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Emergency Medicine Part 2: Preparation
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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.

Learning Objectives:
  1. Define the legal obligation of a doctor to the victim of a medical emergency
  2. List the 4 components of preparation of the office for medical emergencies
  3. Describe the victim who is "clinically dead."
  4. Describe the difference between "clinical" and "biological" death
  5. List and describe the steps in the AHA 2010 cardiac arrest algorithm
  6. List and describe the steps in the algorithm for all medical emergencies
  7. Explain why survival rates from sudden cardiac arrest are significantly lower in young children than in adults
  8. Describe the functions of each member of the In-Office Emergency Team
  9. List the 7 drugs in the bare-bones-basic emergency drug kit

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.

  1. Introduction
    1. Legal obligation of doctor in medical emergency
    2. Preparation of office & staff
      1. Basic life support
      2. Preparation of office staff
      3. Emergency assistance
      4. Emergency drugs & equipment
  2. Basic life support training
    1. Rationale behind American Heart Association’s new P-C-A-B-D algorithm for cardiac arrest
    2. Review of changes in 2010 AHA Guidelines for BLS for Healthcare Providers
    3. How pediatric cardiac arrest differs from adult cardiac arrest
  3. Preparation of the dental office staff
    1. Designing an in-office emergency response team
      1. Responsibilities of Members 1 through 4
  4. Emergency assistance
    1. When to seek emergency assistance
    2. Whom to call for emergency assistance
  5. Emergency drugs & equipment
    1. Requirements for emergency drugs
      1. Sedation / general anesthesia permits
      2. Specialty organizations
      3. Massachusetts
      4. Local anesthetic drug package insert
    2. Proprietary emergency drug kits versus self-made
    3. Emergency drugs
      1. The basic seven emergency drugs
    4. Emergency equipment
      1. Automated external defibrillators (AEDs)