Medical Emergencies
What does hypoglycemia mean?
What would we want to grab if a patient is having a mild allergic reaction?
Benadryl- Diphenhydramine
Patient is experiencing coughing, wheezing, and hoarse voice.
Patient may be having asthma-- check if they have a history/have a inhaler.
Where is our emergency kit?
2023
For what type of medical emergency would we need albuterol inhaler?
What is the key to avoiding medical emergencies being serious?
PREVENTION! PREPAREDNESS!
Patient appears to suddenly sweaty and pale. Reports feeling their heart is racing. What is most likely going on?
Hypoglycemia Event-- Low blood sugar
Sit them up, cold compress of their head/back of neck, and a glass of juice.
What needs to be done after a medical emergency has occured and the patient is no longer in our care?
1) Ensure that Brenda and/or Kate is aware of the incident.
2) Complete a medical incident report.
3) Document the incident in the patients chart.
4) Ensure the emergency equipment is put back and re-stocked if needed
What are the 6 practices under SRD?
Lakeview Family Dental
Saco River Dentistry
Town Hill Dental
Spruce Mountain Dentistry
Swift River Dental
Kennebec River Dental
What are the 3 cardiac medical emergencies that can occur?
1) Angina Pectoris
2) Acute Myocardial Infarction (Heart Attack)
3) Cardiac Arrest
What do we do after a medical emergency has occured at LFD?
1) Re-stock emergency kit and ensure everything is back in place
2) Chart note sequence of events
3) Speak with Brenda regarding filling out documentation (Assistant/Hyginest-- have doctor review it after)
Patient reports chest pain during procedure, then sudden onset of pale skin, sweating, and faints. What is likely occuring?
Acute Myocardial Infarction (Heart Attack)
Where is our AED located?
To the left of the bathroom in the back on the wall.
How old is Dr. Birde's dog?
TWO!
What does a pulse oximeter measure and what is an ideal measurement?
Healthy Adult: 95-100%
Mild Hypoxia: 90-94%
Moderate Hypoxia: 85-89%
Severe Hypoxia: <85%
1) Call for assistance
2) Stay with the patient and ask the other person to alert the PCC team of a medical emergency
3) Direct the other person to gather medical emergency equipment
*Never leave the patient!
Patient is experiencing shortness of breath and reports feeling dizzy. Vitals are BP: 184/121.
What is the first thing you do?
Patient is likely experiencing hypertension symptoms-- first thing is to have the patient lay back, give them water, and take manual BP.
How often do we update medical history?
Every visit we ask if there are updates.
1x/year the paper has to be completed and signed
In what year was Naples Maine settled?
1774
What is the most common medical emergency in the dental practice?
Syncope (Fainting)
What is the phrase that alerts the provider there is a medical emergency?
"I need you RIGHT NOW!"
Patient reports feeling a tightness in their chest, radiating left arm/shoulder discomfort, and looks pale. What do you think is occuring?
Angina Pectoris-- chest discomfort caused by temporary myocardial ischemia
What are 3 items that are in our emergency kit?
Glucose
Albuterol
Epipen
Nitroglycerin Spray
Ammonia Inhalant
Syringes
Benadryl for IM
Adrenaline for IM
Aspirin
Narcan
Where was Dr. Birde born?