About the Authors

2

Preface

3

Acknowledgments

3

Introduction

4

SECTION ONE

OFFICE PREPAREDNESS

5

History and Physical Examination

5

Equipment

6

Dental Office Emergency Drugs

6

Emergency Cart Supplies

7

Staff Training

7

Measuring Vital Signs

8

Pulse

8

Respirations

9

Blood Pressure

10

Determining Blood Pressure by Auscultation

12

CPR & Basic Life Support

13

Automated External Defibrillator (AED)

16

Emergency Drug Monographs

17

SECTION TWO

DENTAL OFFICE MEDICAL EMERGENCIES

23

Basic Action Plan for Stabilization

23

Loss of Consciousness

25

Syncope (Vasovagal Syncope or Simple Fainting)

27

Postural (Orthostatic) Hypotension

29

Hypoglycemia (Insulin Shock)

31

Respiratory Distress

33

Hyperventilation Syndrome

35

Asthmatic Attack / Bronchospasm

37

Airway Obstruction

39

Chest Pain

41

Angina Pectoris

43

Acute Myocardial Infarction

45

Allergic / Drug Reactions

47

Urticaria or Pruritus

49

Anaphylactic Shock

51

Epinephrine Reaction

53

Drug Overdoses

54

Altered Sensations / Changes in Affect

55

Stroke / Cerebrovaseular Accident

57

Seizure Disorders

59

Panic Attack

61

Management of Acute Bleeding

63

SECTION THREE

PROCEDURES AND/PROTOCOLS

65

Preprocedural Guidelines for Dental Patients

65

Frequently Asked Questions for Infective Endocarditis and Prosthetic Implants

70

Probiotics to Reduce Gastric Symptoms during Long-Term Antibiotic Therapy

72

Oxygen Delivery

73

Occupational Exposure to Bloodborne Pathogens

75

Dental Management Considerations for Osteonecrosis of the Jaw (ONJ)

90

Animal and Human Bites Guidelines

92

References and Selected Readings

94