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Effective: Summer 2013
D A 57OFFICE EMERGENCY PROCEDURES2 Unit(s)

Grade Type: Letter Grade Only
Not Repeatable.
FHGE: Non-GE Transferable: CSU
2 hours lecture. (24 hours total per quarter)

Student Learning Outcomes -
  • By the end of the quarter the student will be able to respond to common medical emergencies that occur in dental offices.
  • The student will be able to list and identify equipment and medications commonly found in the dental emergency kit.
Description -
Overview of psychological or common medical problems which could lead to an emergency situation in a dental office. Emphasis placed on prevention, management, and legal issues of an emergency response. Intended for students in the dental assisting program.

Course Objectives -
The student will be able to:
  1. identify the common medical emergencies that occur in the dental office
  2. describe the underlying biological processes responsible for the emergency.
  3. describe the signs and symptoms for common medical emergencies.
  4. list procedures to manage common medical emergencies.
  5. indicate the methods to prevent common medical emergencies in the dental office
  6. identify the drugs and equipment used in the treatment of common medical emergencies and the components of a basic emergency kit and their primary uses in the emergency.
  7. identify patients who are at higher risk for medical emergencies through physical evaluations, such as vital signs and ASA assessment.
  8. practice simulated emergency situations and describe the procedures which would be appropriate in the management of these situations.
  9. describe the legal and ethical responsibilities of the dental team in the management of emergency situations.
Special Facilities and/or Equipment -
Dental units for simulated office situations, oxygen tanks and delivery unit, armamentarium for administration of emergency drugs.

Course Content (Body of knowledge) -
  1. identify the common medical emergencies that occur in the dental office
    1. syncope
    2. postural hypotension
    3. angina
    4. acute myocardial infarct
    5. cerebrovascular accident
    6. choking
    7. hyperventilation
    8. asthma
    9. drug related emergencies
    10. diabetes mellitus
  2. describe the underlying biological processes responsible for the emergency.
    1. pathophysiology
    2. contribution of stress and anxiety
    3. pre-existing conditions
  3. describe the signs and symptoms for common medical emergencies.
    1. clinical manifestations
  4. list procedures to manage common medical emergencies.
    1. conscious patient versus unconscious patient
    2. patient positioning
    3. airway-breathing-circulation (BLS)
    4. definitive care
    5. staff assignments
  5. indicate the methods to prevent common medical emergencies in the dental office
    1. medical history assessment
    2. treatment modifications
    3. office and staff preparation
  6. identify the drugs and equipment used in the treatment of common medical emergencies and the components of a basic emergency kit and their primary uses in the emergency.
    1. equipment
      1. oxygen
      2. AED unit
      3. ambu bag
    2. drugs
      1. nitroglycerin pills or spray
      2. antihistamine
      3. epinephrine
      4. inhaler
      5. analgesic
      6. ammonia vaporale
      7. glucose
  7. identify patients who are at higher risk for medical emergencies through physical evaluations, such as vital signs and ASA assessment.
    1. ASA physical status clarification system
      1. ASA I
      2. ASA II
      3. ASA III
      4. ASA IV
      5. ASA V
  8. practice simulated emergency situations and describe the procedures which would be appropriate in the management of these situations.
    1. syncope
    2. postural hypotension
    3. angina
    4. acute myocardial infarct
    5. cerebrovascular accident
    6. choking
    7. hyperventilation
    8. asthma
    9. drug related emergencies
    10. diabetes mellitus
  9. describe the legal and ethical responsibilities of the dental team in the management of emergency situations.
    1. liability to staff and dentist
    2. risk management
    3. standard of care
    4. respondeat superior
    5. ethics
      1. patient autonomy
      2. nonmaleficence
      3. veracity
      4. competence
      5. integrity
Methods of Evaluation -
  1. Assignment(s) - Reflection papers
  2. Group Project - Dental emergency video
  3. Midterm - Multiple choice and short answer
  4. Final - Multiple choice and short answer
Representative Text(s) -
Miyasaki, C., Dental Office Emergencies Syllabus
Malamed, Medical Emergencies in the Dental Office, 6th edition, Mosby, 2007.
ISBN-13: 978-0-323-04235-2 (Textbook is nationally recognized and standard of care)

Disciplines -
Dental Technology

 
Method of Instruction -
  1. Didactic lecture
  2. Role playing
  3. Small group assignments and discussions.
 
Lab Content -
Not applicable.
 
Types and/or Examples of Required Reading, Writing and Outside of Class Assignments -
  1. Reading chapter 31 in textbook.
  2. Reflection paper
  3. Video dialogue and video.