Basic Guide to Medical Emergencies in the Dental Practice

The Basic Guide to Medical Emergencies in the Dental Practice is a must-have book for all dental care professionals and general dentists.

Written in a clear and accessible style, this second edition has been fully revised and updated in line with the latest guidelines. Chapters cover such key topics as the ABCDE approach to patient assessment, resuscitation equipment, respiratory and cardiac disorders, paediatric emergencies, and legal and ethical issues. Readers will also find two brand new chapters on the principles of first aid, and drugs for medical emergencies.

• Follows Resuscitation Council (UK) Guidelines

• Companion website with self-assessment exercises, serving as revision as well as non-verifiable CPD credit

• Over 50% new images

• Student friendly colourful layout with learning outcomes

Auteur
Phil Jevon is Resuscitation Officer/Clinical Skills Lead at Manor Hospital, Walsall. He is a Resuscitation Council (UK) ALS, EPLS, ILS, PILS, NLS Instructor and is an Honorary Clinical Lecturer at the Birmingham School of Medicine

Résumé

The Basic Guide to Medical Emergencies in the Dental Practice is a must-have book for all dental care professionals and general dentists.

Written in a clear and accessible style, this second edition has been fully revised and updated in line with the latest guidelines. Chapters cover such key topics as the ABCDE approach to patient assessment, resuscitation equipment, respiratory and cardiac disorders, paediatric emergencies, and legal and ethical issues. Readers will also find two brand new chapters on the principles of first aid, and drugs for medical emergencies.

• Follows Resuscitation Council (UK) Guidelines
• Companion website with self-assessment exercises, serving as revision as well as non-verifiable CPD credit
• Over 50% new images
• Student friendly colourful layout with learning outcomes

Contenu

Foreword ix

Acknowledgements x

About the companion website xi

1 An overview of the management of medical emergencies and resuscitation in the dental practice 1

Introduction 1

Concept of the chain of survival 2

Incidence of medical emergencies in dental practice 3

General dental council guidelines on medical emergencies 4

Resuscitation Council (UK) quality standards 5

ABCDE assessment of the sick patient 6

Medical risk assessment in general dental practice 7

Principles of safer handling during cardiopulmonary resuscitation 8

Procedure for calling 999 for an ambulance 10

Importance of human factors and teamwork 11

Conclusion 13

References 13

2 Resuscitation equipment in the dental practice 15

Introduction 15

Recommended minimum resuscitation equipment in the dental practice 16

Checking resuscitation equipment and drugs 20

Checking resuscitation equipment following use 22

Care, handling and storage of oxygen cylinders 23

Conclusion 25

References 25

3 ABCDE: Recognition and treatment of the acutely ill patient 26

Introduction 26

Clinical signs of acute illness and deterioration 27

The ABCDE approach 27

General principles of the ABCDE approach 28

The ABCDE approach to the sick patient 28

Principles of pulse oximetry 34

Procedure for administering oxygen to the acutely ill patient 38

Procedure for recording blood pressure 41

Medical emergencies in the dental practice poster 44

Conclusion 46

References 46

4 Respiratory disorders 48

Introduction 48

Management of acute asthma attack 49

Management of hyperventilation 55

Management of exacerbation of chronic obstructive pulmonary disease 56

Procedure for using an inhaler 57

Procedure for using a spacer device 61

Conclusion 64

References 64

5 Cardiovascular disorders 66

Introduction 66

Management of angina 67

Management of myocardial infarction 69

Management of palpitations 73

Management of syncope 74

Conclusion 76

References 77

6 Endocrine disorders 78

Introduction 78

Management of hypoglycaemia 78

Procedure for blood glucose measurement using a glucometer 83

Management of adrenal insufficiency 85

Conclusion 86

References 86

7 Neurological disorders 88

Introduction 88

Management of a generalised tonicclonic seizure 88

Management of stroke 93

Management of altered level of consciousness 96

Procedure for placing a patient in the recovery position 97

Spinal injury 101

Conclusion 102

References 102

8 Anaphylaxis 104

Introduction 104

Definition 105

Incidence 105

Pathophysiology 105

Causes 106

Clinical features and diagnosis 107

Treatment 109

Risk assessment 113

Conclusion 114

References 115

9 Cardiopulmonary resuscitation in the dental practice 117

Introduction 117

Resuscitation Council (UK) automated external defi brillation algorithm 118

Procedure for cardiopulmonary resuscitation in the dental chair 118

Procedure for performing chest compressions 126

Conclusion 129

References 130

10 Airway management and ventilation 131

Introduction 131

Causes of airway obstruction 132

Recognition of airway obstruction 132

Simple techniques to open and clear the airway 133 ...