The Basic Management of All Medical Emergencies
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Speaker
Stanley F Malamed, DDS
Emeritus Professor of Anesthesia and Medicine
University of Southern California, School of Dentistry
Los Angeles, California
Dr. Malamed is a graduate of the New York University College of Dentistry. He is a Dentist Anesthesiologist, Emeritus Professor of Dentistry, Ostrow School of Dentistry of USC. He completed a dental internship and anesthesiology residency at Montefiore Hospital and Medical Center in the Bronx, New York.
Dr. Malamed has authored more than 150 scientific papers and 16 chapters in various medical and dental journals and textbooks in the areas of physical evaluation, emergency medicine, local anesthesia, sedation and general anesthesia. Additionally, Dr. Malamed is the author of three widely used textbooks, published by C.V. Mosby Inc.: Handbook of Medical Emergencies in the Dental Office (8th edition 2022); Handbook of Local Anesthesia (7th edition 2020); and Sedation -A Guide to Patient Management (7th edition 2023).
Course Description
Dr. Stanley Malamed reviews the universal emergency management algorithm (PABCD)—Position, Airway, Breathing, Circulation, and Definitive Care—as the foundation for responding to medical emergencies in the dental office. He explains how proper patient positioning, maintaining an open airway with the head tilt–chin lift technique, assessing breathing and circulation, and providing appropriate treatment can save lives in virtually any emergency. The presentation focuses on syncope (fainting), the most common medical emergency in dentistry, discussing its causes, prevention through proper patient positioning during injections, and step-by-step management. Dr. Malamed also covers current recommendations for post-syncope care, emphasizes the importance of identifying the underlying cause to prevent future episodes, and highlights key updates to emergency preparedness based on current guidelines.
Topics
- Apply the PABCD algorithm to manage medical emergencies in the dental office
- Position patients appropriately based on their level of consciousness and medical condition
- Assess and maintain the airway, breathing, and circulation during an emergency
- Recognize, prevent, and manage syncope in the dental setting
- Provide definitive care, including the use of emergency medications and defibrillation
- Implementing current evidence-based recommendations for emergency preparedness and patient safety
Course Objectives
Upon completion of this course, participants should be able to:
- Describe the components of the PABCD algorithm and their role in managing medical emergencies.
- Identify the appropriate patient positioning for conscious and unconscious patients during a medical emergency.
- Demonstrate the steps used to assess and maintain a patent airway, including the head tilt–chin lift technique.
- Explain the causes, signs, prevention, and management of syncope in the dental setting.
- Recognize when definitive care, including emergency medications and defibrillation, is indicated.
- Apply current recommendations for post-syncope patient management and follow-up in the dental office.
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