印度贝尔高姆市牙科毕业生（实习生）对医疗急救的知识、经验及认知评估
Evaluation of knowledge, experience and perceptions about medical emergencies amongst dental graduates (Interns) of Belgaum City, India.
作者信息
Jodalli Praveen S, Ankola Anil V
机构信息
MDS.Senior lecturer, Department of Public health Dentistry, Yenepoya dental college & hospital, Mangalore.
出版信息
J Clin Exp Dent. 2012 Feb 1;4(1):e14-8. doi: 10.4317/jced.50627. eCollection 2012 Feb.
INTRODUCTION
Medical emergencies can occur frequently in dental setting. Effective management of an emergency situation in the dental office is ultimately the dentist's responsibility. The lack of training and inability to cope with medical emergencies can lead to tragic consequences and sometimes legal action. For this reason, all health professionals including dentists must be well prepared to attend to medical emergencies. Providing basic life support [BLS] is dentist's most important contribution until definitive treatment for a medical emergency can be given. Hence the study is aimed to assess the dental graduates (Interns) knowledge, skills and competency regarding dentistry-medical emergency interface.
METHOD
Data were collected from 105 Interns of two dental colleges of Belgaum City using a structured questionnaire consisting of 7 item questionnaire (6 closed and 1 open ended).
RESULTS
Overall in all the years, syncope / faint was seen by 40.9% of the respondents, 37.1% with hypoglycemic attacks, allergic reactions by 17.1%, epileptic attacks by 7.6%, asthmatic attacks by 4.5% and angina 0.9%. The frequencies of the emergencies encountered were once or even more. Knowledge of the presence of drugs and equipments in the emergency drug kit and the confidence in regard to use them was low. Medical emergencies training were undertaken by 42% respondents, but in varying degrees. There was a desire for further medical emergencies training by majority of respondents.
CONCLUSION
The study showed that syncope is the commonest medical emergency event. Dental graduates had a superficial knowledge of medical emergencies, drugs and equipments. Emphasis is placed on the need for more medical emergencies training to be offered, to increase knowledge and confidence of dental graduates (Interns) in the management of medical emergencies. Key words:Medical emergencies, dental graduates, basic life support, emergency drugs.
引言
医疗紧急情况在牙科诊疗过程中可能频繁发生。在牙科诊所有效处理紧急情况最终是牙医的责任。缺乏培训以及应对医疗紧急情况的能力不足可能导致悲剧性后果，有时还会引发法律诉讼。因此，包括牙医在内的所有卫生专业人员都必须做好充分准备以应对医疗紧急情况。在能够对医疗紧急情况进行确定性治疗之前，提供基本生命支持（BLS）是牙医最重要的贡献。因此，本研究旨在评估牙科毕业生（实习生）在牙科 - 医疗紧急情况衔接方面的知识、技能和能力。
方法
使用一份包含7个项目的结构化问卷（6个封闭式问题和1个开放式问题），从贝尔高姆市两所牙科学院的105名实习生中收集数据。
结果
总体而言，在所有年份中，40.9%的受访者见过晕厥/昏厥，37.1%见过低血糖发作，17.1%见过过敏反应，7.6%见过癫痫发作，4.5%见过哮喘发作，0.9%见过心绞痛。遇到紧急情况的频率为一次或更多次。对急救药箱中药物和设备的知晓情况以及使用它们的信心较低。42%的受访者接受过不同程度的医疗紧急情况培训。大多数受访者希望接受更多的医疗紧急情况培训。
结论
该研究表明晕厥是最常见的医疗紧急事件。牙科毕业生对医疗紧急情况、药物和设备的了解较为肤浅。强调需要提供更多的医疗紧急情况培训，以增加牙科毕业生（实习生）在处理医疗紧急情况方面的知识和信心。关键词：医疗紧急情况、牙科毕业生、基本生命支持、急救药物
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