LF:aVLAM9X1c Intensive care med.-pract.

aVLAM9X1c Intensive Care Medicine - practice

Faculty of Medicine
autumn 2024

Extent and Intensity

0/2/0. 1 credit(s). Type of Completion: z (credit).
In-person direct teaching

Teacher(s)

Guaranteed by

prof. MUDr. Roman Gál, Ph.D.
Department of Anaestesiology and Intensive Care Medicine – Joint workplaces with the University Hospital Brno - workplaces of the Bohunice and Mater. Hospital – Faculty of Medicine
Contact Person: MUDr. Marek Kovář
Supplier department: Department of Anesthesiology and Intensive Care – Institutions shared with St. Anne's Faculty Hospital – Faculty of Medicine (33,00 %), Department of Anaestesiology and Intensive Care Medicine – Joint workplaces with the University Hospital Brno - workplaces of the Bohunice and Mater. Hospital – Faculty of Medicine (34,00 %), Department of Paediatric Anaesthesiology and Intensive Care Medicine – Institutions shared with the Faculty Hospital Brno (paediatric medicine) – Faculty of Medicine (33,00 %)

Timetable of Seminar Groups

aVLAM9X1c/32: Mon 23. 9. 13:00–15:30 F37/447, 13:00–15:30 F37/457, 13:00–15:30 F37/449, 13:00–15:30 F37/455, Tue 24. 9. 13:00–15:30 F37/449, 13:00–15:30 F37/455, 13:00–15:30 F37/457, 13:00–15:30 F37/447, Wed 25. 9. 13:00–15:30 F37/457, 13:00–15:30 F37/447, 13:00–15:30 F37/455, 13:00–15:30 F37/453, Thu 26. 9. 13:00–15:30 ARK N02080, Fri 27. 9. 13:00–15:30 F37/449, 13:00–15:30 F37/457, 13:00–15:30 F37/447, 13:00–15:30 F37/455, Mon 30. 9. 10:00–12:30 F37/111, 10:00–12:30 F37/114, Tue 1. 10. 10:00–12:30 F37/453, 10:00–12:30 F37/457, 10:00–12:30 F37/447, 10:00–12:30 F37/455, Wed 2. 10. 13:00–15:30 KARIM N02144, Thu 3. 10. 13:00–15:30 KDAR N01004, Fri 4. 10. 10:00–12:30 F37/455, 10:00–12:30 F37/447, 10:00–12:30 F37/457, 10:00–12:30 F37/453
aVLAM9X1c/33: Mon 30. 9. 13:00–15:30 F37/457, 13:00–15:30 F37/455, 13:00–15:30 F37/449, 13:00–15:30 F37/447, Tue 1. 10. 13:00–15:30 F37/457, 13:00–15:30 F37/449, 13:00–15:30 F37/455, 13:00–15:30 F37/447, Wed 2. 10. 13:00–15:30 F37/447, 13:00–15:30 F37/457, 13:00–15:30 F37/453, 13:00–15:30 F37/455, Thu 3. 10. 13:00–15:30 ARK N02080, Fri 4. 10. 13:00–15:30 F37/447, 13:00–15:30 F37/455, 13:00–15:30 F37/449, 13:00–15:30 F37/457, Mon 7. 10. 10:00–12:30 F37/111, 10:00–12:30 F37/114, Tue 8. 10. 10:00–12:30 F37/457, 10:00–12:30 F37/447, 10:00–12:30 F37/455, 10:00–12:30 F37/453, Wed 9. 10. 13:00–15:30 KARIM N02144, Thu 10. 10. 13:00–15:30 KDAR N01004, Fri 11. 10. 10:00–12:30 F37/455, 10:00–12:30 F37/447, 10:00–12:30 F37/457, 10:00–12:30 F37/453
aVLAM9X1c/35: Mon 13. 1. 13:00–15:30 F37/457, 13:00–15:30 F37/447, 13:00–15:30 F37/449, 13:00–15:30 F37/455, Tue 14. 1. 13:00–15:30 F37/449, 13:00–15:30 F37/455, 13:00–15:30 F37/447, 13:00–15:30 F37/457, Wed 15. 1. 13:00–15:30 F37/453, 13:00–15:30 F37/457, 13:00–15:30 F37/447, 13:00–15:30 F37/455, Thu 16. 1. 13:00–15:30 ARK N02080, Fri 17. 1. 13:00–15:30 F37/457, 13:00–15:30 F37/447, 13:00–15:30 F37/455, 13:00–15:30 F37/449, Mon 20. 1. 13:00–15:30 F37/114, 13:00–15:30 F37/111, Tue 21. 1. 13:00–15:30 F37/455, 13:00–15:30 F37/447, 13:00–15:30 F37/449, 13:00–15:30 F37/457, Wed 22. 1. 13:00–15:30 KARIM N02144, Thu 23. 1. 13:00–15:30 KDAR N01004, Fri 24. 1. 13:00–15:30 F37/455, 13:00–15:30 F37/447, 13:00–15:30 F37/457, 13:00–15:30 F37/449

Prerequisites

aVLFA0822c Pharmacology II -pr. && aVLCH0832c Surgery II - practice && aVLDI7X1c Diagn. imaging methods - pr. && aVLOT7X1c ENT - practice
The essential condition for this practice participation is to study the Interactive syllabus and answer the ROPOT form.

Course Enrolment Limitations

The course is only offered to the students of the study fields the course is directly associated with.

fields of study / plans the course is directly associated with

General Medicine (programme LF, M-GM)
General Medicine (eng.) (programme LF, M-VL)

Course objectives

The aim of this practice is to acquaint the student with principles of advanced cardiopulmonary resuscitation and critically ill patients management.

Learning outcomes

At the end of the practice the student will be able to
identify the patient with organ dysfunction
initiate the basic steps to diagnosis and treatment of critically ill patients
perform advanced cardiopulmonary resuscitation

Syllabus

INTENSIVE MEDICINE - PRACTICE
Explanations:
SIMU= Simulation Centre of Masaryk University Faculty of Medicine
ARK= Anesthesiology and Resuscitation Clinic of the St. Anne's University Hospital
KARIM = Clinic of Anaesthesiology, Resuscitation and Intensive Care, University Hospital Brno, Bohunice
KDAR = Department of Paediatric Anaesthesiology and Resuscitation, University Children’s Hospital Brno, Černopolní
1st MONDAY (SIMU): During the first day, you will be introduced to the simulators, ICU environment and other areas of SIMU where you will be moving during the two-week practice. Then, the focus will be on the initial approach to the patient using the ABCDE algorithm. You will have the opportunity to experience this procedure in our simulators.
1st TUESDAY (SIMU): On the second day of the practice, you will train some technical skills focused on the airway. This exercise will also include a discussion of the various forms of oxygenotherapy. The lesson ends with two simulations where you will review the knowledge and skills you have acquired.
1st WEDNESDAY (SIMU): The third day of the exercise focuses on performing cardiopulmonary resuscitation. After practising safe defibrillation, you will repeatedly perform basic and advanced cardiopulmonary resuscitation on adult and pediatric simulators.
1st THURSDAY 1 (ARK): On Thursday, in the ARK department, you will learn the basic steps in the diagnosis and treatment of some arrhythmias, both tachy and bradyarrhythmias. In addition, you will discuss the cardiogenic shock issue and visit the ARK department's clinical facilities. This teaching will occur at the ARK department of St. Anne's Hospital.
1st FRIDAY (SIMU): In this lesson, you will learn about distribution shock, sepsis and septic shock in the SIMU. The teaching of this lesson consists of a discussion and two high-fidelity simulations.
2nd MONDAY (SIMU): In this lesson, you will look into the SIMU - Emergency Room (Ground Floor of SIMU), where we will focus on the topic of hypovolemic shock, as well as the topic of Trauma and the polytraumatized patient. The lesson will also include team communication and cooperation training during patient transport.
2nd TUESDAY (SIMU): In this practice, you will learn about the topics of obstructive shock by discussion and then review the ABCDE approach and cardiopulmonary resuscitation with a focus on complications in the A, B, and C issues that have been discussed so far in the Intensive Care Medicine practice.
2nd WEDNESDAY (KARIM): In this session, you will perform an orientation neurological examination on actual patients in a real intensive care setting, and the topics of seizures and glycemic disorders will be discussed in the KARIM library using commented case studies. This teaching will take place at KARIM University Hospital Brno-Bohunice.
2nd THURSDAY (KDAR): In the pre-last exercise, you will discuss the topic of Acid-Base Balance, Disorders of Kalaemia, Intoxications, and Indications of Renal Replacement Therapy. This teaching will take place at the KDAR University Hospital Brno - Children's Hospital Brno.
2nd FRIDAY (SIMU): In the last exercise, you will again solve various high-fidelity simulations in the SIMU, which will test what you have already learned. Within these simulations, you will encounter several life-threatening situations that await your solution.

Literature

SINGER, Mervyn and Andrew R. WEBB. Oxford handbook of critical care. 3rd ed. Oxford: Oxford University Press, 2009, xxx, 669. ISBN 9780199235339. info

Bookmarks

https://is.muni.cz/ln/tag/LF:aVLAM9X1c!

Teaching methods

simulations, discussions, and problem-based learning with consultants, interactive syllabus, bedside visiting

Assessment methods

To facilitate your home preparation, you will find here a fully prepared INTERACTIVE SYLLABUS, including videolectures, prepared by the course teaching team:
https://is.muni.cz/auth/el/med/podzim2024/aVLAM9X1c/index.qwarp
Before each exercise, fill in the ROPOT (answer sheet in the MUNI IS) - the link is included in the lesson in the interactive syllabus. After clicking on the ROPOT, you will be redirected to the pre-test:
- the ROPOT contains 10 questions
- only one answer is always correct
- to pass the ROPOT, you have to answer 7 out of 10 questions correctly
- you have an unlimited number of attempts to complete the ROPOT (you repeat it until you get 7 correct answers out of 10 questions)
- you must complete the ROPOT no later than 24:00 on the day before each lesson
- the ROPOT is monitored, and if you fail, you will unfortunately not be able to attend the specific lesson and will have to replace it.
Always check where the lessons are taught: 7 lessons are at SIMU, but one lesson is at ARK, KARIM and KDAR Please refer to the interactive syllabus for the specifics of each clinic (place to meet the teacher, place to change).
Attendance will be taken at each clinic, and only one absence will be allowed without excuse. Substitutions may only be made in a class with an identical topic with another seminar group. Excuses are normally made through the study department, which will enter them into IS.
A white coat and slippers are required during all practicum sessions.
Due to experience, we will not tolerate late arrivals, and if a student arrives after the attendance record has been kept, that particular lesson will not be considered completed. This is because late arrivals are, unfortunately, very disruptive to the overall character and quality of the class.
There are three conditions for the award of credit:
1. completion of all ROPOTs.
2. attendance at all the lessons of Intensive care (one unexcused absence is possible)
3. completion of the post-exercise evaluation questionnaire (The evaluation will be opened after the completion of Lesson 9.)

Language of instruction

English

Study support

https://is.muni.cz/auth/el/med/podzim2024/aVLAM9X1c/index.qwarp

Further comments (probably available only in Czech)

Study Materials
The course is taught each semester.
Information on the extent and intensity of the course: 30.

Listed among pre-requisites of other courses

aVLAP111 Practical Skills in Acute Patient
aVLPX084t && aVLAM9X1c

The course is also listed under the following terms Autumn 2017, Spring 2018, autumn 2018, spring 2019, autumn 2019, spring 2020, autumn 2020, spring 2021, autumn 2021, spring 2022, autumn 2022, spring 2023, autumn 2023, spring 2024, spring 2025.

Enrolment Statistics (recent)
Permalink: https://is.muni.cz/course/med/autumn2024/aVLAM9X1c

LF:aVLAM9X1c Intensive care med.-pract. - Course Information

aVLAM9X1c Intensive Care Medicine - practice

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