Medical Emergencies in the Dental Office / Edition 7

by Stanley F. Malamed DDS

Overview

Be prepared to handle life-threatening dental emergencies! Medical Emergencies in the Dental Office, 7th Edition helps you learn the skills needed to manage medical emergencies in the dental office or clinic. It describes how to recognize and manage medical emergencies promptly and proactively, and details the resources that must be on hand to deal effectively with these situations. This edition includes new guidelines for drug-related emergencies, cardiac arrest, and more. Written by respected educator Dr. Stanley Malamed, this expert resource provides dental professionals with the tools for implementing a basic action plan for managing medical emergencies.

"It successfully fulfils its aim of stimulating all members of the dental team to improve and maintain their skills in the effective prevention, recognition and management of medical emergencies." Reviewed by European Journal of Orthodontics, March 2015

"...very easy to read and provides a very comprehensive reference for a variety of medical emergencies." Reviewed by S.McKernon on behalf of British Dental Journal, July 2015

• A logical format reflects the way emergencies are encountered in a dental practice, with chapters organized by commonly seen clinical signs and symptoms, such as unconsciousness or altered consciousness, respiratory distress, seizures, drug-related emergencies, chest pain, and cardiac arrest.
• Step-by-step procedures include detailed, numbered instructions for stabilizing and treating victims (PCABD) in common medical emergencies.
• Full-color illustrations demonstrate emergency techniques in realistic clarity.
• Summary tables and boxes make it easy to find essential concepts and information.
• Quick-reference algorithms in the appendix include step-by-step diagrams showing the decision-making process in common emergency situations.
• A differential diagnosis chapter ends each of the book’s parts on common emergencies.

• UPDATED content includes the most current guidelines for drug-related emergencies, unconsciousness, altered consciousness, and cardiac arrest as well as protocols for obstructed airway management.
• UPDATED PCABD boxes reflect the American Heart Association’s new sequence of steps for stabilizing and treating victims with an easy-to-remember acronym: Positioning, Circulation, Airway, Breathing, and Definitive Management.
• UPDATED! Emergency drug and equipment kit instructions help you assemble emergency kits and ensure that your dental office has safe, current materials on hand.

Product Details

ISBN-13:	9780323171229
Publisher:	Elsevier Health Sciences
Publication date:	11/04/2014
Pages:	576
Product dimensions:	8.40(w) x 10.80(h) x 1.00(d)

About the Author

Dr. Malamed, a dentist anesthesiologist, graduated from the New York University College of Dentistry in 1969. He completed his residency at Montefiore Hospital and Medical Center in the Bronx, New York before serving for 2 years in the U.S. Army Dental Corps. He is now an Emeritus Professor of Dentistry at the Herman Ostrow School of Dentistry U.S.C. in Los Angeles where he joined the staff in 1973 and retired from full-time teaching in 2013. Dr. Malamed has authored more than 160 scientific papers, 17 chapters in various medical and dental journals and textbooks and has authored 3 textbooks and 2 interactive DVDs in the areas of physical evaluation, emergency medicine, local and general anesthesia and sedation.

Table of Contents

PART ONE: PREVENTION
1. Introduction
2.  Prevention
3.  Preparation
4.  Legal Considerations
PART TWO: UNCONSCIOUSNESS
5. Unconsciousness: General Considerations
6. Vasodepressor Syncope
7. Postural Hypotension
8.  Acute Adrenal Insufficiency
9. Unconsciousness: Differential Diagnosis
PART THREE: RESPIRATORY DISTRESS
10.  Respiratory Distress: General Considerations
11.  Foreign Body Airway Obstruction
12.  Hyperventilation
13.  Asthma
14.  Heart Failure and Acute Pulmonary Edema
15.  Respiratory Distress: Differential Diagnosis
PART FOUR: ALTERED CONSCIOUSNESS
16.  Altered Consciousness: General Considerations
17.  Diabetes Mellitus: Hyperglycemia and Hypoglycemia
18.  Thyroid Gland Dysfunction
19.  Cerebrovascular Accident
20.  Altered Consciousness: Differential Diagnosis
PART FIVE: SEIZURES
21. Seizures
PART SIX: DRUG-RELATED EMERGENCIES
22. Drug-Related Emergencies: General Considerations
23. Drug Overdose Reactions
24. Allergy
25. Drug-Related Emergencies: Differential Diagnosis
PART SEVEN: CHEST PAIN
26. Chest Pain: General Considerations
27. Angina Pectoris
28. Acute Myocardial Infarction 
29. Chest Pain: Differential Diagnosis
PART EIGHT: CARDIAC ARREST
30. Cardiac Arrest
31.  Pediatric Considerations
Appendix: Quick-Reference Section to Life-Threatening Situations

What People are Saying About This

From the Publisher

Be prepared to prevent, recognize, and manage life-threatening medical emergencies

Editorial Reviews

Reviewer: Janet H. Southerland, DDS, MPH, PhD (The University of Texas Medical Branch)
Description: This is the seventh edition of a book presenting effective, uncomplicated action plans for anticipating and responding to common medical emergencies in the dental office or clinic. The book has a companion website that can be used by instructors and practitioners for training and education of students and staff. First published in 1978, the most recent edition was in 2007.
Purpose: The purpose is to stimulate members of the profession to improve and maintain their skills for preventing medical emergencies and for recognizing and managing those emergencies that will inevitably occur.
Audience: The audience includes dentists, doctors, dental hygienists, dental assistants, and all other office personnel. Other health professionals also may benefit from the information about managing medical emergencies. The author is highly regarded in dentistry and dental education.
Features: The book is arranged in eight parts that focus on recognition and management based on signs and symptoms. Topics covered include prevention, preparation, unconscious states, altered states of consciousness, respiratory emergencies, seizures, and cardiovascular emergencies. The best features of the book include the quick reference algorithms, updated guidelines, and the companion website. The book contains an error in dosage of epinephrine for <15-kg patients that was noted and corrected.
Assessment: This is an excellent guide to managing medical emergencies in the dental office. The book is organized based on signs and symptoms and uses algorithms that make it easier for all members of the staff to follow basic steps in life-saving techniques. This edition is warranted by the new guidelines, emergency drugs, and equipment, as well as the quick reference guide it includes.

Doody's Review Service

"..it is very easy to read and provides a very comprehensive reference for a variety of medical emergencies. Each medical emergency is given a very detailed background of risk factors, pathophysiology, prevention and clinical manifestations before management of the condition is discussed." Reviewed by S.McKernon on behalf of British Dental Journal, July 2015

 "This book promises to be a key source of information for all members of the dental team in all care settings and of immense value for those involved in developing training and lectures on this topic, especially with the latest online components available." Reviewed by L. Khamashta Ledezma on behalf of European Journal of Orthodontics, February 2015

From the Publisher

3 Stars from Doody

This is the fifth edition of a book last published in 1993 on medical emergencies encountered in the dental office. The 529 pages include numerous black-and-white illustrations and an appendix of diagnostic and interventional algorithms. The aim, as stated by the author, is "to stimulate members of the dental profession -- the doctor, dental hygienist, dental assistant, and other office personnel -- to improve and maintain their skill in the prevention of medical emergencies and in the recognition and management of emergencies that inevitably occur." The somewhat grandiose aim may be unrealistic, considering the author often presupposes a familiarity with anatomy, cardiac life support, and pathophysiology. According to the author, dentists, hygienists, dental assistants, and other office personnel are the audience. However, due to the level at which the material is presented, it would only be suitable for dentists, senior dental students, and dental hygienists. The author is a professor of anesthesia and medicine at the USC School of Dentistry. His books also include the Handbook of Local Anesthesia (Mosby, 1997) and Sedation: A Guide to Patient Management (Mosby, 1995). As with previous editions, the etiology, physiology, and care of patient medical emergencies that could manifest in a dental office are covered. The author has made an attempt to modernize the interventions to stay in line with current thinking in emergency medicine. The organization of topics according to the patient's acute signs and symptoms facilitate the formation of a differential diagnosis by the caregiver. In addition, there is a detailed section on the prevention of medicalemergencies, including recommendations for a "basic emergency kit" and other baseline levels of preparedness that all offices should possess. The chapter on the differential diagnosis of chest pain is particularly well written and exceedingly pertinent today, as the percentage of ambulatory care patients with cardiovascular disease continues to increase. The presentation of the material is in a practical "question and comment" format with a focus on how the practitioner can elicit information from the patient critical to the prevention of the emergency. The appendix, "quick-reference section to life-threatening situations" provides the important information in a convenient ACLS-algorithm format. The one shortcoming of the book is in relation to the timing of this edition. With the American Heart Association set to publish their Emergency Cardiac Care guidelines later this year, one has to wonder how much of the information in this book will be rendered out-of-date. This is a comprehensive summary of the medical emergencies possible in a dental office and their interventions. It would be of use to senior dental students and also to practicing dentists. The presentation, comprehensiveness, and favorable history of the previous editions make this text a leader in the field.

Stephen Kun Chung Ho

This is a comprehensive book of medical emergencies seen by dental professionals. This is the fourth edition; the third was published in 1987. The purpose is to stimulate dental professionals to better manage medical emergencies. This book would be ideal as the textbook for a course or continuing education seminar in medical emergencies; it would be a valuable office reference as well. The stated audience is any person in the dental team providing patient care. The book is more appropriate for the dentist or dental student. Stanley Malamed, author of the three previous editions, is considered the leading authority on this subject. This well-organized, usable reference book is organized according to clinical symptoms, and flow sheets are used to emphasize this approach. Many of the tables could be used on a daily basis in the dental office. The author has continued to use up-to-date references and tables. Billed as a chairside reference, it would best be used as a textbook for a course on medical emergencies. The author continues to keep one of the best textbooks in clinical dentistry current and extremely usable. This is a must-have book for all dental practitioners.

Russell A. Baer