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Stability of Epinephrine in a Normal Saline Solution
Caroline M. SawickiDDS, PhD,
Daniel B. McKimPhD,
Hongrui WangMS,
Morgan VasasBS,
Joshua J. BlakesleePhD,
Courtney A. JatanaDDS, MS,
Patrick DibPhD,
Bryant W. CorneliusDDS, MS, and
Spencer D. WadeDDS, MS
Article Category: Research Article
Volume/Issue: Volume 71: Issue 3
Online Publication Date: Sep 09, 2024
DOI: 10.2344/998301
Page Range: 109 – 114

Epinephrine is a small endogenous catecholamine with multiple uses in emergencies. In most clinical settings, epinephrine comes packaged in 2 forms: a 1:1000 (1 mg/mL) ampule or vial that must be diluted before intravenous (IV) use, and a 1:10,000 (1 mg/10 mL; 100 µg/mL) prepackaged syringe that is ready for IV use. 1 In true emergency situations requiring epinephrine, 100 µg/mL solutions of epinephrine are typically used during advanced cardiac life support for cardiac arrest. 2 During more urgent situations, such as mild refractory hypotension, bronchospasm

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Emergency Drug Kits: Pharmacological and Technical Considerations
Daniel E. BeckerDDS
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

Intranasal Midazolam Sedation in a Pediatric Emergency Dental Clinic
Fathima PeerbhayBSc, BChD, PGDip (PaedDent), MSc (DentPubHealth) and
Ahmed Mahgoub ElsheikhomerBChD, MSc (PaedDent)
Article Category: Research Article
Volume/Issue: Volume 63: Issue 3
Online Publication Date: Jan 01, 2016
DOI: 10.2344/15-00016.1
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

Medical Emergency Management in the Dental Office (MEMDO): A Pilot Study Assessing a Simulation-Based Training Curriculum for Dentists
Jesse W. MantonDDS, MS,
Kelly S. KennedyDDS, MS,,
Jonathan A. LippsMD,
Sheryl A. PfeilMD,, and
Bryant W. CorneliusDDS, MBA, MPH
Article Category: Research Article
Volume/Issue: Volume 68: Issue 2
Online Publication Date: Jun 29, 2021
DOI: 10.2344/anpr-67-04-04
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

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.; Situations when medical emergencies occurred (n  =  205). About two thirds of medical emergency cases occurred during dental treatment.
Figure 4.
Figure 4.

Situations when medical emergencies occurred (n  =  205).

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

Managing “Real” Anesthesia Emergencies on Human Simulators
Joel M. WeaverDDS, PhD
Article Category: Editorial
Volume/Issue: Volume 53: Issue 4
Online Publication Date: Jan 01, 2006
DOI: 10.2344/0003-3006(2006)53[117:MRAEOH]2.0.CO;2
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 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 = 87)

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

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.
<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.

Figure 5.; Situations when medical emergencies occurred in which local anesthesia was used (n  =  52). More than half of emergency cases occurred during dental treatment.
Figure 5.
Figure 5.

Situations when medical emergencies occurred in which local anesthesia was used (n  =  52).

More than half of emergency cases occurred during dental treatment.