Emergency Preparation + Management
what should be in the dental office in case of an emergency?
full crash cart w/defibrillator
What tools are included in a crash cart?
monitors
defibrillator
stethoscope
suction
IV access supplies
airway support equipment
Brainpower
Read More
for every emergency, remember SAPHT (safety)
stop treatment
assess
position the pt.
help! call for help
treat the condition
predisposing factors for syncope
young male
fright/anxiety/stress/pain/blood
standing/hunger/heat
,what is the pathophysiology of a syncopal episode
catecholamine secretion
peripheral pooling of blood
vagal activation
cerebral ischemia
presyncope
warmth
pallor
sweating
nausea
followed by deep breathing, hypotension, bradycardia, pupillary dilation
syncope
loss of consciousness
irregular + shallow breathing
convulsive/twitching movements
extreme hypotension + bradycardia
weak pulse
syncope management
stop procedure
trendelenburg position
check vitals
administer O2 (give ammonia capsule if complete loss of consciousness)
, muscle movement (move legs)
post-syncope
return of vitals towards normal
pallor, nausea, weakness, sweating
predisposing factors for hyperventilation
young women
anxiety
hyperventilation manifestations
chest tightness
over-breathing
dizziness
paresthesias
muscle tetany
loss of consciousness
pathophysiology of hyperventilation
increased RR leading to decreased CO2, increased pH
increased pH = decreased Ca ions --> neuromuscular irritation
increased catecholamines leads to palpation, sweating, and chest pain
hyperventilation management
anxiety reduction
stop procedure
position upright
what should be in the dental office in case of an emergency?
full crash cart w/defibrillator
What tools are included in a crash cart?
monitors
defibrillator
stethoscope
suction
IV access supplies
airway support equipment
Brainpower
Read More
for every emergency, remember SAPHT (safety)
stop treatment
assess
position the pt.
help! call for help
treat the condition
predisposing factors for syncope
young male
fright/anxiety/stress/pain/blood
standing/hunger/heat
,what is the pathophysiology of a syncopal episode
catecholamine secretion
peripheral pooling of blood
vagal activation
cerebral ischemia
presyncope
warmth
pallor
sweating
nausea
followed by deep breathing, hypotension, bradycardia, pupillary dilation
syncope
loss of consciousness
irregular + shallow breathing
convulsive/twitching movements
extreme hypotension + bradycardia
weak pulse
syncope management
stop procedure
trendelenburg position
check vitals
administer O2 (give ammonia capsule if complete loss of consciousness)
, muscle movement (move legs)
post-syncope
return of vitals towards normal
pallor, nausea, weakness, sweating
predisposing factors for hyperventilation
young women
anxiety
hyperventilation manifestations
chest tightness
over-breathing
dizziness
paresthesias
muscle tetany
loss of consciousness
pathophysiology of hyperventilation
increased RR leading to decreased CO2, increased pH
increased pH = decreased Ca ions --> neuromuscular irritation
increased catecholamines leads to palpation, sweating, and chest pain
hyperventilation management
anxiety reduction
stop procedure
position upright
