Medical and Pre-hospital Emergencies
Code: 102904Credits: 3
| Degree programme | Type | Course |
|---|---|---|
| Medicine | OP | 6 |
Contact lecturer
- Name :
- Iria Sanles Gonzalez
- Email :
- iria.sanles@uab.cat
Teaching staff
- José Ignacio Ferro Alem
- Mireia Puig Campmany
- María Arranz Betegón
Group languages
You can consult this information at the end of the document.
Prerequisites
- It is necessary that the student has basic clinical knowledge of medical and surgical pathology, and general hospital functioning.
- The student will acquire the commitment of preserving the confidentiality and professional secrecy of the data to which he / she may have access due to the learning in the assistance services. Also to maintain an attitude of professional ethics in all its actions.
Objectives
This is an optional subject linked to the mention of Clinical Medicine, taught in the sixth year of the Degree in Medicine. The general objective is the basic knowledge of the organization of the Emergency system and the clinical action guidelines for urgent processes, mainly in the hospital environment.
The course will provide students with the knowledge and skills necessary for the diagnosis and treatment of some of the most relevant pathologies in the emergency department.
Learning outcomes
- Describe the organ and system involvement and forms of presentation of diseases of the respiratory, circulatory and digestive systems, blood and hematopoietic organs, nervous system, musculoskeletal system, genitourinary system, metabolism and endocrine system.
- Assess the importance of every sign and symptom in the current illness.
- Understand the manifestations of the main pathologies on the structure and function of the human body.
- Assess the relationship between efficacy and risk in the main therapeutic interventions.
- Assess the efficiency of the main therapeutic interventions.
- Gather, choose and record important information patient supplied by patients and accompanying persons.
- Identify serious clinical situations.
- Distinguish normality from pathological alterations on performing a physical examination.
- Indicate the basic complementary examinations for interpreting the manifestations of the illness in the different organs and systems of the human body.
- Propose a basic diagnostic strategy to reach a definitive diagnosis.
- Order signs and symptoms to perform a differential syndromic diagnosis.
- Distinguish situations that require hospitalisation and those that require intensive care.
- Perform basic and advanced life support manoeuvres.
- Categorise emergency situations in accordance with the available indices of seriousness.
- Establish a diagnostic and therapeutic approach in emergencies.
- Indicate suitable therapeutic interventions for the main health problems.
- Maintain and sharpen one's professional competence, in particular by independently learning new material and techniques and by focusing on quality.
- Use information and communication technologies in professional practice.
Contents
LEARNING ACTIVITIES
1. Directed activities
Theoretical class: Hospital medical emergency. 1 hour
Resolution of cases: Recognition of the critical or life-threatening patient 1 h
Resolution of cases: Thoracic pain. 1 hour
Resolution of cases: Respiratory failure 1 h
Resolution of cases: IAM Code 1 h
Resolution of cases: Hemodynamic management of the seriously ill. 1 hour
Resolution of cases: Management of hemoptysis. 1 hour
Resolution of cases: Intoxications. 1 hour
Resolution of cases: Acute neurological deficit. ICTUS code. 1 hour
Clinical skills: Cardiopulmonary resuscitation (via advanced air). 2 hours per group (groups of 10 people)
Clinical skills: Polytrauma. 2 hours per group (groups of 10 people)
Clinical skills: Frequent arrhythmias. 2 hours per group (groups of 10 people)
2. Supervised practices
Face-to-face activity in emergency hospital: PRASS 15 h of supervised presence.
They will be organized according to the students' schedule at the beginning of the subject.
3. Autonomous activities
Comprehensive reading of texts and articles, study and realization of schemes, summaries and conceptual assimilation of the contents. Preparation of presentations and deliveries.
Learning activities and methodology
| Title | Hours | ECTS | Learning outcomes |
|---|---|---|---|
| Practices in the laboratory of clinical skills. | 6 | 0.24 | |
| Bibliographic and documentary consultations. Realization of schemes and summaries. | 41 | 1.64 | |
| ASISTENCIAL CLINICAL PRACTICES (PCAh) | 15 | 0.6 | |
| Resolution of clinical cases. | 8 | 0.32 | |
| Theorical class | 1 | 0.04 |
This Guide describes the framework, contents, methodology and general rules of the subject, in accordance with the current curriculum. The final organization of the subject in terms of number and size of groups, distribution in the calendar and dates of exams, specific criteria for evaluation and review of exams, will be specified in each of the Hospital Teaching Units (UDH), which will explain it through their web pages and the first day of class of each subject, through the professors responsible for the subject in the UDH.
For this course, the professors appointed by the Departments as responsible for the subject at the Faculty and the UDH level are:
Departament (s) responsible (s): Departament de Medicina
Head of Faculty: nom (e-corru): Iria Sanlés González (isanles.germanstrias@gencat.cat)
Those responsible for the subject
| Responsible UDHSP | Responsible UDHVH | Responsible UDGTiP | Responsible UDHPT | |||
| Mireia Puig i Campmany | mpuigc@santpau.cat | Maria Arranz Betegón | maria.arranz@vallhebron.cat | Iria Sanlés González (isanles.germanstrias@gencat.cat) | Jose Ignacio Ferro Alem | joseignacio.ferro@uab.cat |
General methodology:
Estimated hours of the subject: 75 (3 ECTS)
Directed (40%): 30 h
Theorical class (TE)
Practices in the laboratory (PLAB)
Asistencial clinical practices (PCAh)
Resolution of clinical cases (SCC)
Self-employment 55%: 41 h.
Bibliographic and documentary consultations. Realization of schemes and summaries.
5% evaluation: 4 h.
Work presentation and problem solving.
Exceptionally and according to the criteria of the responsible professorat, the available resources and the health situation at each moment to the different Unitats Docents, part of the continguts corresponents to the teachers, practitioners and seminars may be taught in person or virtual.
Assessment
Continuous assessment activities
| Title | Weight | Hours | ECTS | Learning outcomes |
|---|---|---|---|---|
| multiple response tests | 30% | 1.33 | 0.053 | 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18 |
| Assistance and active participation in class and seminars | 50% | 0 | 0 | 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18 |
| Delivery of written work | 20% | 2.67 | 0.107 | 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18 |
- The following will be taken into account for the final assessment of the subject:
-
- 1) Attendance at 80% of seminars, activities and practices is essential to pass the subject.
-
- 2) Objective tests (4 questions) with multiple answers (5 options) on the content of the clinical cases. The questionnaire will be given at the end of each of the case resolution sessions and activities.
-
- 3) Notes from the teachers in each activity on participation and problem-solving skills.
-
- 4) The presentation of a clinical case related to the contents of the subject will be mandatory for all students. The work will be presented in a free electronic format and will include both the presentation of a clinical case and the development and review of one of the topics of the program. Its oral presentation and scientific, teaching and expository quality will be valued and will contribute to the final qualification of the subject, with the aim of promoting autonomous learning, the ability to synthesize and the communication skills of the students.
-
- Students who do not take both the theoretical and practical assessment tests will be considered as not having been assessed, exhausting their rights to register for the subject.
Bibliography
Books:
- Urgencias Médicas. En: Harrison Principios de Medicina Interna. 21 ed. McGraw-Hill, 2022. ISBN: 9781264540259
- Jiménez Murillo L, Montero Pérez FJ. Medicina de Urgencias y Emergencias. 7 ed. Elsevier SA, 2023. ISBN 9788413820040
- Piñera P, Moya M, Mariné M. Tratado de Medicina de Urgencias SEMES (Sociedad Española de Medicina de Urgencias y Emergencias). 2ª Edición. Ergón, 2020. ISBN-13: 9788416732869.
- Tintinalli JE. Manual de Medicina de Urgencias. 8ª Edición McGraw-Hill, 2019. ISBN: 9781456263133
- Rosen’s Emergency Medicine. Concepts and Clinical Practice. 10 ed. Elsevier SA, 2022.
- Manual d’Urgències Hospital Germans Trias 2023. ISBN: 978-84-09-52254-5 / Dipòsit legal: B 12923-2023
Journals:
- Emergencias: http://emergencias.portalsemes.org
- European Journal of Emergency Medicine: https://journals.lww.com/euro-emergencymed/pages/default.aspx
- Annals of Emergency Medicine: https://www.annemergmed.com
- New England Journal of Medicine: https://www.nejm.org
- Journal of Emergency Medicine: https://www.jem-journal.com
- American Journal of Emergency Medicine: https://www.ajemjournal.com
Software
Medical Emergencies and Hospital Emergency Care
Academic Year 2026–2027
Code: 102904
Credits: 3
Degree: 2502442 Medicine
6th Year – 1st Semester
Languages of instruction: Catalan and Spanish
Course Coordinators:
Dr. I. Sanlés (isanles.germanstrias@gencat.cat)
Dr. A. Carreres Molas (acarreres.germanstrias@gencat.cat)
Dr. A. Segura (asegura.germanstrias@gencat.cat)
Teaching Staff:
Dr. I. Sanlés
Dr. A. Carreres
Dr. A. Segura
Dr. S. Aguilar
Dr. D. Bernaudo
Dr. M. Bosch
Dr. M. Costa
Dr. C. Díaz
Dr. V. De Dios
Dr. M.J. Domínguez
Dr. A. Domínguez
Dr. A. García
Dr. M. García Giralda
Dr. L. Grimal
Dr. D. López
Dr. A. Lordán
Dr. L. Márquez
Dr. N. Martínez
Dr. E. Marrano
Dr. R. Mier
Dr. M. Millán
Dr. G. Morillas
Dr. J. Nordelo
Dr. G.P. Protti
Dr. N. Robert
Dr. M. Rosas
Dr. S. Saley
Dr. J. Serrat
Dr. Y. Tabares
Prerequisites
Students are expected to have basic clinical knowledge of medical and surgical pathology, as well as a general understanding of hospital organization.
Students are required to preserve confidentiality and professional secrecy regarding any information to which they may have access during their clinical training. They are also expected to maintain professional ethical standards in all their actions.
Course Objectives
This is an elective course linked to the Internal Medicine track and taught during the sixth year of the Medical Degree. The general objective is to provide students with a basic understanding of the organization of the Emergency Medical System and the clinical management of urgent conditions, mainly within the hospital setting.
The course will provide students with the knowledge and skills required for the diagnosis and treatment of the most prevalent conditions encountered in the Emergency Department.
Competencies
• Demonstrate an understanding of the manifestations of disease on the structure and function of the human body.
• Obtain and prepare a medical history containing all relevant information, structured and patient-centered, taking into account age, sex, and cultural, social, and ethnic factors.
• Perform a complete and systematic physical examination and comprehensive assessment.
• Indicate basic diagnostic techniques and procedures and analyze and interpret their results.
• Establish a diagnostic approach and a reasoned management strategy based on history taking, physical examination, and complementary investigations.
• Propose the most appropriate treatment for the most prevalent acute and chronic conditions.
• Recognize and manage life-threatening situations and those requiring immediate attention.
• Maintain and update professional competence, with special emphasis on self-directed learning, acquisition of new knowledge and techniques, and commitment to quality and patient safety.
• Establish effective communication with patients and relatives.
• Establish effective communication with other healthcare professionals.
Learning Outcomes
• Classify emergency situations according to available severity indexes.
• Understand the manifestations of the main diseases affecting the structure and function of the human body.
• Collect, select, and record relevant information provided by patients and relatives.
• Distinguish normal findings from pathological alterations through a systematic physical examination.
• Describe organ and system involvement and the clinical presentation of diseases.
• Organize signs and symptoms to establish a syndromic differential diagnosis.
• Indicate basic complementary investigations to interpret disease manifestations affecting the different organs and systems.
• Establish diagnostic and therapeutic approaches in emergency situations.
• Identify severe clinical conditions.
• Indicate appropriate therapeutic interventions for the most common health problems.
• Propose a basic diagnostic strategy to reach a definitive diagnosis.
• Perform basic and advanced life support maneuvers.
• Assess the relationship between efficacy and risk of the main therapeutic interventions.
• Evaluate the relevance of each sign and symptom in the current illness.
• Assess the efficiency of the main therapeutic interventions.
ORGANIZATION
The course consists of:
• Directed activities: comprising one theoretical lecture (1 hour), eight one-hour clinical case seminars, and laboratory practice sessions (6 hours of activities, simulation center and clinical skills laboratory), following a TED-style approach applied to university teaching.
The theoretical lecture and seminars are delivered jointly to all enrolled students. Activities in the simulation center and skills laboratory are distributed into two groups (ratio of 10 students per group).
• Supervised clinical placements (15 hours) in the Emergency Department.
• Autonomous activities: critical reading of texts and articles, study and preparation of outlines and summaries, and conceptual assimilation of the course contents.
Maintaining similar group sizes for simulation and skills laboratory activities is important. For this reason, changes between groups cannot be made directly by students and must be discussed with the course coordinators. In general, changes are only authorized when reciprocal exchanges can be arranged to ensure homogeneous groups.
ASSESSMENT
The final assessment of the course will take into account:
- Attendance at 80% of seminars, activities and practical sessions is mandatory in order to pass the course.
- Objective tests (4 questions) with multiple-choice answers (5 options) based on the content of the clinical cases. The questionnaire will be administered at the end of each case discussion session and practical activity.
- Faculty assessment of participation and problem-solving skills in each activity.
- Presentation of a clinical case related to the course contents will be mandatory for all students. The work will be presented in a free electronic format and will include both the presentation of a clinical case and the development and review of one of the topics included in the syllabus. Oral presentation skills and the scientific, educational and expository quality of the work will be evaluated and will contribute to the final grade, with the aim of promoting self-directed learning, synthesis skills and communication abilities.
Students who fail to complete either the theoretical or practical assessments will be considered "not assessed", thereby exhausting their rights to course registration.
EVALUATION OF THE TEACHING METHOD
• End-of-course questionnaire assessing the knowledge acquired and the students' evaluation of the teaching methodology, teaching materials and faculty members.
• Clinical case presentation (30 minutes).
CONTENTS
- Directed activities
Theoretical lecture (1 hour)
• Medical emergencies – Hospital emergency care.
(Dr. I. Sanlés / Dr. A. Segura)
Clinical Case Seminars / Case-Based Learning Sessions (8 hours)
• Chest pain.
(Dr. L. Grimal / Dr. J. Nordelo)
• Acute respiratory failure.
(Dr. J. Serrat / Dr. M. Costa / Dr. A. Domínguez)
• Hemodynamic management of the critically ill patient. Shock.
(Dr. N. Robert / Dr. L. Márquez)
• Poisonings and intoxications.
(Dr. V. De Dios / Dr. C. Díaz)
• Acute neurological deficit. Stroke Code.
(Dr. M. Millán)
• Management of hemoptysis.
(Dr. M.J. Domínguez / Dr. A. Carreres)
• Acute Myocardial Infarction (AMI) Code.
(Dr. I. Sanlés / Dr. M. García Giralda)
• Recognition of the critically ill patient or patient at risk of death.
(Dr. I. Sanlés / Dr. R. Mier / Dr. A. Segura)
Clinical Skills Training (6 h × 2 groups)
• Cardiopulmonary resuscitation and advanced airway management.
- Dr. J. Serrat / Dr. I. Sanlés. 2 h
- Dr. M.J. Domínguez / Dr. L. Márquez. 2 h
• Polytrauma.
- Dr. G.P. Protti / Dr. M. Bosch. 2 h
- Dr. E. Marrano / Dr. A. Domínguez. 2 h
• Common arrhythmias.
- Dr. D. Bernaudo / Dr. M. García Giralda. 2 h
- Dr. I. Sanlés / Dr. N. Martínez. 2 h
- Supervised clinical placements
On-site activity in emergency care facilities: 15 hours of supervised clinical exposure.
• Three Emergency Department shifts from 3:00 p.m. to 8:00 p.m.
• Three morning shifts from 9:00 a.m. to 2:00 p.m.
These activities will be organized according to the students' schedules at the beginning of the course.
- Autonomous activities
Critical reading of texts and scientific articles, study and preparation of outlines and summaries, and conceptual assimilation of course contents. Preparation of presentations and assignments.
BIBLIOGRAPHY
Books
• Harrison's Principles of Internal Medicine. 21st edition. McGraw-Hill, 2022.
• Jiménez Murillo L, Montero Pérez FJ. Emergency Medicine and Emergencies. 7th edition. Elsevier, 2023.
• Piñera P, Moya M, Mariné M. SEMES Textbook of Emergency Medicine. 2nd edition. Ergón, 2020.
• Tintinalli's Emergency Medicine Manual. 8th edition. McGraw-Hill, 2019.
• Rosen's Emergency Medicine: Concepts and Clinical Practice. 12th edition. Elsevier, 2022.
• Germans Trias Hospital Emergency Medicine Manual, 2023.
Journals
• Emergencias
• European Journal of Emergency Medicine
• Annals of Emergency Medicine
• New England Journal of Medicine
• Journal of Emergency Medicine
• American Journal of Emergency Medicine
Course groups and languages
The information provided is provisional until November 30. After this date, you will be able to consult the language of each group through this link. To access the information, you will need to enter the course CODE