| Brazilian dentists' attitudes about medical emergencies during dental treatment. | |
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MedLine Citation:
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PMID: 20516306 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The main objective of this study was to evaluate the prevalence of emergencies in dental practices and the prepared-ness and the training experience in cardiopulmonary resuscitation (CPR) of Brazilian dentists in dealing with emergencies. The volunteer participants in the study were 498 Brazilian dentists who were present at the 27th International Congress of Dentistry in São Paulo. The most prevalent emergency was presyncope (reported by 54.20 percent of respondents), followed by orthostatic hypotension (44.37 percent), moderate allergic reactions (16.86 percent), hypertensive crisis (15.06 percent), asthma (15.06 percent), syncope (12.65 percent), angina (6.82 percent), convulsion (6.22 percent), hypoglycemia (5.62 percent), hyperventilation crisis (5.22 percent), choking (2.20 percent), and cerebrovascular accident (0.8 percent). Anaphylaxis, myocardial infarction, and cardiac arrest were the rarest emergencies, reported by only 0.4, 0.2, and 0.2 percent of dentists, respectively. Only 41 percent of the dentists judged themselves capable to diagnose the cause of an emergency during a dental visit. The majority responded that they would be capable of performing initial treatment of presyncope, syncope, orthostatic hypotension, convulsion, and choking. However, most of them felt unable to treat anaphylaxis, myocardial infarction, or cardiac arrest. Further, the majority felt unable to perform CPR or undertake an intravenous injection. It was concluded that the most prevalent medical emergencies in dental practice of Brazilian dentists are presyncope and orthostatic hypotension. The occurrence of life-threatening medical emergencies like anaphylaxis, myocardial infarction, cardiac arrest, and cerebrovascular accident is rare. Brazilian dentists are not fully prepared to manage medical emergencies and have insufficient experience training in CPR. |
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Authors:
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Franco Arsati; Victor Angelo Montalli; Flavia Martão Flório; Juliana Cama Ramacciato; Fernanda Lopes da Cunha; Rodrigo Cecanho; Eduardo Dias de Andrade; Rogério Heládio Lopes Motta |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of dental education Volume: 74 ISSN: 1930-7837 ISO Abbreviation: J Dent Educ Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-06-02 Completed Date: 2010-07-16 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8000150 Medline TA: J Dent Educ Country: United States |
Other Details:
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Languages: eng Pagination: 661-6 Citation Subset: D; IM |
Affiliation:
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Department of Physiological Sciences, São Leopoldo Mandic Dental Research Center, Rua José Rocha Junqueira 13, Ponte Preta, Campinas, São Paulo, Cep: 13045-610, Brazil. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Airway Obstruction / therapy Anaphylaxis / therapy Angina Pectoris / therapy Asthma / therapy Attitude of Health Personnel* Brazil Cardiopulmonary Resuscitation / education Clinical Competence Dental Care* Dentists / psychology* Education, Dental Emergencies* Emergency Treatment Female Heart Arrest / therapy Humans Hypersensitivity / therapy Hypertension / therapy Hyperventilation / therapy Hypoglycemia / therapy Hypotension, Orthostatic / therapy Male Myocardial Infarction / therapy Seizures / therapy Stroke / therapy Syncope / therapy |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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