university: alexandria faculty: medicine program ...€¢ academic reference standards of md degree...
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واالعتمادهيئة القومية لضمان جودة التعليم ال
University: Alexandria
Faculty: Medicine
Program Specifications
(Academic year: 2015/2016)
A. Basic Information: 1. Program title: MD degree of Emergency Medicine. 2. Program Award: MD Degree 3. Department offering the program: Department of Emergency Medicine 4. Program Director: Pof. Dr Habashi Abdel-Basset 5. Program Coordinator: Prof. Dr. Salah Eltahan 6. External evaluator: prof.Dr Mamdouh Kafrawi Dean of Ain shams university 7. Type of the program: Single 8. Date of most recent program specifications approval: January 2013
B. Professional Information:
1- Program Aims: The aim of this program is to: Provide advanced knowledge and professional experience that are needed for an emergency physician
in order to become safe, expert and independent consultant in Emergency Medicine and Traumatology
being able to work unsupervised, lead, manage and supervise others, ensuring the safe running of an
ED.
2- Academic reference standards (ARS)& ILOs:
• Academic reference standards of MD Degree in Emergency Medicine designed and approved
by Department of Emergency medicine and traumatology, Faculty of Medicine. Alexandria
University. Based on:
• Generic Academic Reference Standards (ARS): Postgraduate Medical Education, Egypt
(2009). Published by National Authority for Quality Assurance and Accreditation of Education
(NAQAAE) National
[http://naqaae.org/main/php/book/index.php]
Guided by:
• The College of Emergency Medicine (CEM) curriculum and assessment systems for
core speciality training in Acute Care Common Stem (ACCS CT1-3 ) & Higher
Specialty Training (ST4-6) june 2010.(http://www.collemergencymed.ac.uk/Training-
Exams/Curriculum/Curriculum%20from%20August%202010/ ).
• The Accreditation Council for Graduate Medical Education (ACGME)
http://www.acgme.org/acWebsite/navPages/nav_110.asp
واالعتمادهيئة القومية لضمان جودة التعليم ال
Domain Academic Reference
Standards
ILOs
A. Knowledge and
understanding
Graduate of this program must
have sufficient knowledge and
understanding of: • Upgrade the knowledge in
advanced biomedical,
clinical, epidemiological and
social-behavioral sciences, as
well as the application of this
knowledge to patient care.
• Established professional
clinical practice using the
most recent scientific
advances in the field of acute
medicine traumatology and
toxicology
By the end of the program the PG
students will be able to:
• A1. Describe applied anatomy of
head &neck, chest, abdomen,
pelvis, upper and lower limbs.
• A2. Discuss the physiological
phenomena of vital somatic
functions related to trauma
especially the poly-traumatized
patient, major surgical
procedures common and
uncommon medical emergencies.
• A3. Identify the causes, risk
factors and patho-physiology of
common and uncommon and
serious life-threatening
emergency conditions in both
adults and children.
• A4. Identify the suitable
pharmacological drugs to be
used in medical, surgical
emergencies, trauma and pain
management.
• A5. Recall drugs requiring
therapeutic drug monitoring and
interpret results and define the
effects of age, body size, organ
dysfunction and concurrent
illness on drug distribution and
metabolism.
• A6. Identify less common
presentations of the acute
emergent medical and surgical
problems in addition to trauma
cases and their medico legal and
ethical aspects.
• A7. Describe relevant drug
therapy for the acute condition
diagnosed on evidence based
basis and beware of the role
regulatory agencies involved in
drug use, monitoring and
licensing (e.g. National Institute
for Clinical Excellence (NICE),
Committee on Safety of
Medicines (CSM) while
prescribing your therapy.
واالعتمادهيئة القومية لضمان جودة التعليم ال
• The advanced up to date
principles of emergency
department disaster
planning.
• A8. Identify and manage the
acute life threatening
toxicological conditions ,
recognize and manage the less
common rare presentations for
toxicological emergencies.
• A9.Rapid recognition of acute
life-threatening conditions and
discuss the most likely diagnoses
whether medical,
surgical,traumatic or
toxicological .
• A10.Identify the proper
principles and procedures of safe
transport with referral to the
international guidelines for
transporting acutely ill patient
and adapting these principles on
the available resources.
• A11.Identify the international
principles, guidelines and
definitions of emergency
department planning and
disaster management strategies.
• A12. Upgrade the knowledge
about the various acute life
threatening obstetric and
gynaecologic conditions.
• A13. Discuss the
pathophysiology and
complications of trauma in the
field of obstetrics and
gynaecology.
• A14. Identify and manage life
threatening neuropsychiatric
emergencies.
B. Intellectual skills Graduate must be able to do
the following: • Interpret, evaluate and
manage less common and /or
lifethreatening emergency
medical, surgical and
toxicological cases in both
adults and children
By the end of the program the PG
students will be able to: • B1.Demonstrate the ability to
take a focused informative
relevant history within limited
time and under difficult
conditions for e.g. in severely ill
patient or angry distressed
patient/ relative .
واالعتمادهيئة القومية لضمان جودة التعليم ال
Clinical reasoning, decision making
and prioritization
• B2.Analyze data obtained from
clinical interview.
• B3. Focus accurately questioning
to establish working diagnosis /
differential diagnosis and relate
to relevant examination,
investigation and management
plan in most acute and common
chronic conditions in almost any
environment.
• B4. Use risk calculators and
clinical scoring systems
appropriately.
• B5. Utilize and interpret findings
of advanced adjuncts to basic
examination e.g.
echocardiography, FAST
ultrasound.
• B6. Utilize examination
techniques to the variable acute
clinical situations and being able
to conduct examination while
resuscitating the patient.
B7. Develop observational
protocols for high risk patients.
B8. Decide the patient’s destiny
whether discharge, referral to a
highr level of care or observation
in a Clinical Decision Unit
(CDU).
B9. Conduct frequent follow up
for patients in CDU for change
in risk stratification.
• B10. Construct a concise
problems list and develop action
plans while recognizing expert
advice, up to date guidelines and
algorithms.
• B11. Generate a hypotheses and
knowing how to test refine and
verify this hypotheses.
واالعتمادهيئة القومية لضمان جودة التعليم ال
• Generate a hypotheses and
conducting scientific
researches and clinical
surveys in the field of acute
medicine and traumatology.
• B12. Utilize the different
statistical methodologies, studies
and their interpretation.
C. Professional
skills
Graduate must be: • Professional in making all
the advanced skills (clinical/
procedural) in the field of
emergency medicine and
traumatology
By the end of the program the PG
students will be able to: • C1.Carry out the management of
more than one patient in the ED
at a time.
• C2. Prioritize sick patients using
rapid triaging systems and
recognizing the urge to
commence resuscitation before
the completion of full history
and examination.
• C3.Respect time and being able
to organize and lead the clinical
team and managing the
workload whatever.
• C4.Predict the prognosis and
future risks for the acutely ill
patient presenting to the ED.
• C5.Perform competently and
professionally all advanced life
supporting measures in acute life
threatening medical, surgical,
traumatic and toxicological
emergency situations to both
adults and pediatric groups.
• C6. Perform Advanced Cardiac
and Trauma life Support (Adult
and Pediatric) and knowing how
to manage the patient post-
arrest with ROSC (Return of
Spontaneous Circulation)
C7.Diagnose and treat peri-arrest
arrhythmias and know the
indications, contraindications and
side effects of the drugs used
واالعتمادهيئة القومية لضمان جودة التعليم ال
C8. Competently perform
further steps and maneuvers in
advanced life support.
C9. Establish skillfully IV access
including intra-osseous, central
venous access and intra arterial
insertion with invasive arterial
BP monitoring.
C10. Conduct thoracocentesis
and intercostals tube drain in life
threatening thoracoabdominal
injuries.
C11. Conduct the peripheral
nerve blocks.
C12. Decide critical situations
which require ventilatory
support.
C13. Outline immediate
management options including
initiation of non-invasive
ventilation or invasive
mechanical ventilation.
C14. Perform efficiently
procedures needed to manage a
difficult airway including LMA,
needle and surgical
cricothyroidotomy.
C15. Obtain adequate echo-
cardiographic and US (FAST)
images and Can interpret
accurately in the clinical setting.
• C16.Follow up the patient’s
outcome after the various
emergent interventions and
determine the benefit versus risk
value for doing further
interventions and put alternative
management plans.
واالعتمادهيئة القومية لضمان جودة التعليم ال
• able to write and appraise
reports
• C17.Report a patient status
management and interventions
done in a full comprehensive
manner.
• C18. Appraise the value of
efficient reporting and monitor
the process of adequate complete
reporting.
• C19.Perform efficiently life
saving non-specialized minor
surgical procedures.
• C 20.Demonstrate the clinical
data and outline the radiological
and laboratory investigations
relevant to the patient’s
condition.
D. General and
transferrable
skills
Graduate should be competent
to: • Being able to communicate
effectively with all the
working Staff (including
junior colleagues, nursing
staff and paramedics),
patients and their relatives..
By the end of the program the PG
students will be able to:
• D1. Identify the role of different
team members and
communicates appropriately
fully respecting the
responsibilities and viewpoints
of the different members.
• D2. Cooperate with the team,
work as team leader.
• D3. Communicate accurately
and urgently according to the
situation using appropriate
means telephone, e-mail, written
letter,…etc.
• D4. Ensure the presence of
efficient accurate and clear
written referral letter to the
recipient colleague on referring
a patient.
واالعتمادهيئة القومية لضمان جودة التعليم ال
• Make Use of the advances in
information technology and
networking to improve the
quality and professional
practice in Emergency
Department (ED)
• Continuous self evaluation
determining the areas of
strength and improving
deficient perfomance in one’s
practice
• D5. Express sympathy and
encourage effective
communication between you,
your patients and their relatives
by listening to them and
breaking the barriers hindering
effective communication.
• D6.Demonstrate professional
ability to manage situations and
events unique to the practice of
emergency medicine.
• D7. Use different interpersonal
communication skills and
information technology to teach
and upgrade the knowledge of
the junior staff in emergency
medicine.
• D8.Utilize the advances in
information technology and
telemedicine to facilitate and
improve emergency room work
and management.
• D9. Continuously upgrade the
knowledge, skills and
professional performance in
management of patients with
acute life threatening
emergencies.
E. Attitudes and
ethical behavior
Graduate should have:
Clear vision on the
fundamentals of medical
ethics and various
medicolegal aspects in
general and with special
concern to emergency
medicine
By the end of the program the PG
students will be able to:
• E1. Ensure that confidentiality is
maintained even during
consultation unless the patient
may harm self or others.
• E2. Encourage ethical behavior
between colleagues seniors,
juniors, students and different
members of the medical team.
واالعتمادهيئة القومية لضمان جودة التعليم ال
• E3. Commit to lifelong learning
and participating in teaching
and learning activities.
• E4. Apply the ethical, religious
and law regulations when facing
ethical dilemmas.
• E5. Ensure the concepts of
infection control and quality
improvement.
3- Curriculum Structure:
-Program duration: This program is fulfilled in not less than 3 years with a maximum of 7 years.
-Program structure:
1. Total hours: 52 credit hours
2. Obligatory subjects: 30 Credit Hours. 3. Thesis: 20. Credit Hours. 4. 1 Elective course: 1 Credit hour 5. 1 selective course: 1 credit hour
- Program Content:
A. Obligatory Courses:
Code Course Credit
hours
1 052109100 Advanced neuropsychiatry for
emergency medicine 2
2 052309100
Advanced obstetreic and
gynaecology for emergency
medicine
1
3 053109100 Imaging for Emergency
Medicine II 1
4 05010900 Advanced courses for
Emergency Medicine 3
5 053209100 Advanced Surgery course for
emergency medicine 3
6 05100901
Advanced Trauma management
for emergency medicine
5
7 050209100 Advanced cardiac emergencies 3
8 050409100 Advanced pulmonary
emergencies 3
9 051509100 Advanced internal medicine for
emergency medicine 3
10 052909100 Advanced pediatric
emergencies 2
واالعتمادهيئة القومية لضمان جودة التعليم ال
11 05100902 Disaster management 1
12 05100903 Administration & planning in
the emergency department 1
13 051109100 Advanced clinical toxicology 2
B. Selective Courses:
Code Subject Credit hours
05100931 Abuse and assault in emergency
department 1
05100932 Environmental emergencies 1
05100933 Special situations in the emergency
department 1
05100934 Pre-hospital management and EMS
(Emergency Medical Services) 1
C : Elective courses
Code Subject Credit hours
05500901 Medical ethics for doctorate II 1
05500902 Molecularv biology for doctorate 1
05500903 Hospital associated bacterial infection for
doctorate 1
05500904 Sport physiology 1
05500905 Biochemistry of nutrition 1
05500906 Ethics of publication and misconduct
Behavior ethics of internet II 1
4- Program Admission Requirements:
According to the regulations of the credit hour bylaws of the Faculty of Medicine
Alexandria University (annex).
5- Regulations for Progression and Program Completion:
According to the regulations of the credit hour by laws of the Faculty of Medicine
Alexandria University (annex).
6- Methods of student assessment:
Methods Intended Learning outcomes to be
assessed
1. Written Exam A1-A14
2. Practical Exam B1-12,C1-20, D1-9, E1-5
3. Assignments D 7,8
4. Thesis B 11, 12,D 7- 10, E1-4
واالعتمادهيئة القومية لضمان جودة التعليم ال
7- Methods of program evaluation:
Evaluator Tool Sample
1. Students enrolled in the program Questionnaires.
2. Alumni --------
3. Stakeholders (Employers) Focus group
4. External Evaluator (s) -----------
5. Others:
Program Director: Prof. Dr. Habashi Abdel-Baset
Program Coordinator: Prof. Dr. Salah Eltahan
Program ILOs/ Matrix
ILO’S title A1 A2 A3 A4 A5 A6 A7 A8 A9 A10 A11 A12 A13 A14 Advanced
neuropsychiatry for course for
emergency MD
X
Updates on
Gynaecolgic and obesteric
emergencies
x x
Imaging for Emergency Medicine
X
Advanced
Emergency Medicine
course
x x x x X
Advanced Surgery
course for
emergency medicine
X X X X X X
Advanced Trauma
management for
emergency medicine
X X X X X X
Advanced cardiac
emergencies X X X X X
Advanced pulmonary emergencies
X X
Advanced internal
medical emergencies X X X X X
Advanced pediatric emergencies
X X X X
Disaster management X Administration &
planning in the
emergency department
X X
Advanced toxicology
course X x
واالعتمادهيئة القومية لضمان جودة التعليم ال
ILO’S title B1 B2 B3 B4 B5 B6 B7 B8 B9 B10 B11 B12 Advanced neuropsychiatry for
course for emergency
MD
x x
Updates on
Gynaecolgic and
obesteric emergencies
X x x
Imaging for
Emergency Medicine X
Advanced Emergency Medicine
course
X x x X x
Advanced Surgery
course for emergency medicine
X x x X
Advanced Trauma
management for emergency medicine
X x x x X X X X
Advanced cardiac emergencies
X x x x X X X X
Advanced pulmonary
emergencies X x x x X X X
Advanced medical emergencies
X x x X X X X x
Advanced pediatric
emergencies X x X x X X X
Disaster management x x Administration &
planning in the
emergency
department
X X
Advanced toxicology course
X X
ILO’S title C
1
C
2
C
3
C
4
C
5
C
6
C
7
C
8
C
9
C
10
C
11
C
12
C
13
C
14
C
15
C
16
C
17
C
18
C
19
C
20 Advanced
neuropsychiatry for course for
emergency MD
x x X
Updates on
Gynaecolgic and obesteric
emergencies
x x
Imaging for Emergency
Medicine
x X
Advanced Emergency
Medicine
course
X x X X X x X X X X X X
Advanced Surgery course
for emergency
medicine
X X X X X X X X X
Advanced
Trauma
management for emergency
medicine
X X X X X X X X X
Advanced cardiac
emergencies
X X X X
واالعتمادهيئة القومية لضمان جودة التعليم ال
Advanced
pulmonary
emergencies
X X
Advanced medical
emergencies
X X X
Advanced
pediatric emergencies
X X X X X
Disaster
management X X X
Administration & planning in
the emergency
department
X X
Advanced
toxicology
course
X X X
ILO’S title D1 D2 D3 D4 D5 D6 D7 D8 D9 E1 E2 E3 E4 Advanced
neuropsychiatry
for course for emergency MD
x x X X X X X
Updates on
Gynaecolgic
and obesteric emergencies
X X X X X
Imaging for
Emergency Medicine
X X X X X
Advanced
Emergency
Medicine course
X X x x X X X X X
Advanced Surgery
course for
emergency medicine
X X X X X
Advanced Trauma
management for
emergency medicine
X X X X X
Advanced cardiac emergencies
X X X X X
Advanced
pulmonary emergencies
X X X X X
Advanced medical
emergencies X X X X X
Advanced pediatric
emergencies
X X X X X
Disaster
management X X X X X X X
Administration &
planning in the
emergency department
X X X X X X X X X
Advanced
toxicology course X X X X X X X X X X X X
Course Specifications
University: Alexandria
Faculty: Medicine
Department: Department of emergency medicine.
Course Information
Course Code: 053209100 Course Name:
Advanced Surgery course for emergency medicine
Program in which the Course is Given: MD degree of Emergency Medicine
Number of Credit Hours 3 Theoretical Clinical/Practical
Course Aims
By the end of this course the candidate should have sufficient advanced knowledge to manage the acute
common and uncommon surgical emergencies together with identifying and managing lifethreatening
surgical emergencies.
Intended Learning Outcomes (ILOs)
Program ILO (refer to program
matrix) Course ILOs
A. Knowledge
and
Understanding
• A1. Describe applied
anatomy of head &neck,
chest, abdomen, pelvis,
upper and lower limbs.
• A2. Discuss the
physiological phenomena of
vital somatic functions
related to trauma especially
the poly-traumatized
patient, major surgical
procedures and common
and uncommon medical
emergencies.
The candidate should:
a.1 Describe the applied anatomy of head
&neck, chest, abdomen, pelvis, upper and lower
limbs.
a 2. Illustrate the commonest anatomical sites
for commonest acute surgical conditions, their
relations and other associated pathologies.
a 3. IIlustrate the physiological phenomena of
vital somatic functions related to major surgical
procedures, common and less common acute
surgical emergencies.
a 4. Describe the causes, risk factors and patho-
physiology of uncommon and serious life
threatening surgical emergency conditions in
both adults and children.
1 2
• A3. Identify the causes, risk
factors and patho-
physiology of common and
uncommon and serious
lifethreatening emergency
conditions in both adults
and children.
• A4. Identify the suitable
pharmacological drugs to
be used in medical, surgical
emergencies, trauma and
pain management.
• A6.Identify less common
presentations of the acute
emergent medical and
surgical, problems in
addition to trauma cases
and their medico legal and
ethical aspects.
• A9.Rapid recognition of
acute life-threatening
conditions and discuss the
most likely diagnoses
whether medical
surgical,traumatic or
toxicological.
a 5. State the suitable pharmacological drugs to
be used in surgical emergencies, their side
effects, doses and contraindications.
a 6. Identify less common presentations of the
acute emergent surgical problems for
medicolegal and ethical aspects.
a 7. Categorize life-threatening acute surgical
conditions and outline their most likely
diagnoses, differential diagnosis and
management plan both in adults and children.
B. Intellectual
skills
B1. Demonstrate the ability to take
a focused informative relevant
history within limited time and
under difficult conditions for e.g. in
severely ill patient or angry
distressed patient/ relative .
The candidate should:
b1. Outline a comprehensible focused history
within a limited time period and under difficult
situations such as in cases of complicated acute
surigal cases as acute abdomen, internal
haemorrhage …etc.
B2. Analyze data obtained from
clinical interview
B3. Focus accurately questioning to
establish working diagnosis /
differential diagnosis and relate to
relevant examination, investigation
and management plan in most
acute and common chronic
conditions in almost any
environment
B7. Develop observational protocols
for high risk patients
b.2 Assess causes and risk factors relevant to the
condition and identifies when to focus history on
immediate lifethreatening acute conditions.
b.3 Interpret different signs and symptoms to
reach provisional diagnosis / differential
diagnosis and relate to relevant history,
examination, investigations and management
plan in most acute and common chronic surgical
conditions in the emergency department.
b4. Develop a follow up plan for patients
especially high risk ones using observational
protocols.
C.Professional
and Practical
Skills
• C1. Carry out the
management of more than
one patient in the ED at a
time.
• C2.Prioritize sick patients
using rapid triaging systems
and recognizing the urge to
commence resuscitation
before the completion of full
history and examination.
• C3.Respect time and being
able to organize and lead
the clinical team and
managing the workload
whatever.
• C4.Predict the prognosis
and future risks for the
The candidate should:
c 1. Plan the management for more than one
patient at a time appropriately especially in the
rush hours in the emergency department and in
cases of mass disasters.
c 2. Categorize patients according to their risk
using various risk stratifications and clinical data
and identify the correct time to start resuscitation
even before completion of history and
examination.
c 3. Respect the value of time, be able to
organize and lead the clinical team especially in
crowded times, and manage the workload when
there are more than acute life- threatening
surgical case at the same time.
acutely ill patient
presenting to the ED.
• C16.Follow up the patient’s
outcome after the various
emergent interventions and
determine the benefit versus
risk value for doing further
interventions and put
alternative management
plans.
• C17.Report a patient status
management and
interventions done in a full
comprehensive manner.
• C18. Appraise the value of
efficient reporting and
monitor the process of
adequate complete
reporting.
• C19.Perform efficiently life
saving non-specialized
minor surgical procedures.
c4.Suggest the patient’s outcome according to
the available clinical data and risk factors
obtained from thorough history taking.
c 5.Follow up the patient’s outcome after
emergency management of his acute surgical
condition, determine the future risk and outline
or modify a management plan accordingly.
c 6. Conduct efficient reporting for the patient’s
diagnosis, management and interventions done
in a full comprehensive manner.
c 7. Illustrate the value of efficient
comprehensive reporting of all the events related
to the patient from the entry to emergency
department till his discharge, admission or
referral.
c 8. Do minor surgical procedures such as the
simple sutures, control of a bleeder ,,,etc.
D. General
Skills
• D1.Identify the role of
different team members
and communicates
appropriately fully
respecting the
responsibilities and
viewpoints of the different
members.
• D2.Cooperate with the
team, work as team leader
The candidate should:
d 1. Demonstrate the role of different team
members to prevent the overlap of
responsibilities and communicate appropriately
fully respecting the responsibilities and
viewpoints of the different members.
d 2. Manage the conflicts between team
members appropriately,ensure confidentiality
when talking with any team member and
implement an open transparent communication
in a respectful supportive environment between
team members.
•
• D3.Communicate
accurately and urgently
according to the situation
using appropriate means
telephone, e-mail, written
letter,…etc.
• D4. Ensure the presence of
efficient accurate and clear
written referral letter to the
recepeint colleague on
referring a patient.
• D9. Continuously upgrade
the knowledge, skills and
professional performance in
management of patients
with acute life threatening
emergencies.
d 3. Plan for appropriate communication
according to the situation either within the
institute or in between institutes and identify the
suitable mean of communication ,whether
through mail or phone,…etc.
d 4. Present clear accurate referral letter stating
all the events that occurred all through the
patient management from the time it arrived at
the enmergency department.
d 5. Continuously upgrade the knowledge, skills
and professional performance in management of
patients acute life threatening surgical
emergencies.
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinica l
Small
group
discussion
Others
1. Shock
2. Acute Abdominal pain
3. Abdominal pain in elderly
4. GIT BLEEDING
5. Esophageal emergencies
6. Swallowed foreign bodies
7. Peptic ulcer disease and gastritis
8. Intestinal obstruction
9. Hernia in adults and children
10. Ileitis colitis and diverticulitis
11. Anorectal disorders
12. Acute and chronic pancreatitis
13. Biliary colic and cholecystitis
14. Complications of general surgical
procedures
15. Complications of GIT devics
16. GIT imaging
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Please check (✓) the appropriate method.
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
Mid-term %
End of term 100 %
Distribution of Marks
Written Exam 70 %
Written practical comments 30 %
Assignment %
Logbook fulfillment %
List of Textbooks and References
Lecture Notes
Course Text Books
• Tintinalli American college of emergency medicine
• The College of Emergency Medicine (CEM) curriculum and
assessment systems for core speciality training in Acute Care
Common Stem (ACCS CT1-3 ) & Higher Specialty Training
(ST4-6) june 2010.(http://www.collemergencymed.ac.uk/Training-
Exams/Curriculum/Curriculum%20from%20August%202010/ )
Suggested Extra Reading
• Trauma manual
• Introduction to clinical emergency medicine
Journals and Periodicals,
others
Course Instructor
Name: Prof. Dr Habashi Abdel- Basset Signature:
Program Coordinator
Name: Prof. Dr Salah Eltahan Signature:
Program Director
Name: Prof. Dr Habashi Abdel- Basset Signature:
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Course Specifications
University: Alexandria
Faculty: Medicine
Department: Department of Emergency medicine
Course Information
Course Code: 05100901 Course Name: Advanced Trauma management
Program in which the Course is Given: MD degree of Emergency medicine
Number of Credit Hours Theoretical Clinical/Practical
Course Aims
By the end of this course the candidate should have upgraded knowledge regarding patho-physiology and
management of different trauma cases in the different age groups, recognize the impact of trauma on the
different body systems and organs, should be able to provide life support measures for the poly-traumatized
patients
Intended Learning Outcomes (ILOs)
Program ILO (refer to program
matrix) Course ILOs
A. Knowledge
and
Understanding
• A1. Describe applied
anatomy of head &neck,
chest, abdomen, pelvis,
upper and lower limbs.
• A2. Discuss the
physiological phenomena of
vital somatic functions
related to trauma especially
the poly-traumatized
patient, major surgical
procedures and common
and uncommon medical
emergencies.
The candidate should:
a 1. Discuss the applied anatomy of all the body
organs and systems and be able to identify the
different nerve and vascular injuries, their
impact on patient’s outcome and subsequent
disabilities.
a 2. Discuss extensively the pathophysiolofical
changes and metabolic response secondary to
trauma especially in the severely injured
polytraumatized patients.
2 3
• A4.Identify the suitable
pharmacological drugs to
be used in medical, surgical
emergencies, trauma and
pain management.
• A6.Identify less common
presentations of the acute
emergent medical and
surgical, problems in
addition to trauma cases
and their medico legal and
ethical aspects.
• A9.Rapid recognition of
acute life-threatening
conditions and discuss the
most likely diagnoses
whether medical
surgical,traumatic or
toxicological .
• A10.Identify the proper
principles and procedures
of safe transport with
referral to the international
guidelines for transporting
acutely ill patient and
adapting these principles on
the available resources.
a 3. State the different pharmacological drugs
that can be used in the event of trauma, their
doses, side effects and contraindications.
a 4. Outline a plan for pain management in the
polytraumatized or severely injured patients as
in cases of crush injuries.
a 5. Describe the less common acute
presentations associated with traumatic injuries
and their medicolegal and ethical aspects.
a 6. Outline the plan for trauma life support
especially in the severely injured cases, and
identify rapidly the life threatening injuries
associated with the event and manage them.
a 7. Describe a proper transportation for the
poly-traumatized patients within the institute or
in between the institutes in a way maintaining
the well being of the patient and without
increasing morbidity and mortality.
B. Intellectual
skills
• B1.Demonstrate the ability
to take a focused
informative relevant
history within limited time
and under difficult
conditions for e.g. in
severely ill patient or angry
distressed patient/ relative.
The candidate should :
b 1. Take a focused informative relevant history
within limited time and under difficult
conditions for e.g. in severely injured poly-
traumatized patient or angry distressed patient/
relative .
b 2. Identify causes and risk factors relevant to
the condition and identifies when to focus
history on immediate lifethreatening acute
conditions.
• B2.Analyze data obtained
from clinical interview.
• B3. Focus accurately
questioning to establish
working diagnosis /
differential diagnosis and
relate to relevant
examination, investigation
and management plan in
most acute and common
chronic conditions in
almost any environment
• B4. Use risk calculators and
clinical scoring systems
appropriately.
• B5. Utilize and interpret
findings of advanced
adjuncts to basic
examination e.g.
echocardiography, FAST
ultrasound.
• B6. Utilize examination
techniques to the variable
acute clinical situations and
being able to conduct
examination while
resuscitating the patient.
• B7. Develop observational
protocols for high risk
patients.
b 3. Interpret different signs and symptoms to
establish working diagnosis / differential
diagnosis and relate to relevant examination,
investigation.
b 4. Develop a management plan for the poly-
traumatized severely injured patients even in
crowded environment as in mass disasters.
b 5. Use the different trauma risk scores for
triaging and predicting the prognosis of trauma
cases.
b 6. Conduct and interpret the ultrasound
imaging (FAST scan ) in trauma patients as a
part of the management of these cases.
b 7.Apply examination techniques to the variable
acute clinical situations and being able to
conduct examination while resuscitating the
patient
b 8. Develop observational protocols for high
risk trauma patients using the recent trauma
guidelines and the different trauma scores.
C.Professional
and Practical
Skills
• C1. Carry out the
management of more than
one patient in the ED at a
time.
The candidate should:
c1. Conduct the management of more than one
trauma patient at a time as in cases of mass
accidents.
• C2. Prioritize sick patients
using rapid triaging systems
and recognizing the urge to
commence resuscitation
before the completion of full
history and examination.
• C3.Respect time and being
able to organize and lead
the clinical team and
managing the workload
whatever.
• C4.Predict the prognosis
and future risks for the
acutely ill patient
presenting to the ED.
• C5.Perform competently
and professionally all
advanced life supporting
measures in acute life
threatening medical,
surgical, traumatic and
toxicological emergency
situations to both adults
and pediatric groups.
• C6. Perform Advanced
Cardiac and Trauma life
Support (Adult and
Pediatric) and knowing how
to manage the patient post-
arrest with ROSC (Return
of Spontaneous Circulation)
• C10. Conduct
thoracocentesis and
intercostals tube drain in
life threatening thoraco-
abdominal injuries.
c 2. Categorize the patients correctly using
proper up to date risk scores and trauma
guidelines.
c 3. Identify the urge to commence trauma
patient resuscitation according to the advanced
trauma life support guidelines.
c 4. Respect the value of time and outline the
roles of the team members.
c 5. Proper planning for mass accidents and
assigning every member in the team to a specific
duty.
c 6. Suggest prognosis and predict future risk for
trauma patients especially those who are poly-
traumatized based on data obtained from the
history, examination and risk stratifications.
c 7. Conduct advanced trauma life support
competently in cases of cardiac arrest in trauma
patients.
c 8. Differentiate between the advanced trauma
life support in the different age groups ( adults
and pediatrics) including drug doses and
conduction of the procedure.
c 9. Outline a plan for managing patients who
recover the event of cardiac arrest (ROSC)
including their monitoring and referral to the
critical care unit.
c 10. Perform the manual procedures required to
save acute life threatening emergencies in the
event of trauma such as emergency chest tube
insertion in cases of tension pneumothorax or
massive haemothorax.
• C15. Obtain adequate
echocardiographic and US
(FAST) images and Can
interpret accurately in the
clinical setting.
• C16.Follow up the patient’s
outcome after the various
emergent interventions and
determine the benefit versus
risk value for doing further
interventions and put
alternative management
plans.
• C17.Report a patient status
management and
interventions done in a full
comprehensive manner.
c 11. Conduct ultrasound imaging in the trauma
patients (FAST) scan to exclude the presence of
any intra- abdominal or pericardial collection.
c 12. Plan for the follow up of trauma patients
during their stay in the emergency department
after the various interventions till they are
referred to their places of admission either
surgical ward or critical care unit.
c 13. Construct efficient and comprehensive
reporting for all the management and the
procedures done for the trauma patients in the
emergency department. Including efficient filing
system.
D. General
Skills
• D1.Identify the role of
different team members
and communicates
appropriately fully
respecting the
responsibilities and
viewpoints of the different
members.
• D4. Ensure the presence of
efficient accurate and clear
written referral letter to the
recepeint colleague on
referring a patient.
• D9. Continuously upgrade
the knowledge, skills and
professional performance in
management of patients
with acute life threatening
emergencies.
The candidate should:
d 1. Assign for every member in the team a
certain job to prevent the overlap of the
responsibilities and duties.
d 2. Communicate respectfully with all team
members and manage conflicts between team
members.
d 3. Appraise the role of efficient written referral
letters that includes the history of the event, the
management and interventions done and the
reason for referral to a different institute.
d 4. Appraise the role of efficient written referral
letters between colleagues within the same
institute.
d 5. Upgrade the knowledge continuously by
reviewing the advances in the trauma guidelines
the literature, and the changing level of evidence
as regards to evidence based medicine.
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinical
Small
group
discussion
Others
1. Initial approach to trauma
2. Pediatric trauma
3. Geriatric trauma
4. Trauma in pregnancy
5. Head injury
6. Spinal cord injuries
7. Maxillofacial trauma
8. Eye trauma
9. Ear and nose trauma
10. Blunt and penetrating neck
trauma
11. Thoracic trauma
12. Penetrating trauma to flank and
buttock
13. Abdominal injuries
14. Genitourinary trauma
15. Penetrating trauma to extremities
16. Wound ballistics
17. Forensics
18. Injury control
19. Injuries to the joints and bone
20. Abuse and assault
21. Vascular injuries
22. Emergency wound management;
including:
a. Wound evaluation
b. Wound preparation
c. Methods of wound closure
d. Lacerations of extremities
e. Lacerations of face and scalp
f. Soft tissue foreign bodies
g. Puncture wounds and
mammalian bites
h. Post repair wound care
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Please check (✓) the appropriate method.
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
Mid-term %
End of term 100 %
Distribution of Marks
Written Exam 70 %
Written practical comments 30 %
Assignment %
Logbook fulfillment %
List of Textbooks and References
Lecture Notes
Course Text Books
• Tintinalli American college of emergency medicine
• The College of Emergency Medicine (CEM) curriculum and
assessment systems for core speciality training in Acute Care
Common Stem (ACCS CT1-3 ) & Higher Specialty Training
(ST4-6) june
2010.(http://www.collemergencymed.ac.uk/Training-
Exams/Curriculum/Curriculum%20from%20August%202010/
Suggested Extra Reading
• Trauma manual
• Introduction to clinical emergency medicine
• STEPS (Sequential Trauma Educational ProgramS)
• ATLS ( Advanced Trauma Life Support) guidelines.
Journals and Periodicals,
others
Course Instructor
Name: Prof. Dr Habashi Abdel- Basset Signature:
Program Coordinator
Name: Prof. Dr Salah Eltahan Signature:
Program Director
Name: Prof. Dr Habashi Abdel- Basset Signature:
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Course Specifications
University: Alexandria
Faculty: Medicine
Department: Department of emergency medicine.
Course Information
Course Code: 050109100 Course Name: Advanced courses for Emergency
Medicine
Program in which the Course is Given: Medical Doctorate Grade
Number of Credit Hours Theoretical Clinical/Practical
Course Aims:
By the end of this course the candidate should have sufficient knowledge about “Advanced Cardiac Life
Support (ACLS), Advanced Paediatric Life Support (APLS), Advanced Trauma Life Support (ATLS),
Advanced Airway Management (AWM), Shock management, and Pain management in the emergency
room, together with the practical skills required to suffice these issues.
Intended Learning Outcomes (ILOs)
Program ILO (refer to program
matrix) Course ILOs
A. Knowledge
and
Understanding
• A2. Recognize the
physiological phenomena of
vital somatic functions
related to trauma especially
the poly-traumatizaed
patient, major surgical
procedures and uncommon
medical emergencies.
• A3. Identify the causes, risk
factors and patho-
physiology of uncommon
and serious lifethreatening
emergency conditions in
both adults and children.
The candidate should be able to:
a1. Discuss the patho-physiology of the major
life threatening conditions whether secondary to
acute medical or surgical condition or secondary
to poly-trauma.
a 2. Discuss the pathophysiology of cardiac
arrest, identify reversible and irreversible causes,
and be updated in the management of cardiac
arrest due to any life threatening emergency
(medical, surgical or traumatic) according to the
latest clinical guidelines.
a 3. Identify uncommon causes of lifethreatening
emergencies, together with their
pathophysiology, and correct management both
in adults and children.
1 2
• A4.identify the suitable
pharmacological drugs to be
used in medical, surgical
emergencies, trauma and
pain management.
• A7.Describe relevant drug
therapy for the acute
condition diagnosed on
evidence based basis and
beware of the role
regulatory agencies
involved in drug use,
monitoring and licensing
(e.g. National Institute for
Clinical Excellence (NICE),
Committee on Safety of
Medicines (CSM) while
prescribing your therapy.
• A9.Rapid recognition of
acute life-threatening
conditions and identify the
most likely diagnoses
whether medical
surgical,traumatic or
toxicological .
a 4. Describe advanced procedures in
resuscitating both adults and children, should
recognize the pathophysiological differences
between both age groups, and also should
recognize the differences in management
between both age groups.
a 5. Describe the pathophysiology of pain due to
the different emergency conditions and be able
to manage pain and its cause.
a 6. Discuss management of pain in the
emergency department due to various causes,
should recognize the different pharmacological
agents that can be safely prescribed and the
correct way for their administration.
a 7. Identify different pharmacological agents
used during life support of life threatening
emergencies due to the different casues, and
should have sufficient knowledge about their
doses, pharmacokinetics, pharmacodynamics,
effects, side effects, indications,
contraindications and drug-drug interactions in
both paediatrics and adults.
a 8.List drugs that are out of license or
abandoned to use and other drugs that can be
useful and prescribed by continuous revision of
trusted drug agencies and clinical guidelines.
a 9.Identify life threatening conditions rapidly
and manage them efficiently according to the
latest updates in the literature and clinical
guidelines
B. Intellectual
skills
• B2.Analyze data obtained
from clinical interview.
• B3. Focus accurately
questioning to establish
working diagnosis /
differential diagnosis and
relate to relevant
examination, investigation
and management plan in
most acute and common
The candidate should:
b 1. Assess causes and risk factors relevant to
the condition and identifies when to focus
history on immediate lifethreatening acute
conditions.
b 2. Develop a provisional diagnosis and
differential diagnosis relevant to the history,
examination and investigations done.
b 3. Develop management plan according to the
working diagnosis suggested.
chronic conditions in almost
any environment.
• B6. Adapt examination
techniques to the variable
acute clinical situations and
being able to conduct
examination while
resuscitating the patient.
• B7. Develop observational
protocols for high risk
patients.
b 4. Apply the examination techniques relevant
to the current acute clinical situation.
b 5. Perform a focused examination during the
event of resuscitation.
b 6. Outline a protocol for observing, monitoring
and managing patients who recover cardiac
arrest during their stay in the emergency
department.
C.Professional
and Practical
Skills
• C2. Prioritize sick patients
using rapid triaging systems
and recognizing the urge to
commence resuscitation
before the completion of full
history and examination.
• C3.Respect time and being
able to organize and lead
the clinical team and
managing the workload
whatever.
• C4.Predict the prognosis
and future risks for the
acutely ill patient
presenting to the ED.
• C5.Perform competently
and professionally all
advanced life supporting
measures in acute life
threatening medical,
surgical and traumatic
emergency situations to
both adults and paediatric
groups.
The candidate should:
c 1. Categorize rapidly the patients using the
appropriate up to date triaging guidelines.
c 2. Decide the correct time and urge for
commencing life support resuscitation measures.
c 3. Appraise the value of time, and assign every
member of the life support team to a certain duty
referring to the protocol of resuscitation.
c 4. Suggest a prognosis and future outcome of
the acutely ill patient in the emergency
department according to the present history of
the acute event and the risk factors.
c 5. Conduct competently all the advanced life
support procedures in cases of cardiac arrest
whether due to a medical, surgical or traumatic
aetiology.
c 6. Identify the reversible causes of cardiac
arrest and manage them accordingly.
c 7. Discriminate between the advanced life
support protocols for adults and children.
• C6. Perform Advanced
Cardiac and Trauma life
Support (Adult and
Paediatric) and knowing
how to manage the patient
post- arrest with ROSC
(Return of Spontaneous
Circulation)
• C7.Diagnose and treat peri-
arrest arrhythmias and
know the indication,
contraindications and side
effects of the drugs used.
• C8. Competently perform
further steps in advanced
life support.
• C9. Establish skillfully IV
access including intra-
osseous, central venous
access and intra arterial
insertion with invasive
arterial BP monitoring
• C11. Conduct the
peripheral nerve blocks.
• C14.Perform efficiently
procedures needed to
manage a difficult airway
including LMA, needle and
surgical cricothyroidotomy
• C16.Follow up the patient’s
outcome after the various
emergent interventions and
determine the benefit versus
risk value for doing further
interventions and put
alternative management
plans.
• C17.Report a patient status
management and
interventions done in a full
comprehensive manner.
c 8. Conduct a proper management plan for the
patients who recover cardiac arrest and return to
their spontaneous circulation (ROSC), till they
are referred to the critical care unit for further
management.
c 9. Diagnose and treat life threatening peri-
arrest arrhythmias, identify the shockable and
non- shockable rhythms during the event of
cardiac arrest.
c 10. Discuss the algorithms for managing tachy-
and bradyarrhytmias.
c 11. State the different drugs that can be used
during life support procedures, their indications,
contraindications and side effects.
c 12. Conduct further steps in advanced life
supportsuch as IV drugs administration, safe
DC shocks when indicated, central line insertion,
,endotracheal intubation, external pacing,
endotracheal drug administration.
c 13. Perform all the manual maneuvers included
in the life support protocol such as obtaining a
vascular access and invasive blood pressure
monitoring.
c 14. Conduct appropriate pain management for
patients presenting with acute pain in the
emergency department, such as performing
peripheral nerve blocks including but not limited
to: digital, wrist (ulnar, median, radial), femoral,
facial (auricular, supra-trochlear, supra-orbital),
ankle, and know their contraindications.
c 15. Perform efficiently procedures related to
advanced airway management including difficult
airway management.
c 16. Conduct follow up plan for the patients in
the emergency department after the various
interventions done to them.
c 17. Calculate benefit/ risk ratio for further
interventions that are to be done for the acutely
ill patients presenting to the emergency
department.
c 18. Construct comprehensive full reports for
all the management and interventions done for
the acutely ill patients presenting to the
emergency room.
D. General
Skills
• D1.Identify the role of
different team members
and communicates
appropriately fully
respecting the
responsibilities and
viewpoints of the different
members.
• D3.Communicate
accurately and urgently
according to the situation
using appropriate means
telephone, e-mail, written
letter,…etc.
• D5. Express sympathy and
encourage effective
communication between
you, your patients and their
relatives by listening to
them and breaking the
barriers hindering effective
communication.
• D6.Demonstrate
professional ability to
manage situations and
events unique to the
practice of emergency
medicine.
• D9. Continuously upgrade
the knowledge, skills and
professional performance in
management of patients
acute life threatening
emergencies.
The candidate should:
d 1. Outline the different roles for the different
team members to avoid the overlap of duties and
the duplication of efforts.
d 2. Communicate respectfully with the team
members.
d 3. Construct an appropriate calling system to
facilitate the communication between the
different team members in urgent situations such
as mass disasters.
d 4. Express sympathy for the patients and their
relatives.
d 5. Encourage communication between the
team members and the patients, and appraise the
role of good listening in highlighting missing
points in the history and identifying hidden risk
factors that may affect the prognosis and
management.
d 6. Outline a management plan for situations
that are specific for the emergency department
such as managing mass disasters and performing
life support for many patients at a time.
d 7. Upgrade the knowledge continuously by
frequent reviewing of the most recent life
support guidelines and reviewing the related
literature, plus being up to date with the
changing levels of evidence as regards to
evidence based medicine.
Course Content (Units/Topics)
Teaching/Learning Methods
Lecture self
learning
Practical/
Clinical
Small
group
discussion
Others
Basic life support skills:
• Chain of survival
• Basic AWM
• Basic CPR & AED.
• Skills
√ √ √ √
Advanced cardiac life support:
• ACLS algorithm & peri-arrest
arrhythmias
• Defibrillation
• AWM & Ventilation
• Assisting the circulation
• Pre-/in-hospital cardiac arrest
• Post-resuscitation care
• Skills
√ √ √ √
Basic pediatric life support:
• Basic ped. life support algorithm
• Choking treatment algorithm
• Skills
Advanced pediatric life support:
• Ad. ped. Life support algorithm
• Drugs & fluid resuscitation
• Post-resuscitation care, ? parents
• Newborn life support
• Skills
√ √ √ √
Basic trauma management:
• Scene size-up
√ √ √ √
• Initial assessment &management
• Skills
Advanced trauma management:
• Preparation (pre/intra-hospital)
• Triage (multiple/mass casualties)
• Primary survey & resuscitation
• Secondary survey , monitoring & re-
evaluation
• Chest trauma & skills
• Abdominal, pelvic trauma & skills
• Head, spine ,spinal cord trauma &
skills
• Extremity trauma & skills
• Burn
• Trauma in elderly, children,
pregnancy, …
• Blood & body substances
precautions
Adv. AWM:
• Airway anatomy, physiology,
pharmacology & radiology
• Airway assessment
• Difficult AWM algorithm/trauma
• Difficult AWM kit
• Fiber-optics & difficult airway
• Skills
√ √ √ √
Shock:
• Patho-physiology& initial
assessment
√ √ √ √
• Types, management & fluid
resuscitation
• Complications
• Skills
Pain management in Em. Room:
• Problems of pain management in the
emergency room
• Pain: Anatomy, physiology,
pharmacology, …
• Pain management guidelines &
protocols in the emergency room
• Nerve blocks (central, peripheral)
• Skills
√ √ √ √
Please check (✓) the appropriate method.
Student Assessment
Methods of Assessment
Essay Objective questions
Case (✓) OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
Mid-term %
End of term 100 %
Distribution of Marks
Written Exam 70 %
Written practical comments 10 %
Assignment 10 %
Logbook fulfillment 10 %
(✓)
(✓)
(✓)
(✓)
(✓)
List of Textbooks and References
Lecture Notes
Course Text Books
• Tintinalli American college of emergency medicine
• The College of Emergency Medicine (CEM) curriculum and
assessment systems for core speciality training in Acute Care
Common Stem (ACCS CT1-3 ) & Higher Specialty Training (ST4-
6) june 2010.(http://www.collemergencymed.ac.uk/Training-
Exams/Curriculum/Curriculum%20from%20August%202010
Suggested Extra
Reading
Trauma manual .
Introduction to clinical emergency medicine ,.
ACLS (Advanced Cardiac Life Support) guidelines.
ATLS ( Advanced Trauma Life Support) guidelines.
Journals and
Periodicals, others
Course Instructor
Name: Prof. Dr Hossam- Eldin Fouad Signature:
Program Coordinator
Name: Prof. Dr Salah Eltahan Signature:
Program Director
Name: Prof. Dr Habashi Abdel- Basset Signature:
Course Specifications
University: Alexandria
Faculty: Medicine
Department: Department of emergency medicine.
Course Information
Course Code: 052309100 Course Name: Advanced obstetric ad gynaecology
for emergency medicine
Program in which the Course is Given: MD degree of Emergency Medicine
Number of Credit Hours 1 Theoretical Clinical/Practical
Course Aims:
By the end of this course the candidate should have advanced knowledge about the various life threatening
acute obstetric and gynaecologic conditions encountered in the emergency department.
Intended Learning Outcomes (ILOs)
Program ILO (refer to program
matrix)
Course ILOs
A. Knowledge
and
Understanding
A12. Upgrade the knowledge
about the various acute life
threatening obstetric and
gynaecologic conditions
A13. Discuss the pathophysiology
and complications of trauma in the
field of obstetrics and gynaecology
The candidate should be able to:
a 1. Identify the various life threatening obstetric
conditions, their pathophysiology and first aid
management such as bleeding in pregnancy and
hypertensive disorders during pregnancy.
a 2. Desribe the pathophysiology, relevant
investigations and first aid management for
trauma in pregnancy and trauma to the genital
organs,
a 3. Identify quickly the complications of trauma
in pregnancy and discuss how to deal with them.
B. Intellectual
skills
• B1.Demonstrate the ability to
take a focused informative
relevant history within
limited time and under
difficult conditions for e.g. in
The candidate should be able to:
b 1. Obtain a focused sufficient history in cases
of obstetrics and gynaecology
b 2. Analyze the mechanism of injury in cases
of trauma during pregnancy
1/2 1/2
severely ill patient or angry
distressed patient/ relative .
• B2.Analyze data obtained
from clinical interview.
• B3. Focus accurately
questioning to establish
working diagnosis /
differential diagnosis and
relate to relevant
examination, investigation
and management plan in most
acute and common chronic
conditions in almost any
environment
b 3. Assess the risk factors predisposing to the
current obstetric condition such as bleeding in
early pregnancy or hypertensive disorders of
pregnancy.
b 4. Develop a relevant provisional and
differential diagnosis for the current obstetric or
gynecologic condition based on efficient
examination, laboratory and radiological
investigations.
C.Professional
and Practical
Skills
C4.Predict the prognosis and future
risks for the acutely ill patient
presenting to the ED.
• C5.Perform competently and
professionally all advanced
life supporting measures in
acute life threatening medical,
surgical and traumatic
emergency situations to both
adults and paediatric groups.
The candidate should be able to:
c 1. Conduct clinical examination and
investigations to the patient in this acute event.
c 2. Perform competently life support measures
in various acute lifethreatening obstetric and
gyanaecologic conditions such as in cases of life
threatening trauma during pregnancy.
D. General
Skills
• D9. Continuously upgrade the
knowledge, skills and
professional performance in
management of patients with
acute life threatening
emergencies
The candidate should:
d 1. Upgrade his knowledge regarding the
different life threatening obstetrics and
gynaecology conditions, their pathophysiology,
new aetiologies if any, new investigations and
first aid management lines according to most
recent guidelines and on evidence based basis.
d2. Use online resources to collect valid updated
knowledge that helps in solving patient’s
problems.
d3. Use information from different sources based
on best evidence & best practice.
Please check (✓) the appropriate methods
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
Mid-term %
End of term 100 %
Distribution of Marks
Written Exam 70 %
Written practical comments 30 %
Assignment %
Logbook fulfillment %
List of Textbooks and References
Lecture Notes
(✓)
Course Text Books
• William’s obstetrics. 22nd edition 2005
MC Hill USA
• Clinical obstetrics. The fetus and the
mother. 3rd edition 2007. Black well
publish.
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinical
Small
group
discussion
Others
1. Obstetrics hemorrhage (✓) (✓)
2. Obstetrics convulsions (✓)
3. Acute abdomen with pregnancy (✓) (✓)
4. Complicated ovarian masses (✓)
5. Gynecologic bleeding (✓) (✓)
6. Obstetrics shock (✓)
(✓)
(✓)
• High risk pregnancy management options.
3rd edition 2006. Elsever sarmders.
• Decvhurst’s text book of obstetricsand
gynecology for post graduate. 7th edition.
Black well science.
Suggested Extra Reading
Journals and Periodicals, others
Course Instructor
Name: Prof. Dr Elsayed Elbadawy Signature:
Program Coordinator
Name: Prof. Dr. Salah Eltahan Signature:
Program Director
Name: Prof. Dr Habashi Abdel- Baset Signature:
Course Specifications
University: Alexandria
Faculty: Medicine
Department: Department of Emergency Medicine.
Course Information
Course Code: 052909100 Course Name: Advanced pediatric emergencies
Program in which the Course is Given: MD degree of Emergency Medicine.
Number of Credit Hours 2 Theoretical Clinical/Practical
Course Aims
By the end of this course the candidate should be able to identify, discuss and provide the initial first aid
management of the acute common and less common pediatric emergencies in the different pediatric age
groups.
Intended Learning Outcomes (ILOs)
Program ILO (refer to program
matrix) Course ILOs
A. Knowledge
and
Understanding
• A3. Identify the causes, risk
factors and patho-
physiology of common and
uncommon serious life-
threatening emergency
conditions in both adults
and children.
• A4. Identify the suitable
pharmacological drugs to
be used in medical, surgical
emergencies, trauma and
pain management.
• A5. Recall drugs requiring
therapeutic drug
monitoring and interpret
results and define the effects
The candidate should be able to:
a 1. Discuss the causes, risk factors and
pathophysiology of the common pediatric
emergencies in the different pediatric age
groups.
a 2. Identify the less common acute life
threatening pediatric emergencies and provide
the first aid management.
a 3. Determine the first aid management of the
acute pediatric emergencies in the different
pediatric age groups.
a 4. Describe the appropriate pharmacological
treatment for the life-threatening pediatric
emergencies with correct dosing.
a 5. Identify the difference between drug dosing,
monitoring, and toxicity between pediatric and
adult age groups.
1hr 1hr
of age, body size, organ
dysfunction and concurrent
illness on drug distribution
and metabolism.
• A9.Rapid recognition of
acute life-threatening
conditions and discuss the
most likely diagnoses
whether medical,
surgical,traumatic or
toxicological.
a 6. Identify the drugs requiring monitoring and
dose adjustment in pediatric age groups.
a 7. Describe acute life threatening pediatric
conditions requiring the initiation of pediatric
life support, identify the most probable cause for
this life threatening condition and describe the
most appropriate treatment.
B. Intellectual
skills
• B1. Demonstrate the ability
to take a focused
informative relevant history
within limited time and
under difficult conditions
for e.g. in severely ill patient
or angry distressed patient/
relative.
• B2. Analyze data obtained
from clinical interview.
• B3. Focus accurately
questioning to establish
working diagnosis /
differential diagnosis and
relate to relevant
examination, investigation
and management plan in
most acute and common
chronic conditions in almost
any environment.
• B4. Use risk calculators and
clinical scoring systems
appropriately.
The candidate should be able to:
b 1. Derive an informative relevant history
within limited period of time and under stressful
situations as in cases of severely distressed child
and angry parents.
b 2. Assess causes and risk factors relevant to
the condition and identify when to focus history
on immediate life threatening acute conditions.
b 3. Formulate questions that help establish the
most appropriate diagnosis and differential
diagnosis relevant to the presenting acute
condition in the different pediatric age groups.
b 4. Conduct efficient focused examination that
provides clinical data helping to reach a correct
diagnosis.
b 5. Determine the appropriate investigations
whether laboratory or radiological relevant to the
acute condition present.
b 6. Utilize the different scoring systems to risk
stratify and prioritize the pediatric cases
presenting with acute conditions correctly.
b 7. conduct a focused informative examination
while resuscitating a pediatric patient.
b 8. Identify the investigations suitable to be
done during resuscitating a pediatric patient.
• B6. Utilize examination
techniques to the variable
acute clinical situations and
being able to conduct
examination while
resuscitating the patient.
• B7. Develop observational
protocols for high risk
patients.
b 9. Outline a plan for observing the pediatric
cases after providing the first aid measures to
resuscitate them till they are dischareged,
referred to a pediatric care unit or to the
outpatient pediatric clinic.
C.Professional
and Practical
Skills
• C2. Prioritize sick patients
using rapid triaging systems
and recognizing the urge to
commence resuscitation
before the completion of full
history and examination.
• C4.Predict the prognosis
and future risks for the
acutely ill patient
presenting to the ED.
• C6. Perform Advanced
Cardiac and Trauma life
Support (Adult and
Pediatric) and knowing how
to manage the patient post-
arrest with ROSC (Return
of Spontaneous
Circulation).
• C16.Follow up the patient’s
outcome after the various
emergent interventions and
determine the benefit versus
risk value for doing further
interventions and put
alternative management
plans.
The candidate should be able to:
c 1. Distinguish high risk pediatric cases from
the low risk ones using efficient risk scores,
presenting risk factors and aided by the
abnormal results of any of the investigations
done.
c 2. Discuss the prognosis of the current
presenting acute life- threatening pediatric
condition and predict the current outcome and
future risk based on the clinical findings, risk
factors, investigations done and response to
treatment.
c 3. Decide the correct time and urge to conduct
advanced pediatric life support.
c 4. Explain and do all the maneuvers and
procedures required for pediatric life support
correctly and professionally.
c 5. Conduct a plan for follow up, monitoring
and management of severely ill resuscitated
pediatric cases after the ROSC and till their
referral to a higher level of care in the pediatric
critical care unit.
c 6. Arrange for follow up of the severely ill
pediatric case after the various interventions
done to him in the emergency room.
• C17.Report a patient status
management and
interventions done in a full
comprehensive manner.
c 7. Construct efficient comprehensive report
including the patient’s status, the management
and the interventions that were done, the results
of all his laboratory and imaging investigations,
the recommended further management and the
reason for referral.
D. General
Skills
• D4. Ensure the presence of
efficient accurate and clear
written referral letter to the
recipient colleague on
referring a patient.
• D5. Express sympathy and
encourage effective
communication between
you, your patients and their
relatives by listening to
them and breaking the
barriers hindering effective
communication.
• D9. Continuously upgrade
the knowledge, skills and
professional performance in
management of patients
with acute life threatening
emergencies.
The candidate should be able to:
d 1. Appraise the value of efficient
comprehensive reporting when referring a
patient within the same institute or to another
institute.
d 2. Conduct effective communication between
him and the parents of his pediatric patient,
listen carefully, and show sympathy on breaking
bad news.
d 3. Identify the value of effective
communication in obtaining a comprehensive
history and defining risk factors which help
formulating an appropriate diagnosis and
differential diagnosis.
d 4. Upgrade the knowledge about the advances
in managing pediatric emergencies and pediatric
life support by continuous reviewing of the
literature, clinical guidelines and eveidence
based medicine.
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinical
Small
group
discussion
Others
1. Convulsions, coma, limbing
2. Diarrhea, vomiting and
dehydration
3. Jaundice
4. Abdominal pain
5. Chest pain
(✓)
(✓)
(✓)
(✓)
(✓)
(✓)
(✓)
(✓)
6. Dyspnea, respiratory distress and
stridor, bronchial asthma
7. Fever
8. Acute oedema
9. Anuria, polyuria and haematuria
10. Shock and anaphylaxis
11. Bleeding (traumatic and non-
traumatic)
12. GIT bleeding
13. Haemoptysis
14. Joint pains
15. Diabetic ketoacidosis
16. Neonatal emergencies
17. Blood transfusion
18. Fluid therapy
19. O2 therapy
20. Antibiotic therapy
21. Antipyretic therapy
22. Anticoagulants therapy
23. Haemostatic therapy
24. Pain killers
25. Acid base management
26. Electrolytes management
27. Inhalational therapy
28. CT scan and MRI in paediatrics
29. Immunization
(✓)
(✓)
(✓)
(✓)
(✓)
(✓)
(✓)
(✓)
(✓)
(✓)
(✓)
(✓)
(✓)
(✓)
(✓)
(✓)
(✓)
(✓)
(✓)
(✓)
Please check (✓) the appropriate method
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
Mid-term %
End of term 100 %
Distribution of Marks
Written Exam 70 %
Written practical comments %
Assignment 20 %
Logbook fulfillment 10 %
List of Textbooks and References
Lecture Notes
Course Text Books
Tintinalli text book of emergency medicine
Nilson’s text book of paediatrics
Suggested Extra Reading
Journals and Periodicals, others
Course Instructor
Name: Prof. Dr Mohamed Dauod Signature:
Program Coordinator
Name: Prof. Dr Salah Eltahan Signature:
Program Director
Name: Prof. Dr Habashi Abdel- Basset Signature:
(✓)
(✓)
(✓)
Course Specifications
University: Alexandria
Faculty: Medicine
Department: Department of emergency medicine .
Course Information
Course Code: 051109100 Course Name:
Advanced clinical toxicology
Program in which the Course is Given: MD degree of emergency medicine
Number of Credit Hours 2 Theoretical Clinical/Practical
Course Aims
By the end of this course the candidate should be able to diagnose and manage a wide range of toxicological
emergencies that are frequently and infrequently encountered in the emergency department with special
emphasis on the life threatening emergencies.
Intended Learning Outcomes (ILOs)
Program ILO (refer to program
matrix) Course ILOs
A. Knowledge
and
Understanding
A8. Identify and manage the acute
life threatening toxicological
conditions recognize and manage
the less common rare presentations
for toxicological emergencies.
A9.Rapid recognition of acute life-
threatening conditions and discuss
the most likely diagnoses whether
medical surgical, traumatic or
toxicological .
The candidate should be able to:
a 1. Identify and outline the first aid
management plan for the acute life threatening
toxicological conditions due to common and
uncommon toxicological cases
a 2. Describe the specific antidotes for the acute
toxicological cases and their correct doses.
a 3. Identify and manage the less common rare
presentations for acute toxicological
emergencies
a4. Discuss the management of the different
toxicological cases due to the different
pharmacological agents especially for the drugs
with narrow therapeutic window.
a 5. Identify life threatening toxicological
emergencies and commence the appropriate life
support measures according to the most recent
guidelines
0.5hr 1.5 hr
B. Intellectual
skills
B2. Analyze data obtained from
clinical interview.
B3. Focus accurately questioning to
establish working diagnosis /
differential diagnosis and relate to
relevant examination, investigation
and management plan in most
acute and common chronic
conditions in almost any
environment.
The candidate should be able to:
b 1. Identify causes and risk factors relevant to
the suspected acute intoxication condition and
identify when to focus history on immediate
lifethreatening acute conditions.
b 2. Focus the history on immediate life
threatening acute toxicological conditions
relevant to the current situation
b 3. Develop working diagnosis / differential
diagnosis related to the relevant history and
laboratory investigations for acute intoxication
b 4. Develop management plan in most acute
and common chronic toxicological conditions in
almost any environment
C.Professional
and Practical
Skills
C5. Perform competently and
professionally all advanced life
supporting measures in acute life
threatening medical, surgical ,
traumatic and toxicological
emergency situations to both adults
and pediatric groups.
The candidate should be able to:
c.1 Conduct competently and professionally all
advanced life supporting measures in acute life
threatening toxicologic emergencies.
c2. Outline a management plan for the
toxicologic emergencies in both adults and
pediatric groups.
D. General
Skills
D9. Continuously upgrade the
knowledge, skills and professional
performance in management of
patients with acute life threatening
emergencies.
d.1 Upgrade the knowledge, skills and
professional performance in management of
patients with acute life threatening toxicological
emergencies according to the most recent
guidelines emergencies and evidence based
medicine.
d2. Use online resources to collect valid updated
knowledge that helps in solving patient’s
problems.
d3. Use information from different sources based
on best evidence & best practice.
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinical
Small
group
discussion
Others
1. General managent of poisoned
patient
(✓) (✓)
2. Psychotropic drugs:
a. TCA (✓) (✓)
b. Newer antidepressants
and serotonin syndrome
(✓) (✓)
c. MAOI (✓) (✓)
d. Lithium (✓) (✓)
3. NSAIDS (✓)
4. Analgesic anti pyretic:
Salicylates, Acetaminophen
(✓)
5. Sedatives hypnotics:
a. Barbiturates (✓) (✓)
b. Benzodiazepines (✓) (✓)
c. Non benzodiazepines (✓) (✓)
d. Alcohols (✓) (✓)
6. Narcotics: Opioids (✓) (✓)
7. CNS stimulants:
a. cocaine,
b. amphetamines,
c. caffeine,
d. nicotine,
e. Theophylline
(✓) (✓)
8. Hallucinogens (✓)
9. Cardiotoxic drugs:
a. Digitalis (✓)
b. Anti-hypertensive: Beta
blockers, ca channel
blockers
(✓)
10. Anti epileptics: Phenytoin (✓) (✓)
11. Anti tuberculous drugs (✓) (✓)
12. Anti parkinsonian drugs (✓) (✓)
13. Hydrocarbons, volatile
substances: Cyanide
(✓)
14. Caustics (✓) (✓)
15. Insecticides (✓) (✓)
16. Anticholinergics (✓)
17. Vitamins and herbals (✓)
18. Dyshaemoglobinemias (✓)
19. Hypoglycemic agents (✓)
20. Electrolyte imbalance. (✓)
21. Acid- base disturbance (✓)
22. Rhabdomyolysis (✓)
23. Disseminated intravascular
coagulopathy
(✓)
24. Cerebral, pulmonary edema. (✓)
25. Toxicology in pediatrics. (✓)
26. Toxicology in geriatrics. (✓)
Please check (✓) the appropriate method.
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
Mid-term 0 %
End of term 100 %
Distribution of Marks
Written Exam 70 %
Written practical comments 20 %
Assignment 10 %
Logbook fulfillment %
List of Textbooks and References
Lecture Notes
To be provided by the staff members responsible
for the course
Course Text Books
Tintinalli J, Stapczynski J. Tintinalli's Emergency
Medicine: A Comprehensive Study Guide,
Seventh Edition.2010.
Goldfrank LR, Flomenbaum N E. Toxicologic
Emergencies (7th Edition). 2005.
Suggested Extra Reading
http://sis.nlm.nih.gov/enviro.html
Journals and Periodicals, others
Course Instructor
Name: Prof Dr Hoda Fouad Abdel- Salam Signature:
Program Coordinator:
Name: Prof Dr Salah Eltahan Signature:
Program Director Name: Prof Dr Habashi Abdel- Basset Signature:
(✓)
(✓)
(✓)
(✓)
(✓)
Course Specifications
University: Alexandria
Faculty: Medicine
Department: Emergency department
Course Information
Course Code: 05100903 Course Name: Administration & planning in
emergency department
Program in which the Course is Given: MD degree of Emergency Medicine
Number of Credit Hours Theoretical Clinical/Practical
Course Aims
By the end of this course the candidate should be able to put an efficient administrative plan for the
emergency department and be able to lead the emergency team in various situations.
Intended Learning Outcomes (ILOs)
Program ILO (refer to program
matrix) Course ILOs
A. Knowledge
and
Understanding
• A11. Identify the
international principles,
guidelines and definitions
of emergency department
planning and disaster
management strategies
The candidate should be able to:
a1 Identify the international guidelines for
administration and management in the
emergency department.
a2 Define and plan for emergency
department management in cases of
mass accidents
B. Intellectual
skills
• B10. Construct a concise
problems list and develop
action plans while
recognizing expert advice,
up to date guidelines and
algorithms.
The candidate should:
b1 Describe how to generate a hypothesis
and verify it
b2 Utilize the different statistical
methodologies and their calculations.
b3 Calculate the different risks such as
relative and absolute risks.
1hr
• B11. Generate a hypotheses
and knowing how to test,
refine and verify this
hypotheses.
• B12. Utilize the different
statistical methodologies,
studies and their
interpretation.
b4 Define the different statistical terms
such as predictive value, sensitivity and
specificity …etc. together with their use
in different clinical contexts, scientific
researches and clinical surveys.
C. Professional
and Practical
Skills
• C1.Carry out the
management of more than
one patient in the ED at a
time.
• C3.Respect time and being
able to organize and lead
the clinical team and
managing the workload
whatever.
• C17.Report a patient status
management and
interventions done in a full
comprehensive manner.
• C18. Appraise the value of
efficient reporting and
monitor the process of
adequate complete
reporting.
The candidate should be able to:
c1 Manage the patients in the emergency
department even in the most crowded
times.
c2 Identify the value of time and be able to
efficiently triage his patients and
manage more than one patient at the
same time following a predetermined
plan.
c3 Describe efficient complete reporting
for the patient’s status including all the
interventions and management plan in a
full comprehensive manner.
c4 Appraise the value of efficient and
complete reporting of all events in the
patient management especially in the
medico legal conditions such as abuse
and trauma.
D. General
Skills
• D2.Cooperate with the
team, work as team leader
and manage the conflicts
between team members
appropriately, ensure
confidentiality when talking
with any team member and
implement an open
transparent communication
in a respectful supportive
environment between team
members.
• D7. Use different
interpersonal
The candidate should be able to:
d1 Lead a team.
d2 Respect the confidentiality of team
members and patients
d3 Discuss the conflicts wisely and in a
respectable supportive manner
d4 Utilize the advances in information
technology relevant to practice in the
emergency department
d5 D 5. Utilize the advances in information
technology in teaching the junior staff
and improving the patients’ management
communication skills and
information technology to
teach and upgrade the
knowledge of the junior
staff in emergency medicine
• D8.Utilize the advances in
information technology and
telemedicine to facilitate
and improve emergency
room work and
management
• D9. Continuously upgrade
the knowledge, skills and
professional performance in
management of patients
acute life threatening
emergencies
d6 Use the advances in information
technology and telemedicine in
facilitating communication between the
different institutes and in the efficient
patient’s referral
d7 Upgrade continuously his knowledge,
skills, and professional performance in
the administration of the emergency
department.
d 8. continuously upgrade his knowledge on
the advances in the modalities and
techniques in the field of acute medicine.
d 9. Use online resources to collect valid
updated knowledge that helps in solving
patient’s problems.
d 10. Use information from different sources
based on best evidence & best practice.
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Professional /
Clinical
Small
group
discussion
Others
1. International guidelines for
administration and management in
the emergency department
(✓)
2. Plan for emergency department
management in cases of mass
accidents
(✓) (✓)
3. Root cause analysis in Emergency
Department
(✓) (✓)
4. Risk management in Emergency
Department
(✓)
5. Emergency department in the
most crowded times
(✓)
6. Triage in emergency department (✓)
7. Documentation and Efficient
reporting in the emergency
department
(✓)
8. Team leading in emergency
department
(✓) (✓)
9. Medical and health informatics in
emergency department
(✓) (✓)
Please check (✓) the appropriate method.
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
Mid-term %
End of term 100 %
Distribution of Marks
Written Exam 70 %
Written practical comments %
Assignment 30 %
Logbook fulfillment %
List of Textbooks and References
Lecture Notes
(✓)
Course Text Books
Managing Emergency Demand in Public
Hospitals
Suggested Extra Reading
Journals and Periodicals, others
Risk Management in Emergency Department
ER database management
Course Instructor
Nam: Prof. Dr Tarek Omar Signature:
Program Coordinator
Name: Prof Dr Salah Eltahan Signature:
Program Director
Name: Prof. Dr Habashi Abdelbasset Signature:
(✓)
(✓)
Course Specifications
University: Alexandria
Faculty: Medicine
Department: Department of emergency medicine.
Course Information
Course Code: 05100902 Course Name:
Disaster management
Program in which the Course is Given: MD degree of emergency medicine
Number of Credit Hours Theoretical Clinical/Practical
Course Aims
By the end of this course the candidate should be able to plan and manage the emergency department in
cases of mass accidents and disasters
Intended Learning Outcomes (ILOs)
Program ILO (refer to program
matrix) Course ILOs
A. Knowledge
and
Understanding
• A11.Identify the
international principles,
guidelines and definitions
of emergency department
planning and disaster
management strategies
The candidate should be able to :
a 1. Identify how to manage the emergency
department in cases of disasters using the
international guidelines for mass disaster
management
B. Intellectual
skills
• B11. Generate a hypotheses
and knowing how to test
refine and verify this
hypotheses
• B12. Utilize the different
statistical methodologies
,studies and their
interpretation.
The candidate should be able to:
b 1. Generate a hypothesis and verify it
b 2. Calculate the different statistical risks and
correctly analyze the different statistical
measures to define the outcomes of mass
disasters.
b 3. Discuss the value of the different statistical
results and define statistical errors and their
impacts.
1hr
C.Professional
and Practical
Skills
• C1.Carry out the
management of more than
one patient in the ED at a
time
• C2. Prioritize sick patients
using rapid triaging systems
and recognizing the urge to
commence resuscitation
before the completion of full
history and examination.
• C3.Respect time and being
able to organize and lead
the clinical team and
managing the workload
whatever.
The candidate should be able to:
c 1.Triage his patients correctly in cases of mass
accidents
c 2. Manage more than one case at a time
efficiently
c 3. Appraise the value of time
c4. Organize and lead the team and manage the
workload in the most crowded situations using
the available resources and man power.
D. General
Skills
• D6.Demonstrate
professional ability to
manage situations and
events unique to the
practice of emergency
medicine.
• D7. Use different
interpersonal
communication skills and
information technology to
teach and upgrade the
knowledge of the junior
staff in emergency medicine
• D8.Utilize the advances in
information technology and
telemedicine to facilitate
and improve emergency
room work and
management
The candidate should:
d 1. Demonstrate professional ability in
managing mass accidents and disasters
d 2.Communicate efficiently in cases of mass
accidents using advance in information
technology and telemedicine.
d 3. Upgrade the knowledge of the junior staff in
the emergency medicine about how to manage
mass accidents and deal with disasters
appropriately.
d 4. Use the advances in telemedicine to
facilitate the communication between different
institutes and within the same institute to
facilitate mass disaster management.
• D9. Continuously upgrade
the knowledge, skills and
professional performance in
management of patients
with acute life threatening
emergencies
d 5. Upgrade the knowledge and skills for
managing mass disasters not only for the team
leader but also for all the personnel involved in
health care service supplementation during mass
disasters.
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinical
Small
group
discussion
Others
(✓)
Please check (✓) the appropriate method.
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
Mid-term %
End of term 100 %
Distribution of Marks
Written Exam %
Written practical comments %
Assignment %
Logbook fulfillment %
(✓)
(✓)
List of Textbooks and References
Lecture Notes
Course Text Books
Suggested Extra Reading
Journals and Periodicals, others
Course Instructor
Name: Prof. Dr Nermeen Fouda Signature:
Program Coordinator
Name: Prof. Dr Salah Eltahan Signature:
Program Director
Name: Prof. Dr Habashi Abdebasset Signature:
Course Specifications
University: Alexandria
Faculty: Medicine
Department: Department of emergency medicine.
Course Information
Course Code: 053109100 Course Name: Imaging for emergency medicine II
Program in which the Course is Given: MD degree of Emergency Medicine.
Number of Credit Hours: 1 Theoretical Clinical/Practical
Course Aims
By the end of this course the candidate should :
• Upgrade the knowledge as regards the field of radio-diagnosis in emergency conditions
• Establish an imaging work up for common and uncommon emergencies.
Intended Learning Outcomes (ILOs)
Program ILO (refer to program
matrix) Course ILOs
A. Knowledge
and
Understanding
• A1. Describe applied
anatomy of head &neck,
chest, abdomen, pelvis,
upper and lower limbs.
The candidate should be able to :
a1. Discuss normal radiological anatomy of head
and neck in various imaging modalities.
a2. Describe normal radiological anatomy of
chest and mediastinum in various imaging
modalities
a3. Mention radiological anatomy of the
abdomen and pelvis on various imaging
modalities
a4. Discuss radiological anatomy of the
musculoskeletal system on various imaging
modalities.
a5. Describe abnormal imaging findings in acute
life-threatening emergency conditions in various
imaging modalities (U/S, CT scans, MRI)
1/2 1/2
a 6. Define the role of the various imaging
modalities in the different acute life- threatening
emergency conditions.
a 7. State the indications for and
contraindications of the various imaging
techniques relevant to the emergency practice.
B. Intellectual
skills
• B5. Utilize and interpret
findings of advanced
adjuncts to basic
examination e.g.
echocardiography, FAST
ultrasound.
The candidate should:
b 1. Interpret the indications and values of the
different imaging modalities in different acute
life-threatening emergency conditions.
b 2. Correlate between the clinical findings and
the imaging findings in different acute life-
threatening emergencies.
b 3. Create proper management algorithm by
integrating the clinical, lab and imaging results
altogether.
b 4. Decide the proper imaging study to establish
the patient’s diagnosis.
C.Professional
and Practical
Skills
• C 20.Demonstrate the
clinical data and outline the
radiological and laboratory
investigations relevant to
the patient’s condition.
The candidate should be able to:
c 1.Appraise the value of ultrasound in the
invasive procedures done frequently in the
emergency department such as ultrasound
guided central line insertion.
c 2. Suggest the next appropriate imaging step
relevant to the patient’s condition and available
clinical data.
c 3. Integrate the clinical data obtained from
history and examination with the results of the
various imaging techniques in order to reach a
proper diagnosis relevant to the patient’s
condition.
D. General
Skills
• D9. Continuously upgrade
the knowledge, skills and
professional performance in
management of patients
with acute life threatening
emergencies.
The candidate should:
d 1. continuously upgrade his knowledge on the
advances in the current available and new
imaging modalities and techniques in the field
of acute medicine.
d2. Use online resources to collect valid updated
knowledge that helps in solving patient’s
problems.
d3. Use information from different sources based
on best evidence & best practice.
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinical
Small
group
discussion
Others
Trauma protocols ✓ ✓
Neuro-emergencies ✓ ✓
Chest emergencies ✓ ✓
Traumatic and non traumatic abdominal
emergencies
✓ ✓
Gynecological emergencies ✓ ✓
Head and Neck emergencies ✓ ✓
Traumatic fractures and dislocations ✓ ✓
Pediatric emergencies ✓ ✓
Please check (✓) the appropriate method.
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
Mid-term %
End of term 100 %
Distribution of Marks
Written Exam 70 %
Written practical comments 30 %
Assignment %
Logbook fulfillment %
(✓)
(✓)
List of Textbooks and References
Lecture Notes
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Course Text Books
Peter Armstrong : A Concise Textbook of
Radiology
Suggested Extra Reading
Journals and Periodicals, others
Radiology
http://radiology.rsna.org
Radiographics.
http://radiographics.rsna.org
Course Instructor
Name: Prof. Dr Ashraf Ettaby Signature:
Program Coordinator
Name: Prof. Dr Salah Eltahan Signature:
Program Director
Name: Prof Dr Habashi Abdel-Baset Signature:
Course Specifications
University: Alexandria
Faculty: Medicine
Department: Department of emergency medicine.
Course Information
Course Code: 050209100 Course Name:
Advanced cardiac emergencies
Program in which the Course is Given: MD degree of Emergency Medicine
Number of Credit Hours 3 Theoretical Clinical/Practical
Course Aims
By the end of the course, candidate should have sufficient knowledge about the diagnosis and management
of acute cardiac conditions such as Acute Coronary Syndromes (ACS), life threatening arrhythmias,
hypertensive urgencies and emergencies, basic echocardiography,….etc., and should also be able to obtain
sufficient echo images in acute cases
Intended Learning Outcomes (ILOs)
Program ILO (refer to program
matrix) Course ILOs
A. Knowledge
and
Understanding
• A3. Identify the causes, risk
factors and patho-
physiology of common and
uncommon and serious life
threatening emergency
conditions in both adults
and children.
• A4.Identify the suitable
pharmacological drugs to
be used in medical, surgical
emergencies, trauma and
pain management
The candidate should:
a 1. Discuss the pathophysiology, aetiology of
uncommon life threatening cardiac emergencies
leading to cardiac arrest or serious
haemodynamic consequences, such as in cases
of life threatening arrhythmias, various
aetiologies leading to myocardial ischemia and
dysfunction, and heart failure.
a 2. Describe the management of the different
serious acute life threatening cardiac conditions
such as acute coronary syndromes, cardiac
arrhythmias, cardiogenic shock,…..etc.
a 3. Identify serious drug interactions, prescribe
the correct doses, look for the side effects and
manage them.
a 4. Decide which drugs requiring therapeutic
monitoring and how to monitor them, when
exactly should he stop the drug.
1 1/2 1 1/2
• A5. Recall drugs requiring
therapeutic drug
monitoring and interpret
results and define the effects
of age, body size, organ
dysfunction and concurrent
illness on drug distribution
and metabolism
• A7.Describe relevant drug
therapy for the acute
condition diagnosed on
evidence based basis and
beware of the role
regulatory agencies
involved in drug use,
monitoring and licensing
(e.g. National Institute for
Clinical Excellence (NICE),
Committee on Safety of
Medicines (CSM) while
prescribing your therapy.
• A9.Rapid recognition of
acute life-threatening
conditions and identify the
most likely diagnoses
whether medical
surgical,traumatic or
toxicological .
a 5.List the licensed relevant safe drugs
recommended by trusted institutions and with
high level of evidence using evidence based
medicine.
a 6. Determine reversible causes of various
lifethreatening cardiac emergencies such as the
various types of arrhythmias secondary to
electrolyte disturbances.
B. Intellectual
skills
• B1.Demonstrate the ability
to take a focused
informative relevant
history within limited time
and under difficult
conditions for e.g. in
severely ill patient or angry
distressed patient/ relative .
• B2.Analyze data obtained
from clinical interview.
• B3. Focus accurately
questioning to establish
working diagnosis /
differential diagnosis and
relate to relevant
examination, investigation
and management plan in
most acute and common
chronic conditions in almost
any environment.
• B4. Use risk calculators and
clinical scoring systems
appropriately
• B5. Utilize and interpret
findings of advanced
adjuncts to basic
examination e.g.
echocardiography, FAST
ultrasound.
• B7. Develop observational
protocols for high risk
patients
The candidate should be able to:
b 1. Conduct focused meanwhile detailed history
from the patient or his relatives in a short time
and under any conditions such as in severely ill
or distressed patient, and in crowded times.
b 2. Analyze the clinical history and identify
causes and risk factors relevant to the condition
and identifies when to focus history on
immediate lifethreatening acute conditions.
b 3. Suggest a provisional diagnosis, differential
diagnosis and plan for management for the
current serious cardiac condition.
b 4. Prioritize and risk stratify his cardiac
patients using the available risk stratifications
and risk calculators such as the TIMI risk score
and the GRACE calculator.
b 5. Analyze the indications and values of the
various cardiac imaging modalities such as
echocardiography, multislice CT angiography,
coronary angiography.
B8. Decide the patient’s destiny
whether discharge, referral to a
highr level of care or observation in
a Clinical Decision Unit (CDU)
B9. Conduct frequent follow up for
patients in CDU for change in risk
stratification.
b 6. Evaluate the indications and values of
observing patients in Clinical Decision Units
(CDU)
b 7. Decide correctly when to discharge the
patient home, keep him under observation in a
CDU or refer him to higher level care such as in
the Cardiology Care Unit (CCU)
C.Professional
and Practical
Skills
• C1.Carry out the
management of more than
one patient in the ED at a
time
• C4.Predict the prognosis
and future risks for the
acutely ill patient
presenting to the ED.
• C15. Obtain adequate
echocardiographic and US
(FAST) images and Can
interpret accurately in the
clinical setting
• C16.Follow up the patient’s
outcome after the various
emergent interventions and
determine the benefit versus
risk value for doing further
interventions and put
alternative management
plans.
The candidate should:
c 1. Prioritize his patients and manage more than
one case at the same timeespecially in crowded
times and when there is more than one unstable
case.
c 2. Suggest the future prognosis of the seriously
ill cardiac patients, and should have sufficient
knowledge regarding the treatments to improve
the prognosis if there are any.
c 3. Obtain and interpret correctly
echocardiogr\aphic images especially in the
acute seriously ill cases.
c 4. Plan for follow up of patients outcomes after
the various interventions and treatments received
in the emergency room and whether they
improved or deteriorated the patients outcome
D. General
Skills
• D2.Cooperate with the
team, work as team leader.
D4. Ensure the presence of
efficient accurate and clear
written referral letter to the
recepeint colleague on
referring a patient.
The candidate should :
d 1. Manage the conflicts between team
members appropriately,ensure confidentiality
when talking with any team member and
implement an open transparent communication
in a respectful supportive environment between
team members.
• D5. Express sympathy and
encourage effective
communication between
you, your patients and their
relatives by listening to
them and breaking the
barriers hindering effective
communication.
• D9. Continuously upgrade
the knowledge, skills and
professional performance in
management of patients
with acute life threatening
emergencies
d 2. Guarantee the confidentiality of his
colleagues and patients.
d 3. Write efficient and accurate referral letters if
he decided to transfer his patient to another
institute or another department in his institute.
d 4. Show sympathy to his patients and
colleagues and be a good listener.
d 5. Update his knowledge and frequently revise
the newest guidelines and evidences.
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinical
Small
group
discussion
Others
1-Hypertensive crisis
2-Syncope
3-Cardiogenic shock
4-Tachyarrhythmias, cardioversion &
defibrillation
5-Bradyarrhythmias & pacemakers
6-Valvular emergencies,infective
endocarditis & prosthetic valve
dysfunction
7-Acute coronary syndrome
8-Acute pulmonary embolism
9-Aortic dissection
10-Acute heart failure
11-Cardiac tamponade,myocarditis,
cardiomyopathy
12-cardiac imaging modalities in ER
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Please check (✓) the appropriate method.
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
Mid-term %
End of term 100 %
Distribution of Marks
Written Exam 70 %
Written practical comments 10 %
Assignment 10 %
Logbook fulfillment 10 %
List of Textbooks and References
Lecture Notes
Course Text Books
• Tintinalli’s emergency medicine
• The College of Emergency Medicine (CEM) curriculum and
assessment systems for core speciality training in Acute Care
Common Stem (ACCS CT1-3 ) & Higher Specialty Training (ST4-
6) june 2010.(http://www.collemergencymed.ac.uk/Training-
Exams/Curriculum/Curriculum%20from%20August%202010/ ).
Suggested Extra Reading
Journals and Periodicals,
others
Course Instructor
Name: Prof. Dr Salah Eltahan Signature:
Program Coordinator
Name: Prof. Dr Salah Eltahan Signature:
Program Director Name: Prof. Dr Habashi Abdel- Basset Signature:
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Course Specifications
University: Alexandria
Faculty: Medicine
Department: Department of Emergency Medicine
Course Information
Course Code: 051509100 Course Name: Advanced internal medicine for
emergency medicine
Program in which the Course is Given: MD degree of Emergency Medicine
Number of Credit Hours 3 Theoretical Clinical/Practical
Course Aims
By the end of this course the candidate should be able to identify and manage most of the acute life
threatening emergencies in the fields of nephrology, hematology and oncology, hepatology and
gastroenterology, endocrinology, metabolism and non- traumatic musculoskeletal diseases (rheumatology).
Intended Learning Outcomes (ILOs)
Program ILO (refer to program
matrix) Course ILOs
A. Knowledge
and
Understanding
• A2. Discuss the
physiological phenomena of
vital somatic functions
related to trauma especially
the poly-traumatized
patient, major surgical
procedures and common
and uncommon medical
emergencies.
• A3. Identify the causes, risk
factors and patho-
physiology of common and
uncommon and serious life-
threatening emergency
conditions in both adults
and children.
The candidate should be able to:
a 1. Explain the patho-physiology of the
different acute life threatening medical
emergencies in the different systems such as
acute renal dysfunction, endocrinal emergencies,
hematological emergencies, electrolyte disorders
and metabolic disturbances leading to life
threatening conditions.
a 2. Determine the different drugs and doses that
can be used in acute life threatening medical
emergencies.
a 3. Identify drug- drug interactions and avoid
toxic drug combinations.
a 4. Determine the drugs requiring frequent
monitoring and those with narrow therapeutic
margin, the method of their monitoring and the
management required if they exceeded their
therapeutic level.
1 2
• A4. Identify the suitable
pharmacological drugs to
be used in medical, surgical
emergencies, trauma and
pain management.
• A5. Recall drugs requiring
therapeutic drug
monitoring and interpret
results and define the effects
of age, body size, organ
dysfunction and concurrent
illness on drug distribution
and metabolism.
• A9.Rapid recognition of
acute life-threatening
conditions and discuss the
most likely diagnoses
whether medical,
surgical,traumatic or
toxicological .
a 5. Decide the acute lifethreatening medical
conditions and discuss the system(s) probably
affected, define the most appropriate diagnosis
and differential diagnosis relevant to the current
acute condition.
B. Intellectual
skills
• B1.Demonstrate the ability
to take a focused
informative relevant
history within limited time
and under difficult
conditions for e.g. in
severely ill patient or angry
distressed patient/ relative .
• B2.Analyze data obtained
from clinical interview.
The candidate should be able to:
b 1. Obtain a focused informative history within
limited time and in difficult situations such as in
the severely ill patient, crowded environment
and angry relatives.
b 2. Identify causes and risk factors relevant to
the condition and identify when to focus history
on immediate life threatening acute conditions.
b 3. Formulate questions that help identify the
causes and risk factors for the presenting acute
medical condition, define the most probable
diagnosis and differential diagnosis relevant to
the condition.
• B3. Focus accurately
questioning to establish
working diagnosis /
differential diagnosis and
relate to relevant
examination, investigation
and management plan in
most acute and common
chronic conditions in almost
any environment.
• B7. Develop observational
protocols for high risk
patients.
• B8. Decide the patient’s
destiny whether discharge,
referral to a highr level of
care or observation in a
Clinical Decision Unit
(CDU).
• B9. Conduct frequent
follow up for patients in
CDU for change in risk
stratification.
b 4. Develop a plan for observing patients at
high risk to develop further complications
secondary to their acute life threatening medical
condition.
b 5. Assess high risk patients and admit them to
the appropriate clinical decision unit.
b 6. Decide the patient’s destiny, whether to be
discharged and follow up in the outpatient clinic,
admitted for a period of observation in a CDU,
or referred to a higher level of care such as in the
critical care unit.
C.Professional
and Practical
Skills
• C1.Carry out the
management of more than
one patient in the ED at a
time.
• C2. Prioritize sick patients
using rapid triaging systems
and recognizing the urge to
commence resuscitation
before the completion of full
history and examination.
• C3.Respect time and being
able to organize and lead
the clinical team and
managing the workload
whatever.
•
The candidate should be able to:
c 1. Conduct efficient management of more than
one patient at a time as in cases of crowded
hours in the emergency department or in cases of
mass accidents.
c 2. Distinguish the high reisk from low risk
patients based on the history, risk factors,
clinical examination and investigations done.
c 3. Decide the urge to commence life support
measures before completion of the history and
examination.
c 4. Appraise the value of time, organize the
emergency team and define the roles so that
there is no duplication of efforts and there is
good management of the workload.
• C4.Predict the prognosis
and future risks for the
acutely ill patient
presenting to the ED.
• C17.Report a patient status
management and
interventions done in a full
comprehensive manner.
c 5. Discuss the prognosis, the current and future
outcome based on the history, risk factors,
clinical data and investigations available.
c 6. Outline the plan and frequency of further
follow up after discharge from the emergency
department and define the physician or institute
responsible for follow up.
c 7. Construct comprehensive detailed reports
including all the history and management of the
presenting acute medical condition whether the
patient is discharged or referred to another unit
inside or outside the institute.
C8. Conduct efficient follow up for the patient’s
outcome after the various treatments and
maneuvers done in the emergency department.
D. General
Skills
• D4. Ensure the presence of
efficient accurate and clear
written referral letter to the
recipient colleague on
referring a patient.
• D5. Express sympathy and
encourage effective
communication between
you, your patients and their
relatives by listening to
them and breaking the
barriers hindering effective
communication.
• D9. Continuously upgrade
the knowledge, skills and
professional performance in
management of patients
with acute life threatening
emergencies.
The candidate should:
d 1. Appraise the value of comprehensive
detailed referral letters that include all the
patient’s data on referring the patient inside or
outside the institute.
d 3. Conduct effective communication and listen
carefully.
d 4. Identify the value of effective
communication in obtaining accurate history and
defining the risk factors related to the patient’s
current acute medical condition.
d 5. Express sympathy to the patient and his
relatives on breaking bad news.
d 6. Upgrade the knowledge concerned with
acute medical emergencies continuously by
reviewing the literature, updates in the clinical
guidelines and evidence based medicine.
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinical
Small
group
discussion
Others
1. Diabetic emergencies
2. Endocrinal emergencies:
a. Thyroid gland dysfunction
b. Suprerenal gland dysfunction
c. Pituitary dysfunction
3. Electrolyte disturbances
4. Nephrological emergencies
5. Haematological emergencies
6. Hepatic emergencies
7. Rheumatologic emergencies
8. GIT emergencies
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Please check (✓) the appropriate method.
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
Mid-term %
End of term 100 %
Distribution of Marks
Written Exam 70 %
Written practical comments 10 %
Assignment 10 %
Logbook fulfillment 10 %
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List of Textbooks and References
Lecture Notes
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Course Text Books
Rosen’s emergency medicine
Tintinalli text book of emergency medicine
Suggested Extra Reading
Journals and Periodicals, others
Course Instructor
Name: Prof. Dr Signature:
Program Coordinator
Name: Prof. Dr Salah Eltahan Signature:
Program Director
Name: Prof. Dr Habashi Abdel- Basset Signature:
Course Specifications
University: Alexandria
Faculty: Medicine
Department: Department of emergency medicine
Course Information
Course Code: 052109100 Course Name:
Advanced neuropsychiatry course for emergency
MD.
Program in which the Course is Given: MD degree of Emergency medicine
Number of Credit Hours: 2 Theoretical Clinical/Practical
Course Aims
By the end of this course the candidate should be able to discuss and manage the different neurological and
psychiatric emergencies commonly encountered in the emergency department.
Intended Learning Outcomes (ILOs)
Program ILO (refer to program
matrix) Course ILOs
A. Knowledge
and
Understanding
• A14. Identify and manage
life threatening
neuropsychiatric
emergencies.
The candidate should be able to:
a 1. Diagnose and manage acute life threatening
neurologic conditions such as cerebrovascular
stroke, status epilepticus, Guillain Barre,
coma…etc.
a 2. Diagnose and provide the initial first aid
management for the acute life threatening
psychological and behavioral disorders.
B. Intellectual
skills
• B2.Analyze data obtained
from clinical interview.
• B3. Focus accurately
questioning to establish
working diagnosis /
differential diagnosis and
relate to relevant
examination, investigation
The candidate should be able to :
b 1. Analyze causes and risk factors relevant to
the condition and identify when to focus history
on immediate life threatening acute conditions.
b 3. Develop the most probable diagnosis and
differential diagnosis relevant to the condition.
b 4. Decide the appropriate laboratory and /or
radiological investigations relevant to the current
condition.
1 1
and management plan in
most acute and common
chronic conditions in almost
any environment.
b 5. Develop a plan for follow up after providing
the first aid management.
b 6. Decide if the patient will be discharged,
referred to another hospital concerned mainly
with neuropsychiatric emergencies or referred to
the neuropsychiatry clinic.
C.Professional
and Practical
Skills
• C1.Carry out the
management of more than
one patient in the ED at a
time.
• C2. Prioritize sick patients
using rapid triaging systems
and recognizing the urge to
commence resuscitation
before the completion of full
history and examination.
• C4.Predict the prognosis
and future risks for the
acutely ill patient
presenting to the ED.
By the end of this course the candidate should be
able to:
c 1. Manage more than one acute case including
acute neuropsychiatric cases presenting to the
emergency room at a time by applying effective
risk stratifications and scores.
c 2. Utilize the risk factors of the patient
presenting to the emergency room in prioritizing
and risk stratifying the patients into high,
intermediate or low risks.
c 3. Decide the urge to commence resuscitation
before completion of history and examination as
for example: securing the obstructed airway of a
patient presenting with cerebrovascular accident
his Glasgow coma score less than 8, and is
aspirated.
c 4. Predict the prognosis of the patient after
providing the first aid measures in the
emergency room to relieve his current acute
neurological condition using the risk factors
already present and the results of clinical
examination and investigations together with the
response to treatment provided in the emergency
room.
D. General
Skills
• D2.Cooperate with the team
and work as team leader.
The candidate should be able to:
d 1. Manage the conflicts between team
members appropriately, ensure confidentiality
when talking with any team member and
implement an open transparent communication
in a respectful supportive environment between
team members.
• D5. Express sympathy and
encourage effective
communication between
you, your patients and their
relatives by listening to
them and breaking the
barriers hindering effective
communication.
• D9. Continuously upgrade
the knowledge, skills and
professional performance in
management of patients
acute life threatening
emergencies.
d 2. Communicate efficiently with the patients
and their relatives, listen carefully to them in
order to obtain sufficient data to help you
manage the current acute patient’s condition.
d 3. Show sympathy to the patients and their
relatives on breaking bad news.
d 4. Upgrade your knowledge continuously,
review the updates in the clinical guidelines,
literature and evidence based medicine.
Course Content (Units/Topics)
Teaching/Learning Methods
lectures self
learning
Practical/
Clinical
Small
group
discussion
Others
Neurology:
1. How to examine
2. Cerebrovascular stroke
3. Headache
4. Epilepsy
5. Coma
6. Paraplegia
7. Neuropathy
8. Myopathy
Psychiatry:
1. How to examine
2. Neuroses
3. Psychosis
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Please check (✓) the appropriate method.
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
Mid-term %
End of term 100 %
Distribution of Marks
Written Exam 80%
Written clinical comments 20%
Assignment %
Logbook fulfillment %
List of Textbooks and References
Lecture Notes
Taken during the lecture
Course Text Books
Clinical Neurology, Merritt’s Neurology,
Comprehensive Psychiatry
Suggested Extra Reading
Journals and Periodicals, others
American journal of Neurology/Psychiatry,
Neurology
Course Instructor
Name: Prof. Dr Mohamed Fouad Signature:
Program Coordinator
Name: Prof. Dr Salah Eltahan Signature:
Program Director
Name: Prof. Dr Habashi Abdel- Basset Signature:
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Course Specifications
University: Alexandria
Faculty: Medicine
Department: Department of emergency medicine
Course Information
Course Code: 050409100 Course Name: Advanced pulmonary emergencies
Program in which the Course is Given: Medical MD degree in emergency medicine
Number of Credit Hours 3 Theoretical Clinical/Practical
Course Aims
By the end of this course the candidate should have advanced knowledge about pathophysiology,
manifestations and management including the ventilator management of all emergencies in chest medicine
whether medical or secondary to trauma that are encountered in the emergency room.
Intended Learning Outcomes (ILOs)
Program ILO (refer to program
matrix) Course ILOs
A. Knowledge
and
Understanding
• A3. Identify the causes, risk
factors and patho-
physiology of common and
uncommon and serious life-
threatening emergency
conditions in both adults
and children
• A4.identify the suitable
pharmacological drugs to
be used in medical, surgical
emergencies, trauma and
pain management.
The candidate should be able to:
a 1. Discuss the causes, risk factors and patho-
physiology of uncommon and serious
lifethreatening emergency conditions in both
adults and children either due to medical
conditions or secondary to trauma
a 2. Identify the suitable pharmacological drugs
to be used in acute life threatening pulmonology
emergencies whether medical or due to trauma.
a 3. Mention drugs requiring therapeutic drug
monitoring and interpret results and define the
effects of age, body size, organ dysfunction and
concurrent illness on drug distribution,
absorption and metabolism.
1 2
• A5. Recall drugs requiring
therapeutic drug
monitoring and interpret
results and define the effects
of age, body size, organ
dysfunction and concurrent
illness on drug distribution
and metabolism
• A9.Rapid recognition of
acute life-threatening
conditions and discuss the
most likely diagnoses
whether medical
surgical,traumatic or
toxicological.
a 4. Recognize of acute life-threatening
pulmonology conditions and identify the most
likely diagnoses of acute pulmonology cases.
a 5. Discuss the pathophysiology of both the
common and uncommon acute life threatening
pulmonolgy emergencies and describe the first
aid management for these cases whether medical
or ventilatory or both.
B. Intellectual
skills
• B1.Demonstrate the ability
to take a focused
informative relevant
history within limited time
and under difficult
conditions for e.g. in
severely ill patient or angry
distressed patient/ relative .
• B2.Analyze data obtained
from clinical interview
• B3. Focus accurately
questioning to establish
working diagnosis /
differential diagnosis and
relate to relevant
examination, investigation
and management plan in
most acute and common
chronic conditions in almost
any environment.
The candidate should be able to:
b1. take a focused informative relevant history
within limited time and under difficult
conditions for e.g. in severely ill patient or angry
distressed patient/ relative as in cases of acute
exacerbation of a chronic chest disease.
b 2.Assess causes and risk factors relevant to the
condition and identifies when to focus history on
immediate lifethreatening acute conditions.
b 3. Interpret different signs and symptoms to
establish provisional diagnosis / differential
diagnosis and relate to relevant
history,examination, investigation and
management plan in most acute and common
chronic pulmonology frequently encountered in
the emergency department.
• B7. Develop observational
protocols for high risk
patients.
b4. Develop an observational protocol for
patients especially the high risk ones after the
first aid management of their acute chest
condition using observational protocols.
C.Professional
and Practical
Skills
• C12. Decide critical
situations which require
ventilatory support.
• C13. Outline immediate
management options
including initiation of non-
invasive ventilation or
invasive mechanical
ventilation.
• C16.Follow up the patient’s
outcome after the various
emergent interventions and
determine the benefit versus
risk value for doing further
interventions and put
alternative management
plans.
The candidate should be able to:
c 1. Identify the acute chest cases requiring
ventilator support.
c 2. List the indications and contraindications for
both invasive and non-invasive mechanical
ventilation, weaning from mechanical
ventilation, indications and timing of
tracheostomy in mechanically ventilated
patients.
c 3. Discuss the different modes of mechanical
ventilation, their indications and
contraindications.
c 4. Follow up the patient for improvement or
deterioration after the first aid provided for his
acute pulmonology condition in the emergency
department and further management is decided
accordingly.
D. General
Skills
• D9. Continuously upgrade
the knowledge, skills and
professional performance in
management of patients
with acute life threatening
emergencies.
The candidate should:
d 1. Continuously upgrade the knowledge, skills
and professional performance in management of
patients acute life threatening pulmonology
emergencies and be up to date with the latest
clinical guidelines and evidence based medicine.
Course Content (Units/Topics)
Teaching/Learning Methods
Lectures self
learning
Practical/
Clinical
Small
group
discussion
Others
1. Applied respiratory physiology
2. Respiratory failure
3. Mechanical ventilation
4. Pulmonary vascular diseases
5. Obstructive airway diseases
6. Sleep related breathing disorders
7. Interstitial lung diseases
8. Broncho-pulmonary infections
9. Diagnostic tools
10. Pleural emergencies
11. Inhalational lung diseases
12. Pulmonary imaging
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Please check (✓) the appropriate method.
Student Assessment
Methods of Assessment
Essay Objective questions
Case OSCE/OSPE
Assignment Logbook fulfillment
Others
Schedule of Assessment
Mid-term %
End of term 100 %
Distribution of Marks
Written Exam 70 %
Written practical comments 10 %
Assignment 10 %
Logbook fulfillment 10 %
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List of Textbooks and References
Lecture Notes
√
Course Text Books
Suggested Extra Reading
Journals and Periodicals, others
Course Instructor
Name: Prof. Dr Mahmoud Ibrahim Signature:
Program Coordinator
Name: Prof. Dr. Salah Eltahan Signature:
Program Director
Name: Prof. Dr. Habashi Abdel- Basset Signature: