This document outlines guidelines for preventing medical emergencies in dental practice. It recommends completing a new or updating an existing medical history questionnaire for all patients and categorizing them according to the American Society of Anesthesiologists Physical Status classification system. It also stresses the importance of assessing patients for anxiety, understanding their concerns, performing thorough examinations, and having emergency drugs and equipment available to treat any issues and transfer patients to the hospital if needed. Treatment should be planned and modified according to the patient's physical status and risk of an emergency. The overall goal is to recognize and reduce risks to ensure patient safety.
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USE OF THIS TEMPLATE FOR EACH AND EVERY PATIENT CARE WILL HELP US IN GIVING OUR PATIENTS THE BEST DENTAL CARE POSSIBLE. THIS IS MADE IN A CONCISE FORMAT AND THEREFORE TOPICS LIKE MEDICAL HISTORY MUST BE ELABORATED.
Dental CBCT Evidence Based Guideline 2012 European Commission
Medical Emergency Prevention Flow Chart
1. Medical Emergency Prevention in Dental Practice
New Patient Previously Registered Patient
☟ ☟
Complete Medical History Update Medical History Written / Verbal
Questionnaire, Dated and Signed (any changes, drugs etc.)
☟ ☟
Re-enforce Medical History Verbally
Re-categorize as per ASA PS
and update accordingly (sign)
☟ ☟
Note BP, Pulse, Respiratory Rate
Drug Interactions Treatment Modification as per the need
Look for any other sign of systemic Disease
ASA PS Classification System
☟ PS 1: Normal Healthy Patient (-60)
PS 2: Mild Systemic Disease (Anxiety,
Categorize as per ASA PS fear, +60)
PS 3: Severe Systemic Disease that
☟ limits activity but not incapacitating
PS 4: Incapacitating Systemic Disease
that is constant threat to life
Anxiety Assessment PS 5: Not expected to survive 24 hours
☟ Treatment modification for PS 2 and 3
Stress Reduction Protocol
Trained / Updated / Alert Operator and
Get to know the patient
Staff for any common Medical
Understand his/her concerns
Emergencies
Listen and show empathy
Drugs and Equipment and Transfer to
Thorough Extra-oral / Intra-oral Examination
Hospital if needed
☟
Diagnosis and Treatment Planning in Phases (Emergency, Stabilization, Maintenance and Definitive)
with modifications as per the need
Courtesy: Dr Neil Pande