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    Zagazig University

    Faculty of MedicineDepartment of Anesthesia and surgical

    intensive care

    INTENDED LEARNING OUTCOMES (SHOCK):

    By the end of the course, the intensive care candidate will be able to:

    Knowledge (K):

    K.1 Define shock, categorize it based upon type, explain the etiology and

    pathophysiology of each type of shock

    K.2 Summarize the clinical presentation and hemodynamic parameters

    associated with each type of shock using clinical terms, such as heart rate,

    respiratory rate, and blood pressure and filling pressures.

    K.3 Recognize hemorrhagic shock and correlate a patient's acute clinical

    signs with the degree of volume deficit.

    K.4 Explain the importance of early identification and control of the

    source of hemorrhage in trauma patients.

    K.5 Compare and contrast the clinical presentation of patients with

    various classifications of hemorrhage .

    K.6 Describe the initial management of hemorrhagic shock and ongoing

    evaluation of fluid resuscitation and organ perfusion.

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    Zagazig University

    Faculty of MedicineDepartment of Anesthesia and surgical

    intensive care

    K.7 Recognize the physiologic responses to resuscitations in order to

    continually reassess the patient's response and avoid complications.

    K.8 Explain the role of blood replacement in the management of shock.

    K.9 Describe the special considerations in the diagnosis and treatment of

    shock .

    Practical skills (PS):

    By the end of the program the candidate should be able to:

    PS .1 Recognize the shock state

    PS. 2 Identify the causes of shock state

    PS.3 Participate in trauma resuscitations

    PS.4 Identify surface markings and demonstrate the techniques of

    vascular access

    PS.5 Estimate volume requirements for hemorrhage; and institute

    replacement therapy.

    PS.6 Use adjunctes in the assessment and management of the shock state

    including X-rays , CT , Sonography , diagnostic peritoneal lavange

    PS.7 Identify patients who require definitive hemorrhage control or

    transfer to ICU

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    Zagazig University

    Faculty of MedicineDepartment of Anesthesia and surgical

    intensive care

    PS.8 Identify which the additional measures are necessary based on

    patients response to treatment ( Rapid response transient responseno

    response ) .

    Intellectual skills (IS):

    IS 1 Assess and prioritize acute health problems of different patients

    IS 2 Plan a systematic approach for management of each critically ill

    patient.

    IS 3 Write a comprehensive patient report

    IS. 4 Assess and participate in quality improvement of the ICU.

    General and communication skills (GS):

    GS. 1 Work productivity as a part of a health care team.

    GS.2 Communicate with clients, the health care team and the community.

    GS.3 Communicate ethically with his colleagues, staff and community

    members

    Attitudes (A):

    A 1. Contribute to effective team work, communication, decision making,

    to be honest in calculating data, analysis and interpretation.

    A 2. Show respect to others.

    A3. Providing constructive feedback.

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    Zagazig University

    Faculty of MedicineDepartment of Anesthesia and surgical

    intensive care