Efficacy of cardiopulmonary resuscitation performed in a dental chair

[Cardiac arrest under special circumstances]

These guidelines of the European Resuscitation Council (ERC) Cardiac Arrest under Special Circumstances are based on the 2020 International Consensus on Cardiopulmonary Resuscitation Science with Treatment Recommendations. This section provides guidelines on the modifications required for basic and advanced life support for the prevention and treatment of cardiac arrest under special circumstances; in particular, specific causes (hypoxia, trauma, anaphylaxis, sepsis, hypo-/hyperkalaemia and other electrolyte disorders, hypothermia, avalanche, hyperthermia and malignant hyperthermia, pulmonary embolism, coronary thrombosis, cardiac tamponade, tension pneumothorax, toxic agents), specific settings (operating room, cardiac surgery, cardiac catheterization laboratory, dialysis unit, dental clinics, transportation [in-flight, cruise ships], sport, drowning, mass casualty incidents), and specific patient groups (asthma and chronic obstructive pulmonary disease, neurological disease, morbid obesity, pregnancy).

European Resuscitation Council Guidelines 2021: Cardiac arrest in special circumstances

These European Resuscitation Council (ERC) Cardiac Arrest in Special Circumstances guidelines are based on the 2020 International Consensus on Cardiopulmonary Resuscitation Science with Treatment Recommendations. This section provides guidelines on the modifications required to basic and advanced life support for the prevention and treatment of cardiac arrest in special circumstances; specifically special causes (hypoxia, trauma, anaphylaxis, sepsis, hypo/hyperkalaemia and other electrolyte disorders, hypothermia, avalanche, hyperthermia and malignant hyperthermia, pulmonary embolism, coronary thrombosis, cardiac tamponade, tension pneumothorax, toxic agents), special settings (operating room, cardiac surgery, catheter laboratory, dialysis unit, dental clinics, transportation (in-flight, cruise ships), sport, drowning, mass casualty incidents), and special patient groups (asthma and COPD, neurological disease, obesity, pregnancy).

Effective Method Using a Stool in Cardiopulmonary Resuscitation (CPR) on Dialysis Chair

Background

Heart failure is the leading cause of death in dialysis patients. Cardiac arrest due to hypotension may also occur during dialysis therapy. If cardiac arrest is elicited, manual chest compressions (MCCs) should be started as soon as possible. However, all types of dialysis chairs are not stable for MCC, because there is no steady support between the backboard of the dialysis chair and the floor. These conditions may alter the effectiveness of MCC.

Methods

We investigated whether a round chair is effective in supporting the dialysis chair for MCC. Four adult males performed MCC on a mannequin placed on three dialysis chairs. MCC was performed in sets of 2 (each set was 100 times per minute) per person, with and without a round chair. A total of 4,800 compressions were performed by four executors.

Results

When the chair was not used as a stabilizer, the mean values of the fluctuation range were 20.8 ± 8.1 mm, 18.7 ± 5.5 mm, and 12.8 ± 1.8 mm, respectively. When the chair was used, the mean values of the fluctuation range were 6.1 ± 1.1 mm, 7.5 ± 2.1 mm, and 1.0 ± 0 mm, decreasing by 70%, 59%, and 92%.

Conclusion

MCC performed with the stool under the backrest as a stabilizer was effective in supporting the dialysis chair.

The ability of oral & maxillofacial surgeons to perform basic life resuscitation in chattisgarh

AIM AND OBJECTIVE

This study was conducted to assess the ability of oral & maxillofacial surgeons regarding basic life resuscitation in case of medical emergencies.

MATERIALS AND METHODS

This cross-sectional study was conducted among oral & maxillofacial surgeons through a mailed questionnaire. The sample size was finalized to 152 including 108 - males and 44 - females with mean age of the subjects as 30.65 y. The Statistical software namely SPSS version 16.0 was used for data analysis.

STATISTICAL ANALYSIS

The student's t-test, ANOVA test and post-hoc test were used as tests of significance for statistical evaluation at p ≤ 0.05.

RESULTS

The study revealed that most of the participants were aware about the administration of drugs. Around half of the surgeons (52.4%) were able to understand correct reading of ECG. It has been seen that, 66.8% were properly knowing, how to maintain the airway and 77.4% were experienced in the administration of oxygen in case of emergencies. Overall the knowledge was more among experienced dental surgeons.

CONCLUSION

It was found that most of the participants were aware to handle the medical emergencies in dental practice and the awareness was higher among senior surgeons. Still the surgeon should have more knowledge for initial stabilization in a patient with risk happening at dental office.

Compliance with and attitudes towards the management of medical emergencies in general dental practice

Patient safety and risk management are increasing priorities in dental practice today. Ensuring that members of the dental team are prepared and equipped to adequately manage the common medical emergencies that might occur is an expectation of the public and increasingly demanded by the inspecting and regulatory bodies in healthcare.

Medical emergencies in the dental practice

Medical emergencies occurring in dental practice can be alarming. The keys to minimizing alarm are taking a thorough history so that possible emergencies can be, to some extent, anticipated, and having a good working knowledge of how to manage emergencies, should they arise.