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Preparation & medico legal considerations
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Preparation & medico legal considerations




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    Preparation & medico legal considerations Preparation & medico legal considerations Presentation Transcript

    • MEDICAL EMERGENCIES IN THE DENTAL OFFICE Cardiopulmonary Resuscitation course
    • CPR COURSE CONTENTS PREPARATION & MEDICO LEGAL CONSIDERATIONS Dr Nallan Chytanya Lecturer in Oral Medicine Department of Biomedical Dental Sciences College of Dental Sciences
    • P.A.B.C.D.  P - positioning  A - airway  B - breathing  C - circulation  D - definitive treatment
    • ALS Airway/ Ventilation Methods
    • AED
    • Module three: ACLS Essential Drugs     Epinephrine to manage cardiac antidysrhythmic drugs O2 Lidocaine Dopamine, stimulates alpha and beta receptor for treatment of hypotension .  Morphine analgesic , opioid agonist  Atropine drug of choice for bradycardia
    • Recognition of unconsciousness: 1. Lack of sensory stimulation 2. Lack of protective reflex 3. Inability to maintain airway
    •  Supine position and alert staff member  Elevation of feet above heart level ( 10-15 degrees)  Remove any head supports like pillows and head rests.  Firm and stable lying area.
    • Member 2 should gather the emergency kit and portable oxygen system & bring to the emergency site  Mean while, chin lift head tilt procedure: for airway maintenance .
    •  Look listen and feel technique
    • Medico legal aspects:  Legal aspects of the practice of medicine. A jury must find the plaintiff proved the following things:  That the dentist was at fault  That the dentist’s fault --cause of injury to the patient  That the injury must be compensated by money
    • Standards: The judge tells the jury that negligence is :  Doing something that an prudent dentist would not do  Not doing something that a prudent dentist would do under the same or similar circumstances  The failure to practice ordinary care.  Those possessing special training and experience and whom the court has acknowledged to possess the education necessary to offer opinion may testify.
    • Forseability of the emergency  Medical emergencies were unpredictable.  Higher likelihood of emergency helps-explain the higher expectation of care  Many people -- fear and anxiety -- upcoming dental appointment .  Their fear and anxiety cause --metabolic changes & fear, anger frustration-- waiting for long time in waiting room add to the metabolic changes.
    • Grounds for Malpractice Liability A. Lack of Informed Consent B. Intentional Misconduct C. Breach of therapeutic promise D. Patient injury from dangerous treatment-related activities E. Patient injury from defective treatment related products F. Negligence – substandard care delivery
    • Informed Consent  Informed consent should be obtained, a dentist explain a patient the following information in detail:  Reason for care and treatment  Diagnosis  Prognosis  Alternative treatment  Nature of treatment  Risks involved & expectation of success  Possible results if the patient does not undergo care and treatment or does not follow instructions.
    •  All office members -- familiar with proper CPR technique & maintain current CPR certification.  Expected to be more prepared to prevent or to treat emergencies situations  Dentist should be keep in touch with lawyer and seek legal advice