Basic Guide to Medical Emergencies in the Dental Practice
January 2010, Wiley-Blackwell
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1 Medical emergencies and resuscitation in the dental practice: an overview.
Concept of the chain of survival.
Incidence of medical emergencies in dental practice.
General dental council guidelines on medical emergencies.
Resuscitation council (UK) statement.
ABCDE assessment of the sick patient.
Medical risk assessment in general dental practice.
Principles of safer handling during cardiopulmonary resuscitation.
Procedure for calling 999 for an ambulance.
2 Resuscitation equipment in the dental practice.
Recommended minimum resuscitation equipment in the dental practice
Checking resuscitation equipment and drugs.
Checking resuscitation equipment following use.
3 Recognition of the sick patient: the ABCDE approach.
Clinical signs of acute illness.
The ABCDE approach.
General principles of the ABCDE approach.
The ABCDE approach to the sick patient.
Principles of pulse oximetry.
Procedure for administering oxygen to the acutely ill patient.
Procedure for recording blood pressure.
4 Respiratory disorders.
Management of acute asthma attack.
Management of hyperventilation.
Management of exacerbation of chronic obstructive pulmonary disease.
Procedure for using an inhaler.
Procedure for using a spacer device.
5 Cardiac disorders.
Management of angina.
Management of myocardial infarction.
Management of palpitations.
Management of syncope.
6 Neurological disorders.
Management of a generalised tonic-clonic seizure.
Management of stroke.
Management of altered level of consciousness.
Procedure for placing a patient in the recovery position.
7 Endocrine disorders.
Management of hypoglycaemia.
Procedure for blood glucose measurement using a glucometer.
Management of adrenal insufficiency.
Clinical features and diagnosis.
9 Cardiopulmonary resuscitation in the dental practice.
Resuscitation council (UK) automated external defibrillation algorithm.
Procedure for cardiopulmonary resuscitation in the dental chair.
Procedure for performing chest compressions.
10 Airway management and ventilation.
Causes of airway obstruction.
Recognition of airway obstruction.
Simple techniques to open and clear the airway.
Use of oropharyngeal airway.
Principles of ventilation.
Treatment of foreign body airway obstruction.
11 Automated external defibrillation.
Physiology of defibrillation.
Factors affecting successful defibrillation.
Safety issues and defibrillation.
Procedure for automated external defibrillation.
12 Paediatric emergencies.
ABCDE assessment of a sick child.
Principles of paediatric resuscitation.
Placing a child into the recovery position.
Management of foreign body airway obstruction.
13 Professional and legal issues.
The scope of a dental professional’s accountability.
Legal requirements for consent and acting in a patient’s best interests.
Duty of confidence owed to patients by dental professionals.