Category Archives: Prevention and Management of Medical Emergencies

Altered Consciousness

Altered Consciousness An alteration in the level of consciousness of a patient may result from a large variety of medical problems, The altered state can range from lightheadedness to a complete loss of consciousness. Without attempting to BOX 2-10 Manifestations of Patient Preparing to Vomit Manifestations of Patient Preparing to Vomit include all possible causes of altered consciousness, a discussion is prese

Respiratory Difficulty

Respiratory Difficulty Many patients are predisposed to respiratory problems in the dental setting; these patients include patients with asthma or chronic obstructive pulmonary disease (CO PO), extremely anxious patients, patients who are. atopic, and those in whom a noninhalation sedative technique using respiratory depressant drugs is to be used. Special precautions should be taken to help prevent the occur

Chest Discomfort

Chest Discomfort The appearance of chest discomfort in the perioperative period in a patient who may haveischemic heart disease calls for rapid identification of the cause so that approve. ‘Cricothyrotomy is the surgical creation of an opening into the cricothyroid membrane just below the. thyroid cartilage to create a path for ventilation that bypasses the larynx BOX 2-4 Clinical Characteristics of Chest

Hypersensitivity Reactions

Hypersensitivity Reactions Several of the drugs administered to patients undergoin  oral surgery can act as antigenic stimuli, provoking allergic reactions. Of the four basic types of hypersensitivity reactions, only type I (immediate hypersensitivity) can cause an acute; life-threatening condition. Type I aller ic reactions arc mediated primarily by immunoglobulin E (IgE) antibodies. As with all allergies, in


MEDICAL EMERGENCIES A brief description of the pathophysiology, clinical manifestations, and acute management of several emergency situations is presented. in the following section. It ha been organized into a combination oispecitic problems such as hypersensitivity reactions, and symptom-oriented problems, such as chest discomfort.

Emergency Supplies and Equipment

Emergency Supplies and Equipment 1he final means of preparing for emergencies is by tonsuring that appropriate emergency drugs and equipment are available in the office. One. basic piece of equipment IS the dental chair that should be capable of all offering the patient to be placed in a flat position or, even better, in a head-down, feet-raised position (Fig. 2-1, A). In addition, the chair must be capable o

Access to Help

Access to Help The ease of access to other health care providers varies from office to office. It is helpful to seek out individuals with training that would make them useful during a medical emergency. If the dental practice is located near other professional offices, prior arrangements should be made to obtain assistance in the event of an emergency. Not all physicians are well versed in the management of em

Office Staff Training

Office Staff Training The dentist must- ensure that all office personnel are trained to assist in the recognition and management of emergencies. This should include reinforcement by regular emergency drills in the office and by biannual BLS skills renewal. The office staff should be preassigned specific responsibilities so that in the event of a problem each person knows what will be expected during an emerge

Continuing Education

Continuing Education In dental school, clinicians are trained in ways to assess patient risk and manage medical emergencies. However, because (if the rarity of these problems, practitioners should seek continuing education in this area, not only torefresh their Knowledge but also to learn’ new concepts concerning medical evaluation and management of emergencies. An important feature of continuing educa-

Prevention and Management of Medical Emergencies

Prevention and Management of Medical Emergencies BOX 2-3 Basic Life Support ABCs: • A-Airway • B-Breathing Ili (-Circulation Airway obtained and maintained by combination of: 1. Extending head at the neck by pushing upward on the chin with one hand and pushing the forehead back with other hand 2. Pushing mandible forward by pressure on the mandibular angles 3. Pulling mandible forward by pulling on anterior ma