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Preparation & medico legal considerations


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Forth Year

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Preparation & medico legal considerations

  1. 1. MEDICAL EMERGENCIES IN THE DENTAL OFFICE Cardiopulmonary Resuscitation course
  2. 2. CPR COURSE CONTENTS PREPARATION & MEDICO LEGAL CONSIDERATIONS Dr Nallan Chytanya Lecturer in Oral Medicine Department of Biomedical Dental Sciences College of Dental Sciences
  3. 3. P.A.B.C.D.  P - positioning  A - airway  B - breathing  C - circulation  D - definitive treatment
  4. 4. ALS Airway/ Ventilation Methods
  5. 5. AED
  6. 6. 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
  7. 7. Recognition of unconsciousness: 1. Lack of sensory stimulation 2. Lack of protective reflex 3. Inability to maintain airway
  8. 8.  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.
  9. 9. 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 .
  10. 10.  Look listen and feel technique
  11. 11. 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
  12. 12. 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.
  13. 13. 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.
  14. 14. 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
  15. 15. 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.
  16. 16.  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