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Emergency protocol in the dental clinic: Assessing medical emergency training requirements and guidelines for dentists
Institution:Senior Scientific Content Specialist, ADA Science and Research Institute, Chicago, IL;Private Practice, Kingston, NY
Abstract:BackgroundMedical emergencies are an unavoidable reality affecting dental practices. This review synthesizes and examines the guidelines offered by governmental and professional organizations.Types of Studies ReviewedLicensing agencies and professional associations were chosen as organizations of focus based on legal authority, high professional regard, or both. International and interprofessional organizational counterparts were chosen as points of comparison. In total, 11 organizations were examined. Guidelines reported were compiled by examination of documents published on official agency websites and in associated peer-reviewed journals.ResultsGuidelines for the handling of medical emergencies in the dental clinic vary in level of detail and scope among sources. Licensing agencies provide basic requirements for training, encouraging oral health care providers to develop and integrate their own emergency response plans. Professional associations provide extensive detail on instruction in medical emergency management. Both licensing agencies and professional associations provide lists of emergency medications and equipment, with varying levels of instruction on drug maintenance and organization. Professional associations emphasize regular review of training and office emergency drills.ConclusionOral health care professionals are provided with basic and required elements of medical emergency training by licensing agencies. They may seek out recommended, but not required, instruction from professional associations. Although guidance is provided, literature on protocol instituted in dental practices is limited. Further research is necessary to determine the oral health care community’s approach to emergency management.Practical ImplicationsProviders must be prepared to handle medical emergencies that they encounter. Accessible and understandable guidelines are crucial to safe dental practice.
Keywords:Medical  emergency  clinic  interprofessional  training  regulation  AAOMS"}  {"#name":"keyword"  "$":{"id":"kwrd0045"}  "$$":[{"#name":"text"  "_":"American Association of Oral and Maxillofacial Surgeons  AAPD"}  {"#name":"keyword"  "$":{"id":"kwrd0055"}  "$$":[{"#name":"text"  "_":"American Academy of Pediatric Dentists  ACLS"}  {"#name":"keyword"  "$":{"id":"kwrd0065"}  "$$":[{"#name":"text"  "_":"Advanced cardiac life support  ADA"}  {"#name":"keyword"  "$":{"id":"kwrd0075"}  "$$":[{"#name":"text"  "_":"American Dental Association  AED"}  {"#name":"keyword"  "$":{"id":"kwrd0085"}  "$$":[{"#name":"text"  "_":"Automated external defibrillation  AHA"}  {"#name":"keyword"  "$":{"id":"kwrd0095"}  "$$":[{"#name":"text"  "_":"American Heart Association  BDA"}  {"#name":"keyword"  "$":{"id":"kwrd0105"}  "$$":[{"#name":"text"  "_":"British Dental Association  BLS"}  {"#name":"keyword"  "$":{"id":"kwrd0115"}  "$$":[{"#name":"text"  "_":"Basic life support  BNF"}  {"#name":"keyword"  "$":{"id":"kwrd0120b"}  "$$":[{"#name":"text"  "_":"British National Formulary  BP"}  {"#name":"keyword"  "$":{"id":"kwrd0120d"}  "$$":[{"#name":"text"  "_":"Blood pressure  BRD"}  {"#name":"keyword"  "$":{"id":"kwrd0125"}  "$$":[{"#name":"text"  "_":"Massachusetts Board of Registration in Dentistry  BRM"}  {"#name":"keyword"  "$":{"id":"kwrd0135"}  "$$":[{"#name":"text"  "_":"Massachusetts Board of Registration in Medicine  COPD"}  {"#name":"keyword"  "$":{"id":"kwrd0rr120"}  "$$":[{"#name":"text"  "_":"Chronic obstructive pulmonary disease  CPR"}  {"#name":"keyword"  "$":{"id":"kwrd0145"}  "$$":[{"#name":"text"  "_":"Cardiopulmonary resuscitation  DPH"}  {"#name":"keyword"  "$":{"id":"kwrd0155"}  "$$":[{"#name":"text"  "_":"Massachusetts Department of Public Health  GCS/AVPU"}  {"#name":"keyword"  "$":{"id":"kwrd0160a"}  "$$":[{"#name":"text"  "_":"Glasgow coma score/alert  verbal  pain  unresponsive scale  GDC"}  {"#name":"keyword"  "$":{"id":"kwrd0165"}  "$$":[{"#name":"text"  "_":"General Dental Council  GDP"}  {"#name":"keyword"  "$":{"id":"kwrd0160cc"}  "$$":[{"#name":"text"  "_":"General dental practitioner  GTN"}  {"#name":"keyword"  "$":{"id":"kwrd0160rrr"}  "$$":[{"#name":"text"  "_":"Glyceryl trinitrate  HR"}  {"#name":"keyword"  "$":{"id":"kwrd016ww0"}  "$$":[{"#name":"text"  "_":"Heart rate  IM"}  {"#name":"keyword"  "$":{"id":"kwrd016tgb0"}  "$$":[{"#name":"text"  "_":"Intramuscular  MDS"}  {"#name":"keyword"  "$":{"id":"kwrd0185"}  "$$":[{"#name":"text"  "_":"Massachusetts Dental Society  NB"}  {"#name":"keyword"  "$":{"id":"kwrd0qws160"}  "$$":[{"#name":"text"  "$$":[{"#name":"italic"  "_":"Nota bene"}  {"#name":"__text__"  "_":" (note well)  RR"}  {"#name":"keyword"  "$":{"id":"kwaaeerrd0160"}  "$$":[{"#name":"text"  "_":"Respiratory rate  SBAR"}  {"#name":"keyword"  "$":{"id":"kweerrccd0160"}  "$$":[{"#name":"text"  "_":"Situation  background  assessment  recommendation  Peripheral arterial oxygen saturation
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