EMERGENCY PROTOCOL SCENARIOS

EMERGENCY PROTOCOL SCENARIOS American Association of Orthodontists Robert D. Elliott, DMD, MS Copyright Pedo Springboard 2014 2 TABLE OF CONTENTS I. List of Medications Page 3 II. Basic EMERGENCY Equipment Page 5 III. EMERGENCY Team Page 6 IV. Emergencies and Their Management Page 8 Syncope Page 9 Allergic Reactions Page 10 Hypoglycemia/ Insulin Shock Page 12 Convulsions Seizures Page 13 Bronchospasm (Asthma) Page 14 Vomiting, Aspiration & Choking Page 15 Hypotension Page 16 Angina Pectoris (chest pain) Page 17 Myocardial Infarction & Cardiac Arrest Page 18 Hyperventilation Page 19 V. Sample Check List Forms Page 21 VI. Employee Compliance Signature Log Page 25 VII. Vital Signs Recording Sheet Page 27 VIII. EMERGENCY Fire Exit Plan Page 28 Copyright Pedo Springboard 2014 3 I. LIST OF MEDICATIONS ALBUTEROL (VENTOLIN/PROVENTIL) bronchodilator Inhaler, for asthma attacks ANTIHYPOGLYCEMICS (cake icing, Coca-cola, sugar) For unexplained unconsciousness and seizures of unknown origins Glucagon, orange juice, cake icing AMMONIA INHALANT Syncope Crushed between fingers and placed under nose ATROPINE (anticholinergic agent, anti-asthmatic, bronchodilator) Bradycardia Bronchospasms Dosage.

Usually seen when patient doesn’t eat prior to appointment If patient must be fasting then insulin should be adjusted per physician If blood sugar falls too low, seizures and loss of consciousness follow MANAGEMENT 1. End procedure 2. Make patient comfortable 3. Check blood glucose (<60 is a problem for a child)

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