Medical Emergencies and Current Management in Dentistry. Prof. Mark Greenwood Newcastle University
|
|
|
- Virgil Chase
- 5 years ago
- Views:
Transcription
1 Medical Emergencies and Current Management in Dentistry Prof. Mark Greenwood Newcastle University Lancaster
2 PREVENTION! Attitude and environment Usually a clue in the history
3 PREVENTION! Attitude and environment Usually a clue in the history Airway protection
4 PREVENTION! Attitude and environment Usually a clue in the history Airway protection Drills roles, training, contact numbers
5 PREVENTION! Attitude and environment Usually a clue in the history Airway protection Drills roles, training, contact numbers Do not work alone
6 IN A DENTAL SETTING Particular issues could include access, patient movement, pre-existing conditions Potential for increased pressure from Potential for increased pressure from carers
7 THE ABCDE APPROACH A Airway B Breathing C Circulation D Disability E Exposure
8 AIRWAY Finger sweep Suction Head tilt/chin lift
9 AIRWAY Finger sweep Suction Head tilt/chin lift Jaw thrust- injury or flexion deformity
10 BREATHING Look, listen and feel
11 CIRCULATION Central pulse e.g. carotid for the competent/experienced practitioner
12 DISABILITY Neurological (conscious status) e.g. Post head injury/seizure- AVPU A lertness V ocal stimuli response P ain response U nresponsive
13 EXPOSURE For examination of rash/application of defibrillator paddles (AED)
14 AED
15 DRUGS FOR EMERGENCY DRUG BOX Adrenaline (Epinephrine) 1 in 1000
16 DRUGS FOR EMERGENCY DRUG BOX Adrenaline (Epinephrine) 1 in 1000 Aspirin (300mg)
17 DRUGS FOR EMERGENCY DRUG BOX Adrenaline (Epinephrine) 1 in 1000 Aspirin (300mg) Glucagon (1mg) (Glucose)
18 GLUCAGON KIT
19 DRUGS FOR EMERGENCY DRUG BOX Adrenaline (Epinephrine) 1 in 1000 Aspirin (300mg) Glucagon (1mg) (Glucose) GTN tabs/sprays
20 DRUGS FOR EMERGENCY DRUG BOX Adrenaline (Epinephrine) 1 in 1000 Aspirin (300mg) Glucagon (1mg) (Glucose) GTN tabs/sprays Oxygen
21 DRUGS FOR EMERGENCY DRUG BOX Adrenaline (Epinephrine) 1 in 1000 Aspirin (300mg) Glucagon (1mg) (Glucose) GTN tabs/sprays Oxygen Salbutamol inhaler
22 DRUGS FOR EMERGENCY DRUG BOX Adrenaline (Epinephrine) 1 in 1000 Aspirin (300mg) Glucagon (1mg) (Glucose) GTN tabs/sprays Oxygen Salbutamol inhaler Midazolam buccal liquid or Midazolam injection solution via buccal or nasal route (10mg)
23 POSSIBLE ROUTES OF DRUG ADMINISTRATION Oral Sublingual Subcutaneous Intramuscular Inhalation Rectal Intravenous
24 IN DENTISTRY Oral Sublingual Subcutaneous Intramuscular Inhalation Rectal! Intravenous only if experienced
25 COLLAPSE OF UNKNOWN CAUSE Lie patient flat, raise legs most recover
26 COLLAPSE OF UNKNOWN CAUSE Lie patient flat, raise legs most recover Maintain airway, give oxygen- ABCDE
27 COLLAPSE OF UNKNOWN CAUSE Lie patient flat, raise legs most recover Maintain airway, give oxygen- ABCDE Check breathing agonal gasps
28 COLLAPSE OF UNKNOWN CAUSE Lie patient flat, raise legs most recover Maintain airway, give oxygen- ABCDE Check breathing agonal gasps If not breathing/abnormal breathing (no pulse) = cardiac arrest No signs of life
29 COLLAPSE OF UNKNOWN CAUSE Lie patient flat, raise legs most recover Maintain airway, give oxygen- ABCDE Check breathing agonal gasps If not breathing/abnormal breathing (no pulse) = cardiac arrest No signs of life If normal breathing give sc/im glucagon 1mg
30 COLLAPSE OF UNKNOWN CAUSE Lie patient flat, raise legs most recover Maintain airway, give oxygen- ABCDE Check breathing - agonal gasps If not breathing/abnormal breathing (no pulse) = cardiac arrest No signs of life If normal breathing give sc/im glucagon 1mg Get help at an early stage
31 CARDIAC ARREST Main cause arrhythmia (VF) AED
32 REMEMBER RATIOS OF CPR No rescue breaths 30 compressions to 2 ventilations in adults Importance of early defibrillation
33
34 CPR IN PREGNANCY Left lateral position
35 SPECIFIC MEDICAL EMERGENCIES in Dentistry Uncommon most will only see a faint ABCDE approach to all situations
36 VASO-VAGAL SYNCOPE Commonest Lie flat, raise legs- ABCDE
37 ANAPHYLAXIS SIGNS AND SYMPTOMS Paraesthesia, flushing, facial swelling
38 Should this patient be given adrenaline?
39 ANAPHYLAXIS SIGNS AND SYMPTOMS Paraesthesia, flushing, facial swelling Generalised itching hands and feet
40 ANAPHYLAXIS SIGNS AND SYMPTOMS Paraesthesia, flushing, facial swelling Generalised itching hands and feet Bronchospasm and laryngospasm (wheezing and breathing difficulty)
41 ANAPHYLAXIS SIGNS AND SYMPTOMS Paraesthesia, flushing, facial swelling Generalised itching hands and feet Bronchospasm and laryngospasm (wheezing and breathing difficulty) Rapid weak pulse together with fall in blood pressure
42 ANAPHYLAXIS MANAGEMENT ABCDE
43 ANAPHYLAXIS MANAGEMENT ADRENALINE! (Epinephrine) 0.5ml (500 micrograms) 1 in 1000 solution IM repeated after 5 minutes if no clinical improvement
44 ADRENALINE (EPINEPHRINE) Alpha adrenergic action leads to vasoconstriction increasing myocardial and cerebral perfusion
45 ADRENALINE (EPINEPHRINE) Reverses peripheral vasodilatation and reduces oedema Beta receptor activity dilates the airway, increases the force of myocardial contraction
46 ADRENALINE (EPINEPHRINE) Reverses peripheral vasodilatation and reduces oedema Beta receptor activity dilates the airway, increases the force of myocardial contraction Beta activity suppresses histamine and leukotriene release
47 ADRENALINE (EPINEPHRINE) Adverse effects are extremely rare when appropriate doses are given intramuscularly
48 ANAPHYLAXIS MANAGEMENT ADRENALINE! (Epinephrine) 0.5ml (500 micrograms) 1 in 1000 solution IM repeated after 5 minutes if no clinical improvement Lie flat, maintain airway, supplemental oxygen
49 ANAPHYLAXIS - MANAGEMENT Adrenaline is indicated when there are signs of stridor, wheeze, respiratory distress or clinical signs of shock
50 ANAPHYLAXIS The wheezing can be helped by giving inhaled salbutamol
51 PANIC ATTACKS Sometimes mistaken for anaphylaxis ABCDE approach
52 PANIC ATTACKS Sometimes mistaken for anaphylaxis Anxiety driven
53 PANIC ATTACKS Signs and symptoms: Anxiety
54 PANIC ATTACKS Signs and symptoms: Anxiety Weak, dizzy, light-headed
55 PANIC ATTACKS Signs and symptoms: Anxiety Weak, dizzy, light-headed Paraesthesias
56 PANIC ATTACKS Signs and symptoms: Anxiety Weak, dizzy, light-headed Paraesthesias Palpitations
57 PANIC ATTACKS Signs and symptoms: Anxiety Weak, dizzy, light-headed Paraesthesias Palpitations Carpo-pedal spasms
58 PANIC ATTACKS Signs and symptoms: Anxiety Weak, dizzy, light-headed Paraesthesias Palpitations Carpo-pedal spasms An anxiety rash could be confused for the rash in anaphylaxis
59 MANAGEMENT Rebreathing exhaled air
60 MANAGEMENT Rebreathing exhaled air Worth having a paper bag handy!
61 ASTHMA Most attacks will respond to 2 puffs of the patients beta 2 adrenoceptor stimulant inhaler
62 ASTHMA Most attacks will respond to 2 puffs of the patients beta 2 adrenoceptor stimulant inhaler If no rapid response, repeat-and think ABCDE Most patients who struggle to breathe prefer to be in a sitting position- unless they lose consciousness
63 ASTHMA Most attacks will respond to 2 puffs of the patients beta 2 adrenoceptor stimulant inhaler If no rapid response, repeat Administer oxygen Repeat inhaler every 10 minutes
64 CHEST PAIN, ANGINA, MYOCARDIAL INFARCTION Diagnosis of the problem ABCDE supplemental oxygen Use the GTN spray Aspirin should be given (300mg) in MI
65 CHEST PAIN, ANGINA, MYOCARDIAL INFARCTION Diagnosis of the problem A,B,C supplemental oxygen Use the GTN spray Aspirin should be given (300mg) in MI Entonox is helpful
66 MYOCARDIAL INFARCTION If aspirin has been given, the hospital MUST BE INFORMED
67 EPILEPSY Medication should only be given if convulsive seizures are prolonged or last 5 minutes or more or are repeated last 5 minutes or more or are repeated rapidly
68 EPILEPSY 10mg buccal Midazolam ABCDE
69
70 EPILEPSY 10mg buccal Midazolam In children, rectal diazepam
71 HYPOGLYCAEMIA SYMPTOMS AND SIGNS Shaking/trembling
72 HYPOGLYCAEMIA SYMPTOMS AND SIGNS Shaking/trembling Sweating
73 HYPOGLYCAEMIA SYMPTOMS AND SIGNS Shaking/trembling Sweating Pins and Needles in lips and tongue
74 HYPOGLYCAEMIA SYMPTOMS AND SIGNS Shaking/trembling Sweating Pins and Needles in lips and tongue Hunger
75 HYPOGLYCAEMIA SYMPTOMS AND SIGNS Shaking/trembling Sweating Pins and Needles in lips and tongue Hunger Slurring of speech
76 HYPOGLYCAEMIA SYMPTOMS AND SIGNS Shaking/trembling Sweating Pins and Needles in lips and tongue Hunger Slurring of speech Confusion
77 HYPOGLYCAEMIA SYMPTOMS AND SIGNS Shaking/trembling Sweating Pins and Needles in lips and tongue Hunger Slurring of speech Confusion Change of behaviour
78 HYPOGLYCAEMIA SYMPTOMS AND SIGNS Shaking/trembling Sweating Pins and Needles in lips and tongue Hunger Slurring of speech Confusion Change of behaviour Unconsciousness- ABCDE
79
80 HYPOGLYCAEMIA - MANAGEMENT Glucagon 1mg IM/SC
81 HYPOGLYCAEMIA - MANAGEMENT Glucagon 1mg IM/SC Once regains consciousness, oral glucose
82 INHALED FOREIGN BODY Prevention!
83 INHALED FOREIGN BODY Prevention! Allow them to cough vigorously
84 INHALED FOREIGN BODY Ask Are you choking?!
85 CHOKING - MILD Patient answers YES! Victim is able to cough and breathe
86 CHOKING - SEVERE Unable to speak Unable to breathe Wheezy Attempts at coughing are silent Unconsciousness
87
88 ADRENAL CRISIS Signs and symptoms Loss of consciousness Rapid, weak or impalpable pulse Blood pressure falls rapidly
89 ADRENAL CRISIS - TREATMENT Lay patient flat and raise their legs
90 ADRENAL CRISIS - TREATMENT Lay patient flat and raise their legs Clear airway and administer oxygen- ABCDE
91 ADRENAL CRISIS - TREATMENT Lay patient flat and raise their legs Clear airway and administer oxygen
92 ADRENAL CRISIS TREATMENT 200mg Hydrocortisone I.V. I.V. fluids
93 ADRENAL CRISIS - TREATMENT Do not discharge!
94 DEVELOPMENTS IN MEDICAL EMERGENCY MANAGEMENT Rationalisation of the Drug Box contents
95 DEVELOPMENTS IN MEDICAL EMERGENCY MANAGEMENT Rationalisation of the Drug Box contents Practical delivery routes for drugs Resuscitation Guidelines particularly the AED
96 USEFUL REFERENCE Medical Emergencies and Resuscitation Standards for Clinical Practice and Training for Dental Practitioners and Dental Care Professionals in General Dental Practice A statement from the Resuscitation Council (UK) July Revised May Latest revision 2011.
97 CONCLUSIONS The use of emergency drugs is safe when the diagnosis is correct! The drug kit should be checked regularly to ensure that it is up to date Stick to basic principles
MEDICAL EMERGENCIES IN THE DENTAL PRACTICE
CARDIFF UNIVERSITY PRIFYSGOL CAERDYDD DENTAL POSTGRADUATE SECTION MEDICAL EMERGENCIES IN THE DENTAL PRACTICE FLOWCHARTS ANAPHYLAXIS History suggests Anaphylactic reaction? SIGNS and SYMPTOMS SUGGESTS Anaphylactic
Appendix (i) The ABCDE approach to the sick patient
Appendix (i) The ABCDE approach to the sick patient This appendix and the one following provide guidance on the initial approach and management of common medical emergencies which may arise in general
Managing Medical Emergencies in a Dental Practice
Managing Medical Emergencies in a Dental Practice To download a copy of this handout, or for further information please visit www.backtolife.co.uk/resources Back to Life Ltd, Milton Heath House, Westcott
CLINICAL PROTOCOL FOR THE MEDICAL EMERGENCY TREATMENT OF DENTAL PATIENTS
CLINICAL PROTOCOL FOR THE MEDICAL EMERGENCY TREATMENT OF DENTAL PATIENTS INTRODUCTION Medical emergency treatments are based on current best practice. (See references) This protocol should be kept in a
Appendix (ii) Common medical emergencies in general dental practice
Appendix (ii) Common medical emergencies in general dental practice Asthma Patients with asthma (both adults and children) may have an attack while at the dental surgery. Most attacks will respond to a
Core Subject Part 4. Identify the principles of approaching the sick patient.
The Role of The Dental Care Professional During a Medical Emergency: General Dental Council Standards and The Management of The Collapsed Patient Using the ABCDE Approach Aims: Core Subject Part 4 To provide
Management of medical emergencies for the dental team
Management of medical emergencies for the dental team Update November 2006 In July 2006, the UK Resuscitation Council published a document entitled Medical emergencies and resuscitation standards for clinical
Anaphylaxis: Treatment in the Community
: Treatment in the Community is likely if a patient who, within minutes of exposure to a trigger (allergen), develops a sudden illness with rapidly progressing skin changes and life-threatening airway
Anaphylaxis: treatment in the community
: treatment in the community Item Type Guideline Authors Health Service Executive Citation Health Service Executive. : treatment in the community. Dublin: Health Service Executive;. 5p. Publisher Health
Medical Emergencies (Anaphylaxis, Fainting, Hypoglycaemia, Seizures and GDC Guidelines) Core Subject
Medical Emergencies (Anaphylaxis, Fainting, Hypoglycaemia, Seizures and GDC Guidelines) Core Subject Aims: This article aims to discuss some of the guidelines provided by the General Dental Council (GDC)
DERBYSHIRE COUNTY LOCAL DENTAL COMMITTEE. R Bolt, Clinical Research Fellow, Department of Oral Surgery, Charles Clifford Dental Hospital.
Date: 5 th July 2016 DERBYSHIRE COUNTY LOCAL DENTAL COMMITTEE Venue: Topic: Facilitator: Higham Farm Hotel, Higham Medical Emergencies in the Dental Practice R Bolt, Clinical Research Fellow, Department
MEDICAL KIT - ALGORITHMS
MEDICAL KIT - ALGORITHMS Page 2 : BRONCHOSPASM / ASTHMA Page 3 : TENSION PNEUMOTHORAX Page 4 : Page 5 : Page 6 : CONGESTIVE HEART FAILURE/ PULMONARY EDEMA ANAPHYLACTIC SHOCK / ALLERGIC REACTION ANGINA
Conscious Sedation Permit Evaluation. General Comments Emergency Algorithms
General Comments Emergency Algorithms These algorithms delineate appropriate responses to the simulated emergencies listed in Article 5, Section 1043.4c of the California Code of Regulations. Each algorithm
Airway and Ventilation. Emergency Medical Response
Airway and Ventilation Lesson 14: Airway and Ventilation You Are the Emergency Medical Responder Your medical emergency response team has been called to the fitness center by building security on a report
Chapter 23 Outline. Chapter 23: Emergency Drugs. General Measures. Categories of Emergencies. Preparation for Treatment 12/12/2011.
Chapter 23 Outline Chapter 23: Emergency General measures Categories of emergencies Emergency kit for the dental office Emergency 2 Emergency General Measures Haveles (p. 290) Haveles (pp. 290-291) (Boxes
Dr. Esam Ahmad Z. Omar BDS, MSc-OMFS, FFDRCSI
Dr. Esam Ahmad Z. Omar BDS, MSc-OMFS, FFDRCSI Emergency in Dental Clinic & Assistant Professor Oral & Maxillofacial Surgeon 1 2 Importance of Taking good Medical History of the Unconscious Patient in Dentistry
PROCEDURE FOR MANAGING AN ANAPHYLACTIC EMERGENCY
MULTIDISCIPLINARY PROCEDURE PROCEDURE FOR MANAGING AN ANAPHYLACTIC EMERGENCY First Issued June 2011 Issue Version Four Purpose of Issue/Description of Change Planned Review Date To promote safe and consistent
Platelet aggregation inhibitor. Cardiac chest pain or suspected Myocardial Infarction.
s Aspirin Platelet aggregation inhibitor. Anti-inflammatory agent and an inhibitor of platelet function. Useful agent in the treatment of various thromboembolic diseases such as acute myocardial infarction.
MEDICAL EMERGENCIES (PART 1) IDENTIFYING AT RISK PATIENTS AND IDENTIFYING THE CONTENTS OF THE EMERGENCY DRUG KIT
MEDICAL EMERGENCIES (PART 1) IDENTIFYING AT RISK PATIENTS AND IDENTIFYING THE CONTENTS OF THE EMERGENCY DRUG KIT Aims To explain the categories of patients that may be considered as being at risk during
MEDICAL EMERGENCIES HANDBOOK Last Update 1/26/2013
MEDICAL EMERGENCIES HANDBOOK Last Update 1/26/2013 Legal Disclaimer - The information provided here is the opinion of the author,and does not claim to be a substitute for obtaining this knowledge through
Managing Illness 8/9/2010 1
Managing Illness 1 Fainting Caused by a temporary drop in blood pressure thus causing a reduction in oxygen to the brain. Insufficient oxygen causes casualty to black out and fall. Consciousness normally
VACCINE-RELATED ALLERGIC REACTIONS
VACCINE-RELATED ALLERGIC REACTIONS Management of Anaphylaxis IERHA Immunization Program September 2016 VACCINE-RELATED ADVERSE EVENTS Local reactions pain, edema, erythema Systemic reactions fever, lymphadenopathy
Management of an immediate adverse event following immunisation
Management of an immediate adverse event following immunisation The vaccinated person should remain under observation for a short interval to ensure that they do not experience an immediate adverse event.
Medical Emergencies in Dental Practice Practice Standard
Medical Emergencies in Dental Practice Practice Standard December 2016 Contents Purpose 2 Interpretation of requirements 3 Practitioners legal and ethical responsibility 4 Preparation for medical emergencies
Clinical Practice Guidelines Edition (Updated February 2018)
The Formulary is published by the Pre-Hospital Emergency Care Council (PHECC) to support Emergency First Responders to be competent in the use of medications permitted under Clinical Practice Guidelines
Emergency Care Progress Log
Emergency Care Progress Log For further details on the National Occupational Competencies for EMRs, please visit www.paramedic.ca. Check off each skill once successfully demonstrated the Instructor. All
VACCINE-RELATED ALLERGIC REACTIONS
VACCINE-RELATED ALLERGIC REACTIONS Management of Anaphylaxis Public Health Immunization Program June 2018 VACCINE-RELATED ADVERSE EVENTS Local reactions pain, edema, erythema Systemic reactions fever,
Welcome to Medical Emergency Mastery for Dental Practices
Catharine Goodson DDS www.catharinegoodson.com catharine@catharinegoodsondds.com 713-417-9924 Many Dentists fear they are unprepared to effectively recognize, successfully manage and correctly treat medical
BASIC LIFE SUPPORT (BLS)
ADULT Suspected Foreign Body Airway Obstruction (FBAO) 1 If conscious, ask, "Are you choking?" 2 If patient is unable to speak and/or shakes head yes, give abdominal thrusts, (chest thrusts if pregnant
It s as easy as ABC. Dr Andrew Smith
It s as easy as ABC Dr Andrew Smith ABCDE A simple method to apply to your assessment of patients. It is a good failsafe in all situations i.e. At an end of an OSCE when you re put under pressure! Correct
DENTAL OFFICE EMERGENCIES Edited June 10, 2012
DENTAL OFFICE EMERGENCIES Edited June 10, 2012 This course is solely to provide the healthcare worker with information to assist in his/her practice and professional development, and is not to be considered
EMT OPTIONAL SKILL. Cell Phones and Pagers. Epinephrine Auto-injector. Course Outline 9/2017
EMT OPTIONAL SKILL Epinephrine Auto-injector Cell Phones and Pagers Be courteous to your classmates! Please set your cell phones and/or pagers to silent or turn them off. Course Outline Introduction and
Shelley Westwood, RN, BSN
Shelley Westwood, RN, BSN The body requires a constant supply of oxygen for survival. AMERICAN RED CROSS FIRST AID RESPONDING TO EMERGENCIES FOURTH EDITION Copyright 2006 by The American National Red Cross
COMMON IN OFFICE EMERGENCIES. R. John Brewer EMT-P Dental Education Inc.
COMMON IN OFFICE EMERGENCIES R. John Brewer EMT-P Dental Education Inc. Blood Pressure - Hypertension Every office should establish guidelines for treatment What is the patient s baseline pressure? If
Anaphylaxis/Latex Allergy
Children s Acute Transport Service CATS Clinical Guideline Anaphylaxis/Latex Allergy Document Control Information Author D Lutman Author Position Consultant Document Owner E Polke Document Owner Position
APPENDIX 1 - MEDICATION FORMULARY
The medication formulary is published by the Pre-Hospital Emergency Care Council (PHECC) to enable pre-hospital emergency care Responders to be competent in the use of medications permitted under Clinical
Managing the Medically Compromised Patient in General Dental Practice Risk Assessment
Managing the Medically Compromised Patient in General Dental Practice Risk Assessment Core subject Aim: To provide an outline of the risk factors that should be considered in order to provide the safe
Medical First Responder Program Protocols
Medical Scene Safety Protocol Verify Scene Safety with Police or Dispatch UNKWN Scene Safe? Enter Continue to Appropriate Protocol Possible to Make Safe Make Safe Then Continue Exit Area and Stage Outside
Competency Log Professional Responder Courses
Competency Log Professional Responder Courses Check off each competency once successfully demonstrated. This log may be used as a support tool when teaching a Professional Responder course. Refer to the
Bronchospasm & SOB. Kim Kilmurray Senior Clinical Teaching Fellow
Bronchospasm & SOB Kim Kilmurray Senior Clinical Teaching Fellow LEARNING OBJECTIVES Perform a comprehensive respiratory examination & link clinical signs to underlying pathology Identify the spectrum
Primary Care practice clinics within the Edmonton Southside Primary Care Network.
Allergy/Immunotherapy Injections Last Review: November 2016 Intervention(s) and/or Procedure: Administration of allergen injections throughout immunotherapy treatment. Immunotherapy for allergic disease
QUICK REFERENCE TO DENTAL OFFICE EMERGENCIES --------------------------------------- Prepared By Dr. Mahmoud H. Al-Johani info@saudident.com 2003 AD CONTENTS 1 INTRODUCTION 2 2 SYNCOPE (FAINTING) 3 3 POSTURAL
Airway management. Dr. Dóra Ujvárosy Medical Unversity of Debrecen Emergency Department
Airway management Dr. Dóra Ujvárosy Medical Unversity of Debrecen Emergency Department Airway management Airway management is the medical process of ensuring there is an open pathway between a patient
Study Guide for all Emcare courses
Study Guide for all Emcare courses Copyright Emcare Services Limited. No part of this may be used or reproduced in any form or by any means, or stored in a database or retrieval system, without prior written
Study Guide for all Emcare courses
Study Guide for all Emcare courses Copyright Emcare Services Limited. No part of this may be used or reproduced in any form or by any means, or stored in a database or retrieval system, without prior written
The dose for paediatric patients may never exceed the adult dose.
The medication formulary is published by the Pre-Hospital Emergency Care Council (PHECC) to support Emergency First Responders to be competent in the use of medications permitted under Clinical Practice
COALINGA STATE HOSPITAL. Effective Date: August 31, 2006 SUBJECT: MANAGEMENT OF FOREIGN-BODY AIRWAY OBSTRUCTION (CHOKING VICTIM)
COALINGA STATE HOSPITAL NURSING POLICY AND PROCEDURE MANUAL SECTION Emergency Procedures POLICY NUMBER: 701 Effective Date: August 31, 2006 SUBJECT: MANAGEMENT OF FOREIGN-BODY AIRWAY OBSTRUCTION (CHOKING
CARDIAC ARREST IN SPECIAL CIRCUMSTANCES 2
CARDIAC ARREST IN SPECIAL CIRCUMSTANCES 2 M1 Objectives To understand how resuscitation techniques should be modified in the special circumstances of: Hypothermia Immersion and submersion Poisoning Pregnancy
ANAPHYLAXIS Following Vaccination. A Severe Adverse Event. Developed for the Grampians Infection Control Group (GRICG) Version 2.
ANAPHYLAXIS Following Vaccination A Severe Adverse Event Developed for the Grampians Infection Control Group () Version 2.0:2014 Adverse Event Following Immunisation Adverse event following immunisation
Chapter 8. Learning Objectives. Learning Objectives 9/11/2012. Anaphylaxis. List symptoms of anaphylactic shock
Chapter 8 Anaphylaxis Learning Objectives List symptoms of anaphylactic shock Discuss role of immune system in fighting antigens Define allergic response Learning Objectives Describe body s response to
Anaphylaxis 5/31/2015
1 Definition of anaphylaxis Anaphylaxis Jon Kyle Andersen Anaphylaxis is a severe, life-threatening, generalised or systemic hypersensitivity reaction. It is characterised by rapidly developing, life-threatening
Allergic Reactions and Envenomations. Chapter 16
Allergic Reactions and Envenomations Chapter 16 Allergic Reactions Allergic reaction Exaggerated immune response to any substance Histamines and leukotrienes Chemicals released by the immune system Anaphylaxis
CPR & First Aid Resources
CPR & First Aid Resources A resource guide to assist the Trainer in locating CPR/FA classes in Clare, Isabella, Mecosta, Osceola, Gladwin, and Midland Counties. This guide also contains: CPR Chart, Heart
Chapter 7 EMERGENCY PLAN AND INITIAL INJURY EVALUATION
Chapter 7 EMERGENCY PLAN AND INITIAL INJURY EVALUATION Major Concepts. Proper planning of an emergency response is essential for appropriate first aid management of an injury. Anything that can be done
Airway and Breathing
Airway and Breathing ETAT Module 2 Adapted from Emergency Triage Assessment and Treatment (ETAT): Manual for Participants, World Health Organization, 2005 Learning Objectives Accurately determine whether
Aims: To give an overview on the symptoms and treatment of angina, stroke and cardiac arrest.
Core Subject: Cardiac Medical Emergencies: Angina, stroke and cardiac arrest, including Cardiopulmonary Resuscitation and the use of an Automated External Defibrillator Aims: To give an overview on the
Adult Respiratory Distress - The Unresponsive Patient
Adult Respiratory Distress - The Unresponsive Patient Monitoring (blood pressure, heart rate, pulse oximetry, respiratory rate) ongoing throughout evaluation and management. All initial actions are performed
QI. Read the following questions and choose the most correct answer (20 Marks):
Question One: QI. Read the following questions and choose the most correct answer (20 Marks): 1- Some people are very allergic to some drugs like penicillin. This condition is called: a) Septic shock.
Outline. Chest Pain/Heart Attack Stroke Fits + fainting Making a 999 Call
Street Medicine Outline Chest Pain/Heart Attack Stroke Fits + fainting Making a 999 Call Terminology Physiology: The biological study of the functions of living organisms and their parts Pathology: the
In-hospital Resuscitation
In-hospital Resuscitation Introduction This new section in the guidelines describes the sequence of actions for starting in-hospital resuscitation. Hospital staff are often trained in basic life support
STAYTON FIRE DISTRICT PROTOCOL QUIZ
STAYTON FIRE DISTRICT PROTOCOL QUIZ Name 1. Please list the appropriate EMS Level for each of the Scope of Practice items below EMR Emergency Medical Responder B Basic Conduct primary and secondary patient
Maternal Collapse Guideline
Maternal Collapse Guideline Guideline Number: 664 Supersedes: Classification Clinical Version No: Date of EqIA: Approved by: Date Approved: Date made active: Review Date: 1 Obstetric Written Documentation
ANAPHYLAXIS. Following Vaccination of Adults. A Severe Adverse Event
ANAPHYLAXIS Following Vaccination of Adults A Severe Adverse Event Developed for the Grampians Infection Control Group () Version 3.0:2018 Target audience This information package is for nurse immunisers
Review. 1. How does a child s anatomy differ from an adult s anatomy?
Chapter 32 Review Review 1. How does a child s anatomy differ from an adult s anatomy? A. The child s trachea is more rigid B. The tongue is proportionately smaller C. The epiglottis is less floppy in
Resuscitation Council (UK)
Resuscitation Council (UK) MEDICAL EMERGENCIES AND RESUSCITATION STANDARDS FOR CLINICAL PRACTICE AND TRAINING FOR DENTAL PRACTITIONERS AND DENTAL CARE PROFESSIONALS IN GENERAL DENTAL PRACTICE A Statement
SAN JOAQUIN COUNTY EMERGENCY MEDICAL SERVICES AGENCY. Administration of Epinephrine Auto-Injector Training
SAN JOAQUIN COUNTY EMERGENCY MEDICAL SERVICES AGENCY Administration of Epinephrine Auto-Injector Training Disclaimer: Authorization - EMT Optional Skills Only authorized Emergency Medical Technicians (EMT)
TEACHING BASIC LIFE SUPPORT (& ALS)
TEACHING BASIC LIFE SUPPORT (& ALS) Anton Koželj, R.N., B. Sc., lecturer Faculty of Health Sciences, University of Maribor Žitna ulica 15, 2000 Maribor, Slovenia Fact s To know-how to perform basic life
NOTE: The first appearance of terms in bold in the body of this document (except titles) are defined terms please refer to the Definitions section.
TITLE SCOPE Provincial APPROVAL AUTHORITY Clinical Operations Executive Committee SPONSOR Pharmacy Services PARENT DOCUMENT TITLE, TYPE AND NUMBER Not applicable DOCUMENT # INITIAL EFFECTIVE DATE REVISION
Resuscitation Council (UK)
Resuscitation Council (UK) MEDICAL EMERGENCIES AND RESUSCITATION STANDARDS FOR CLINICAL PRACTICE AND TRAINING FOR DENTAL PRACTITIONERS AND DENTAL CARE PROFESSIONALS IN GENERAL DENTAL PRACTICE A Statement
Lesson 4-3: Cardiac Emergencies. CARDIAC EMERGENCIES Angina, AMI, CHF and AED
Lesson 4-3: Cardiac Emergencies CARDIAC EMERGENCIES Angina, AMI, CHF and AED THREE FAMILIAR CARDIAC CONDITIONS Angina Pectoris Acute Myocardial Infarction Congestive Heart Failure ANGINA PECTORIS Chest
FIRST AID WRITTEN EXAM. Team Name: 1. Participation in a critical incident stress debriefing (CISD) is mandatory. a. TRUE b. FALSE
2015 NEW IBERIA MINE RESCUE CONTEST FIRST AID WRITTEN EXAM Name: Date: 1. Participation in a critical incident stress debriefing (CISD) is mandatory. 2. The use of accessory muscles in the chest, abdomen
MANAGING COMMON PRESENTATIONS OF ALLERGY IN PRIMARY CARE. Helen Bourne Consultant Immunologist
MANAGING COMMON PRESENTATIONS OF ALLERGY IN PRIMARY CARE Helen Bourne Consultant Immunologist AIMS Presentation of Allergic Disease in Adults Rhinitis/ Rhinoconjuctivitis Urticaria and Angioedema Food
Primary Care practice clinics within the Edmonton Southside Primary Care Network.
Administration of Immunizations Last Review: November 2016 Intervention(s) and/or Procedure: Practice Setting: Authorized Implementers: Competencies and Educational Requirements: Administration of immunizations
Have you ever managed patients who have experienced an adverse reaction to transfusion?
Have you ever managed patients who have experienced an adverse reaction to transfusion? A. Yes, often B. Yes, occasionally C. No A. 1 in 30 units? B. 1 in 100? C. 1 in 1000? D. 1 in 10,000? SHOT collects
PALS PRETEST. PALS Pretest
PALS PRETEST 1. A child with a fever, immune system compromise, poor perfusion and hypotension is most likely to be experiencing which type of shock A. cardiogenic B. Neurogenic C. Septic D. Hypovolemic
Hanna K. Al-Makhamreh, M.D., FACC Interventional Cardiologist
Hanna K. Al-Makhamreh, M.D., FACC Interventional Cardiologist Introduction. Basic Life Support (BLS). Advanced Cardiac Life Support (ACLS). Cardiovascular diseases (CVDs) are the number one cause of death
PRIMARY CARE PRACTICE GUIDELINES
Community Mgmt Team - 1 of 6 1. OUTCOME To identify anaphylaxis in the primary care setting and provide an evidence informed emergency response utilizing the most current provincial and federal practice
Chapter 7. Principles of Pharmacology
Chapter 7 Principles of Pharmacology Introduction Administering medications is a serious business. Medications may alleviate pain and improve patient s well-being. Used inappropriately, may cause harm
It s as easy as ABC. Dr Andrew Smith
It s as easy as ABC Dr Andrew Smith ABCDE A useful framework to apply to your assessment and management of (unwell) patients. Correct problems before moving on and reassess Call for help early it shows
Portage County EMS Annual Skills Labs
Portage County EMS Annual Skills Labs Scope: Provide skills labs for all Emergency Medical Responders and First Response EMTs to assure proficiency of skills and satisfy the Wisconsin State approved Operational
Medical emergencies in the dental practice
Periodontology 2000, Vol. 46, 2008, 27 41 Printed in Singapore. All rights reserved Ó 2008 The Author. Journal compilation Ó 2008 Blackwell Munksgaard PERIODONTOLOGY 2000 Medical emergencies in the dental
MEDICAL EMERGENCIES IN GENERAL DENTAL PRACTICE: A REVIEW
Review Article International Journal of Dental and Health Sciences Volume 02,Issue 05 MEDICAL EMERGENCIES IN GENERAL DENTAL PRACTICE: A REVIEW Sowmya M. K 1, Chethan Hegde 2, Varsha Rajeev 3, Bharathraj
BLS Guideline 1 AIRWAY MANAGEMENT
Australian Resuscitation Advisory Network BLS Guideline 1 AIRWAY MANAGEMENT Scope Who does this guideline apply to? This guideline applies to all persons who need airway management. Airway management is
Pediatric Shock. Hypovolemia. Sepsis. Most common cause of pediatric shock Small blood volumes (80cc/kg)
Critical Concepts: Shock Inadequate peripheral perfusion where oxygen delivery does not meet metabolic demand Adult vs Pediatric Shock - Same causes/different frequencies Pediatric Shock Hypovolemia Most
Cardiac Emergencies. Jim Bennett Paramedic and Clinical Education Coordinator American Medical Response Spokane, Washington
Cardiac Emergencies Jim Bennett Paramedic and Clinical Education Coordinator American Medical Response Spokane, Washington The Heart -------Aorta Pulmonary Veins---- Superior Vena Cava------ Right Atrium-----
Objectives. Case Presentation. Respiratory Emergencies
Respiratory Emergencies Objectives Describe how to assess airway and breathing, including interpreting information from the PAT and ABCDEs. Differentiate between respiratory distress, respiratory failure,
Medical emergencies in dental practice.
Medical emergencies in dental practice. Item Type Article Authors Wilson, M H;McArdle, N S;Fitzpatrick, J J;Stassen, L F A Citation Medical emergencies in dental practice., 55 (3):134-43 J Ir Dent Assoc
BLS Guideline 1 AIRWAY MANAGEMENT
Australian Resuscitation Advisory Network BLS Guideline 1 AIRWAY MANAGEMENT Scope Who does this guideline apply to? This guideline applies to all persons who need airway management. Airway management is
CHANGES FOR DECEMBER 2008 PREHOSPITAL CARE MANUAL
CHANGES FOR DECEMBER 2008 PREHOSPITAL CARE MANUAL Item Changed Airway Management Procedure Oral Intubation Procedure Tube Confirmation and Monitoring Procedure C10 Chest Pain/ACS M2 Allergic Reaction/Anaphylaxis
Management Of Medical Emergencies
Management Of Medical Emergencies U.S. Aging Population 35 million people (12%) 65 years or older Number will increase by nearly 75% by year 2030 The number of people more than 85 years old will approach
Introduction To ACLS,1 18 April 2011 INTRODUCTION TO ACLS
Introduction To ACLS,1 INTRODUCTION TO ACLS EPIDEMIOLOGY In Singapore, every year about 2,400 people suffer from an acute myocardial infarction. Of these about 900 die as a result of sudden cardiac arrest,
Pediatric CPR. Mustafa SERİNKEN MD Professor of Emergency Medicine, Pamukkale University, TURKEY
Pediatric CPR Mustafa SERİNKEN MD Professor of Emergency Medicine, Pamukkale University, TURKEY What are the differences? Normal limits ADULT CARDIOPULMONARY ARREST CAUSES INFANTS AND CHILDREN İschemic
Chapter 11 - Principles of Pharmacology
1 2 3 4 5 6 7 8 9 Chapter 11 Principles of Pharmacology National EMS Education Standard Competencies (1 of 5) Pharmacology Applies fundamental knowledge of the medications that the EMT may assist/administer
Medical Directive. Activation Date: July 1, 2011 Review due by: December 1, Medical Director: Date Reviewed: December 1, 2016
Medical Directive Title: Emergency Treatment of Anaphylaxis / Severe Allergic Reactions to Allergy Injections or Immunizations Assigned Number: 007 Activation Date: July 1, 2011 Review due by: December
An allergic reaction is an exaggerated response by the immune system to a foreign substance
ALLERGIC REACTION An allergic reaction is an exaggerated response by the immune system to a foreign substance Anaphylaxis is an unusual or exaggerated allergic reaction; is a life threatening emergency
Package leaflet: Information for the patient LOCABIOTAL Pressurised 125 micrograms Nasal/Oromucosal spray solution Fusafungine
Package leaflet: Information for the patient LOCABIOTAL Pressurised 125 micrograms Nasal/Oromucosal spray solution Fusafungine Read all of this leaflet carefully before you start taking this medicine because
Idaho EMSPC Scope of Practice OLD (ISC) Curriculum License Levels NEW 2011 IEC Curriculum License Levels
AIRWAY / VENTILATION / OXYGENATION Idaho EMSPC Scope of Practice - OLD (ISC) Curriculum License Levels NEW IEC Curriculum License Levels Effective July 1, 2016 1 View of All Levels Across EMR- 1-1-2012)
Acute management of anaphylaxis
Acute management of anaphylaxis These guidelines are intended for medical practitioners and nurses providing first responder emergency care. The appendix includes additional information for emergency department
Pediatric advanced life support. Management of decreased conscious level in children. Virgi ija Žili skaitė 2017
Pediatric advanced life support. Management of decreased conscious level in children Virgi ija Žili skaitė 2017 Life threatening conditions: primary assessment, differential diagnostics and emergency care.
Firefighter Pre-Hospital Care Program Recruit Presentation. Respiratory Emergencies
Firefighter Pre-Hospital Care Program Recruit Presentation Respiratory Emergencies The Respiratory System Anatomy Pharynx Nasopharynx Oropharynx Epiglottis Larynx Trachea Right main bronchus Left main