Institute of Health Skills and Education

College of Medicine, Dentistry and Nursing

University of Dundee

Masters in Biomedical Engineering

Masters in Design for Interventional Technology

Module: Anatomy and Physiology with Clinical Skills

The Respiratory System

Industrial Roots of Dundee

Jute Industry Jam

Journalism

Knowledge and Skills Economy

Molecular Science and Imaging

Computer Gaming and Technology Learning

Skills development and health care education

Introduction to the Respiratory System • Learning outcomes

– Apply knowledge of anatomy and physiology to analysis of patient with a respiratory problem

– Recognise difference between symptoms and signs

– Identify aspects of simulators that facilitate learning anatomy and physiology for clinical practice

Timetable

• Introduction to session 15 minutes• Observe a patient problem 5 minutes• Discuss in pairs 10 minutes • Divide into 4 groups and circulate around a series of

stations 20 minutes each – Simulated patient and applied anatomy – Assessing breathing – Sim Man – The use of Simulation for learning about respiratory conditions

• Round up session 10 minutes

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Number of encounters for each fatality

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REGULATEDHAZARDOUS(>1/1000)

ULTRA-SAFE(<1/100K)

Health Care

Mountain Climbing

Bungee Jumping

Driving

Chemical Manufacturing

Chartered Flights

Scheduled Airlines

European Railroads

Nuclear Power

Uses of Simulation

• Regulation i.e. Resuscitation training UG/PG/CPD• Risk reduction i.e. standard prescribing workshops UG/FY1 • Re-design i.e. Hospital @ Night• Rehearsal i.e. core technical and non technical skills SPI data collection i.e. patient safety tools• Research i.e. standard performance assessments ward simulation UG/ FYI• Renewal i.e. Technical and non technical skills• Reinforcement i.e. e-learning procedure packs

• What is a symptom?– Cough– Sputum– Haemoptysis– Wheeze– Hoarseness– Chest pain– Dyspnoea

• What is a sign?– General signs

• Clubbing• Cyanosis• Staining• Wasting

• Specific chest signs– Inspection

• Scars • Accessory muscle use

– Palpation • Trachea• chest expansion• tactile vocal fremitus

– Percussion– Auscultation

• Breath sounds • Added sounds• whispering pectoriloquy

• Please watch this video clip about a patient with a respiratory problem

• Then spend 5 minutes in pairs and discuss – What symptoms did this patient have ?– What respiratory symptoms did this patient have? – What anatomical structures might be affected to

cause these symptoms? – What homeostatic changes have occurred to cause

the patients’ symptoms ?

Divide into four groups

Circulate through the following four stations 1. Simulated patient and applied anatomy

1. Examination of airway simulator2. Surface anatomy of patient with respiratory symptoms3. Auscultation – use of the stethescope

2. Assessing breathing 1. PEFR, pulse oximetry, spirometry, oxygen therapy

3. Sim Man- Exploring the physiology of the simulator1. ABCDE2. Chest examination

4. The use of simulation for learning about respiratory conditions• ICAST online programme • Breath sound simulators