MEDI045

Principle of Anesthesia and Cardiopulmonary Resuscitation

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Course Title (Symbol and No.):              045 CMED

                                                     Basic Anesthesia & Resuscitation

Credit Hours:

Theoretical :                                           1

Tutorials & Practical:                                  3

Total:                                                  4

Content:

• Course Description
• Course Objectives
• Course Content
• Classification of the Course Grading & Evaluation

Course Description:

 

• The course deals with the Basic knowledge of anesthesia (general &local),patient assessment (preoperative visit), Medical problems & anesthesia, postoperative cardiac & respiratory emergencies, standard of care and monitoring in anesthesia and ICU and preparation for blood transfusion the students improve his Knowledge of the above topics by means of lectures, rotations in (OR), SICU and anesthesia clinic.
  The student will practice in skill lab. Technique lumber punctures and local anesthesia
• The course deals with the theory and practice of Basic and Advanced Cardiac Life support. All students will be certified in Basic Life Support (CPR) & Advanced Cardiac Life Support (ACLS). Oxygen therapy, use of airway adjuncts, endotracheal intubation and peripheral and central I.V cannulation will also be covered in ACLS course
• Other Resuscitative skills such as Tracheostomy, Pericardiocentesis, Thracocentesis, Intraosseouse cannulation ,suctioning, use of Rye tube, use of Foley catheter ,Mast suite and others will be covered by means of lectures and practice in skill lab.

 

Goal of Course:

To provide medical students with knowledge and skills in resuscitation of critical cases and the basic anesthesia.

Course Objectives:

 

• Scoop of Anesthesia.
• Recognition of Medical problems in anesthetic practice.
• Introduction to different techniques and practice in anesthetics including general and local anesthesia.
• Safety in operating theater and Recovery room
• Standard of care and monitoring in anesthesia
• Recognition of post-op chest and cardiac complications and its management.
• Learn basic patient care and monitoring in critical area.
• Recognition and taking prompt action to prevent or preclude the effects of shock.
• Recognition of basic information on fluid therapy and its use.
• Learn the basis of blood transfusion and its complications.
• Recognition, treat and follow-up Acute Coronary Syndrome
• Resuscitation of special situations such as
• Drowning, heat stroke, hypothermia and electric shock
• Be oriented about the work in the ICU & operating theatre.
• Learn how to use various types of airway adjuncts
• Procedures of endotracheal intubation.
• Learn how to introduce I.V. Cannulation peripherally &centrally.
• Be oriented in CPR training course of BLS & ACLS Provider. He/she will hold a valid certificate.
• Be oriented on crash cart & code procedures (cardiac emergency procedures).
• Learn proper application of the following resuscitative procedures:

1. * Oxygen administration via mask or nasal cannula
2. * Use of mechanical suction
3. * Preparation of blood transfusion
4. * Various route of drug administration
5. * Insertion of Ryle’s tube
6. *Treat of pneumothorax, cardiocenthesis, intraosseous cannulation
7. * Tracheostomy
8. * Venouse cut down, Lumber puncture, Tracheostomy and the use of mast suit

 

Course Content: 

A: Lectures:

 

• Shock , pathophysiology , types ,clinical pictures & management
• Transfusion of blood and its uses
• Preoperative visit, medical problems & anesthesia
• Scoop of anesthesia
• Safety in operating room and recovery room
• Post-operative chest and cardiac complications
• Standards of care and monitoring in anesthetic practices
• General and local anesthetics
• Environmental emergencies and Special Situations for resuscitations (heat exhaustion, heat stroke, hypothermia, toxic chemicals, drowning, electric shock etc.)
• Airway adjuncts & endotracheal intubations
• Peripheral and central I.V. Cannulation
• Orientation on basic work in I.C.U. & operating theatre.
• Acute coronary syndrome
• Arrhythmias & D.C Shock
• Emergency cardiac drugs (Pharmacology I & II)

 

B: Practical: 

1. Basic Life Support ( In CPR center)

 

Course Content:

 

• CPR Adults, Children & Infants
• The use of Barrier Devices
• The use of Automated External Defibrillator
• Foreign Body Obstructed Airway
• Audience: All Healthcare Provider Personnel
• Course Material: BLS Healthcare Provider
• Duration: 8 Hours
• Completion: Examination & Completion Card

2. Advanced Cardiac Life Support ( In CPR center)

Course Content:

• Fewer lectures. Acute Coronary Syndromes, Stroke, Airway Adjuncts & Intubation, Arrhythmias & Direct Current Shock, I.V. Cannulation and Devices to assist circulation.
• More practical using different scenarios
• 10 Core ACLS Cases:

1) Respiratory Arrest

2) Pulseless Ventricular Fibrillation/Ventricular Tachycardia (VF/VT) treated with an Automated External Defibrillator

3) VF/VT refractory to Initial Defibrillation

4) Pulseless Electrical Activity

5) Asystole

6) Acute Coronary Syndromes

7) Bradycardia

8) Stable Tachycardia

9) Unstable Tachycardia

• Oxygen administration via mask or nasal cannula
• Use of mechanical suction
• crash cart & code procedures

• Course Material: ACLS Textbook
• Duration: 24 Hours
• Completion: Examination & Completion Card

3. Other resuscitative procedures ( In Skill lab.)

• Insertion of Rye’s tube
• Insertion of foley’s catheter
• Treat of pneumothorax
• Cardiocenthesis
• Intraosseous cannulation
• Tracheostomy
• Venouse cut down
• Tracheostomy
• use of mast suit

4. Methods of Lumber puncture & local anesthesia (in Skill Lab.)

5. Rotation in

• Anesthesia clinic (preoperative visit)
• SICU (monitoring of critical patient)
• OR (Methods of anesthesia)

 

Detailed Scheduled of The Training Program:

 

FOR about 55 students in

TWO WEEKS

LECTURES TO ALL STUDENTS (55) EVERY DAY FROM 01:00 PM – 03:00 PM

EXCEPT THE LAST DAY (FOR WRITTEN EXAMINATION)

PRACTICE WILL BE FROM 08:00 AM – 01:00 PM

FOR PRACTICES THE ( 55) STUDENTS ARE DIVIDED TO 2 GROUPS

GROUP A

GROUP B

FIRST WEEK GROUP A 28 STUDENTS

• TAKE THE CPR COURSES (BASIC ONE DAY AND ACLS FOR THREE DAYS)
• EVALUATION FOR PRACTICE OF CPR WILL BE IN Wednesday FROM 08:00 AM - 12:00 PM

GROUP B 28 STUDENTS DIVIDED TO 2 SUBGROUPS

EACH SUBGROUP ABOUT (19) STUDENTS

(SATURDAY &SUNDAY)

B1 GO TO SKILL LAB

B2 GO TO OR-SICU-ANAETH.CLINIC

(MONDAY &TUESDAY)

B1 GO TO OR-SICU-ANAETH.CLINIC

B2 GO TO SKILL LAB

WEDESDAY (FROM 08:00 – 12:00) FOR EVALUATION

SECOND WEEK GROUP B 28 STUDENTS

• TAKE THE CPR COURSES (BASIC ONE DAY AND ACLS FOR THREE DAYS)
• EVALUATION FOR PRACTICE OF CPR WILL BE IN Wednesday FROM 08:00 AM - 12:00 PM

GROUP A 28 STUDENTS DIVIDED TO 2 SUBGROUPS

EACH SUBGROUP ABOUT (19) STUDENTS

(SATURDAY &SUNDAY)

A1 GO TO SKILL LAB

A2 GO TO OR-SICU-ANAETH.CLINIC

(MONDAY &TUESDAY)

A1 GO TO OR-SICU-ANAETH.CLINIC

A2 GO TO SKILL LAB

WEDESDAY (FROM 08:00 – 12:00) FOR EVALUATION

Grading is according to the University and College Policy:

 

SUMMER COURSE ASSESSMENT:

a.) Attendance                                     20

b.) CPR (Continuous Assessment)                    80

(BASIC & ACLS)

b.) Other resuscitative methods &                  100

Rotations in OR- SICU-Anesthesia clinic

c.) Final Examination                              100

                                                  ------

Total                                              300

 

Student must be courteous, honest and well-mannered during his/her rotation. A letter from the course organizer will be issued & should be presented to Director of the consenting institution to facilitate the training procedure