dr. suzan hassan. many studies have shown that medical emergencies do occur in the dental practice...
TRANSCRIPT
CLINICAL SETUP OF EMERGENCY
Dr. Suzan Hassan
Many studies have shown that medical
emergencies do occur in the dental
practice so that we need to have
appropriate skill and equipment
available to deal with these conditions.
Introduction
Fainting (syncope).
Diabetic coma.
Anaphylactic shock.
Epileptic seizures.
Cardiovascular
collapse.
Adrenal disorders.
Thyroid disorders.
Asthmatic attack.
Stroke.
Common emergency cases
Sudden loss of
consciousness.Chest pain and dyspnea.Convulsions( fits).
Clinical presentation of ER
A\ Prevention includes:
Medical history questionnaire. Documentation of vital signs. Documentation of findings on medical alert Tags(patient
medical file ). Completion of physical assessment of the Pt begins
with the first interaction with patient.
Preparation for Emergency
Start with first interaction with Pt.
Note abnormalities of Pt voice on telephone
during appointment scheduling.
Assess over all appearance when Pt enters the
clinic.
Document findings in patient chart.
Physical assessment (signs & symptoms).
Comprehensive medical history.
Patient Assessment
Medication has taken within 2 years.
Allergies and adverse drug reactions.
Medical emergencies had previously.
Vital signs (pulse, respiratory rate, blood
pressure, temperature, weight).
Extra oral & Intraoral examination.
Comprehensive documentation of findings.
Consider using pre medication or sedation.
Schedule morning appointment.
Eat breakfast or lunch before appointment.
Minimize waiting time.
Make sure to use adequate pain control.
Stress minization to prevent risk of emergency
All staff in dental practice should have
appropriate training of basic life support.
Basic Emergency procedures:
Monitor BP & Pulse.
Clear and maintain airway.
Cardiopulmonary resuscitation
Intravenous cannulation.
B\Training:
PART II
Basic Life Support
Air way breathing circulation
A : open air way. Use head tilt-chin lift. Suction as necessary. B :check for breathing If not, give 2 breath via mask (100%). Call for Automated Electronic
Defibrillator(AED). C : check for pulse If no lay Pt flat and being chest compressions. Apply AED. If present check the rate.
A B C
Telephone
Oxygen cylinder & mask
Disposable airway
Disposable syringe& needles.
Emergency Equipment
IV cannulae Nebulizer of adrenaline
Portable suction Automated Electronic Defibrillator(AED)
Magill intubation forceps
Alcohol swap& tape
Adrenaline 1:1000 (0,5ml ampoules)
Glyceryl trinitrate 500mg
Aspirin 300mg
hydrocortisone 100mg
chlorpheniramine 10mg
Salbutamol 100mg (inhalar)
Morphine sulphate 10mg tablets
MidazolamGlucagonGlucose or dextrose
10mg1mg (ampoules)50% (injection)
Drugs
Dental assistant: Maintain A B C of CPR. Place Pt in supine position. Assess and record vital signs. Dental Hygienist: Bring emergency kit\oxygen to chair side. Prepare medication for dentist. Dentist: Direct other team member and overall
treatment. Administer emergency medications.
Sample emergency assignment for dental
office
THANK YOU