CLERKSHIP - PRACTICAL SKILLS IN PERIOPERATIVE MEDICINE (an optional subject)

Aim:

1. Learning clinical skills and decision-making process in anaesthesia, emergency medicine and intensive care through workshops and case-based disccusions.

2. Practice manual skills under a supervision from experienced tutors on manikins, models and simulators.

3. Feedbacks using MCQs, EMQs and targeted CBDs.

Course director:

A/Prof Pavel Michalek, MD PhD DESA MSc - Dept of Anaesthesia and Intensive Medicine, 1st Medical Faculty and General University Hospital, Prague, Czech Republic (E-mail: pavel.michalek@lf1.cuni.cz, pavel.michalek@vfn.cz )

Course tutors:

Jan Kunstyr, MD PhD - Dept of Anaesthesia and Intensive Medicine, 1st Medical Faculty and General University Hospital, Prague, Czech Republic

Robert Sachl, MD - Dept of Anaesthesia and Intensive Medicine, 1st Medical Faculty and General University Hospital, Prague, Czech Republic

Mjr. Tomas Henlin, MD - Dept of Anaesthesia and Intensive Medicine, 1st Medical Faculty and General Military University Hospital, Prague, Czech Republic

Workshops:

60min duration, small groups - 5 students maximum

A) Advanced life support

Objective: Recognise cardiac arrest on a simulator, recognise shockable and non-shockable rhythms, analyse ECG, initiate the algorithm of treatment.

Practiced skills:

· Recognition of asystole on ECG

· Recognition of ventricular fibrillation, ventricular tachycardia on ECG

· Recognition of atrial fibrillation, flutter, supraventricular tachycardia on ECG

· Recognition of AV blocks and other arrhythmias on ECG

· Simulation of treatment - defibrillation, cardioversion, pharmacotherapy

Date and venue: 11/04/2014, Cardiac ICU, Building A2, second floor

Group A - 11.00-12.00

Group B - 12.00-13.00

B) Basic and advanced airway management

Objective: Learn and practice techniques of basic and advanced airway management on a manikin and using a training head.

Practiced skills:

· bag-mask ventilation, insertion of an oropharyngeal and nasopharyngeal airways

· insertion of laryngeal mask airway, insertion of i-gel airway

· insertion of Intubating laryngeal mask airway with blind intubation through the device

· tracheal intubation using a laryngoscope and videolaryngoscope

· basics of fiberoptic intubation.

Date and venue: 18/04/2014, Cardiac ICU, Building A2, second floor

Group A - 11.00-12.15

Group B - 12.15-13.30

C) Ultrasound basics in anaesthesia and intensive care

Objective: Learn and practice basic ultrasound assessment in anaesthesia, emergency medicine and intensive care using students as models.

Practiced skills:

· US assessment of great veins (cannulation)

· US assessment of heart - cardiac arrest, tamponade

· US assessment of abdomen - FAST

· US assessment for pneumothorax and fluid

Date and venue: 25/04/2014, Cardiac ICU, Building A2, Second floor

Group A - 11.00-12.15

Group B - 12.15-13.30

D) Surgical airway, intraosseal infusion - life-saving procedures

Objective: Learn how to perform cricothyrotimy and intraosseal needle insertion on a model (cadaver).

Practiced skills:

· Cricothyrotomy

· Intraosseal needle insertion

Date and venue: 23/05/2014, Seminar room of KARIM, Building A6, basement floor

Group A - 11.00-12.00

Group B - 12.00-13.00

E) MCQs, EMQs, CBDs, credits

Date and venue: 30/05/2014, Seminar room of KARIM, Building A6, basement floor

Groups A + B: 11.00-12.30

Notes:

a) Students will be divided to the groups on the 5th of April, 2014 and informed by e-mails.

b) Course schedule will be posted on the website of KARIM: www.karim-vfn.cz

c) Passing attendance mark - 75%. Due to restricted capacity of all workshops, the students are asked to inform the course director by e-mail at least 3 working days in advance about their presence/absence.

A/Prof Pavel Michalek, MD PhD DESA MSc (QUB-Pain)

Course Director