Medical Emergencies in the Dental Office / Edition 6

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Overview

This full-color text prepares dental professionals to promptly and proactively recognize and manage medical emergencies that may occur in the dental office. It details how to anticipate potential emergencies and what resources must be on hand to deal effectively with these situations. The book is arranged in eight sections concentrating on topics such as prevention of emergencies through patient evaluation (medical history) and specific types of more common emergencies that practitioners may encounter.

  • Algorithms located in the appendices provide step-by-step diagrams showing the decision-making process in each of several common emergency situations.
  • PABCD boxes throughout text remind the reader of American Heart Association guidelines on Positioning, Airway, Breathing, Circulation, and Definitive management and explain the relevance of these guidelines to the topic being discussed.
  • Chapters are organized into sections based upon types of common emergency situations.
  • Chapter on Preparation includes an updated emergency drug and equipment kit to reflect materials that are safe and currently available on the market.


  • Full-color drawings and updated photographs add realism to situations and equipment.
  • Information on AEDs (Automated Electronic Defibrillators) explains why these should be mandatory in every dental practice and describes how to use these devices properly.
  • A Pediatric Considerations chapter covers pediatric CPR and guidelines for basic life support.
  • A Medicolegal Considerations chapter discusses topics such as theories of liability, definitions of emergencies and standards, andlimitations and requirements of the doctor-patient relationship.
  • An Evolve® website contains the Instructor's Resource Manual, an electronic image collection, and an ExamView® test bank.

This book contains black-and-white illustrations.

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Editorial Reviews

From The Critics
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
  • Sales rank: 526,412
  • Product dimensions: 8.50 (w) x 10.84 (h) x 0.78 (d)

Table of Contents

Part One: Prevention

1. Introduction

2. Prevention

3. Preparation

4. Medicolegal Considerations, written by Daniel L. Orrr II, PhD, JD, MD

Part Two: Unconsciousness

5. Unconsciousness: General Considerations

6. Vasodepressor Syndrome

7. Postural Hypotension

8. Acute Adrenal Insufficiency

9. Unconsciousness: Differential Diagnosis

Part Three: Respiratory Distress

10. Respiratory Distress: General Considerations

11. Airway Obstruction

12. Hyperventilation

13. Asthma

14. Heart Failure and Acute Pulmonary Edema

15. Respiratory Distress: Differential Diagnosis

Part Four: Altered Consciousness

16. Altered Consciousness: General Considerations

17. Diabetes Mellitus: Hyperglycemia and Hypoglycemia

18. Thyroid Gland Dysfunction

19. Cerebrovascular Accident

20. Altered Consciousness: Differential Diagnosis

Part Five: Seizures

21. Seizures

Part Six: Drug-Related Emergencies

22. Drug-Related Emergencies: Genral Considerations

23. Drug Overdose Reactions

24. Allergy

25. Drug-Related Emergencies: Differential Diagnosis

Part Seven: Chest Pain

26. Chest Pain: General Considerations

27. Angina Pectoris

28. Acute Myocardial Infarction

29. Chest Pain: Differential Diagnosis

Part Eight: Cardiac Arrest

30. Cardiac Arrest and Cardiopulmonary Resuscitation

31. Pediatric Considerations

Appendix: Quick-Reference Section to Life Threatening Situations

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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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