Introduction to Emergency Medicine DU

1. Acquiring the basics of diagnostic reasoning in emergency situations.
2. Mastering the therapeutic arsenal needed to manage life-threatening emergencies outside hospital structures.
3. Learn the basic technical procedures involved in practising emergency medicine
4. Develop skills in ultrasound and the use of telemedicine tools

Access to the DU :

This course is aimed at doctors in all specialities except emergency and intensive care medicine, and state-qualified nurses.

Iregistration
Instructions concerning the application procedure are posted on the Université de Guyane website during the annual admissions campaign. Applications and administrative registration are made online.

EU 1 - Emergency health organisation (12h)

• Pre-hospital organisation
• In-hospital organisation
• Principles of disaster management
• Management of mass poisoning
• Organisation of a shock room
• Equipping a mobile emergency and resuscitation unit
• The contribution of telemedicine to emergency medicine

TU 2 - Management of shock and cardiac arrest (9h)

• Pathophysiology of shock
• Initial management of shock
• Shock monitoring
• Management of myocardial infarction and its complications in the acute phase
• Cardiac rhythm disorders: Diagnosis and management strategy
• Initial management of cardiac arrest

EU 3 - Management of acute respiratory failure (9h)

• Pathophysiology of respiratory failure
• Initial management of respiratory failure
• Mechanical ventilation: operation and adaptation strategies

EU 4 - Level 3 analgesia, local anaesthesia and sedation techniques (10h)

• Level 3 analgesia
• Main locoregional anaesthetics
• How to use KETOFOL
• The benefits of the intranasal route in emergency medicine
• Rapid sequence induction and continuous sedation

TU 5 - Management of the seriously injured patient in the initial phase (12h)

• General principles of Damage Control
• Transfusion strategy
• Control of haemostasis
• Management of head injuries
• Management of spinal cord injury

EU 6 - Emergency care (21h)

• Technique for placing a chest tube
• Venous and arterial catheterisation with or without ultrasound
• Placement of a suprapubic catheter
• Intubation techniques and variations
• The contribution of ultrasound to emergency medicine

EU 7 - Management of ophidian bites (4h)

• Effects of elapid venom
• Effects of viperid venom
• Use of anti-venoms
• Management strategy for envenomations

UE 8 - Obstetric and neonatal emergencies (15h)

• Normal vaginal delivery and variations
• Management of delivery haemorrhage
• Management of a threatened premature birth
• Resuscitation of the newborn at birth

TU 9 - Paediatric emergencies (17h)

• Assessment of a child in critical condition
• Management of respiratory distress
• Management of circulatory distress
• Special features of childhood trauma
• Cardiac arrest in children

TU 10 - Infectious emergencies (13h)

• Malaria prevention and treatment
• Probabilistic management of neuromeningeal infections
• Probabilistic antibiotic therapy for severe sepsis
• Anti-infectives in non-life-threatening emergencies
• Focus on leptospirosis, dengue fever and other haemorrhagic fevers

TU 11 - Surgical emergencies (15h)

• Suturing and restraint techniques
• Penetration management
• Traumatology of the limbs and thorax
• Ophthalmic trauma
• ENT Traumatology

UE 12 - Management of specific pathologies (7h)

• Management of severe acute poisoning
• Dealing with drowning
• Management of a serious burn victim
• Treating heatstroke

Sectors of activity

• Emergency department activity
• Offshore industrial practice
• Humanitarian aid
• Practice in isolated areas
• Health cover for exceptional events