Medical emergencies do, can and will occur in any dental practice, oral health professionals need to know how to diagnose and manage any such situation when required.
Dental Management of a Medically Compromised Patients - Presented by Dr. Shweta and Parray as a part of Dhaka Dental COllege OMS Department Weekly Presentation Program
Dental Management of a Medically Compromised Patients - Presented by Dr. Shweta and Parray as a part of Dhaka Dental COllege OMS Department Weekly Presentation Program
This lecture present to you the very basics of dental management of asthmatic patient in dental clinics. I kept it short and comprehensive as I can, for more info please refer to the reference mentioned in the lecture
DENTAL MANAGEMENT OF MEDICALLY COMPLEX PATIENTAvinandan Jana
Dental-management companies consolidate and manage dental practices. They do everything from providing minimal consulting services to total management of the entire practice. ... The management company hires and trains all support staff and manages all aspects of the practice`s operation (except the treatment of patients).
In this lecture I explain in step-by-step fashion the basics of Dental Management of patient with Hypertension. a photo guide is attached to the guide to aid in better understanding of the topic
Dental Management of Patient with Diabetes Mellitus PresentationIraqi Dental Academy
This lecture discuss the topic of dental management of medically compromised patient who suffers from diabetes mellitus. it's simple lecture that directed to the level of mind of undergraduate students. thanks for viewing and reading, and please share the knowledge!
brief description on posterior superior alveolar nerve block.
its uses in dentistry, technique and action. locating PSA nerve is easy and this is the most used nerve block in dentistry.
This presentation specifically deals with the maxillary and mandibular Major connectors used in a cast partial denture. it also mentions the uses, advantages and disadvantages of each,
This lecture present to you the very basics of dental management of asthmatic patient in dental clinics. I kept it short and comprehensive as I can, for more info please refer to the reference mentioned in the lecture
DENTAL MANAGEMENT OF MEDICALLY COMPLEX PATIENTAvinandan Jana
Dental-management companies consolidate and manage dental practices. They do everything from providing minimal consulting services to total management of the entire practice. ... The management company hires and trains all support staff and manages all aspects of the practice`s operation (except the treatment of patients).
In this lecture I explain in step-by-step fashion the basics of Dental Management of patient with Hypertension. a photo guide is attached to the guide to aid in better understanding of the topic
Dental Management of Patient with Diabetes Mellitus PresentationIraqi Dental Academy
This lecture discuss the topic of dental management of medically compromised patient who suffers from diabetes mellitus. it's simple lecture that directed to the level of mind of undergraduate students. thanks for viewing and reading, and please share the knowledge!
brief description on posterior superior alveolar nerve block.
its uses in dentistry, technique and action. locating PSA nerve is easy and this is the most used nerve block in dentistry.
This presentation specifically deals with the maxillary and mandibular Major connectors used in a cast partial denture. it also mentions the uses, advantages and disadvantages of each,
Common medication used for anesthesia, there action; dosage; adverse effect; duration of action.
They Include {inhalation + Induction + Muscle relaxant + Anticholinergic + Analgesic + Resuscitation}
Medical Emergencies In Dental Practice - By Dr Saikat SahaDr Saikat Saha
A brief and to the point management of medical emergencies in dental office for the dental surgeons. This presentation gives emphasis to the current protocol in the management of medical emergencies in dental office.
Please find the power point on Acute management of seizure. I tried to present it on understandable way and all the contents are reviewed by experts and from very reliable references. Thank you
MEDICAL EMERGENCIES IN DENTAL CLINIC.pptxBhargabeeDas2
Dentists must be prepared to manage medical emergencies which may arise in practice.
Medical emergencies were most likely to occur during and after local anesthesia, primarily during tooth extraction and endodontics. Over 60% of the emergencies were syncope, with hyperventilation the next most frequent at 7%.
The extent of treatment by the dentist requires preparation, prevention and then management, as necessary. Prevention is accomplished by conducting a thorough medical history with appropriate alterations to dental treatment as required. The most important aspect of nearly all medical emergencies in the dental office is to prevent, or correct, insufficient oxygenation of the brain and heart. Therefore, the management of all medical emergencies should include ensuring that oxygenated blood is being delivered to these critical organs. This is consistent with basic cardiopulmonary resuscitation, with which the dentist must be competent.
Medical conditions that can directly affect the provision of dental care and/...Ruhi Kashmiri
Medical conditions that can directly affect the provision of dental care and/or consequences of dental treatment. In paediatric dentistry, such children are known as children with special needs and require extra attention for maintainence of optimum oral health.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
2. • A medical emergency could evolve into a life-
threatening emergency without proper
treatment.
• Local anesthesia - backbone of pain control
• Adverse events can occur before, during or
after administration of local anesthesia.
3. “Dental practitioners who employ local
anesthetic agents should be well versed in
diagnosis and management of emergencies
which may arise from their use. Resuscitative
equipment, oxygen and other resuscitative
drugs should be available for immediate use.”
4. How to prep
• Medical History
• Resuscitation training
• Equipment
• Drugs
5. Equipment – age appropriate
1. Oxygen cylinder, regulator and associated
equipment suitable for delivering high flow
oxygen
2. Bag mask device with oxygen reservoir
6. 3. Syringes and needles for administering drugs
4. Spacer device to deliver Salbutamol
7.
8. Oxygen
• Medical use - Almost any type of medical
emergency
• DOSAGE: At least 8-10 liters/minute for
patient
• CAUTION: Do not use with hyperventilation
9. Epinephrine
• Cardiac stimulant/anaphylaxis—activates alpha and beta-
adrenergic receptors increasing heart rate, myocardial
contractility, bronchial dilation and decreases peripheral
vascular resistance
• Medical uses - Anaphylaxis, Superficial bleeding
• Mechanism of action
– Lungs - Increases respiratory rate
– Heart – Increases heart rate
• Routes- IM
10. Nitroglycerin/Glyceryl trinitrate
• Antianginal—stimulates cGMP production which
relaxes vascular smooth muscle specifically in the
coronary arteries in the presence of an anginal attack
• Medical uses – Angina, Acute Myocardial Infarction,
Severe Hypertension, Acute Coronary Artery spasms
• Mechanism of action – Dilates blood vessels
• Routes – oral, sublingual, topical, IV
18. • Presentation: Upper airway (laryngeal)
oedema and bronchospasm and low blood
pressure may develop.
• Symptoms may be severe collapse and
cardiac arrest.
19. • Symptoms:
–General - A sense of impending doom
–Skin / mucosa - Wheals and itching
(urticaria), flushing (erythema), runny nose
(rhinitis), conjunctivitis
22. Management
1. Stop
administration of
any IV meds
2. Start Basic Life
Support procedures
(ABCD)
3. Lay the patient
flat, legs elevated
4. Administer oxygen at rate of
8-10L per minute (delivered via
a mask and reservoir bag)
5. If available administer
isotonic saline IV
6. If marked airway,
breathing or circulation
symptoms then administer
1:1000 adrenaline IM
(anteriolateral aspect of
centre of thigh)
23. 1:1000 Adrenaline emergency doses
Age Dose
<6yrs 0.15mL (150 micrograms)
6-12yrs 0.3mL (300 micrograms)
>12yrs 0.5 mL (500 micrograms)
24. • Repeat adrenaline administration if no
improvement in symptoms at 5 minute
intervals depending on respiratory function,
pulse and blood pressure.
• Maintain Basic Life Support procedures (Drs
ABCD) until help arrives.
25. Angina and myocardial infarction
• Symptoms
– Pallor
– ‘cold sweat’
– chest pain
– shortness of breath
– changes in heart rate
– increased respiratory
rate
– low blood pressure
– Confusion
– loss of consciousness
Severe - (indicative of a
MI):
• severe, crushing pain in
the centre and across
the front of the chest
• pain may radiate into
shoulders, arms, neck
and jaw
• Shortness of breath
• weak pulse
• falling blood pressure
• nausea
• vomiting
26. • For mild symptoms in patients previously
diagnosed with angina
– Administer glyceryl trinitrate, 400 micrograms
(spray or tablet).
– If there is no (or only partial) resolution of
symptoms repeat glyceryl trinitrate, 400
micrograms (spray or tablet) after 5 minutes.
– If symptoms persist treat as for ‘severe symptoms’.
27. • Severe symptoms
– Call for medical help immediately.
– Position the patient for their comfort and reassure
– Administer glyceryl trinitrate, 400 micrograms
(spray or tablet)
– Administer aspirin 300 mg orally.
– Administer oxygen (8-10L per minute delivered via
a mask and reservoir bag) if the patient is
cyanosed or if level of consciousness deteriorates.
– If loss of consciousness start BLS procedures
– When medical assistance arrives tell them what
drugs you have administered
28. Asthma
• Asthma is a chronic inflammatory disease of
the airways with spasm and narrowing leading
to obstruction to air flow.
• Patient administered bronchodilator
medication
29. • If no response to medications or symptoms worsen
(breathing rate slowed, heart rate slowed, cyanosis
developed etc)
– Call for help
– Administer salbutamol (10 activations) through
the large volume spacer device, repeat at 10
minute intervals as necessary
– Give oxygen (8-10 litres per minute delivered via a
mask and reservoir bag).
– The salbutamol should be repeated at 10 minutes
until assistance arrives.
– If the patient becomes unresponsive start BLS
30. Choking and aspiration
• Remove any visible obstruction.
• Encourage patient to cough
• Back-blows / chest thrust
• Hospital referral if the object remains and/or
the symptoms persist.
• Unconscious - CPR and call for help.
31.
32.
33.
34. Epilepsy
• Protect patient
• Do not attempt to restrain them or attempt to
place anything between their teeth.
• Administer oxygen at 8-10 litres per minute
delivered via a mask and reservoir bag per
minute.
• Post-seizure place in the recovery position and
monitor
• If unconscious commence Basic Life Support
• During recovery active supervision and support.
37. Presentation
• Feeling of light headedness or dizziness
• Pallor
• ‘cold sweat’
• slowing of pulse
• low blood pressure
• nausea and vomiting
• loss of consciousness
38. • Management:
– Lay the patient down flat and elevate the legs
– Loosen tight clothing around the neck.
– Administer oxygen (8-10 litres per minute
delivered via a mask and reservoir bag.).
– Reassure patient when they regain consciousness.
– If the patient does not regain consciousness
promptly commence Basic Life Support
procedures (Drs ABCD).
39. Hypoglycaemia
• Blood glucose levels below 3.0mmol/L
• Acute hypoglycaemia may clinically occur in
patients who have diabetes and who fail to
eat after taking insulin.
40. • Presentation:
–Symptoms can be non-specific and include
• Hunger
• Trembling
• Sweating
• slurring of speech
• difficulty concentrating
• agitation and confusion
• Headache with progressive drowsiness
• seizures and unconsciousness
41. • Management:
–Hypoglycaemia in conscious patients can
usually be reversed with rapid acting oral
glucose (eg. glucose powder dissolved in
water, sugar – sucrose) which can be
repeated after 10 minutes.
42. • The oral glucose should be followed by food
high in carbohydrate as the patient recovers.
• The patient should be actively supervised until
fully recovered, they should not drive and
they should be accompanied home.
43. • If the patient is unconscious or uncooperative,
glucagon if available can be given via the IM
route – 1mg for adults and children over 8
years of age of who weigh more than 25kg
44. • 0.5mg for children under 8 years or weighing
less than 25kg.
• If glucose cannot be administered or if the
administration of glucose is ineffective then
Basic Life Support procedures (Drs ABCD)
should commence immediately.
