During all emergency situations, health care professionals should strictly adhere to P, A, B, C, D of emergency care management.
P = position
A = airway
B = breathing
C = circulation
D = definitive treatment
The given table, lists 4 levels of drugs and medical equipment that can help the dentist design an emergency kit that will be suitable for emergency preparedness of the dental office.
|Injectable Drugs||Non-injectable Drugs||Equipments|
|LEVEL 1 (basic, critical drugs)|
|Endogenous catecholamine epinephrine(1:1000) Histamine Blocker: Diphenhyreamine, chlorpheniramine||Oxygen. Vasodilator: Nitroglycer-ine. Bronchdilator: Albuterol. Antihypoglycemic: Glucose water. Fibrinolytic:Aspirin(chewable).||Oxygen-delivery system including: positive pressure/demand valve, bag and mask device. Pocket mask; high volume suction and aspirator tips, syringes torniquets, magill intubation and forceps.|
|LEVEL 2 (noncritical drugs)|
|Analgesic: Morphine sulphate Anticonvulsant: Diazepam Antihypertensive: Antianginal, beta- adrenergic blocking agents such as esmolol, labetolol Glucocorticoids: Hydrocortisone||Anticholinergic: Atropine Respiratory stimulant: Aromatic ammonia, spirits of ammonia Histamine blocker: Diphenhydrmine(oral)||Airway equipment: Oropharyngeal or nasopharyngeal airways or both; laryngoscope and endotracheal tubes. Equipment for intravenous infusion: 5% dextrose and water, IV tubing, catheter, winged infusion sets. Cricothyroromy|
|LEVEL 3 (advanced cardiac life support)|
|Alkalinizing agent: Sodium bicarbonate Analgesic: Morphine sulphate Antidyrhythmic: Procainamide, lidocaine Calcium salt: Calcium chloride Endogenous catecholamine epinephrine(1:1000 for i.v administration)|
|LEVEL 4 (antidotal drugs)|
|Benzodiazepine antagonist: Flumazenil Opioid antaginist: Naloxone|