Medical Emergencies in the Dental Office / Edition 5

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Overview

The 'Gold Standard' textbook in dentistry today, MEDICAL EMERGENCIES IN THE DENTAL OFFICE prepares dental professionals for recognizing and managing medical emergencies and diminishing their danger. It concentrates on the prevention of emergencies and addresses specific types of emergencies: unconsciousness, respiratory difficulty, altered consciousness, seizures, drug-related emergencies, chest pain, and cardiac arrest. Clinically organized around signs and symptoms, it presents the appropriate management in a clear, step-by-step fashion. The appendix consists of seven algorithms that provide a quick reference for life-threatening situations.

* Includes the latest American Heart Association guidelines for CPR.
• Organized by clinical signs and symptoms to convey the information quickly and easily.
• The Quick Reference Section to Life Threatening Situations provides seven algorithms on management of specific emergency situations.

This book contains black-and-white illustrations.

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Editorial Reviews

Doody's Review Service
Reviewer: Stephen Kun Chung Ho, DDS (University of Illinois at Chicago College of Dentistry)
Description: 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.
Purpose: 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.
Audience: 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).
Features: 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 medical emergencies, 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.
Assessment: 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.
From The Critics
Reviewer: Stephen Kun Chung Ho, DDS (University of Illinois at Chicago College of Dentistry)
Description: 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.
Purpose: 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.
Audience: 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).
Features: 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 medical emergencies, 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.
Assessment: 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.
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: 9781556644207
  • Publisher: Elsevier Health Sciences
  • Publication date: 1/28/2000
  • Edition description: Older Edition
  • Edition number: 5
  • Pages: 529
  • Product dimensions: 8.42 (w) x 10.74 (h) x 0.75 (d)

Table of Contents

SECTION I PREVENTION 1 Introduction 2 Prevention 3 Preparation 4 Medicolegal Considerations SECTION II UNCONSCIOUSNESS 5 Unconsciousness: General Considerations 6 Vasodepressor Syncope 7 Postural Hypotension 8 Acute Adrenal Insufficiency 9 Unconsciousness: Differential Diagnosis SECTION III 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 SECTION IV 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 SECTION V SEIZURES 21 Seizures SECTION VI DRUG-RELATED EMERGENCIES 22 Drug-Related Emergencies: General Considerations 23 Drug Overdose Reactions 24 Allergy 25 Drug-Related Emergencies: Differential Diagnosis SECTION VII CHEST PAIN 26 Chest Pain: General Considerations 27 Angina Pectoris 28 Acute Myocardial Infarction 29 Chest Pain: Differential Diagnosis SECTION VIII CARDIAC ARREST 30 Cardiac Arrest and Cardiopulmonary Resuscitation APPENDIX Quick-Reference Section to Life-Threatening Situations

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