Medical emergencies in the dental practice

Greenwood, Mark

doi:10.1111/j.1600-0757.2008.00230.x

Cited by 26 publications

(22 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This clearly indicates that dentists should expect to be crucially involved in the diagnosis and management of medical emergencies. (5,10) The most common of these emergencies was syncope, followed by hypoglycaemia, hypertensive crisis, anaphylaxis and seizures; however, in most cases the emergencies were not life-threatening. Our reported relative incidence of medical emergencies is gen- erally congruent with previous studies (3,5,9) and reemphasizes the urgency of a new professional consciousness of dentists regarding their expectation of and preparedness to effectively manage medical emergencies in their office.…”

Section: Discussionmentioning

confidence: 99%

“…It is known that a thorough medical history can help to reduce the risk of medical emergencies. (10) We showed that among Slovenian dentists, a general medical history is taken and written down in the medical Figure 1. Estimation of competence for dentists who had never participated in BLS (basic life support) training before (■) (n= 38) and dentists who had already participated in BLS training at least once (•) (n=217).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Medical emergencies in dental offices in Slovenia and readiness of dentists to handle them

Umek¹,

Šoštarič²

2018

Signa Vitae

View full text Add to dashboard Cite

Introduction. Dentists, and all other dental healthcare workers, can expect to face a medical emergency directly or indirectly related to dental treatment. This study evaluates the incidence of medical emergencies in dental offices in Slovenia, the readiness of dentists and possession of specific medical equipment.Methods. An anonymous online based questionnaire was sent through the Medical Chamber of Slovenia via email to all 1503 active dentists in Slovenia. The questionnaire was pilot-tested on 25 dentists and improved accordingly. Thirty closedended questions were answered by 289 (19.2 %) dentists. Results. 93.4 % (n=267) of dentists reported a medical emergency in their dental office. The most prevalent diagnosis was syncope (1.88-2.44/dentist/year) followed by hypoglycaemia (0.20-0.25/dentist/year), hypertensive crisis (0.4/dentists/year) and anaphylaxis (0.3/dentists/year). There were no cardiac arrests reported in the dentists' entire careers. 85.1 % (n=239) of dentists underwent postgraduate BLS training, 87.4 % (n=209) of them in the last 5 years. Responding dentists estimated that they are most capable of dealing with syncope and least proficient in dealing with stroke, cardiac arrest and a hypertensive crisis. They felt generally more prepared to manage than diagnose a medical emergency. Only 58.1 % (n=161) of dentists have access to a self-inflating bag with a reservoir, and 54.9 % (n=152) to an oxygen mask. Only 4.0 % (n=11) of them have a full set of equipment recommended by Medical Chamber of Slovenia. Conclusions. Results support modification of the undergraduate and postgraduate curriculum for dental students to address specific medical emergencies and the usage

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Medical emergencies in dental offices in Slovenia and readiness of dentists to handle them

Umek¹,

Šoštarič²

2018

Signa Vitae

View full text Add to dashboard Cite

show abstract

“…In the 8 works on the management of those situations, 4 encourage or suggest the use of IV access [16,18,21,22]. Thus, IV injection remains one of the main techniques proposed for the management of medical emergencies within dental literature.…”

Section: Publications On Medical Emergencies In Dental Practicementioning

confidence: 99%

“…In the 7 works about equipment recommended to face medical emergencies, 4 suggest to have some intravenous drugs [13,[16][17][18]. In the 8 works on the management of those situations, 4 encourage or suggest the use of IV access [16,18,21,22].…”

Section: Publications On Medical Emergencies In Dental Practicementioning

confidence: 99%

“…We found 29 publications that we classified into six groups: prevalence of medical emergencies [3-5, 7, 8], competence/preparedness of dental surgeons or dental students [3,[8][9][10][11], equipment recommended [12][13][14][15][16][17][18], management of medical emergencies [16][17][18][19][20][21][22][23], formation [24][25][26] and specific management of cardiac arrest [9,[27][28][29][30][31][32]. Some studies can be classified in several groups.…”

Section: Publications On Medical Emergencies In Dental Practicementioning

confidence: 99%

See 1 more Smart Citation

Use of emergency intravenous injection in dental practice

Laurent

Segal

Maman

et al. 2011

Med Buccale Chir Buccale

View full text Add to dashboard Cite

Key words: medical emergencies / dental practice / dental office / dentist / intravenous injection / dental student Abstract -Medical emergencies can occur in dental practice and dental surgeons have to be able to handle them effectively. The intravenous route has long been advocated for dental surgeon in emergency. Since 2006, recommendations from the British Resuscitation Council tend to discourage this route of administration for dental practitioners in emergency. In France there is no consensus on this subject and most French dental schools still teach intravenous route in case of medical emergency. We reviewed international literature regarding medical emergencies in dental practice since 2006 and identified those dealing with intravenous access. Half of the publications suggest or encourage the use of intravenous access. Nevertheless, most of dental surgeons do not feel confident in realizing an urgent intravenous injection. Indeed, this technique requires an intensive phase of learning and regular practice to be performed in safety and effectively. Thus, this technique is difficult to realize in a context of stress and of under-training. Dental surgeons should be familiar with other methods of administration to manage medical emergencies encountered in dental practice such as intramuscular, inhalatal, sublingual, buccal and oral. It seems necessary to encourage an European consensus on this subject in order to improve the management of medical emergencies. Mots clés :urgence médicale / chirurgie dentaire / cabinet dentaire / dentiste / injection intraveineuse / étudiant en chirurgie dentaire Résumé -Utilisation de la voie intraveineuse lors des urgence au cabinet dentaire. Des urgences mé-dicales peuvent survenir lors de l'activité pratique en Médecine bucco-dentaire : les chirurgiens-dentistes doivent être capables de les prendre en charge efficacement. L'utilisation de la voie intraveineuse est depuis longtemps proposée aux chirurgiens-dentistes en cas d'urgence médicale. Depuis 2006, les recommandations du Conseil britannique sur la Réanimation tendent à déconseiller l'utilisation de cette voie d'administration, en urgence, pour les chirurgiens-dentistes. En France, il n'existe pas de consensus sur ce sujet et la plupart des facultés dentaires françaises continuent à enseigner la voie intraveineuse pour les urgences médicales. Nous avons revu la littérature internationale sur les urgences médicales au cabinet dentaire à partir de 2006 et identifié les articles traitant de l'accès par voie intraveineuse. La moitié des publications suggèrent ou encouragent l'utilisation de cette voie. Néanmoins, la plupart des chirurgiens-dentistes ne se sentent pas suffisamment préparées pour réaliser une injection intraveineuse en urgence. En effet, cette technique nécessite une phase intensive d'apprentissage et une pratique régulière pour être réalisée efficacement et en toute sécurité. Comme cette technique est difficile à réaliser dans un contexte de stress -surtout s'il y a un manque d'entraînement -, les chirurgi...

show abstract

General Complications of Dental Local Anesthesia

2024

Local Anesthesia in Dentistry

View full text Add to dashboard Cite

Medical emergencies in the dental practice

Abstract: Medical emergencies occurring in dental practice can be alarming. The keys to minimizing alarm are taking a thorough history so that possible emergencies can be, to some extent, anticipated, and having a good working knowledge of how to manage emergencies, should they arise.

Cited by 26 publications

References 36 publications

Medical emergencies in dental offices in Slovenia and readiness of dentists to handle them

Medical emergencies in dental offices in Slovenia and readiness of dentists to handle them

Use of emergency intravenous injection in dental practice

General Complications of Dental Local Anesthesia

Contact Info

Product

Resources

About