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Medical emergencies in a dental school clinic - A 12-year review and lessons learned
Richard D'Innocenzo1, Amit Sethi1, Armando Uribe-Rivera1
1Department of Oral and Maxillofacial Surgery, Henry M Goldman School of Dental Medicine of Boston University, Boston, Massachusetts, USA.
Purpose:
The 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 Methods:
A retrospective study was conducted to evaluate all medical emergencies that needed activation of the response team at our school from 2008 to 2020.
Results:
The 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.
Conclusions:
Medical 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.
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