By Paul Coulthard BDS MFGDP MDS FDSRCS PhD, Keith Horner BChD MSc PhD FDSRCPS FRCR DDR, Philip Sloan BDS PhD FRCPath FRSRCS, Elizabeth D. Theaker BDS BSc MSc MPhil
A ebook within the grasp Dentistry sequence, this greater assessment ebook combines center studying with self-assessment in an available, easy-to-use layout. It deals an efficient strategy for reviewing and learning the fundamental medical wisdom dental scholars want to know for ultimate assessments.
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Additional resources for Master Dentistry-Oral and Maxillofacial Surgery, Radiology, Pathology and Oral Medicine
24 Sciatic nerve anatomy. Gluteus medius Deltoid Gluteus maximus Rectus femoris Biceps Vastus lateralis Fig. 23 Intramuscular injection sites in the arm (A) and buttocks (B). 31 deep branches, an upper and lower, which supply gluteus medius and minimus. The accompanying veins form an extensive plexus between the muscles. v. injection. Leakage of drug into subcutaneous tissues Fracture of needle. This is unlikely to occur if one-third of the needle shaft is left exposed; it therefore depends on the correct assessment of muscle bulk and needle length.
Principles of management • Give steroid replacement • Determining and managing underlying cause once the crisis over. v. Acute asthma Signs and symptoms • Persistent shortness of breath poorly relieved by bronchodilators • Restlessness and exhaustion • Tachycardia greater than 110 beats/min and low peak expiratory flow • Respirations may be so shallow in severe cases that wheezing is absent. 5-5 mg of 1 mg/ml nebuliser solution) or via a large-volume spacer (two puffs of a metered dose inhaler 10-20 times: one puff every 30 seconds up to 10 puffs for a child) Reassure and allow home if recovered.
There may not be time for a detailed assessment, but it is possible to buy time by using a basic protocol that simultaneously assesses and supports vital functions. Fortunately, serious medical emergencies in dental practice are not common, but that means that they are all the more likely to be alarming when they do occur. The ability to stay calm and manage the situation successfully depends on prior planning and rehearsal for such an event. Emergency drugs and equipment There are essential drugs and items of equipment that every dental practitioner should have available for use in an emergency.