Medical Emergencies in the Dental Office

Medical Emergencies in the Dental Office

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by Stanley F. Malamed

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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


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, and limitations 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.

Editorial Reviews

3 Stars from Doody
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.
Doody's Review Service
Reviewer: Janet H. Southerland, DDS, MPH, PhD (Meharry Medical College School of Dentistry)
Description: This is the seventh edition of a book presenting effective, uncomplicated action plans for anticipating and responding to common medical emergencies in the dental office or clinic. The book has a companion website that can be used by instructors and practitioners for training and education of students and staff. First published in 1978, the most recent edition was in 2007.
Purpose: The purpose is to stimulate members of the profession to improve and maintain their skills for preventing medical emergencies and for recognizing and managing those emergencies that will inevitably occur.
Audience: The audience includes dentists, doctors, dental hygienists, dental assistants, and all other office personnel. Other health professionals also may benefit from the information about managing medical emergencies. The author is highly regarded in dentistry and dental education.
Features: The book is arranged in eight parts that focus on recognition and management based on signs and symptoms. Topics covered include prevention, preparation, unconscious states, altered states of consciousness, respiratory emergencies, seizures, and cardiovascular emergencies. The best features of the book include the quick reference algorithms, updated guidelines, and the companion website. The book contains an error in dosage of epinephrine for <15-kg patients that was noted and corrected.
Assessment: This is an excellent guide to managing medical emergencies in the dental office. The book is organized based on signs and symptoms and uses algorithms that make it easier for all members of the staff to follow basic steps in life-saving techniques. This edition is warranted by the new guidelines, emergency drugs, and equipment, as well as the quick reference guide it includes.
From the Publisher

" is very easy to read and provides a very comprehensive reference for a variety of medical emergencies. Each medical emergency is given a very detailed background of risk factors, pathophysiology, prevention and clinical manifestations before management of the condition is discussed." Reviewed by S.McKernon on behalf of British Dental Journal, July 2015

"This book promises to be a key source of information for all members of the dental team in all care settings and of immense value for those involved in developing training and lectures on this topic, especially with the latest online components available." Reviewed by L. Khamashta Ledezma on behalf of European Journal of Orthodontics, February 2015

Product Details

Elsevier Health Sciences
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Medical Emergencies in the Dental Office 4 out of 5 based on 0 ratings. 1 reviews.
Anonymous More than 1 year ago
Great book. However, as an instructor, I would appreciate Learning Outcomes for each chapter.