¡Actualízate con TECH! El contenido más completo para ponerte al día en la Initial Care of the Severe Trauma Patient in the ICU”

La medicina vive un contexto en el que se exige que sus especialistas se mantengan actualizados y renueven sus capacidades, mediante la incorporación de las últimas estrategias terapéuticas. El notorio desarrollo en la Initial Care of the Severe Trauma Patient in the ICU ha predominado a la hora de contratar a profesionales adaptados a los nuevos tiempos.

En esta Postgraduate diploma se abordará la atención médica inmediata a pacientes traumatológicos antes de llegar al hospital, así como los protocolos de respuesta de emergencia, la evaluación de la gravedad de las lesiones, las técnicas de estabilización, de inmovilización y el transporte seguro. El médico se pondrá al día en la toma de decisiones críticas, la comunicación eficaz entre equipos y el manejo óptimo prehospitalario.

De igual forma, se profundizará en la respuesta y el manejo inmediato de estas lesiones en UCI, desde la evaluación rápida, la priorización, la estabilización y el tratamiento inicial de condiciones críticas. De esta forma, el alumnado será capaz de interpretar signos vitales, realizar intervenciones esenciales y coordinar equipos multidisciplinarios. En definitiva, se desarrollarán las habilidades necesarias para tomar medidas rápidas y precisas en situaciones de trauma agudo.

Finalmente, se le dedicará tiempo al diagnóstico y tratamiento integral del Shock, reconociendo los diferentes tipos que existen y evaluando los signos vitales, los parámetros hemodinámicos y los biomarcadores. El egresado podrá restablecer la estabilidad hemodinámica, incluyendo el uso de fluidos y medicamentos vasoactivos. Además, se analizará el monitoreo continuo y la adaptación de tratamientos, en función de la respuesta del paciente.

El programa proporcionará al egresado una fundamentación teórica, pero también le permitirá enfrentarse adecuadamente a situaciones prácticas. Una Postgraduate diploma que viene respaldado por la amplia experiencia del destacado cuerpo docente de TECH, y que se apoya en una innovadora y vanguardista metodología pedagógica. Se trata del Relearning, basado en la repetición de conceptos esenciales para lograr una adquisición de conocimientos más efectiva.

En adición, un prestigioso Director Invitado Internacional impartirá unas exclusivas Masterclasses que otorgarán a los expertos competencias clínicas avanzadas.

Un reconocido Director Invitado Internacional brindará unas intensivas Masterclasses que te aportarán las claves para ofrecer cuidados de excelencia a Pacientes con Traumatismo Grave en UCI”

Esta Postgraduate diploma en Initial Care of the Severe Trauma Patient in the ICU contiene el programa universitario más completo y actualizado del mercado. Sus características más destacadas son:

• El desarrollo de casos prácticos presentados por expertos en Atención Inicial del Paciente con Traumatismo Grave en UCI
• Los contenidos gráficos, esquemáticos y eminentemente prácticos con los que está concebido recogen una información científica y práctica sobre aquellas disciplinas indispensables para el ejercicio profesional
• Los ejercicios prácticos donde realizar el proceso de autoevaluación para mejorar el aprendizaje
• Su especial hincapié en metodologías innovadoras
• Las lecciones teóricas, preguntas al experto, foros de discusión de temas controvertidos y trabajos de reflexión individual
• La disponibilidad de acceso a los contenidos desde cualquier dispositivo fijo o portátil con conexión a internet

Mantente al día en la asistencia y la evacuación de los heridos que se encuentran fuera del hospital gracias a esta Postgraduate diploma” 

El programa incluye en su cuadro docente a profesionales del sector que vierten en esta capacitación la experiencia de su trabajo, además de reconocidos especialistas de sociedades de referencia y universidades de prestigio.

Su contenido multimedia, elaborado con la última tecnología educativa, permitirá al profesional un aprendizaje situado y contextual, es decir, un entorno simulado que proporcionará una capacitación inmersiva programada para entrenarse ante situaciones reales.

El diseño de este programa se centra en el Aprendizaje Basado en Problemas, mediante el cual el profesional deberá tratar de resolver las distintas situaciones de práctica profesional que se le planteen a lo largo del curso académico. Para ello, contará con la ayuda de un novedoso sistema de vídeo interactivo realizado por reconocidos expertos.

Perfecciona tus capacidades de valoración primaria y reanimación inicial del paciente con lesiones traumatológicas en UCI"

¡Benefíciate del mejor programa de Traumatología! Analiza los diversos tipos de shock a tratar en UCI"

The content of this university program has been designed taking into account the specific requirements of the subject in question, which in this case is the Initial Care of Severe Trauma Patients in the ICU. Therefore, a syllabus has been developed that offers a complete vision of this area, always with the idea of applying what has been studied to the international environment. From pre-hospital management to diagnosis and treatment in the ICU, students will expand their knowledge and keep their professional profile up-to-date, with the support of a teaching team made up of high-level specialists. 

Take a step forward in your career and delve into prehospital patient management and Intensive Care Units”  

Module 1. Prehospital Trauma Management

1.1. General activation recommendations

1.1.1. Recommendations
1.1.2. What should I do?
1.1.3. Golden rules for a polytraumatized patient
1.1.4. Useful recommendations in case of traveling

1.2. Care priorities in on-site care and in medical transport

1.2.1. Scene assessment

1.2.1.1. Approach to the scene of intervention
1.2.1.2. Scene management and handling
1.2.1.3. Triage
1.2.1.4. Management of additional resources

1.2.2. Primary assessment and urgent actions

1.2.2.1. Initial estimate (General impression)
1.2.2.2. Control of exsanguinating hemorrhages
1.2.2.3. Airway and Ventilation
1.2.2.4. Circulatory status
1.2.2.5. Neurological Status
1.2.2.6. Exposure and transition to secondary assessment

1.3. Life support and integral coordination in traffic accidents

1.3.1. Definitions
1.3.2. Objectives of life support
1.3.3. Basic and advanced life support sequences in adults
1.3.4. Analysis of the main changes in the recommendations
1.3.5. Risk of disease transmission for the resuscitator during CPR
1.3.6. Lateral Safety Position
1.3.7. Algorithm of BLS/AVS in adults

1.4. General self-protection and safety measures

1.4.1. Scope
1.4.2. Identification of the licensees and the site of the activity
1.4.3. Description of the activity and physical environment

1.4.3.1. Description of the activity that is the subject of the self-protection plan
1.4.3.2. Description of the establishment, premises and facilities
1.4.3.3. Description of the surroundings
1.4.3.4. Description of accesses

1.4.4. Inventory, analysis and risk assessment

1.4.4.1. Description and location of risks
1.4.4.2. Analysis and evaluation of risks specific to the activity and external risks

1.5. Wound Classification

1.5.1. Classification
1.5.2. Skin Anatomy
1.5.3. Concept, classification and clinic of wounds
1.5.4. Treatment of Wounds
1.5.5. Wounds caused by stab wounds and firearms

1.5.5.1. Stab Wounds

1.5.5.1.1. Definition and classification of stabbing weapons

1.5.5.1.1.1. Stab wounds
1.5.5.1.1.2. Sharp stab wounds
1.5.5.1.1.3. Stab wounds due to a sharp stabbing weapon
1.5.5.1.1.4. Wounds due to sharp and blunt stab wounds

1.5.5.1.2. Gunshot Wounds

1.5.5.1.2.1. Morphology of firearm wounds
1.5.5.1.2.2. Clinical aspects and treatment

1.6. Activation of rescue teams

1.6.1. Activation
1.6.2. Traffic Accident Victims Unit
1.6.3. Emergency coordinating center

1.6.3.1. Reception and control phase of the warning call
1.6.3.2. Phase of assessment or medical regulation of data
1.6.3.3. Phase of assistance response, follow-up and control
1.6.3.4. Health action phase

1.6.3.4.1. Arrival and assessment of the incident
1.6.3.4.2. Organization of the scene and its environment
1.6.3.4.3. Location of affected persons and triage (classification)
1.6.3.4.4. Assistance and evacuation of the injured

1.7. Techniques of deescarcelation and extrication

1.7.1. Preparation
1.7.2. Response and recognition
1.7.3. Control
1.7.4. Vehicle stabilization
1.7.5. Boarding: access to the victim
1.7.6. Stabilization of the victim and de-escarceration
1.7.7. Extraction and termination
1.7.8. Necessary Material
1.7.9. The airbag

1.8. Immobilization of the severely traumatized patient

1.8.1. Extrication
1.8.2. Who should we perform RME?
1.8.3. With what means do we perform the RME?
1.8.4. How do we perform the EMR?

1.9. Assessment of the injured patient in the out-of-hospital setting

1.9.1. Patients
1.9.2. Initial Assessment

1.9.2.1. Airway, cervical spine control
1.9.2.2. Ventilation
1.9.2.3. Circulation
1.9.2.4. Neurological Status
1.9.2.5. Patient exposure

1.9.3. Second Evaluation

1.10. Pathophysiology of medical transport and recommendations during patient transport

1.10.1. Concept
1.10.2. History
1.10.3. Classification

1.10.3.1. Transporte aéreo
1.10.3.3. Transporte terrestre

1.10.4. Pathophysiology of out-of-hospital transport

1.10.4.1. Accelerations
1.10.4.2. Mechanical and acoustic vibrations

1.10.5. Indications and contraindications of the helicopter
1.10.6. Prevention of disturbances due to transport
1.10.7. Destination
1.10.8. Means of transport
1.10.9. Assistance during transfer
1.10.10. Transfer
1.10.11. Assistance material

Module 2. Initial Trauma Care in the ICU Hospital

2.1. Indications for transfer to a trauma center

2.1.1. Indications
2.1.2. Determine the need to transfer the patient

2.1.2.1. Relocation factors

2.1.2.1.1. Primary screening: Airway
2.1.2.1.2. Primary screening: Breathing
2.1.2.1.3. Primary screening: Circulation
2.1.2.1.4. Primary screening: Neurological Deficit
2.1.2.1.5. Primary screening: Exhibition
2.1.2.1.6. Secondary review: Head and Neck
2.1.2.1.7. Maxillofacial

2.1.2.2. Timing of transfer

2.1.2.2.1. Evaluate anatomy of the injury
2.1.2.2.2. Evaluate mechanisms of injury and evidence of high energy impact
2.1.2.2.3. Evaluate special patients, pediatrics, elderly, obese, pregnant women

2.2. Assistance in the Vital Box of the hospital. Organization and care team

2.2.1. Objectives
2.2.2. Organization of the care team
2.2.3. Characteristics of the Vital Trauma Care Box
2.2.4. Recommended protective measures

2.3. Primary assessment and initial resuscitation

2.3.1. Primary screening with simultaneous resuscitation

2.3.1.1. Airway with restriction of cervical spine motion
2.3.1.2. Breathing and ventilation
2.3.1.3. Circulation with hemorrhage control

2.2.1.3.1. Blood volume and cardiac output
2.2.1.3.2. Bleeding

2.3.1.4. Neurological evaluation (deficit)
2.3.1.5. Exposure and environmental monitoring

2.3.2. Life threatening injuries

2.3.2.1. Airway problems

2.3.2.1.1. Airway obstruction
2.3.2.1.2. Bronchial tree injury

2.3.2.2. Respiratory Problems

2.3.2.2.1. Hypertensive pneumo
2.3.2.2.2. Open pneumothorax
2.3.2.2.3. Massive hemothorax

2.3.2.3. Circulatory problems

2.3.2.3.1. Massive hemothorax
2.3.2.3.2. Cardiac Tamponade
2.3.2.3.3. Traumatic circulatory arrest

2.4. Second Evaluation

2.4.1. History

2.4.1.1. Mechanism of injury and suspected patterns
2.4.1.2. Environment
2.4.1.3. Previous state of injury and predisposing factors
2.4.1.4. Pre-hospital care observations

2.4.2. Physical Examination

2.4.2.1. Introduction
2.4.2.2. Look and ask
2.4.2.3. Assess head, neck, thorax, abdomen and pelvis
2.4.2.4. Circulatory evaluation
2.4.2.5. Radiological Examination

2.5. Anti-tetanus and antibiotic prophylaxis

2.5.1. Indications
2.5.2. Guidelines
2.5.3. Dosage

2.6. Airway and ventilatory management

2.6.1. First Steps
2.6.2. Recognition of the Problem

2.6.2.1. Maxillofacial trauma
2.6.2.2. Laryngeal trauma

2.6.3. Objective signs of airway obstruction
2.6.4. Ventilation

2.6.4.1. Recognition of the Problem
2.6.4.2. Objective signs of inadequate ventilation

2.7. Prediction of difficult airway management

2.7.1. Airway
2.7.2. Potential difficulties
2.7.3. LEMON evaluation for difficult intubation

2.7.3.1. External look
2.7.3.2. Evaluates the 3-3-2 rule
2.7.3.3. Mallampati
2.7.3.4. Obstruction
2.7.3.5. Neck mobility

2.8. Airway Management

2.8.1. Airway Management

2.8.1.1. Predict the management of a difficult airway
2.8.1.2. Airway decision scheme

2.8.2. Airway maintenance techniques

2.8.2.1. Chin lift maneuver
2.8.2.2. Mandibular traction maneuver
2.8.2.3. Nasopharyngeal airway
2.8.2.4. Oropharyngeal airway
2.8.2.5. Extra glottic or supraglottic devices

2.8.2.5.1. Laryngeal mask and laryngeal mask for intubation
2.8.2.5.2. Laryngeal tube and laryngeal tube for intubation
2.8.2.5.3. Multilumen esophageal airway

2.8.3. Definitive airways

2.8.3.1. Orotracheal Intubation
2.8.3.2. Surgical airway

2.8.3.2.1. Needle cricothyroidotomy
2.8.3.2.2. Surgical cricothyroidotomy

2.9. Errors and occult injuries in trauma. Tertiary recognition

2.9.1. Tertiary recognition

2.9.1.1. Indicators of Quality of Care

2.9.2. Errors in initial care

2.9.2.1. Most frequent errors in the different phases of initial care
2.9.2.2. Types of Error

2.9.3. Occult injury or undiagnosed injury (NLI)

2.9.3.1. Definition. Incidence
2.9.3.2. Confounding variables contributing to the occurrence of NLD

2.9.3.2.1. Unavoidable factors
2.9.3.2.2. Potentially avoidable factors

2.9.3.3. Most frequent NLD

2.9.4. Tertiary recognition

2.9.4.1. Definition
2.9.4.2. Importance of continuous revaluation

2.10. Registration and transfer

2.10.1. Referring physician
2.10.2. ABC-SBAR for trauma patient transfer
2.10.3. Receiving Physician
2.10.4. Mode of transport
2.10.5. Transfer protocol

2.10.5.1. Referring physician information
2.10.5.2. Information for transfer personnel
2.10.5.3. Documentation
2.10.5.4. Treatment during transfer
2.10.5.5. Data for relocation

Module 3. Management of shock in ICU trauma

3.1. Objectives end points of trauma resuscitation

3.1.1. Resuscitation
3.1.2. Pathophysiology
3.1.3. Global parameters

3.1.3.1. Clinical parameters, physical examination, vital signs
3.1.3.2. Hemodynamic parameters: Optimization of volemia
3.1.3.3. Hemodynamic parameters: Cardiac work
3.1.3.4. End-expiratory CO2 values (End-tidal CO2)
3.1.3.5. Oximetric values
3.1.3.6. Measurement of tissue metabolism anaerobiosis

3.1.4. Regional parameters

3.1.4.1. Gastric mucosal tonometry
3.1.4.2. Sublingual capnography
3.1.4.3. Tissue oximetry and capnometry
3.1.5.4. Near Infrared Spectrometry (NIRS)

3.1.5. Conclusions

3.2. Multi-organ dysfunction in trauma

3.2.1. Dysfunction
3.2.2. Pathophysiology
3.2.3. Classification

3.2.3.1. Early Onset
3.2.3.2. Late Onset

3.2.4. Diagnosis

3.2.4.1. Scales
3.2.4.2. Risk Factors

3.2.5. Therapeutic Approach

3.2.5.1. Cardiorespiratory support
3.2.5.2. Damage control surgeries
3.2.5.3. Surgeries for debridement of infectious foci
3.2.5.4. Blood volume and blood products supply
3.2.5.5. Others: Protective mechanical ventilation and nutrition

3.2.6. Conclusions

3.3. Hemorrhagic shock

3.3.1. Recognition of the state of shock
3.3.2. Clinical differentiation of shock etiology

3.3.2.1. General description of hemorrhagic shock

3.3.3. Physiological classification

3.3.3.1. Grade I hemorrhage >15% blood volume loss
3.3.3.2. Hemorrhage grade II 15-30% of blood volume loss
3.3.3.3. Hemorrhage grade III 31-40% of blood volume loss
3.3.3.4. Hemorrhage grade IV >40% blood volume loss

3.3.4. Initial management of hemorrhagic shock

3.3.4.1. Physical Examination

3.3.4.1.1. Airway and Breathing
3.3.4.1.2. Circulation, hemorrhage control
3.3.4.1.3. Neurological Deficit
3.3.4.1.4. Exposure: complete examination

3.3.4.2. Vascular Access
3.3.4.3. Initial treatment with liquids
3.3.4.4. Blood restitution

3.3.4.4.1. Crossmatching tests
3.3.4.4.2. Prevention of hypothermia
3.3.4.4.3. Autotransfusion
3.3.4.4.4. Massive transfusion
3.3.4.4.5. Coagulopathy
3.3.4.4.6. Calcium administration

3.4. Systemic inflammatory response syndrome and sepsis in severe trauma

3.4.1. Systemic inflammatory response
3.4.2. CNS

3.4.2.1. Common infections
3.4.2.2. Treatment
3.4.2.3. Antibiotic prophylaxis for CNS infections

3.4.3. Pneumonia
3.4.4. Infections related to fractures

3.4.4.1. Introduction
3.4.4.2. Factors associated with infection
3.4.4.3. Diagnosis of fracture-related infection
3.4.4.4. Infection-related treatment

3.5. Coagulation disorders in trauma

3.5.1. Coagulation
3.5.2. Coagulopathy associated with trauma

3.5.2.1. Trauma-associated coagulopathy (TAC)

3.5.2.1.1. Tissue damage and inflammation
3.5.2.1.2. Endothelial Dysfunction
3.5.2.1.3. Shock and hypoperfusion
3.5.2.1.4. Platelet dysfunction
3.5.2.1.5. Coagulation factor consumption and dysfunction
3.5.2.1.6. Hyperfibrinolysis

3.5.2.2. Coagulopathy Secondary to Trauma (CST)

3.5.2.2.1. Associated with the patient's situation

3.5.2.2.1.1. Hypothermia
3.5.2.2.1.2. Acidosis

3.5.2.2.2. Dilutional
3.5.2.2.3. Added

3.5.2.2.3.1. Comorbidities
3.5.2.2.3.2. Concomitant Drug

3.5.3. Diagnosis

3.5.3.1. Conventional tests

3.5.3.1.1. Conventional coagulation tests

3.5.3.1.1.1. Platelet count
3.5.3.1.1.2. Fibrinogen levels

3.5.3.1.2. Viscoelastic test

3.5.3.1.2.1. Reactions and parameters
3.5.3.1.2.2. Interpretation
3.5.3.1.2.3. Advantages and Limitations

3.5.3.2. Evaluation of CIT and prediction of massive transfusion

3.5.4. Management of coagulopathy

3.5.4.1. Management of CIT/HECTRA

3.5.4.1.1. Red blood Cell Concentrates
3.5.4.1.2. Fresh frozen plasma
3.5.4.1.3. Platelets
3.5.4.1.4. Fibrinogen
3.5.4.1.5. Protombinic Concentrate Complexes (PCC)
3.5.4.1.6. Tranexamic Acid
3.5.4.1.7. Other hemostatic drugs
3.5.4.1.8. Other Measures

3.5.4.2. Management of hypercoagulability

3.6. Massive transfusion

3.6.1. Transfusion
3.6.2. Definition
3.6.3. Transfusion management guidelines in severely traumatized patients
3.6.4. Associated risks

3.6.4.1. Coagulopathy
3.6.4.2. TRALI
3.6.4.3. Infections

3.7. Cardiac arrest in trauma

3.7.1. Stop
3.7.2. Etiopathogenesis of traumatic CRA
3.7.3. Cardiopulmonary resuscitation algorithm in traumatic CRA
3.7.4. Prognosis of traumatic CRA
3.7.5. Emergency thoracotomy

3.7.5.1. Indications and Contraindications
3.7.5.2. Role of ultrasound
3.7.5.3. Objectives

3.7.6. Surgical Technique

3.7.6.1. Emergency sternotomy
3.7.6.2. Left thoracotomy

3.7.7. Material and monitoring

3.8. Neurogenic shock in trauma

3.8.1. Shock
3.8.2. Memory Clinical differentiation of shock etiology

3.8.2.1. General description of hemorrhagic shock

3.8.3. Classification of spinal cord injury

3.8.3.1. Level
3.8.3.2. Severity of neurological deficit
3.8.3.3. Spinal Cord Syndromes

3.9. Thromboembolic disease in trauma and post-traumatic fat embolism syndrome

3.9.1. Thrombo
3.9.2. Venous Thromboembolic Disease

3.9.2.1. Pathophysiology
3.9.2.2. Prophylaxis and pharmacology

3.9.2.2.1. Start
3.9.2.2.2. Anticoagulation and posology

3.9.2.3. Mechanical Prophylaxis
3.9.2.4. Diagnosis
3.9.2.5. Treatment of venous thromboembolic disease
3.9.2.6. Prognosis

3.9.3. Fat Embolism Syndrome

3.9.3.1. Pathophysiology
3.9.3.2. Clinical Symptoms
3.9.3.3. Diagnosis
3.9.3.4. Treatment
3.9.3.5. Prevention

3.10. Compartment syndrome and crushing  

3.10.1. Compartment Syndrome  

3.10.1.1. Definition and localizations  
3.10.1.2. Etiology and Clinic  
3.10.1.3. Treatment and Prophylaxis  

3.10.2. Crush Syndrome

3.10.2.1. Introduction  
3.10.2.2. Pathophysiology  
3.10.2.3. Evolution  
3.10.2.4. Clinical Management  

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