Abstract:Background: Cardiopulmonary resuscitation (CPR) requires immediate start of manual chest compression (MCC) and defibrillation as soon as possible. During dental surgery, CPR could be started in the dental chair considering difficulty to move the patient from the dental chair to the floor. However, all types of dental chairs are not stable for MCC. We previously developed a procedure to stabilize a dental chair by using a stool. EUROPEAN RESUSCITATION COUNCIL (ERC) guideline 2015 adopted our procedure when card… Show more
“…Dental setup may face medicinal emergency cases 12 . Those may consists of wide-ranging sort of circumstances from fainting or syncope, hyper-tensive crisis, & angina to various CPA cases.…”
Background: Cardiac arrest thought as topmost cause of a death in various regions of globe. Cardio-pulmonary arrest (CPA) is unexpected and swift halt/end in the patients breathing or/and circulation because of numerous causes. CPR incorporates comprehensive hard work as well as those practices for a recovering of any person who is facing cardiac failure Aim: To see as well as examine medical skills of demonstrator’s as per latest CPR regulatory principles & to pinpoint those precautionary measures Study design: Cross-sectional study Place and duration of study: This study of 3 months duration was carried on demonstrators of Multan dental college, Multan. Methodology: 40 demonstrators willingly took part in study. Simple random sampling technique was utilized in order to collect the data. Well-structured Performa was consumed. Informed consent was also sign up from contestants. Results: Men were sixteen while ladies were twenty four. 24(60%) applicants failed in initial assessment, 28(70%) participants reported failure due to compression rate error, 22(55%) participants were failed due to ventilation rate error and 12(30%) participants failed due to incorrect hand position Conclusion: The level of both knowledge and training about medical related emergencies of demonstrators is less than desirable level. Hence, it is needed to set accurate strategies and plans in order to fortify the known areas of weakness. Keywords: Cardio-pulmonary arrest, Cardiopulmonary resuscitation, guiding principles, Medical emergencies
“…Dental setup may face medicinal emergency cases 12 . Those may consists of wide-ranging sort of circumstances from fainting or syncope, hyper-tensive crisis, & angina to various CPA cases.…”
Background: Cardiac arrest thought as topmost cause of a death in various regions of globe. Cardio-pulmonary arrest (CPA) is unexpected and swift halt/end in the patients breathing or/and circulation because of numerous causes. CPR incorporates comprehensive hard work as well as those practices for a recovering of any person who is facing cardiac failure Aim: To see as well as examine medical skills of demonstrator’s as per latest CPR regulatory principles & to pinpoint those precautionary measures Study design: Cross-sectional study Place and duration of study: This study of 3 months duration was carried on demonstrators of Multan dental college, Multan. Methodology: 40 demonstrators willingly took part in study. Simple random sampling technique was utilized in order to collect the data. Well-structured Performa was consumed. Informed consent was also sign up from contestants. Results: Men were sixteen while ladies were twenty four. 24(60%) applicants failed in initial assessment, 28(70%) participants reported failure due to compression rate error, 22(55%) participants were failed due to ventilation rate error and 12(30%) participants failed due to incorrect hand position Conclusion: The level of both knowledge and training about medical related emergencies of demonstrators is less than desirable level. Hence, it is needed to set accurate strategies and plans in order to fortify the known areas of weakness. Keywords: Cardio-pulmonary arrest, Cardiopulmonary resuscitation, guiding principles, Medical emergencies
“…Several medicinal emergency cases may be reported in dental setup 12 . Those may consist of an extensive range of circumstances from syncope, hypertensive crisis, and angina pectoris to CPA cases.…”
Background: Cardiopulmonary arrest (CPA) is an abrupt and an unpredicted halt in patients’ breathing as well as circulation due to several reasons. All wellbeing experts, including dental specialists, should be very much prepared to take care of and oversee health related crises. Aim: To examine House Surgeon’s medical practices of the recent CPR guidelines and to recognize the precautions that should be followed to correct the deficiencies identified. Setting: Multan Dental College Multan Methodology: Participants were selected randomly. Knowledge about CPR was evaluated by printed objective paper. Practical expertise/ skills were evaluated by SimMan (high-fidelity simulator). Objective paper comprised of 7 multiple choice questions and eighteen true false. Allotted time duration was 20 Minutes. One mark for every query and 50% marks were thought-off as passing scores Results: 34% of the participants scored 50% or more marks while 66% failed to do so. Regarding practical demonstration’s none of the participant was successful completely. Failure in initial assessment was attributed to 67% participants. Failure due to compression rate error, Failure due to ventilation rate error & Failure due to wrong hand position were reported by 70% participants. Conclusion: We conclude that level of knowledge as well as training regarding medicinal emergencies of dental house officers is below the required standard. Therefore, it is essential to place correct strategies & plans in place to fortify their recognized zones of weakness. Keywords: Cardiopulmonary Resuscitation (CPR), Dental House officers, Cardiopulmonary arrest (CPA),
“…Therefore, it is presumed that the backrest shakes and becomes unstable when MCC is applied. Although there is a report [5] verifying the usefulness of MMC on a dental chair and a report [6] that MCC can be effectively performed, there is no report on dialysis chairs.…”
Background: Heart failure is the leading cause of death in dialysis patients. Cardiac arrest due to hypotension may also occur during dialysis therapy. If cardiac arrest is elicited, manual chest compressions (MCC) should be started as soon as possible. However, if MCC is applied during the patient is being treated on the dialysis chair, the backrest of the dialysis chair is horizontal to the floor and there is no support between the backrest and the floor, so that will shake and become unstable.Methods: we investigated whether a round chair is effective for supporting the dialysis chair for MCC. Four adult males performed MCC on three dialysis chairs using a manikin. MCC was performed with 2 sets (1 set was 100 times per minute) per person, with or without a round chair. A total of 4,800 times were performed by four executors.Results: When the chair was not used as a stabilizer, the mean value of fluctuation range were 20.8 ± 8.1 mm, 18.7 ± 5.5 mm, and 12.8 ± 1.8 mm, respectively. When the chair was used, the mean value of fluctuation range were 6.1 ± 1.1 mm, 7.5 ± 2.1 mm, and 1.0 ± 0 mm, decreasing by 70%, 59%, and 92%.Conclusion: MCC with the stool under the backrest as a stabilizer was effective for dialysis chairs.
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