阿拉伯联合酋长国牙医应对医疗紧急情况的准备情况的初步研究。
A Pilot Study of Preparedness of Dentists in the United Arab Emirates to Deal with Medical Emergencies.
作者信息
Shaath Helmi, Salman Basheer, Daghistani Dalia, Koutaich Rayan, Alhammadi Alya, Yakoub Nermeen, Awad Manal A
机构信息
College of Dental Medicine, Department of Preventive and Restorative Dentistry, University of Sharjah, Sharjah, United Arab Emirates.
Department of Oral and Craniofacial Health Sciences, College of Dental Medicine, University of Sharjah, Sharjah, United Arab Emirates.
出版信息
Eur J Dent. 2023 Jul;17(3):749-755. doi: 10.1055/s-0042-1755628. Epub 2023 Apr 14.
OBJECTIVES
The purpose of this pilot study is to assess the United Arab Emirates dentists' preparedness to manage medical emergencies.
MATERIALS AND METHODS
Ninety-seven licensed dentists participated in this study. Dentists responded to self-administrated questionnaires that contained 23 questions divided into five parts. The first part collected data on participants' sex, years of experience, and whether they are general dental practitioner (GDP) or specialists. The second part included seven questions that asked participants to indicate if they took medical history, obtained vital signs, and attended basic life support courses. The third part included six multiple choice questions regarding the availability of emergency drugs in the dental clinic. The fourth part consisted of three multiple-choice questions that assessed the dentists' immediate response to a medical emergency. Finally, the fifth part comprised four questions to evaluate the dentists' knowledge of proper treatment of special emergency cases they may encounter in the dental offices.
RESULTS
Out of the 97 participants, only 51% ( = 49) indicated that they can handle emergencies such as anaphylactic shock and syncope in the dental office. The majority of the dentists (80%) indicated that they have emergency kits. Only 46% of the specialists and 42% of the GDPs were able to correctly plan extractions in a patient with a prosthetic heart valve. Less than half of the participants ( = 35, 36%) were able to correctly answer the question regarding management of a foreign-body aspiration by attempting Heimlich/Triple maneuver.
CONCLUSIONS
Within the limitations of this study, dentists need further hands-on training to improve their skills and knowledge about medical emergencies that could occur in the dental settings. Furthermore, we recommend that guidelines should be available in the clinic to strengthen the dentists' ability to deal with medical emergencies.
目的
本试点研究旨在评估阿拉伯联合酋长国牙医应对医疗紧急情况的准备情况。
材料与方法
97名持牌牙医参与了本研究。牙医们回答了一份自我管理的问卷，问卷包含23个问题，分为五个部分。第一部分收集了参与者的性别、工作年限以及他们是普通牙科医生（GDP）还是专科医生的数据。第二部分包括七个问题，询问参与者是否采集病史、获取生命体征以及是否参加过基本生命支持课程。第三部分包括六个关于牙科诊所急救药物可用性的多项选择题。第四部分由三个多项选择题组成，评估牙医对医疗紧急情况的即时反应。最后，第五部分包括四个问题，以评估牙医对他们在牙科诊所可能遇到的特殊紧急情况的正确治疗知识。
结果
在97名参与者中，只有51%（n = 49）表示他们能够在牙科诊所处理诸如过敏性休克和晕厥等紧急情况。大多数牙医（80%）表示他们有急救箱。只有46%的专科医生和42%的普通牙科医生能够正确制定对有心脏人工瓣膜患者的拔牙计划。不到一半的参与者（n = 35，36%）能够通过尝试海姆立克/三联手法正确回答关于处理异物吸入的问题。
结论
在本研究的局限性范围内，牙医需要进一步的实践培训，以提高他们对牙科环境中可能发生的医疗紧急情况的技能和知识。此外，我们建议诊所应提供指南，以增强牙医处理医疗紧急情况的能力。
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