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The Emergency Drug Kit: Medical Emergency Drugs and Sedation Emergency Drugs
Educational Objectives
Topics Covered:
- Introduction
- Disclaimer
- Medical History/Airway Management
- Ten Deadly Failures in Dental Offices
- Six Links of Survival
- The 5R Emergency Response Plan
- Basic Management of Medical Emergencies
- Medical Emergency Drugs with Treatment Algorithms
- Sedation Emergency Drugs with Treatment Algorithms
- Emergency Drug Kit Companies
- Helpful Resources
Abstract
Medical emergencies and Sedation emergencies can, do and will occur at dental offices. Emergency drug kits contain the medications required for many such emergencies, including the (often multiple doses of) epinephrine needed for anaphylaxis, the nitroglycerin called for in cases of angina, and the albuterol used to treat asthmatics. The ADA Council of Scientific Affairs acknowledges the importance of emergency drug kits by stating that all dental offices should maintain at least the basic recommended emergency equipment and drugs. In fact, the package insert of local anesthetics states that dental practitioners should have the proper equipment and resuscitative drugs before administering any local anesthetic. Do you? This program is a very comprehensive program prepared for both Medical Emergency Drugs and Sedation Emergency Drugs.
Do not fall under the illusion that all emergencies are resolved via a simple call to 911, and that emergency drug kits are unnecessary because emergency medical services can easily take care of any problems. With EMS response times averaging more than eleven minutes in the city and 15 minutes in rural areas, calling 911 constitutes only one step of an effective medical emergency preparedness plan; treatment of a medical emergency should begin before EMS arrives.
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. Oxygen is the eighth “drug” that should be in the office! If sedation is performed in the dental office, that will mean more emergency drugs are needed in the event of a sedation emergency.
Unquestionably, everybody in the office - the dentist, the dental hygienist, the dental assistant and even the nurses that work in the dental office - should be familiar with each drug within the drug kit, know each one’s effects, and be comfortable with drawing up and labeling the drugs for administration. Health care-related programs should have taught about the emergency drug kit. A thorough discussion of the emergency drug kit should take place during the monthly mock emergency drills performed by the dental office. Additionally, prepare documentation to use during a medical emergency that shows which drug was administered along with time, dosage and route; your records will be vitally important after the fact!
Additional Information
Author Bio
John B. Roberson, DMD, FACD, FICD, FICOI, FIAOMS
Dr. Roberson received his DMD from the University of Mississippi School of Dentistry, where he served as president of the American Student Dental Association and received the American Association of Oral & Maxillofacial Surgeons award for outstanding performance and excellence in undergraduate oral surgery. After completing his residency in oral & maxillofacial surgery at the University of Cincinnati Medical Center–where his training included dentoalveolar surgery, anesthesia, implants, corrective jaw surgery, facial trauma, reconstructive surgery, TMJ, oral medicine & pathology, cleft lip & palate surgery, facial cosmetic surgery, and skin rejuvenation–Dr. Roberson started his practice in Hattiesburg. Dedicated to continuing education and adhering to industry standards, Dr. Roberson is a member of the American College of Oral & Maxillofacial Surgeons, International Congress of Oral Implantologists, American Dental Society of Anesthesiology, American College of Dentists, International College of Dentists, American Dental Association, Mississippi Society of Oral & Maxillofacial Surgeons, Mississippi Dental Association, and the South Mississippi Dental Association. He is an active member of Heritage United Methodist church and enjoys spending time with his wife, Melanie, and their daughter and son, Maggie and Boone.
Disclosures
Commercial Disclosure
This free Dental Learning presentation is made possible through the continued support of . John B. Roberson, DMD, FACD, FICD, FICOI, FIAOMS is a consultant and/or speaker for the following companies and/or organizations: Dental Learning, . John B. Roberson, DMD, FACD, FICD, FICOI, FIAOMS may receive an honorarium as compensation from the CE Supporter of this presentation and/or from Dental Learning for the time involved in preparing and delivering this online presentation.
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