Dear students,
I would like to provide you with the important information regarding Intensive Care practices. Due to the dominant involvement of high-fidelity simulations in the Simulation Centre of the Faculty of Medicine, demands are placed on the prepared student. Modern teaching methods are functional and maximally effective only using this approach. 
   To facilitate your homework, you will find a completely prepared interactive syllabus, video lectures including, prepared for you by our teaching team. This is a study material designed for your pre-learning and topics correspond to the structure of practical lectures that prepares you for all days of the course and to complete a pre-test for each lecture.

  Before each lecture, complete the pre-test (ROPOT in IS MUNI), after clicking on the specific ROPOT, you will be directed to the pre-test:
• The pre-test contains 10 questions
• Only one answer is correct
• You must answer 7 out of 10 questions correctly to pass the pre-test
• You have an unlimited number of attempts to pass the pre-test (you need to repeat until you reach 7 correct answers out of 10 questions)
• You must complete the pre-test no later than 24:00 on the day preceding each lecture
• Passing the pre-test before each lecture is checked and in case of non-compliance you will unfortunately not be able to attend a specific lecture and you will have to replace it.

   It is also important to note that attendance each of you will be recorded at each lecture and only one absence is possible without an excuse. Replacement is possible take only in a lesson with an identical topic with another seminar group. Excuse it takes place by default through the study department, which inserts an apology into IS. Please note that due to experience if the student comes after the attendance record, the specific lesson will not be considered as a presence. The reason is the fact that late arrivals unfortunately greatly disrupt the whole character and quality of teaching.

   At the end of the exercise, it is necessary to pass the credit test.
There are four conditions for granting credit:
1. Passing of all pre-tests
2. Participation in all lectures (possible one unexcused absence)
3. Passing the credit test
4. Filling in the evaluation questionnaire after the exercise (indispensable part of the credit test on its end)

   The condition for its completion is the passing of ALL pre-tests. There are 20 questions in the test. Multiple answers are offered for each question. Only one the answer is correct. You get 1 point for a correctly answered question, for a
wrong one you get 0 points, only unanswered is minus 1 point. Time limit is of 20 minutes. The minimum is 15 points. A maximum of 3 test repetitions are possible. After the complete answers to all questions you will be followed by a
follow-up mandatory evaluation questionnaire. After fulfilling all the conditions, you will receive a credits

We look forward to seeing you at our first lecture.
Best regards
Jan Maláska for the team of lecturers and technicians of the Intensive Care
Medicine course

We will present you the simulators, ICUs and other areas of The Simulation Centre during the first day of the practice from Intensive Care Medicine. The teachers and technicians of the centre will guide you there.

Then, we wil focus on the initial approach to the critical ill patient according to the ABCDE approach. You will try this approach on our simulators. You will participate in the first simulation with life- threatening condition at the end of the practice.

UK Resuscitation Council recommendation

Videolectures

PDF presentaions

We will train basic skills focused on airway management and advanced life support in adults, the rules of safe defibrillation including, on the second day of the practice. You will know several oxygen delivery systems after this practice.

Guidelines

European Resuscitation Council Posters

Videolectures

Airway management oxygen therapy

PDF presentations

Algorithms AKUTNĚ.CZ

Resuscitation of pregnant woman

Difficult airway management

Difficult airway management in pregnancy

Difficult airway management in paediatrics

Guidelines

You will visit Department of Anaesthesiology and Intensive Care at St. Ann's University Hospital Brno on the third day. You will repeat initial approach to the critical ill patient during the practice. The rules of organ donation program, including the brain death diagnosis and care for potential organ donors, are part of this practice.

Videolectures

PDF presentations

Algorithms AKUTNĚ.CZ

You will learn about basic steps in the diagnosis and treatment of some arrhythmias on thursday. We will focus on the unstable atrila fibrillation, as the most common tachyarrhythmias, but also the management of the bradyarrhythmias.

The last topic of this practice is acute pulmonary edema, its diagnosis and treatment.

Guidelines

European Resuscitation Council Posters

Videolectures

PDF presentations

Algorithms AKUTNĚ.CZ

Management of tachyarrythmia

Cardiac pacing

Pulmonary oedema

During this lesson, you will undergo three high fidelity simulations in SIMU. Structured debriefing will follow each of those simulations. The theme of this lesson will be acute respiratory failure and shock. Therefore, you need to be prepared for the lesson to gain as much experience as possible. 

Guidelines

European Resuscitation Council Posters

Videolectures

Shock treatment

ARDS

COPD exacerbation

PDF presentations

Algorithms AKUTNĚ.CZ

On the sixth day, you will visit the Department of Paediatric Anaesthesiology and Intensive Care Medicine at University Hospital Brno- Children´s Hospital. You will repeat the initial approach to the critically ill patient during the practice. The basics of acid-base and electrolytes disorders are part of this practice.

Guidelines 

European Resuscitation Council Posters

Videolectures

Electrolytes disturbances

PDF presentations

Algorithms AKUTNĚ.CZ

During this lesson, you will undergo three high fidelity simulations in SIMU. Structured debriefing will follow each of those simulations. The theme of this lesson will be PALS (paediatric advanced life support), seizures, intoxication. Therefore, you need to be prepared for the lesson to gain as much experience as possible. 

Guidelines

ALS - anaphylaxis p. 23

European Resuscitation Council Posters

Videolectures

PDF presentations

Algorithms AKUTNĚ.CZ

In today's practice, you will discuss various topics related to ICU nutrition, acute liver failure, palliative care and End of Life Decision (EOLD) in the debriefing room in SIMU. For all topics, please see the Study Materials folder. Video lectures, pdf lectures, and links are prepared for your studying. Due to the nature of the exercise, you don't need to bring your gown and student ID today.

Please study all of these materials carefully before the exercise, as it is a requirement for participation in the exercise, as well as correctly answering the ROPOT.

Videolectures

PDF presentations

Algorithms AKUTNĚ.CZ

Guidelines and articles

ICU nutrition

Acute liver failure

Palliative care and EOLD in Czech republic

In today's practice you will discuss the topic of Acute Kidney Injury (AKI) and Renal Replacement Therapy (RRT).  Another topic is Multiple Organ Dysfunction Syndrome (MODS). This day will be spent in the Department of anesthesiology and intensive care medicine, University hospital Brno, thus part of the teaching will also take place at the bedside of a patient.

For both topics you will find videolectures, lectures in pdf and links to recommended literature in the Study materials folder. Please study all these materials carefully before the practice, as it is a condition of participation in the practice, as well as answering the ROPOT.

Videolectures

PDF presentations

Algorithms AKUTNĚ.CZ

Guidelines and articles

In today's exercise, you'll be back at SIMU to solve high-fidelity simulations that will test everything you've learned. Within these simulations, you will encounter several life-threatening conditions that await your solution. As the title of the exercise suggests, you should have studied polytrauma, severe bleeding, and sepsis before today's practice. Also review the issues of reversible causes of cardiac arrest.

For all topics, you will find video lectures, pdf lectures and links in the Study Materials folder. Please study all these materials carefully before the exercise, as it is a condition of participation in the exercise, as well as correctly answering the ROPOT.

Videolectures

PDF presentations

Algorithms AKUTNĚ.CZ

Guidelines and articles

Videolectures

PDF presentations