scholarly journals P013: Emergency medicine in dental practice: shaping an educational curriculum

CJEM ◽  
2020 ◽  
Vol 22 (S1) ◽  
pp. S69-S69
Author(s):  
C. Vadeanu ◽  
K. Lobay
Keyword(s):  
Medical Training ◽  
Skills Training ◽  
Procedural Sedation ◽  
Dental Practice ◽  
Emergency Physicians ◽  
Medical Risk ◽  
First Order ◽  
Emergency Medical ◽  
Medical Emergencies ◽  
Oral And Maxillofacial Surgeon

Introduction: There is increasing public demand for dentists and their professional regulators to mitigate medical risk to patients in private dental clinics – especially those that offer procedural sedation. Recent high-profile adverse events reported in the media suggest an urgent need to address this issue. However, there is a paucity of knowledge in the literature regarding how best to do so. We aim to explore opportunities for multidisciplinary emergency medical training of dentists, and to offer an informed perspective to assist with the preliminary development of a structured educational program. Methods: We employ Gioia Methodology, an established standard for inductive qualitative research and thematic analysis. Interviewees were recruited via email and selected to ensure a broad and knowledgeable perspective. We conducted individual semi-structured 1-hour interviews of 6 dentists, 4 medical anesthesiologists, 3 emergency physicians, and 1 oral and maxillofacial surgeon. Several interviewees had leadership roles in Canadian dental regulatory agencies and educational institutions. Data from these interviews was contemporaneously analyzed and organized into “first-order concepts”, “second-order themes” and “aggregate dimensions.” Results: Our findings demonstrated 12 first-order concepts. Dentists require "leadership from professional regulators", and "accreditation by recognized training institutions" to "ensure competence in initial emergency medical care of patients". "Customized training programs" led by "multidisciplinary instructors" – including emergency physicians – should ensure "pre-operative medical risk assessment", "appropriate intra-operative patient monitoring", and "the ability to recognize common medical emergencies". Emergency medical skills training should focus upon "teamwork within the office", "early activation of EMS", “ABC skills", and the administration of "emergency medications". Conclusion: Dentists require a very broad skillset to safely manage patients in their practice, especially when procedural sedation is required. Our aggregate dimensions provide an overview of our recommendations: we suggest that dentists must work with their regulators and educators to "build upon an existing culture of patient safety" by fostering "competence in the prevention, recognition and initial management of medical emergencies" in the dental practice setting.

The Current State of Emergency Medical Training in US Schools of Podiatric Medicine

2015 ◽  
Vol 105 (1) ◽  
pp. 47-50
Author(s):  
David A. Wald ◽  
Alvin Wang ◽  
John Suh ◽  
Jane Pontious ◽  
Christine Miller
Keyword(s):  
Medical Training ◽  
The United States ◽  
State Of Emergency ◽  
Web Based ◽  
Current State ◽  
Emergency Medical ◽  
The Us ◽  
Medical Emergencies ◽  
Didactic Lecture ◽  
Descriptive Survey

BackgroundThere is no information available in the medical literature regarding emergency medical training in the podiatric medicine predoctoral curriculum. This study was undertaken to describe the current state of emergency medical training in US schools of podiatric medicine.MethodsA Web-based descriptive survey was developed to assess course logistics, the curricular topics covered, and the teaching methods used. All of the US schools of podiatric medicine were surveyed.ResultsCompleted surveys were returned from all nine schools. All of the institutions incorporate training on the management of medical emergencies into their predoctoral curricula. Four schools (44.4%) reported initiating this training before 2000. All of the schools incorporate a didactic (lecture) component, and eight (88.9%) incorporate a clinical (hands-on) component into their training.ConclusionsAll of the schools of podiatric medicine in the United States incorporate emergency medical training into their predoctoral curriculum. However, despite some similarities across institutions, there seems to be variation regarding curricular topics, didactic teaching, and methods of teaching the material.

scholarly journals Overview and Evaluation Results of the Second Abdominal Emergency Medical Training Course (AbdEMeT)

2014 ◽  
Vol 103 (4) ◽  
pp. 983-986
Author(s):  
Hiroshi Mihara ◽  
Seisuke Okazawa ◽  
Akinori Wada ◽  
Shoko Matsui ◽  
Kouji Kajinami
Keyword(s):  
Medical Training ◽  
Training Course ◽  
Abdominal Emergency ◽  
Emergency Medical

Assessing medical emergencies

2021 ◽  
Vol 17 (12) ◽  
pp. 592-594
Author(s):  
Rebecca Silver
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Dental Practice ◽  
Medical Emergencies

Rebecca Silver explains the ABCDE approach of cardiopulmonary resuscitation (CPR) in the dental practice

scholarly journals Effective Strategies for Global Health Training Programs A Systematic Review of Training Outcomes in Low and Middle Income Countries

2016 ◽  
Vol 8 (11) ◽  
pp. 278 ◽  
Author(s):  
Aprill Z. Dawson ◽  
Rebekah J. Walker ◽  
Jennifer A. Campbell ◽  
Leonard E. Egede
Keyword(s):  
Medical Training ◽  
Skills Training ◽  
High Income ◽  
Training Methods ◽  
Middle Income ◽  
Training Outcomes ◽  
Effective Strategies ◽  
Middle Income Countries ◽  
Low Middle Income Countries ◽  
Low And Middle Income

<p><strong>INTRODUCTION: </strong>Low and middle-income countries face a continued burden of chronic illness and non-communicable diseases while continuing to show very low health worker utilization. With limited numbers of medical schools and a workforce shortage the poor health outcomes seen in many low and middle income countries are compounded by a lack of within country medical training.</p><p><strong>METHODS: </strong>Using a systematic approach, this paper reviews the existing literature on training outcomes in low and middle-income countries in order to identify effective strategies for implementation in the developing world. This review examined training provided by high-income countries to low- and middle-income countries.</p><p><strong>RESULTS: </strong>Based on article eligibility, 24 articles were found to meet criteria. Training methods found include workshops, e-learning modules, hands-on skills training, group discussion, video sessions, and role-plays. Of the studies with statistically significant results training times varied from one day to three years. Studies using both face-to-face and video found statistically significant results.</p><p><strong>DISCUSSION:</strong> Based on the results of this review, health professionals from high-income countries should be encouraged to travel to low- middle-income countries to assist with providing training to health providers in those countries.</p>

scholarly journals Aggression of patients towards the employees of the National Emergency Medical System

2017 ◽  
Vol 127 (3) ◽  
pp. 109-112
Author(s):  
Sylwia Mojsym-Korybska ◽  
Katarzyna Książek ◽  
Marzena Furtak-Niczyporuk ◽  
Kinga Grabska-Kusiak ◽  
Agata Słowińska ◽  
...  
Keyword(s):  
Work Environment ◽  
Physical Violence ◽  
Medical System ◽  
Emergency Medical System ◽  
Emergency Medical ◽  
Care Workers ◽  
Emergency Units ◽  
Medical Emergencies ◽  
Almost All ◽  
National Emergency

Abstract Introduction. The organizational structure of the National Emergency Medical system ensures the health of citizens. Unfortunately, patients present dangerous behaviors, thereby damaging the safety of workers during medical emergencies. Aggression and violence, in spite of the widespread perception of it as a negative phenomenon undermining the individual’s health, is an indispensable part of everyday life and work environment. Aim. The purpose of this study was to determine the incidence of acts of aggression that led to violence, and the types of occurrence of this phenomenon, which influenced the staff of the National Emergency Medical system. Material and methods. The study was conducted in 2015/2016 among the employees of the National Emergency Medical system in Lublin, Puławy and Zamość; the research tool was a questionnaire survey. Results. On the basis of the conducted research, it can be concluded that the employees of the National Emergency Medical system are, to a large extent, exposed to acts of aggression on the part of patients. Almost all the employees of the Accident & Emergency Units (98.2%) and almost all the employees of the Medical Rescue Teams (98.3%) encountered aggression from the patients. Conclusion. There observed a phenomenon of aggression as well as verbal and physical violence on the part of patients towards health care workers. Alcohol and drugs increased both verbal and physical aggression among patients. Employees of the National Emergency Medical system have indicated aggression as an intrinsic element in the work environment.

If in Doubt, Cut It Out

2021 ◽  
pp. 150-188
Author(s):  
Louise Marie Roth
Keyword(s):  
Medical Training ◽  
Standard Of Care ◽  
Care Providers ◽  
Medical Risk ◽  
Legal Risk ◽  
Cesarean Deliveries ◽  
Obstetric Medicine ◽  
The Us ◽  
Liability Risk ◽  
Professional Guidelines

This chapter examines the effects of malpractice on cesarean deliveries in light of historical trends and changes in the standard of care. Nearly one third of births in the US involve a cesarean delivery, and cesareans are usually the first thing that people think about when they think about defensive obstetric medicine. While some popular accounts attribute the rise in cesareans to women’s requests, most maternity care providers and public health experts are skeptical of the idea that “choice” is driving the trend. This chapter highlights the ways that providers respond to three types of risk when they do cesarean deliveries: medical risk, iatrogenic risk, and legal risk. A culture of malpractice fear encourages obstetricians to prioritize legal risk, and they know that patients are more likely to sue them for not doing a cesarean than for doing an unnecessary one. Providers also described expedience, organizational efficiency, and changes in medical training as important causes of medically questionable cesareans. Analyses reveal that the odds of a cesarean are higher in states where providers face more liability risk, but the effect is extremely small. Professional guidelines, which changed over time, also mediate this effect.

Cardiac safety at sports events: the medical action plan

2019 ◽  
pp. 411-418
Author(s):  
Luis Serratosa ◽  
Efraim Kramer ◽  
Mats Börjesson
Keyword(s):  
Health Care ◽  
Communication Systems ◽  
Medical Equipment ◽  
Action Plan ◽  
Sudden Cardiac Arrest ◽  
Skills Training ◽  
Health Care Personnel ◽  
Medical Services ◽  
Sports Events ◽  
Emergency Medical

The cardiac-specific medical services plan, in and around a sports stadium or arena, should be carefully undertaken and individualized, in order to ensure safe, effective, and coordinated management of any sudden cardiac arrest (SCA). This is ensured practically by tailoring the designated number and skills of on-duty health-care personnel and by having adequate and appropriate medical equipment, effective communication systems, and the emergency medical service transportation logistics required to initiate cardiopulmonary resuscitation (CPR) and defibrillation within the first 3–5 minutes after SCA, regardless of the size or type of sport environment. The planning should be written down in a medical action plan (MAP) which should be communicated to all relevant and appropriate officials, health-care personnel, and, where relevant, participants and spectators. Relevant contact information regarding activation of the necessary emergency medical services, listing the sport environment health-care personnel, and continuous education and skills training are vital parts of the MAP.

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