Onsite class in conjunction with educational materials provided via the Merlin e-learning module, lessons include:

• Overview of simulation-based learning
• Techniques for effective learning in a simulation environment
• Best practices for teamwork and communication in clinical simulations

Learning outcomes: understand the principles of simulation-based learning and its importance in medical education. Apply techniques for effective learning in simulation environments. Demonstrate best practices for teamwork and communication during clinical simulations. Develop a structured approach to participating in debriefing simulation exercises.

Onsite class in conjunction with obligatory educational materials provided via Merlin e-learning platform, lessons include:

• Initial assessment of the deteriorating patient, with written educational material and video-tutorials
• Airway management, with written educational material and video-demonstration
• Essentials for ECG interpretation in medical emergencies, with written educational material
• Cardiopulmonary resuscitation (CPR) guidelines and algorithms, with written educational material and video-demonstrations
• Intravenous fluids, with written educational materials and video-tutorial on basic physiology

Learning outcomes: Apply the ABCDE approach for the initial assessment of a deteriorating (simulated) patient, report the findings in a structured manner, interpret the pathological findings and incorporate them in a differential diagnosis, select the appropriate diagnostic tools to confirm the diagnosis, and apply the correct treatment. Interpret the 12-lead electrocardiogram (ECG). Perform a structured handover of the (simulated) patient.

Recognise cardiopulmonary arrest, identify heart rhythm associated with cardiac arrest, and perform CPR according to current guidelines. 

Identify different types of intravenous fluids and understand their composition. Determine appropriate indications for the use of crystalloids, colloids, and blood products. Recognize contraindications and potential adverse effects associated with various intravenous fluids. Calculate the dose for fluid administration and demonstrate correct techniques for intravenous fluid delivery. Understand the principles of fluid balance and how to adjust intravenous fluid dose based on patient response and needs.

Onsite class in conjunction with obligatory educational materials provided via the Merlin e-learning platform, lessons include:

• Acute coronary syndrome, with written educational material and video-tutorial
• Life-threatening arrhythmias, with written educational material and video-tutorial

Learning outcomes: Apply the ABCDE for the initial assessment of a (simulated) patient, report the findings in a structured manner, interpret the pathological findings and incorporate them in a differential diagnosis, select the appropriate diagnostic tools to confirm the diagnosis, and apply the correct treatment. Interpret the 12-lead electrocardiogram (ECG). Recognise cardiopulmonary arrest, identify heart rhythm associated with cardiac arrest, apply resuscitation guidelines correctly, and perform safe defibrillation when indicated. Explain the guidelines for acute coronary syndrome, bradyarrhythmia, and tachyarrhythmia, interpret the 12-lead electrocardiogram. Define clinical and diagnostic findings important for selecting appropriate treatment and implement the knowledge and skills needed for treatment of medical conditions in simulations of different clinical scenarios of acute coronary syndrome, brady- and tachyarrhythmia. Perform structured handover of the (simulated) patient.

Onsite class in conjunction with obligatory educational materials provided via the Merlin e-learning platform, lessons include: 

• Acute respiratory failure, with written educational materials
• Arterial blood gases, with written educational materials and video-tutorial
• Anaphylaxis, with written educational materials and video-tutorial
• Acute bronchospasm, with written educational materials and video-tutorials on asthma attack and acute exacerbation of COPD
• Pulmonary oedema, with written educational materials and video-tutorial

Learning outcomes: Apply the ABCDE for the initial assessment of a (simulated) patient with acute respiratory insufficiency, report the findings in a structured manner, interpret the pathological findings and incorporate them in a differential diagnosis. Select the appropriate diagnostic tools to confirm the diagnosis and apply the correct treatment. Interpret blood gas analysis. Explain the guidelines for the management of anaphylaxis, severe asthma attack, pulmonary oedema, and acute exacerbation of chronic obstructive pulmonary disease, define clinical and diagnostic findings important for selecting appropriate treatment. Implement the knowledge and skills needed for treatment of mentioned medical conditions. Perform structured handover of the (simulated) patient.

Onsite class in conjunction with obligatory educational materials provided via the Merlin e-learning platform, lessons include: 

• Neurologic assessment, with education materials, video-tutorial, and video-demonstration on assessment of GCS
• Management of sudden neurological deterioration, with written educational material and video tutorial
• Seizures, with written educational materials
• Recognition and initial treatment of sepsis and septic shock, with written educational material and video tutorial on SOFA and qSOFA score, as well as First hour bundle

Learning outcomes: Apply the ABCDE for the initial assessment of a (simulated) patient with sudden deterioration in neurologic status, report the findings in a structured manner, interpret the pathological findings and incorporate them in a differential diagnosis, select the appropriate diagnostic tools to confirm the diagnosis, and apply the correct treatment. Conduct a neurologic assessment, including the Glasgow Coma Scale (GCS). Explain the guidelines for the management of stroke, traumatic brain injury, increased intracranial pressure, and blood glucose disturbances. Define clinical and diagnostic findings important for selecting appropriate treatment. Implement the knowledge and skills needed for treatment of mentioned medical conditions. Perform structured handover of the (simulated) patient.

Explain the background for sepsis and septic shock. Perform an assessment of the (simulated) patient suspected of having sepsis, with special emphasis on quick-SOFA score. Define the most common sites and pathogens associated with sepsis. Recognize and manage septic patient with emphasis on first-hour bundle.

Onsite class in conjunction with obligatory educational materials provided via the Merlin e-learning platform, lessons include: 

• Electrolyte disorders, with written educational materials and video-tutorial on hypo- and hyperkalaemia 
• Haemorrhage and haemorrhagic shock, with written educational materials and video-tutorial
• Acute poisoning, with written educational materials and video-tutorial
• Burns assessment and management, with written educational materials and video-tutorial

Learning outcomes: Apply the ABCDE for the initial assessment of a (simulated) patient with haemorrhage, report the findings in a structured manner, interpret the pathological findings and incorporate them in a differential diagnosis, select the appropriate diagnostic tools to confirm the diagnosis, and apply the correct treatment. Explain the guidelines for haemorrhagic shock. Define clinical and diagnostic findings important for selecting appropriate treatment. Implement the knowledge and skills needed for the treatment of mentioned medical conditions. Order tranexamic acid and blood products timely. Perform structured handover of the (simulated) patient.

List clinical signs and symptoms of common electrolyte imbalances, interpret laboratory results to diagnose electrolyte disorder, develop appropriate management plan for the most common electrolyte disturbances, apply knowledge of electrolyte physiology to select correct treatment options.

Identify and manage a patient with various types of acute poisoning.

Assess and provide initial management for burn injuries.

Onsite classes in conjunction with obligatory educational materials provided via the Merlin e-learning platform, lessons include: 

• Suturing techniques, with video tutorial
• Application of splints and repositions
• Urinary bladder catheterization

Learning outcomes: demonstrate proper suturing techniques for wound closure, apply splints and perform repositions for fractures and dislocations, perform urinary bladder catheterization with sterile technique, recognize and manage complications associated with these procedures. 

Onsite class in conjunction with obligatory educational materials provided via the Merlin e-learning platform, lessons include: 

• Initial trauma assessment and management, with written education materials and video-tutorials on initial assessment and management, as well as thoracic and abdominal trauma
• Trauma life support algorithms, with written education materials and video-tutorials
• Case studies on trauma management

Learning outcomes: conduct a primary and secondary survey for trauma patients, apply trauma life support protocols, recognize, and manage life-threatening injuries in a simulated environment, demonstrate effective communication and teamwork in trauma scenarios, perform structured handover of the (simulated) patient.

Onsite class in conjunction with obligatory educational materials provided via the Merlin e-learning platform, lessons include: 

• Paediatric assessment and life support
• Common paediatric emergencies

Learning outcomes: conduct a comprehensive assessment of paediatric patients, apply paediatric life support protocols, recognize and manage common paediatric emergencies, demonstrate effective communication with paediatric patients and their families. Describe dose modification for therapy given to paediatric population. Become familiar with internet-application that assist with appropriate therapy and doses in paediatric population (e.g., PediHelp). 

Onsite class involving integrated simulation scenarios that encompass a variety of clinical skills and emergencies learned throughout the course.

Learning outcomes: integrate and apply clinical skills from various medical emergencies in simulated scenarios, demonstrate effective teamwork and communication during simulations, reflect on performance and identify areas for improvement, receive and apply feedback to enhance clinical skills. 

This session continues the onsite integrated simulation scenarios from part 1, emphasizing the final evaluation of students. The assessment will be conducted using the Objective Structured Clinical Examination (OSCE) format, focusing on a simulated medical emergency scenario.

Learning outcomes: integrate and apply clinical skills from various medical emergencies in simulated scenarios, demonstrate effective teamwork and communication during simulations, reflect on performance and identify areas for improvement, receive and apply feedback to enhance clinical skills. 

Practical 1. Recognition and management of deteriorating patient; advanced life support - onsite class in conjunction with obligatory educational materials provided via Merlin e-learning platform, lessons include: 
- Initial assessment of acutely ill patient, with written educational material and video-tutorial,
- Essentials for ECG interpretation in medical emergencies, with written educational material,
- Airway management, with written educational material and video-demonstration,
- Cardiopulmonary resuscitation, with written educational material and video-demonstration on ALS and ABCDE approach, as well as safe defibrillation,
- Acute coronary syndromes.

Learning outcomes: Apply ABCDE for initial assessment of a (simulated) patient, report the findings in a structured manner, interpret the pathological findings and incorporate them in a differential diagnosis, select the appropriate diagnostic tools to confirm the diagnosis, and apply the correct treatment. Interpret the 12-lead electrocardiogram (ECG). Recognise cardiopulmonary arrest, identify heart rhythm associated with cardiac arrest, apply resuscitation guidelines correctly, and perform safe defibrillation when indicated. Explain the guidelines for bradyarrhythmia and tachyarrhythmia, interpret the 12-lead electrocardiogram, define clinical and diagnostic findings important for selection of appropriate treatment, implement the knowledge and skills needed for treatment of medical conditions in simulations of different clinical scenarios of brady- and tachyarrhythmia, perform structured handover of the (simulated) patient.

Practical 2. Acute Respiratory Failure – background, assessment, recognition, and management - onsite class in conjunction with obligatory educational materials provided via Merlin e-learning platform, lessons include: 
- Acute respiratory failure, with written educational materials,
- Arterial blood gases, with written educational materials and video-tutorial,
- Anaphylaxis, with written educational materials and video-tutorial,
- Acute bronchospasm, with written educational materials and video-tutorials on asthma attack and acute exacerbation of COPD,
- Pulmonary oedema, with written educational materials and video-tutorial.

Learning outcomes: Apply ABCDE for initial assessment of a (simulated) patient with acute respiratory insufficiency, report the findings in a structured manner, interpret the pathological findings and incorporate them in a differential diagnosis, select the appropriate diagnostic tools to confirm the diagnosis, and apply the correct treatment. Interpret blood gas analysis. Explain the guidelines for management of anaphylaxis, severe asthma attack, pulmonary oedema, and acute exacerbation of chronic obstructive pulmonary disease, define clinical and diagnostic findings important for selection of appropriate treatment, implement the knowledge and skills needed for treatment of mentioned medical conditions, perform structured handover of the (simulated) patient.

Practical 3. Sudden Deterioration in Neurologic Status. Sepsis and septic shock - onsite class in conjunction with obligatory educational materials provided via Merlin e-learning platform, lessons include: 
- Sudden neurological deterioration, with written educational materials,
- Seizures, with written educational materials,
- Acute poisoning, with written educational materials and video-tutorial, 
- How to assess GCS? With written education materials, video-tutorial, and video-demonstration,
- Brain oedema, with video-tutorials on pathophysiology, initial assessment, and treatment,
- Sepsis and septic shock, with written educational materials and video tutorial on SOFA and qSOFA score, as well as First hour bundle.

Learning outcomes: Apply ABCDE for initial assessment of a (simulated) patient with sudden deterioration in neurologic status, report the findings in a structured manner, interpret the pathological findings and incorporate them in a differential diagnosis, select the appropriate diagnostic tools to confirm the diagnosis, and apply the correct treatment. Perform and interpret neurological examination, including Glasgow Coma Scale (GCS). Explain the guidelines for management of stroke, traumatic brain injury, increased intracranial pressure, and blood glucose disturbances, define clinical and diagnostic findings important for selection of appropriate treatment, implement the knowledge and skills needed for treatment of mentioned medical conditions, perform structured handover of the (simulated) patient.
Explain background for sepsis and septic shock, perform an assessment of the (simulated) patient suspected of having sepsis with special emphasis on quick-SOFA and SOFA score, define the most common sites and pathogens associated with sepsis, recognize, and manage septic patient with emphasis on first-hour bundle.

Practical 4. Fluid and electrolyte disturbances and therapy; hypovolemic shock - onsite class in conjunction with obligatory educational materials provided via Merlin e-learning platform, lessons include: 
- Intravenous fluids, with written educational materials and video-tutorial on basic physiology,
- Electrolyte disorders, with written educational materials and video-tutorial on Hypo- and hyperkalaemia, 
- Haemorrhage and haemorrhagic shock, with written educational materials and video-tutorial on the same topic.

Learning outcomes: Explain water distribution within the body, electrolyte homeostasis, basal metabolism, the most common reason for hypovolemia, and types of hypovolemic shock. Apply ABCDE for initial assessment of a (simulated) patient with hypovolemia, report the findings in a structured manner, interpret the pathological findings and incorporate them in a differential diagnosis, select the appropriate diagnostic tools to confirm the diagnosis, and apply the correct treatment. Explain the guidelines for haemorrhagic shock, define clinical and diagnostic findings important for selection of appropriate treatment, implement the knowledge and skills needed for treatment of mentioned medical conditions, order tranexamic acid and blood products timely, perform structured handover of the (simulated) patient.
Explain the guidelines for hypo- and hyperkalemia, interpret the 12-lead electrocardiogram, define clinical and diagnostic findings important for selection of appropriate treatment, implement the knowledge and skills needed for treatment of mentioned medical conditions in simulations of different clinical scenarios.

Practical 5. Trauma Assessment and Management - onsite class in conjunction with obligatory educational materials provided via Merlin e-learning platform, lessons include: 
- Trauma assessment and management, with written education materials and video-tutorials on initial assessment and management, as well as thoracic and abdominal trauma,
- How to perform a primary survey? with written education materials and video-demonstration,
- How to apply pelvic splint? with written education materials and video-demonstration,
- How to remove helmet? with written education materials and video-demonstration,
- How to immobilize cervical spine? with written education materials and video-demonstration,
- Burns, with written education materials and video-tutorial.

Learning outcomes: Define the guidelines for trauma life support. Perform primary survey with “5 second round,” handover from the prehospital team, and assessment of airway, breathing, circulation, (neurological) disability and exposure of the (simulated) patient. Describe possible findings associated with airway, thoracic, abdominal, pelvic, and limb trauma. Recognize and integrate pathological findings into suspected diagnosis, choose adequate emergency treatment and procedures, as well as the need for a “whole body” CT scan. Explain and perform cervical spine immobilization, stabilization and immobilization of the head and neck, as well as whole body on a long backboard.

Learning outcomes: Decribe the pecularities and limitation of out-of-hospital patient assessment and diagnostics. List therapy and techniques available in out-of-hospital setting.

Learning outcomes: Define the most common medical emergencies in obstetrics and gynaecology. Perform basic assessment of pregnant woman. List the most common medical emergencies in pregnant women, non-related to pregnancy. Describe the specificities of medical care for a pregnant woman in other medical emergencies, list medication safe for mother and the baby. Describe the method and list the steps of delivery in out-of-hospital setting.

Learning outcomes: Apply ABCDE for initial assessment of a (simulated) child, report the findings in a structured manner, interpret the pathological findings and incorporate them in a differential diagnosis, propose diagnostic and treatment options. List the most common medical emergencies in paediatric population. Describe dose modification for therapy given to paediatric population. Get familiarized with internet-application that help with appropriate therapy and doses in paediatric population (e.g., PediHelp). Recognize cardiopulmonary arrest, identify heart rhythm associated with cardiac arrest, apply resuscitation guidelines correctly, and perform safe defibrillation in a (simulated) child if indicated. 

Learning outcomes: Integrate knowledge and skills acquired during previous seminars and practicals and apply them in clinical scenarios of different medical emergencies.

Learning outcomes: Integrate knowledge and skills acquired during previous seminars and practicals and apply them in clinical scenarios of different medical emergencies.