Course Specifications for Post Graduate Diploma in Austere Critical Care

ACC701 - Critical Care Basics: Concepts, Interventions (Elective)

This programme provides the knowledge of complex pathophysiology which the assessment and management of the critically ill patients are based on.

Content areas include: concepts of tissue oxygenation; organ perfusion; breathing and oxygenation; circulation; regulation of metabolic status and homeostasis; regulated and dysregulatedimmune responses.

The module will build a strong foundation for further clinical studies in critical care.

  • Discuss the pathophysiological processes in the background of critical illness, the common pathways which deteriorate to death unless appropriate critical care interventions.
  • Predict the clinical module of a critically ill patient with and without interventions by describing the interactions of various physiological systems and their malfunction.
  • Create a treatment plan and prioritise the goals for necessary critical care interventions which targets the malfunctioning physiological processes with a degree of autonomy
  • Acquire the theoretic knowledge which serves as a solid background to undertake further critical care studies with confidence.
  • Discuss the ability to plan, execute, analyse and reflect upon the management of patients with critical non-traumatic medical emergency according to current medical evidence and current best practice whilst working in resource-limited environments.
  • Build on a foundational knowledge of the cellular, tissue and organ level physiology and their interactions.
  • Discuss and describe the interactions of physiological systems and their common pathway leading to cellular and organ dysfunction.
  • Learn to create plans for critical care interventions and prioritise them based on the pathophysiology and the interacting processes.
  • Build confidence in further critical care studies to deal with the rapidly deteriorating critically ill patients by being able to discuss and describe the background.
  • Learn the legal requirements of the Austere Critical Care Practice.
  • Demonstrate the ability to prioritise the needs of critical care interventions based on physiological needs.
  • Demonstrate the ability to assess the critical casualty using the skills and knowledge found in this module.
  • Demonstrate the ability to create plans for critical care interventions and prioritise them based on the pathophysiology of the interacting processes.
  • Discuss and describe the metabolic needs and pathways in the cellular, tissue and organ level.
  • Discuss and describe the components of tissue oxygenation and able to interpret it within the clinical concepts.
  • Discuss and describe the concepts of gas exchange, oxygen transport, oxygen demand and extraction.
  • Discuss and describe the physiological regulatory mechanisms which maintain homeostasis.
  • Discuss and describe the concept of organ perfusion, organ function and dysfunction; including organ-specific considerations for the heart, brain, kidneys and the intestines.
  • Discuss and describe the normal and dysregulated immune response and systemic immune response syndrome.
  • Discuss and describe the interactions which leads to a common pathway or organ damage and cell death.

250 Hours

Online : 100%

This module provides online guided learning under the tutelage of our doctoral level instructors focusing the foundational concepts of providing care for the critical casualty located in remote, austere and resource-limited environments.

Additionally, there are 2 hours of proctored final assessment. There are physician lead case studies with reflective practice essays that must be submitted to our doctoral level tutors. There are periodic online proctored exams that must be passed at 80% or higher.

10 ECTS/ECVETs

ASSESSMENT WEIGHTING

Formative Online Exams: 50%
Summative Essay: 50%

Grades are set from the EU grading scheme:

Scale                    Grade Description
80-100%               Distinction
70-79%                 Merit
55-69%                 Pass
45-54%                 Compensated Pass
0-34%                   Lower Fail

Core Reading List

  • Critical Care Manual of Clinical Procedures and Competencies, 2013 ISBN 978-1405122528.
  • Fundamental Critical Care Support: Resource Limited textbook, 2019 Society of Critical Care Medicine.

Supplementary Reading List.

  • The beginners guide to Intensive Care: Handbook for Junior doctors and allied professionals. 2018 ISBN 9781138035782.
  • Mechanical Ventilation: Physiology and Practice 2018 ISBN:9780190670085.
  • Critical Care Medicine: An Algorithmic Approach 2021 ISBN: 9780323696074.

ACC702 Intensive Care for Resource-limited Environments (Elective)

This module discusses the knowledge and competencies needed to provide intensive care for the critical casualty located in remote, austere and resource-limited environments.

Content areas include: early assessment and management of the critical casualty, sepsis, acute kidney injury, airway and respiratory emergencies, advanced techniques for physical examination of the acute casualty, clinical decision making, communications, pharmacological options for the critical casualty, documentation and assessment-based management.

Additional topics will include managing resource limitations, resource allocation, triage, and ethical implications.

This module provides online guided learning under the tutelage of our doctoral level instructors focusing on the foundational concepts of providing care for the critical casualty located in remote, austere and resource-limited environments. Additionally, there are 2 hours of proctored final assessment. There are physician lead case studies with reflective practice essays that must be submitted to our doctoral level tutors. There are periodic online proctored exams that must be passed at 80% or higher.

  • The delegate will describe how to manage medical emergencies independently that require problem-solving techniques where there are many factors, some of which interact and lead to unpredictable outcomes.
  • The delegate will discuss and show competencies in managing the critical casualty with limited equipment and resources.
  • The delegate will describe a comprehensive internalised personal world view by utilising the Gibbs reflective model for reflecting on past performance.
  • The delegate will discuss how to determine the need for and to undertake further emergency medical studies.
  • The delegate will discuss the ability to critically review new knowledge and scientific literature, and discuss its implication on current practice, both on the individual provider- and system level.
  • The delegate will build on their foundational knowledge of the assessment and management of the critical casualty and develop advanced concepts in medical treatment for acute casualties found in remote and austere environments.
  • The delegate will develop strategic and creative responses in researching solutions to well defined concrete and abstract problems.
  • The delegate will describe how to make judgements based on knowledge of relevant social and ethical issues surrounding patient assessment, trauma assessment and medical assessment including the treatments for medical emergencies found in resource-limited environments.
  • The delegate will discuss advanced textbooks that will lead to further academic medical learning and will research solutions to abstract medical problems.
  • The delegate will discuss the assessment skills needed for the treatment of the burned casualty, sepsis, fever in the tropics, diarrhoeal emergencies and other aspects of treating the critical casualty.
  • The delegate will formulate practical and theoretical responses to abstract and concrete medical problems and makes judgements on social and ethical issues pertaining to the medical casualty.
  • The delegate shows responsibility for the reflective and efficient management of medical emergencies within agreed timeframes.
  • The delegate will demonstrate the assessment and management of the critical casualty located in resource-limited environments.
  • The delegate will demonstrate the ability to improvise locally procured equipment into usable medical supplies.
  • The delegate will demonstrate the use of intensive care equipment that can be used in a resource-limited environment.
  • The delegate will demonstrate the safe and efficient setup and use of complex critical care monitoring systems, evaluate its data and respond to alarms appropriately.
  • Discuss the assessment and treatment of the respiratory, cardiovascular and neurological acute patient specifically for the casualty located in remote, austere and resource-limited environments.
  • Discuss the use of the medical equipment found in a resource- limited Intensive Care Unit.
  • Discuss the advanced concepts of blood gas analysis.
  • Perform ventilator setup and management for the critical casualty.
  • Demonstration the use of all airway adjuncts specifically for the casualty located in remote, austere and resource-limited environments.
  • Discuss the concepts found in the assessment and management of the critical casualty in resource-limited environments.
  • Discuss how to stop catastrophic and non-catastrophic bleeding.
  • Discuss the knowledge and use of the pulse oximeter, bedside point- of-care testing, capnograph and other haemodynamic monitoring equipment specifically for the casualty located in remote, austere and resource-limited environments.
  • Discuss the knowledge and administration of vasoactive and other critical care drugs specifically for the casualty located in remote, austere and resource-limited environments.

250 Total Learning Hours

Online : 100%

This module provides online guided learning under the tutelage of our doctoral level instructors focusing on the foundational concepts of providing care for the critical casualty located in remote, austere and resource-limited environments. Additionally, there are 2 hours of proctored final assessment. There are physician lead case studies with reflective practice essays that must be submitted to our doctoral level tutors. There are periodic online proctored exams that must be passed at 80% or higher.

10 ECTS/ECVETs

Formative Assessment: Online quizzes that must be passed at 70% or higher. There is an online entrance exam and an online final written exam.

Summative Essay (3,000 words): A critical reflection on the candidates developed understanding of the lessons learned during the online
module.

ASSESSMENT WEIGHTING

Formative Online Exams: 50%
Summative Essay: 50%
Online Exams: 50%
Reflective Practice Essay: 50%

Grades are set from the EU grading scheme:

Scale                    Grade Description
80-100%               Distinction
70-79%                 Merit
55-69%                 Pass
45-54%                 Compensated Pass
0-34%                   Lower Fail

Core Reading List

  • Fundamental Critical Care Support: Resource Limited textbook, 2019.
  • Society of Critical Care Medicine.
    Field Guide for Remote Practitioners by CoROM, 2nd edit. 2020 ISBN 9789995791308.
  • The Beginners Guide to Intensive Care: Handbook for Junior doctors and allied professionals. 2018 ISBN 9781138035782.

Supplementary Reading List

  • Critical Care Nursing in Resource Limited Environments, 2019 ISBN 1138093513
  • Care of the Critically Ill Patient in the Tropics and Sub-Tropics ISBN 0333537998
  • Providing Care in Extreme Environments, 2016 ISBN 9780071847629
  • Manual of Austere and Prehospital Ultrasound, 2021 ISBN 9783030642877

     

ACC703 Core Critical Care Skills (Required)

COMPULSORY

This module provides the foundational knowledge and skills needed to conduct a structured clinical assessment for critically ill patients, practical skills to apply and interpret critical care monitoring, manage ongoing organ support, and provide basic critical care interventions specifically for the casualty located in remote, austere and resource limited environments.

The module includes skill stations for structured patient assessment, clinical scenarios with organ support and complex monitoring, emergencies during mechanical ventilation, recognition, evaluation and management of circulatory collapse and complex metabolic deterioration.

Delegates will practice the management of
simulated clinical scenarios in teams, learning technical and nontechnical skills.

  • The delegate will discuss how to manage medical emergencies found in resource-limited independently that require problem-solving techniques where there are many factors, some of which interact and lead to unpredictable outcomes.
  • The delegate will describe out-of-the-box thinking and creativity in managing medical emergencies in resource-limited environments, manages people and reviews performance of self and others; trains others to assist him during medical emergencies.
  • The delegate will describe a comprehensive internalised personal world view by utilising the Gibbs reflective model for reflecting on past performance. The delegate will discuss the critically analysation of different theoretical, methodological and practical approaches to the practice of
    critical care in resource-limited environments.
  • The delegate will build on their foundational knowledge of the patient assessment and develop advanced concepts in medical treatment for injuries found in remote and austere environments.
  • The delegate will develop strategic and creative responses in researching solutions to well defined concrete and abstract problems.
  • The delegate will learn to makes judgements based on knowledge of relevant social and ethical issues surrounding patient assessment, trauma assessment and medical assessment including the treatments
    for medical emergencies found in resource poor environments.
  • The delegate will demonstrate correct and safe airway management, using a variety of simple and more advanced techniques up to surgical airway.
  • The delegate will demonstrate the ability to set up, monitor and operate a transport mechanical ventilator, troubleshoot and manage alarms and complications.
  • The delegate will demonstrate safe and efficient practice of establishing venous and intraosseous lines, set up invasive pressure measurement, monitor and troubleshoot complications.
  • The delegate will demonstrate the safe and efficient setup and use of complex critical care monitoring systems, evaluate its data and respond to alarms appropriately.
  • The delegate will learn to work in the team, communicate and formulate opinions, management plans and execute team objectives in order to manage a complex critically ill patient in an environment of limited resources.
  • The delegate will evaluate their own medical learning and will improve key competences for further medical learning and will promote team training.
  • The delegate shows responsibility for the reflective and efficient management of medical emergencies within agreed timeframes.
  • Demonstrate a critical discussion of the theories, concepts and principles of the basic clinical sciences found in the day-to-day management of patients in intensive care.
  • Demonstrate the application of that knowledge to safe treatment decisions for patients being treated in an intensive care environment.
  • Integrate and communicate complex clinical information using a structured clinical approach in the daily assessment and management of critically ill or acute casualty.
  • Exercise autonomy within the limits of their professional practice and competence and be able to work effectively in multi-disciplinary critical care team.
  • Be able to identify threats to patient safety and use critical judgement to apply systems which promote patient safety and strive towards continual improvement in standards of care.

250 Hours

Online : 75%
Classroom: 25%

This module provides online guided learning under the tutelage of our doctoral level instructors focusing the foundational concepts of providing care for the critical casualty located in remote, austere and resource-limited environments.

Additionally, there are 50 hours of classroom-based skills training and 2 hours of final assessment. There are physician lead case studies with reflective practice essays that must be submitted to our doctoral level tutors. There are periodic
online proctored exams that must be passed at 80% or higher.

10 ECTS/ECVETs

Formative Assessment: online quizzes that must be passed at 70% or higher. There is an entrance exam and a final written exam. Both are taken in the classroom whilst being proctored.

Summative Essay (3,000 words): A critical reflection on the candidates developed understanding of the lessons learned during the online module.

ASSESSMENT WEIGHTING

Formative Online Exams: 50%
Summative Essay: 50%

Grades are set from the EU grading scheme:

Scale                    Grade Description
80-100%               Distinction
70-79%                 Merit
55-69%                 Pass
45-54%                 Compensated Pass
0-34%                   Lower Fail

Core Reading List

  • The beginners guide to Intensive Care: Handbook for Junior doctors and allied professionals. 2018 ISBN 9781138035782
  • Fundamental Critical Care Support: Resource Limited textbook, 2019. Society of Critical Care Medicine.

Supplementary Reading List

  • Intensive Care: A Concise Textbook 2019 ISBN 1138093513.
  • A Bedside Guide to Mechanical Ventilation, 2011 ISBN 97814611902182.
  • Every Deep-Drawn Breath: A Critical Care Doctor on Healing, Recovery, and Transforming Medicine in the ICU, 2021 ISBN 9781982171179.

ACC704 Aeromedical and Critical Care Transport (Elective)

This module provides the knowledge and skills needed to provide safe transport for critically ill patients both via land and aeromedical retrieval service.

The module content includes the knowledge and
discussion of the principles of aeromedical transport, including its effects in physiology and the skills of preparing patients for transport as well as monitoring and managing critically ill patients within the confined space during transport.

The online module will give the theoretical background for further studies and learning technical and non-technical skills during subsequent classroom teaching and clinical placements.

  • The delegate will discuss the continuation of the care of critically ill patients during prolonged land or air transport.
  • The delegate will describe and interpret complex critical care monitoring with confidence and competently respond to changes as necessary to prevent deterioration specifically for the resource-limited environment.
  • The delegate will discuss how to plan and prioritize interventions based on clinical signs and critical care monitoring data found in resource-limited environments.
  • The delegate will discuss what skills and abilities are necessary to communicate with other health care providers and other service providers (land and air traffic) in a focused and structured way.
  • Devise and describe a plan for the transport of a critically ill or injured patient, which takes into consideration hazards and threats to safe conduct of patient transport, and medical, technical, organisational and logistical factors and challenges.
  • The delegate will develop a knowledge of the effects of prolonged land and air transport on complex critical care monitoring, including ventilation, haemodynamics, metabolic, electro-physiologic, intracranial pressure and foetal monitoring.
  • The delegate will describe the assessment and management of patients on continuous life support during transport (incl. mechanical ventilator, intra-aortic balloon counter pulsation, vasoactive treatments) specifically for the resource-limited environment.
  • The delegate will discuss and describe how to interpret diagnostic results, including radiology (basic X-Ray, head CT scans and bedside ultrasound), blood test results, EKG and CTG in the context of planning, preparing and executing prolonged transport.
  • The delegate will discuss the basic knowledge of the common emergencies and critical care scenarios for specific specialties, (neonatology, paediatrics, general medicine, neurology, cardiology, surgery, urology, ENT, ophthalmology, orthopaedics and trauma, obstetrics and gynaecology, toxicology and environmental medicine.) which might occur or need interventions during critical care transport. Additionally, this discussion will focus on these capabilities as they apply to the practice of medicine in resource-limited environments.
  • The delegate will discuss the concepts of crew resource management (CRM) and human performance whilst working in remote, austere and resource-limited environments.
  • The delegate will demonstrate advanced critical care monitoring capabilities and will be able to analyse and interpret its data, predict clinical module and formulate a management plan in response to changes.
  • The delegate will demonstrate the skills to assess critically ill patients, use diagnostic tools and interpret relevant diagnostic results.
  • The delegate will demonstrate the skills to safely continue the management of critically ill patients who has complex organ support initiated.
  • The delegate will discuss the skill to communicate efficiently with team, patients, and carers.
  • The delegate will discuss and describe the non-technical skills to work in the team efficiently and safely.
  • The delegate will interact with other medical team members to convey abstract and concrete medical solutions to emergencies.
  • The delegate will demonstrate operational capacity and medical management skills using creativity and improvisation during prolonged transport.
  • The delegate will evaluate their own medical learning and will improve key competences for further medical learning and will promote team training.
  • Apply, analyse, and interpret invasive and non-invasive critical care monitoring.
  • Assess the critically ill patient systematically in a structured way and interpreting the clinical findings to formulate further management plan.
  • Interpret diagnostic results, including basic radiology imaging, blood results, urine and CSF test results, ECG and CTG.
  • Apply and continue managing critical care organ support, including advanced airway support, ventilation support, haemodynamic support, renal support, administration of blood products, and temperature control during prolonged land and air transport.
  • Work in a team efficiently, using effective communication, technical and non-technical skills.
  • The learner will be able to: a. Communicate the handover of a complex critically ill patient. b. Communicate with dispatch, pilots and crew members during transport. c. Rules of communication during flight procedures.

250 Total Learning Hours

Online : 100%

10 ECTS/ECVETs

Formative Assessment: Online quizzes that must be passed at 70% or higher. There is an online entrance exam and an online final written exam.

Summative Essay (3,000 words): A critical reflection on the candidates developed understanding of the lessons learned during the online
module.

ASSESSMENT WEIGHTING

Formative Online Exams: 50%
Summative Essay: 50%

Grades are set from the EU grading scheme:

Scale                    Grade Description
80-100%               Distinction
70-79%                 Merit
55-69%                 Pass
45-54%                 Compensated Pass
0-34%                   Lower Fail

Core Reading List

  • Fundamental Critical Care Support: Resource Limited textbook, 2019. Society of Critical Care Medicine.
  • Critical Care Transport (ACEP) 2018 ISBN: 9781284040999

Supplementary Reading List

  • The Beginners Guide to Intensive Care: Handbook for Junior doctors and allied professionals. 2018
    ISBN 9781138035782
  • Critical Care Paramedic: a modern perspective 2005 ISBN 9780131192713
  • Aeromedical transportation: a clinical guide, 2008, ISBN: 9780754641483

ACC705 Advanced Critical Care Skills for Austere Environments (Required)

This compulsory module provides the advanced knowledge and skills needed to conduct a structured clinical assessment for critically ill patient specifically for the casualty located in remote, austere and resource- limited environments.

This module provides online guided learning under the tutelage of our doctoral level instructors focusing the foundational concepts of providing care for the critical casualty located in remote, austere and resource-limited environments. Additionally, there are 50 hours of classroom-based skills training and 2 hours of final assessment. There are physician lead case studies with reflective practice essays that must be submitted to our doctoral level tutors. There are periodic online proctored exams that must be passed at 80% or higher.

Practical hands-on skills will be taught that apply and interpret critical care assessment and advanced monitoring, manage ongoing organ support, and provide critical care interventions specifically for the casualty located in remote, austere and resource-limited environments.

The module includes advanced skill practice during structured patient assessments, clinical scenarios with organ support and complex monitoring, procedural ultrasound, emergencies during mechanical ventilation, recognition, evaluation and management of circulatory collapse and complex metabolic deterioration.

Delegates will practice the management of simulated clinical scenarios in teams, learning technical and non-technical skills.

  • The delegate will describe the ability to assess critically ill patients on complex organ support using all available resources and respond to unpredictable findings specifically for the casualty located in remote, austere and resource-limited environments.
  • The delegate will describe the ability to assess the critical casualty and adjust organ support settings to changing needs during aeromedical transport using evidence-based medicine.
  • The delegate will describe the management of critical care emergencies, manages the team, utilise resources and reviews performance of self and others specifically for the casualty located in remote, austere and resource-limited environments.
  • The delegate will describe how to utilise the learned critical care skills within the resource-limited environment.
  • The delegate will have 40 hours of practical skills learning, practice and examination. These advanced critical care skills will include non-invasive procedures that will provide haemodynamic monitoring, ultrasound assessments, and patient vital signs measurement and monitoring.
  • They will be able to assess and manage the critical casualty using these parameters.
  • The delegate will develop knowledge to interpret diagnostic laboratory test results within a given clinical context, and ability predict clinical outcomes.
  • The delegate will describe how to work in a team with technical and non-technical skills and utilize resources effectively.
  • The delegate will demonstrate the practical context of critical care monitoring, its limitations and set up conditions specifically for the casualty located in remote, austere and resource-limited environments,
  • The delegate will demonstrate the skills to recognise intensive care based emergencies and formulate a plan to respond in an appropriately prioritised and evidence-based manner.
  • The delegate will demonstrate the skill to assess and haemodynamic monitoring as well as organ support settings and be able to adapt the casualties treatment to the actual clinical need.
  • The delegate will demonstrate operational capacity and medical management skills using creativity and improvisation specifically for the casualty located in remote, austere and resource-limited environments.
  • Conduct a structured and systematic assessment of a critically ill patient specifically for the casualty located in remote, austere and resource-limited environments.
  • Utilise diagnostic resources and interpret diagnostic results in the clinical context specifically for the casualty located in remote, austere and resource-limited environments.
  • Respond to deteriorating casualty in a structured and prioritised way.
  • Assess and adjust organ support variables according to clinical requirements following evidence-based medicine.
  • Work in a team effectively, using both technical and non-technical skills specifically for the casualty located in remote, austerand resource-limited environments.

250 Total Hours

Online : 75%
Classroom: 25%

This module provides online guided learning under the tutelage of our doctoral level instructors focusing the foundational concepts of providing care for the critical casualty located in remote, austere and resource-limited environments.

Additionally, there are 50 hours of classroom-based skills training and 2 hours of final assessment. There are physician lead case studies with reflective practice essays that must be submitted to our doctoral level tutors. There are periodic online proctored exams that must be passed at 80% or higher.

10 ECTS/ECVETs

Formative Assessment: Online quizzes – Must be passed at 70% or higher. There is an entrance exam and a final written exam. 

Summative Essay (3,000 words): A critical reflection on the candidates developed understanding of the lessons learned during the online module.

ASSESSMENT WEIGHTING

Formative Online and Classroom Exams: 50%

Summative Essay: 50%

Grades are set from the EU grading scheme:

Scale                    Grade Description
80-100%               Distinction
70-79%                 Merit
55-69%                 Pass
45-54%                 Compensated Pass
0-34%                   Lower Fail

Core Reading List

  • Fundamental Critical Care Support: Resource Limited textbook, 2019. Society of Critical Care Medicine.
  • The Beginners Guide to Intensive Care: Handbook for Junior doctors and allied professionals. 2018 ISBN 9781138035782
  • Field Guide for Remote Practitioners by CoROM, 2nd edit. 2020 ISBN 9789995791308.

Supplementary Reading List

  • Critical Care Nursing in Resource Limited Environments, 2019 ISBN 1138093513
  • Providing Care in Extreme Environments, 2016 ISBN 9780071847629
  • Intensive Care: A concise textbook 2019 ISBN 1138093513.

ACC706 Intensive Care in Tropical Environments (Elective)

This elective module aims to introduce the concepts of the practice of intensive care medicine specifically for tropical medicine ailments and diseases as well as providing critical care in remote and austere conditions. It begins with the top ten infectious diseases found in tropical regions and expands to cover various treatments and procedures that are needed whilst working in tropical environments.

  • The delegate will discuss and describe the management of tropical infectious diseases as an independent practitioner using resources available in an austere clinical environment.
  • The delegate will describe how to manage tropical diseases, including the medical team whilst reviewing performance of self and others.
  • The delegate will describe a comprehensive internalised personal world view by utilising the Gibbs reflective model for reflecting on past performance.
  • The delegate will describe the need for and undertake further emergency medical studies.
  • The delegate will critically appraise the needs and challenges, indications and contraindications of tropical diseases and the pharmacological interventions for the casualty located in resource-limited environments.
  • The delegate will describe the structured and systematic clinical assessment of a critically ill patient who has a disease modality found in tropical disease areas.
  • The delegate will discuss the interpretation of clinical diagnostic test results and be able to diagnose the particular tropical disease using this outcome.
  • The delegate will discuss the necessity to work as a team with technical and non-technical skills and utilise the limited resources effectively.
  • The delegate will discuss and describe relevant social and ethical issues surrounding tropical diseases including the treatments for infectious diseases found in resource-limited environments.
  • The delegate will demonstrate the practical context of critical care monitoring as it pertains to tropical diseases and limitations and set up conditions specifically for the casualty located in remote, austere and resource-limited environments.
  • The delegate will demonstrate the skills to recognise emergencies found in tropical areas and formulate a plan to respond in an appropriately prioritised order.
  • The delegate will be able to assess and treat Tropical Diseases using Rapid Diagnostic Testing (RDT), basic microscope usage including blood smears and complete blood count, recognise the signs and symptoms of the top ten tropical diseases found worldwide.
  • The delegate will be able to assess and treat expedition emergencies, infectious diseases and Tropical Diseases found in resource poor environments.
  • The delegate will discuss and describe the top ten infectious diseases found in tropical areas.
  • The delegate will describe how to assess and treat casualties presenting with tropical ailments and diseases.
  • The delegate will discuss the main points of public health, epidemiology and how to conduct scientific research of tropical diseases.

250 Total Hours

Online: 100%

10 ECTS/ECVETs

Formative Assessment: Online quizzes – Must be passed at 70% or higher. There is an online entrance exam and an online final written exam.

Summative Essay (3,000 words): A critical reflection on the candidates developed understanding of the lessons learned during the online module.

ASSESSMENT WEIGHTING

Formative Online Exams: 50%
Summative Essay: 50%

Grades are set from the EU grading scheme:

Scale                    Grade Description
80-100%               Distinction
70-79%                 Merit
55-69%                 Pass
45-54%                 Compensated Pass
0-34%                   Lower Fail

Core Reading List

  • Fundamental Critical Care Support: Resource Limited textbook, 2019. Society of Critical Care Medicine.
  • Field Guide for Remote Practitioners by CoROM, 2nd ed. 2020 ISBN 9789995791308
  • Tropical Medicine Notebook ISBN 0198737777

Supplementary Reading List

  • Critical Care Nursing in Resource Limited Environments, 2019 ISBN 1138093513
  • Providing Care in Extreme Environments, 2016 ISBN 9780071847629

ACC708 Clinical Practicum for the Austere Critical Care Practice (Elective)

This elective module will introduce students to the concepts of effective leadership and management in health care. Students will be encouraged to (i) explore how self-leadership is a precursor for the effective leadership of others (ii) to develop the leadership skills to become clinical and academic leaders within their own departments (iii) to develop the skills to lead innovation and change whilst understanding the challenges facing service delivery.

  • Comprehensive understanding and application of leadership theories and concepts involving change and the ability to apply these to new problems and scenarios in healthcare service delivery.
  • Ability to critically analyse theories and approaches to service improvement innovation and change within the health sector.
  • Lead teams to the highest standards of excellence in complex healthcare environments
  • Ability to critically examine the current environment and analyse the implications for management and leadership through effective action and implementation reports.
  • A high level of critical appraisal of differing perspectives on leadership theories and practice and how to apply these during transition and change in healthcare settings.
  • Key leadership theories, appreciating their theoretical underpinnings and evaluating their practice implications.
  • Group decision theory and demonstrate greater insight into making effective decisions in group settings.
  • Knowledge of the literature on leadership within groups and how to articulate and build high performing inclusive teams that contribute to productive and efficient provision of services.
  • Demonstrate a critical understanding of leadership theory
  • A systematic understanding of the diverse concepts guiding change management in leadership situations within healthcare settings.
  • Demonstrate effective leadership skills as in complex and changing healthcare organisations and systems.
  • Apply in depth knowledge and understanding, based on previous work experience and advanced study, to complex professional practice situations.
  • Demonstrate the ability to critically analyse current leadership issues within healthcare environments
  • Identify the work styles, personal strengths and values.
  • Demonstrate how to utilise them effectively within a critical care team setting .
  • Analyse and critically evaluate current leadership issues within one’s own practice and healthcare environments in general
  • Apply extensive knowledge of leadership and managerial skills to their own practice.
  • Make sound judgements with incomplete data and communicate conclusions clearly to a range of audiences.
  • Identify and critically analyse your personal values, character and integrity to demonstrate personal accountability
  • Critically appraise leadership theory and assess, compare and contrast with your emotional competence and personal leadership style.

250 Total Hours

Classroom: 100%

This module provides hands on learning under the tutelage of our doctoral level instructors focusing the foundational concepts of providing care for the critical casualty located in remote, austere and resource-limited environments.

Additionally, there are 50 hours of classroom-based skills training and 2 hours of final assessment.There are physician lead case studies with reflective practice essays that must be submitted to our doctoral level tutors. There are periodic online proctored exams that must be passed at 80% or higher.

10 ECTS/ECVETs

Formative Assessment: delegates must submit their completed Practicum Handbooks with all signatures and competencies completed.
Summative Essay (3,000 words): A critical reflection on the candidates developed understanding of the lessons learned during their practicum.

ASSESSMENT WEIGHTING

Formative Online Exams: 50%

SummativeEssay: 50%

Grades are set from the EU grading scheme:

Scale                    Grade Description
80-100%               Distinction
70-79%                 Merit
55-69%                 Pass
45-54%                 Compensated Pass
0-34%                   Lower Fail

Core Reading List

  • Fundamental Critical Care Support: Resource Limited Textbook, 2019. Society of Critical Care Medicine.
  • Field Guide for Remote Practitioners by CoROM, 2nd edit. 2020 ISBN 9789995791308.
  • The Beginners Guide to Intensive Care: Handbook for Junior doctors and allied professionals. 2018
    ISBN 9781138035782.
  • Critical Care Manual of Clinical Procedures and Competencies, 2013 ISBN 978-1405122528

Supplementary Reading List

  • Critical Care Nursing in Resource Limited Environments, 2019 ISBN 1138093513.
  • Providing Care in Extreme Environments, 2016 ISBN 9780071847629

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