Updated for 2018
describes the most common medical emergencies occurring in the dental
environment and describes the steps necessary to prevent their occurrence: the
medical history questionnaire, monitoring of vital signs; dialogue history, and
the stress reduction protocol. A physical evaluation system is introduced.
- List the most common medical emergencies occurring in the dental
- List the 5 components of physical evaluation of dental patients
- List the 4 vital signs
- Describe the A.S.A. physical status classification system
- Provide examples of ASA 1, 2, 3, and 4 medical problems
- List the 8 components of the Stress Reduction Protocol
- Define the goal of physical evaluation
Medical emergencies can, and do, happen in the dental environment.
Approximately 75% of these can be prevented through physical evaluation of the
prospective dental patient, using a systematic review of the patient’s medical
history and recording of vital signs. Assigning an ASA Physical Status can help
to distinguish those patients who represent greater-than-usual risk during the
planned dental treatment. The Stress-Reduction Protocol can then be utilized to
minimize this risk.
- Medical emergencies in dentistry
- What happens?
- When do they happen?
- Can they be prevented?
- Prevention of medical emergencies
- Medical History Questionnaire
- Dialogue History
- Physical evaluation
- Vital signs
- Blood pressure
- Heart rate & rhythm
- Respiratory rate
- Weight & BMI
- Body temperature
- Risk Status Classification
- American Society of Anesthesiologists Physical Status
- Classification System
- Stress-reduction protocols