Preparation and legal considerations

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CPR
Forth Year

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Preparation and legal considerations

  1. 1. MEDICAL EMERGENCIES IN THE DENTAL OFFICE Cardiopulmonary Resuscitation course
  2. 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. 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. 4. Guidelines  Guidelines have been establishes to help doctors and staff members adequately  Lists of required personnel, equipment, and emergency drugs.
  5. 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. 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. 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. 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. 9. Duties of team member 2  Bring emergency kit and O2 to the emergency site  Check O2 daily  Check emergency kit weekly
  10. 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. 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. 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. 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
  14. 14. Emergency kit
  15. 15. IM Injection Procedure
  16. 16. IV Injection Procedure
  17. 17. IV Injection Procedure
  18. 18. Critical Non-injectable Drugs  The following non-injectable drugs are considered critical:  Oxygen  Vasodilator  Bronchodilator  Antihypo-glycemic  Aspirin
  19. 19. 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
  20. 20. Critical emergency equipment  O2 delivery system  Syringes  Suction and suction tips  Tourniquets  Magill intubation forceps
  21. 21.  Scalpel or cricothyrotomy device  Could be added to emergency kit  Laryngoscope  Artificial airway, endotracheal tube

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