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Pediatric Medical/Sedation Emergency Mock Drill: Epinephrine Overdose
Educational Objectives
- Comprehensive approach to conducting mock medical emergency drills for the pediatric patient
- How to develop a practice emergency drill for the dental team and make it realistic
- Template for an office emergency response plan
- Emergency Equipment readiness inspection checklist
- Emergency medications readiness inspection checklist
- Training Records
- The Eight Deadly Failures
- Key Takeaways Pediatric vs Adult patient
- Signs and symptoms for each medical emergency
- Differential Diagnosis of Loss of Consciousness in the dental office
- The Six Links of Survival and the description of each link
- The 5R Emergency Response Plan and each person's role
- Basic Medical Emergency Management
- C.A.N.A.L. acronym for diagnosing medical emergencies
- Medical Emergency Algorithm for each medical emergency
- Preparation of 3 ring binder for Medical Emergency Training Log with downloadable documents to prove due-diligence and substantiation of EACH dental team member participating in mock drill
Abstract
Medical Emergencies can, do and will happen in the dental office. When treating the pediatric patient, we must always be ready. Pediatric medical and/or sedation emergencies can occur quickly, without warning, and with possible dire consequences due to the child’s underdeveloped physiology coupled with small oxygen reserves. Successful resolution and treatment of the medical or sedation emergency requires early recognition of the problem and immediate definitive treatment. The risk for pediatric medical/sedation emergencies is NEVER ZERO!
These mock drills dedicated to the pediatric patient is the primary focus of this course but do remember, an adult escort is bringing this patient. Adult medical emergencies must be addressed due to this fact. You must be Rescue Ready for pediatric and adult patients. Although the child is the one receiving dental treatment, there is a strong possibility it will be the accompanying adult that will experience the emergency. The most common medical emergency seen by dentists is syncope, and the vast majority of these events occur in adults.
As stressed over and over, the dental office’s successful management of pediatric medical/sedation emergencies requires preparation, prevention, and response not just by the dentist but by all dental staff members involved in the patient care.
Many pediatric patients are stressed or anxious about their dental visit. The ability and recognition of a medical emergency along with initiating emergency treatment could be the difference for life and death of your patient. You and your Staff must know how to respond as well as treat with the appropriate emergency equipment and maneuvers to sustain life!
Your office will require proper preparation of YOU and YOUR Staff before the actual event happens! This is a TEAM problem not an individual one. Everyone has a role to play during a medical emergency and it must be carried out correctly.
Keep this list in mind when treating patients so you fully understand risk factors to look for to reduce medical emergencies, drug interactions, adverse drug reactions and medication errors!
They are but not limited to with Pediatric patients:
- Previous negative dental experience
- Longer procedure times on patients
- Increased use of local anesthetics, sedatives, narcotics, analgesics, antibiotics
- Increased drug combinations such as local anesthetics, sedatives, narcotics
- Medications for one disease state or multiple medications for multiple disease states
- Obese patients
- Undiscovered allergic reactions
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.
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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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