Students, medical Archives - Critical Care Science (CCS)

  • Original Articles

    Brain death and tissue and organ transplantation: the understanding of medical students

    Rev Bras Ter Intensiva. 2013;25(4):279-283

    Abstract

    Original Articles

    Brain death and tissue and organ transplantation: the understanding of medical students

    Rev Bras Ter Intensiva. 2013;25(4):279-283

    DOI 10.5935/0103-507X.20130048

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    Objective:

    To evaluate the level of knowledge of medical students about transplantation and brain death.

    Methods:

    An anonymous self-administered questionnaire answered by medical students from the first through the sixth year that was based on information from the Associação Brasileira de Transplante de Órgãos e Tecidos, the Registro Brasileiro de Transplantes and the resolution that defines the criteria for brain death.

    Results:

    Of the 677 medical students asked, 310 (45.8%) agreed to answer the questionnaire. In total, 22 (7.0%) subjects were excluded. Of the students who participated, 41.3% reported having already attended a class on organ transplantation and 33% on brain death; 9.7% felt able to diagnose brain death (p<0.01); only 66.8% indicated the kidney as the most transplanted solid organ in Brazil.

    Conclusion:

    The level of knowledge of medical students at this institution regarding brain death and transplantation is limited, which may be the result of an inadequate approach during medical school.

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  • Original Articles

    Evaluation of extracurricular internships in the adult’s intensive care units

    Rev Bras Ter Intensiva. 2008;20(4):355-361

    Abstract

    Original Articles

    Evaluation of extracurricular internships in the adult’s intensive care units

    Rev Bras Ter Intensiva. 2008;20(4):355-361

    DOI 10.1590/S0103-507X2008000400007

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    OBJECTIVES: Students of Salvador - BA, Brazil were trained in critical care medicine by accomplishing extracurricular internships. This study aims to detect changes in attitude and interest of students who concluded these internships as well as the most frequent activities developed. METHODS: Descriptive cross-sectional survey conducted with students who did extracurricular internships in adult intensive care units during the second semester of 2006. A self-administered questionnaire was given using objective questions. RESULTS: We evaluated 49 students. Interest in becoming an intensivist was classified as high/very high by 32.7% before internship, after which 61.2% reported increased interest. Before internship, students on a 1 to 5 scale rated the importance of critical care medicine as 4.55 ± 0.70. After internship, 98% felt more confident to refer a patient to the intensive care unit, 95.9% to evaluate with supervision, patients admitted to intensive care units and 89.8% to attend patients in the emergency room. The most common procedures observed were: central venous access (100%), peripheral venous access (91.8%) and orotracheal intubation (91.8%). Topics ranked in terms of interest from 1 to 5 were: systemic inflammatory response syndrome/sepsis (4.82 ± 0.48), shock (4.81 ± 0.44) and cardiopulmonary resuscitation (4.77 ± 0.55). CONCLUSIONS: This study showed that internships in adult intensive care units of Salvador (BA), Brazil provided students with greater assurance to evaluate critical patients, increased their interest to follow an intensivist physician career and allowed contact with the main procedures and topics related to critical care medicine.

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