Medicine and Surgery

The emergency care network in the community and within the Departmental Emergency and Admission Units. Understanding the presenting symptom and the severity of a patient arriving for evaluation, using clinical parameters and severity scales, identifying the main problem, and determining treatment priorities among multiple patients. Acute chest pain: differential diagnosis (ischemic heart disease, unstable angina, aortic dissection) and emergency treatment. Coronary revascularization and thrombolysis. Cardiological emergencies: life-threatening arrhythmias, bradyarrhythmias, tachyarrhythmias, and management of thromboembolic risk; cardiac arrest; hypertensive urgencies and emergencies; acute and chronic pericarditis; cardiac tamponade; critical peripheral ischemia; disseminated intravascular coagulation (DIC). The patient with dyspnea: from assessment to etiological diagnosis and acute internal medicine treatment, in collaboration with the anesthesiologist–intensivist. Pulmonary emergencies: ARDS, acute respiratory failure types 1 and 2, asthma attack, acute exacerbation of COPD, acute pulmonary edema, pulmonary embolism, pneumothorax. Acute neurological disorders: causes and differential diagnosis of acute alterations in consciousness: presyncope, syncope, epileptic seizure, coma; cerebral stroke, treatment protocols, cerebral hemorrhages, and hematomas. Acute metabolic disorders: diabetic coma—differential diagnosis and treatment; acute disturbances of acid-base and electrolyte balance; hepatic coma; acute drug or substance intoxication. Shock: pathophysiology, classification, diagnostic approach, differential diagnosis of the various forms, and treatment guidelines. Multiple organ failure (MOF). Testi: - MAURIZIO CHIARANDA: URGENZE ED EMERGENZE - PICCIN EDITORE - TINTINALLI MEDICINA DI EMERGENZA - PICCIN EDITORE