Medical Emergencies in the Dental Office / Edition 6

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Organized by signs and symptoms, this text addresses specific types of emergencies while emphasizing prevention through accurate assessment and preparation. Includes American Heart Association recommendations for prophylactic antibiotics and emergency cardiac procedures.

This book contains black-and-white illustrations.

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Editorial Reviews

Doody's Review Service
Reviewer: Gary Warburton, DDS, MD (University of Maryland)
Description: In this sixth edition of an already very popular book, the author updates the information with the use of algorithms that provide rapid access for medical emergencies, and adds chapters on pediatric and legal considerations.
Purpose: The purpose is to provide readers with an approach to managing medical emergencies that might occur in the dental office.
Audience: Aimed at students and practitioners, the book would also be appropriate for dental hygienists and assistants.
Features: The book provides guidance on the appropriate management of medical emergencies in the dental office in an uncomplicated way. The use of algorithms helps to further simplify management protocols. This edition has new chapters on pediatric and legal considerations.
Assessment: This will be a useful reference to students and practitioners alike.
Russell A. Baer
This is a comprehensive book of medical emergencies seen by dental professionals. This is the fourth edition; the third was published in 1987. The purpose is to stimulate dental professionals to better manage medical emergencies. This book would be ideal as the textbook for a course or continuing education seminar in medical emergencies; it would be a valuable office reference as well. The stated audience is any person in the dental team providing patient care. The book is more appropriate for the dentist or dental student. Stanley Malamed, author of the three previous editions, is considered the leading authority on this subject. This well-organized, usable reference book is organized according to clinical symptoms, and flow sheets are used to emphasize this approach. Many of the tables could be used on a daily basis in the dental office. The author has continued to use up-to-date references and tables. Billed as a chairside reference, it would best be used as a textbook for a course on medical emergencies. The author continues to keep one of the best textbooks in clinical dentistry current and extremely usable. This is a must-have book for all dental practitioners.
Stephen Kun Chung Ho
This is the fifth edition of a book last published in 1993 on medical emergencies encountered in the dental office. The 529 pages include numerous black-and-white illustrations and an appendix of diagnostic and interventional algorithms. The aim, as stated by the author, is "to stimulate members of the dental profession -- the doctor, dental hygienist, dental assistant, and other office personnel -- to improve and maintain their skill in the prevention of medical emergencies and in the recognition and management of emergencies that inevitably occur." The somewhat grandiose aim may be unrealistic, considering the author often presupposes a familiarity with anatomy, cardiac life support, and pathophysiology. According to the author, dentists, hygienists, dental assistants, and other office personnel are the audience. However, due to the level at which the material is presented, it would only be suitable for dentists, senior dental students, and dental hygienists. The author is a professor of anesthesia and medicine at the USC School of Dentistry. His books also include the Handbook of Local Anesthesia (Mosby, 1997) and Sedation: A Guide to Patient Management (Mosby, 1995). As with previous editions, the etiology, physiology, and care of patient medical emergencies that could manifest in a dental office are covered. The author has made an attempt to modernize the interventions to stay in line with current thinking in emergency medicine. The organization of topics according to the patient's acute signs and symptoms facilitate the formation of a differential diagnosis by the caregiver. In addition, there is a detailed section on the prevention of medicalemergencies, including recommendations for a "basic emergency kit" and other baseline levels of preparedness that all offices should possess. The chapter on the differential diagnosis of chest pain is particularly well written and exceedingly pertinent today, as the percentage of ambulatory care patients with cardiovascular disease continues to increase. The presentation of the material is in a practical "question and comment" format with a focus on how the practitioner can elicit information from the patient critical to the prevention of the emergency. The appendix, "quick-reference section to life-threatening situations" provides the important information in a convenient ACLS-algorithm format. The one shortcoming of the book is in relation to the timing of this edition. With the American Heart Association set to publish their Emergency Cardiac Care guidelines later this year, one has to wonder how much of the information in this book will be rendered out-of-date. This is a comprehensive summary of the medical emergencies possible in a dental office and their interventions. It would be of use to senior dental students and also to practicing dentists. The presentation, comprehensiveness, and favorable history of the previous editions make this text a leader in the field.

3 Stars from Doody
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Product Details

  • ISBN-13: 9780323042352
  • Publisher: Elsevier Health Sciences
  • Publication date: 2/20/2007
  • Edition description: REV
  • Edition number: 6
  • Pages: 568
  • Product dimensions: 8.50 (w) x 10.84 (h) x 0.78 (d)

Table of Contents

1 Introduction 1
2 Prevention 10
3 Preparation 50
4 Medicolegal Considerations 91
5 Unconsciousness: General Considerations 102
6 Vasodepressor Syncope 120
7 Postural Hypotension 128
8 Acute Adrenal Insufficiency 136
9 Unconsciousness: Differential Diagnosis 153
10 Respiratory Distress: General Considerations 157
11 Airway Obstruction 161
12 Hyperventilation 187
13 Asthma 194
14 Heart Failure and Acute Pulmonary Edema 208
15 Respiratory Distress: Differential Diagnosis 224
16 Altered Consciousness: General Considerations 227
17 Diabetes Mellitus: Hyperglycemia and Hypoglycemia 230
18 Thyroid Gland Dysfunction 251
19 Cerebrovascular Accident 262
20 Altered Consciousness: Differential Diagnosis 276
21 Seizures 279
22 Drug-Related Emergencies: General Considerations 299
23 Drug Overdose Reactions 310
24 Allergy 347
25 Drug-Related Emergencies: Differential Diagnosis 376
26 Chest Pain: General Considerations 381
27 Angina Pectoris 393
28 Acute Myocardial Infarction 407
29 Chest Pain: Differential Diagnosis 420
30 Cardiac Arrest and Cardiopulmonary Resuscitation 424
Appendix: Quick-Reference Section to Life-Threatening Situations 451
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Customer Reviews

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Sort by: Showing 1 Customer Reviews
  • Anonymous

    Posted August 2, 2013

    Great book. However, as an instructor, I would appreciate Learni

    Great book. However, as an instructor, I would appreciate Learning Outcomes for each chapter.

    Was this review helpful? Yes  No   Report this review
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