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Effective: Summer 2015
D H 71OFFICE 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 -
  • Identify the medications in an emergency drug kit
  • describe the signs and symptoms of common medical emergencies
Description -
This course is a study of common medical emergencies that may occur during delivery of dental care. Emphasis is placed on methods to prevent emergencies from occurring and procedures to manage emergency situations. Ethical and legal aspects in assisting during emergencies are also discussed. Intended for students in the dental hygiene 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 -
  1. Multi-media lecture room
  2. 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. Dentalcare.com continuing education assignments
  2. Multiple choice and short answer midterm and final exam
  3. Multiple choice and short answer quizzes
Representative Text(s) -
Malamed, S.F. Medical Emergencies in the Dental Office. 6th ed. St. Louis: CV Mosby, 2007. ISBN-13: 978-0-323-04236-2 (Textbook is nationally recognized as standard of care)

Disciplines -
Dental Technology

 
Method of Instruction -
  1. Lecture
  2. Discussion
  3. Oral presentations
  4. Demonstration
 
Lab Content -
Not applicable.
 
Types and/or Examples of Required Reading, Writing and Outside of Class Assignments -
  1. Online continuing education short course and practice test.
  2. Journal articles on reserve in library for selected emergency situations.