1. Medical Emergency Prevention in Dental Practice
New Patient Previously Registered Patient
☟ ☟
Complete Medical History Update Medical History Written / Verbal
Questionnaire, Dated and Signed (any changes, drugs etc.)
☟ ☟
Re-enforce Medical History Verbally
Re-categorize as per ASA PS
and update accordingly (sign)
☟ ☟
Note BP, Pulse, Respiratory Rate
Drug Interactions Treatment Modification as per the need
Look for any other sign of systemic Disease
ASA PS Classification System
☟ PS 1: Normal Healthy Patient (-60)
PS 2: Mild Systemic Disease (Anxiety,
Categorize as per ASA PS fear, +60)
PS 3: Severe Systemic Disease that
☟ limits activity but not incapacitating
PS 4: Incapacitating Systemic Disease
that is constant threat to life
Anxiety Assessment PS 5: Not expected to survive 24 hours
☟ Treatment modification for PS 2 and 3
Stress Reduction Protocol
Trained / Updated / Alert Operator and
Get to know the patient
Staff for any common Medical
Understand his/her concerns
Emergencies
Listen and show empathy
Drugs and Equipment and Transfer to
Thorough Extra-oral / Intra-oral Examination
Hospital if needed
☟
Diagnosis and Treatment Planning in Phases (Emergency, Stabilization, Maintenance and Definitive)
with modifications as per the need
Courtesy: Dr Neil Pande