By Philip Jevon
The Basic consultant to clinical Emergencies within the Dental Practice is a must-have booklet for all dental care professionals.
Written in a transparent and available type, chapters disguise such key subject matters as sufferer evaluate, grownup resuscitation, respiration and cardiac issues, paediatric emergencies, emergency gear and legislation and ethics.• Illustrated in complete color throughout• Follows Resuscitation Council’s Guidelines• obtainable, complete color guide• convenient layout for simple reference and portability• Evidence-based.
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Additional resources for Basic Guide to Medical Emergencies in the Dental Practice
Although the number of children with asthma has fallen since a peak in the 1990s, the number of adults with asthma has risen with an increase of 400,000 between 2001 and 2004. In the UK in 2002, 69,000 hospital admissions and 1400 deaths were attributed to asthma (Asthma UK, 2007). Although the incidence of acute asthma episodes in primary care is on the decline (Sunderland & Fleming, 2004), it is nevertheless important to be vigilant. , ¨ 2008). Pathogenesis Asthma is characterised by episodes of reversible airway obstruction where hypersensitivity to certain triggers sets off an inflammatory response during which mucus is released and the muscles of the bronchi constrict (Deacon, 2008).
Ambulance, to be called, hopefully before the patient deteriorates or collapses. The aim of this chapter is to understand the principles of recognition of the sick patient following the ABCDE approach. g. lethargy, confusion, restlessness or falling level of consciousness) (Resuscitation Council (UK), 2006b; Jevon & Ewens, 2007). , 1999). However, these clinical signs of deterioration are often subtle and can go unnoticed. It is therefore important to assess the patient following the systematic ABCDE approach.
Oxygen saturation measurements are accurate. • Ensure the alarms on the pulse oximeter are set within locally agreed limits and according to the patient’s condition. • Regularly monitor the patient’s vital signs. • Monitor the readings. Causes of inaccuracy Inaccurate readings can be caused by any of the factors listed below. • Carbon monoxide poisoning: false high readings (Mathews, 2005). • Methaemglobinaemia (changes in the structure of iron in haemoglobin) and if present in high doses can give false high or low readings (Welch, 2005).
Basic Guide to Medical Emergencies in the Dental Practice by Philip Jevon