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Shaath H, Salman B, Daghistani D, Koutaich R, Alhammadi A, Yakoub N, Awad MA. A Pilot Study of Preparedness of Dentists in the United Arab Emirates to Deal with Medical Emergencies. Eur J Dent 2023; 17:749-755. [PMID: 37059445 PMCID: PMC10569866 DOI: 10.1055/s-0042-1755628] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/16/2023] Open
Abstract
OBJECTIVES The purpose of this pilot study is to assess the United Arab Emirates dentists' preparedness to manage medical emergencies. MATERIALS AND METHODS Ninety-seven licensed dentists participated in this study. Dentists responded to self-administrated questionnaires that contained 23 questions divided into five parts. The first part collected data on participants' sex, years of experience, and whether they are general dental practitioner (GDP) or specialists. The second part included seven questions that asked participants to indicate if they took medical history, obtained vital signs, and attended basic life support courses. The third part included six multiple choice questions regarding the availability of emergency drugs in the dental clinic. The fourth part consisted of three multiple-choice questions that assessed the dentists' immediate response to a medical emergency. Finally, the fifth part comprised four questions to evaluate the dentists' knowledge of proper treatment of special emergency cases they may encounter in the dental offices. RESULTS Out of the 97 participants, only 51% (N = 49) indicated that they can handle emergencies such as anaphylactic shock and syncope in the dental office. The majority of the dentists (80%) indicated that they have emergency kits. Only 46% of the specialists and 42% of the GDPs were able to correctly plan extractions in a patient with a prosthetic heart valve. Less than half of the participants (N = 35, 36%) were able to correctly answer the question regarding management of a foreign-body aspiration by attempting Heimlich/Triple maneuver. CONCLUSIONS Within the limitations of this study, dentists need further hands-on training to improve their skills and knowledge about medical emergencies that could occur in the dental settings. Furthermore, we recommend that guidelines should be available in the clinic to strengthen the dentists' ability to deal with medical emergencies.
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Affiliation(s)
- Helmi Shaath
- College of Dental Medicine, Department of Preventive and Restorative Dentistry, University of Sharjah, Sharjah, United Arab Emirates
| | - Basheer Salman
- Department of Oral and Craniofacial Health Sciences, College of Dental Medicine, University of Sharjah, Sharjah, United Arab Emirates
| | - Dalia Daghistani
- College of Dental Medicine, Department of Preventive and Restorative Dentistry, University of Sharjah, Sharjah, United Arab Emirates
| | - Rayan Koutaich
- College of Dental Medicine, Department of Preventive and Restorative Dentistry, University of Sharjah, Sharjah, United Arab Emirates
| | - Alya Alhammadi
- College of Dental Medicine, Department of Preventive and Restorative Dentistry, University of Sharjah, Sharjah, United Arab Emirates
| | - Nermeen Yakoub
- College of Dental Medicine, Department of Preventive and Restorative Dentistry, University of Sharjah, Sharjah, United Arab Emirates
| | - Manal A. Awad
- College of Dental Medicine, Department of Preventive and Restorative Dentistry, University of Sharjah, Sharjah, United Arab Emirates
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Abdulrahman BI, Alasmari KM, Alratiq MN, Alherab FA, Alfantoukh MA, Alherab AA. Are dental professionals ready to deal with medical emergencies in their clinical office? A survey of university hospitals. J Med Life 2022; 15:979-986. [PMID: 36188656 PMCID: PMC9514817 DOI: 10.25122/jml-2022-0012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2022] [Accepted: 02/28/2022] [Indexed: 11/21/2022] Open
Abstract
This research aimed to assess the availability and need of dental emergency kits in Saudi Arabia university hospitals. A cross-sectional study was conducted among 267 dentists, including undergraduate, dental interns, general dentists, and specialists in 6 university hospitals (private and government colleges). In addition, a closed-ended questionnaire was distributed through emails using the online platform. The data revealed that 49.4% of dentists faced medical emergencies. Out of them, 72.7% said that emergency kits were available in their clinics. Sugar sources and oxygen were most commonly available. On the other hand, 37.8% of dentists handled emergencies independently, 34.5% considered themselves competent with cardiopulmonary resuscitation (CPR), and 28.8% were confident of using emergency (ER) drugs. The most common medical emergencies were vasovagal syncope and hypoglycemia. The emergency kit in dental clinics is relatively available, and the incidence of medical emergencies is relatively minor. However, the competence and confidence of the dentists in tackling an emergency is low, including handling of emergency (ER), knowledge of CPR, and its performance. Therefore, CPR courses should be improved and promoted more widely for this purpose.
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Affiliation(s)
- Baraa Issam Abdulrahman
- Department of Oral Maxillofacial Surgery and Diagnostic Sciences, Riyadh Elm University, Riyadh, Saudi Arabia,Corresponding Author: Baraa Issam Abdulrahman, Department of Oral Maxillofacial Surgery and Diagnostic Sciences, Riyadh Elm University, Riyadh, Saudi Arabia. E-mail:
| | - Khaled Mohammed Alasmari
- Department of Oral Maxillofacial Surgery and Diagnostic Sciences, Riyadh Elm University, Riyadh, Saudi Arabia
| | - Majed Nasser Alratiq
- Department of Oral Maxillofacial Surgery and Diagnostic Sciences, Riyadh Elm University, Riyadh, Saudi Arabia
| | - Fahad Adel Alherab
- Department of Oral Maxillofacial Surgery and Diagnostic Sciences, Riyadh Elm University, Riyadh, Saudi Arabia
| | | | - Abdullah Adel Alherab
- Department of Oral Maxillofacial Surgery and Diagnostic Sciences, Riyadh Elm University, Riyadh, Saudi Arabia
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de Bedout T, Kramer K, Blanchard S, Hamada Y, Eckert GJ, Maupome G, John V. Assessing the Medical Emergency Preparedness of Dental Faculty, Residents, and Practicing Periodontists: An Exploratory Study. J Dent Educ 2018; 82:492-500. [PMID: 29717073 DOI: 10.21815/jde.018.058] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2017] [Accepted: 11/11/2017] [Indexed: 11/20/2022]
Abstract
With the increased number of elderly and medically compromised individuals receiving dental care and the presence of systemic comorbidities and associated treatment modalities in this patient population, it is imperative that dentists be prepared to manage a variety of medical emergencies. The aim of this study was to assess the knowledge of and preparedness to manage common medical emergencies of cohorts of practicing periodontists, specialty residents, and faculty members, both for comparative purposes and as an aid to refining a dental school's standardized case scenarios. The study, conducted in 2017, was designed for four groups of randomly selected participants with at least 20 in each group; the actual number of voluntary participants was 28 private practice periodontists, 22 residents in specialty programs, 21 specialist faculty members, and 24 general practice faculty members. Participants were asked to evaluate ten clinical emergency cases and identify the diagnosis and indicated intervention for each. Groups were also evaluated for differences among correct responses for each case. Overall, there were no statistically significant differences for number of correct diagnoses or interventions among the four groups. However, several cases had varying degrees of incorrect diagnoses and management across all groups. Participants who had recently graduated or were still in school were able to treat cases appropriately more often than the other participants. Further refinement of cases to assess provider preparedness to correctly diagnose and manage medical emergencies is needed, specifically establishing case-specific features and addressing areas of potential confusion before the cases are used for educational purposes.
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Affiliation(s)
- Tatiana de Bedout
- Tatiana de Bedout, DDS, is in private practice in Indianapolis, IN; this study was conducted while she was a resident, Department of Periodontics and Allied Dental Program, Indiana University School of Dentistry; Kyle Kramer, DDS, MS, is Assistant Clinic Professor of Dental Anesthesiology, Department of Oral Surgery and Hospital Dentistry, Indiana University School of Dentistry; Steven Blanchard, DDS, MS, is Director of Graduate Periodontics, Indiana University School of Dentistry; Yusuke Hamada, DDS, MSD, is Clinical Assistant Professor, Department of Periodontics and Allied Dental Program, Indiana University School of Dentistry; George J. Eckert, MAS, is Biostatistician Supervisor, Department of Biostatistics, Indiana University School of Medicine; Gerardo Maupome, BDS, MSc, PhD, is Professor, Department of Social and Behavioral Sciences, and Associate Dean of Research, Richard M. Fairbanks School of Public Health, Indiana University; and Vanchit John, DDS, MSD, is Chair, Department of Periodontics and Allied Dental Programs, Indiana University School of Dentistry
| | - Kyle Kramer
- Tatiana de Bedout, DDS, is in private practice in Indianapolis, IN; this study was conducted while she was a resident, Department of Periodontics and Allied Dental Program, Indiana University School of Dentistry; Kyle Kramer, DDS, MS, is Assistant Clinic Professor of Dental Anesthesiology, Department of Oral Surgery and Hospital Dentistry, Indiana University School of Dentistry; Steven Blanchard, DDS, MS, is Director of Graduate Periodontics, Indiana University School of Dentistry; Yusuke Hamada, DDS, MSD, is Clinical Assistant Professor, Department of Periodontics and Allied Dental Program, Indiana University School of Dentistry; George J. Eckert, MAS, is Biostatistician Supervisor, Department of Biostatistics, Indiana University School of Medicine; Gerardo Maupome, BDS, MSc, PhD, is Professor, Department of Social and Behavioral Sciences, and Associate Dean of Research, Richard M. Fairbanks School of Public Health, Indiana University; and Vanchit John, DDS, MSD, is Chair, Department of Periodontics and Allied Dental Programs, Indiana University School of Dentistry
| | - Steven Blanchard
- Tatiana de Bedout, DDS, is in private practice in Indianapolis, IN; this study was conducted while she was a resident, Department of Periodontics and Allied Dental Program, Indiana University School of Dentistry; Kyle Kramer, DDS, MS, is Assistant Clinic Professor of Dental Anesthesiology, Department of Oral Surgery and Hospital Dentistry, Indiana University School of Dentistry; Steven Blanchard, DDS, MS, is Director of Graduate Periodontics, Indiana University School of Dentistry; Yusuke Hamada, DDS, MSD, is Clinical Assistant Professor, Department of Periodontics and Allied Dental Program, Indiana University School of Dentistry; George J. Eckert, MAS, is Biostatistician Supervisor, Department of Biostatistics, Indiana University School of Medicine; Gerardo Maupome, BDS, MSc, PhD, is Professor, Department of Social and Behavioral Sciences, and Associate Dean of Research, Richard M. Fairbanks School of Public Health, Indiana University; and Vanchit John, DDS, MSD, is Chair, Department of Periodontics and Allied Dental Programs, Indiana University School of Dentistry
| | - Yusuke Hamada
- Tatiana de Bedout, DDS, is in private practice in Indianapolis, IN; this study was conducted while she was a resident, Department of Periodontics and Allied Dental Program, Indiana University School of Dentistry; Kyle Kramer, DDS, MS, is Assistant Clinic Professor of Dental Anesthesiology, Department of Oral Surgery and Hospital Dentistry, Indiana University School of Dentistry; Steven Blanchard, DDS, MS, is Director of Graduate Periodontics, Indiana University School of Dentistry; Yusuke Hamada, DDS, MSD, is Clinical Assistant Professor, Department of Periodontics and Allied Dental Program, Indiana University School of Dentistry; George J. Eckert, MAS, is Biostatistician Supervisor, Department of Biostatistics, Indiana University School of Medicine; Gerardo Maupome, BDS, MSc, PhD, is Professor, Department of Social and Behavioral Sciences, and Associate Dean of Research, Richard M. Fairbanks School of Public Health, Indiana University; and Vanchit John, DDS, MSD, is Chair, Department of Periodontics and Allied Dental Programs, Indiana University School of Dentistry
| | - George J Eckert
- Tatiana de Bedout, DDS, is in private practice in Indianapolis, IN; this study was conducted while she was a resident, Department of Periodontics and Allied Dental Program, Indiana University School of Dentistry; Kyle Kramer, DDS, MS, is Assistant Clinic Professor of Dental Anesthesiology, Department of Oral Surgery and Hospital Dentistry, Indiana University School of Dentistry; Steven Blanchard, DDS, MS, is Director of Graduate Periodontics, Indiana University School of Dentistry; Yusuke Hamada, DDS, MSD, is Clinical Assistant Professor, Department of Periodontics and Allied Dental Program, Indiana University School of Dentistry; George J. Eckert, MAS, is Biostatistician Supervisor, Department of Biostatistics, Indiana University School of Medicine; Gerardo Maupome, BDS, MSc, PhD, is Professor, Department of Social and Behavioral Sciences, and Associate Dean of Research, Richard M. Fairbanks School of Public Health, Indiana University; and Vanchit John, DDS, MSD, is Chair, Department of Periodontics and Allied Dental Programs, Indiana University School of Dentistry
| | - Gerardo Maupome
- Tatiana de Bedout, DDS, is in private practice in Indianapolis, IN; this study was conducted while she was a resident, Department of Periodontics and Allied Dental Program, Indiana University School of Dentistry; Kyle Kramer, DDS, MS, is Assistant Clinic Professor of Dental Anesthesiology, Department of Oral Surgery and Hospital Dentistry, Indiana University School of Dentistry; Steven Blanchard, DDS, MS, is Director of Graduate Periodontics, Indiana University School of Dentistry; Yusuke Hamada, DDS, MSD, is Clinical Assistant Professor, Department of Periodontics and Allied Dental Program, Indiana University School of Dentistry; George J. Eckert, MAS, is Biostatistician Supervisor, Department of Biostatistics, Indiana University School of Medicine; Gerardo Maupome, BDS, MSc, PhD, is Professor, Department of Social and Behavioral Sciences, and Associate Dean of Research, Richard M. Fairbanks School of Public Health, Indiana University; and Vanchit John, DDS, MSD, is Chair, Department of Periodontics and Allied Dental Programs, Indiana University School of Dentistry
| | - Vanchit John
- Tatiana de Bedout, DDS, is in private practice in Indianapolis, IN; this study was conducted while she was a resident, Department of Periodontics and Allied Dental Program, Indiana University School of Dentistry; Kyle Kramer, DDS, MS, is Assistant Clinic Professor of Dental Anesthesiology, Department of Oral Surgery and Hospital Dentistry, Indiana University School of Dentistry; Steven Blanchard, DDS, MS, is Director of Graduate Periodontics, Indiana University School of Dentistry; Yusuke Hamada, DDS, MSD, is Clinical Assistant Professor, Department of Periodontics and Allied Dental Program, Indiana University School of Dentistry; George J. Eckert, MAS, is Biostatistician Supervisor, Department of Biostatistics, Indiana University School of Medicine; Gerardo Maupome, BDS, MSc, PhD, is Professor, Department of Social and Behavioral Sciences, and Associate Dean of Research, Richard M. Fairbanks School of Public Health, Indiana University; and Vanchit John, DDS, MSD, is Chair, Department of Periodontics and Allied Dental Programs, Indiana University School of Dentistry.
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