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

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 .

Author(s):  
Chitturi Prashanthi ◽  
Prashant B Patil ◽  
Vajendra Joshi ◽  
Kiran Kumar K R ◽  
Shilpa R T

: An emergency can be encountered anytime and anywhere. Minimal knowledge about medical emergency and their etiology, primary protocol for management must be known to avoid potential consequences. Hence, the present study was undertaken to compare the knowledge, and ability to handle the medical emergencies among the dental students. A cross-sectional survey was conducted among 100 randomly selected dental students (post-graduate students and interns) comprising of two groups of students those who had underwent training and those who did not. The data obtained was analyzed using the SPSS for windows version 22.0 released 2013. Independent chi square test was used for comparison of responses and independent student t-test was used for the comparison of mean scores. The significance level was set at p<0.001. : The average mean knowledge and ability score was 68% & 61.4% respectively among the participants. On further comparison of mean knowledge & ability scores between the participants with & without basic life support training, participants with BLS training showed better knowledge than those without training and the difference was statistically significant between the two groups (p<0.001%). The study found deficiencies in the knowledge and ability of untrained graduates to deal with medical emergencies as compared to trained.


Author(s):  
Chitturi Prashanthi ◽  
Prashant B Patil ◽  
Vajendra Joshi ◽  
Kiran Kumar K R ◽  
Shilpa R T

: An emergency can be encountered anytime and anywhere. Minimal knowledge about medical emergency and their etiology, primary protocol for management must be known to avoid potential consequences. Hence, the present study was undertaken to compare the knowledge, and ability to handle the medical emergencies among the dental students. A cross-sectional survey was conducted among 100 randomly selected dental students (post-graduate students and interns) comprising of two groups of students those who had underwent training and those who did not. The data obtained was analyzed using the SPSS for windows version 22.0 released 2013. Independent chi square test was used for comparison of responses and independent student t-test was used for the comparison of mean scores. The significance level was set at p<0.001. : The average mean knowledge and ability score was 68% & 61.4% respectively among the participants. On further comparison of mean knowledge & ability scores between the participants with & without basic life support training, participants with BLS training showed better knowledge than those without training and the difference was statistically significant between the two groups (p<0.001%). The study found deficiencies in the knowledge and ability of untrained graduates to deal with medical emergencies as compared to trained.


2021 ◽  
Vol 15 (1) ◽  
pp. 728-733
Author(s):  
Louay Jaber ◽  
Faisal Al-Qarni ◽  
Mohammed Alsaati ◽  
Mohammed Al-Nefaiee ◽  
Ashwin C. Shetty ◽  
...  

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.


2017 ◽  
Vol 24 (05) ◽  
pp. 665-669
Author(s):  
Priya - ◽  
Ambreen Munir ◽  
Nida Talpur ◽  
Suneel Kumar Punjabi

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.


Author(s):  
B. Reshmi ◽  
Dhanraj Ganapathy ◽  
Ashok Velayudhan ◽  
Kirankumar Pandurangan

Drugs to suppress the human immune response in cases of organ transplants and autoimmune disorders have been used for more than half a century. Such agents are essential for treating patients who have received organ transplants or suffer from autoimmune diseases. The main drawback to the early immunosuppressive agents was their lack of specificity. As the understanding of immune system response at the cellular and molecular levels evolved, newer and more specific agents were developed that targeted particular components and elements of the immune response. While these newer immunosuppressive agents are not without potential adverse effects, their efficacy and safety have improved greatly when compared to earlier agents. Therapeutic guidance for the clinician is needed to handle those drugs. In dentistry, care should be taken for patients on immunosuppressive drugs. Hence knowledge about immunosuppressive drugs is needed to be known by the dental practitioners also to provide a proper treatment that benefits the patient. The study was conducted as a cross-sectional survey among 100 dental students pursuing the final year and internship in Chennai city. A self-assessed questionnaire containing 10 questions eliciting information about the knowledge of immunosuppressive drugs were framed. The responses obtained from the participants were compiled, processed further, and analyzed. Various studies were referred to gain more knowledge to improvise the study. The aim of the study is to assess the knowledge of students about immunosuppressant drugs.95.0% of the students knew about immunosuppressant drugs This study concluded that knowledge about immunosuppressive drugs is adequate. Dental awareness programs or lectures if arranged to address this concern may give additional knowledge and so as to ease their practices and pave more comfort for the patient.


2021 ◽  
Vol 24 (4) ◽  
Author(s):  
Heba Hussein ◽  
Mohamed A. Abdelbaqy ◽  
Abdelrahman A. Ibrahim ◽  
Shahenda Farid ◽  
Suzan Ibrahim

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.


2021 ◽  
Vol 24 (3) ◽  
Author(s):  
Khaloud Tariq ◽  
Muhammad Hassan ◽  
Mehreen Wajahat ◽  
Nadia Muneer ◽  
Eisha Imran

Objective: Antibiotic resistance is one of the most threatening public health problems of 20th century. Along with physicians, dental practitioners also routinely prescribe medications for oral and dental infections. However, previous studies have shown that dental surgeons often prescribe antibiotics where new evidence have suggested other treatment measures. Since students in their clinical year prescribe antibiotics under supervision, it is important to understand if they are aware of severity of antibiotic resistance and its impact. Hence, the study aimed to assess awareness of antibiotic use and resistance amongst dental students. Material and Methods: Cross-sectional survey was conducted amongst 3rd and 4th year dental students of 4 colleges of Pakistan. A validated questionnaire was adopted from WHO and PHE (Public Health England). It included true or false and Likert scale questions relating to knowledge and attitude of antibiotic use and antibiotic resistance. Results: Out of 396 responses, majority students were not aware of the terms superbugs (69.7%) and AMR (79%). 89.6% thought that humans can become resistant to antibiotics. 88.6% agreed that antibiotic resistance is a major threat. 61.4% thought they couldn’t do much to stop antibiotic resistance. 87.6% agreed that doctors should only prescribe antibiotics when needed. Conclusion: Overall dental students were aware of antibiotic use and importance of antibiotic resistance although their knowledge associated with antibiotic resistance was not satisfactory. It is vital that students must be taught about mechanism of antibiotic resistance and good prescription practices. Keywords Antibiotic resistance; Knowledge; Attitude; Dental students.


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 ◽  
...  

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.


Author(s):  
B. Reshmi ◽  
Dhanraj Ganapathy ◽  
Ashok Velayudhan ◽  
Kirankumar Pandurangan

Teratogen is any agent that might interfere with the proper growth and development of the embryo or foetus. Teratogens usually involve radiation, cancer, chemicals, and drugs. Comprehension of teratogenic drugs is of great value to dental practitioners because they handle a wide range of drugs that cause teratogenicity in the care of patients with dental problems during pregnancy. The aim of this survey is to assess the awareness among dentists of teratogenic drugs.  The study was conducted among 100 final year dental students and interns in Chennai City. 10 questions eliciting information on the knowledge and understanding of teratogenic drugs were framed and distributed. The responses obtained from the participants were compiled, processed further, and analyzed. 83%  of the participants were aware of teratogenic drugs. This study concluded that knowledge about teratogenic drugs is adequate among dental students.


2018 ◽  
Vol 10 (6) ◽  
pp. 1
Author(s):  
Liqaa Raffee ◽  
Yousef Khader ◽  
Alaa Oteir ◽  
Khaled Alawneh ◽  
Rola S. Saqan ◽  
...  

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<.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.


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