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Emergency in Dentistry: Part I ,[object Object],[object Object],[object Object],[object Object]
The Sequence of BLS: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Step 1: Check for Unresponsiveness Check for unresponsiveness ---”Are you all right?” Call for help --- “6969” --- “119” Unrespond
Step 2: Open  A irway Upper airway obstruction by the tongue & epiglottis “ Head tilt- chin life” “ Jaw thrust” If suspected  head trauma
Step 2:  B reathing --- Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Step 2:  B reathing --- Positive pressure ventilation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Step 3:  C irculation --- Assessment (no more than 10sec) ,[object Object],[object Object],Keep head tilt  position Slide to the groove between  trachea & SCM
Step 3:  C irculation --- Chest compression Locate the margin of the rib ,[object Object],[object Object],[object Object],[object Object],[object Object],Put another hand directly over the hand
Step 3:  C irculation --- Chest compression ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Foreign body aspiration ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Foreign body aspiration ,[object Object],[object Object],[object Object],[object Object],[object Object]
Check for unresponsiveness Access airway Signs of airway obstruction? Access breathing Signs of inadequate breathing? Access pulse Pulse absent? Open airway Positive ventilation Administration oxygen Chest compression Ready for defibrillation Follow ACLS protocol Yes Yes Yes No No Check BP Recovery position No Initial assessment
Emergency cart: EKG monitor and defibrillator Drugs, laryngoscope, light, oral or  nasal airways
Airways: Oropharyngeal airway Nasopharyngeal  airway
Ambu bag: “ E-C” technique
Oxygen therapy: Nasal cannula Simple mask Ventri mask Non-rebreathing mask FiO 2 24% 100%
Endotracheal tube intubation: Layngoscope: Check light Endotracheal tube: Male: 7.0, 7.5, 8.0 Female: 6.5, 7.0, 7.5 Test cuff “ sniffing” position Oral-pharyngeal-tracheal axis
Endotracheal tube intubation: Vocal cord Lift forward & upward Sellick maneuver Length: 19~23cm Cuff Check position: stethoscope, CXR
Thanks for Your  Attention !!!

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Emergency In Dentistry Part 1

  • 1.
  • 2.
  • 3. Step 1: Check for Unresponsiveness Check for unresponsiveness ---”Are you all right?” Call for help --- “6969” --- “119” Unrespond
  • 4. Step 2: Open A irway Upper airway obstruction by the tongue & epiglottis “ Head tilt- chin life” “ Jaw thrust” If suspected head trauma
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12. Check for unresponsiveness Access airway Signs of airway obstruction? Access breathing Signs of inadequate breathing? Access pulse Pulse absent? Open airway Positive ventilation Administration oxygen Chest compression Ready for defibrillation Follow ACLS protocol Yes Yes Yes No No Check BP Recovery position No Initial assessment
  • 13. Emergency cart: EKG monitor and defibrillator Drugs, laryngoscope, light, oral or nasal airways
  • 14. Airways: Oropharyngeal airway Nasopharyngeal airway
  • 15. Ambu bag: “ E-C” technique
  • 16. Oxygen therapy: Nasal cannula Simple mask Ventri mask Non-rebreathing mask FiO 2 24% 100%
  • 17. Endotracheal tube intubation: Layngoscope: Check light Endotracheal tube: Male: 7.0, 7.5, 8.0 Female: 6.5, 7.0, 7.5 Test cuff “ sniffing” position Oral-pharyngeal-tracheal axis
  • 18. Endotracheal tube intubation: Vocal cord Lift forward & upward Sellick maneuver Length: 19~23cm Cuff Check position: stethoscope, CXR
  • 19. Thanks for Your Attention !!!