PRINCIPLES OF CRITICAL CARE

SHE Level 3
SCQF Credit Points 40.00
ECTS Credit Points 20.00
Module Code M3B922062
Module Leader Gary Rutherford
School School of Health and Life Sciences
Subject Nursing
Trimesters
  • B (January start)-C (May start)
  • A (September start)-B (January start)
  • C (May start)-A (September start)

Pre-Requisite Knowledge

Paramedic registered with the Health Professions Council

Summary of Content

This module will equip Critical Care Paramedic (CCP) students with the necessary knowledge and understanding of the aetiology, anatomy, physiology and pathophysiology of key body systems in relation to the treatment, transfer and retrieval of critical care and high dependency patients. The principles of pharmocokinetics and pharmocodynamics for drugs commonly associated with critical care medicine will be covered. It will also explore patient safety and risk management principles in relation to the critical care transport environment. Knowledge and understanding gained in this module will be practically demonstrated during the Patient Management within the Multi- Professional Critical Care and Emergency Retrieval Team module.

Syllabus

A systematic knowledge of the anatomy, physiology and pathology, assessment and management of the main system failures in critical illness; Theory of assessment, management and care of the critically ill patient with specific acute medical and traumatic conditions Implications of chronic and co-morbid disease in the acutely ill patient Theoretical principles of pharmacology associated with critical care. Relevent aspects of obstetrics in relation to critical care and retrieval Equipment associated with critical care transfers Tasking, co-ordination, triage of critical care transfer and retrieval teams Cultural, religious, ethical and legal issues and an awareness of their impact on decision making Privacy, dignity, confidentiality and legal constraints on the use of patient data Safe patient care and clinical goveranance The principles of end of life care and witholding or withdrawing treatment with the multidisciplinary team Child protection and its relevance in critical care

Learning Outcomes

On successful completion of the module the student should be able to:1. Demonstrate an in depth knowledge of human anatomy, physiology and pathopysiology across all age ranges in relation to critical care and high dependency patients.2. Examine the decision making processes in critical care management and the impact of interventions upon these during out of hospital environments. 3. Demonstrate effective care through recognition and application of appropriate pharmacological interventions. 4. Demonstrate an understanding of microbiology, biochemistry and radiology in relation to the critically unwell patient.5. Demonstrate an understanding and knowledge of primary and secondary retrieval of a critically ill patient and triage principles to be applied.6. Develop a professional approach to the application of patient safety and risk management protocols.

Teaching / Learning Strategy

The student will have access to key note lectures relating to the key body systems The se will de liver the basis of the theoretical knowledge required allowing the student to read, research and explore the discussed subject independently, particularly in relation to out of hospital critical care. Building upon these key note lectures, the student will be a member of a tutorial group led by an experienced hospital clinician, discussing a complex care case. Using an appropriate complex care scenario, the experienced hospital clinician will build the patient's case week on week, becoming more complex. This will allow the student to research and explore, using problem based learning, the patient's presenting complaints, associated signs and symptoms, treatment plan's, interventions, transport and any other associated patient care. The student will be expected to feedback to the group, this will allow the group to explore all relevant areas of the patients needs.

Indicative Reading

Bersten,A. & Soni,N. (2008) Oh's Intensive Care Manual. Philadelphia: Elsevier Bledsoe,B. & Benner,R. (2005) Critical Care Paramedic: A Modern Perspective. New Jersey: Brady Douglas,G. Nicol,F. & Robertson,C. (ed) (2009) Macleod's Clinical Examination. Oxford: Churchill Livingstone Foley,M. Strong,T & Garite,T. (2010) Obstetric Intensive Care Manual 3 rd Ed. London: Mc Craw Hill JRCALC (2006) Clinical Practice Guidelines. London: Edexcel Marino,P.(2007) The ICU Book. Philadelphia: Lippincott Williams & Wilkins Patterson,A. & Patterson,C. (2008) Critical Care Patient Transport. USA: Critical Care Concepts Paw,H. & Shulman,R. (2010) Handbook of Drugs in Intensive Care: An A-Z Guide. Cambridge: Cambridge University Press Pollack,A (ed) (2011) Critical Care Transport. Sudbury: Jones and Bartlett

Transferrable Skills

Work in a self directed manner, taking responsibility for own learning and personal development. Develop communication and IT skills to underpin effective learning. Communicate effectively in both written and oral forms with fellow students and the teaching team. Work effectively with others. Underpin professional development by integration of theory and practice.

Module Structure

Activity Total Hours
Assessment (PT) 60.00
Independent Learning (PT) 180.00
Tutorials (PT) 40.00
Group work 80.00
Lectures (PT) 40.00

Assessment Methods

Component Duration Weighting Threshold Description
Coursework 1 n/a 50.00 40% 10 x 400 words relating to complex care
Exam (School) 4.00 50.00 40% 2x2 hr unseen, identifying and discussing advanced care procedure.