Emerg In The Dental Office Flashcards
Training required for emergency procedure
CPR (cardiopulmonary resuscitation),
ACLS (advance cardiac life support)
Automated external. Defibrillator (AED)
Action plan
Recognize, diagnose, call 911, time, position, airway, O2 (if needed), vitals, provide symptomatic tx, CPR if there is no pulse
WAO anaphylaxis guidelines then? Now?
ABC (airway breathing, chest compression)
CAB (chest, airway, breathing)
CAB guidelines:
Rate and depth of compressions
Ratio of compression to breathing
100-120/ min, 5-6 cm deep
30:2
What are the different categories of emergencies
Loss or altered consciousness, CV emerg, Resp, drug related
What are the different types of lost or altered consciousness
Syncope, hypoglycemia, diabetic coma, convulsion or seizure
Cardiovascular emergencies are
Angina pectoris, acute MI, cardiac arrest, OTHER CVA (cerebrovascular accident, stroke
Resp emergencies
Hyperventilation, asthma, acute airway obstruction or aspiration, anaphylaxis
Drug related emerg
Opioid OD, LA, epi
The best position of those experiencing syncope
Trendelenburg positon
Those with opioid OD should be given
CPR and naloxone, 4mg nasal, 2mg injection
Emergency kits should contain
Epi (ampule 1mL(1mg/mL), H1-antihistamine, inhaler, glucose, nitro, o2
The reduction of upper airway edema and shock is cause by the effect of
Alpha 1 vasoconstriction of epi
Failure to inject epi will
Increase the risk of biphasic reaction and risk of near fatal anaphylaxis and death
Epi must be given in
Promptly and in the optimal dose
