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MPH120_1

Pre Hospital Emergency Medical Care

This is the study programme for 2019/2020. It is subject to change.


This course aims to give the students knowledge of state-of-the-art pre hospital management of the patients of different ages with non-traumatic medical emergencies. Moreover, the course aims to make students acquainted with scientific literature and interpretation of research data relevant to pre-hospital critical care. Finally, the course should stimulate students to challenge established concepts and to develop research and quality management projects relevant to their work in EMS.
Proficiency in pre-hospital critical care will be based on the comprehension of the physiologic and pathophysiologic background as well as of current scientific evidence and, subsequently best clinical practice in specific areas of emergency medicine.

Learning outcome

A candidate who has completed this course should have the following learning outcomes defined in terms of knowledge, skills and general competence:
Knowledge
The candidate can...
  • Critically appraise strategies for appropriate management of non-traumatic medical emergencies typically seen in pre-hospital emergency care.
  • Discuss and reflect upon the latest scientific evidence and current best practice in key areas of pre-hospital critical emergency medicine with focus on the application and the implementation in emergency medical services (EMS).
  • Analyse different EMS systems from the individual provider level to the systemic level and the interaction with cooperating agencies and hospital systems.

Skills
The candidate can...
  • Demonstrate competence in patient management according to the current best practice, when responding to a patient with a non-traumatic medical emergency.
  • Demonstrate the ability to work in a multi-disciplinary team.
  • Appraise different strategies of high-quality patient management, both on the individual provider level and on the system level.

General Competence
The candidate can...
  • Display the ability to plan, execute, analyse and reflect upon the management of patients with critical non-traumatic medical emergency according to current medical evidence and current best practice.
  • Demonstrate the ability to critically review new knowledge and scientific literature, and discuss its implication on current practice, both on the individual provider- and system level

Contents

  • The organization of EMS and the challenges of delivering high-quality emergency care in the resource- limited pre-hospital environment in contrast to at the hospital
  • Identification of the time-critical non-traumatic emergency patient
  • Pathophysiology, pharmacology and current research related to pre-hospital critical emergency medicine
  • Current evidence, guidelines and best practice for advanced pre-hospital treatment and management of the critically ill non-trauma patient of different age groups. The specific patient related topics covered will include:
  • Respiratory emergencies
  • Cardiocirculatory emergencies
  • Neurologic emergencies
  • Specific medical emergencies or sub-groups of patients
  • Inter-professional teamwork and team resource management in pre-hospital patient management
  • Critical decision making in pre-hospital critical emergency medicine
  • Strategies for self- evaluation in the treatment of the critically ill patient
  • Strategies for analyzing and evaluating the standard of treatment provided for the critically ill patient by the participants own EMS
  • Organization of pre-hospital patient management and patient flow
  • How and when to safely leave the emergency patient at home or scene

Required prerequisite knowledge

None.

Exam

Weight Duration Marks Aid
Home exam1/12 weeksA - F
Home exam: 2000 (+/- 10%) word assignment. Duration: 2 weeks

Coursework requirements

  1. All students must select a scientific paper reporting on a study within pre-hospital emergency medical care, critically read the selected paper and prepare a brief oral presentation.
  2. The students must complete a note of max. 500 words presenting a tentative research project with a suggested research method and prepare an oral presentation.
  3. The students must complete an individual assignment of 1500 - 2000 words.
  4. 80% class attendance. If more than 50% attendance is achieved the student may apply for individual evaluation. The student may, if the faculty finds the basis sufficient, be given an extended written assignment.

All of the coursework reqirements must be approved before a candidate can attend examinations in this course.

Course teacher(s)

Course coordinator
Wolfgang George Cornelius Voelckel
Study Program Director
Per Kristian Hyldmo

Method of work

The teaching will be organised in modules. Units may be organized off-campus and involve travel to other locations than Stavanger. The teaching and learning style is interactive and reflective, using presentations and dialogue/ discussions, simulation and group work drawing on both the expert teachers and the experience of the student. Reading of relevant textbook chapters and scientific papers between the units is required.

Open to

Prehospital Critical Care (PHCC) Emergency Medical Care - Master Degree Program

Course assessment

Student evaluation of this course will be conducted in accordance with faculty requirements.

Literature

  • Marx, J.A., et al. (2013) Rosen's emergency medicine: concepts and clinical practice. 8th ed., Philadelphia: Mosby/Elsevier. Selected Chapters (ca. 500 pages) or interchangeable literature
  • Current guidelines from the European Resuscitation Council 2015, 230 p (available for download at http://www.cprguidelines.eu/)Perkins, G. D., Handley, A. J., Koster, R. W., Castrén, M., Smyth, M. A., Olasveengen, T., et al. (2015). European Resuscitation Council Guidelines for Resuscitation 2015: Section 2. Adult basic life support and automated external defibrillation. Resuscitation, 95, 81-99.
  • Soar, J., Nolan, J. P., Böttiger, B. W., Perkins, G. D., Lott, C., Carli, P., et al. (2015). European Resuscitation Council Guidelines for Resuscitation 2015: Section 3. Adult advanced life support. Resuscitation, 95, 100-147.
  • Truhlá, A., Deakin, C. D., Soar, J., Khalifa, G. E. A., Alfonzo, A., Bierens, J. J. L. M., et al. (2015). European Resuscitation Council Guidelines for Resuscitation 2015: Section 4. Cardiac arrest in special circumstances. Resuscitation, 95, 148-201.
  • Nolan, J. P., Soar, J., Cariou, A., Cronberg, T., Moulaert, V. R. M., Deakin, C. D., et al. (2015). European Resuscitation Council and European Society of Intensive Care Medicine Guidelines for Post-resuscitation Care 2015: Section 5 of the European Resuscitation Council Guidelines for Resuscitation 2015. Resuscitation, 95, 202-222.
  • Maconochie, I. K., Bingham, R., Eich, C., López-Herce, J., Rodríguez-Núñez, A., Rajka, T., et al. (2015). European Resuscitation Council Guidelines for Resuscitation 2015: Section 6. Paediatric life support. Resuscitation, 95, 223-248.
  • Wyllie, J., Bruinenberg, J., Roehr, C. C., Rüdiger, M., Trevisanuto, D., & Urlesberger, B. (2015). European Resuscitation Council Guidelines for Resuscitation 2015: Section 7. Resuscitation and support of transition of babies at birth. Resuscitation, 95, 249-263.
  • Nikolaou, N. I., Arntz, H.-R., Bellou, A., Beygui, F., Bossaert, L. L., Cariou, A., et al. (2015). European Resuscitation Council Guidelines for Resuscitation 2015 Section 8. Initial management of acute coronary syndromes. Resuscitation, 95, 264-277.
  • Zideman, D. A., De Buck, E. D. J., Singletary, E. M., Cassan, P., Chalkias, A. F., Evans, T. R., et al. (2015). European Resuscitation Council Guidelines for Resuscitation 2015 Section 9. First aid. Resuscitation, 95, 278-287.
  • Greif, R., Lockey, A. S., Conaghan, P., Lippert, A., de Vries, W., Monsieurs, K. G., et al. (2015). European Resuscitation Council Guidelines for Resuscitation 2015: Section 10. Education and implementation of resuscitation. Resuscitation, 95, 288-301.
  • Bossaert, L. L., Perkins, G. D., Askitopoulou, H., Raffay, V. I., Greif, R., Haywood, K. L., et al. (2015). European Resuscitation Council Guidelines for Resuscitation 2015: Section 11. The ethics of resuscitation and end-of-life decisions. Resuscitation, 95, 302-311.
  • Selected scientific papers on (approx. 100 pages):
      The organisation of EMS
    • Organization of pre-hospital patient management and patient flow
    • Inter-professional teamwork in patient management / team resource management
    • Who and when to safely leave the emergency patient at home or scene
  • Selected scientific papers on (approx. 200 pages):
      The pre-hospital patient with the obstructed airway
    • Pre-hospital advanced airway management
    • The pre-hospital emergency patient with impaired respiration
    • Pre-hospital advanced respiratory support
    • The pre-hospital emergency patient with impaired circulation
    • Pre-hospital advanced circulatory support
    • The pre-hospital emergency patient with altered level of consciousness
    • The pre-hospital emergency patient with critical exposure
    • Special pre-hospital emergencies related to pregnancy
    • Special pre-hospital emergencies in children
    • Pre-hospital analgesia and procedural sedation to the non-trauma emergency patient
    • Pre-hospital anesthesia to the non-trauma emergency patient
  • Selected scientific papers on (approx. 20 pages):
      Advanced pathophysiology related to pre-hospital critical emergency medicine
    • Advanced pharmacology related to pre-hospital critical emergency medicine
  • Selected scientific papers on critical decision-making (approx. 30 pages)


    • This is the study programme for 2019/2020. It is subject to change.

    Sist oppdatert: 11.12.2019

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