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Civil Defence in Catastrophic Medicine, Toxicology and First Aid
Study Course Description
Course Description Statuss:Approved
Course Description Version:2.00
Study Course Accepted:17.05.2024 18:21:55
| Study Course Information | |||||||||
| Course Code: | AURK_058 | LQF level: | Level 7 | ||||||
| Credit Points: | 2.67 | ECTS: | 4.00 | ||||||
| Branch of Science: | Clinical Medicine | Target Audience: | Pharmacy | ||||||
| Study Course Supervisor | |||||||||
| Course Supervisor: | Ieva Būce-Šatoba | ||||||||
| Study Course Implementer | |||||||||
| Structural Unit: | Department of Anaesthesiology and Intensive Care | ||||||||
| The Head of Structural Unit: | |||||||||
| Contacts: | Riga, 13 Pilsonu Street, VSIA P.Stradiņa KUS, Block No. 32, ark rsu[pnkts]lv, +371 67069452 | ||||||||
| Study Course Planning | |||||||||
| Full-Time - Semester No.1 | |||||||||
| Lectures (count) | 8 | Lecture Length (academic hours) | 2 | Total Contact Hours of Lectures | 16 | ||||
| Classes (count) | 6 | Class Length (academic hours) | 2 | Total Contact Hours of Classes | 12 | ||||
| Total Contact Hours | 28 | ||||||||
| Full-Time - Semester No.2 | |||||||||
| Lectures (count) | 0 | Lecture Length (academic hours) | 0 | Total Contact Hours of Lectures | 0 | ||||
| Classes (count) | 10 | Class Length (academic hours) | 2 | Total Contact Hours of Classes | 20 | ||||
| Total Contact Hours | 20 | ||||||||
| Study course description | |||||||||
| Preliminary Knowledge: | Prerequisites in courses acquired in previous years of study in human anatomy, physiology, pharmacology, therapy, and basic principles of health care organization are required. | ||||||||
| Objective: | To provide students with a basic understanding of: 1) the disaster medical system organizational framework and casualties care principles due to medical mass accidents and disasters; 2) medical care principles of acute intoxication (acute exogenous intoxication epidemiology, general considerations of toxycokinetics, toxycodynamics and treatment recommendations of the most urgent and toxic substances; 3) responding to emergency and life-threatening situations before the doctor's arrival. | ||||||||
| Topic Layout (Full-Time) | |||||||||
| No. | Topic | Type of Implementation | Number | Venue | |||||
| 1 | Organizational and clinical basics of disaster medicine: legislation, level of care, the organizer scheme forces engaged in medical care. Risk assessment, preparedness and risk reduction. Planning. Medical documentation. Civil alarm and notification systems - in country as a whole and in specific structural units. Procedure for requesting and providing international assistance. Action of an individual upon hearing an alarm. Possible means of personal protection. | Lectures | 1.00 | auditorium | |||||
| 2 | Radiological and chemical disasters, special features. Decontamination | Lectures | 1.00 | auditorium | |||||
| 3 | Protection and safety. Individual equipment of rescuers. Minimal lists of equipment, accessories and pharmaceuticals according to the medical care phase. | Lectures | 1.00 | auditorium | |||||
| 4 | Clinical toxicology and its place in the field of medicine, toxicological epidemiology. Potential contamination pathways and risk of toxic compounds. General considerations of toxycokinetics and toxycodynamics | Lectures | 1.00 | auditorium | |||||
| 5 | General treatment principles of acute poisoning, possible effects and prognosis. Extracorporeal elimination methods of toxic compounds. Antidotes and appropriate using of them. Methods of gastrointestinal decontamination and treatment protocol of GIT poisoning | Lectures | 1.00 | auditorium | |||||
| 6 | Hepatotoxicity and alcohol liver disease. Toxicity of household chemical products. Toxicological risks of nutritional supplements, and their interactions with medicines | Lectures | 1.00 | auditorium | |||||
| 7 | Toxicological risks for the woman and during the pregnancy. Addictive substances ("old" and "new"), including synthetic cannabinoids and nicotine | Lectures | 1.00 | auditorium | |||||
| 8 | Action principles of first aid provider at the accident site. Medical principles of survival in extreme environment. | Lectures | 1.00 | auditorium | |||||
| 9 | Casualties’ identification, assessment of the clinical status and primary assistance at the scene. Casualties triage groups. | Classes | 1.00 | clinical base | |||||
| 10 | Basic algorithm of life support. Airway management. First aid for choking. | Classes | 1.00 | clinical base | |||||
| 11 | Types of shock. Bleeding. Wounds. | Classes | 1.00 | clinical base | |||||
| 12 | Skeletal injuries. Victim immobilization and handling principles. Allergic reactions and anaphylaxis. Bites and stings. | Classes | 1.00 | clinical base | |||||
| 13 | Electric power and lightning injuries - first aid | Classes | 1.00 | clinical base | |||||
| 14 | Hypothermia and hyperthermia, local heat injuries (frostbite, burns) | Classes | 1.00 | clinical base | |||||
| 15 | Drowning - first aid. Acute respiratory failure. | Classes | 1.00 | clinical base | |||||
| 16 | Clinical toxicology, basic principles. | Classes | 1.00 | clinical base | |||||
| 17 | Specific substance toxicology (toxicological characteristic, toxycokinetics and toxycodynamics, the severity of toxicity, poisoning clinical manifestations and treatment recommendations) - ethanol and alcohol substitutes | Classes | 1.00 | clinical base | |||||
| 18 | Specific substance toxicology (toxicological characteristic, toxicokinetics and toxicodynamics, the severity of toxicity, poisoning clinical manifestations and treatment recommendations) - benzodiazepines, barbiturates, neuroleptics, antidepressants and antipsychotics. | Classes | 1.00 | auditorium | |||||
| 19 | Specific substance toxicology (toxicological characteristic, toxycokinetics and toxicodynamics, the severity of toxicity, poisoning clinical manifestations and treatment recommendations - calcium channel blockers, beta-blockers. | Classes | 1.00 | clinical base | |||||
| 20 | Specific substance toxicology (toxicological characteristic, toxycokinetics and toxicodynamics, the severity of toxicity, poisoning clinical manifestations and treatment recommendations) – CO and cyanides | Classes | 1.00 | clinical base | |||||
| 21 | Specific substance toxicology (toxicological characteristic, toxycokinetics and toxicodynamics, the severity of toxicity, poisoning clinical manifestations and treatment recommendations) - non-steroidal anti-inflammatory drugs, paracetamol | Classes | 1.00 | laboratory | |||||
| 22 | Specific substance toxicology (toxicological characteristic, toxycokinetics and toxicodynamics, the severity of toxicity, poisoning clinical manifestations and treatment recommendations) – corrosives (acids, alkalis, oxidizers), organic phosphorus compounds, carbamates | Classes | 1.00 | clinical base | |||||
| 23 | Specific substance toxicology (toxicological characteristic, toxycokinetics and toxicodynamics, the severity of toxicity, poisoning clinical manifestations and treatment recommendations) – toxic plants (mushrooms) | Classes | 1.00 | auditorium | |||||
| 24 | Specific substance toxicology (toxicological characteristic, toxycokinetics and toxicodynamics, the severity of toxicity, poisoning clinical manifestations and treatment recommendations) – antihypertensive and antidiabetic drugs | Classes | 1.00 | clinical base | |||||
| Assessment | |||||||||
| Unaided Work: | Preparing presentations using the recommended literature and Internet sources, following evaluation and analysis in practical lessons. In order to evaluate the quality of the study course as a whole, the student must fill out the study course evaluation questionnaire on the Student Portal. | ||||||||
| Assessment Criteria: | Multi-choice questionnaire test (evaluation criteria – more than 75% correct answers) and oral answers about course topics. | ||||||||
| Final Examination (Full-Time): | Exam (Written) | ||||||||
| Final Examination (Part-Time): | |||||||||
| Learning Outcomes | |||||||||
| Knowledge: | As a result of the study course acquisition students will acquire basic knowledge of the principles of disaster medical consequences, providing emergency assistance to as many victims as possible as soon as possible, following the principle of priority, as well as basic knowledge of clinical toxicology – toxicological kinetics, clinical opportunities and peculiarities, as well as gain knowledge in stopping bleeding, performing anti-shock measures, performing immobilization in cases of bone fractures, providing assistance in cases of burns, overheating and hypothermia. | ||||||||
| Skills: | Will be able to understand the health care system special features in emergency medical and public health situations, be able to assess the poisoned human health seriousness of the situation, will be able to carry out resuscitation – cardiopulmonary resuscitation measures (basic algorithms), will acquire skills in controlling bleeding, shock, immobilization performance of fracture, assistance provision of burns, frostbite, drowning, overheating, hypothermia and acute poisonings. | ||||||||
| Competencies: | Students will be able to use the acquired competence of: 1) functioning of health care system in emergency medical and emergency public health situations; 2) acute exogenous intoxication risk factors and epidemiology, immediate medical care of acute toxicological patient, linking it to the specific clinical situation; 3) the first aid in various emergency medical situations. | ||||||||
| Bibliography | |||||||||
| No. | Reference | ||||||||
| Required Reading | |||||||||
| 1 | Lekciju, praktisko nodarbību materiāli un E-studiju resursi. | ||||||||
| 2 | Toksikoloģijas rokasgrāmata. V.Liguts. Nacionālais medicīnas apgāds, Rīga, 2001. (akceptējams izdevums) | ||||||||
| 3 | Ekstremālā toksikoloģija. V.Liguts. Nacionālais Apgāds, Rīga, 2003. (akceptējams izdevums) | ||||||||
| 4 | European Resuscitation Council Guidelines for Resuscitation 2021. Resuscitation (Elsevier), 2021, 161 | ||||||||
| 5 | Ārvalstu studentiem/For international students | ||||||||
| 6 | European Resuscitation Council Guidelines for Resuscitation 2021. Resuscitation (Elsevier), 2021, 161 | ||||||||
| Additional Reading | |||||||||
| 1 | Klīniskā anestezioloģija un intensīvā terapija. I.Vanaga un A.Sondores redakcijā. Medicīnas Apgāds, 2017, 1295 lpp. | ||||||||
| 2 | V.Liguts. Intensīvās terapijas rokasgrāmata. Rīga: Medicīnas apgāds. 2008. | ||||||||
| 3 | First Aid Manual. Dorling Kindersley Limited, 2021 | ||||||||
| 4 | Ārvalstu studentiem/For international students | ||||||||
| 5 | First Aid Manual. Dorling Kindersley Limited, 2021 | ||||||||
| Other Information Sources | |||||||||
| 1 | http://www.ispub.com/journal/the-internet-journal-of-rescue… | ||||||||
| 2 | http://nlm.nih.gov | ||||||||
| 3 | http://www.esicm.org | ||||||||
| 4 | http://www.intensive.org | ||||||||
