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The dental office medical emergency: What do I do?

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... In developed countries, with a higher level of education, this probably could be extended to most of the population (11). Nevertheless, the literature about CPR shows that the subject is of high concern in dentistry in Australia (6), Italy (12), the United Kingdom (7), and the USA (13,14). ...
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This work describes the knowledge and experience of dentists about cardiopulmonary resuscitation (CPR). A total of 182 dentists from São Paulo State, Brazil were interviewed: 59% judged themselves able to define CPR, although only 46% had a correct concept; 54% believed himself to be able to perform CPR, however, none of them referred to have received practical training in CPR; 3% of the interviewed professionals mentioned the occurrence of cadiopulmonary arrest in their dental office. It was concluded that dental surgeons in Brazil should be better trained for medical emergencies that can occur in the dental office.
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This work describes the knowledge and experience of dentists about cardiopulmonary resuscitation (CPR). A total of 273 dentists working at Shiraz, Iran were interviewed: 55% felt that they are able to define CPR, although only 37% had a correct concept; 51% believed they were able to perform CPR, however, none of them had received practical training in CPR; 4% of the interviewed professionals mentioned the occurrence of cardiopulmonary arrest in their dental office. The authors feel that dental surgeons in Shiraz, Iran should be better trained to manage medical emergencies which they may face in dental practice.
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The aim of this study was to establish whether a patient-administered medical risk-related history (MRRH) for dental patients was valid. The MRRH, which was developed in the Netherlands, has now been tested in Belgium, where it was completed by total of 99 patients. Their answers were compared with the results of a verbal history, taken by a physician experienced in pre-assessment control. This verbal history was considered the 'gold standard'. The sensitivity and specificity of the medical questionnaire proved to be sufficiently high (88 per cent and 98 per cent respectively) and Cohen's Kappa displayed close agreement (0.87). These figures were only slightly lower than those obtained in Holland. The MRRH is valid for the registration of medical problems in dental patients but the answers need to be checked personally by the dental practitioner. Since the present trial was a limited one, the study will be expanded to nine countries in Europe.
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