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Course, academic year 2014/2015
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ERASMUS - Module of Surgery - CERA6P0058 (Surgery, Orthopaedics, Urology, Plastic Surgery, Burns Medicine, Neurosurgery, Cardiosurgery, Paediatrics Surgery)
Title: ERASMUS - Modul chirurgických oborů
Guaranteed by: Department of General Surgery 3FM CU and UHKV (12-CHIR)
Faculty: Third Faculty of Medicine
Actual: from 2014 to 2014
Semester: both
Points: 12
E-Credits: 12
Examination process:
Hours per week, examination: 0/210, C(+Ex) [HT]
Extent per academic year: 7 [weeks]
Capacity: winter:unknown / unknown (unknown)
summer:unknown / unknown (unknown)
Min. number of students: unlimited
4EU+: no
Virtual mobility / capacity: no
Key competences:  
State of the course: taught
Language: Czech
Teaching methods: full-time
Teaching methods: full-time
Level:  
Note: you can enroll for the course in winter and in summer semester
Guarantor: prof. MUDr. Robert Gürlich, CSc.
prof. MUDr. Martin Krbec, CSc.
Classification: Medicine > Clinical Overview
Attributes: Modul chirurgických oborů
Examination dates   Schedule   
Annotation -
Last update: Ondřej Kubánek (20.11.2012)
blok závěrečné praktické výuky a seminářů na klinikách chirurgických oborů Klinika popáleninové medicíny Students learn the basic difference between the extensive (major) and not extensive (minor) burns and all the factors important for estimating severity of burn injury (early and late prognosis). There is printed out significance of the prehospital care (transport, securing ventilation and oxygenation, analgesia and sedation, fluid replacement, urgent procedures. There are explained principles of burn wound care (indications and methods of conservative treatment, indications and methods of surgical procedures). There are indicated peculiarities of electricalinjuries(prognosis often dubious) - high voltage:resuscitation,cardiac complications,renal complications,neurologic complications,contacts and pathway of current - low voltage: risks related to contact - electrical arc: depth of burn wound,surgical treatment,late results. Specific features of chemiical (caustic) injuries and intoxication. Cold injuries:local (post bite),risks of general hypothermia Paediatric burns require different approach:in extimation prognosis(survival)in longtherm outcome(quality of life). Particularities of reconstructive surgery in burn scar deformities: - urgent procedures - surgery following physiotherapy (maturation of scars). Students learn to comprehend psychic derangement starting with the mechanism of injury and changing according to psychological care of burn team and of family background.
Aim of the course -
Last update: Ondřej Kubánek (20.11.2012)

Chirurgie

Completing of final state exam from surgery and its sub-branches.

Klinika popáleninové medicíny

Students get acquainted with the interdisciplinary approach to Burn Medicine, where the coordinating member of the burn team is the burn surgeon qualified in general surgery, in plastic surgery and specialized in Burn Medicine.

Literature -
Last update: Ondřej Kubánek (20.11.2012)

literatura

Klinika popáleninové medicíny

Herndon D. N., et al. Total Burn Care, 3rd edition. Saunders Published May 2007.

ISBN 1416032746 / 9781416032748, 880 Pages, 772 Illustrations

Teaching methods -
Last update: Ondřej Kubánek (20.11.2012)

Chirurgie

SE for English speaking students has only theoretical (verbal) part.

You practical skills and knowledges will be surveyed by your tutor

during whole practical training.

Klinika popáleninové medicíny

Seminars, lectures, practical training.
Requirements to the exam -
Last update: doc. MUDr. Rodomil Kostka, CSc. (09.03.2016)

Chirurgie
passing of practical training for five weeks (You'll work under your
assigned tutor supervision.)

- active participation on the announced seminaries

- sign up for SE on given days is possible through SIS (web aplication)

- in case of fail new terms are given according the Educational regulations




Klinika popáleninové medicíny
75% attendance in training. If not accomplished, there is an alternative of training according to individual agreement with the teacher.



Klinika ortopedicko-traumatologická

Master´s studies

3rd grade
Credit will be awarded:
1. upon completion of 80% of the prescribed course attendance and passing of the final test,
2. in case of failure to comply with this condition, upon completion of a substitute individual clinical internship agreed in advance with the head of the course.

4th grade
Colloquy (the so called sub-credit) will be awarded:
1. upon completion of both internships and one seminar,
2. in case of failure to comply with this condition, upon completion of a substitute individual clinical internship agreed in advance with the head of the course.

5th grade
Credit will be awarded:
1. upon completion of four internships, one internship in the sonographic outpatients department and a night duty,
2. one of the mentioned duties may be replaced by internship in the Department of Anthropology in the National Museum,
3. seminars are optional, participation in 6 of 30 seminars offered is recommended in the course of the whole academic year,
4. in case of failure to comply with this condition, upon completion of a substitute individual clinical internship agreed in advance with the head of the course.

6th grade
Colloquy (the so called sub-credit) will be awarded:
1. upon completion of 80% of the prescribed course attendance, seminars are optional,
2. in case of failure to comply with this condition, upon completion of a substitute individual clinical internship agreed in advance with the head of the course.
Syllabus -
Last update: Ondřej Kubánek (20.11.2012)

Chirurgie

Detailed informations are described in the section - educational

instruction for module of surgical branches

Klinika popáleninové medicíny

1.Essential difference between extensive and not extensive burn injury Estimation of factors determining

early outcome

late outcome

2.Prehospital management, transportation, emergency care : - airway issues, - carbon

monoxide intoxication, - release incisions (in deep circumferencial burn on neck), - fluid replacement, - relieve

of pain + anxiety (analgesia + sedation), - cooling in not extensive burns, cooling in extensive burns

3.Pathophysiology of burn shock : stress reaction, burn edema, hypovolemia, SIRS, MOFS

4.Burn wound care: - release incisions (extremity perfusion, chest expansion)

change of dressings

hydrotherapy

topical antibacterial creams

temporary wound coverage:skin substitutes (biologic,synthetic)

removal of necrotic tissues: necrolysis

necrectomy

permanent wound closure: autografting,

isografting

artificial skin (integra,dermagraft,alloderm)

5.Inhalation Injury: - pathophysiology

diagnosis: upper airways, lower airways

treatment: endotracheal intubation

tracheostomy

complications (early, late)

6.Electrical injury: - pathophysiology (electrical field - electroporation + Joule effect)

diagnosis: voltage, cardiac arrest + EKG,loss of conciousness,pigmenturia,X-ray (scull,chest,spine,long bones,

pelvis)

7.Cold-induced injury: frostbite: - pathophysiology

classification

treatment

8.Chemical injury: - mechanisms of action

chemical classes (acids,bases,organic compounds inorganic agents)

9.Hypertrophic scars + keloids: - characteristics + evaluation

compression therapy: elastic pressure

rigid pressure

silicone gel sheets

steroids (Triamcinolone acetonide)

10.Reconstruction: - early (urgent) - periorbital region

perioral region + neck

late (after scar maturation) - hand

foot

trunc + genitalia

11.Child neglect,child abuse,Münchhausen syndrome by proxy

12.Pain response,psychiatric disorders

 
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