Medical emergencies

Question 1

How many hours of medical emergency CPD do you need as a dentists?

Answer 1

10 hours every 5 years

Question 2

Who would you not give oxygen to?

Answer 2

100% oxygen don’t give to stroke pts

Question 3

Pulse oximeter?

Answer 3

Measure oxygen saturation

Question 4

Hypoxia?

Answer 4

Less than 94% blood oxygen saturation

Question 5

ABCDE?

Answer 5

Airways

Breathing

Circulation

Disability

Exposure

Question 6

2 most common reasons pts collapse?

Answer 6

Hypoxia

Hypertension?

Question 7

MDEWS?

Answer 7

Modified dental early warning score

Question 8

MDEWS score 1?

Answer 8

Question 9

MDEWS score 1-4

Answer 9

Question 10

MDEWS score 5, 6 or score of 3 in any single 1?

Answer 10

Question 11

SBARD?

Answer 11

Situation, Background, Assessment, Recommendation, Decision

Question 12

MDEWS over or equal to 7?

Answer 12

Question 13

2 eyes 2 fingers 2minutes?

Answer 13

Look and Fingers on pulse and assess

Can see what help is needed

Question 14

ACVPU

Answer 14

Alert

Acutely confused

Only response to verbal

Only respond to pain

Unresponsive

Question 15

Strider vs wheeze?

Answer 15

Strider expiratory = upper respiratory

Wheeze inspirations - lower respiratory = wheeze

Question 16

Vital signs to check?

Answer 16

Respiratory rate, PpO2, pulse, BP, ACPVU, blood-glucose, temp

Question 17

What do you need to do when using an oxygen mask?

Answer 17

Pulse oximeter

Question 18

What drugs for acute coronary syndrome in the box?

Answer 18

Nitrates and aspirin

Question 19

Blood glucose level to give sugar?

Answer 19

Less than 4

Question 20

What person to you lay on left side your side?

Answer 20

Left side pregnant

Question 21

Tachyapneoa?

Answer 21

Increased breathing rate

Question 22

Asthma attack - what to do ?

Answer 22

2 puffs salbutamol into spacing device

Breath normally for 1 min

Then on oxygen

N improvement?

2 more puffs… more oxygen

5 cycles (10 puffs)

If still not better ambulance

Question 23

Symptoms of hypervelation?

Answer 23

Question 24

Why put feet in air?

Answer 24

Increase preload

Blood flow back to heart

Question 25

What has the same signs and symptoms of vaso-vagal?

Answer 25

Atrial fibrillation

Question 26

How to differentiate vaso-vagal and AF?

Answer 26

AF = irregular pulse Vaso-vagal = very slow pulse

Question 27

Medications in the box for angina and acute mi?

Answer 27

Question 28

Side effects of GTN

Answer 28

Sit them down - GTN will drop headache Flushing feeling as the blood vessels vasodilate Big headache Tastes bad

Question 29

Dose of aspirin for angina or acute mi?

Answer 29

300mg Place in water or chew for 5 mins

Question 30

When to not give aspirin?

Answer 30

Allergy Or on warfarin

Question 31

What do you want to know about an angina pt?

Answer 31

The pt oral rest and recovery If longer the pt could be moving from stale to unstable or even MI

Question 32

How to relive angina?

Answer 32

2 puffs of GTN or after resting for 5-10 mins

Question 33

Symptoms of anaphylaxis?

Answer 33

Question 34

Medications in the box for anaphylaxis?

Answer 34

Question 35

How to inject adrenaline for anaphylaxis?

Answer 35

Inject 1 ml for 5 seconds Adrenaline in bag has more than the epi pen

Question 36

Symptoms of hypoglycaemia?

Answer 36

Question 37

Medications in box for hypoglycaemia?

Answer 37

If blood glucose below 4 = give more 4 jelly babies or 7 dextrose tablets If unconscious give glucagon injection. Give in arm

Question 38

If pt as CGM what arm do you give glucagon?

Answer 38

Opposite arm

Question 39

Symptoms of hyperglycaemia?

Answer 39

Question 40

When is it classed hyperglycaemia?

Answer 40

Over 12mmol-1

Question 41

Equipment in box for hyperglycaemia?

Answer 41

Question 42

Adrenal insufficiency?

Answer 42

Addisons crisis

Question 43

What in the pt history would indicate adrenal insufficiency?

Answer 43

Long term use of steroids

Question 44

Symptoms of adrenal insufficiency?

Answer 44

Cold /clammy Extreme fatigue. Weight loss and loss of appetite. Areas of darkened skin. Low blood pressure, even fainting. Salt craving. Low blood sugar, also called hypoglycemia. Nausea, diarrhea or vomiting. Abdominal pain.

Question 45

Symptoms of seizures?

Answer 45

Question 46

Medications in box for seizures?

Answer 46

Question 47

Acronym for stroke symptoms?

Answer 47

FAST F: puff out cheeks A: lift up arms/ legs S: speech repeating, nonsensical …

Question 48

Why not give stroke pt aspirin at scene?

Answer 48

Pt can be thrombolysis of haemorrhagic

Question 49

What to do if pt is having a stroke?

Answer 49

Make area safe and call ambulance

Question 50

When to give medazola for seizure?

Answer 50

Under 18

Question 51

Aftercare for seizure pt?

Answer 51

999/112 GP surgery Home alone or with family/friend Accurate record keeping