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Emergency Drug Kits: Pharmacological and Technical Considerations
Daniel E. Becker DDS
Article Category: Other
Volume/Issue: Volume 61: Issue 4
Online Publication Date: Jan 01, 2014
DOI: 10.2344/0003-3006-61.4.171
Page Range: 171 – 179

The most essential aspects of patient management when urgencies or emergencies arise consist of a thorough primary assessment of the patient and airway management. Once this is accomplished the need for drug administration and possible emergency medical service (EMS) assistance is determined. Virtually all dental offices are equipped with an emergency drug kit. In many cases this consists of a commercially prepared kit that is purchased and updated periodically by the manufacturer. These kits not only are expensive, but are almost always

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Fathima Peerbhay BSc, BChD, PGDip (PaedDent), MSc (DentPubHealth) and
 Ahmed Mahgoub Elsheikhomer BChD, MSc (PaedDent)
Article Category: Research Article
Volume/Issue: Volume 63: Issue 3
Online Publication Date: Jan 01, 2016
Page Range: 122 – 130

children who present for emergency extractions in the public service in South Africa are not offered sedation because of the lack of resources and may be inadvertently psychologically traumatized. This traumatic experience may lead to poor cooperation if dental treatment is subsequently needed. This poor cooperation may result in the dental practitioner having to resort to the use of dental general anesthesia to complete the dental treatment required by the child. Dental general anesthesia is more expensive than sedation and is a limited resource that also carries

Jesse W. Manton DDS, MS,
 Kelly S. Kennedy DDS, MS,,
 Jonathan A. Lipps MD,
 Sheryl A. Pfeil MD,, and
 Bryant W. Cornelius DDS, MBA, MPH
Article Category: Research Article
Volume/Issue: Volume 68: Issue 2
Online Publication Date: Jun 29, 2021
Page Range: 76 – 84

The prompt recognition and management of an evolving medical emergency in the dental office is widely accepted to be a requisite skill for all dentists. 1 – 4 Continuing innovation and advancement of medical care and an aging population lead to patients presenting to oral health care settings with increasingly complex medical histories. 1 , 3 , 4 – 9 Some patients undergo invasive office-based dental procedures, which can be complicated by the delivery of local anesthetics with epinephrine and various levels of sedation and general

Joel M. Weaver DDS, PhD
Article Category: Editorial
Volume/Issue: Volume 53: Issue 4
Online Publication Date: Jan 01, 2006
Page Range: 117 – 118

development of bystander CPR and dialing 911 for advanced life support paramedics, Dr Safar actually made his prediction happen. He popularized CPR around the world and collaborated with a Norwegian company to create “Resusci-Anne,” the first CPR training manikin. He was also instrumental in the development of the American Heart Association's original Advanced Cardiac Life Support (ACLS) course in the mid-1970s. The introduction of ACLS brought about a major change in the teaching of medical emergencies because it coordinated cardiac dysrhythmia recognition with the

Figure 11.; Reported anesthesia emergencies categorized by type.
William G. Flick,
 Alexander Katsnelson, and
 Howard Alstrom
Figure 11.
Figure 11.

Reported anesthesia emergencies categorized by type.


Figure 4.
Figure 4.

Situations when medical emergencies occurred (n  =  205).

About two thirds of medical emergency cases occurred during dental treatment.


Joel M. Weaver DDS, PhD
Article Category: Research Article
Volume/Issue: Volume 57: Issue 4
Online Publication Date: Jan 01, 2010
Page Range: 137 – 138

Included in the American Dental Association's (ADA's) 2007 Guidelines for the Use of Sedation and General Anesthesia by Dentists is an educational requirement for dentists giving moderate sedation, deep sedation, and general anesthesia to have current certification in Basic Life Support for Healthcare Providers and either Advanced Cardiac Life Support (ACLS) or an appropriate dental sedation/anesthesia emergency management course. Because the latter course did not exist at a national level like ACLS, the ADA financially supported the

Carlos Cobo-Vázquez DDS, MS,
 Gemma De Blas MD, PhD,
 Pablo García-Canas DDS, MsC, and
 María del Carmen Gasco-García, MD, PhD
Article Category: Research Article
Volume/Issue: Volume 65: Issue 1
Online Publication Date: Jan 01, 2018
Page Range: 30 – 37

, Brennan EE, Goldberg ZD, et al . Part 5: adult basic life support and cardiopulmonary resuscitation quality: 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care . Circulation . 2015 ; 132 : s414 – s435 . 7 Stiell IG, Brown SP

<bold>Figure 3</bold>
.
Figure 3 .

Situations when medical emergencies occurred (n = 87)

More than 70% of medical emergencies occurred before and during dental treatment.


<bold>Figure 3.</bold>
Figure 3.

Situations when medical emergencies occurred (n = 36)

The medical emergencies frequently occurred during dental procedures; one third of them occurred immediately after injection of local anesthesia.