Day 2: Medical Emergencies 10/18 Flashcards
CERT
Community Emergency Response Team
e.g. 911
FERT
Fixed Emergency Response Team
e.g. Roseman students
MERT
Mobile Emergency Response Team
AED stands for
Automated External Defibrillator
If there is no pulse then do?
CPR (30:2)
Main emergency dentists deal with
syncope-fainting/loss of consciousness.
mainly have to deal with what they hit when they fainted
How to prevent syncope
Tilt them back from supine position slowly-sitting up slowly.
Usu. teenage boys
Trendelenburg position
provide 100% oxygen
consider ammonia inhalants-if they are still unconscious after ammonia then its not just syncope.
Airway issues (3)
airway obstruction
laryngospasm (crowing-larynx slides shut when fluid trying to go down to lungs)
bronchospasm
cricothyrotomy
forceful open airway directly
For layngospam give intravenous?
succinylcholine (Anectine) 20-40 mg incremental doses (use with caution in Malignat Hyperthermia patients)
Mild allergic reaction treatment
Diphenhydramine (Benadryl) 25-50 mg
Severe allergic reaction?
Diphenhydramine (Benadryl) 25-30 mg
Epinephrine 0.3-0.5 mg
Decadron 10-20 mg
Hypotension
anything below 90/60
1 reason people have hyperstension in dental office
fear and anxiety
Hyperventilation treatment?
Breathe into a bag
Hypoglycemia
Give them glucose glue in emergency cart.
Orange juice, maple syrup etc.
Stroke assessment called
FAST
FAST-F and A are?
Facial droop (have pt smile) Arm drift (have pt close eyes and hold both arms out)
S in fast is?
Speech-(Have pt say “you can’t teach an old dog new trick.”)
T in FAST are
Time to get help, activate 911
Office medical emergencies key is
proper preparation
Everytime we go up a A1C we increase by how much on glucose level?
30
e.g. 6—125
7–155
9–212
Drug overdose treatment?
Naloxone (reverses opiod)
