university: alexandria faculty: medicine program ...€¢ academic reference standards of md degree...

واالعتمادهيئة القومية لضمان جودة التعليم ال

University: Alexandria

Faculty: Medicine

Program Specifications

(Academic year: 2015/2016)

A. Basic Information: 1. Program title: MD degree of Emergency Medicine. 2. Program Award: MD Degree 3. Department offering the program: Department of Emergency Medicine 4. Program Director: Pof. Dr Habashi Abdel-Basset 5. Program Coordinator: Prof. Dr. Salah Eltahan 6. External evaluator: prof.Dr Mamdouh Kafrawi Dean of Ain shams university 7. Type of the program: Single 8. Date of most recent program specifications approval: January 2013

B. Professional Information:

1- Program Aims: The aim of this program is to: Provide advanced knowledge and professional experience that are needed for an emergency physician

in order to become safe, expert and independent consultant in Emergency Medicine and Traumatology

being able to work unsupervised, lead, manage and supervise others, ensuring the safe running of an

ED.

2- Academic reference standards (ARS)& ILOs:

• Academic reference standards of MD Degree in Emergency Medicine designed and approved

by Department of Emergency medicine and traumatology, Faculty of Medicine. Alexandria

University. Based on:

• Generic Academic Reference Standards (ARS): Postgraduate Medical Education, Egypt

(2009). Published by National Authority for Quality Assurance and Accreditation of Education

(NAQAAE) National

[http://naqaae.org/main/php/book/index.php]

Guided by:

• The College of Emergency Medicine (CEM) curriculum and assessment systems for

core speciality training in Acute Care Common Stem (ACCS CT1-3 ) & Higher

Specialty Training (ST4-6) june 2010.(http://www.collemergencymed.ac.uk/Training-

Exams/Curriculum/Curriculum%20from%20August%202010/ ).

• The Accreditation Council for Graduate Medical Education (ACGME)

http://www.acgme.org/acWebsite/navPages/nav_110.asp

http://www.acgme.org/acWebsite/navPages/nav_110.asp


Domain Academic Reference

Standards

ILOs

A. Knowledge and

understanding

Graduate of this program must

have sufficient knowledge and

understanding of: • Upgrade the knowledge in

advanced biomedical,

clinical, epidemiological and

social-behavioral sciences, as

well as the application of this

knowledge to patient care.

• Established professional

clinical practice using the

most recent scientific

advances in the field of acute

medicine traumatology and

toxicology

By the end of the program the PG

students will be able to:

• A1. Describe applied anatomy of

head &neck, chest, abdomen,

pelvis, upper and lower limbs.

• A2. Discuss the physiological

phenomena of vital somatic

functions related to trauma

especially the poly-traumatized

patient, major surgical

procedures common and

uncommon medical emergencies.

• A3. Identify the causes, risk

factors and patho-physiology of

common and uncommon and

serious life-threatening

emergency conditions in both

adults and children.

• A4. Identify the suitable

pharmacological drugs to be

used in medical, surgical

emergencies, trauma and pain

management.

• A5. Recall drugs requiring

therapeutic drug monitoring and

interpret results and define the

effects of age, body size, organ

dysfunction and concurrent

illness on drug distribution and

metabolism.

• A6. Identify less common

presentations of the acute

emergent medical and surgical

problems in addition to trauma

cases and their medico legal and

ethical aspects.

• A7. Describe relevant drug

therapy for the acute condition

diagnosed on evidence based

basis and beware of the role

regulatory agencies involved in

drug use, monitoring and

licensing (e.g. National Institute

for Clinical Excellence (NICE),

Committee on Safety of

Medicines (CSM) while

prescribing your therapy.


• The advanced up to date

principles of emergency

department disaster

planning.

• A8. Identify and manage the

acute life threatening

toxicological conditions ,

recognize and manage the less

common rare presentations for

toxicological emergencies.

• A9.Rapid recognition of acute

life-threatening conditions and

discuss the most likely diagnoses

whether medical,

surgical,traumatic or

toxicological .

• A10.Identify the proper

principles and procedures of safe

transport with referral to the

international guidelines for

transporting acutely ill patient

and adapting these principles on

the available resources.

• A11.Identify the international

principles, guidelines and

definitions of emergency

department planning and

disaster management strategies.

• A12. Upgrade the knowledge

about the various acute life

threatening obstetric and

gynaecologic conditions.

• A13. Discuss the

pathophysiology and

complications of trauma in the

field of obstetrics and

gynaecology.

• A14. Identify and manage life

threatening neuropsychiatric

emergencies.

B. Intellectual skills Graduate must be able to do

the following: • Interpret, evaluate and

manage less common and /or

lifethreatening emergency

medical, surgical and

toxicological cases in both

adults and children


students will be able to: • B1.Demonstrate the ability to

take a focused informative

relevant history within limited

time and under difficult

conditions for e.g. in severely ill

patient or angry distressed

patient/ relative .


Clinical reasoning, decision making

and prioritization

• B2.Analyze data obtained from

clinical interview.

• B3. Focus accurately questioning

to establish working diagnosis /

differential diagnosis and relate

to relevant examination,

investigation and management

plan in most acute and common

chronic conditions in almost any

environment.

• B4. Use risk calculators and

clinical scoring systems

appropriately.

• B5. Utilize and interpret findings

of advanced adjuncts to basic

examination e.g.

echocardiography, FAST

ultrasound.

• B6. Utilize examination

techniques to the variable acute

clinical situations and being able

to conduct examination while

resuscitating the patient.

B7. Develop observational

protocols for high risk patients.

B8. Decide the patient’s destiny

whether discharge, referral to a

highr level of care or observation

in a Clinical Decision Unit

(CDU).

B9. Conduct frequent follow up

for patients in CDU for change

in risk stratification.

• B10. Construct a concise

problems list and develop action

plans while recognizing expert

advice, up to date guidelines and

algorithms.

• B11. Generate a hypotheses and

knowing how to test refine and

verify this hypotheses.


• Generate a hypotheses and

conducting scientific

researches and clinical

surveys in the field of acute

medicine and traumatology.

• B12. Utilize the different

statistical methodologies, studies

and their interpretation.

C. Professional

skills

Graduate must be: • Professional in making all

the advanced skills (clinical/

procedural) in the field of

emergency medicine and

traumatology


students will be able to: • C1.Carry out the management of

more than one patient in the ED

at a time.

• C2. Prioritize sick patients using

rapid triaging systems and

recognizing the urge to

commence resuscitation before

the completion of full history

and examination.

• C3.Respect time and being able

to organize and lead the clinical

team and managing the

workload whatever.

• C4.Predict the prognosis and

future risks for the acutely ill

patient presenting to the ED.

• C5.Perform competently and

professionally all advanced life

supporting measures in acute life

threatening medical, surgical,

traumatic and toxicological

emergency situations to both

adults and pediatric groups.

• C6. Perform Advanced Cardiac

and Trauma life Support (Adult

and Pediatric) and knowing how

to manage the patient post-

arrest with ROSC (Return of

Spontaneous Circulation)

C7.Diagnose and treat peri-arrest

arrhythmias and know the

indications, contraindications and

side effects of the drugs used


C8. Competently perform

further steps and maneuvers in

advanced life support.

C9. Establish skillfully IV access

including intra-osseous, central

venous access and intra arterial

insertion with invasive arterial

BP monitoring.

C10. Conduct thoracocentesis

and intercostals tube drain in life

threatening thoracoabdominal

injuries.

C11. Conduct the peripheral

nerve blocks.

C12. Decide critical situations

which require ventilatory

support.

C13. Outline immediate

management options including

initiation of non-invasive

ventilation or invasive

mechanical ventilation.

C14. Perform efficiently

procedures needed to manage a

difficult airway including LMA,

needle and surgical

cricothyroidotomy.

C15. Obtain adequate echo-

cardiographic and US (FAST)

images and Can interpret

accurately in the clinical setting.

• C16.Follow up the patient’s

outcome after the various

emergent interventions and

determine the benefit versus risk

value for doing further

interventions and put alternative

management plans.


• able to write and appraise

reports

• C17.Report a patient status

management and interventions

done in a full comprehensive

manner.

• C18. Appraise the value of

efficient reporting and monitor

the process of adequate complete

reporting.

• C19.Perform efficiently life

saving non-specialized minor

surgical procedures.

• C 20.Demonstrate the clinical

data and outline the radiological

and laboratory investigations

relevant to the patient’s

condition.

D. General and

transferrable

skills

Graduate should be competent

to: • Being able to communicate

effectively with all the

working Staff (including

junior colleagues, nursing

staff and paramedics),

patients and their relatives..



• D1. Identify the role of different

team members and

communicates appropriately

fully respecting the

responsibilities and viewpoints

of the different members.

• D2. Cooperate with the team,

work as team leader.

• D3. Communicate accurately

and urgently according to the

situation using appropriate

means telephone, e-mail, written

letter,…etc.

• D4. Ensure the presence of

efficient accurate and clear

written referral letter to the

recipient colleague on referring

a patient.


• Make Use of the advances in

information technology and

networking to improve the

quality and professional

practice in Emergency

Department (ED)

• Continuous self evaluation

determining the areas of

strength and improving

deficient perfomance in one’s

practice

• D5. Express sympathy and

encourage effective

communication between you,

your patients and their relatives

by listening to them and

breaking the barriers hindering

effective communication.

• D6.Demonstrate professional

ability to manage situations and

events unique to the practice of

emergency medicine.

• D7. Use different interpersonal

communication skills and

information technology to teach

and upgrade the knowledge of

the junior staff in emergency

medicine.

• D8.Utilize the advances in


telemedicine to facilitate and

improve emergency room work

and management.

• D9. Continuously upgrade the

knowledge, skills and

professional performance in

management of patients with


emergencies.

E. Attitudes and

ethical behavior

Graduate should have:

Clear vision on the

fundamentals of medical

ethics and various

medicolegal aspects in

general and with special

concern to emergency

medicine



• E1. Ensure that confidentiality is

maintained even during

consultation unless the patient

may harm self or others.

• E2. Encourage ethical behavior

between colleagues seniors,

juniors, students and different

members of the medical team.


• E3. Commit to lifelong learning

and participating in teaching

and learning activities.

• E4. Apply the ethical, religious

and law regulations when facing

ethical dilemmas.

• E5. Ensure the concepts of

infection control and quality

improvement.

3- Curriculum Structure:

-Program duration: This program is fulfilled in not less than 3 years with a maximum of 7 years.

-Program structure:

1. Total hours: 52 credit hours

2. Obligatory subjects: 30 Credit Hours. 3. Thesis: 20. Credit Hours. 4. 1 Elective course: 1 Credit hour 5. 1 selective course: 1 credit hour

- Program Content:

A. Obligatory Courses:

Code Course Credit

hours

1 052109100 Advanced neuropsychiatry for

emergency medicine 2

2 052309100

Advanced obstetreic and

gynaecology for emergency

medicine

1

3 053109100 Imaging for Emergency

Medicine II 1

4 05010900 Advanced courses for

Emergency Medicine 3

5 053209100 Advanced Surgery course for


6 05100901

Advanced Trauma management

for emergency medicine

5

7 050209100 Advanced cardiac emergencies 3

8 050409100 Advanced pulmonary

emergencies 3

9 051509100 Advanced internal medicine for


10 052909100 Advanced pediatric

emergencies 2


11 05100902 Disaster management 1

12 05100903 Administration & planning in

the emergency department 1

13 051109100 Advanced clinical toxicology 2

B. Selective Courses:

Code Subject Credit hours

05100931 Abuse and assault in emergency

department 1

05100932 Environmental emergencies 1

05100933 Special situations in the emergency

department 1

05100934 Pre-hospital management and EMS

(Emergency Medical Services) 1

C : Elective courses

Code Subject Credit hours

05500901 Medical ethics for doctorate II 1

05500902 Molecularv biology for doctorate 1

05500903 Hospital associated bacterial infection for

doctorate 1

05500904 Sport physiology 1

05500905 Biochemistry of nutrition 1

05500906 Ethics of publication and misconduct

Behavior ethics of internet II 1

4- Program Admission Requirements:

According to the regulations of the credit hour bylaws of the Faculty of Medicine

Alexandria University (annex).

5- Regulations for Progression and Program Completion:

According to the regulations of the credit hour by laws of the Faculty of Medicine

Alexandria University (annex).

6- Methods of student assessment:

Methods Intended Learning outcomes to be

assessed

1. Written Exam A1-A14

2. Practical Exam B1-12,C1-20, D1-9, E1-5

3. Assignments D 7,8

4. Thesis B 11, 12,D 7- 10, E1-4


7- Methods of program evaluation:

Evaluator Tool Sample

1. Students enrolled in the program Questionnaires.

2. Alumni --------

3. Stakeholders (Employers) Focus group

4. External Evaluator (s) -----------

5. Others:

Program Director: Prof. Dr. Habashi Abdel-Baset

Program Coordinator: Prof. Dr. Salah Eltahan

Program ILOs/ Matrix

ILO’S title A1 A2 A3 A4 A5 A6 A7 A8 A9 A10 A11 A12 A13 A14 Advanced

neuropsychiatry for course for

emergency MD

X

Updates on

Gynaecolgic and obesteric

emergencies

x x

Imaging for Emergency Medicine

X

Advanced

Emergency Medicine

course

x x x x X

Advanced Surgery

course for

emergency medicine

X X X X X X

Advanced Trauma

management for

emergency medicine

X X X X X X

Advanced cardiac

emergencies X X X X X

Advanced pulmonary emergencies

X X

Advanced internal

medical emergencies X X X X X

Advanced pediatric emergencies

X X X X

Disaster management X Administration &

planning in the

emergency department

X X

Advanced toxicology

course X x


ILO’S title B1 B2 B3 B4 B5 B6 B7 B8 B9 B10 B11 B12 Advanced neuropsychiatry for

course for emergency

MD

x x

Updates on

Gynaecolgic and

obesteric emergencies

X x x

Imaging for

Emergency Medicine X

Advanced Emergency Medicine

course

X x x X x

Advanced Surgery

course for emergency medicine

X x x X

Advanced Trauma

management for emergency medicine

X x x x X X X X

Advanced cardiac emergencies

X x x x X X X X

Advanced pulmonary

emergencies X x x x X X X

Advanced medical emergencies

X x x X X X X x

Advanced pediatric

emergencies X x X x X X X

Disaster management x x Administration &

planning in the

emergency

department

X X

Advanced toxicology course

X X

ILO’S title C

1

C

2

C

3

C

4

C

5

C

6

C

7

C

8

C

9

C

10

C

11

C

12

C

13

C

14

C

15

C

16

C

17

C

18

C

19

C

20 Advanced

neuropsychiatry for course for

emergency MD

x x X

Updates on

Gynaecolgic and obesteric

emergencies

x x

Imaging for Emergency

Medicine

x X

Advanced Emergency

Medicine

course

X x X X X x X X X X X X

Advanced Surgery course

for emergency

medicine

X X X X X X X X X

Advanced

Trauma

management for emergency

medicine

X X X X X X X X X

Advanced cardiac

emergencies

X X X X


Advanced

pulmonary

emergencies

X X

Advanced medical

emergencies

X X X

Advanced

pediatric emergencies

X X X X X

Disaster

management X X X

Administration & planning in

the emergency

department

X X

Advanced

toxicology

course

X X X

ILO’S title D1 D2 D3 D4 D5 D6 D7 D8 D9 E1 E2 E3 E4 Advanced

neuropsychiatry

for course for emergency MD

x x X X X X X

Updates on

Gynaecolgic

and obesteric emergencies

X X X X X

Imaging for

Emergency Medicine

X X X X X

Advanced

Emergency

Medicine course

X X x x X X X X X

Advanced Surgery

course for

emergency medicine

X X X X X

Advanced Trauma

management for

emergency medicine

X X X X X


X X X X X

Advanced

pulmonary emergencies

X X X X X

Advanced medical

emergencies X X X X X

Advanced pediatric

emergencies

X X X X X

Disaster

management X X X X X X X

Administration &

planning in the


X X X X X X X X X

Advanced

toxicology course X X X X X X X X X X X X

Course Specifications


Faculty: Medicine

Department: Department of emergency medicine.

Course Information

Course Code: 053209100 Course Name:

Advanced Surgery course for emergency medicine

Program in which the Course is Given: MD degree of Emergency Medicine

Number of Credit Hours 3 Theoretical Clinical/Practical

Course Aims

By the end of this course the candidate should have sufficient advanced knowledge to manage the acute

common and uncommon surgical emergencies together with identifying and managing lifethreatening

surgical emergencies.

Intended Learning Outcomes (ILOs)

Program ILO (refer to program

matrix) Course ILOs

A. Knowledge

and

Understanding

• A1. Describe applied

anatomy of head &neck,

chest, abdomen, pelvis,

upper and lower limbs.

• A2. Discuss the

physiological phenomena of

vital somatic functions

related to trauma especially

the poly-traumatized


procedures and common

and uncommon medical

emergencies.

The candidate should:

a.1 Describe the applied anatomy of head

&neck, chest, abdomen, pelvis, upper and lower

limbs.

a 2. Illustrate the commonest anatomical sites

for commonest acute surgical conditions, their

relations and other associated pathologies.

a 3. IIlustrate the physiological phenomena of

vital somatic functions related to major surgical

procedures, common and less common acute

surgical emergencies.

a 4. Describe the causes, risk factors and patho-

physiology of uncommon and serious life

threatening surgical emergency conditions in

both adults and children.

1 2


factors and patho-

physiology of common and

uncommon and serious

lifethreatening emergency

conditions in both adults

and children.


pharmacological drugs to

be used in medical, surgical

emergencies, trauma and

pain management.

• A6.Identify less common


emergent medical and

surgical, problems in

addition to trauma cases

and their medico legal and

ethical aspects.

• A9.Rapid recognition of

acute life-threatening

conditions and discuss the

most likely diagnoses

whether medical


toxicological.

a 5. State the suitable pharmacological drugs to

be used in surgical emergencies, their side

effects, doses and contraindications.

a 6. Identify less common presentations of the

acute emergent surgical problems for

medicolegal and ethical aspects.

a 7. Categorize life-threatening acute surgical

conditions and outline their most likely

diagnoses, differential diagnosis and

management plan both in adults and children.

B. Intellectual

skills

B1. Demonstrate the ability to take

a focused informative relevant

history within limited time and

under difficult conditions for e.g. in

severely ill patient or angry

distressed patient/ relative .


b1. Outline a comprehensible focused history

within a limited time period and under difficult

situations such as in cases of complicated acute

surigal cases as acute abdomen, internal

haemorrhage …etc.

B2. Analyze data obtained from

clinical interview

B3. Focus accurately questioning to

establish working diagnosis /

differential diagnosis and relate to

relevant examination, investigation

and management plan in most

acute and common chronic

conditions in almost any

environment

B7. Develop observational protocols

for high risk patients

b.2 Assess causes and risk factors relevant to the

condition and identifies when to focus history on

immediate lifethreatening acute conditions.

b.3 Interpret different signs and symptoms to

reach provisional diagnosis / differential

diagnosis and relate to relevant history,

examination, investigations and management

plan in most acute and common chronic surgical

conditions in the emergency department.

b4. Develop a follow up plan for patients

especially high risk ones using observational

protocols.

C.Professional

and Practical

Skills

• C1. Carry out the

management of more than

one patient in the ED at a

time.

• C2.Prioritize sick patients

using rapid triaging systems

and recognizing the urge to

commence resuscitation

before the completion of full

history and examination.

• C3.Respect time and being

able to organize and lead

the clinical team and

managing the workload

whatever.

• C4.Predict the prognosis

and future risks for the


c 1. Plan the management for more than one

patient at a time appropriately especially in the

rush hours in the emergency department and in

cases of mass disasters.

c 2. Categorize patients according to their risk

using various risk stratifications and clinical data

and identify the correct time to start resuscitation

even before completion of history and

examination.

c 3. Respect the value of time, be able to

organize and lead the clinical team especially in

crowded times, and manage the workload when

there are more than acute lifethreatening

surgical case at the same time.

acutely ill patient

presenting to the ED.




determine the benefit versus

risk value for doing further

interventions and put

alternative management

plans.


management and

interventions done in a full

comprehensive manner.


efficient reporting and

monitor the process of

adequate complete

reporting.

• C19.Perform efficiently life

saving non-specialized

minor surgical procedures.

c4.Suggest the patient’s outcome according to

the available clinical data and risk factors

obtained from thorough history taking.

c 5.Follow up the patient’s outcome after

emergency management of his acute surgical

condition, determine the future risk and outline

or modify a management plan accordingly.

c 6. Conduct efficient reporting for the patient’s

diagnosis, management and interventions done

in a full comprehensive manner.

c 7. Illustrate the value of efficient

comprehensive reporting of all the events related

to the patient from the entry to emergency

department till his discharge, admission or

referral.

c 8. Do minor surgical procedures such as the

simple sutures, control of a bleeder ,,,etc.

D. General

Skills

• D1.Identify the role of

different team members

and communicates

appropriately fully

respecting the

responsibilities and

viewpoints of the different

members.

• D2.Cooperate with the

team, work as team leader


d 1. Demonstrate the role of different team

members to prevent the overlap of

responsibilities and communicate appropriately

fully respecting the responsibilities and

viewpoints of the different members.

d 2. Manage the conflicts between team

members appropriately,ensure confidentiality

when talking with any team member and

implement an open transparent communication

in a respectful supportive environment between

team members.

•

• D3.Communicate

accurately and urgently

according to the situation

using appropriate means

telephone, e-mail, written

letter,…etc.




recepeint colleague on

referring a patient.

• D9. Continuously upgrade

the knowledge, skills and


management of patients

with acute life threatening

emergencies.

d 3. Plan for appropriate communication

according to the situation either within the

institute or in between institutes and identify the

suitable mean of communication ,whether

through mail or phone,…etc.

d 4. Present clear accurate referral letter stating

all the events that occurred all through the

patient management from the time it arrived at

the enmergency department.

d 5. Continuously upgrade the knowledge, skills

and professional performance in management of

patients acute life threatening surgical

emergencies.

Course Content (Units/Topics)

Teaching/Learning Methods

Lectures self

learning

Practical/

Clinica l

Small

group

discussion

Others

1. Shock

2. Acute Abdominal pain

3. Abdominal pain in elderly

4. GIT BLEEDING

5. Esophageal emergencies

6. Swallowed foreign bodies

7. Peptic ulcer disease and gastritis

8. Intestinal obstruction

9. Hernia in adults and children

10. Ileitis colitis and diverticulitis

11. Anorectal disorders

12. Acute and chronic pancreatitis

13. Biliary colic and cholecystitis

14. Complications of general surgical

procedures

15. Complications of GIT devics

16. GIT imaging

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

Please check (✓) the appropriate method.

Student Assessment

Methods of Assessment

Essay Objective questions

Case OSCE/OSPE

Assignment Logbook fulfillment

Others

Schedule of Assessment

Mid-term %

End of term 100 %

Distribution of Marks

Written Exam 70 %

Written practical comments 30 %

Assignment %

Logbook fulfillment %

List of Textbooks and References

Lecture Notes

Course Text Books

• Tintinalli American college of emergency medicine

• The College of Emergency Medicine (CEM) curriculum and

assessment systems for core speciality training in Acute Care

Common Stem (ACCS CT1-3 ) & Higher Specialty Training

(ST4-6) june 2010.(http://www.collemergencymed.ac.uk/Training-

Exams/Curriculum/Curriculum%20from%20August%202010/ )

Suggested Extra Reading

• Trauma manual

• Introduction to clinical emergency medicine

Journals and Periodicals,

others

Course Instructor

Name: Prof. Dr Habashi Abdel- Basset Signature:

Program Coordinator

Name: Prof. Dr Salah Eltahan Signature:

Program Director


✓

✓

✓ ✓



Faculty: Medicine

Department: Department of Emergency medicine

Course Information

Course Code: 05100901 Course Name: Advanced Trauma management

Program in which the Course is Given: MD degree of Emergency medicine

Number of Credit Hours Theoretical Clinical/Practical

Course Aims

By the end of this course the candidate should have upgraded knowledge regarding patho-physiology and

management of different trauma cases in the different age groups, recognize the impact of trauma on the

different body systems and organs, should be able to provide life support measures for the poly-traumatized

patients



matrix) Course ILOs

A. Knowledge

and

Understanding





• A2. Discuss the








emergencies.


a 1. Discuss the applied anatomy of all the body

organs and systems and be able to identify the

different nerve and vascular injuries, their

impact on patient’s outcome and subsequent

disabilities.

a 2. Discuss extensively the pathophysiolofical

changes and metabolic response secondary to

trauma especially in the severely injured

polytraumatized patients.

2 3

• A4.Identify the suitable




pain management.

• A6.Identify less common


emergent medical and

surgical, problems in

addition to trauma cases

and their medico legal and

ethical aspects.





whether medical


toxicological .

• A10.Identify the proper

principles and procedures

of safe transport with

referral to the international

guidelines for transporting

acutely ill patient and

adapting these principles on

the available resources.

a 3. State the different pharmacological drugs

that can be used in the event of trauma, their

doses, side effects and contraindications.

a 4. Outline a plan for pain management in the

polytraumatized or severely injured patients as

in cases of crush injuries.

a 5. Describe the less common acute

presentations associated with traumatic injuries

and their medicolegal and ethical aspects.

a 6. Outline the plan for trauma life support

especially in the severely injured cases, and

identify rapidly the life threatening injuries

associated with the event and manage them.

a 7. Describe a proper transportation for the

poly-traumatized patients within the institute or

in between the institutes in a way maintaining

the well being of the patient and without

increasing morbidity and mortality.

B. Intellectual

skills

• B1.Demonstrate the ability

to take a focused

informative relevant

history within limited time

and under difficult

conditions for e.g. in


distressed patient/ relative.

The candidate should :

b 1. Take a focused informative relevant history

within limited time and under difficult

conditions for e.g. in severely injured poly-

traumatized patient or angry distressed patient/

relative .

b 2. Identify causes and risk factors relevant to

the condition and identifies when to focus

history on immediate lifethreatening acute

conditions.

• B2.Analyze data obtained

from clinical interview.

• B3. Focus accurately

questioning to establish

working diagnosis /

differential diagnosis and

relate to relevant

examination, investigation

and management plan in

most acute and common

chronic conditions in

almost any environment



appropriately.

• B5. Utilize and interpret

findings of advanced

adjuncts to basic

examination e.g.


ultrasound.


techniques to the variable

acute clinical situations and

being able to conduct

examination while


• B7. Develop observational

protocols for high risk

patients.

b 3. Interpret different signs and symptoms to

establish working diagnosis / differential

diagnosis and relate to relevant examination,

investigation.

b 4. Develop a management plan for the poly-

traumatized severely injured patients even in

crowded environment as in mass disasters.

b 5. Use the different trauma risk scores for

triaging and predicting the prognosis of trauma

cases.

b 6. Conduct and interpret the ultrasound

imaging (FAST scan ) in trauma patients as a

part of the management of these cases.

b 7.Apply examination techniques to the variable

acute clinical situations and being able to

conduct examination while resuscitating the

patient

b 8. Develop observational protocols for high

risk trauma patients using the recent trauma

guidelines and the different trauma scores.

C.Professional

and Practical

Skills

• C1. Carry out the



time.


c1. Conduct the management of more than one

trauma patient at a time as in cases of mass

accidents.

• C2. Prioritize sick patients










whatever.



acutely ill patient


• C5.Perform competently

and professionally all

advanced life supporting

measures in acute life

threatening medical,

surgical, traumatic and

toxicological emergency

situations to both adults

and pediatric groups.

• C6. Perform Advanced

Cardiac and Trauma life

Support (Adult and

Pediatric) and knowing how


arrest with ROSC (Return

of Spontaneous Circulation)

• C10. Conduct

thoracocentesis and

intercostals tube drain in

life threatening thoraco-

abdominal injuries.

c 2. Categorize the patients correctly using

proper up to date risk scores and trauma

guidelines.

c 3. Identify the urge to commence trauma

patient resuscitation according to the advanced

trauma life support guidelines.

c 4. Respect the value of time and outline the

roles of the team members.

c 5. Proper planning for mass accidents and

assigning every member in the team to a specific

duty.

c 6. Suggest prognosis and predict future risk for

trauma patients especially those who are poly-

traumatized based on data obtained from the

history, examination and risk stratifications.

c 7. Conduct advanced trauma life support

competently in cases of cardiac arrest in trauma

patients.

c 8. Differentiate between the advanced trauma

life support in the different age groups ( adults

and pediatrics) including drug doses and

conduction of the procedure.

c 9. Outline a plan for managing patients who

recover the event of cardiac arrest (ROSC)

including their monitoring and referral to the

critical care unit.

c 10. Perform the manual procedures required to

save acute life threatening emergencies in the

event of trauma such as emergency chest tube

insertion in cases of tension pneumothorax or

massive haemothorax.

• C15. Obtain adequate

echocardiographic and US

(FAST) images and Can

interpret accurately in the

clinical setting.








plans.


management and



c 11. Conduct ultrasound imaging in the trauma

patients (FAST) scan to exclude the presence of

any intra- abdominal or pericardial collection.

c 12. Plan for the follow up of trauma patients

during their stay in the emergency department

after the various interventions till they are

referred to their places of admission either

surgical ward or critical care unit.

c 13. Construct efficient and comprehensive

reporting for all the management and the

procedures done for the trauma patients in the

emergency department. Including efficient filing

system.

D. General

Skills



and communicates

appropriately fully

respecting the



members.











emergencies.


d 1. Assign for every member in the team a

certain job to prevent the overlap of the

responsibilities and duties.

d 2. Communicate respectfully with all team

members and manage conflicts between team

members.

d 3. Appraise the role of efficient written referral

letters that includes the history of the event, the

management and interventions done and the

reason for referral to a different institute.

d 4. Appraise the role of efficient written referral

letters between colleagues within the same

institute.

d 5. Upgrade the knowledge continuously by

reviewing the advances in the trauma guidelines

the literature, and the changing level of evidence

as regards to evidence based medicine.



Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

1. Initial approach to trauma

2. Pediatric trauma

3. Geriatric trauma

4. Trauma in pregnancy

5. Head injury

6. Spinal cord injuries

7. Maxillofacial trauma

8. Eye trauma

9. Ear and nose trauma

10. Blunt and penetrating neck

trauma

11. Thoracic trauma

12. Penetrating trauma to flank and

buttock

13. Abdominal injuries

14. Genitourinary trauma

15. Penetrating trauma to extremities

16. Wound ballistics

17. Forensics

18. Injury control

19. Injuries to the joints and bone

20. Abuse and assault

21. Vascular injuries

22. Emergency wound management;

including:

a. Wound evaluation

b. Wound preparation

c. Methods of wound closure

d. Lacerations of extremities

e. Lacerations of face and scalp

f. Soft tissue foreign bodies

g. Puncture wounds and

mammalian bites

h. Post repair wound care

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)


Student Assessment



Case OSCE/OSPE


Others


Mid-term %

End of term 100 %


Written Exam 70 %


Assignment %



Lecture Notes

Course Text Books




Common Stem (ACCS CT1-3 ) & Higher Specialty Training

(ST4-6) june

2010.(http://www.collemergencymed.ac.uk/Training-

Exams/Curriculum/Curriculum%20from%20August%202010/


• Trauma manual

• Introduction to clinical emergency medicine

• STEPS (Sequential Trauma Educational ProgramS)

• ATLS ( Advanced Trauma Life Support) guidelines.


others

Course Instructor


Program Coordinator


Program Director


(✓)

(✓)

(✓)



Faculty: Medicine


Course Information

Course Code: 050109100 Course Name: Advanced courses for Emergency

Medicine

Program in which the Course is Given: Medical Doctorate Grade


Course Aims:

By the end of this course the candidate should have sufficient knowledge about “Advanced Cardiac Life

Support (ACLS), Advanced Paediatric Life Support (APLS), Advanced Trauma Life Support (ATLS),

Advanced Airway Management (AWM), Shock management, and Pain management in the emergency

room, together with the practical skills required to suffice these issues.



matrix) Course ILOs

A. Knowledge

and

Understanding

• A2. Recognize the




the poly-traumatizaed


procedures and uncommon

medical emergencies.


factors and patho-

physiology of uncommon

and serious lifethreatening

emergency conditions in

both adults and children.

The candidate should be able to:

a1. Discuss the patho-physiology of the major

life threatening conditions whether secondary to

acute medical or surgical condition or secondary

to poly-trauma.

a 2. Discuss the pathophysiology of cardiac

arrest, identify reversible and irreversible causes,

and be updated in the management of cardiac

arrest due to any life threatening emergency

(medical, surgical or traumatic) according to the

latest clinical guidelines.

a 3. Identify uncommon causes of lifethreatening

emergencies, together with their

pathophysiology, and correct management both

in adults and children.

1 2

• A4.identify the suitable

pharmacological drugs to be

used in medical, surgical


pain management.

• A7.Describe relevant drug

therapy for the acute

condition diagnosed on

evidence based basis and

beware of the role

regulatory agencies

involved in drug use,

monitoring and licensing

(e.g. National Institute for

Clinical Excellence (NICE),






conditions and identify the


whether medical


toxicological .

a 4. Describe advanced procedures in

resuscitating both adults and children, should

recognize the pathophysiological differences

between both age groups, and also should

recognize the differences in management

between both age groups.

a 5. Describe the pathophysiology of pain due to

the different emergency conditions and be able

to manage pain and its cause.

a 6. Discuss management of pain in the

emergency department due to various causes,

should recognize the different pharmacological

agents that can be safely prescribed and the

correct way for their administration.

a 7. Identify different pharmacological agents

used during life support of life threatening

emergencies due to the different casues, and

should have sufficient knowledge about their

doses, pharmacokinetics, pharmacodynamics,

effects, side effects, indications,

contraindications and drug-drug interactions in

both paediatrics and adults.

a 8.List drugs that are out of license or

abandoned to use and other drugs that can be

useful and prescribed by continuous revision of

trusted drug agencies and clinical guidelines.

a 9.Identify life threatening conditions rapidly

and manage them efficiently according to the

latest updates in the literature and clinical

guidelines

B. Intellectual

skills





working diagnosis /


relate to relevant





b 1. Assess causes and risk factors relevant to

the condition and identifies when to focus

history on immediate lifethreatening acute

conditions.

b 2. Develop a provisional diagnosis and

differential diagnosis relevant to the history,

examination and investigations done.

b 3. Develop management plan according to the

working diagnosis suggested.

chronic conditions in almost

any environment.

• B6. Adapt examination




examination while




patients.

b 4. Apply the examination techniques relevant

to the current acute clinical situation.

b 5. Perform a focused examination during the

event of resuscitation.

b 6. Outline a protocol for observing, monitoring

and managing patients who recover cardiac

arrest during their stay in the emergency

department.

C.Professional

and Practical

Skills











whatever.



acutely ill patient


• C5.Perform competently

and professionally all

advanced life supporting

measures in acute life

threatening medical,

surgical and traumatic

emergency situations to

both adults and paediatric

groups.


c 1. Categorize rapidly the patients using the

appropriate up to date triaging guidelines.

c 2. Decide the correct time and urge for

commencing life support resuscitation measures.

c 3. Appraise the value of time, and assign every

member of the life support team to a certain duty

referring to the protocol of resuscitation.

c 4. Suggest a prognosis and future outcome of

the acutely ill patient in the emergency

department according to the present history of

the acute event and the risk factors.

c 5. Conduct competently all the advanced life

support procedures in cases of cardiac arrest

whether due to a medical, surgical or traumatic

aetiology.

c 6. Identify the reversible causes of cardiac

arrest and manage them accordingly.

c 7. Discriminate between the advanced life

support protocols for adults and children.



Support (Adult and

Paediatric) and knowing

how to manage the patient

post- arrest with ROSC

(Return of Spontaneous

Circulation)

• C7.Diagnose and treat peri-

arrest arrhythmias and

know the indication,

contraindications and side

effects of the drugs used.

• C8. Competently perform

further steps in advanced

life support.

• C9. Establish skillfully IV

access including intra-

osseous, central venous

access and intra arterial

insertion with invasive

arterial BP monitoring

• C11. Conduct the

peripheral nerve blocks.

• C14.Perform efficiently

procedures needed to

manage a difficult airway

including LMA, needle and

surgical cricothyroidotomy








plans.


management and



c 8. Conduct a proper management plan for the

patients who recover cardiac arrest and return to

their spontaneous circulation (ROSC), till they

are referred to the critical care unit for further

management.

c 9. Diagnose and treat life threatening peri-

arrest arrhythmias, identify the shockable and

non- shockable rhythms during the event of

cardiac arrest.

c 10. Discuss the algorithms for managing tachy-

and bradyarrhytmias.

c 11. State the different drugs that can be used

during life support procedures, their indications,

contraindications and side effects.

c 12. Conduct further steps in advanced life

supportsuch as IV drugs administration, safe

DC shocks when indicated, central line insertion,

,endotracheal intubation, external pacing,

endotracheal drug administration.

c 13. Perform all the manual maneuvers included

in the life support protocol such as obtaining a

vascular access and invasive blood pressure

monitoring.

c 14. Conduct appropriate pain management for

patients presenting with acute pain in the

emergency department, such as performing

peripheral nerve blocks including but not limited

to: digital, wrist (ulnar, median, radial), femoral,

facial (auricular, supra-trochlear, supra-orbital),

ankle, and know their contraindications.

c 15. Perform efficiently procedures related to

advanced airway management including difficult

airway management.

c 16. Conduct follow up plan for the patients in

the emergency department after the various

interventions done to them.

c 17. Calculate benefit/ risk ratio for further

interventions that are to be done for the acutely

ill patients presenting to the emergency

department.

c 18. Construct comprehensive full reports for

all the management and interventions done for

the acutely ill patients presenting to the

emergency room.

D. General

Skills



and communicates

appropriately fully

respecting the



members.

• D3.Communicate

accurately and urgently

according to the situation

using appropriate means

telephone, e-mail, written

letter,…etc.


encourage effective

communication between

you, your patients and their

relatives by listening to

them and breaking the

barriers hindering effective

communication.

• D6.Demonstrate

professional ability to

manage situations and

events unique to the

practice of emergency

medicine.






emergencies.


d 1. Outline the different roles for the different

team members to avoid the overlap of duties and

the duplication of efforts.

d 2. Communicate respectfully with the team

members.

d 3. Construct an appropriate calling system to

facilitate the communication between the

different team members in urgent situations such

as mass disasters.

d 4. Express sympathy for the patients and their

relatives.

d 5. Encourage communication between the

team members and the patients, and appraise the

role of good listening in highlighting missing

points in the history and identifying hidden risk

factors that may affect the prognosis and

management.

d 6. Outline a management plan for situations

that are specific for the emergency department

such as managing mass disasters and performing

life support for many patients at a time.

d 7. Upgrade the knowledge continuously by

frequent reviewing of the most recent life

support guidelines and reviewing the related

literature, plus being up to date with the

changing levels of evidence as regards to

evidence based medicine.



Lecture self

learning

Practical/

Clinical

Small

group

discussion

Others

Basic life support skills:

• Chain of survival

• Basic AWM

• Basic CPR & AED.

• Skills

√ √ √ √

Advanced cardiac life support:

• ACLS algorithm & peri-arrest

arrhythmias

• Defibrillation

• AWM & Ventilation

• Assisting the circulation

• Pre-/in-hospital cardiac arrest

• Post-resuscitation care

• Skills

√ √ √ √

Basic pediatric life support:

• Basic ped. life support algorithm

• Choking treatment algorithm

• Skills

Advanced pediatric life support:

• Ad. ped. Life support algorithm

• Drugs & fluid resuscitation

• Post-resuscitation care, ? parents

• Newborn life support

• Skills

√ √ √ √

Basic trauma management:

• Scene size-up

√ √ √ √

• Initial assessment &management

• Skills

Advanced trauma management:

• Preparation (pre/intra-hospital)

• Triage (multiple/mass casualties)

• Primary survey & resuscitation

• Secondary survey , monitoring & re-

evaluation

• Chest trauma & skills

• Abdominal, pelvic trauma & skills

• Head, spine ,spinal cord trauma &

skills

• Extremity trauma & skills

• Burn

• Trauma in elderly, children,

pregnancy, …

• Blood & body substances

precautions

Adv. AWM:

• Airway anatomy, physiology,

pharmacology & radiology

• Airway assessment

• Difficult AWM algorithm/trauma

• Difficult AWM kit

• Fiber-optics & difficult airway

• Skills

√ √ √ √

Shock:

• Patho-physiology& initial

assessment

√ √ √ √

• Types, management & fluid

resuscitation

• Complications

• Skills

Pain management in Em. Room:

• Problems of pain management in the

emergency room

• Pain: Anatomy, physiology,

pharmacology, …

• Pain management guidelines &

protocols in the emergency room

• Nerve blocks (central, peripheral)

• Skills

√ √ √ √


Student Assessment



Case (✓) OSCE/OSPE


Others


Mid-term %

End of term 100 %


Written Exam 70 %


Assignment 10 %

Logbook fulfillment 10 %

(✓)

(✓)

(✓)

(✓)

(✓)


Lecture Notes

Course Text Books




Common Stem (ACCS CT1-3 ) & Higher Specialty Training (ST4-

6) june 2010.(http://www.collemergencymed.ac.uk/Training-

Exams/Curriculum/Curriculum%20from%20August%202010

Suggested Extra

Reading

Trauma manual .

Introduction to clinical emergency medicine ,.

ACLS (Advanced Cardiac Life Support) guidelines.

ATLS ( Advanced Trauma Life Support) guidelines.

Journals and

Periodicals, others

Course Instructor

Name: Prof. Dr Hossam- Eldin Fouad Signature:

Program Coordinator


Program Director




Faculty: Medicine


Course Information

Course Code: 052309100 Course Name: Advanced obstetric ad gynaecology

for emergency medicine



Course Aims:

By the end of this course the candidate should have advanced knowledge about the various life threatening

acute obstetric and gynaecologic conditions encountered in the emergency department.



matrix)

Course ILOs

A. Knowledge

and

Understanding

A12. Upgrade the knowledge

about the various acute life

threatening obstetric and

gynaecologic conditions

A13. Discuss the pathophysiology

and complications of trauma in the

field of obstetrics and gynaecology


a 1. Identify the various life threatening obstetric

conditions, their pathophysiology and first aid

management such as bleeding in pregnancy and

hypertensive disorders during pregnancy.

a 2. Desribe the pathophysiology, relevant

investigations and first aid management for

trauma in pregnancy and trauma to the genital

organs,

a 3. Identify quickly the complications of trauma

in pregnancy and discuss how to deal with them.

B. Intellectual

skills

• B1.Demonstrate the ability to

take a focused informative

relevant history within

limited time and under

difficult conditions for e.g. in


b 1. Obtain a focused sufficient history in cases

of obstetrics and gynaecology

b 2. Analyze the mechanism of injury in cases

of trauma during pregnancy

1/2 1/2







working diagnosis /


relate to relevant





environment

b 3. Assess the risk factors predisposing to the

current obstetric condition such as bleeding in

early pregnancy or hypertensive disorders of

pregnancy.

b 4. Develop a relevant provisional and

differential diagnosis for the current obstetric or

gynecologic condition based on efficient

examination, laboratory and radiological

investigations.

C.Professional

and Practical

Skills

C4.Predict the prognosis and future

risks for the acutely ill patient


• C5.Perform competently and

professionally all advanced

life supporting measures in

acute life threatening medical,

surgical and traumatic

emergency situations to both

adults and paediatric groups.


c 1. Conduct clinical examination and

investigations to the patient in this acute event.

c 2. Perform competently life support measures

in various acute lifethreatening obstetric and

gyanaecologic conditions such as in cases of life

threatening trauma during pregnancy.

D. General

Skills

• D9. Continuously upgrade the

knowledge, skills and


management of patients with


emergencies


d 1. Upgrade his knowledge regarding the

different life threatening obstetrics and

gynaecology conditions, their pathophysiology,

new aetiologies if any, new investigations and

first aid management lines according to most

recent guidelines and on evidence based basis.

d2. Use online resources to collect valid updated

knowledge that helps in solving patient’s

problems.

d3. Use information from different sources based

on best evidence & best practice.

Please check (✓) the appropriate methods

Student Assessment



Case OSCE/OSPE


Others


Mid-term %

End of term 100 %


Written Exam 70 %


Assignment %



Lecture Notes

(✓)

Course Text Books

• William’s obstetrics. 22nd edition 2005

MC Hill USA

• Clinical obstetrics. The fetus and the

mother. 3rd edition 2007. Black well

publish.



Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

1. Obstetrics hemorrhage (✓) (✓)

2. Obstetrics convulsions (✓)

3. Acute abdomen with pregnancy (✓) (✓)

4. Complicated ovarian masses (✓)

5. Gynecologic bleeding (✓) (✓)

6. Obstetrics shock (✓)

(✓)

(✓)

• High risk pregnancy management options.

3rd edition 2006. Elsever sarmders.

• Decvhurst’s text book of obstetricsand

gynecology for post graduate. 7th edition.

Black well science.


Journals and Periodicals, others

Course Instructor

Name: Prof. Dr Elsayed Elbadawy Signature:

Program Coordinator

Name: Prof. Dr. Salah Eltahan Signature:

Program Director

Name: Prof. Dr Habashi Abdel- Baset Signature:



Faculty: Medicine

Department: Department of Emergency Medicine.

Course Information

Course Code: 052909100 Course Name: Advanced pediatric emergencies

Program in which the Course is Given: MD degree of Emergency Medicine.


Course Aims

By the end of this course the candidate should be able to identify, discuss and provide the initial first aid

management of the acute common and less common pediatric emergencies in the different pediatric age

groups.



matrix) Course ILOs

A. Knowledge

and

Understanding


factors and patho-


uncommon serious life-

threatening emergency


and children.





pain management.


therapeutic drug

monitoring and interpret

results and define the effects


a 1. Discuss the causes, risk factors and

pathophysiology of the common pediatric

emergencies in the different pediatric age

groups.

a 2. Identify the less common acute life

threatening pediatric emergencies and provide

the first aid management.

a 3. Determine the first aid management of the

acute pediatric emergencies in the different

pediatric age groups.

a 4. Describe the appropriate pharmacological

treatment for the life-threatening pediatric

emergencies with correct dosing.

a 5. Identify the difference between drug dosing,

monitoring, and toxicity between pediatric and

adult age groups.

1hr 1hr

of age, body size, organ


illness on drug distribution

and metabolism.





whether medical,


toxicological.

a 6. Identify the drugs requiring monitoring and

dose adjustment in pediatric age groups.

a 7. Describe acute life threatening pediatric

conditions requiring the initiation of pediatric

life support, identify the most probable cause for

this life threatening condition and describe the

most appropriate treatment.

B. Intellectual

skills

• B1. Demonstrate the ability

to take a focused

informative relevant history

within limited time and

under difficult conditions

for e.g. in severely ill patient

or angry distressed patient/

relative.

• B2. Analyze data obtained




working diagnosis /


relate to relevant





any environment.



appropriately.


b 1. Derive an informative relevant history

within limited period of time and under stressful

situations as in cases of severely distressed child

and angry parents.

b 2. Assess causes and risk factors relevant to

the condition and identify when to focus history

on immediate life threatening acute conditions.

b 3. Formulate questions that help establish the

most appropriate diagnosis and differential

diagnosis relevant to the presenting acute

condition in the different pediatric age groups.

b 4. Conduct efficient focused examination that

provides clinical data helping to reach a correct

diagnosis.

b 5. Determine the appropriate investigations

whether laboratory or radiological relevant to the

acute condition present.

b 6. Utilize the different scoring systems to risk

stratify and prioritize the pediatric cases

presenting with acute conditions correctly.

b 7. conduct a focused informative examination

while resuscitating a pediatric patient.

b 8. Identify the investigations suitable to be

done during resuscitating a pediatric patient.





examination while




patients.

b 9. Outline a plan for observing the pediatric

cases after providing the first aid measures to

resuscitate them till they are dischareged,

referred to a pediatric care unit or to the

outpatient pediatric clinic.

C.Professional

and Practical

Skills









acutely ill patient




Support (Adult and

Pediatric) and knowing how


arrest with ROSC (Return

of Spontaneous

Circulation).








plans.


c 1. Distinguish high risk pediatric cases from

the low risk ones using efficient risk scores,

presenting risk factors and aided by the

abnormal results of any of the investigations

done.

c 2. Discuss the prognosis of the current

presenting acute lifethreatening pediatric

condition and predict the current outcome and

future risk based on the clinical findings, risk

factors, investigations done and response to

treatment.

c 3. Decide the correct time and urge to conduct

advanced pediatric life support.

c 4. Explain and do all the maneuvers and

procedures required for pediatric life support

correctly and professionally.

c 5. Conduct a plan for follow up, monitoring

and management of severely ill resuscitated

pediatric cases after the ROSC and till their

referral to a higher level of care in the pediatric

critical care unit.

c 6. Arrange for follow up of the severely ill

pediatric case after the various interventions

done to him in the emergency room.


management and



c 7. Construct efficient comprehensive report

including the patient’s status, the management

and the interventions that were done, the results

of all his laboratory and imaging investigations,

the recommended further management and the

reason for referral.

D. General

Skills




recipient colleague on



encourage effective






communication.






emergencies.


d 1. Appraise the value of efficient

comprehensive reporting when referring a

patient within the same institute or to another

institute.

d 2. Conduct effective communication between

him and the parents of his pediatric patient,

listen carefully, and show sympathy on breaking

bad news.

d 3. Identify the value of effective

communication in obtaining a comprehensive

history and defining risk factors which help

formulating an appropriate diagnosis and

differential diagnosis.

d 4. Upgrade the knowledge about the advances

in managing pediatric emergencies and pediatric

life support by continuous reviewing of the

literature, clinical guidelines and eveidence

based medicine.



Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

1. Convulsions, coma, limbing

2. Diarrhea, vomiting and

dehydration

3. Jaundice

4. Abdominal pain

5. Chest pain

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

6. Dyspnea, respiratory distress and

stridor, bronchial asthma

7. Fever

8. Acute oedema

9. Anuria, polyuria and haematuria

10. Shock and anaphylaxis

11. Bleeding (traumatic and non-

traumatic)

12. GIT bleeding

13. Haemoptysis

14. Joint pains

15. Diabetic ketoacidosis

16. Neonatal emergencies

17. Blood transfusion

18. Fluid therapy

19. O2 therapy

20. Antibiotic therapy

21. Antipyretic therapy

22. Anticoagulants therapy

23. Haemostatic therapy

24. Pain killers

25. Acid base management

26. Electrolytes management

27. Inhalational therapy

28. CT scan and MRI in paediatrics

29. Immunization

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

Please check (✓) the appropriate method

Student Assessment



Case OSCE/OSPE


Others


Mid-term %

End of term 100 %


Written Exam 70 %

Written practical comments %

Assignment 20 %



Lecture Notes

Course Text Books

Tintinalli text book of emergency medicine

Nilson’s text book of paediatrics



Course Instructor

Name: Prof. Dr Mohamed Dauod Signature:

Program Coordinator


Program Director


(✓)

(✓)

(✓)



Faculty: Medicine

Department: Department of emergency medicine .

Course Information


Advanced clinical toxicology

Program in which the Course is Given: MD degree of emergency medicine


Course Aims

By the end of this course the candidate should be able to diagnose and manage a wide range of toxicological

emergencies that are frequently and infrequently encountered in the emergency department with special

emphasis on the life threatening emergencies.



matrix) Course ILOs

A. Knowledge

and

Understanding

A8. Identify and manage the acute

life threatening toxicological

conditions recognize and manage

the less common rare presentations

for toxicological emergencies.

A9.Rapid recognition of acute life-

threatening conditions and discuss

the most likely diagnoses whether

medical surgical, traumatic or

toxicological .


a 1. Identify and outline the first aid

management plan for the acute life threatening

toxicological conditions due to common and

uncommon toxicological cases

a 2. Describe the specific antidotes for the acute

toxicological cases and their correct doses.

a 3. Identify and manage the less common rare

presentations for acute toxicological

emergencies

a4. Discuss the management of the different

toxicological cases due to the different

pharmacological agents especially for the drugs

with narrow therapeutic window.

a 5. Identify life threatening toxicological

emergencies and commence the appropriate life

support measures according to the most recent

guidelines

0.5hr 1.5 hr

B. Intellectual

skills

B2. Analyze data obtained from

clinical interview.

B3. Focus accurately questioning to

establish working diagnosis /

differential diagnosis and relate to

relevant examination, investigation




environment.



the suspected acute intoxication condition and

identify when to focus history on immediate

lifethreatening acute conditions.

b 2. Focus the history on immediate life

threatening acute toxicological conditions

relevant to the current situation

b 3. Develop working diagnosis / differential

diagnosis related to the relevant history and

laboratory investigations for acute intoxication

b 4. Develop management plan in most acute

and common chronic toxicological conditions in

almost any environment

C.Professional

and Practical

Skills

C5. Perform competently and

professionally all advanced life

supporting measures in acute life

threatening medical, surgical ,

traumatic and toxicological

emergency situations to both adults

and pediatric groups.


c.1 Conduct competently and professionally all

advanced life supporting measures in acute life

threatening toxicologic emergencies.

c2. Outline a management plan for the

toxicologic emergencies in both adults and

pediatric groups.

D. General

Skills

D9. Continuously upgrade the

knowledge, skills and professional

performance in management of

patients with acute life threatening

emergencies.

d.1 Upgrade the knowledge, skills and

professional performance in management of

patients with acute life threatening toxicological

emergencies according to the most recent

guidelines emergencies and evidence based

medicine.



problems.





Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

1. General managent of poisoned

patient

(✓) (✓)

2. Psychotropic drugs:

a. TCA (✓) (✓)

b. Newer antidepressants

and serotonin syndrome

(✓) (✓)

c. MAOI (✓) (✓)

d. Lithium (✓) (✓)

3. NSAIDS (✓)

4. Analgesic anti pyretic:

Salicylates, Acetaminophen

(✓)

5. Sedatives hypnotics:

a. Barbiturates (✓) (✓)

b. Benzodiazepines (✓) (✓)

c. Non benzodiazepines (✓) (✓)

d. Alcohols (✓) (✓)

6. Narcotics: Opioids (✓) (✓)

7. CNS stimulants:

a. cocaine,

b. amphetamines,

c. caffeine,

d. nicotine,

e. Theophylline

(✓) (✓)

8. Hallucinogens (✓)

9. Cardiotoxic drugs:

a. Digitalis (✓)

b. Anti-hypertensive: Beta

blockers, ca channel

blockers

(✓)

10. Anti epileptics: Phenytoin (✓) (✓)

11. Anti tuberculous drugs (✓) (✓)

12. Anti parkinsonian drugs (✓) (✓)

13. Hydrocarbons, volatile

substances: Cyanide

(✓)

14. Caustics (✓) (✓)

15. Insecticides (✓) (✓)

16. Anticholinergics (✓)

17. Vitamins and herbals (✓)

18. Dyshaemoglobinemias (✓)

19. Hypoglycemic agents (✓)

20. Electrolyte imbalance. (✓)

21. Acid- base disturbance (✓)

22. Rhabdomyolysis (✓)

23. Disseminated intravascular

coagulopathy

(✓)

24. Cerebral, pulmonary edema. (✓)

25. Toxicology in pediatrics. (✓)

26. Toxicology in geriatrics. (✓)


Student Assessment



Case OSCE/OSPE


Others


Mid-term 0 %

End of term 100 %


Written Exam 70 %


Assignment 10 %



Lecture Notes

To be provided by the staff members responsible

for the course

Course Text Books

Tintinalli J, Stapczynski J. Tintinalli's Emergency

Medicine: A Comprehensive Study Guide,

Seventh Edition.2010.

Goldfrank LR, Flomenbaum N E. Toxicologic

Emergencies (7th Edition). 2005.


http://sis.nlm.nih.gov/enviro.html


Course Instructor

Name: Prof Dr Hoda Fouad Abdel- Salam Signature:

Program Coordinator:

Name: Prof Dr Salah Eltahan Signature:

Program Director Name: Prof Dr Habashi Abdel- Basset Signature:

(✓)

(✓)

(✓)

(✓)

(✓)

http://sis.nlm.nih.gov/enviro.html



Faculty: Medicine

Department: Emergency department

Course Information

Course Code: 05100903 Course Name: Administration & planning in




Course Aims

By the end of this course the candidate should be able to put an efficient administrative plan for the

emergency department and be able to lead the emergency team in various situations.



matrix) Course ILOs

A. Knowledge

and

Understanding

• A11. Identify the

international principles,

guidelines and definitions

of emergency department

planning and disaster

management strategies


a1 Identify the international guidelines for

administration and management in the

emergency department.

a2 Define and plan for emergency

department management in cases of

mass accidents

B. Intellectual

skills

• B10. Construct a concise

problems list and develop

action plans while

recognizing expert advice,

up to date guidelines and

algorithms.


b1 Describe how to generate a hypothesis

and verify it

b2 Utilize the different statistical

methodologies and their calculations.

b3 Calculate the different risks such as

relative and absolute risks.

1hr

• B11. Generate a hypotheses

and knowing how to test,

refine and verify this

hypotheses.


statistical methodologies,

studies and their

interpretation.

b4 Define the different statistical terms

such as predictive value, sensitivity and

specificity …etc. together with their use

in different clinical contexts, scientific

researches and clinical surveys.

C. Professional

and Practical

Skills

• C1.Carry out the



time.





whatever.


management and




efficient reporting and

monitor the process of

adequate complete

reporting.


c1 Manage the patients in the emergency

department even in the most crowded

times.

c2 Identify the value of time and be able to

efficiently triage his patients and

manage more than one patient at the

same time following a predetermined

plan.

c3 Describe efficient complete reporting

for the patient’s status including all the

interventions and management plan in a

full comprehensive manner.

c4 Appraise the value of efficient and

complete reporting of all events in the

patient management especially in the

medico legal conditions such as abuse

and trauma.

D. General

Skills


team, work as team leader

and manage the conflicts

between team members

appropriately, ensure

confidentiality when talking

with any team member and

implement an open

transparent communication

in a respectful supportive

environment between team

members.

• D7. Use different

interpersonal


d1 Lead a team.

d2 Respect the confidentiality of team

members and patients

d3 Discuss the conflicts wisely and in a

respectable supportive manner

d4 Utilize the advances in information

technology relevant to practice in the


d5 D 5. Utilize the advances in information

technology in teaching the junior staff

and improving the patients’ management


information technology to

teach and upgrade the

knowledge of the junior

staff in emergency medicine



telemedicine to facilitate

and improve emergency

room work and

management






emergencies

d6 Use the advances in information

technology and telemedicine in

facilitating communication between the

different institutes and in the efficient

patient’s referral

d7 Upgrade continuously his knowledge,

skills, and professional performance in

the administration of the emergency

department.

d 8. continuously upgrade his knowledge on

the advances in the modalities and

techniques in the field of acute medicine.

d 9. Use online resources to collect valid

updated knowledge that helps in solving

patient’s problems.

d 10. Use information from different sources

based on best evidence & best practice.



Lectures self

learning

Professional /

Clinical

Small

group

discussion

Others

1. International guidelines for

administration and management in

the emergency department

(✓)

2. Plan for emergency department

management in cases of mass

accidents

(✓) (✓)

3. Root cause analysis in Emergency

Department

(✓) (✓)

4. Risk management in Emergency

Department

(✓)

5. Emergency department in the

most crowded times

(✓)

6. Triage in emergency department (✓)

7. Documentation and Efficient

reporting in the emergency

department

(✓)

8. Team leading in emergency

department

(✓) (✓)

9. Medical and health informatics in


(✓) (✓)


Student Assessment



Case OSCE/OSPE


Others


Mid-term %

End of term 100 %


Written Exam 70 %


Assignment 30 %



Lecture Notes

(✓)

Course Text Books

Managing Emergency Demand in Public

Hospitals



Risk Management in Emergency Department

ER database management

Course Instructor

Nam: Prof. Dr Tarek Omar Signature:

Program Coordinator

Name: Prof Dr Salah Eltahan Signature:

Program Director

Name: Prof. Dr Habashi Abdelbasset Signature:

(✓)

(✓)



Faculty: Medicine


Course Information


Disaster management

Program in which the Course is Given: MD degree of emergency medicine


Course Aims

By the end of this course the candidate should be able to plan and manage the emergency department in

cases of mass accidents and disasters



matrix) Course ILOs

A. Knowledge

and

Understanding

• A11.Identify the

international principles,

guidelines and definitions

of emergency department

planning and disaster

management strategies

The candidate should be able to :

a 1. Identify how to manage the emergency

department in cases of disasters using the

international guidelines for mass disaster

management

B. Intellectual

skills

• B11. Generate a hypotheses

and knowing how to test

refine and verify this

hypotheses


statistical methodologies

,studies and their

interpretation.


b 1. Generate a hypothesis and verify it

b 2. Calculate the different statistical risks and

correctly analyze the different statistical

measures to define the outcomes of mass

disasters.

b 3. Discuss the value of the different statistical

results and define statistical errors and their

impacts.

1hr

C.Professional

and Practical

Skills




time











whatever.


c 1.Triage his patients correctly in cases of mass

accidents

c 2. Manage more than one case at a time

efficiently

c 3. Appraise the value of time

c4. Organize and lead the team and manage the

workload in the most crowded situations using

the available resources and man power.

D. General

Skills

• D6.Demonstrate

professional ability to

manage situations and

events unique to the

practice of emergency

medicine.

• D7. Use different

interpersonal


information technology to

teach and upgrade the

knowledge of the junior

staff in emergency medicine



telemedicine to facilitate

and improve emergency

room work and

management


d 1. Demonstrate professional ability in

managing mass accidents and disasters

d 2.Communicate efficiently in cases of mass

accidents using advance in information

technology and telemedicine.

d 3. Upgrade the knowledge of the junior staff in

the emergency medicine about how to manage

mass accidents and deal with disasters

appropriately.

d 4. Use the advances in telemedicine to

facilitate the communication between different

institutes and within the same institute to

facilitate mass disaster management.






emergencies

d 5. Upgrade the knowledge and skills for

managing mass disasters not only for the team

leader but also for all the personnel involved in

health care service supplementation during mass

disasters.



Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

(✓)


Student Assessment



Case OSCE/OSPE


Others


Mid-term %

End of term 100 %


Written Exam %


Assignment %


(✓)

(✓)


Lecture Notes

Course Text Books



Course Instructor

Name: Prof. Dr Nermeen Fouda Signature:

Program Coordinator


Program Director

Name: Prof. Dr Habashi Abdebasset Signature:



Faculty: Medicine


Course Information

Course Code: 053109100 Course Name: Imaging for emergency medicine II

Program in which the Course is Given: MD degree of Emergency Medicine.

Number of Credit Hours: 1 Theoretical Clinical/Practical

Course Aims

By the end of this course the candidate should :

• Upgrade the knowledge as regards the field of radio-diagnosis in emergency conditions

• Establish an imaging work up for common and uncommon emergencies.



matrix) Course ILOs

A. Knowledge

and

Understanding






a1. Discuss normal radiological anatomy of head

and neck in various imaging modalities.

a2. Describe normal radiological anatomy of

chest and mediastinum in various imaging

modalities

a3. Mention radiological anatomy of the

abdomen and pelvis on various imaging

modalities

a4. Discuss radiological anatomy of the

musculoskeletal system on various imaging

modalities.

a5. Describe abnormal imaging findings in acute

life-threatening emergency conditions in various

imaging modalities (U/S, CT scans, MRI)

1/2 1/2

a 6. Define the role of the various imaging

modalities in the different acute lifethreatening

emergency conditions.

a 7. State the indications for and

contraindications of the various imaging

techniques relevant to the emergency practice.

B. Intellectual

skills



adjuncts to basic

examination e.g.


ultrasound.


b 1. Interpret the indications and values of the

different imaging modalities in different acute

life-threatening emergency conditions.

b 2. Correlate between the clinical findings and

the imaging findings in different acute life-

threatening emergencies.

b 3. Create proper management algorithm by

integrating the clinical, lab and imaging results

altogether.

b 4. Decide the proper imaging study to establish

the patient’s diagnosis.

C.Professional

and Practical

Skills

• C 20.Demonstrate the

clinical data and outline the

radiological and laboratory

investigations relevant to

the patient’s condition.


c 1.Appraise the value of ultrasound in the

invasive procedures done frequently in the

emergency department such as ultrasound

guided central line insertion.

c 2. Suggest the next appropriate imaging step

relevant to the patient’s condition and available

clinical data.

c 3. Integrate the clinical data obtained from

history and examination with the results of the

various imaging techniques in order to reach a

proper diagnosis relevant to the patient’s

condition.

D. General

Skills






emergencies.


d 1. continuously upgrade his knowledge on the

advances in the current available and new

imaging modalities and techniques in the field

of acute medicine.



problems.





Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

Trauma protocols ✓ ✓

Neuro-emergencies ✓ ✓

Chest emergencies ✓ ✓

Traumatic and non traumatic abdominal

emergencies

✓ ✓

Gynecological emergencies ✓ ✓

Head and Neck emergencies ✓ ✓

Traumatic fractures and dislocations ✓ ✓

Pediatric emergencies ✓ ✓


Student Assessment



Case OSCE/OSPE


Others


Mid-term %

End of term 100 %


Written Exam 70 %


Assignment %


(✓)

(✓)


Lecture Notes

(✓)

Course Text Books

Peter Armstrong : A Concise Textbook of

Radiology



Radiology

http://radiology.rsna.org

Radiographics.

http://radiographics.rsna.org

Course Instructor

Name: Prof. Dr Ashraf Ettaby Signature:

Program Coordinator


Program Director

Name: Prof Dr Habashi Abdel-Baset Signature:



Faculty: Medicine


Course Information





Course Aims

By the end of the course, candidate should have sufficient knowledge about the diagnosis and management

of acute cardiac conditions such as Acute Coronary Syndromes (ACS), life threatening arrhythmias,

hypertensive urgencies and emergencies, basic echocardiography,….etc., and should also be able to obtain

sufficient echo images in acute cases



matrix) Course ILOs

A. Knowledge

and

Understanding


factors and patho-


uncommon and serious life



and children.

• A4.Identify the suitable




pain management


a 1. Discuss the pathophysiology, aetiology of

uncommon life threatening cardiac emergencies

leading to cardiac arrest or serious

haemodynamic consequences, such as in cases

of life threatening arrhythmias, various

aetiologies leading to myocardial ischemia and

dysfunction, and heart failure.

a 2. Describe the management of the different

serious acute life threatening cardiac conditions

such as acute coronary syndromes, cardiac

arrhythmias, cardiogenic shock,…..etc.

a 3. Identify serious drug interactions, prescribe

the correct doses, look for the side effects and

manage them.

a 4. Decide which drugs requiring therapeutic

monitoring and how to monitor them, when

exactly should he stop the drug.

1 1/2 1 1/2


therapeutic drug






and metabolism

• A7.Describe relevant drug

therapy for the acute

condition diagnosed on

evidence based basis and

beware of the role

regulatory agencies

involved in drug use,

monitoring and licensing

(e.g. National Institute for

Clinical Excellence (NICE),






conditions and identify the


whether medical


toxicological .

a 5.List the licensed relevant safe drugs

recommended by trusted institutions and with

high level of evidence using evidence based

medicine.

a 6. Determine reversible causes of various

lifethreatening cardiac emergencies such as the

various types of arrhythmias secondary to

electrolyte disturbances.

B. Intellectual

skills


to take a focused



and under difficult








working diagnosis /


relate to relevant





any environment.



appropriately



adjuncts to basic

examination e.g.


ultrasound.



patients


b 1. Conduct focused meanwhile detailed history

from the patient or his relatives in a short time

and under any conditions such as in severely ill

or distressed patient, and in crowded times.

b 2. Analyze the clinical history and identify

causes and risk factors relevant to the condition

and identifies when to focus history on


b 3. Suggest a provisional diagnosis, differential

diagnosis and plan for management for the

current serious cardiac condition.

b 4. Prioritize and risk stratify his cardiac

patients using the available risk stratifications

and risk calculators such as the TIMI risk score

and the GRACE calculator.

b 5. Analyze the indications and values of the

various cardiac imaging modalities such as

echocardiography, multislice CT angiography,

coronary angiography.

B8. Decide the patient’s destiny

whether discharge, referral to a

highr level of care or observation in

a Clinical Decision Unit (CDU)

B9. Conduct frequent follow up for

patients in CDU for change in risk

stratification.

b 6. Evaluate the indications and values of

observing patients in Clinical Decision Units

(CDU)

b 7. Decide correctly when to discharge the

patient home, keep him under observation in a

CDU or refer him to higher level care such as in

the Cardiology Care Unit (CCU)

C.Professional

and Practical

Skills




time



acutely ill patient


• C15. Obtain adequate

echocardiographic and US

(FAST) images and Can

interpret accurately in the

clinical setting








plans.


c 1. Prioritize his patients and manage more than

one case at the same timeespecially in crowded

times and when there is more than one unstable

case.

c 2. Suggest the future prognosis of the seriously

ill cardiac patients, and should have sufficient

knowledge regarding the treatments to improve

the prognosis if there are any.

c 3. Obtain and interpret correctly

echocardiogr\aphic images especially in the

acute seriously ill cases.

c 4. Plan for follow up of patients outcomes after

the various interventions and treatments received

in the emergency room and whether they

improved or deteriorated the patients outcome

D. General

Skills


team, work as team leader.

D4. Ensure the presence of





The candidate should :


members appropriately,ensure confidentiality




team members.


encourage effective






communication.






emergencies

d 2. Guarantee the confidentiality of his

colleagues and patients.

d 3. Write efficient and accurate referral letters if

he decided to transfer his patient to another

institute or another department in his institute.

d 4. Show sympathy to his patients and

colleagues and be a good listener.

d 5. Update his knowledge and frequently revise

the newest guidelines and evidences.



Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

1-Hypertensive crisis

2-Syncope

3-Cardiogenic shock

4-Tachyarrhythmias, cardioversion &

defibrillation

5-Bradyarrhythmias & pacemakers

6-Valvular emergencies,infective

endocarditis & prosthetic valve

dysfunction

7-Acute coronary syndrome

8-Acute pulmonary embolism

9-Aortic dissection

10-Acute heart failure

11-Cardiac tamponade,myocarditis,

cardiomyopathy

12-cardiac imaging modalities in ER

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)


Student Assessment



Case OSCE/OSPE


Others


Mid-term %

End of term 100 %


Written Exam 70 %


Assignment 10 %



Lecture Notes

Course Text Books

• Tintinalli’s emergency medicine



Common Stem (ACCS CT1-3 ) & Higher Specialty Training (ST4-

6) june 2010.(http://www.collemergencymed.ac.uk/Training-

Exams/Curriculum/Curriculum%20from%20August%202010/ ).



others

Course Instructor


Program Coordinator


Program Director Name: Prof. Dr Habashi Abdel- Basset Signature:

(✓)

(✓) (✓)



Faculty: Medicine

Department: Department of Emergency Medicine

Course Information

Course Code: 051509100 Course Name: Advanced internal medicine for

emergency medicine



Course Aims

By the end of this course the candidate should be able to identify and manage most of the acute life

threatening emergencies in the fields of nephrology, hematology and oncology, hepatology and

gastroenterology, endocrinology, metabolism and non- traumatic musculoskeletal diseases (rheumatology).



matrix) Course ILOs

A. Knowledge

and

Understanding

• A2. Discuss the








emergencies.


factors and patho-


uncommon and serious life-



and children.


a 1. Explain the patho-physiology of the

different acute life threatening medical

emergencies in the different systems such as

acute renal dysfunction, endocrinal emergencies,

hematological emergencies, electrolyte disorders

and metabolic disturbances leading to life

threatening conditions.

a 2. Determine the different drugs and doses that

can be used in acute life threatening medical

emergencies.

a 3. Identify drug- drug interactions and avoid

toxic drug combinations.

a 4. Determine the drugs requiring frequent

monitoring and those with narrow therapeutic

margin, the method of their monitoring and the

management required if they exceeded their

therapeutic level.

1 2





pain management.


therapeutic drug






and metabolism.





whether medical,


toxicological .

a 5. Decide the acute lifethreatening medical

conditions and discuss the system(s) probably

affected, define the most appropriate diagnosis

and differential diagnosis relevant to the current

acute condition.

B. Intellectual

skills


to take a focused



and under difficult







b 1. Obtain a focused informative history within

limited time and in difficult situations such as in

the severely ill patient, crowded environment

and angry relatives.




b 3. Formulate questions that help identify the

causes and risk factors for the presenting acute

medical condition, define the most probable

diagnosis and differential diagnosis relevant to

the condition.



working diagnosis /


relate to relevant





any environment.



patients.

• B8. Decide the patient’s

destiny whether discharge,

referral to a highr level of

care or observation in a

Clinical Decision Unit

(CDU).

• B9. Conduct frequent

follow up for patients in

CDU for change in risk

stratification.

b 4. Develop a plan for observing patients at

high risk to develop further complications

secondary to their acute life threatening medical

condition.

b 5. Assess high risk patients and admit them to

the appropriate clinical decision unit.

b 6. Decide the patient’s destiny, whether to be

discharged and follow up in the outpatient clinic,

admitted for a period of observation in a CDU,

or referred to a higher level of care such as in the

critical care unit.

C.Professional

and Practical

Skills




time.











whatever.

•


c 1. Conduct efficient management of more than

one patient at a time as in cases of crowded

hours in the emergency department or in cases of

mass accidents.

c 2. Distinguish the high reisk from low risk

patients based on the history, risk factors,

clinical examination and investigations done.

c 3. Decide the urge to commence life support

measures before completion of the history and

examination.

c 4. Appraise the value of time, organize the

emergency team and define the roles so that

there is no duplication of efforts and there is

good management of the workload.



acutely ill patient



management and



c 5. Discuss the prognosis, the current and future

outcome based on the history, risk factors,

clinical data and investigations available.

c 6. Outline the plan and frequency of further

follow up after discharge from the emergency

department and define the physician or institute

responsible for follow up.

c 7. Construct comprehensive detailed reports

including all the history and management of the

presenting acute medical condition whether the

patient is discharged or referred to another unit

inside or outside the institute.

C8. Conduct efficient follow up for the patient’s

outcome after the various treatments and

maneuvers done in the emergency department.

D. General

Skills




recipient colleague on



encourage effective






communication.






emergencies.


d 1. Appraise the value of comprehensive

detailed referral letters that include all the

patient’s data on referring the patient inside or

outside the institute.

d 3. Conduct effective communication and listen

carefully.

d 4. Identify the value of effective

communication in obtaining accurate history and

defining the risk factors related to the patient’s

current acute medical condition.

d 5. Express sympathy to the patient and his

relatives on breaking bad news.

d 6. Upgrade the knowledge concerned with

acute medical emergencies continuously by

reviewing the literature, updates in the clinical

guidelines and evidence based medicine.



Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

1. Diabetic emergencies

2. Endocrinal emergencies:

a. Thyroid gland dysfunction

b. Suprerenal gland dysfunction

c. Pituitary dysfunction

3. Electrolyte disturbances

4. Nephrological emergencies

5. Haematological emergencies

6. Hepatic emergencies

7. Rheumatologic emergencies

8. GIT emergencies

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)


Student Assessment



Case OSCE/OSPE


Others


Mid-term %

End of term 100 %


Written Exam 70 %


Assignment 10 %


(✓)

(✓)

(✓)

✓


Lecture Notes

(✓)

Course Text Books

Rosen’s emergency medicine

Tintinalli text book of emergency medicine



Course Instructor

Name: Prof. Dr Signature:

Program Coordinator


Program Director




Faculty: Medicine

Department: Department of emergency medicine

Course Information


Advanced neuropsychiatry course for emergency

MD.

Program in which the Course is Given: MD degree of Emergency medicine

Number of Credit Hours: 2 Theoretical Clinical/Practical

Course Aims

By the end of this course the candidate should be able to discuss and manage the different neurological and

psychiatric emergencies commonly encountered in the emergency department.



matrix) Course ILOs

A. Knowledge

and

Understanding

• A14. Identify and manage

life threatening

neuropsychiatric

emergencies.


a 1. Diagnose and manage acute life threatening

neurologic conditions such as cerebrovascular

stroke, status epilepticus, Guillain Barre,

coma…etc.

a 2. Diagnose and provide the initial first aid

management for the acute life threatening

psychological and behavioral disorders.

B. Intellectual

skills





working diagnosis /


relate to relevant



b 1. Analyze causes and risk factors relevant to



b 3. Develop the most probable diagnosis and

differential diagnosis relevant to the condition.

b 4. Decide the appropriate laboratory and /or

radiological investigations relevant to the current

condition.

1 1




any environment.

b 5. Develop a plan for follow up after providing

the first aid management.

b 6. Decide if the patient will be discharged,

referred to another hospital concerned mainly

with neuropsychiatric emergencies or referred to

the neuropsychiatry clinic.

C.Professional

and Practical

Skills




time.









acutely ill patient


By the end of this course the candidate should be

able to:

c 1. Manage more than one acute case including

acute neuropsychiatric cases presenting to the

emergency room at a time by applying effective

risk stratifications and scores.

c 2. Utilize the risk factors of the patient

presenting to the emergency room in prioritizing

and risk stratifying the patients into high,

intermediate or low risks.

c 3. Decide the urge to commence resuscitation

before completion of history and examination as

for example: securing the obstructed airway of a

patient presenting with cerebrovascular accident

his Glasgow coma score less than 8, and is

aspirated.

c 4. Predict the prognosis of the patient after

providing the first aid measures in the

emergency room to relieve his current acute

neurological condition using the risk factors

already present and the results of clinical

examination and investigations together with the

response to treatment provided in the emergency

room.

D. General

Skills

• D2.Cooperate with the team

and work as team leader.



members appropriately, ensure confidentiality




team members.


encourage effective






communication.






emergencies.

d 2. Communicate efficiently with the patients

and their relatives, listen carefully to them in

order to obtain sufficient data to help you

manage the current acute patient’s condition.

d 3. Show sympathy to the patients and their

relatives on breaking bad news.

d 4. Upgrade your knowledge continuously,

review the updates in the clinical guidelines,

literature and evidence based medicine.



lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

Neurology:

1. How to examine

2. Cerebrovascular stroke

3. Headache

4. Epilepsy

5. Coma

6. Paraplegia

7. Neuropathy

8. Myopathy

Psychiatry:

1. How to examine

2. Neuroses

3. Psychosis

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)

(✓)


Student Assessment



Case OSCE/OSPE


Others


Mid-term %

End of term 100 %


Written Exam 80%

Written clinical comments 20%

Assignment %



Lecture Notes

Taken during the lecture

Course Text Books

Clinical Neurology, Merritt’s Neurology,

Comprehensive Psychiatry



American journal of Neurology/Psychiatry,

Neurology

Course Instructor

Name: Prof. Dr Mohamed Fouad Signature:

Program Coordinator


Program Director


(✓)

(✓)



Faculty: Medicine

Department: Department of emergency medicine

Course Information

Course Code: 050409100 Course Name: Advanced pulmonary emergencies

Program in which the Course is Given: Medical MD degree in emergency medicine


Course Aims

By the end of this course the candidate should have advanced knowledge about pathophysiology,

manifestations and management including the ventilator management of all emergencies in chest medicine

whether medical or secondary to trauma that are encountered in the emergency room.



matrix) Course ILOs

A. Knowledge

and

Understanding


factors and patho-


uncommon and serious life-



and children

• A4.identify the suitable




pain management.


a 1. Discuss the causes, risk factors and patho-

physiology of uncommon and serious

lifethreatening emergency conditions in both

adults and children either due to medical

conditions or secondary to trauma

a 2. Identify the suitable pharmacological drugs

to be used in acute life threatening pulmonology

emergencies whether medical or due to trauma.

a 3. Mention drugs requiring therapeutic drug

monitoring and interpret results and define the

effects of age, body size, organ dysfunction and

concurrent illness on drug distribution,

absorption and metabolism.

1 2


therapeutic drug






and metabolism





whether medical


toxicological.

a 4. Recognize of acute life-threatening

pulmonology conditions and identify the most

likely diagnoses of acute pulmonology cases.

a 5. Discuss the pathophysiology of both the

common and uncommon acute life threatening

pulmonolgy emergencies and describe the first

aid management for these cases whether medical

or ventilatory or both.

B. Intellectual

skills


to take a focused



and under difficult





from clinical interview



working diagnosis /


relate to relevant





any environment.


b1. take a focused informative relevant history

within limited time and under difficult

conditions for e.g. in severely ill patient or angry

distressed patient/ relative as in cases of acute

exacerbation of a chronic chest disease.

b 2.Assess causes and risk factors relevant to the

condition and identifies when to focus history on


b 3. Interpret different signs and symptoms to

establish provisional diagnosis / differential

diagnosis and relate to relevant

history,examination, investigation and

management plan in most acute and common

chronic pulmonology frequently encountered in

the emergency department.



patients.

b4. Develop an observational protocol for

patients especially the high risk ones after the

first aid management of their acute chest

condition using observational protocols.

C.Professional

and Practical

Skills

• C12. Decide critical

situations which require

ventilatory support.

• C13. Outline immediate

management options

including initiation of non-

invasive ventilation or

invasive mechanical

ventilation.








plans.


c 1. Identify the acute chest cases requiring

ventilator support.

c 2. List the indications and contraindications for

both invasive and non-invasive mechanical

ventilation, weaning from mechanical

ventilation, indications and timing of

tracheostomy in mechanically ventilated

patients.

c 3. Discuss the different modes of mechanical

ventilation, their indications and

contraindications.

c 4. Follow up the patient for improvement or

deterioration after the first aid provided for his

acute pulmonology condition in the emergency

department and further management is decided

accordingly.

D. General

Skills






emergencies.


d 1. Continuously upgrade the knowledge, skills

and professional performance in management of

patients acute life threatening pulmonology

emergencies and be up to date with the latest

clinical guidelines and evidence based medicine.



Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

1. Applied respiratory physiology

2. Respiratory failure

3. Mechanical ventilation

4. Pulmonary vascular diseases

5. Obstructive airway diseases

6. Sleep related breathing disorders

7. Interstitial lung diseases

8. Broncho-pulmonary infections

9. Diagnostic tools

10. Pleural emergencies

11. Inhalational lung diseases

12. Pulmonary imaging

✓

✓

✓

✓

✓

✓

✓

✓

✓

✓

✓

✓


Student Assessment



Case OSCE/OSPE


Others


Mid-term %

End of term 100 %


Written Exam 70 %


Assignment 10 %


✓

✓

✓ ✓

✓


Lecture Notes

√

Course Text Books



Course Instructor

Name: Prof. Dr Mahmoud Ibrahim Signature:

Program Coordinator

Name: Prof. Dr. Salah Eltahan Signature:

Program Director

Name: Prof. Dr. Habashi Abdel- Basset Signature:

university: alexandria faculty: medicine program ...€¢ academic reference standards of md degree...

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