Laurea Magistrale in Medicina e Chirurgia - sede di Torino

The aim of the following Integrated Course is to provide the student with the ability to make early diagnoses and simultaneously implement the most suitable treatment in the main clinical situations that jeopardize the survival of an entire organism or part of it. This objective will be sought through an approach based on problems with the main presenting symptoms or individual pathologies by applying a clinical methodology based on the primary and secondary evaluation of the patient and on the definition of severity classes in order to apply a precise diagnostic-therapeutic procedure, also in a multidisciplinary team.

At the end of this course the student should have learned the following topics:
‒ Emergency management
‒ Basic life support maneuvers
‒ Trauma (cranial, abdominal, thoracic, primary and secondary patient assessment)
‒ First aid management (etiology, diagnosis and treatment of the following conditions: shock, bleeding control, thoracic and abdominal trauma, abdominal surgical emergencies from occlusion, acute abdomen, bleeding)

Trauma emergencies:
• Approach to polytrauma;
• Thoracic trauma;
• Abdominal trauma;
• Vascular emergencies.

Medical and surgical emergencies:

Pneumological: Spontaneous pneumothorax

Gastroenterological:

• Digestive bleeding (diagnosis and treatment);
• Acute cholecystitis and bile duct gallstones
• Acute pancreatitis
• Acute abdomen and intestinal perforations, Acute Diverticulitis
• Intestinal obstruction and pseudo-obstruction

Lectures on the above topics illustrating the theory of matter

Online clinical case modules illustrating realistic examples with animations of thoracic and/or abdominal traumas useful for the practical management of the most common emergency / urgency clinical situations

The exam includes a written test for Anesthesia-Surgery-Orthopedics carried out through a computerized test with multiple-choice quizzes.
The multiple-choice test is composed of:
- 15 Anesthesia questions
- 15 Surgery questions
- 15 Orthopedics questions,
Each has 4 or 5 possible answers, of which only 1 is correct.
Each correct answer is awarded 2 points. There is no penalty for incorrect answers.
Each partial grade is therefore expressed in thirtieths.
The Emergency Medicine test includes a written assignment discussing a clinical Emergency Medicine case. In it, you will be asked to specify the diagnostic hypotheses, the diagnostic procedure, and the indicated treatment. The evaluation of the test will be expressed in thirtieths.
For the final calculation of the overall grade out of thirtieths, the average of the grades in the individual exam tests is taken into account, normalized by the CFU attributed to the different modules: Internal Medicine 2 CFU, Anesthesia, Surgery and Orthopedics 1 CFU each.

The teacher is available for any individual explanation during the weekly office hours.

Direct learning can be integrated with further frequency in the ward / Emergency Department.