In today's video we'll talk about Emergency Medicines in dental clinic
as yo know by the thumbnail
that if any medical emergency occurs in dental clinic
so how to handle it ? how to be prepare for it ?
for this video many viewers requested that make a video about emergency medicines
that If we want to make a emergency kit so which medicines we can keep in that
first of all , we have to remember one thing that which patient we are going to treat
we have to do proper check-up, we have to take proper history of that patient
If there is any medical history so we have to treat accordingly
but even after the precautions if any medical emergency occurs
so we have to prepare for that
Don't be hyper if medical emergency occurs
If we already prepared for that so we can handle the situation
so we'll talk about it today
and at the end of the video we'll tell you about the medicines again
so you can write it, if you want to
so must watch the video till end
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so let's start now, I'm Dr. Harishankar Soni  and you are watching ''Easy Dentistry''
first let's talk about that what kind of emergencies can be occur
which medical emergencies can be occur
then we'll talk about the medicines
so first is Asthmatic attack can happen
problem of asthma can occur on the dental chair
if we move further now..so.....
Anaphylactic reaction can be occur
anaphylactic reactions can be occur, then convulsions can be occur
and allergic reaction can be occur
then myocardial infarction, angina can be occur
these are some emergencies
then syncope seen generally in the patients, syncope can be occur
so these are some emergencies can be occur, so we have to prepare for it
let's talk about the medicine, that which medicines we can keep
If we want to make a medical kit
what we keep inside the medical emergency kit
first of all we have to keep the bronchodilator
we have to use bronchodilator for the asthmatic attack
for this we use salbutamol
we have to use salbutamol for this
and which medicines I am telling you in these I'm not including the oxygen
you can keep the oxygen also
but if we talk generally so it might be not possible to keep oxygen kit in dental clinic
oxygen is also used in the some emergencies
we need it ..
but we have to keep atleast these medicines which  i 'm telling ..
so I 'm not including
but if you want to keep definitely you can keep it
so you have to keep bronchodilator (salbutamol) for asthmatic attacks
you have to keep inhaler in this
let's go ahead
If any allergic reaction occurs
If patient shows sudden allergic reaction
so for this you have to keep the antihistamines
In antihistamine you have to keep diphenyhydramine
you can keep diphenhydramine into the kit
Of any allergic emergency occurs
so we'll use diphenyhydramine in that
let's move ahead after this you have to keep epinephrine
which is sympathomimetic
If any anaphylactic reaction occurs so we have to use epinephrine(sympathomimetic) in that condition
we also use it in the asthmatic attacks
which unresponsive to the salbutamol
If asthmatic attacks are not controlled through the salbutamol
in that we will use sympathomimetics
we'll use epinephrine in that
then one emergency can occur that is convulsions
if convulsions occurs in patient during the procedure
if any procedure going on and convulsions occurs at that moment
in that condition we'll use midazolam
generally we used diazepam, you can also use the diazepam
but we have to keep midazolam in the kit
we'll use midazolam when patients have prolonged seizures
so you can use diazepam and midazolam
after this let's talk about heart related emergencies
If anginal pain is there , if myocardial infarction occurs
so what we can use ?
so for this you have to keep aspirin in the emergency kit
which is the antiplatelet drug
so as antiplatelet drug you have to keep aspirin
then for the angina and MI
we used vasodilators..
you have to keep vasodilators in the emergency kit
so as a vasodilator we will use nitroglycerine
which is very commonly use that is nitroglycerine, you have to keep this
we will give it by the sublingual route
we'll talk about the routes , brands in another video
we understand medicine now
so generally we give sublingually
so we have to keep nitroglycerine which is vasodilator
then again in the heart related emergencies..
in MI and angina we'll also use morphine
you have to keep morphine in the kit
If patient is unresponsive to nitroglycerine
if patient does not show any response to nitroglycerine
then we'll use morphine
we'll use morphine for relief from the anginal pain
then let's talk about commonly happen emergency that is syncope
if patient went to the syncope during procedure
for this, very common thing is this, you have to keep oral carbohydrates
that is glucose,  you can use it in the hypoglycemic conditions
so keep oral carbohydrates, we'll use it
if hypoglycemic condition occurs in that
we'll talk in more details in another video
but generally which we have to keep in the medical emergency kit
so you can keep these medicines in that
so I repeated it again , you can write it if you want to
so generally this much medicines we have to keep in the medical emergency kit
so you have to keep salbutamol in that
bronchodilator salbutamol you have to keep
inhaler you have to keep
then diphenyhydramine you have to include in this
then epinephrine you have to keep in the kit
if we talk after the epinephrine
so you have to keep midazolam ,diazepam
let's move ahead, you have to keep antiplatelet drug that is aspirin
then you have to keep nitroglycerine
then morphine and oral carbohydrates you have to keep
so atleast this much emergency medicine we have to keep in the dental clinic
and as I told you about the oxygen in the starting
you can include it if you want to
more medicines and things which we can keep in the emergency kit we'll talk about it in future videos
so that's all for this video, if you found this video informative, helpful
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that which medicine we can include in this ?
and if you are a practitioner, and you face the medical emergency during procedure
so you can share your experience
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will meet on next video soon , with another new topic
Thank you friends
