To confront students (interns, or MACCS) with rare and extremely critical situations. To advise students on how to manage such situations and their resulting stress. To improve performance in a real-life clinical situation. To provide theoretical training at the end of the session.
Main themes
Example scenarios: Fat embolism. Air embolism during coelioscopic surgery or neurosurgery. Mass embolism. Malignant hyperthermia. Anaphylactic shock. Septic shock. Hypovolemic shock. Latex allergy. TUR syndrome. Addisonian crisis. Ionic disturbance and ventricular arrhythmia. Resuscitation (CPR) for acute rhythm disorders (VT, VF). Drepanocytosis. Hidden consumption of amphetamines and anaesthesia. Thyrotoxicosis and anaesthesia. Pheochromocytoma. Bronchospasm. Perioperative myocardial ischemia (ST-segment). Emergency C-section for placenta praevia. Transfusion errors and DIC. Uterine rupture or atonia. Ruptured aneurysm of the abdominal aorta. Hypertensive crisis. Diabetes and anaesthesia. Anaesthesia and patients using cocaine. Carcinoid syndrome and colon surgery. Management of multiple trauma patients. Difficult intubation. Valvular pneumothorax. Various technical breakdowns. A syllabus composed of review articles on the management of critical situations and studies of behaviour in such situations is distributed to each student. Different session scenarios and related theory are also included.
Content and teaching methods
Clinical attitude in critical care medecine including high stress.
Other information (prerequisite, evaluation (assessment methods), course materials recommended readings, ...)
Student evaluation in face of a critical medical situation (computer design/ mannequin).