Podcast
Questions and Answers
In managing a choking patient with a mild airway obstruction, what is the MOST appropriate initial step?
In managing a choking patient with a mild airway obstruction, what is the MOST appropriate initial step?
- Encourage the patient to cough effectively. (correct)
- Administer back blows.
- Perform abdominal thrusts immediately.
- Immediately call emergency services.
Which of the following is LEAST likely to be a sign of choking?
Which of the following is LEAST likely to be a sign of choking?
- Struggling to breathe
- Forceful coughing
- Cyanosis
- Patient is able to speak clearly (correct)
What is a key preventative measure to minimize choking incidents in the dental office?
What is a key preventative measure to minimize choking incidents in the dental office?
- Using a rubber dam during procedures. (correct)
- Having patients rinse with chlorhexidine before the dental procedure.
- Avoiding the use of small dental instruments.
- Ensuring patients do not eat before appointments.
For an adult experiencing anaphylaxis, what is the recommended initial intramuscular dose of adrenaline (1:1000)?
For an adult experiencing anaphylaxis, what is the recommended initial intramuscular dose of adrenaline (1:1000)?
A patient in the dental chair develops sudden respiratory distress, urticaria, and angioedema. After calling for help, what is the next MOST important step?
A patient in the dental chair develops sudden respiratory distress, urticaria, and angioedema. After calling for help, what is the next MOST important step?
Why is it essential to lay an anaphylactic patient flat and elevate their legs?
Why is it essential to lay an anaphylactic patient flat and elevate their legs?
A patient with asthma starts wheezing and struggling to breathe. They use their inhaler, but their condition worsens. What is the next MOST appropriate step?
A patient with asthma starts wheezing and struggling to breathe. They use their inhaler, but their condition worsens. What is the next MOST appropriate step?
During an asthma attack in the dental office, what is the recommended oxygen flow rate?
During an asthma attack in the dental office, what is the recommended oxygen flow rate?
An asthmatic patient is having difficulty breathing, and their pulse oximetry reading is low. Despite using their inhaler multiple times, their condition is deteriorating. What should be considered?
An asthmatic patient is having difficulty breathing, and their pulse oximetry reading is low. Despite using their inhaler multiple times, their condition is deteriorating. What should be considered?
A patient in the waiting room begins to experience a seizure characterized by jerking movements and loss of consciousness. What is the FIRST action the dental team should take?
A patient in the waiting room begins to experience a seizure characterized by jerking movements and loss of consciousness. What is the FIRST action the dental team should take?
A patient has been having a seizure for longer than 5 minutes. What is the next MOST appropriate step?
A patient has been having a seizure for longer than 5 minutes. What is the next MOST appropriate step?
After a seizure, a patient is confused and drowsy. What should the dental team do to ensure their safety?
After a seizure, a patient is confused and drowsy. What should the dental team do to ensure their safety?
A patient suddenly becomes pale, diaphoretic, and reports feeling lightheaded in the dental chair. What is the MOST likely cause?
A patient suddenly becomes pale, diaphoretic, and reports feeling lightheaded in the dental chair. What is the MOST likely cause?
What is the recommended position for a patient experiencing syncope in the dental chair?
What is the recommended position for a patient experiencing syncope in the dental chair?
After a syncopal episode, a patient recovers consciousness but appears confused and reports feeling nauseous. What should the dental team consider?
After a syncopal episode, a patient recovers consciousness but appears confused and reports feeling nauseous. What should the dental team consider?
During a dental procedure, a patient suddenly develops facial drooping, slurred speech, and arm weakness. What condition is MOST likely occurring?
During a dental procedure, a patient suddenly develops facial drooping, slurred speech, and arm weakness. What condition is MOST likely occurring?
What is the MOST crucial immediate action when a patient is suspected to be having a stroke?
What is the MOST crucial immediate action when a patient is suspected to be having a stroke?
While awaiting emergency services for a patient experiencing a stroke, what should the dental team avoid?
While awaiting emergency services for a patient experiencing a stroke, what should the dental team avoid?
A diabetic patient becomes pale, sweaty, and confused during a dental appointment. What condition should you suspect?
A diabetic patient becomes pale, sweaty, and confused during a dental appointment. What condition should you suspect?
What is the FIRST step in managing a conscious hypoglycemic patient in the dental office?
What is the FIRST step in managing a conscious hypoglycemic patient in the dental office?
A patient becomes unconscious and is known to be hypoglycemic. What is the MOST appropriate course of action?
A patient becomes unconscious and is known to be hypoglycemic. What is the MOST appropriate course of action?
A patient with a history of adrenal insufficiency is scheduled for a dental extraction. What modification to their treatment plan might be necessary?
A patient with a history of adrenal insufficiency is scheduled for a dental extraction. What modification to their treatment plan might be necessary?
A patient is showing signs of adrenal crisis. After calling emergency services, what is the MOST critical immediate action the dental team should take?
A patient is showing signs of adrenal crisis. After calling emergency services, what is the MOST critical immediate action the dental team should take?
If a patient in the dental office experiences an adrenal crisis, what is the recommended oxygen flow rate?
If a patient in the dental office experiences an adrenal crisis, what is the recommended oxygen flow rate?
Which of the following signs is MOST indicative of sepsis?
Which of the following signs is MOST indicative of sepsis?
In the management of suspected sepsis in the dental office, what is the PRIORITY action, after initial assessment?
In the management of suspected sepsis in the dental office, what is the PRIORITY action, after initial assessment?
When managing suspected red flag sepsis, it is important to pre-alert the hospital. Which of the following would you include in your handover?
When managing suspected red flag sepsis, it is important to pre-alert the hospital. Which of the following would you include in your handover?
A patient with known angina begins to experience chest pain during a dental procedure. What is the FIRST step in managing this situation?
A patient with known angina begins to experience chest pain during a dental procedure. What is the FIRST step in managing this situation?
A patient is given GTN spray for angina, but the chest pain does not subside after a few minutes. What is the next MOST appropriate action?
A patient is given GTN spray for angina, but the chest pain does not subside after a few minutes. What is the next MOST appropriate action?
During dental treatment, a patient suddenly collapses and loses consciousness. What is the MOST likely cause?
During dental treatment, a patient suddenly collapses and loses consciousness. What is the MOST likely cause?
A patient in cardiac arrest loses consciousness and stops breathing. After calling emergency services, what is the next MOST appropriate action?
A patient in cardiac arrest loses consciousness and stops breathing. After calling emergency services, what is the next MOST appropriate action?
What is the recommended method for a dental practice team to stay prepared for medical emergencies?
What is the recommended method for a dental practice team to stay prepared for medical emergencies?
As a dental professional, what ongoing responsibility do you have regarding medical emergencies?
As a dental professional, what ongoing responsibility do you have regarding medical emergencies?
What is the significance of familiarizing yourself with the emergency drug kit in your dental practice?
What is the significance of familiarizing yourself with the emergency drug kit in your dental practice?
What is included in the key features of dealing with all medical emergencies?
What is included in the key features of dealing with all medical emergencies?
What medication is not included in the emergency drug kit?
What medication is not included in the emergency drug kit?
A patient in the dental chair suddenly experiences difficulty breathing, begins coughing forcefully, and is grasping at their throat. What is the MOST appropriate initial assessment?
A patient in the dental chair suddenly experiences difficulty breathing, begins coughing forcefully, and is grasping at their throat. What is the MOST appropriate initial assessment?
During dental treatment, a patient with a known allergy suddenly develops a rash, difficulty breathing and angioedema. After calling for help and administering adrenaline intramuscularly, what is the next MOST important step in managing this patient?
During dental treatment, a patient with a known allergy suddenly develops a rash, difficulty breathing and angioedema. After calling for help and administering adrenaline intramuscularly, what is the next MOST important step in managing this patient?
A known asthmatic patient in the dental chair begins to wheeze and struggle to breathe. They have used their inhaler with minimal relief. What is the MOST appropriate next step?
A known asthmatic patient in the dental chair begins to wheeze and struggle to breathe. They have used their inhaler with minimal relief. What is the MOST appropriate next step?
A patient with a history of epilepsy experiences a seizure in the dental chair characterized by tonic-clonic movements lasting 3 minutes. What is the MOST important aspect of managing the patient DURING the seizure?
A patient with a history of epilepsy experiences a seizure in the dental chair characterized by tonic-clonic movements lasting 3 minutes. What is the MOST important aspect of managing the patient DURING the seizure?
A patient who reports feeling anxious becomes pale, diaphoretic, and reports feeling lightheaded shortly after local anesthetic administration. You suspect syncope. After placing the patient in a supine position, what is the next MOST appropriate step?
A patient who reports feeling anxious becomes pale, diaphoretic, and reports feeling lightheaded shortly after local anesthetic administration. You suspect syncope. After placing the patient in a supine position, what is the next MOST appropriate step?
Flashcards
What is GTN used for?
What is GTN used for?
GTN is a medication used for Angina.
Key actions for medical emergencies?
Key actions for medical emergencies?
Key actions: Keep calm, reassure, lead/support, monitor/record.
Signs of choking?
Signs of choking?
Coughing, struggling to breathe, grasping throat, cyanosis.
Anaphylaxis triggers?
Anaphylaxis triggers?
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Signs of anaphylaxis?
Signs of anaphylaxis?
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Symptoms of Cardiac Arrest?
Symptoms of Cardiac Arrest?
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Asthma management?
Asthma management?
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When to use Midazolam oromucosal?
When to use Midazolam oromucosal?
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How to administer a salbutamol inhaler?
How to administer a salbutamol inhaler?
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Signs of a Seizure/Epilepsy?
Signs of a Seizure/Epilepsy?
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Epilepsy management?
Epilepsy management?
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Things NOT to do during a seizure?
Things NOT to do during a seizure?
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Fainting: Signs?
Fainting: Signs?
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Fainting management?
Fainting management?
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Stroke signs?
Stroke signs?
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Stroke management?
Stroke management?
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Hypoglycaemia signs?
Hypoglycaemia signs?
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Hypoglycaemia management?
Hypoglycaemia management?
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Adrenal crisis signs?
Adrenal crisis signs?
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Adrenal crisis management?
Adrenal crisis management?
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Sepsis triggers?
Sepsis triggers?
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Sepsis signs?
Sepsis signs?
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Sepsis management?
Sepsis management?
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Signs and Symptoms of Myocardial Infarction (MI)?
Signs and Symptoms of Myocardial Infarction (MI)?
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What is cardiac arrest caused by?
What is cardiac arrest caused by?
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What should you do in the even of cardiac arrest?
What should you do in the even of cardiac arrest?
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Study Notes
- Most common medical emergencies in the dental setting: Part 4
Emergency Drugs Kit - Know When Know Dosages
- The emergency drugs kit includes GTN, Adrenaline, Midazolam, Oxygen, Aspirin, Glucagon, Glucose, and Salbutamol
Key features of dealing with all medical emergencies
- Keep calm
- Provide reassurance
- Lead and/or support
- Monitor and record
Choking / Foreign Body Airway Obstruction (FBAO)
- Signs of choking include coughing, struggling to breathe, grasping for throat, and cyanosis
- A patient experiencing choking or foreign body airway obstruction is unlikely to be able to explain what is happening
- Triggers for choking include eating/drinking, tablets, neurological or cerebral impairment, reduced ability to swallow (such as with cancer treatment or Parkinson's), and eating lunch
- To manage choking, assess severity, including mild airway obstruction (effective cough) versus severe airway obstruction (ineffective cough)
- Prevention includes risk assessment, taking a history, and using a rubber dam
- https://www.nature.com/articles/s41407-019-0150-2#citeas
Anaphylaxis
- Signs include sudden onset, angioedema (swelling), flushing, urticaria (rash), respiratory distress, stridor/wheezing, hypotension, and tachycardia
- Symptoms include itchiness, difficulty breathing, and feeling of tongue or face swelling up
- Triggers include known allergies (food, drugs, latex) and unknown allergens
- Management includes ABCDE, removing the trigger, calling SBAR, lying the patient flat/elevating legs, giving O2 at 15L/min, and administering an intramuscular injection (500mg/ 0.5ml Adults)
- Repeat intramuscular injection after 5 minutes until an adequate response is achieved
- Risk assessment, taking a history, preparation, and communication with the team are examples of preventative measures
- https://www.nature.com/articles/s41415-020-1789-y
Asthma
- Signs of asthma include difficulty breathing, expiratory wheezing, breathlessness, fast pulse, RR > 25/min, and pulse >110/min
- Life-threatening signs include cyanosis, exhaustion, altered level of consciousness, RR<8/min, and pulse <50/min
- Symptoms may include stating, "cannot breathe" and looking for inhaler
- Triggers of asthma include allergy, fear, stress, extreme weather, and pollutants
- Management includes ABCDE, assessing if situation is life-threatening, sitting upright, and supporting 2 puffs of Salbutamol, continue to maximum of 10 puffs over 2 mins
- Provide O2 15L/min and if no improvement call 999 SBAR
- Keep taking prescribed inhaler every 2 minutes until help arrives
- Prevention constitutes risk assessment, taking a history, preparation, and communicating with the team
- https://www.nature.com/articles/s41415-020-1789-y
- https://www.nature.com/articles/bdjteam20188#citeas
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