Speakers
Stanley F Malamed
Professor of Anesthesia and Medicine, University of Southern California, School of Dentistry, Los Angeles, California
Dr. Malamed is a graduate of the New York University College of Dentistry. He is a Dentist Anesthesiologist, Emeritus Professor of Dentistry, Ostrow School of Dentistry of USC. He completed a dental internship and anesthesiology residency at Montefiore Hospital and Medical Center in the Bronx, New York. Dr. Malamed has authored more than 150 scientific papers and 16 chapters in various medical and dental journals and textbooks in the areas of physical evaluation, emergency medicine, local anesthesia, sedation and general anesthesia. Additionally, Dr. Malamed is the author of three widely used textbooks, published by C.V. Mosby Inc.: Handbook of Medical Emergencies in the Dental Office (7th edition 2015); Handbook of Local Anesthesia 6th edition 2012); and Sedation -A Guide to Patient Management (5th edition 2010).
Emergency Medicine in Dentistry
presented by
Stanley F Malamed, DDS
Life-threatening emergencies can occur any time, any where and to any one. Such situations are somewhat more likely to occur within the confines of the dental office due to the increased level of stress which is so often present. In this course Dr. Malamed will discuss the areas which are considered vital to a proper understanding of emergency medicine: prevention, preparation, and recognition and management. This will include a discussion of preparation involving the office and staff and includes a thorough review of the office emergency kit (drugs and equipment). Additionally, it will include the recognition and management of specific emergency situations and includes the management of unconciousness, respiratory distress, seizures, drug-related emergencies, and chest pain. This course is designed for all members of the dental office staff, not just the doctor and chairside personnel. Situations discussed here can happen outside of the dental environment as well as in the office. EVERYONE SHOULD BE PREPARED! It is strongly recommended that ALL members of the dental office staff attend this program.
Outline
Introduction
Prevention of medical emergencies
Preparation for medical emergencies:
Office staff
Emergency drugs and equipment
General principles- Drug related emergencies:
Allergy
Chest pain
Respiratory distress
Seizures
Altered consciousness
Unconsciousness
Summary/Questions & Answers
Learning Objectives
Upon completion of this course the enrollee should be able to:
Describe the basic management protocol for medical emergencies
List and describe the indications for the 7 basic emergency drugs
Describe the clinical signs and symptoms of altered consciousness
Describe the management of altered consciousness
Describe the clinical signs and symptoms of respiratory distress
Describe the management of respiratory distress
Describe the clinical signs and symptoms of allergic reactions
Describe the management of allergic reactions
Describe the clinical signs and symptoms of 'chest pain'
Describe the management of chest 'pain'
Renaissance in Local Anesthesia
presented by
Stanley F Malamed, DDS
Local anesthesia forms the backbone of pain control techniques in contemporary dental practice. The subject of pain control in dentistry has undergone a renewal in interest, a renaissance. In this program Doctor Malamed will present an in-depth discussion of the many aspects of this important area of daily dental practice. A major area of interest has been in the introduction of new local anesthetics, such as articaine, as well as the recently released local anesthetic nasal mist for anesthesia of maxillary non-molar teeth; the local anesthesia reversal drug – phentolamine mesylate – and buffered local anesthetics, producing a more rapid onset, more comfortable injection and more profound anesthesia. These and other areas of current research into improving pain control will be discussed.
Local anesthetics are the safest & most effective drugs in medicine for the prevention & management of pain – when used correctly. Dr. Malamed will also discuss – in depth – “Is the Mandibular Block passe?” reviewing alternative techniques such as the Gow-Gates mandibular nerve block, intraosseous anesthesia, and the use of articaine by mandibular infiltration in adult patients.
Outline
Introduction
Drugs: Clinical differences
Drugs: Current research with LA’s
Techniques: Troubleshooting the “Mandibular Block”
Summary / Questions & Answers
Learning Objectives
Upon completion of this course the enrollee should be able to:
Upon completion of this course the enrollee should be able to...
List the available local anesthetic formulations and their clinical properties Discuss the efficacy of the intranasal local anesthetic mist Discuss the efficacy and mechanism of action of buffered local anesthetics Discuss the efficacy & mechanism of action of the local anesthesia reversal agent- phentolamine mesylate List & describe 5 mandibular anesthesia techniques Discuss the efficacy of articane HC1 when administered by mandibular infiltration in adult patients
