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Cardiac arrest occurs when the heart ceases to pump
blood. The victim – unconscious, not breathing, and with no blood pressure – will die
unless effective resuscitative efforts are commenced immediately. This program discusses the recognition
and management of cardiac arrest emphasizing the importance of basic life support
(CPR) and defibrillation (AED) in improving the chances for
a successful outcome.
More than 360,000 deaths from sudden cardiac arrest occur in the United
States annually – approximately 1,000 every day. The causes of cardiac arrest,
in both adult and pediatric patients, are reviewed along with the presenting
premonitory signs & symptoms that lead to sudden cardiac arrest.
Management of cardiac arrest – the successful resuscitation of the victim
without brain damage – is predicated on circulating blood containing oxygen to
the heart and brain and delivering an electric shock (defibrillation) as soon as
possible after collapse. The use of an AED and its mechanism of action is
Updated for 2018Systemic adverse drug reactions (ADRs) may occur any
time a drug is administered to a patient. This program describes allergy,
overdose and idiosyncrasy, and goes on to discuss the problem of local
anesthetic overdose and overdose of sedative drugs, their prevention,
recognition and management.
The administration and prescription of drugs is essential in the contemporary
practice of dentistry. Antibiotics, Analgesics, Local Anesthetics, and Sedatives
are the most common drug categories used in dentistry. Adverse drug reactions
can always occur when drugs are administered. Allergy, overdose and idiosyncrasy
are the three systemic adverse drug reactions. They are defined and contrasted,
followed by an in-depth discussion of overdose of local anesthetics and
Updated for 2018
This program discusses acute coronary syndrome – angina pectoris and myocardial
infarction – conditions that initially manifest themselves as ‘chest pain.’ The prevention,
recognition and management of angina pectoris and myocardial infarction
are reviewed in-depth.
Cardiovascular disease is the leading cause of death in the United States.
Acute coronary syndrome includes angina pectoris and acute myocardial
infarction. Each of these will be described in detail and the prevention,
recognition and management of each reviewed. The ‘Silent MI,’ most commonly seen
in women, elderly and diabetics will be discussed.
Updated for 2018Bronchospasm and hyperventilation are not uncommon
emergencies in the dental office. Additionally foreign body airway obstruction
has occurred with patients aspirating and choking small dental devices. This
program reviews the prevention, recognition and management of some common causes
of respiratory distress.
A conscious patient complaining of difficulty breathing forms the basis of
this section on respiratory distress. The discussion includes four common causes
of respiratory distress: bronchospasm (asthma); hyperventilation; heart failure
& acute pulmonary edema; and foreign body airway obstruction (FBAO).
Prevention, recognition and management of each problem is discussed in
Updated for 2018Most allergic reactions are relatively mild and
non-life-threatening, however some are acutely life-threatening – anaphylaxis.
This program reviews the prevention, recognition and management of allergic
reactions in the dental office environment.
Allergy, overdose and idiosyncrasy are the three systemic adverse drug
reactions. They are defined and contrasted, followed by an in-depth discussion
of allergy. The mechanism behind the allergic reaction is reviewed followed by a
review of the more commonly observed non-life threatening allergic reaction as
well as the life-threatening allergy – anaphylaxis.
Updated for 2018 Syncope, hypoglycemia and seizures are not uncommon
emergencies in the dental office. This program reviews the prevention,
recognition and management of these common causes of altered consciousness
Updated for 2018 Preparation of the office and
staff for medical emergencies that will inevitably occur is discussed
in this course. Basic life support; an in-office emergency
response team; activating emergency medical services; and emergency drugs &
equipment are reviewed.
Not all medical emergency situations can be prevented. In this section we
discuss the preparation of the dental office & staff to (1) prevent, (2)
recognize and (3) efficiently manage those medical emergencies that might arise.
The importance of basic life support; development of an in-office emergency
response team; (3) activation of emergency medical services; and (4) a basic
emergency drug kit & equipment will be discussed.
Updated for 2018
This program reviews the basic management
protocol for all medical emergencies occurring in the dental
office environment –P-C-A-B-D (Positioning – Circulation – Airway – Breathing
– Definitive Care).
In this section the basic management of all medical emergencies is
introduced. The algorithm is P-C-A-B-D – Positioning – Circulation – Airway –
Breathing – Definitive Care. Each of these steps is described for (1) the
conscious patient and (2) the unconscious patient.
Updated for 2018This course 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.
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.