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Zagazig University Faculty of Medicine Department of Anesthesia and surgical intensive care

INTENDED LEARNING OUTCOMES (SHOCK):

By the end of the course, the intensive care candidate will be able to: Knowledge (K): K.1 Define shock, categorize it based upon type, explain the etiology and pathophysiology of each type of shock K.2 Summarize the clinical presentation and hemodynamic parameters associated with each type of shock using clinical terms, such as heart rate, respiratory rate, and blood pressure and filling pressures.

K.3 Recognize hemorrhagic shock and correlate a patient's acute clinical signs with the degree of volume deficit.

K.4 Explain the importance of early identification and control of the source of hemorrhage in trauma patients.

K.5 Compare and contrast the clinical presentation of patients with various classifications of hemorrhage .

K.6 Describe the initial management of hemorrhagic shock and ongoing evaluation of fluid resuscitation and organ perfusion.

Zagazig University Faculty of Medicine Department of Anesthesia and surgical intensive care

K.7 Recognize the physiologic responses to resuscitations in order to continually reassess the patient's response and avoid complications.

K.8 Explain the role of blood replacement in the management of shock.

K.9 Describe the special considerations in the diagnosis and treatment of shock .

Practical skills (PS):

By the end of the program the candidate should be able to: PS .1 Recognize the shock state PS. 2 Identify the causes of shock state PS.3 Participate in trauma resuscitations PS.4 Identify surface markings and demonstrate the techniques of vascular access PS.5 Estimate volume requirements for hemorrhage; and institute replacement therapy. PS.6 Use adjunctes in the assessment and management of the shock state including X-rays , CT , Sonography , diagnostic peritoneal lavange PS.7 Identify patients who require definitive hemorrhage control or transfer to ICU

Zagazig University Faculty of Medicine Department of Anesthesia and surgical intensive care

PS.8 Identify which the additional measures are necessary based on patients response to treatment ( Rapid response transient response no response ) .

Intellectual skills (IS):

IS 1 Assess and prioritize acute health problems of different patients IS 2 Plan a systematic approach for management of each critically ill patient. IS 3 Write a comprehensive patient report IS. 4 Assess and participate in quality improvement of the ICU.

General and communication skills (GS): GS. 1 Work productivity as a part of a health care team. GS.2 Communicate with clients, the health care team and the community. GS.3 Communicate ethically with his colleagues, staff and community members Attitudes (A): A 1. Contribute to effective team work, communication, decision making, to be honest in calculating data, analysis and interpretation. A 2. Show respect to others. A3. Providing constructive feedback.

Zagazig University Faculty of Medicine Department of Anesthesia and surgical intensive care

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