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MEDICAL EMERGENCIES IN THE DENTAL OFFICE
Cardiopulmonary Resuscitation course
CPR COURSE CONTENTS

 PREPARATION AND LEGAL CONSIDERATIONS

Dr Nallan Chytanya
Lecturer in Oral Medicine
Department of Biomedical Dental Sciences
College of Dental Sciences
 Despite every effort to prevent them, life threatening

emergencies do occur in dental offices.
 Prevention, is not always enough.
 The entire dental office must be prepared fully
Guidelines
 Guidelines have been establishes to help doctors and

staff members adequately
 Lists of required personnel, equipment, and emergency

drugs.
P.A.B.C.D.
 The doctors should be always expected to
initiate steps of basic life support BLS
 P - positioning
 A - airway
 B - breathing
 C - circulation
 D - definitive treatment
 The office staff members must be prepared - in the

doctor’s absence .
1) Staff training should include BLS instruction
2) Office preparation -- posting of emergency

assistance numbers & stocking of emergency
drugs and equipment.
Training
 Training of office personnel for BLS
 Ability of the all office staff personnel to administer BLS

and CPR according to AHA
 Its preferable that some personnel prepared for
Advanced Cardiac Life Support (ACLS )
 BLS Drill should be maintained for all personnel
Team Management
Duties of team member 1
 Provide BLS as indicated
 Stay with the victim
 Alert office staff member
 Member 2 should gather the emergency kit and portable

oxygen system & bring to the emergency site
Duties of team member 2
 Bring emergency kit and O2 to the emergency site
 Check O2 daily
 Check emergency kit weekly
Member 3 - circulating nurse or assistant.
Duties of Team member 3:
 Assist with BLS
 Monitor vital signs
 Prepare emergency drugs for administration
 Activate EMS system
 Assist as needed
 Maintain record
 Meet Rescue team at entrance
Emergency Practice Drill
 Life threatening conditions occurs infrequently -- Annual
refresher courses
 Periodic in-office drills - efficient emergency teams.
 All members of team should respond exactly as they must

under true emergency condition
Office Preparation: Emergency medical assistance
 Whom to call ?????
 The team member who calls EMS- clearly provide
the operator with all requested information.
 Call 997 for ambulance service and nearby
hospital
Emergency Drugs and Equipment
Items in an Emergency Drug Kits
 Module 1: Basic emergency kit, critical drugs & equipment
 Module 2 : Noncritical drugs and equipment

 Module 3 : ACLS
 Module 4 : Antidotal drugs
Preparation and legal considerations
Preparation and legal considerations
Preparation and legal considerations
Preparation and legal considerations
Emergency kit
IM Injection
Procedure
IV Injection
Procedure
IV Injection
Procedure
Critical Non-injectable Drugs
 The following non-injectable drugs are
considered critical:
 Oxygen
 Vasodilator
 Bronchodilator
 Antihypo-glycemic
 Aspirin
Primary Non- injectable : Vasodilator
 Nitroglycerin as a tablet / spray / inhalant --chest pain or
angina pectoris .
 Amyl Nitrate
Non- injectable : Bronchodilator
*Drug of choice Albuterol , ventolin
Non- injectable anti-hypoglycemic : Orange juice
Primary non- injectable antiplatelets: Aspirin
Parasympathetic blocking agent anticholinergic atropine
Critical emergency equipment

 O2 delivery system
 Syringes
 Suction and suction tips

 Tourniquets
 Magill intubation forceps
 Scalpel or cricothyrotomy device
 Could be added to emergency kit
 Laryngoscope
 Artificial airway, endotracheal tube

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Preparation and legal considerations

  • 1. MEDICAL EMERGENCIES IN THE DENTAL OFFICE Cardiopulmonary Resuscitation course
  • 2. CPR COURSE CONTENTS  PREPARATION AND LEGAL CONSIDERATIONS Dr Nallan Chytanya Lecturer in Oral Medicine Department of Biomedical Dental Sciences College of Dental Sciences
  • 3.  Despite every effort to prevent them, life threatening emergencies do occur in dental offices.  Prevention, is not always enough.  The entire dental office must be prepared fully
  • 4. Guidelines  Guidelines have been establishes to help doctors and staff members adequately  Lists of required personnel, equipment, and emergency drugs.
  • 5. P.A.B.C.D.  The doctors should be always expected to initiate steps of basic life support BLS  P - positioning  A - airway  B - breathing  C - circulation  D - definitive treatment
  • 6.  The office staff members must be prepared - in the doctor’s absence . 1) Staff training should include BLS instruction 2) Office preparation -- posting of emergency assistance numbers & stocking of emergency drugs and equipment.
  • 7. Training  Training of office personnel for BLS  Ability of the all office staff personnel to administer BLS and CPR according to AHA  Its preferable that some personnel prepared for Advanced Cardiac Life Support (ACLS )  BLS Drill should be maintained for all personnel
  • 8. Team Management Duties of team member 1  Provide BLS as indicated  Stay with the victim  Alert office staff member  Member 2 should gather the emergency kit and portable oxygen system & bring to the emergency site
  • 9. Duties of team member 2  Bring emergency kit and O2 to the emergency site  Check O2 daily  Check emergency kit weekly
  • 10. Member 3 - circulating nurse or assistant. Duties of Team member 3:  Assist with BLS  Monitor vital signs  Prepare emergency drugs for administration  Activate EMS system  Assist as needed  Maintain record  Meet Rescue team at entrance
  • 11. Emergency Practice Drill  Life threatening conditions occurs infrequently -- Annual refresher courses  Periodic in-office drills - efficient emergency teams.  All members of team should respond exactly as they must under true emergency condition
  • 12. Office Preparation: Emergency medical assistance  Whom to call ?????  The team member who calls EMS- clearly provide the operator with all requested information.  Call 997 for ambulance service and nearby hospital
  • 13. Emergency Drugs and Equipment Items in an Emergency Drug Kits  Module 1: Basic emergency kit, critical drugs & equipment  Module 2 : Noncritical drugs and equipment  Module 3 : ACLS  Module 4 : Antidotal drugs
  • 22. Critical Non-injectable Drugs  The following non-injectable drugs are considered critical:  Oxygen  Vasodilator  Bronchodilator  Antihypo-glycemic  Aspirin
  • 23. Primary Non- injectable : Vasodilator  Nitroglycerin as a tablet / spray / inhalant --chest pain or angina pectoris .  Amyl Nitrate Non- injectable : Bronchodilator *Drug of choice Albuterol , ventolin Non- injectable anti-hypoglycemic : Orange juice Primary non- injectable antiplatelets: Aspirin Parasympathetic blocking agent anticholinergic atropine
  • 24. Critical emergency equipment  O2 delivery system  Syringes  Suction and suction tips  Tourniquets  Magill intubation forceps
  • 25.  Scalpel or cricothyrotomy device  Could be added to emergency kit  Laryngoscope  Artificial airway, endotracheal tube