Question: What types of emergency equipment supplies and medications should the dental office have to respond to patients with medical emergencies?

What are some of the medications and equipment that must be included in the dental office emergency kit?

This essential list remains the standard:

  • Epinephrine 1:1,000 (injectable)
  • Histamine-blocker (injectable)
  • Oxygen with positive-pressure administration capability.
  • Nitroglycerin (sublingual tablet or aerosol spray; be aware of contraindications)
  • Bronchodilator (asthma inhaler)

What drugs should comprise the emergency kit of your clinic?

The ADA Council of Scientific Affairs names seven core drugs that belong in every emergency drug kit: oxygen, glucose, diphenhydramine, nitroglycerin, albuterol, aspirin and epinephrine. Every dental office in the United States should have these seven drugs, up-to-date, to complete its store of essential medications.

What drugs are used in an emergency?

Emergency Drugs

Drug Indication
Oxygen Almost any emergency
Epinephrine Anaphylaxis Asthma unresponsive to albuterol/salbutamol
Nitroglycerin Angina pain
Antihistamine (diphenhydramine) Allergic reactions

What causes most medical emergencies in a dental office?

Medical emergencies were most likely to occur during and after local anesthesia, primarily during tooth extraction and endodontics. Over 60% of the emergencies were syncope, with hyperventilation the next most frequent at 7%.

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What are the signs and symptoms indicating that emergency care is needed?

Recognizing medical emergencies

  • Bleeding that will not stop.
  • Breathing problems (difficulty breathing, shortness of breath)
  • Change in mental status (such as unusual behavior, confusion, difficulty arousing)
  • Chest pain.
  • Choking.
  • Coughing up or vomiting blood.
  • Fainting or loss of consciousness.

Why do you think it is important to understand the signs and symptoms of a medical emergency in the dental office?

By understanding the signs and symptoms of an emergency as it is occurring, a dental professional can identify the proper method of care, intervention, and if at all possible, prevention of the episode. Identifying the warning signs of these medical related emergencies is essential.

Which types of medical emergency training are imperative for each dental team member?

For this reason and due to licensing requirements, all dental professionals are advised to be certified in cardiopulmonary resuscitation (CPR) with AED training (i.e., Basic Life Support training or CPR/AED certification).

What is critical in a medical emergency?

Critical emergency medicine (CREM) refers to the acute medical care of patients who have medical emergencies that pose an immediate threat to life, irrespective of location. In particular, the term is used to describe the role of anaesthesiologists in providing such care.

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