Veidlapa Nr. M-3 (8)
Study Course Description
Emergency Medicine and Toxicology
Course Code
AURK_056
Branch of Science
Clinical medicine; Dentistry
ECTS
3.00
Target Audience
Dentistry
LQF
Level 7
Study Type And Form
Full-Time
Study Course Implementer
Course Supervisor
Sigita Kazūne
Structure Unit Manager
Oļegs Sabeļņikovs
Structural Unit
Department of Anaesthesiology, Intensive Care and Clinical simulations
Contacts
Riga, Pilsoņu Street 13, VSIA P.Stradiņa KUS, Building 32, aurk@rsu.lv, +371 67069452
About Study Course
Objective
To prepare students to provide emergency medical care in various urgent situations that can occur in dentistry. Promote the acquisition of knowledge about the basics of disaster medicine, as well as acquire knowledge about acute poisonings, their epidemiology, toxicokinetics and treatment characteristics, the clinical course of certain types of poisoning, recommended treatment principles and more relevant poisonous substances.
Preliminary Knowledge
A background in first aid, pharmacology and physiology is required.
Learning Outcomes
Knowledge
1.As a result of learning the study course, students will be able to perform basic resuscitation, use an external defibrillator. Action in case of choking. Assess and provide first aid in emergency situations in cardiology, pulmonology, neurology and pediatrics. They will acquire basic knowledge of the principles of liquidation of the medical consequences of disasters, providing emergency aid to as many victims as possible in the shortest possible time, observing the principle of priority, and will also acquire basic knowledge in clinical toxicology - routes of entry of toxic substances into the body, toxicokinetic considerations, clinical course of poisoning and treatment options and peculiarities.
Skills
1.Perform the basic life support algorithm, recognise signs of clinical and biological death, first aid in the event of aspiration of a foreign body, ventilation with a manual ventilator and inhalation of oxygen. Students will be able to triage victims at the scene and in hospitals, support vital functions and will be able to use personal protective equipment according to the nature of the disaster and injury; provide first aid in case of acute intoxication.
Competences
1.Providing first aid, situation analysis, applying the basic resuscitation algorithm and other first aid action guidelines. On the evaluation of the medical consequences caused by the disaster and possible threats, on the classification of the victims and the amount of emergency aid in the various stages of the liquidation of the medical consequences of disasters, in the presence of limited medical resources; competencies to make individual action decisions, according to the situation, while working in a team and following general disaster management instructions; competences on the risk factors of acute exogenous intoxications, epidemiology, drawing up an immediate action plan and far-reaching action tactics for an acute toxicological patient, based on arguments, relating it to a specific clinical situation and demonstrating an individual attitude towards the patient.
Assessment
Individual work
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Title
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% from total grade
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Grade
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|---|---|---|
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1.
Individual work |
-
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-
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Preparation of presentations based on a thematic plan using recommended literature and Internet sources, followed by evaluation and analysis in practical classes. Preliminary preparation of the subject of the relevant lesson, followed by practical application in class.
In order to evaluate the quality of the study course as a whole, the student must fill out the study course evaluation questionnaire on the Student Portal.
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Examination
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Title
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% from total grade
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Grade
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|---|---|---|
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1.
Examination |
-
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-
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Testing method: exam. Each student receives two theoretical questions. Practical demonstration of the acquired skills. Multiple choice test in toxicology.
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Study Course Theme Plan
FULL-TIME
Part 1
-
Class/Seminar
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Specialized room
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2
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Topics
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ACLS algorithm. Basic life support in adults. Basic life support in pediatrics. Usage of automated external defibrillator. Hypoxia. Choking. Airways – how to establish airways and how to provide manual ventilation with the mask.
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-
Lecture
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Auditorium
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2
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Topics
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Emergency care in dentistry.
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-
Class/Seminar
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Specialized room
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2
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Topics
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Acute cardiac emergencies – stable and unstable angina. Acute coronary syndrome, acute lung edema. Life-threatening arrhythmias, ECG diagnostic principles. First aid – MONA.
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-
Class/Seminar
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Specialized room
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2
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Topics
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Acute neurologic emergencies – epileptic seizures, status epilepticus, hemorrhagic and ischemic stroke, subarachnoid hemorrhage, migraine. First aid.
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-
Class/Seminar
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Specialized room
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2
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Topics
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Acute respiratory emergencies – asthma, status asthmaticus, chronic obstructive pulmonary disease (COPD), pneumothorax, hemothorax. First aid – oxygen administration, thoracostomy.
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-
Class/Seminar
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Specialized room
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2
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Topics
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Anaphylaxis. Hyperglycemia and hypoglycemia. Orthostatic collapse, vasovagal collapse. Emergency care.
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-
Class/Seminar
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Specialized room
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2
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Topics
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Acute pediatric emergencies – epistaxis, severe epiglotitis, stridor, febrile seizures, agitated child. Emergency care.
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-
Class/Seminar
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Specialized room
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2
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Topics
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Clinical scenarios for emergency situations in dentistry.
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-
Lecture
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Auditorium
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2
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Topics
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General characteristics and types of disasters, definitions. Legislation. Description of the forces involved in the elimination of the disaster consequences. Principles of disaster management (on accident site, during transportation to hospital, hospital level)
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-
Lecture
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Auditorium
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2
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Topics
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Consequences of chemical disasters. Protection equipment for rescuers. Decontamination – indications, procedures and methods
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-
Lecture
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Auditorium
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2
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Topics
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Triage and treatment options of casualties on different levels of care, protection principles. START triage method. Implementation of ABCDE protocol in disasters.
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-
Lecture
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Auditorium
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2
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Topics
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Toxicological epidemiology. Mechanisms of poisoning (routes of contamination, toxicokinetics, toxicodynamics). Clinical manifestations and diagnosis of acute poisoning - symptoms and syndromes.
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-
Lecture
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Auditorium
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2
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Topics
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General principles of treatment of acute poisoning. Elimination methods, antidotes and principles of their use
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-
Class/Seminar
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Specialized room
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2
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Topics
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ABC of poisoning care. Resuscitation.
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-
Class/Seminar
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Specialized room
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2
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Topics
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Drug poisoning (opioids, amphetamines, benzodiazepines, antipsychotics).
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-
Class/Seminar
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Specialized room
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2
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Topics
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Poisoning with specific substances - paracetamol, carbon monoxide, local anesthetics
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Total ECTS (Creditpoints):
3.00
Contact hours:
32 Academic Hours
Final Examination:
Exam (Written)
Bibliography
Required Reading
1.
Krieviņš, D. 2004. Neatliekamā medicīniskā palīdzība. Atdzīvināšana. Rīga: NMPC
2.
Krieviņš, D. 2001. Neatliekamā medicīniskā palīdzība. Traumas. Rīga: NMPC
3.
Soar J., Böttiger B.W., Carli P., Couper K., Deakin C.D., et all. European Resuscitation Council Guidelines 2021: Adult advanced life support. Resuscitation. 2021 Apr;161:115-151. doi: 10.1016/j.resuscitation.2021.02.010. Epub 2021 Mar 24. Erratum in: Resuscitation. 2021 Oct;167:105-106.