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67 comments:
Natalie Nguyen #159:
The two most common medical emergencies in the pediatric dental office are airway obstruction and pre-existing medical conditions. Prevention is key, so get good medical and dental history while also observing the patient's general appearance. For kids, use the EpiPen JR 0.15mg for a child 15kg-30kg into the antero-lateral aspect of the thigh.
Two life saving medications we should have in our dental office are: Epinephrine and Glucagon.
For a child, epi dose is 0.01 mg/kg.
EpiPen should ONLY be injected @ the antero-lateral aspect of the thigh.
Naomi Nguyen.
158.
The Epi Pen JR should only be injected at the anterior lateral aspect of the thigh.
Ernest Lai #141
When in doubt, use BLS, not medications, for medical emergencies.
And only inject the EpiPen into the leg.
Brandon Seto 173
EpiPen could save a live, so we should have it in our emergency kit. Review instruction, particularly we can inject with the clothes on and can only inject on the antero lateral part of thigh. The other essential tool is glucagon. When in doubt, do BLS, not meds.
Eric Cheung #110
7 most common pedo emergencies include:
asthma attack, allergic rxn, seizure, airway obstruction, drug OD, hypoglycemia, and syncope.
tina duong 125
Prevention is the key to avoid medical emergencies in the pediatric dental office:Make sure to review medical history and if the patient presents any condition, consult with the physician before any treatment. It's also very important to have an updated emergency kit (some of the drugs in the kit expire after 1 year).
Claudia Rodriguez #531
Prevention is the key. Remember to place dental floss on the rubber dam clamp ALWAYS even when we try it in.
When epinephrin is use in a emergency situation in kids,it should only be injected into the antero-lateral aspect of the thigh.
Heidi Gonzalez 526
Prevetion is key when it comes to pediatric medical emergencies.
Make sure to have the adequate equiptment such as..
1-Oxygen:Positive pressure oxygen delivery system 2-Bag-valve-mask 3-High volume suction 4-Drugs such as epinephrine, diphenhydramine, glucagon, diazepam.
Also, keep staff up to date on CRP.
Get a through medical dental history, allergies, hospitalizations, and look for signs of common medical emergencies.
Sanaz Hamzehpour #132
Inject EpiPen into the ant. lat. thigh. Two emergency meds. we should always have are glucagon and epinephrine
Farshid Siami
#177
It is important to have mock emergency drills with your staff regularly. Make sure all drugs like Epi and Glucagon are not kept past their expiration date. Sit your patient up when cementing SCCs to avoid choking. Prevention 1st!
Emmy Le #142
I learned that epi pens can be useful in emerg cases because you don't want to have to worry about measuring out the dose.
Catherine Do #122
Everything in the lecture was very important but, a small fact that I will try to remember is that glucagon used to tx acute hypoglycemia due to diabetes can cause severe vomitting therefore, lay the child on their side immediately after administration.
Sydon Arroyo #102
Epinephrine dosage for children is 0.01mg/kg weight every 15 minutes when needed, IM. The EpiPen a new auto injector is convenient to use. EpiPen 0.3mg is for adults, EpiPEN JR 0.15mg for children of 15-30kg. Administered IM only into the anterior or lateral thigh muscles.
Dilshad Abtin #524
Epi and glucagon are two drugs recommended for us to have in our dental offices to manage most medical emergencies; mild/delayed allergic reactions should be treated with benadryl, while sudden onset anaphylaxis should be treated with epi
-Jeanne Wong, #195
Jonathan Do #121
Always need O2 available and need 90% of 10L/min for at least 1 hr. Understand drugs you use and refer in cases beyond your capabilitites.
The EpiPen is such a simple thing that you can have that can save someone's life. It's important though to know you should only inject it into the antero-lateral aspect of the thigh. Also, it may be injected into the leg with or without clothing on.
Steph Morphis #154
The EpiPen should be injected into the antero lateral aspect of the thigh of the pt.
-Shelton Chow #111
Epi pen should only be injected into anterior side of the thigh. After the injection, rub the thigh for about 10 secs.
Orly Hendizadeh #134
The best way to treat respiratory blockage is to prevent it in the first place. That is why rubber dams should be used as often as possible, with the clamp ligated with floss.
Epinephrine for acute allergc reaction should be given at .01mg/kg i.m, every 5min. For convenient dosing in emergency situation, keep epi pens in the emergency kit. Adult form delivers .3mg. The junior form delivers .15 mg for children 15-30kg. Jab into lateral thigh.
Diana Craft 115
Michelle Duong #123
Inject EpiPen Jr into antero-lateral aspect of thigh. Two emergency meds you should always have are epinephrine and glucagon. When in doubt perform BLS instead of giving meds.
EpiPen for adults contains 0.3 mg and Epipen Jr has 0.15 mg epinephrine able for children 15 to 30 kg. After removing it from it's yellow tube, it's grasped in a fist, activated by removing the gray safety cap, and delivers a single dose over 10 seconds from a firing needle out of it's black end, applied to the anterolateral thigh. A viewing window becomes red to show successful application.
Austin Tung 187
It is important to know what to do in an emergency well so that when it happens, one does not forget how to treat the patient.
-Carol Kim (138)
Air way emergency needs to be addressed in children quickly since kids have smaller pulmonary organs. One breath can make a difference. rita chen 109
A good way to prevent emergencies from happening is to know your patient (i.e. medical history).
It's a good idea to run mock emergency drills in your office. And most medical emergencies don't require the use of drugs.
J. Oka #162
For me the most helpful thng was her giving us a list of symptoms and then asking us to name the medical emergency. If we were ever to witness an emergency identifying the problem correctly is a big first step in correct treatment.
Marc Thomas #182
lidocaine 4.4mg/kg for children; cotton roll can be flossed.
Jing Lee #144
There are 2 types of epi pens, one for adults and one for children. It should only be injected into the lateral aspect of the thigh and nowhere else. A benefit of the epi pen is that it does not require the removal of clothing in order to be administered. I.E. It can be administered through a patient's clothing.
Richard Duong
#124
It is important to understand and know your patients medical history so if an emergency happens you will be ready for it. Most likely meds wont have to be used, but the best ones to have are glucagon and an EpiPen.
Broc Mushet #156
The epinephrine pen and glucagon are probably the most important things to have in the office for pedo emergencies. The epi pen can be used through clothing, but should only be given in the thigh.
Robert Busan #107
I'm not good with the metric system, so it was helpful to figure out the max lido (2 mg/lb) and epi for kids (~.005 mg/lb). So if you know how much of each is in 1 carpule (36 mg lido/.018 mg epi for 2% lido/
1:100,000 epi), this illustrates why you need to worry more about lidocaine dosage in kiddies.
[Colby Smith #178]
Pediatric emergencies are uncommon, but when they do happen they are life threatening.
An Epi pen should be injected on the lateral aspect of the thigh.
Regina Espinoza #126
Parents are more likely to faint than kids, so remember that you are working on their kid, and that parents are crazy sometimes. They are probably already worried, so when they see blood or the needle, they might faint.
Sean Young #192
The Epipen can be injected through clothing and should only be administered to the anterolateral aspect of the thigh.
Amy Tran #184
The EpiPen is a user friendly device to ensure that a proper amount of epi will be injected. It's a good idea to have them around especially in emergency situations where epi can save a child's life.
Kim Pham #167
For most emergencies, drugs are not necessary. If you are unsure of the situation, use basic life support and not drugs. However, two drugs you should have available are Epi and glucagon.
Joanne Kim #140
The few meds that should be in your emergency kit are glucagon, epi(Epi-pen), diphenhydramine, diazepam and a bronchodilator inhaler. The Epi-pen is used by injecting in the anterolateral aspect of the thigh.
Dave Tajima #181
The most important things to have in the office for pedo emergencies are EpiPen and Glucagon. The EpiPen can be used through clothing and should injected in the anterior-lateral aspect of thigh.
Soheil Yashari #191
Most common pediatric emergencies are allergic rxn, asthmatic attack, seizure, hypoglycemia, obstructon of airway space.
Two MUST have medications in the dental office are epi and glucagon.
Alina Tiraspolskaya (#183)
For most medical emergencies, drugs are not necessary. Basic life support, rather than medications, should be used when in doubt. When using an EpiPen, the only injection site that should be used is the antero-lateral aspect of the thigh.
Kevin Omoto
#163
When pt is overloaded/toxicated with anesthetic agents, he/she may report light headedness, change in vision, bradycardia and tachypnea. Access the airway, administer oxygen and monitor vital signs. But more importantly, know the maximum dosage of anesthetic we can use in kids.
Sonia Lee (145)
In case of emergency, every second counts and it is very challenging to remember dosages. In such situations, it is much better to have an EpiPen avaliable with predetermined doses.
Bozhena Fisher
#128
When using an EpiPen remember to inject into the anterolateral aspect of the thigh, and there is no need to remove clothing. The EpiPen Jr is great to use for children 15-30 kg; the risk of overdose is greatly minimized.
Niki Zarabian
#194
When pt has asthma attack and inhalator is ineffective, we should give epi which is only injected into the antero lateral aspect of the thigh.
Tiffany Hsu #529
When pt has asthma attack and inhalator is ineffective, we should give epi which is only injected into the antero lateral aspect of the thigh.
Tiffany Hsu #529
In children, total airway obstruction leads to cardiac arrest and brain dysfunction quite rapidly and is not tolerated for longer than one minute
Paul Hoang #135
Two life saving medications we should have in our dental office are: epinephrine and glucagon.EpiPen should only be injected in the antero-lateral aspect of thigh and since it comes in pre-determined dose we donot have to worry about dose.
Amandeep Iqbal.
# 527
For a child with IDDM always recommend a light meal or snack prior to appointments and make confirm with a pt. prior to start of treatment.
Glucagon injection may cause vomitting so to avoid aspiration place child on the side prior to injection.
It is more common for a parent, rather than a child to faint during difficult procedures, thus be prepared for emergency situation if you allow parents to be in the same room during treatment.
Edvin Agadzhanov, #100
EpiPen can be used through clothing, and the chamber will show red when it has 'fired'. Also remember that glucagon causes vomiting, so if you have to administer it to a hypoglycemic patient, turn them onto their side to help prevent aspiration.
Trish Barsanti #105
Most pediatric medical emergencies can be avoided by completing a thorough medical history on the patient and by knowing one's capabilities as a dentist. If an emergency does occur, BLS and oxygen are forms of primary management- medications are not. An epi pen, however, can save a life in the correct situation. Epi 1:1000 solution is given at 0.01 mg/kg.
Raquel Ulma #188
majic minute:Inject EpiPen into the ant. lat. thigh .Epinephrine and glucagon are must haves in the office for pedo emergencies.
poonam rai #530
I learned drugs are NOT necessary for most emergencies, but it is still a good idea to have a bronchodilator, diphenhydramine for mild allergic rxns, epi, and even glucagon or another quick source of sugar on hand.
Morris Poole
#169
Allergic rxns, if manifested by hives or urticaria, can be treated usually with just Benadryl. But if there is any doubt of airway obstruction or swelling, get 'em with the Epinephrine asap. Also, if you feel the emergency was severe enough for epi, you probably should call 911.
Jake Cragun #117
A detailed medical and dental history is crucial to prevention of medical emergencies in the dental office. Most emergencies in the dental office do not require the use of medications, however, an epi-pen, glucagon, and a source of glucose should always be kept on hand.
Jared Martin #147
Medical Emergencies are rare (uncommon), but they can be identified and prevented by training your staff and knowing your patient by continuously updating the medical history.
Paredes #164
Prevention is the best cure, so be sure to take good histories and anticipate any complications ahead of time. I also found it interesting that while kids rarely faint at the dentist, parents sometimes do.
Daniel Nelson #157
The late vacation MAgical minute.
Epi. dosage for children is 0.01mg/kg weight--> every 15 minutes when needed IM -->only into the antero-lateral thigh.
There are two Dosages available for the New EpiPen: .3 mg for adults, Jr. delivers .15 mg for children (15-30kg) so be aware of what you are administering.
Jeff Flores
#129
The best prevention is knowing your patient's medical history. For severe allergic reactions the EpiPen is a useful tool to have in the office so that you don't have to worry about dosage.
Josh Cardwell #108
Know our patient's medical Hx well to prevent and or prepare for medical 911.
epinephrine and glucagon are life saving medications in our offices.
Xiang Li 146
For most emergencies, drugs are not necessary, if unsure, use basic life support and not drugs.
Matthew Moadel #151
Always remember BLS in an emergency! Also, every office should have both epi and glucagon handy just in case. But don't forget to check the expiration date!
When you administer glucagon to a child give the first 1/2 cc to start with, then give the other 1/2 cc next after waiting 20 minutes.
- neil patel
165
PMH is the key to succsess in preventing any kind of dental office emergency.
Jan Slapnicka
#533
The Epipen should only be injected to the anterolateral aspect of the thigh. It is also important to remember tha prevetion is key when it comes to pediatric medical emergencies.
Hamid Shafizadeh #174
Besides learning that we absolutely have to have epinephrine and glucagon in our office emergency kits, I thought it was very important to just be very aware of your patients general appearance before you start any procedure. I think it is something that is easily neglected.
Sanam Soroudi
#180
Epinephrine and glucagon are good drugs to have in your office in case of medical emergencies, but most medical emergencies don't really require drugs. Also, mock emergency drills should be performed in your office regularly.
Shelby Padua #166
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