Basic Guide to Medical Emergencies in the Dental Practice
by Philip Jevon-
Paperback
$46.60
The Basic Guide to Medical Emergencies in the Dental Practice is a must have book for all dental care professionals.
Written in a clear and accessible style, chapters cover such key topics as patient assessment, adult resuscitation, respiratory and cardiac disorders, paediatric emergencies, emergency equipment, and law and ethics.
Illustrated in full colour throughout
Follows Resuscitation Council (UK) guidelines
Accessible, full colour guide
Handy format for easy reference and portability
Evidence-based
Table of Contents
Foreword Karen Elley ix
Acknowledgements x
1 Medical emergencies and resuscitation in the dental practice: an overview 1
Introduction 1
Concept of the chain of survival 2
Incidence of medical emergencies in dental practice 3
General Dental Council guidelines on medical emergencies 5
Resuscitation Council (UK) statement 5
ABCDE assessment of the sick patient 7
Medical risk assessment in general dental practice 8
Principles of safer handling during cardiopulmonary resuscitation 10
Procedure for calling 999 for an ambulance 11
Conclusion 13
References 13
2 Resuscitation equipment in the dental practice 15
Introduction 15
Recommended minimum resuscitation equipment in the dental practice 16
Checking resuscitation equipment and drugs 20
Checking resuscitation equipment following use 22
Conclusion 23
References 23
3 Recognition of the sick patient: the ABCDE approach 24
Introduction 24
Clinical signs of acute illness 24
The ABCDE approach 25
General principles of the ABCDE approach 26
The ABCDE approach to the sick patient 27
Principles of pulse oximetry 32
Procedure for administering oxygen to the acutely ill patient 37
Procedure for recording blood pressure 40
Conclusion 44
References 44
4 Respiratory disorders 46
Introduction 46
Management of acute asthma attack 47
Management of hyperventilation 53
Management of exacerbation of chronic obstructive pulmonary disease 54
Procedure for using an inhaler 55
Procedure for using a spacer device 59
Conclusion 62
References 62
5 Cardiac disorders 64
Introduction 64
Management of angina 64
Management of myocardial infarction 66
Management of palpitations 70
Management of syncope 72
Conclusion 74
References 74
6 Neurological disorders 76
Introduction 76
Management of a generalised tonic-clonic seizure 76
Management of stroke 81
Management of altered level of consciousness 84
Procedure for placing a patient in the recovery position 85
Spinal injury 90
Conclusion 90
References 90
7 Endocrine disorders 92
Introduction 92
Management of hypoglycaemia 92
Procedure for blood glucose measurement using a glucometer 98
Management of adrenal insufficiency 99
Conclusion 101
References 101
8 Anaphylaxis 103
Introduction 103
Definition 104
Incidence 104
Pathophysiology 105
Causes 105
Clinical features and diagnosis 105
Treatment 107
Conclusion 111
References 112
9 Cardiopulmonary resuscitation in the dental practice 114
Introduction 114
Resuscitation Council (UK) automated external defibrillation algorithm 115
Procedure for cardiopulmonary resuscitation in the dental chair 115
Procedure for performing chest compressions 123
Conclusion 126
References 126
10 Airway management and ventilation 128
Introduction 128
Causes of airway obstruction 129
Recognition of airway obstruction 129
Simple techniques to open and clear the airway 130
Use of oropharyngeal airway 133
Principles of ventilation 136
Treatment of foreign body airway obstruction 145
Conclusion 148
References 148
11 Automated external defibrillation 150
Introduction 150
Ventricular fibrillation 151
Physiology of defibrillation 151
Factors affecting successful defibrillation 152
Safety issues and defibrillation 153
Procedure for automated external defibrillation 153
Conclusion 156
References 156
12 Paediatric emergencies 158
Introduction 158
ABCDE assessment of a sick child 159
Principles of paediatric resuscitation 161
Placing a child into the recovery position 168
Management of foreign body airway obstruction 169
Conclusion 172
References 172
13 Professional and legal issues 174
Introduction 174
The scope of a dental professional's accountability 175
Legal requirements for consent and acting in a patient's best interests 186
Duty of confidence owed to patients by dental professionals 194
Conclusion 200
References 201
Index 203