Emergencies in dental office

Emergencies in Dental Office

Lithuanian University of Health SciencesGreta Pamparaitė, OF5

Vocabulary

• fasting – pasninkavimas

• dizziness - galvos sukimasis

• angina pectoris – krūtinės angina

• dyspnea - dusulys

• vomiting - vimdymas

• resuscitation - atgaivinimas

• artificial ventilation - dirbtinis kvėpavimas

• collapse – susmukti, griūvimas

Contents• Introduction

• Most common emergencies in dental office

• Symptoms and signs of emergencies

• Management

• Emergency kit

• Conclusion

Preparation to manage medical emergencies

The treatment by the dentist requires:•Preparation•Prevention•Management

The dentists should be skillful in:•Cardio-Pulmonary Resuscitation (CPR)•maintaining airway•immediate diagnosis of the emergency condition

Common emergencies in dental practice

• Syncope/fainting• Chest pain

Angina pectorisMyocardial infarction

• Cardiac arrest

• Anaphylactic shock • Stroke

Syncope(1)

Symptoms and signs:

•fear, anxiety, pain

•weakness

•fasting

•pale skin

•dizziness

•loss of consciousness

•slow pulse rate

Syncope(2)

Management •To lay the patient flat as soon as possible and raise the legs to improve venous return•Loosen any tight clothes

Chest pain(1)

1. Angina pectoris

• pain lasts for only a short duration

2. Myocardial infarction

•pain persists for long duration•is more severe than angina pectoris

Causes:

Chest pain(2)

Symptoms and signs:•severe chest pain in substernal region•dyspnea/breathless•vomiting•weak pulse•loss of consciousness

Chest pain(3)

Management •to relieve pain and anxiety•to call for medical assistance •allow patient to rest in his most comfortable position•loosen tight clothes around the neck.

Call 112 or 03

Cardiac arrest

Symptoms and signs:•fainting or collapse•respiratory arrest

Management:•external cardiac massage•artificial ventilation •immediate cardiopulmonary resuscitation

Cardiopulmonary resuscitation

1 inch = 2.54 centimeters

Anaphylactic shock Symptoms and signs:

•abdominal pain•flushing of face •pallor •rapid & weak pulse

Management :•make the patient lie down flat with legs raised •oxygen administration and medical help

Cerebrovascular accidents (stroke)

Symptoms and signs:•loss of consciousness •weakness of arm and leg on one side•drooping of one side of face

Management •maintenance of airway •hospitalization

Emergency kit in dental office

• Epinephrine• Nitroglycerin• Instant glucose or

sugar packets• Oxygen cylinder with

mask• Laryngoscope • Oral airways

Emergency kit in dental office

• Laryngoscope • Oral airways

Questions

1. Which emergencies are the most common?

2. How to perform CPR?

3. What should you do if your patient is collapsed?

4. What supplies should be in emergency kit?

5. Which number we should dial for emergency assistance?

Thank you for attention