Pain control and symptom-directed therapy - Doctyn | Fellowship Courses After MBBS

Curriculum

21 Sections
115 Lessons
12 Weeks

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Module 1: Foundations of Emergency Medicine
5
- 1.1
  Role and scope of an Emergency Physician
- 1.2
  ER structure, workflow, and triage systems
- 1.3
  Handover techniques and communication
- 1.4
  Medicolegal responsibilities (MLC, consent, documentation)
- 1.5
  Professionalism, ethics, and interdepartmental coordination
Module 2: Initial Assessment & Stabilization (ABCDE Framework)
6
- 2.1
  Rapid patient assessment
- 2.2
  Primary survey
- 2.3
  Airway–Breathing–Circulation immediate interventions
- 2.4
  Monitoring and vital interpretation
- 2.5
  Early decision-making in unstable patients
- 2.6
  Pain control and symptom-directed therapy
Module 3: Airway & Breathing Management
8
- 3.1
  Bag-mask ventilation
- 3.2
  OPA/NPA insertion
- 3.3
  Supraglottic airway devices
- 3.4
  Endotracheal intubation
- 3.5
  Rapid Sequence Intubation (RSI)
- 3.6
  Difficult airway management
- 3.7
  Oxygen therapy, NIV, initial mechanical ventilation
- 3.8
  Recognizing acute respiratory failure
Module 4: Shock Management
12
- 4.1
  Identifying shock within the first minute
- 4.2
  Classification: hypovolemic, cardiogenic, obstructive, distributive
- 4.3
  Perfusion assessment (lactate, capillary refill, mental status)
- 4.4
  Fluid responsiveness: PLR test, IVC ultrasound
- 4.5
  Early fluid resuscitation principles
- 4.6
  Vasopressor and inotrope initiation
- 4.7
  Hemodynamic support escalation
- 4.8
  Shock algorithms and decision pathways
- 4.9
  Hands-On Skills: Peripheral IV access in unstable patients
- 4.10
  Central venous catheter insertion
- 4.11
  Arterial line insertion
- 4.12
  POCUS for shock (cardiac function, tamponade, IVC, pneumothorax)
Module 5: Sepsis Management
7
- 5.1
  Early recognition of sepsis & septic shock – Sepsis screening tools
- 5.2
  “Golden Hour” sepsis bundles: Blood cultures, Blood cultures, Fluids, Lactate measurement
- 5.3
  Vasopressor initiation in sepsis
- 5.4
  Source control principles
- 5.5
  Monitoring and escalation
- 5.6
  Management in special populations (elderly, immunocompromised)
- 5.7
  Hands-On Skills: 1)Blood culture collection 2) IV & central access 3) Sepsis-based fluid administration 4) POCUS to identify sources of infection
Module 6: Cardiovascular Emergencies
6
- 6.1
  ECG interpretation
- 6.2
  ACLS protocols
- 6.3
  Defibrillation & cardioversion
- 6.4
  Transcutaneous pacing
- 6.5
  ACS, arrhythmias, heart failure management
- 6.6
  Post-cardiac arrest care
Module 7: Trauma & ATLS
7
- 7.1
  Primary & secondary survey
- 7.2
  Airway in trauma
- 7.3
  Spine immobilization
- 7.4
  Chest injury management
- 7.5
  Chest tube insertion
- 7.6
  FAST/EFAST
- 7.7
  Burns, drowning, electrocution
Module 8: Orthopaedic Emergencies
3
- 8.1
  Splints and casts
- 8.2
  Joint reduction techniques
- 8.3
  Fracture stabilization
Module 9: Wound Care & Minor ER Procedures
6
- 9.1
  Wound cleaning & closure
- 9.2
  Suturing and stapling
- 9.3
  Abscess drainage
- 9.4
  Burn care
- 9.5
  Local anaesthesia techniques
- 9.6
  Foreign body removal
Module 10: Procedural Sedation & Analgesia
3
- 10.1
  Sedation protocols
- 10.2
  Medications and safety monitoring
- 10.3
  Managing sedation complications
Module 11: Neurological Emergencies
5
- 11.1
  GCS assessment
- 11.2
  Stroke management pathways
- 11.3
  Seizures and status epilepticus
- 11.4
  Raised intracranial pressure
- 11.5
  Lumbar puncture
Module 12: Toxicology & Poisoning
5
- 12.1
  Organophosphate poisoning
- 12.2
  Alcohol & opioid toxicity
- 12.3
  Snake bite & envenomation
- 12.4
  Acid/alkali exposure
- 12.5
  Poisoning antidotes
Module 13: Paediatric Emergencies
5
- 13.1
  Paediatric airway
- 13.2
  PALS
- 13.3
  Pediatric shock
- 13.4
  Pediatric trauma
- 13.5
  Febrile seizure
Module 14: Obstetric & Gynaecological Emergencies
5
- 14.1
  Emergency childbirth
- 14.2
  Shoulder dystocia
- 14.3
  Postpartum hemorrhage
- 14.4
  Ectopic pregnancy
- 14.5
  Acute pelvic pain
Module 15: Ophthalmic & ENT Emergencies
4
- 15.1
  Eye irrigation
- 15.2
  Corneal abrasion management
- 15.3
  ENT foreign bodies
- 15.4
  Airway-threatening ENT emergencies
Module 16: Infectious Disease Emergencies
5
- 16.1
  Rabies & tetanus prophylaxis
- 16.2
  HIV exposure
- 16.3
  Fever with altered sensorium
- 16.4
  Tropical infections
- 16.5
  Infection control in ER
Module 17: Psychiatric Emergencies
4
- 17.1
  Suicide risk assessment
- 17.2
  Acute agitation
- 17.3
  Safe physical & chemical restraint
- 17.4
  Managing violent/delirious patients
Module 18: Point-of-Care Ultrasound (POCUS)
5
- 18.1
  Lung ultrasound
- 18.2
  Cardiac function assessment
- 18.3
  FAST/EFAST
- 18.4
  IVC assessment
- 18.5
  Ultrasound-guided procedures
Module 19: Emergency Pharmacology
5
- 19.1
  Emergency drug calculations
- 19.2
  Sedatives, analgesics, and vasopressors
- 19.3
  Antibiotics
- 19.4
  Antidotes
- 19.5
  Infusion preparation
Module 20: ER Documentation, MLC & Systems
5
- 20.1
  Medicolegal case documentation
- 20.2
  Consent & refusal
- 20.3
  Death certification
- 20.4
  Police intimation
- 20.5
  ER SOPs & safety protocols
Module 21: Case Discussions & Logbook
4
- 21.1
  Daily case logs
- 21.2
  Case presentations
- 21.3
  Competency checklists
- 21.4
  Final evaluation

Fellowship In Emergency Medicine

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