It is important that every member of the community be trained in effective BLS technique to save lives. At least doctors including medical, dental and paramedical staff should be trained in CPR, as it is a basic medical skill which can save many lives if implemented timely. Aim: To assess the awareness of Basic Life Support (BLS) among dental interns and dental practitioners in Mangalore, Karnataka, India. Material and Methods: This cross-sectional study was conducted during November-December 2014 among dental interns and dental practitioners. This study was conducted by assessing response to twenty selected multiple choice questions pertaining to BLS among dental interns and dental practitioners. The results are present in the form of frequency and percentages. Statistical Analysis:The data was collected and analyzed using software Statistical Package for Social Sciences (SPSS) version 12.0. Result: In this study one hundred and twenty five responders were included them, 70(56%) were interns (Bachelor in dental surgery) and remaining 55(44%) were dental practitioners. Surprisingly none out of one hundred and twenty five had the complete knowledge of BLS. Looking closely at the individual groups dental practitioners scored 61.5%, as being aware with the BLS knowledge and skills but needs to be updated with change in protocols done by American Heart Association after every time period and sadly dental interns score 41.2% which shows that BLS course should be considered for inclusion in the Bachelor in dental surgery curriculum Conclusions: This study suggests that dental interns and dental practitioners may not be adequately prepared in the management of medical emergencies and should improve the knowledge and skills regarding BLS.
Gentamicin belongs to the group of antimicrobial agents, aminoglycosides. It is the prototype member of this group of antimicrobial agents that is utilized to treat various bacterial infections, mostly those caused by Gram negative bacteria. This is due to its irreversible binding to the 30S component of the ribosome. But the use of aminoglycosides and thus Gentamicin is limited owing to its profound adverse effects on the ear & the kidney. But proper calculation of the dosage can limit these side effects and prove to be an effective antimicrobial agent.
Background and aims: It is a basic rule to aspirate before injection when giving an inferior alveolar nerve block because the local anaesthetic may fail if the injection is given into a blood vessel, and the local anaesthetic solution may have undesirable systemic effects. There are reports that indicate aspiration is not performed in every injection. The aim of the present study was to assess the incidence of intravascular needle entrance in inferior alveolar nerve block injections. Patients and methods: Interns and postgraduates of our institute performed inferior alveolar nerve block injections using conventional technique in 250 patients undergoing minor oral surgical procedures. The results of aspiration were reported. Aspirable syringes and 27 gauge long needles were used, and the method of aspiration was similar in all cases.Data were analyzed using t-test. Results: 20% of inferior alveolar nerve block injections were aspiration positive. Of all injections, 15.8% were intravascular on the right side and 14.8% were intravascular on the left. There were no statistically significant differences between right and left injection sites (P = 0.778). Between the ages of 9 and 19 the incidence of intravascular penetration was significantly greater than at other ages (10/28 compared with 39/222, P = 0.04). Conclusion: Aspiration of the syringe after the needle had been placed in position for an inferior alveolar nerve block (but before the anaesthetic solution was injected) in 250 patients showed that the tip of the needle was in a blood vessel in 49 (20%). Aspiration of blood was significantly more common in patients aged 9–19 years than in all others (P=0.04). It seems that side of injection has no considerable effect in incidence of intravascular needle entrance.
Hypertrophic scarring following surgical procedures & trauma are a great concern for patients and a challenging problem for clinicians. The therapeutic management of hypertrophic scars is a problem that has not yet been satisfactorily solved. Contractubex® ointment and intra lesional injection of corticosteroids have been used effectively for treatment and prevention of hypertrophic scars. However very few data is available to determine the efficacy of Contractubex® ointment and intra lesional injection of corticosteroids for the treatment of hypertrophic scar. Two study groups were made with 10 patients in each group. Patients in Group 1 treated with Contractubex® and patients in Group 2 treated with intra lesional corticosteroid (Triamcinolone acetonide). Scar was analyzed with Vancouver Scar Scale (VSS) at 2 weeks, 6 weeks and 12 weeks. The collected data was statistically analyzed. We found that the difference between before and after treatment scores for each of the groups was statistically significant (p < 0.05). The mean of the before and after treatment difference for the Group 1 (Contractubex® ) was 4.7 while that of group 2 (Corticosteroids) was 2.8. This demonstrated a significant superiority of the Contractubex® treatment compared to corticosteroid treatment. The difference between treatment responses for both the groups was statistically significant (p < 0.05). Excellent to good responses were reported in 90% of the Group 1 (Contractubex®) patients and 30% of Group 2 (Corticosteroids).
Soft tissue injuries, whether isolated or in combination with other injuries, are amongst the most common traumatic craniofacial injuries encountered in our day to day practice.Soft tissue injuries may involve the skin, subcutaneous tissue, underlying muscle or a combination of any of these elements. Although rarely life-threatening, the treatment of these injuries can be complex and may have significant impact on the patients' facial aesthetics and function. Hence one should know the “do's and don'ts”.Disfigurement following trauma, has a detrimental effect on the victim's personality and future. Therefore such cases should be most appropriately managed with thorough knowledge of applied anatomy, an aesthetic sense and meticulous tissue handling, along with surgical skills to repair composite structures.
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