Syncope is a temporary loss of consciousness usually related to insufficient blood flow to the brain. It's also called fainting or "passing out." It most often occurs when blood pressure is too low (hypotension) and the heart doesn't pump enough oxygen to the brain. For more information, you can book an appointment at Dr Sachdeva's Dental Aesthetic And Implant Institute, I 101, Ashok Vihar Phase 1, Delhi- 110052 Contact us at • Phone : +919818894041,01142464041 • Our Websites: • www.sachdevadentalcare.com • www.dentalclinicindelhi.com • www.dentalimplantindia.co.in • www.dentalcoursesdelhi.com • www.facialaestheticsdelhi.com • Google+ link: https://goo.gl/vqAmvr • Facebook link: https://goo.gl/tui98A • Youtube link: https://goo.gl/mk7jfm • Linkedin link: https://goo.gl/PrPgpB • Slideshare link : http://goo.gl/0HY6ep • Twitter Page : https://goo.gl/tohkcI • Instagram page : https://goo.gl/OOGVig

1. SYNCOPE

2. How to deal with SYNCOPE in the dental clinic?
• Medical emergencies that occur in dental offices can
vary from minor to life-threatening.
• All dental team members need to be prepared to take
an active role in handling any emergency.
• Every dental office should have an emergency
management plan in place.

3. • Each staff person should be able to perform basic life
support services competently in order to keep
patients alive until advanced help arrives.
• The most prepared dental offices routinely practice
various scenarios and employ a team approach to
handle any acute emergency.

4. • Syncope (fainting) is the most common emergency
seen in dental offices (50% to 60% of all
emergencies).
• Although it occurs predominately in Adults.

5. • Syncope occurs as a result of a “Fight or Flight”
response and the absence of patient muscular
movement, leading to a transient loss of
consciousness.
• It is most common in young adults, most commonly
between the ages of 16 to 35 years, and in men more
than women.

6. • Pediatric patients rarely develop syncope because
they do not hide their fears and readily react
emotionally and physically during a stressful
situation.
• If a pediatric patient or an adult older than 40 years
exhibits syncope without predisposing factors, they
should be sent for medical consultation.

8. • The basic algorithm should be followed for the
management of all medical emergencies that is
access Airway (A), Breathing (B) and Circulation (C).
• The American Heart Association recently changed the
order of this algorithm to CAB—Circulation, Airway,
and Breathing—for Cardiac arrest cases only.

10. • The original ABC should be followed for basic medical
emergencies.
• All patients should undergo a thorough medical
history review and have their vital signs recorded
before the treatment begins.
• Promptly recognizing an emergency followed by
quick response are imperative to successful
outcomes.

11. • There is this main position that patients can be
placed in when they are experiencing syncope.
• If the patient loses consciousness, he or she should
be placed supine or in the head down/feet up
(Trendelenburg) position.

12. • Low blood pressure in the brain is the cause of almost
all medical emergencies where the patient loses
consciousness.
• Placing the patient in supine position increases blood
pressure in the brain and will help the patient regain
consciousness in most of the cases.

13. • Medical emergency care should be administered by
the dental team members based on their training and
ability.
• However, all dental personnel must be familiar with
the basic emergency kit and common medical
emergencies.
• Keeping up-to-date with continuing education
courses, literature, and basic life support training is
critical for proper preparation.

14.  There are several different types of syncope.
The type depends on the cause of the problem.
• Vasovagal syncope (also called cardio-neurogenic
syncope).
• Vasovagal syncope is the most common type of
syncope. It is caused by a sudden drop in blood
pressure, which causes a drop in blood flow to the
brain.

15. • When you stand up, gravity causes blood to settle
down in the lower part of your body, below the
diaphragm.
• When that happens, the heart and autonomic
nervous system (ANS) works to keep the blood
pressure stable.

16. Typical triggers include:
• Prolonged standing
• Emotional stress
• Pain
• The sight of blood
• Time varying magnetic field

17. • Some patients with vasovagal syncope have a
condition called Orthostatic hypotension.
• This condition keeps the blood vessels from getting
smaller (as they should) when the patient stands.
• This causes blood to collect in the legs and leads to a
quick drop in blood pressure.

19. • When a patient experiences syncope, he or she
should be placed in a head down/feet upside position
and the ABCs must be assessed.
• Most patients with syncope have a patent airway,
have breathing, demonstrate an adequate pulse, and
respond to positional changes within 30-60 seconds.

20. • If the patient does not respond in this time frame, he
or she did not simply faint and the dental team must
consider a complete differential diagnosis for loss of
consciousness.
• Although many possible explanations exist, the more
common reasons include low glucose levels, stroke,
or cardiac arrest.

21. • The initial management of the emergency situation is
the same.
• The dentist should access the condition, call for help
and use the emergency kit, and place the patient in a
head down/feet up position.
• The patient's airway should be opened with a head-
tilt/ chin lift and breathing assessed.

22. • If the patient is breathing, the next step is to check
circulation and record the patient's vital signs.
• Do the patient have a palpable pulse at the carotid
artery?
• What is the patient's pulse rate and blood pressure?
• If he or she does not respond within 1 minute, the
clinician probably may rule out vasovagal syncope.

23. SITUATIONAL SYNCOPE
Situational syncope is a type of vasovagal syncope. It
happens only during certain situations that affect the
nervous system and leads to syncope.
 Some of these situations are:
• Dehydration
• Intense emotional stress
• Anxiety
• Fear
• Pain

24. • Hunger
• Use of alcohol or drugs
• Hyperventilation (breathing in too much oxygen and
getting rid of too much carbon dioxide too quickly)
• Coughing forcefully, turning the neck, or wearing a
tight collar (carotid sinus hypersensitivity)
• Urinating (micturition syncope)

25. POSTURAL SYNCOPE(also called postural
hypotension)
• Postural syncope is caused by a sudden drop in blood
pressure due to a quick change in position, such as
from lying down to standing.
• Certain medications and dehydration can lead to this
condition.

26. • Patients with this type of syncope usually have
changes in their blood pressure that cause it to drop
by at least 20 mmHg (systolic/top number) and at
least 10 mmHg (diastolic/bottom number) when they
stand.
• Cardiac syncope is caused by a heart or blood vessel
condition that affects the blood flow to the brain.

27. • These conditions includes an Abnormal heart rhythm
(arrhythmia), Obstructed blood flow in the heart due
to structural heart disease (the way the heart is
formed), Blockage in the cardiac blood vessels
(myocardial ischemia), Valve disease, Aortic stenosis,
Blood clot, or Heart failure.
• If you have Cardiac syncope, it is important to see a
Cardiologist for proper treatment.

28. NEUROLOGIC SYNCOPE
• Neurologic syncope is caused by a neurological
condition such as seizure, stroke or Transient
Ischemic Attack (TIA).
• Other less common conditions that lead to neurologic
syncope include migraines and normal pressure
hydrocephalus.

29. POSTURAL ORTHOSTATIC TACHYCARDIA
SYNDROME (POTS)
• Postural-Orthostatic Tachycardia Syndrome is caused
by a very fast heart rate (tachycardia) that happens
when a person stands after sitting or lying down.
• The heart rate can speed up by 30 beats per minute
or more.
• The increase usually happens within 10 minutes of
standing. The condition is most common in women
but it can also occur in men.

30. Unknown Causes of Syncope
• The cause of syncope is unknown in about one-third
of patients. However, an increased risk of syncope is
from the side effects of some medications.
• Equipments that should be part of medical
emergency
 Portable, full and functional oxygen cylinder tank.
 Oxygen delivery devices (nasal cannula, face mask
etc).
 Stethoscope and sphygmomanometer to check blood
pressure.
 Glucometer, Flashlight.

33. To book an appointment contact :
• Dr.Rajat Sachdeva
• Director & Mentor
• Dr Sachdeva’s Dental Aesthetic And Implant Institute
• I 101, Ashok Vihar Phase 1, Delhi- 110052
• Contact us at
• Phone : +919818894041,01142464041

34. • Our Websites:
• www.sachdevadentalcare.com
• www.dentalimplantindia.co.in
• www.dentalclinicindelhi.com
• www.dentalcoursesdelhi.com
• Google+ link: https://goo.gl/vqAmvr
• Facebook link: https://goo.gl/tui98A
• YouTube link: https://goo.gl/mk7jfm
• LinkedIn link: https://goo.gl/PrPgpB
• Slide share link : http://goo.gl/0HY6ep
• Twitter Page : https://goo.gl/tohkcI
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