Dr. Joonyoung Ji, Dental Anesthesia specialist in Ottawa, provides useful and important information about the must haves in the dental office medical emergency kit.
Emergency kits are a necessity in every dental office but, there are basic elements practitioners must consider.
- Kits must be easily accessible
- Kits must be stocked appropriately and organized
- An action plan should be in place and the team should know how to administer the medications
- Expiration dates and reordering information should be kept handy
The RCDSO mandates that all dental offices have 6 emergency drugs available in each office:
- Salbutamol (Ventolin)
- ASA (non-enteric coated tablets)
- Diphenhydramine (Benadryl)
- Mobile units are best for easy use in any operatory/area of the office
- Usual adult flow is 5L/minute and children is 2L/minute, minimum
- Epinephrine 1:1000 concentration is used for IM injection
- Used for anaphylaxis and asthma which is not helped by Ventolin
- Used for allergic reactions
- 50mg/mL is the usual concentration
- Quick chew tablets
- Used for episodes of angina, heart attack
- Commonly used for angina, heart attack, other heart-related conditions
- “Blue” puffer used for relief of asthma, COPD
- Used when patients are experiencing trouble breathing or apprehension
Practitioners should run frequent drills for basic emergency situations that one could encounter in a dental office and have written protocols for these scenarios for the dental team to follow. Teams should also consider having an AED (automatic external defibrillator) in the office.
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