Emergency medicine and surgery Single channel
Chair (Coordinator) and Rapporteur: DANILO TONI
Module 1: Emergency medicine and surgery - MED 09
- Activity type
- Emergenze medico-chirurgiche
- SSD
- MED/09
- Year
- 6th year
- Semester
- 2nd semester
- CFU
- 1
- Hours distribution
- 13 classroom hours
- Lecturers
- LUIGI PETRAMALA
Module 2: Emergency medicine and surgery - MED 18
- Activity type
- Emergenze medico-chirurgiche
- SSD
- MED/18
- Year
- 6th year
- Semester
- 2nd semester
- CFU
- 2
- Hours distribution
- 25 classroom hours
- Lecturers
- GIOIA BRACHINI
Module 3: Emergency medicine and surgery - MED 22
- Activity type
- Tirocini formativi e di orientamento
- SSD
- MED/22
- Year
- 6th year
- Semester
- 2nd semester
- CFU
- 1
- Hours distribution
- 25 others hours
- Lecturers
- WASSIM AHMAD MANSOUR
Module 4: Emergency medicine and surgery - MED 36
- Activity type
- Discipline neurologiche
- SSD
- MED/26
- Year
- 6th year
- Semester
- 2nd semester
- CFU
- 1
- Hours distribution
- 13 classroom hours
- Lecturers
- DANILO TONI
Module 5: Emergency medicine and surgery - MED 41
- Activity type
- Emergenze medico-chirurgiche
- SSD
- MED/41
- Year
- 6th year
- Semester
- 2nd semester
- CFU
- 2
- Hours distribution
- 25 classroom hours
- Lecturers
- FLAMINIA COLUZZI
Module 6: Emergency medicine and surgery - MED 33
- Activity type
- Clinica medico-chirurgica dell'apparato locomotore
- SSD
- MED/33
- Year
- 6th year
- Semester
- 2nd semester
- CFU
- 2
- Hours distribution
- 25 classroom hours
- Lecturers
- GIANLUCA CINOTTI
Module 7: Emergency medicine and surgery - MED 26
- Activity type
- Discipline radiologiche e radioterapiche
- SSD
- MED/36
- Year
- 6th year
- Semester
- 2nd semester
- CFU
- 1
- Hours distribution
- 13 classroom hours
- Lecturers
- CARLO CATALANO
Objectives
Main teaching objectives:
Approach, management and treatment of the critical patient.
- Knowledge of critical pathologies (cardio-respiratory, cerebral and vascular emergencies) and treatment (cardiovascular and trauma support, life support monitoring, invasive and noninvasive ventilation) relating to the Emergency Health Service and others disciplinary emergency sectors (Emergency Medicine, Surgery and Vascular Surgery, Anesthesia, Resuscitation, Orthopedics, Neurology, Radiology).
- To be able to carry out fundamental therapies in emergency settings and know how to prepare the patient for surgery.
Learning outcomes
Knowledge of critical medical, surgical, and traumatological pathologies and their treatment in relation to the emergency facilities of the National Health Service and critical care disciplines (Emergency Medicine, Emergency Surgery, Vascular Surgery, Anesthesia and Resuscitation, Orthopedic Traumatology, Neurology, Radiology).
Prerequisites
Acquired knowledge in the previous years.
Programme
Module: Emergency medicine and surgery - MED 09
ECG reading; EGA reading, assisted ventilation techniques (invasive and non-invasive), acute coronary syndromes, management of internal medicine and cardiological emergencies
Module: Emergency medicine and surgery - MED 18
Acute Care Surgery: acute abdominal pain ethiopathogenesis, diagnostics and treatment
Acute Care Surgery: bowel perforation and ischemia ethiopathogenesis, diagnostics and treatment
Acute Care Surgery: complicated colonic diverticolar disease ethiopathogenesis, diagnostics and treatment
Acute Care Surgery: bowel obstruction, appendicitis ethiopathogenesis, diagnostics and treatment
Acute Care Surgery: upper and lower gastrointestinal bleedingethiopathogenesis, diagnostics and treatment
Module: Emergency medicine and surgery - MED 22
Aortic emergencies, acute limb ischemia, carotid related emergencies, vascular trauma.
Module: Emergency medicine and surgery - MED 36
Stroke therapy
Coma
Epilepsy and status epilepticus
Headache
Myasthenia
Acute polyneuritis
Vertigo
Module: Emergency medicine and surgery - MED 41
General anesthesia
Local-regional anesthesia
Acute respiratory failure
ARDS
Assisted ventilation devices
Principles of hemodynamics
Central venous access
Shock: types and treatment
Principles of chronic pain therapy
Postoperative pain
Module: Emergency medicine and surgery - MED 33
Fracture classification. General principles of treatment
Early treatment of trauma patient outside the Hospital
Early treatment of trauma patient at the Emergency Department
Management of politrauma patient. The concept of damage control
Early complications of fractures and dislocations
Open fractures. Classification and algorithm of treatment
Late complications of fracture and dislocations
Fractures and dislocations around the shoulder
Humerus shaft fracture and sovracondylar humerus fractures
Elbow injuries
Forearm and wrist injuries
Pelvic rim and acetabular fractures
Femoral neck fractures
Injuries around the knee
Leg and ankle injuries
Fracture and dislocations in young and adults
Osteoporotic fractures in the spine
Module: Emergency medicine and surgery - MED 26
CT and MRI Protocols
Direct abdominal x-ray
Abdominal emergencies
Pelvic emergencies
Pre- and post-surgical ultrasound
CT of the chest
Chest x-ray
CT of the abdomen-pelvis
CT of the brain
angio-CT
Traumatic injury
Books
Module: Emergency medicine and surgery - MED 09
emergency texts to be defined
Module: Emergency medicine and surgery - MED 18
Shared slides, Chirurgia d'Urgenza e del Trauma, SICUT libreriauniversitaria.it
Module: Emergency medicine and surgery - MED 22
Rutherford Vascular Surgery
Rich's Vascular Trauma
Module: Emergency medicine and surgery - MED 36
Slides of the lectures will be given to the students.
Suggested text: Micieli G et al eds. Decision algorhitms for Emergency Neurology. Springer
Module: Emergency medicine and surgery - MED 41
The Basics of Pain Medicine
Carocci Editore
Series: Faber Manuals
ISBN: 9788874668540
Marino's The ICU Book: Print + eBook with Updates Fifth Edition
by Paul Marino
ISBN: 1975176707
Textbook of Critical Care, 8th Edition
Edited by Jean-Louis Vincent, Frederick A. Moore, Rinaldo Bellomo, and John J. Marini
ISBN: 9780323759298
Module: Emergency medicine and surgery - MED 33
Rockwood and Green's. Fractures in adults. Wolters Kluwer Ed.
Module: Emergency medicine and surgery - MED 26
Suggested textbooks:
Learning Radiology: Recognizing the basics. W. Herring. Elsevier Saunders
Bibliography
Module: Emergency medicine and surgery - MED 09
emergency texts to be defined
Module: Emergency medicine and surgery - MED 18
N/D
Module: Emergency medicine and surgery - MED 22
N/D
Module: Emergency medicine and surgery - MED 36
N/D
Module: Emergency medicine and surgery - MED 41
N/D
Module: Emergency medicine and surgery - MED 33
N/D
Module: Emergency medicine and surgery - MED 26
N/D
Lessons mode
The lectures will be based on the maximum possible interactivity also through the presentation and discussion of clinical cases.
Frequency
Mandatory (at least 75% of class hours)
Exam mode
Oral examination: discussion based on a clinical case
Example exam questions
We are in the emergency room and a 65-year-old patient arrives with a neurological deficit on the right side of the body and aphasia. What do you suspect, and what diagnostic workup do you follow?
Arguments
Module: Emergency medicine and surgery - MED 09
- Module 1: Foundational Principles (1 Hour)1 hr- Definitions: Urgency vs. Emergency. - Organization of the Emergency Department (ED/A&E). - The importance of time and teamwork in emergency medicine.
- Module 2: Systematic Approach to the Critical Patient (2 Hours)2 hrs- Primary Survey: The ABCDE Algorithm (Airway, Breathing, Circulation, Disability, Exposure). - Shock: Rapid recognition and classification (hypovolemic, septic, cardiogenic). - Basic Airway Management and oxygen therapy principles.
- Module 3: Cardiac and Pulmonary Emergencies (2 Hours)2 hrs- Cardiopulmonary Arrest (CPA): BLS/ALS (Advanced Life Support) principles, algorithms, and reversible causes (4H/4T). - Acute Coronary Syndrome (ACS): Recognition, basic ECG interpretation, initial pharmacological management. - Acute Respiratory Failure: Main causes, signs of severity, Non-Invasive Ventilation (NIV) overview.
- Module 4: Neurological Emergencies and Trauma (2 Hours)2 hrs- Acute Stroke: Recognition (e.g., FAST), the Time is Brain concept, indications for thrombolytic therapy. - Altered Level of Consciousness: Differential diagnostic approach. - Major Trauma (Polytrauma): Principles of Primary Survey and initial stabilization (hemorrhage control).
Module: Emergency medicine and surgery - MED 18
- Acute Care Surgery:acute abdominal pain ethiopathogenesis, diagnostics and treatment
- Acute Care Surgery:bowel perforation and ischemia ethiopathogenesis, diagnostics and treatment
- Acute Care Surgery: complicated colonic diverticolar disease ethiopathogenesis, diagnostics and treatment
- Acute Care Surgery: bowel obstruction, appendicitis ethiopathogenesis, diagnostics and treatment
- Acute Care Surgery: upper and lower gastrointestinal bleedingethiopathogenesis, diagnostics and treatment
- Acute Care Surgery: biliary and pancreatic emergencies ethiopathogenesis, diagnostics and treatment
- Trauma: ATLS and primary survey ABCDE
- Trauma: ATLS airway and breathing
- Trauma: ATLS bleeding control and shock
- Trauma: ATLS disability and temperature control
- Trauma: ATLS resuscitation, secondary survey and transfer
- Acute Care Surgery and Trauma
Module: Emergency medicine and surgery - MED 22
- Epidemiology of aortic emergencies, dissection and aneurysm pathology, pathophysiological mechanisms, diagnostic imaging, and treatment. Real-world clinical cases.
- Epidemiology of acute carotid artery disease, pathophysiological mechanisms and neurological damage, diagnostic imaging and treatment. Real-world clinical cases.
- Epidemiology and pathophysiological mechanisms of trauma and acute ischemia, cellular reperfusion injury, diagnostic imaging, and surgical treatment. Real-world clinical cases
Module: Emergency medicine and surgery - MED 36
- Neurovascular
Emergencies
Ischemic
Stroke Treatment
Hemorrhagic
Stroke Treatment - Alterations
in Consciousness and Coma
Etiopathogenesis
Pathophysiology
Classification - Epilepsy and Status Epilepticus
Epidemiology
Classification
Etiopathogenetic Diagnosis
Treatment - Emergency Headaches
Epidemiology
Etiopathogenetic Diagnosis: Primary and Secondary
Forms
Treatment - Emergency Dizziness
Epidemiology
Etiopathogenetic Diagnosis: Peripheral and Central
Forms
Treatment - Emergency NeuroPeripheral deficits
Myasthenia Gravis and Other Neuromuscular Endplate
Disorders
Epidemiology
Etiopathogenetic Diagnosis
Treatment
Module: Emergency medicine and surgery - MED 41
- General
Anesthesia
Pathophysiological
and Pharmacological Bases
Clinical
Indications - Loco-Regional
Anesthesia
Pathophysiological
and Pharmacological Bases
Clinical
Indications - Acute
Respiratory Failure
Epidemiology
Pathophysiology
Clinical
Diagnosis
Therapy - ARDS
Epidemiology
Pathophysiology
Clinical
Diagnosis
Therapy - Assisted
Ventilation Devices
Types and
Clinical Indications - Principles
of Hemodynamics
Physiological
Bases
Clinical
Scenarios - Central
Venous Access
Types and
Clinical Indications - Shock:
Types and Treatment
Epidemiology
Pathophysiology
Clinical
Diagnosis
Therapy - Principles
of Chronic Pain Treatment
Pathophysiological
and Pharmacological Bases
Clinical
Indications - Postoperative
Pain
Epidemiology
Pathophysiology
Clinical
Diagnosis
Treatment
Module: Emergency medicine and surgery - MED 33
- Fracture classification. General principles of treatment
- Early treatment of trauma patient outside the Hospital
- Early treatment of trauma patient at the Emergency Department
- Management of politrauma patient. The concept of damage control
- Early complications of fractures and dislocations
- Open fractures. Classification and algorithm of treatment
- Late complications of fracture and dislocations
- Fractures and dislocations around the shoulder
- Humerus shaft fracture and sovracondylar humerus fractures
- Elbow injuries
- Forearm and wrist injuries
- Pelvic rim and acetabular fractures
- Femoral neck fractures
- Injuries around the knee
- Leg and ankle injuries
- Fracture and dislocations in young and adults
- Osteoporotic fractures in the spine
Module: Emergency medicine and surgery - MED 26
- Bowel obstruction
- Acute chest pain
- Polytrauma
- Diverticolite
- Pancreatitis and Colecystitis
- Genito-urinary emergencies
- Pediatric emergencies
- Neuradiology emergencies
- Acute aortic syndrome
Sustainability goals
- Academic year2025/2026
- Degree program to which the course belongsMedicine and Surgery
- Mandatory presenceNo
- Languageeng
- CFU10 CFU, distributed among 7 integrated didactic modules
- Total duration139 hours