SURGERY
N/D
Module: ANESTHESIA AND RESUSCITATION
N/D
Module: NURSING IN THE CRITICAL AREA
N/D

Module: EMERGENCY MEDICINE
N/D
Module: EMERGENCY SURGERY
N/D
Module: ANESTHESIA AND RESUSCITATION
N/D
Module: NURSING IN THE CRITICAL AREA
N/D

Module: EMERGENCY MEDICINE
N/D
Module: EMERGENCY SURGERY
N/D
Module: ANESTHESIA AND RESUSCITATION
N/D
Module: NURSING IN THE CRITICAL AREA
N/D

Module: EMERGENCY MEDICINE
N/D
Module: EMERGENCY SURGERY
N/D
Module: ANESTHESIA AND RESUSCITATION
N/D
Module: NURSING IN THE CRITICAL AREA
N/D

Module: EMERGENCY MEDICINE
N/D
Module: EMERGENCY SURGERY
N/D
Module: ANESTHESIA AND RESUSCITATION
N/D
Module: NURSING IN THE CRITICAL AREA
N/D

Module: EMERGENCY MEDICINE
N/D
Module: EMERGENCY SURGERY
N/D
Module: ANESTHESIA AND RESUSCITATION
N/D
Module: NURSING IN THE CRITICAL AREA
N/D

Module: EMERGENCY MEDICINE
N/D
Module: EMERGENCY SURGERY
N/D
Module: ANESTHESIA AND RESUSCITATION
N/D
Module: NURSING IN THE CRITICAL AREA
N/D

Module: EMERGENCY MEDICINE

• Lecture 1: Vital Signs and Early Warning Scores in Emergency CareLearning Objective: Understand the clinical significance of vital signs in adults, interpret them from a pathophysiological standpoint, and utilize scoring systems to identify patients at risk of cardiac arrest or rapid clinical deterioration.Contents:Pathophysiology and Critical Measurement Techniques: Heart Rate (HR), Blood Pressure (BP - invasive and non-invasive), Temperature (T°), Capillary Refill Time (CRT), and Respiratory Rate (RR - emphasized as the earliest and most sensitive marker of clinical instability).Oxygen Saturation (SpO2): Correct interpretation, limitations of pulse oximetry (hypothermia, vasoconstriction, carbon monoxide poisoning, severe anemia), and differentiating target ranges for standard patients versus COPD patients.Early Recognition of Clinical Deterioration: The NEWS2 (National Early Warning Score) system. Nursing response protocols based on score tiers, and criteria for escalating care to the Medical Emergency Team (MET) or the physician on call.The Nursing Role in Triage: Basic principles of emergency triage categorization based on vital sign derangements.
  • Books: Materials delivered in class, recommended applications


• Lecture 2: Acute Respiratory Failure (ARF): Nursing Recognition and ManagementLearning Objective: Assess patients presenting with acute respiratory distress, manage oxygen delivery and non-invasive ventilation systems, and safely assist the clinical team during invasive airway interventions.Contents:Nursing Assessment of Respiratory Distress: Recognizing clinical signs of severity (tachypnea, accessory muscle use, intercostal retractions, paradoxical abdominal breathing, cyanosis, and altered mental status).Arterial Blood Gas (ABG) and Instrumental Monitoring: The nurse's role in arterial sampling (performing the Allen's test) and basic ABG interpretation (hypoxemia, hypercapnia, respiratory acidosis/alkalosis). Continuous capnography (EtCO2) monitoring.Oxygen Delivery Systems and Ventilatory Support:Low-flow devices (nasal cannulas, simple face masks, non-rebreather reservoir masks).High-flow devices (Venturi masks, High-Flow Nasal Cannula - HFNC).Nursing care principles in Non-Invasive Ventilation (NIV: CPAP and BiPAP): interface selection (nasal, oronasal, total face masks, or helmets), prevention of pressure injuries, and monitoring patient-ventilator synchrony and comfort.Assisting with Endotracheal Intubation: Preparing the emergency airway cart, understanding medications used in Rapid Sequence Induction (RSI), and verifying correct endotracheal tube placement.
  • Books: Materials delivered in class, recommended applications


• Lecture 3: Altered States of Consciousness and Coma: Emergency Assessment and ManagementLearning Objective: Master a systematic approach to evaluating patients with altered mental status (using the ABCDE approach), promptly recognize reversible causes of coma, and safely manage the unconscious patient.Contents:Systematic ABCDE Approach: Priority-based interventions in patients with altered consciousness (airway protection, ventilation support, circulatory stability).Neurological Assessment Scales:The Glasgow Coma Scale (GCS): Correct execution of motor, verbal, and eye response testing. Common assessment pitfalls and clinical limitations of the scale.The AVPU (Alert, Voice, Pain, Unresponsive) rapid assessment scale.Pupillary assessment: evaluating size (miosis, mydriasis), symmetry (isocoria, anisocoria), and light reflex.Rapid Identification of Reversible Causes ("Don't Forget Glucose" Approach):Hypoglycemia and hyperglycemia (immediate capillary glucose testing and correction).Opioid overdose (recognizing the clinical triad of coma, pinpoint pupils, and respiratory depression; administration of Naloxone).Severe hypoxia and profound hypotension.Nursing Management and Prevention of Secondary Injury: Proper placement of an oropharyngeal (Guedel) airway, utilizing the recovery position, preventing aspiration pneumonia, managing agitated patients safely, and continuous hemodynamic monitoring.
  • Books: Materials delivered in class, recommended applications