Medical Emergencies: Risk Assessment and Management

2018 ◽  
Vol 7 (3) ◽  
pp. 46-57
Author(s):  
Mark Greenwood ◽  
Mark Greenwood
Keyword(s):  
Risk Assessment ◽  
Emergency Management ◽  
Medical Emergency ◽  
Diagnosis And Management ◽  
Dental Practitioners ◽  
Medical Emergencies ◽  
Risk Assessment And Management

Dental practitioners need to have knowledge of the risk assessment, diagnosis and management of medical emergencies. This paper deals with risk assessment and basic management principles, applicable to all emergencies. More specific aspects of medical emergency management are also discussed.

scholarly journals Medical Emergency in Dental Clinic - An update

2020 ◽  
Vol 11 (SPL3) ◽  
pp. 831-839
Author(s):  
Aksha sharen Arul Edwin ◽  
Lakshmi T ◽  
Karthik Ganesh Mohanraj
Keyword(s):  
Dental Students ◽  
Medical Emergency ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Emergency Situations ◽  
Emergency Procedures ◽  
Dental Clinics ◽  
Dental Practitioners ◽  
Medical Emergencies ◽  
Spss Software

In general, one of the convincing methods to tackle an emergency is to be well-organized and prepared priory. The intention of the study is to analyze the availability of medical emergency procedures and equipment in dental clinics. Also, the aim is to determine the level of awareness, knowledge, perceptions, individual experiences and preparedness of the dental practitioners and dental students for the management of medical emergency situations in their hospitals or clinics. A cross-sectional survey based study was done from April to among 100 dental students in Chennai. The self-structured well-designed questionnaire containing the protocols and emergency procedures followed in their clinic. The questionnaire forms were circulated online through Google forms. The data from all the participants were collected and analyzed through SPSS software. In the present study, it was inferred that the majority of the population are aware about the medical emergencies in dental clinics (99%) and the remaining 1% of the population are not aware of it. The conclusion of this study is that the above statistical analysis about knowledge awareness on recent advances in the treatment of medical emergencies in dental clinics has provided an alarming situation about the capability of dentists to deal with such conditions for the betterment of patients .

scholarly journals Accidental Administration of Auto-Injectable Adrenaline into a Digit

Dental Update ◽  
2020 ◽  
Vol 47 (1) ◽  
pp. 51-53
Author(s):  
Christine Wanis ◽  
Huda Jawad ◽  
Richard J Moore ◽  
Julie Burke
Keyword(s):  
Training Session ◽  
Medical Emergency ◽  
Self Administration ◽  
Long Term Outcomes ◽  
Dental Practitioners ◽  
Safety Incident ◽  
Medical Emergencies ◽  
Dental Setting ◽  
Auto Injector

General Dental Practitioners (GDPs) and Dental Care Professionals (DCPs) have a duty of care to ensure that patient safety is at the forefront of their clinical practice. Medical emergencies, although rare, can occur in the dental setting, and early, effective management of these emergencies can, not only save lives, but also improve long-term outcomes. A case is reported which highlights a safety incident involving accidental self-administration of an adrenaline auto-injector (AAI) into a digit during a medical emergencies training session. Consequently, the aim is to raise awareness of these unexpected safety incidences and propose a protocol for the treatment of such injuries. CPD/Clinical Relevance: This paper highlights the importance of vigilance when undertaking a medical emergency training course, and the introduction of a new protocol to be used in cases of accidental AAI injury.

scholarly journals Awareness of medical emergencies among dental practitioners in three Egyptian Dental Schools: A cross-sectional study

2021 ◽  
Vol 24 (4) ◽  
Author(s):  
Heba Hussein ◽  
Mohamed A. Abdelbaqy ◽  
Abdelrahman A. Ibrahim ◽  
Shahenda Farid ◽  
Suzan Ibrahim
Keyword(s):  
Private School ◽  
Prosthetic Heart Valve ◽  
Medical Emergency ◽  
Educational Models ◽  
Cross Sectional ◽  
Study Results ◽  
Dental Practitioners ◽  
Dental Staff ◽  
Medical Emergencies ◽  
Dental Schools

Objectives: To evaluate the awareness of medical emergencies among dental practitioners in three dental schools. Material and methods: The study group included 384 dental practitioners, including dental staff members, post-graduate students, and dental interns. These professionals were attending three dental educational institutions in Egypt. Two of them were governmental and one was a private school. The educational model is almost the same in most Egyptian dental schools. Results: The response rate was 100%. Most of the participants worked in private academia (44.16%) or practice (42.34%) and 65.20% of them were females. The participants recorded medical history and filled a form (91.17%, 80.52 % respectively) while only 41.82% obtained the vital signs. Among the participants, 48.57 % were confident about handling medical emergency and 74.29 % reported their capability of intramuscular injection while only 25.71 % for intravenous injection and 49.35% knew about emergency kits. Management knowledge of airway obstruction and prosthetic heart valve patients was reported by 80.27 % and 71.94 % respectively, while less percentage for activation of EMS, chest compression, CPR ratio, and infant rescue breathing. The mean preparedness percent score was 54.57% and it was inversely correlated to the years of experiences and directly correlated to the degree of confidence in their ability to manage the dental emergency. Conclusion: The current study results reflected a deficiency in the dental practitioner awareness about the medical emergency especially the practical part.     Keywords Dentists; Cross-sectional studies; Emergencies; Educational models; Dental schools.

Final-Year Dental Students’ Opinions of their Training in Medical Emergency Management

2014 ◽  
Vol 3 (1) ◽  
pp. 46-51 ◽  
Author(s):  
G Bell ◽  
H James ◽  
H Kreczak ◽  
M Greenwood
Keyword(s):  
Emergency Management ◽  
Dental Students ◽  
Medical Emergency ◽  
Practical Training ◽  
Dental Practice ◽  
Undergraduate Training ◽  
Vital Importance ◽  
Starting Point ◽  
Medical Emergencies ◽  
Emergency Drugs

The management of medical emergencies is clearly of vital importance in dental practice. The starting point of training in this area is the undergraduate dental degree programme. The aim of this study was to examine the opinions of final-year dental students at Newcastle School of Dental Sciences in relation to their undergraduate training in medical emergency management. Overall the responses were positive but the need for further practical training in the use of emergency drugs and equipment was highlighted.

scholarly journals Knowledge and Preparedness of Dental Practitioners on Management of Medical Emergencies in Jazan Province

2018 ◽  
Vol 6 (2) ◽  
pp. 402-405
Author(s):  
Ghassan M. Al-Iryani ◽  
Fareedi Mukram Ali ◽  
Naima H. Alnami ◽  
Sahar K. Almashhur ◽  
Maha A. Adawi ◽  
...  
Keyword(s):  
Negligible Effect ◽  
Medical Emergency ◽  
Average Score ◽  
Duty Of Care ◽  
Specialty Training ◽  
Dental Practice ◽  
Dental Clinics ◽  
Dental Practitioners ◽  
Medical Emergencies ◽  
Level Of Knowledge

Medical emergencies are one of the most stressful situations the staff in a dental practice might encounter. The duty of care toward the attending patients obligates suitable preparedness to provide the necessary care if such emergencies ensue. Unfortunately, we found that 22% of the investigated dental clinics had no emergency kit available. Only 38% of the interviewed dentists felt confident to perform CPR, and 18% had no confidence to manage any medical emergency. An MCQ test of 20 questions examining the dentists’ knowledge in medical emergencies was distributed, and the level of knowledge was found to be suboptimal. The average score of the interviewed dentists was 10.87 out of 20. Experience and specialty training had a negligible effect on the level of knowledge.

scholarly journals Medical Emergency Management among Iranian Dentists

2014 ◽  
Vol 15 (6) ◽  
pp. 693-698 ◽  
Author(s):  
Mohammad Reza Khami ◽  
Reza Yazdani ◽  
Mohammad Afzalimoghaddam ◽  
Samaneh Razeghi ◽  
Anahita Moscowchi
Keyword(s):  
Emergency Management ◽  
Further Education ◽  
Medical Emergency ◽  
Dental Office ◽  
Data Collection Instrument ◽  
Dental Curriculum ◽  
Medical Emergencies ◽  
Trained Staff ◽  
Successful Control ◽  
Dental Offices

ABSTRACT Aims More than 18,000 patients need medical emergencies management in dental offices in Iran annually. The present study investigates medical emergencies management among Iranian dentists. Materials and methods From the list of the cell phone numbers of the dentists practicing in the city of Tehran, 210 dentists were selected randomly. A self-administered questionnaire was used as the data collection instrument. The questionnaire requested information on personal and professional characteristics of the dentists, as well as their knowledge and selfreported practice in the field of medical emergency management, and availability of required drugs and equipments to manage medical emergencies in their offices. Results Totally, 177 dentists (84%) completed the questionnaire. Less than 60% of the participants were knowledgeable about characteristics of hypoglycemic patient, chest pain with cardiac origin, and true cardiopulmonary resuscitation (CPR) practice. Regarding practice, less than one quarter of the respondents acquired acceptable scores. In regression models, higher practice scores were significantly associated with higher knowledge scores (p < 0.001). Conclusion The results call for a need to further education on the subject for dentists. Continuing education and changing dental curriculum in the various forms seems to be useful in enhancement of the self-reported knowledge and practice of dentists. Clinical significance To successful control of medical emergencies in the dental office, dentists must be prepared to recognize and manage a variety of such conditions. In addition to dentist's knowledge and skill, availability of necessary equipments and trained staff is also of critical importance. How to cite this article Khami MR, Yazdani R, Afzalimoghaddam M, Razeghi S, Moscowchi A. Medical Emergency Management among Iranian Dentists. J Contemp Dent Pract 2014;15(6): 693-698.

scholarly journals Final Year Dental Students’ Perception of Knowledge, Training and Competence in Medical Emergency Management

2018 ◽  
Vol 10 (6) ◽  
pp. 1
Author(s):  
Liqaa Raffee ◽  
Yousef Khader ◽  
Alaa Oteir ◽  
Khaled Alawneh ◽  
Rola S. Saqan ◽  
...  
Keyword(s):  
Emergency Management ◽  
Dental Treatment ◽  
Statistical Significance ◽  
Descriptive Analysis ◽  
Management Training ◽  
Dental Students ◽  
Medical Emergency ◽  
Cross Sectional ◽  
Dental Practitioners ◽  
Chi Squared

OBJECTIVE: The potential for a medical emergency to occur during dental treatment must be met by dental practitioners who are competent to manage such situations. However the literature shows that not all dentists have received training in this area, and of those who have, many are deficient in knowledge, skills and confidence. The objective of this study was to examine the perceptions of final year Jordanian dental students regarding their education and preparedness to manage medical emergencies.METHODS: This study was a cross-sectional, descriptive study which gathered questionnaire data from an undergraduate student cohort at two Jordanian universities. Descriptive analysis of the data was undertaken, and a Chi-squared test was used to explore the relationships between participants’ responses and the variables of gender and previous attendance at any ME workshop. Statistical significance was deemed at p&lt;.05.RESULTS: Three hundred and seventy dental students responded to the questionnaire with response rates of 76.2% and 81.8% from the two sites. The results indicate that not all of the students had received training in medical emergency management, and their self-reported proficiency and experience was sub-optimal. However, participating in a workshop on managing medical emergencies was associated with changes in some skills and experiences.CONCLUSION: The low levels of medical emergency management knowledge and skills in the final year dental students reflects the situation reported in existing literature. This study indicates the importance of effective medical emergency management training within the dental undergraduate program, and may be used to inform future curricula planning.

scholarly journals Perspectives of Dental Practitioners Regarding Their Readiness for Medical Emergencies: A Study in Saudi Arabia

2021 ◽  
Vol 15 (1) ◽  
pp. 728-733
Author(s):  
Louay Jaber ◽  
Faisal Al-Qarni ◽  
Mohammed Alsaati ◽  
Mohammed Al-Nefaiee ◽  
Ashwin C. Shetty ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Treatment Plan ◽  
Vital Signs ◽  
Medical Emergency ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Essential Drugs ◽  
Dental Practitioners ◽  
Medical Emergencies ◽  
Dental Practices

Background: Training dental practitioners on emergency preparedness and response is essential for the successful management of medical emergencies. Objectives: To assess the perceptions of dental practitioners in Saudi Arabia about their readiness to manage medical emergencies in the dental practices. Methods: This cross-sectional survey was conducted among dental practitioners working in 52 dental centers in Saudi Arabia. Questionnaires mainly gathered data on the measures taken by dental practitioners to prevent medical emergencies, BLS certification, availability of essential drugs and equipment, and perceptions of dental practitioners regarding the adequacy of their training for medical emergencies. Results: Of the total 270 participants, the majority reported that they take medical history (94%), perform visual inspection (90%), consult with patients’ physician when needed (89%), and modify treatment plan as necessary (94%). However, only 19% of them routinely take baseline vital signs for their patients and 52.6% have valid BLS certification. Only 29.6% and 16.3% of dental practitioners have reported that they have all essential drugs and equipment, respectively. Conclusion: The preventive measures for medical emergency appears to be deficient because most dental practitioners are not routinely taking baseline vital signs for their patients. This important issue is combined with shortage of BLS certification among dental practitioners and inadequate availability of all medical emergency drugs and equipment in dental practices.

scholarly journals MEDICAL EMERGENCIES;

2017 ◽  
Vol 24 (05) ◽  
pp. 665-669
Author(s):  
Priya - ◽  
Ambreen Munir ◽  
Nida Talpur ◽  
Suneel Kumar Punjabi
Keyword(s):  
Cross Sectional Study ◽  
Medical Emergency ◽  
Sectional Study ◽  
Cross Sectional ◽  
Emergency Procedures ◽  
Dental Practitioners ◽  
Medical Crisis ◽  
Medical Emergencies ◽  
Study Population ◽  
Emergency Drugs

Objectives: To asses and manage medical emergencies in the dental setupsof Hyderabad city. Methodology: Study Design: Descriptive Cross Sectional study. Setting:General and Specialist dentists of Hyderabad city. Period: June 2015 to January 2016. Inthis study population of 187 dentists were enlisted practicing either in public or private setupof Hyderabad, Sindh. Questionnaire designed to obtain information about their experience.Results: (59.89%) of the graduate dentists having less than 5 years clinical experienceand (40%) have clinical experience of more than 5 years, qualification, 114 (60.63%) of thepractitioner had fundamental dental aptitude and 73 (39.0 %) were specialists with differentpostgraduate aptitude. Medical emergency workshops attended, (60.96%) General dentistsand Specialist had undertaken BLS course, commonly occurring emergency was vasovagalsyncope with the prevalence of 103(55.0%) and availability of drugs and equipment’s wereOral Glucose (90%), Aspirin (86%) and Sprit Ammonia (78%) usually available drugs kept bythe Clinical Setup to handle the emergency procedures. Conclusion: Dental practitioners ofcity Hyderabad are able to identify and handle medical crisis, however most of the doctorseither not properly trained to contract with these circumstances or they have poor assets todeal with medical emergencies. Improvement in knowledge of dentists through speculative anddemonstrable educational courses, availability of emergency drugs, equipment’s and advancegroundwork for the emergency management of the patients is required.

The Nature and Frequency of Medical Emergencies in Dental Offices of Karachi, Pakistan

2020 ◽  
Author(s):  
Ayesha Tariq Niaz
Keyword(s):  
Emergency Management ◽  
Continuing Education ◽  
Response Rate ◽  
Extraction Procedure ◽  
Substantial Proportion ◽  
Medical Emergency ◽  
Dental Practice ◽  
Medical Emergencies ◽  
Dental Offices ◽  
And Training

Background: Medical emergencies are an unfortunate part of the dental practice, to which the dentist must have the required knowledge and means to counter them. In this study, we aimed to determine the nature and frequency of medical emergencies occurring in the dental offices of Karachi, Pakistan. We also aimed to ascertain the awareness and preparedness of dentists and their attitude towards training in management of these medical emergencies. Methods: In this study, 300 questionnaire forms were distributed to dentist at various colleges in Karachi city in the year 2015, out of which 244 complete and valid forms were received and used, giving a response rate of 81%. SPSS version 16.0 was used to compute and analyze the collected data. Results: Out of 244 respondents, 23% were males and 77% were females. Since, 83% of the dentist had faced a medical emergency at least once in their practice. Highest recorded medical emergency was found to be syncope (faints) being reported by 71% of the dentist. Most of the medical emergencies (89%) took place during an extraction procedure. 55% dentist claimed that they were prepared enough to manage an emergency. Irrespective of their perceived abilities, 100% showed keen interest in the field of improvement through continuing education in management of medical emergency. Conclusion: Medical emergencies are common in dental practice and a substantial proportion of dentists feel incompetent in handling such situations. This requires better medical emergency management courses and training in undergraduate dental programs as well as continued dental education and training.

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