Medical emergencies in dental offices in Slovenia and readiness of dentists to handle them
1Department of Anaesthesiology and Reanimatology, University of Ljubljana, Faculty of Medicine, Slovenia
2 Clinical Department of Anaesthesiology and Intensive Therapy, University Medical Centre Ljubljana, Slovenia
DOI: 10.22514/SV141.052018.7 Vol.14,Issue 1,March 2018 pp.43-48
Published: 27 March 2018
Introduction. Dentists, and all other den-tal healthcare workers, can expect to face a medical emergency directly or indirectly related to dental treatment. This study evaluates the incidence of medical emer-gencies in dental offices in Slovenia, the readiness of dentists and possession of specific medical equipment.
Methods. An anonymous online based questionnaire was sent through the Medi-cal Chamber of Slovenia via email to all 1503 active dentists in Slovenia. The ques-tionnaire was pilot-tested on 25 dentists and improved accordingly. Thirty closed-ended questions were answered by 289 (19.2 %) dentists.
Results. 93.4 % (n=267) of dentists report-ed a medical emergency in their dental of-fice. The most prevalent diagnosis was syn-cope (1.88-2.44/dentist/year) followed by hypoglycaemia (0.20-0.25/dentist/year), hypertensive crisis (0.4/dentists/year) and anaphylaxis (0.3/dentists/year). There were no cardiac arrests reported in the dentists’ entire careers. 85.1 % (n=239) of dentists underwent postgraduate BLS training, 87.4 % (n=209) of them in the last 5 years. Responding dentists estimated that they are most capable of dealing with syncope and least proficient in dealing with stroke, cardiac arrest and a hypertensive crisis. They felt generally more prepared to man-age than diagnose a medical emergency. Only 58.1 % (n=161) of dentists have ac-cess to a self-inflating bag with a reservoir, and 54.9 % (n=152) to an oxygen mask. Only 4.0 % (n=11) of them have a full set of equipment recommended by Medical Chamber of Slovenia.
Conclusions. Results support modification of the undergraduate and postgraduate curriculum for dental students to address specific medical emergencies and the usage of limited equipment. They support more rigorous regulations concerning postgrad-uate education and specific equipment for dealing with medical emergencies in den-tal offices in Slovenia.
emergencies, dental office, equipment, curriculum
NEJC UMEK,MAJA ŠOŠTARIČ. Medical emergencies in dental offices in Slovenia and readiness of dentists to handle them. Signa Vitae. 2018. 14(1);43-48.
1. Atherton GJ, McCaul JA, Williams SA. Medical emergencies in general dental practice in Great Britain. Part 2: drugs and equipment possessed by GDPs and used management of emergencies. Br Dent J 1999:186:125-30.
2. Broadbent JM, Thomson WM. The readiness of New Zealand general dental practitioners for medical emergencies. N Z Dent J 2001:97:82-6.
3. Arsati D, Montalli VA, Florio FM, Ramacciato JC, Cuhna FL, Cecanho R, et al. Brazilian dentists' attitudes about medical emergen-cies during dental treatment. J Dent Educ 2010:74(6):661-6.
4. Atherton GJ, McCaul JA, Williams SA. Medical emergencies in general dental practice in Great Britain. Part 1: Their prevalence over a 10-year period. Br Dent J 1999:186(2):72-9.
5. Müller AP, Hansel M, Stehr SN, Weber S, Koch T. A state-wide survey of medical emergency management in dental practices: inci-dence of emergencies and training experience. Emerg Med J 2008;25(5):296-300.
6. Gridler NM, Smith DG. Prevalence of emergency events in British dental practice and emergency management skills of British den-tists. Resuscitation 1999:41:159-47.
7. Ribaric S. Presentation document, Uniform second-level masters's program: Dental medicine. [Online].: 2016 [cited 2017 August 27]. Available from: http://www.mf.uni-lj.si/media-library/2016/06/5e0be389dcedddc1407c3c397e1ba1be.pdf.
8. Abraham-Inpijn L, Russell G, Abraham DA, Backman N, Baum E, Bullon-Fernandez P, et al. A patient-administered Medical Risk Related History questionnaire (EMRRH) for use in 10 European countries (multicenter trial). Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008:105(5):579-603.
9. Marks LAM, VanParys C, Coppens M, Herregods L. Awareness of dental practitioners to cope with a medical emergency: a survey in Belgium. Int Dent J 2013:63(6):312-6.
10. Greenwood M. Medical emergencies in dental practice. Dent Update 2009:36(4):202-11.
11. Cram P, Vijan S, Fendrick AM. Cost-effectiveness of automated external defibrillator deployment in selected public locations. J Gen Intern Med 2003:18(9):745-54.
12. Slapnik E, Šmid T, Silič K, Starman T, Guzej J. AED baza Slovenije. [Online].: 2016 [cited 2017 August 27]. Available from: http://www.aed-baza.si/.
13. Link MS, Atkins DL, Passman RS, Halperin HR, Samson RA, White RD, et al. Part 6: electrical therapies: automated external defi-brillators, defibrillation, cardioversion, and pacing: American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2010:122(3):706-19.
14. Statement from The Resuscitation Council (UK). Medical emergencies and resuscitation - Standards. [Online].: 2013 [cited 2017 August 27]. Available from: https://www.resus.org.uk/quality-standards/primary-dental-care-quality-standards-for-cpr/.
15. Haas DA. Management of medical emergencies in the dental office: conditions in each country, the extent of treatment by the dentist. Anesth Prog 2006:53(1):20-4.
16. Cooper S, Johnston E, Priscott D. Immediate life support (ILS) training: impact in a primary care setting? Resuscitation 2007:72(1):92-9.
17. Krosnick JA. Survey research. Annu Rev Psychol 1999:50:537-67.
18. Nadel FM, Lavelle JM, Fein JA, Giardino AP, Decker JM, Durbin DR. Assessing pediatric senior residents' training in resuscitation: fund of knowledge, technical skills, and perception of confidence. Pediatr Emerg Care 2000:16(2):73-6.
19. Možina H. Zdravila in oprema za uporabo pri nujnih stanjih v zobozdravstveni ambulanti. In Fras Z, Košnik M, Živčec Kalan G, edi-tors. Nujna medicinska stanja v zobozdravstveni ambulanti. Ljubljana: Zdravniška zbornica Slovenije, 2012:46-51.
Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,200 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.
Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.
Chemical Abstracts Service Source Index The CAS Source Index (CASSI) Search Tool is an online resource that can quickly identify or confirm journal titles and abbreviations for publications indexed by CAS since 1907, including serial and non-serial scientific and technical publications.
IndexCopernicus The Index Copernicus International (ICI) Journals database’s is an international indexation database of scientific journals. It covered international scientific journals which divided into general information, contents of individual issues, detailed bibliography (references) sections for every publication, as well as full texts of publications in the form of attached files (optional). For now, there are more than 58,000 scientific journals registered at ICI.
Geneva Foundation for Medical Education and Research The Geneva Foundation for Medical Education and Research (GFMER) is a non-profit organization established in 2002 and it works in close collaboration with the World Health Organization (WHO). The overall objectives of the Foundation are to promote and develop health education and research programs.
Scopus: CiteScore 0.5(2021) Scopus is Elsevier's abstract and citation database launched in 2004. Scopus covers nearly 36,377 titles (22,794 active titles and 13,583 Inactive titles) from approximately 11,678 publishers, of which 34,346 are peer-reviewed journals in top-level subject fields: life sciences, social sciences, physical sciences and health sciences.
Embase Embase (often styled EMBASE for Excerpta Medica dataBASE), produced by Elsevier, is a biomedical and pharmacological database of published literature designed to support information managers and pharmacovigilance in complying with the regulatory requirements of a licensed drug.