Anaesthesiology

The purpose I share my medical syllabus during my era is to help me know the topic should I revise during my free time to improve my medical knowledge and to give an idea for future medical students about the topic they would learn in medical school.

Topic of Anaesthesiology discussed during my time in Medical School:

A. LECTURE:

1. 3rd semester:

a. Reproductive System:

- Normal delivery: Analgesic and anesthetic in delivery, painless labor

- Operative delivery: Anesthetic in cesarean section, pre-operative and post-operative management in cesarean section delivery

- Malignancy in female reproductive organ; Management of cancer pain

2. 4th semester:

a. Cardiovascular System:

- Anesthetic effect to hemodynamic of cardiovascular system (anesthesia in CVS patient)

b. Respiratory System:

- Physiology of respiration: Ventilation-perfusion relationship 

3. 6th semester:

a. Emergency Medicine:

- Initial assessment and management of emergency cases: Primary survey assessment, secondary survey assessment

- Airway and ventilation management: Airway problem (Airway compromise, acute airway obstruction), ventilation (inadequate ventilation), airway and ventilation management technique (triple airway maneuver, needle cricothyrotomy, needle thoracenthesis, chest drain)

- Cardiopulmonary resuscitation (CPR): CPR in adult (basic life support, advance life support), CPR in children and neonatal age group (basic life support, advanced life support)

- Initial assessment of shock: Basic cardiac physiology, blood loss pathophysiology, recognition of shock, clinical differentiation of etiology of shock (Hemorrhagic shock, cardiogenic shock, tension pneumothorax, neurogenic shock, septic shock, anaphylactic shock)

- Initial management of hemorrhagic shock: Definition of hemorrhage, direct effects of hemorrhage, fluid changes secondary to soft tissue injury, physical examination in hemorrhagic shock (airway and breathing, circulation - hemorrhage control, disability - neurological examination, exposure - complete examination), gastric dilatation and decompression, urinary catheter insertion, vascular access lines, initial fluid therapy

- Evaluation of fluid resuscitation and organ perfusion: Evaluation of fluid resuscitation and organ perfusion (general, urinary output, acid-base balance), therapeutic decisions based on response to initial fluid resuscitation (rapid response, transient response,minimal or no response), blood replacement (packed red blood cell, whole blood therapy, crossmatched, specific blood type and type O blood, warming the resuscitation fluid-plasma-crystalloid, autotransfusion, coagulopathy, calcium administration)

- Systemic hypothermia: Signs of hypothermia, management of hypothermia 

- Transfer of patient: Determining the need for patient transfer (interhospital transfer criteria), transferal responsibilities (referring doctor and receiving doctor), modes of transportation, transfer protocols (referring doctor, information to transferring personnel, documentation, prior to transfer, management during in transport vehicle), transferring data

- Disaster management: Integrated emergency service system, disaster emergency service system, standard of operation (SOP) in disaster management

4. 7th semester:

a. Tropical Medicine:

- Role of anesthetic in tropical disease: Tetanus, severe malaria, dengue shock syndrome

B. SKILLS LABORATORY (OSCE):

1. 6th semester:

a. Emergency Medicine:

- Application of primary survey system (ABCD) in traumatic patient

- Airway management technique

- Glasgow coma scale (GCS) assessment technique

- Cardio-pulmonal resuscitation (CPR) technique

- Fluid resuscitation in adult

- Patient transport and installation of collar brace

- Anaphylactic shock and cricothyrotomy

- Hamlich maneuver in infant, children and adult

- Physical examination of neck

*This medical syllabus copied and edited from 1 manual book for 3rd semester medical student, 2 manual books for 4th semester medical student, 1 manual book for 6th semester medical student and 1 manual book for 7th semester medical student from my university during my era. 
**The topic currently discussed in my university may different from this syllabus due to progression of medical knowledge and improvement of quality for medical syllabus based on my university assessment.