Gupta Tanupriya, Aradhya M R Shankar, Nagaraj Anup
Nair Hospital Dental College, Mumbai, India.
J Contemp Dent Pract. 2008 Jul 1;9(5):92-9.
The aim of this study was to assess the preparedness for management of medical emergencies among dentists in the cities of Udupi and Mangalore in India.
A self-administered questionnaire was completed by the dental teaching hospital faculty members and private dental practitioners in Udupi and Mangalore, India.
Less than half (42.1%) of the dentists reported having received practical training in management of medical emergencies during their undergraduate and postgraduate education. Only about one-third of the respondents felt competent in performing mouth-to-mouth breathing (39.3%), cardiac compression (35.2%), foreign body obstruction relief (32.8%), and in administering IV drugs (34.5%) or supplemental oxygen (27.4%). The most commonly available emergency drugs in treatment areas were oral glucose (82.2%) and adrenaline (65.8%). However, less than one-fourth of the respondents had the following on hand in their treatment facility: oxygen (24.0%), an AMBU bag (17.1%), pocket mask (13.0%), bronchodilator spray (24.7%), diazepam (20.5%), aspirin (20.5%), and glyceryl trinitrate (17.8%). Less than half (39%) of the respondents reported having clinical staff members trained to assist in emergency recognition and management and only 5.8% carried out emergency drills in their workplace.
Preparedness for management of medical emergencies was found to be inadequate among the surveyed dentists.
The results of the study emphasize the need for improvement of the training of practicing dentists in the management of medical emergencies at the undergraduate, postgraduate, and continuing education levels as well as the need for organization of the dental workplace to handle such emergencies.
本研究旨在评估印度乌杜皮和芒格洛尔市牙医对医疗紧急情况的处理准备情况。
印度乌杜皮和芒格洛尔市的牙科教学医院教职员工及私人执业牙医填写了一份自填式问卷。
不到一半（42.1%）的牙医报告称在本科和研究生教育期间接受过医疗紧急情况处理的实践培训。只有约三分之一的受访者认为自己有能力进行口对口呼吸（39.3%）、心脏按压（35.2%）、解除异物梗阻（32.8%）以及静脉给药（34.5%）或提供补充氧气（27.4%）。治疗区域最常用的急救药物是口服葡萄糖（82.2%）和肾上腺素（65.8%）。然而，不到四分之一的受访者在其治疗机构备有以下物品：氧气（24.0%）、急救呼吸面罩（17.1%）、简易面罩（13.0%）、支气管扩张剂喷雾剂（24.7%）、地西泮（20.5%）、阿司匹林（20.5%）和硝酸甘油（17.8%）。不到一半（39%）的受访者报告称有经过培训可协助进行紧急情况识别和处理的临床工作人员，只有5.8%的人在工作场所进行过应急演练。
在接受调查的牙医中，发现对医疗紧急情况的处理准备不足。
该研究结果强调，需要在本科、研究生和继续教育层面改进执业牙医在医疗紧急情况处理方面的培训，以及需要对牙科工作场所进行组织安排以应对此类紧急情况。
