Choufani Antoine, Moussallem Marianne, Dib Julia Bou, Asmar Michèle Kosremelli, Yeretzian Joumana Stephan
Public Dental Health Department, Faculty of Dentistry, Lebanese University, Lebanese Red Cross, Beirut, Lebanon.
Higher Institute of Public Health, Saint-Joseph University of Beirut, Beirut, Lebanon.
Int Dent J. 2025 Feb;75(1):324-332. doi: 10.1016/j.identj.2024.06.010. Epub 2024 Jul 20.
Health-related emergencies, from minor incidents to life-threatening situations, can occur unexpectedly in dental clinics. Ensuring that dentists and their teams are well-prepared with adequate training and essential equipment is crucial. Proper preparedness can lead to effective management of emergencies and reduce potential complications. This cross-sectional national study aimed at assessing the preparedness of Lebanese dentists in managing medical emergencies.
Data was collected between August and October 2024 using an online questionnaire which was distributed to all registered Lebanese dentists through the Lebanese Dental Associations located in Beirut and Tripoli.
The study found that 38.2% of dentists had an emergency kit in their clinics, and 88.0% had some emergency equipment; yet only 5.9% had a defibrillator. While 71.3% had emergency training in university, 28.5% never received it. Only 18.8% reported staff training in medical emergencies. Most dentists (74.2%) encountered minor medical issues, and 22.4% faced major emergencies, with only 1.8% reporting cardiac arrest cases. Vasovagal reactions, hypoglycemia, and orthostatic hypotension were common emergencies. While 69.0% felt capable of managing minor issues, confidence dropped for major emergencies and specific procedures. An overwhelming 87.8% expressed a need for more emergency training. Post-graduation training, prior defibrillator use, and having an emergency kit were linked to better emergency management capabilities in the logistic regressions.
The findings of this study indicate significant gaps in emergency preparedness among Lebanese dentists. Many lack adequate training and resources, highlighting the urgent need for further training and better-equipped clinics. Strengthening policy frameworks and resource allocation is crucial.
Stakeholders should prioritize implementing mandatory training programs and developing clear guidelines to ensure that dental clinics in Lebanon are adequately prepared to manage health-related emergencies effectively.
从轻微事件到危及生命的情况,与健康相关的紧急情况可能在牙科诊所意外发生。确保牙医及其团队通过充分的培训和基本设备做好充分准备至关重要。适当的准备可以有效管理紧急情况并减少潜在并发症。这项全国性横断面研究旨在评估黎巴嫩牙医应对医疗紧急情况的准备情况。
2024年8月至10月期间,通过在线问卷收集数据,该问卷通过位于贝鲁特和的黎波里的黎巴嫩牙科协会分发给所有注册的黎巴嫩牙医。
研究发现,38.2%的牙医在其诊所配备了急救箱,88.0%的牙医拥有一些急救设备;但只有5.9%的牙医有除颤器。虽然71.3%的牙医在大学接受过急救培训,但28.5%的牙医从未接受过。只有18.8%的牙医报告对工作人员进行过医疗急救培训。大多数牙医(74.2%)遇到过轻微医疗问题,22.4%的牙医面临重大紧急情况,只有1.8%的牙医报告有心脏骤停病例。血管迷走神经反应、低血糖和体位性低血压是常见的紧急情况。虽然69.0%的牙医认为自己能够处理轻微问题,但对重大紧急情况和特定程序的信心有所下降。高达87.8%的牙医表示需要更多的急救培训。在逻辑回归中,毕业后培训、之前使用过除颤器以及拥有急救箱与更好的应急管理能力相关。
本研究结果表明黎巴嫩牙医在应急准备方面存在重大差距。许多人缺乏足够的培训和资源,凸显了进一步培训和配备更好诊所的迫切需求。加强政策框架和资源分配至关重要。
利益相关者应优先实施强制性培训计划并制定明确的指南,以确保黎巴嫩的牙科诊所做好充分准备,有效应对与健康相关的紧急情况。