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Medical Emergencies in Dentistry

Medical Emergencies in Dentistry

Definition

Medical Emergencies in Dentistry is a serious unpredictable, unexpected potentially dangerous situation that require immediate action. It can progress to mortality or neurological deficit in a short space of time if not properly managed

Physical Status Classification American Society of Anaesthesiologists

  1. ASA I Normal healthy patient
  2. ASA II A patient with mild to moderate systemic disease
  3. ASA III A patient with severe systemic disease that limits the activity but not incapacitating
  4. ASA IV A patient with severe systemic disease that limit the activity and is a threat to life
  5. ASA V A morbid patient not expected to live long

How to Minimise Medical Emergencies

  1. Evaluation of the medical history
  2. Current and previous medications
  3. Physical examination
  4. Determination of medical risk and anxiety
  5. Dental care plan
  6. Staff training
  7. Emergency kit
  8. Written emergency plan to the clinic

Medical Emergency Management Plan

  • Discontinue treatment and assess consciousness
  • Primary survey
  • A, B, C, D, E
  • Identification and treatment of immediately life threatening conditions

    History of:
  • Allergies
  • Medication
  • Past medical/surgical history
  • Last meal
  • Event surrounding the emergency
  • Resuscitation

Initial Management

  • Airway
  • Breathing
  • Circulation
  • Disability – Alert
  • Verbal(Response to verbal command)
  • Pain(Response to pain)
  • Unresponsive
  • Exposure

    (A,B,C, Don’t Ever Forget Glucose)

Read more in the Attached Lecture

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