Medical Emergencies in Dental Office - A Review

Author(s):  
Abhinav Sharma

A medical emergency, no matter where it happens, demands immediate treatment. When it occurs in a dental set-up, it is expected of Dentist and his/her staff to have the basic knowledge to recognize, assess and manage a potentially life-threatening situation until the patient can be transported to a medical facility. For that, the staff in the clinic should be well trained to act accordingly in different types of medical emergencies that can occur at any given time. A mock drill can also be organized for their training purpose. This review article deals with different kinds of medical emergencies that can occur in a dental set-up and how that can be recognized and managed.

2021 ◽  
Vol 9 (2) ◽  
pp. 25-31
Author(s):  
Kuldeep Singh Shekhawat ◽  
Sivakumar Beena

Introduction: Dentist can encounter a medical emergency during any phase of the dental treatment. It isessential for the clinician to accurately identify and manage a life threatening situation in patients undergoingdental treatment. The aim of the present study is to assess the knowledge on medical emergencies and itsmanagement among dental clinical students of a dental college in Pondicherry.Materials and Methods: A retrospective questionnaire study was conducted among 135 under-graduate(UG) students to assess their knowledge on various medical emergency conditions and its management fromtheir level of perception in clinical postings.Results: The overall knowledge regarding identification and management of medical emergencies amongthe study population was found to be inadequate.Conclusion: Every dentist must be prepared for an emergency and believing it can be a real possibilityis of paramount importance. It cannot be completely prevented but efficiently managed with appropriateknowledge of signs, symptoms and management techniques.


2010 ◽  
Vol 1 (2) ◽  
pp. 99-102
Author(s):  
Bijle Mohammed Nadeem Ahmed ◽  
Yussuf K Chunawalla ◽  
Kavina Mansukhani ◽  
Prasad K Musale

ABSTRACT Medical emergencies are little understood by most of the dentists. Thus, there is a significant need for increased awareness by dental professionals in the area of emergency medicine. Medical emergencies can and do occur in pediatric patients. Therefore, pediatric dentists should develop skills to handle various pediatric emergencies that have the potential to develop life-threatening conditions. We must be aware of the various protocols for initial stabilization of pediatric victims at risk in dental setup. Every patient expects his/her dentist to be familiar with emergency interventions that include atleast basic life support requirements and, if necessary, advanced methods including administration of specific medication. This review article will brief us with basic protocols required to manage pediatric emergencies in case of life-threatening conditions.


2014 ◽  
Vol 2 (3) ◽  
pp. 45-53 ◽  
Author(s):  
S Chaudhary ◽  
S Singh ◽  
N Chaudhary ◽  
SK Mahato

Snake-bite is one of the diseases which is included in the World Health Organization's (WHO) list of neglected tropical diseases. It is a well-known life threatening medical emergency commonly seen in farmers, plantation workers, herders, fishermen, snake restaurant workers and other food producers. In Nepal, snake-bite take a heavy toll of human lives. It is due to poor health services in rural areas especially for antisnake venom (ASV) treatment facility. Exact magnitudes of problem and mortality from snake-bite are very difficult to estimate due to serious misreporting. This review article aims to discuss the epidemiology, clinical features, diagnosis, treatment and prevention of snake-bite envenomation in South Asia region particularly in Nepal and helping in improving the knowledge and understanding of snake-bite to save precious human lives. DOI: http://dx.doi.org/10.3126/jucms.v2i3.11829 Journal of Universal College of Medical Sciences Vol.2(3) 2014: 45-53


2014 ◽  
Vol 15 (6) ◽  
pp. 693-698 ◽  
Author(s):  
Mohammad Reza Khami ◽  
Reza Yazdani ◽  
Mohammad Afzalimoghaddam ◽  
Samaneh Razeghi ◽  
Anahita Moscowchi

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.


2014 ◽  
Vol 11 (5) ◽  
Author(s):  
Yu-Tung Chang ◽  
Malcolm J Boyle

IntroductionAnaphylaxis is a potentially life-threatening medical emergency and a challenge for emergency healthcare providers. There appears to be a lack of consistency in the international definition and management of anaphylaxis. The objective of this study was to review current international guidelines in diagnostic and management of anaphylaxis in the pre-hospital setting.MethodsA literature search was conducted of the medical related electronic databases, Ovid MEDLINE, Cinahl, Cochrane CENTRAL and EMBASE from 1980 to the end of May 2013. A previously published pre-hospital search filter was used in each of the databases including additional keywords, ‘anaphylaxis’, ‘diagnosis’, ‘hypersensitivity’, ‘allergy’, ‘allergic reaction’, ‘adrenaline’, ‘epinephrine’ and ‘antihistamine’. Articles were included if their primary aim was to report of the evidence used to create international guidelines of anaphylaxis diagnosis and management. The references of retrieved articles were also reviewed. Articles were excluded if they were not written in English.ResultsThere were 128 articles located by the search with 18 meeting the inclusion criteria. Of these, three were literature reviews and six reported on the introduction of anaphylaxis guidelines, including medical treatment in different countries. Three retrospective studies evaluated the efficiency of current diagnostic and management in hospital setting. Two questionnaire surveys were conducted internationally. There were two articles proposing diagnostic criteria and a rating method for anaphylaxis. Two were relevant to pre-hospital studies.ConclusionThe inconsistency of definition and diagnosis criteria increases the risk of under-diagnosis and under-treatment of patients with anaphylaxis. Emergency healthcare providers need a more explicit set of diagnosis criteria and guidelines for treatment to rapidly relieve patients’ anaphylactic reaction and potentially life-threatening situation. 


2014 ◽  
Vol 1 (1) ◽  
pp. 37-52 ◽  
Author(s):  
Shilpa Sharma ◽  
Devendra K Gupta

The concept of infantile obstructive cholangiopathy started in 1974 by Landing and remained till early 1980s. However, the concept has not been used much since then as nothing new has developed over the last 40 years sufficient enough to change the course of the disease or identify its etiology. This review article is an attempt to consolidate evidence on review of literature pointing towards a common etiopathological process leading to the spectrum of anomalies constituting neonatal cholestasis. The importance of early referral of any case with neonatal jaundice in a full term neonate, preferably at 2 weeks age is highlighted. This will help to identify and treat more cases within the correctable range and prevent the disease from progressing to a life threatening situation especially in developing countries where the resources for liver transplantation are meagre.DOI: http://dx.doi.org/10.3329/jpsb.v1i1.19465  


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