Emergency medicine: beyond the basics

Article Abstract:

It is important to be prepared for medical emergencies in the office, even though many dentists are not. Two of the most common emergencies are allergic reactions and chest pain. With allergic reactions, the more quickly the symptoms appear, the more dangerous the condition. The quickest, called anaphylaxis, can be fatal. Chest pains are also common and can range from muscle strain to heart attack. Making an accurate diagnosis and following with appropriate treatment can reduce pain and even save the patient's life.

Care and treatment, Diagnosis, Cover Story, Heart attack, Allergy, Chest pain, Anaphylaxis

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A cut above ...

Article Abstract:

Dealing with a medical emergency on board an aircraft can present unique difficulties. All aircraft carry a range of medical equipment, but this is not adequate for dealing with serious conditions. In these cases, any doctors on board the aircraft who have been summoned to help the patient must improvise. In the case of a woman who was found to have a rib fracture, it was necessary to use a bottle of water as an underwater seal drain and a modified coathanger as a trocar for a urinary catheter.

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Discussion points

Article Abstract:

Most in-flight medical emergencies are handled by cabin staff without needing assistance from any nurses or doctors on board. However, the unique conditions of an aircraft can make dealing with medical emergencies particularly difficult. Any doctor called upon to assist will usually have to deal with unfamiliar equipment and with a condition with which he or she is not necessarily familiar.

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