Medical emergencies in a dental school clinic – A 12‐year review and lessons learned

Author:

D'Innocenzo Richard1,Sethi Amit1ORCID,Uribe‐Rivera Armando1ORCID,Dang Rushil R.1,Cook Abigail2,Joshi Prajakta3,Lakis Sally4,Bhagania Manish K.1

Affiliation:

1. Department of Oral and Maxillofacial Surgery Henry M Goldman School of Dental Medicine of Boston University Boston Massachusetts USA

2. Department of Oral and Maxillofacial Surgery Denver Health Denver Colorado USA

3. Henry M. Goldman School of Dental Medicine, Boston University Boston Massachusetts USA

4. Department of Oral and Maxillofacial Surgery Montefiore Medical Center New York New York USA

Abstract

AbstractPurposeThe aims of this study were to estimate the type and frequency of different medical emergencies that occurred over the study period (twelve years) and discuss the lessons learned and the modifications made in the curriculum to better equip dental students and faculty in their management.Materials and methodsA retrospective study was conducted to evaluate all medical emergencies that needed activation of the response team at our school from 2008 to 2020.ResultsThe emergency response system was activated 250 times during the 12‐year period. There were 132 medical emergencies in the pre‐doctoral clinic and 105 events in the post‐doctoral clinic (p 0.0680). Most of the emergencies occurred in patients between 45 and 64 years of age. Syncope occurs most often followed by adverse cardiovascular, respiratory, anxiety, and hypoglycemic events.ConclusionsMedical emergencies occurring in a dental school provide a unique opportunity for students to gain experience in their management. The key lies in preparing the students and faculty to prevent them from occurring, but should these occur, then they should be able to promptly recognize symptoms and institute prompt intervention.

Publisher

Wiley

Subject

General Medicine

Reference20 articles.

1. Clinical care for an aging population;Chávez EM;Compend Contin Educ Dent,2017

2. The Nature and Frequency of Medical Emergencies Among Patients in a Dental School Setting

3. A ten year experience of medical emergencies at Birmingham Dental Hospital

4. ADA.Dental students transition from the classroom to the clinic. Accessed Oct 2 2021.https://www.ada.org/en/publications/ada‐news/2019‐archive/september/dental‐students‐transition‐from‐the‐classroom‐to‐the‐clinic

5. Medical emergencies in the dental school setting

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