Urgent conditions in dentistry on November 29th

Allergy in dentistry! What to do if a patient has a positive anesthetic test?

Gorodetsky T.M.


Head of the Practical Course on Emergency Conditions. President of the ASSOCIATION OF UNCERTAINTY STATES. Instructor-teacher, certified by the Ukrainian Scientific and Practical Center of Emergency Care and Disaster Medicine of the Ministry of Health of Ukraine. Study Abroad: BLS / ALS Provider Courses of the European Resuscitation Council.

- Anaphylactic reaction to local anesthetics: Myths and reality; - Test for anesthetics: what they testify; - Determination of sensitivity to anesthetics (skin test, konyuktivnaya test, reaction of preecpitation by Unej, level of immunoglobulins, pre test, provocative test and other methods) - what we have the right to do, and what is not? - Anesthetics tests: when and what to do, what they are giving us and what they will help us; - How does anesthesia work? Pharmacodynamics of local anesthetics, mechanism of action, complications. - Contraindications to local anesthesia. - Systemic toxic effects of local anesthetics: is this problem in dentistry relevant; Antidotes; - Haemodynamic effects of adrenalin in local anesthesia; - How to calculate the dose of anesthetics for children and adults; - Anaphylactic shock, peculiarities of differential diagnosis; - - How to overcome anaphylactic shock (step-by-step protocol for emergency care). - Features of cardio-pulmonary resuscitation in children. Systemic complications of local anesthesia in dentistry. PROVIDING UNCONTORED AID. - Recognition and emergency care at stopping of breathing and blood circulation:              - reports of patient surveys,              - sequence of actions               - Impressions to defibrillation               - types of defibrillators (automatic, semi-automatic, professional, defibrillator-monitor),               - features of the use of various defibrillators,               - defibrillation and non-defibrillation rhythms;                 - effective work of reanimation team.                Provision of emergency medical care in threatening conditions: - algorithms for emergency relief, according to new protocols. - Analysis of situational tasks.


Gorodetsky O.T.


Doctor-dentist and anesthesiologist, Instructor S Provider Courier in Emergency Conditions, certified by the Ukrainian Scientific and Practical Center for Emergency Medical Care and Disaster Medicine of the Ministry of Health of Ukraine. Study Abroad: BLS / ALes European Resuscitation Council; Certified course PALS and ITLS American Heart Association, a member of the Ukrainian Association of Sedation and Anesthesia i

 Restoration of respiratory passivity during loss of consciousness;  Acute respiratory failure, respiratory distress, respiratory depression.  The difference between respiratory distress and respiratory failure.  Early recognition and response to respiratory disorders in children.  What is dangerous hypoxia?  Obstruction of the upper respiratory tract in a foreign body. Emergency care, according to the 34 MOH orders.  Technique of conicotomy (own experience);

12.30 – 12.50


How to reduce the risk of cardiovascular complications. Or Simple calculation of a complex problem ...

Ginzburg V.M.


Cardiologist, Head of Cardiology Department at Medical Plaza Medical Center LLC ECODNIPRO Certified cardiologist at the NIDA Clinical Trials Network Clinical Research Center

• Are dental interruptions associated with such complications? • Does a dentist always need a cardiologist, an anesthetist? Goals and objectives of the lecture: 1. Teach a dentist to provide patients with high risk of CC (Cardiovascular) complications. 2. Teach a dentist to reduce these risks. 3. To increase the number of patients in the dentist's office / clinic, including patients with cardiovascular pathology. Lecture plan: Part one - common issues of CC risk 1. General concepts of SS risk. What does "high SS risk" mean? (Average life expectancy, SS pathology as the most common cause of early disability and mortality) 2. Calculation of the risk of SS complications. According to Score, SCORE estimates the 10-year risk of cardiovascular death in a population (Simplicity of calculating the 10-year risk of a fatal cardiovascular event on the European scale of SCORE. Each audience in the audience will be able to quickly and simply predict their risk and, accordingly, the risk of any patient, easily and professionally) 3. Directions of prevention of SS complications (Each listener in an audience, having assessed his own SS risk, can determine the main current prevention measures). Part 2 is the dental aspects of SS risk 1.Strategy risk in surgical interventions (Lee Index scale; simple evaluation of patient's functional capacity, without additional research) 2. Dental patient with high SS risk? (Who should temporarily deny dental intervention) 3. Preoperative examination (What patients do they still need and to what extent) 4. Possible cardiovascular complications during dental interventions. Directions of treatment and prevention -Hypertonic crisis or stressful increase in pressure? what to do and how to avoid; Patients with arterial hypertension. Indicators of blood pressure are safe for dental intervention. First aid for a hypertensive crisis. heart-rupture disturbances: is there always a real danger ?; -Hemorrhagic complications: what medications can be temporarily canceled, and what exactly can not be - Infective endocarditis: The paradigm is changing!

14.50 – 15.00


Is the doctor blamed or not? Means and methods of proving the doctor of his rightness

Tarkovsky K.O.


Head of Legal Bureau "TM", specialist in medical law, lawyer-internationalist, author and lecturer of many educational activities in the field of medicine in terms of theoretical and practical jurisprudence. (Kyiv).

1. Failure and improper provision of emergency medical care as a criminal offense. Classification of crimes. "Medical" crimes. 2. Differences of criminal offenses (crimes) from civil violations. 3. Composition of the offense. Basic conditions for bringing the doctor to responsibility.

Buchkivska Victoria Leonidovna


Judge, deputy chairman of the Stryi city court of Lviv region. 2009-2018 teacher of the NHS of Ukraine. 2013-2017 gg. Lecturer of the Department of Medical Law of LNMU. Judge-developer of training courses within the framework of the international OSCE projects "Ensuring observance of human rights in the administration of justice", Council of Europe "Strengthening the implementation of European human rights standards

1. Criminal liability of medical workers for the commission of professional crimes. 2. Medical mistake: who will be responsible for the death of the patient? 3. Types of punishment. Institute for Exemption from Criminal Liability. Conciliation and Recognition Agreements and their Legal Consequences. 4. Features of pre-trial investigation of criminal offenses in the field of medicine: measures to ensure criminal proceedings (temporary access to things and documents, temporary seizure of property, property seizure), preventive measures and investigative (search) actions (questioning, search, review). 5. Features of the judicial review of cases in the field of medicine. Proper and admissible evidence. 6. Trial practice in the field of medicine, statistical data. 7. Practice of the European Court of Human Rights in the sphere of public health.


All participants will receive a certificate