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Flashcards in Medical emergencies part 2 Deck (11):
1

What cardio vascular symptoms may cause an emergency in the dental surgery?

Syncope
Anaphylaxis
Cardiac disease - angina, MI

2

What is syncope?

Temporary loss of consciousness caused by low BP
Fainting

3

What may cause acute chest pain?

MI - O2, nitrate, aspirin 300mg, 999
Angina - O2, nitrate - GTN spray/tablets, 999
Central crushing pain - may radiate to arm, neck, jaw, back

4

What is anaphylaxis?

An acute, severe, life threatening systemic hypersensitivity reaction
Characterised by sudden onset + life threatening airway/ circulatory collapse + skin/ mucosal changes

5

Name 4 causes of anaphylaxis?

Drugs
Food
Latex
Venom

6

What are the signs of anaphylaxis? (FAST)

Face - urticaria, erythema, oedema
Airways - tongue, voice, hyperventilation
Stomach - nausea, vomiting, diarrhoea, pain
Total body - rash

7

How do we treat anaphylaxis?

ABCDE
0.5mL adrenaline 1:1000 IM, repeat after 5 minutes
Epipen is 0.3mL adrenalin 1:1000 IM, repeat after 5 mins
PATIENT MUST GO TO HOSPITAL - biphasic response so can happen again, must be monitored for minimum 6 hrs

8

What is hypoglycaemia?

Low blood sugar
Sweating, clammy, poor concentration, slurred pseech, irritable, aggression, LOC
If pt conscious - give oral glucose
If unconscious - give IM glucagon 1mg

9

What is epilepsy?

Common chronic neurological disorder. Characterised by recurrent seizures due to abnormal neuronal activity in the brain.
Seizures usually unprovoked but may be triggered.

10

Name 3 types of seizure?

Simple partial - hallucination, confusion, disorientation
Complex partial - unconscious
Tonic - Clonic - unconscious and convulsions

11

How do we manage epilepsy?

ABCDE, recovery position, 999
O2
Buccal midazolam - careful with fingers!