Emergencies in dental office
-
Upload
greta-pamparaite -
Category
Health & Medicine
-
view
257 -
download
1
Transcript of Emergencies in dental office
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
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
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?