EXPERT LIFE SUPPORT TRAINING WITH SIMULATION

Face to face and specifically:

Teaching the lesson of "EXPERT LIFE SUPPORT TRAINING WITH SIMULATION» consists of short lectures and practical training. Attendance at clinical practice is mandatory.

The elections based on clinical scenarios they give the special points of attention of each clinical case.

The practical exercise deepens the material by using examples of clinical cases (problem-based learning) and simulation. In each tutorial, students approach the critically ill patient in a structured manner according to ABCDE, deal with immediately life-threatening situations, recognize cardiac arrest and practice ERC protocols, with an emphasis on good quality compressions, recognizing the rhythm of the arrest and safe defibrillation. They are also taught how to communicate in a structured and targeted manner with colleagues of different specialties. Finally, they learn to function as team members, taking on different roles each time, including team leader.

Information and Communication Technologies are used to prepare lecture materials and provide online information and learning aids to students.

Specifically:

• Common software (eg powerpoint) is used to prepare lecture material and display slides and videos.
• Use of a critical incident simulation program in the operating room.
• Use of dummy and manual defibrillator in simulation scenarios.
• The study guide (explanatory material & additional bibliography), tutorial material (clinical cases to be processed), presentation slides after each lesson as well as videos and scientific articles related to the course material are made available to students electronically and online through e-class.
• The Library has the necessary textbooks for the course. Students also have access to international scientific databases (PubMed), which the Library has.
• Common software (eg excel) is used for the statistical processing of the student evaluation.
• Announcements, information, etc. are available online through e-class. Communication is also done via e-mail.

Evaluation methods.

A. In clinical practice: Continuous assessment

The students' participation in the exercises is done with continuous evaluation. Successful participation in the exercise is certified by the teacher's signature.

B. In theory – lecture material: Oral Exams with simulation scenarios.

Aiming to certify the training by the ERC by obtaining the ILS (ImmediateLifeSupport) provider certificate, attending the courses is mandatory for those who want to obtain the certification.

The course exams are oral, lasting 2 hours, and are carried out in the form of simulation scenarios, as was done in the clinical tutorials. Examinable material is the material of the lectures as described above. Students who have successfully completed the clinical practice and attended the required number of lectures, with the right to two absences, have the right to participate in the course exams. Absences are for course completion and assessment for the course and not for ERC certification, for which no absences are permitted.

The final grade of the course is calculated from the grade of the final attendance in the oral exams including the total attendance during the practical training.

The content of the course aims to understand and become familiar with the fundamental principles and techniques concerning Specialized Life Support in different clinical environments that every doctor should know, regardless of specialty.

Learning outcomes are achieved by:

A. ALS (AdvancedLifeSupport) practice according to current ERC standards in simulated conditions using manikins and a real manual defibrillator.

B. practice in airway management

C. simulation program in critically ill patient management scenarios.

Finally, the aim of the course is for the students to understand the importance of the correct execution of the initial assessment according to ABCDE, the continuous reassessment and the correct immediate treatment of life-threatening situations, that is, clinical practices that concern all medical specialties.

Description of the Level of Learning Outcomes according to the Qualifications Framework of the European Higher Education Area (EHEA): Students, after a successful examination, have proven knowledge and understanding of subjects in the field of Specialized Life Support (PPS level). The knowledge and skills they acquire are level 6 (1^u study cycle) of the European Qualifications Framework (EQF).

Upon successful completion of the course, the student will be able to:

• He has knowledge and understanding of the basic principles of the initial approach of a critically ill patient according to ABCDE and to apply the modern principles of ERC resuscitation.
• He has knowledge and understanding of modern cardiac arrest management protocols in a variety of clinical scenarios according to the ERC.
• Has knowledge and skills to manage the compromised airway.
• Collaborate with fellow students in a clinical environment to perform basic and specialized clinical procedures.
• Demonstrate non-technical communication skills and function as a member of a work team
• It can call on the right expert each time and inform them in a structured way.

Description of the Level of Learning Outcomes according to the Qualifications Framework of the European Higher Education Area (EHEA): Students, after a successful examination, have proven knowledge and understanding of subjects in the subject of Training in Specialized Life Support with Simulation (PPS level). The knowledge and skills they acquire are level 6 (1^u study cycle) of the European Qualifications Framework (EQF).

General Skills

The course aims to acquire the following skills:

• Search, analysis and synthesis of data and information, using the necessary technologies
• Approaching new situations
• Decision making
• Autonomous work
• Teamwork
• Work in an international environment
• Promotion of free, creative and inductive thinking
• Download history
• Physical examination
• Correct diagnostic, pharmaceutical and therapeutic approach
• Project planning and management
• Demonstrating social, professional and ethical responsibility and sensitivity to gender issues
• Exercise criticism and self-criticism

The content of the EXPERT LIFE SUPPORT TRAINING WITH SIMULATION course is structured as follows:

A. The theoretical clinical skills that students must acquire in order to succeed in
lesson.
B. The practical and clinical skills that students must acquire to be considered
successfully tracking them.
C. The knowledge of the material that students must have in order to succeed in the course
A. Theoretical clinical skills
I. By chapter theory based on clinical scenarios
1. Critically ill assessment according to ABCDE
2. Halting algorithms
3. Bronchospasm
4. Pneumothorax
5. Acute Coronary Syndrome
6. Pulmonary embolism
7. Air embolism
8. Intraoperative obstetric bleeding
9. Hypertensive crisis
10. Bleeding from trauma
11. Drowning by water
12. Lightning strike
13. Electric shock
14. Diabetic ketoacidosis
15. Respiratory depression
16. Management of arrhythmias
II. In compulsory clinical tutorials – problem-based learning
Presentation, analysis, discussion and treatment of real clinical cases of patients with the following pathological conditions using simulation:
Bronchospasm
Pneumothorax
Acute Coronary Syndrome
Pulmonary embolism
Air embolism
Intraoperative obstetric bleeding
Hypertensive crisis
Bleeding from trauma
Drowning by water
Lightning strike
Electric shock
Diabetic ketoacidosis
Respiratory depression

B. Practical and clinical skills
In mandatory clinical tutorials – simulation-based learning
Acquisition of general and specific practical skills by medical students during the preparation of clinical tutorials and lectures:
1. General skills
Drawing conclusions from data
Solving practical problems
Extract information from graphs
Operation of basic resuscitation equipment
Effective teamwork
Receiving and following instructions
Perception of clinical errors and identification of their sources

2. Special skills
Upon successful completion of the course you will be able to:
1. recognize and assess the critically ill patient
2. apply Specialized Cardiopulmonary Resuscitation according to current ERC guidelines.
3. Apply safe defibrillation
4. You are safely performing cardioversion
5. Maintain a patent airway
6. Manage the compromised airway

The training includes a) discussion and clinical scenario management seminars that will combine theory with practice and b) advanced skills training in small groups in a simulated setting.

In detail, the content of the course includes the following:
1. Assessment of the Deteriorating Patient (ABCDE)
2. Specialized Life Support: ERC Stop Algorithm) and Drowning
3. Airway management
4. Basic principles of safe transport of critically ill patients
5. Capnography monitoring and evaluation
6. Acute Coronary Syndromes
7. Basic interpretation of blood gases
8. Bronchospasm
9. Pneumothorax
10. Pulmonary embolism
11. Air embolism
12. Intraoperative obstetric bleeding
13. Hypertensive crisis
14. Bleeding from trauma
15. Drowning by water
16. Diabetic ketoacidosis
17. Respiratory depression
18. Management of arrhythmias

C. Knowledge – Lecture material
Compositions:
Slides available in e-class
Access to ERC's electronic educational material

ERC Guidelines Advanced Life Support