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See what fellow dentists are saying about our Medical Emergency management system:-
I have read through the medical
emergency management system and
must congratulate you on producing a very logical easy to follow system for the whole team to use.We are incorporating it in our team training day on basic and advanced life support. The patient collapse flow chart has been laminated and placed in all surgeries and reception. I am sure that practices around the country would benefit from this excellent booklet and would highly recommend it to any dental practice team.
David Thompson BDS DPDS.
Sheffield.
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If a patient dies in your chair, it could be the end of your career. It could even mean PRISON.
So why not learn how to minimise this risk?
From Stephen Hudson BDS, MFGDP, DRDP Friday, 4.45 Pm Dear Friend
Let me ask you a question, which of the following patients would you be happy to take a tooth out on (the patient is a registered patient at your practice who is now sat in your patient lounge with raging toothache)?
Do you know who is safe to treat and who isn't? Do you know 100% of the time? Or do you sometimes take risks?
"Oh what the hell, it'll be OK"
Famous last words if ever I heard them.
We, as human beings take risks every day. We drive over the speed limit. We eat and drink things that we know aren't good for us. But as respectable practitioners, we shouldn't be taking risks with our patients, not when our careers are on the line. As sad as it is, patients have been known to die whilst undergoing dental treatment. In today's climate, such an event would be BIG news in our unbiased media. I can see the headlines know:
This is not what you want to be known for. And it can be easily avoided, if you have a system that works.
We all know you should take a full medical history from every patient, but how many of us actually do it. Your busy, you're 30 minutes late and you have two people sat in the waiting room with toothache. Order can collapse in such situations, and this is exactly the time when mistakes can be made. Mistakes can unfortunately be fatal. ------------------------------------------------------ "I have read through the medical
emergency management system and
must congratulate you on producing a very logical easy to follow system for the whole team to use.We are incorporating it in our team training day on basic and advanced life support. The patient collapse flow chart has been laminated and placed in all surgeries and reception. I am sure that practices around the country would benefit from this excellent booklet and would highly recommend it to any dental practice team."
David Thompson BDS DPDS.
Sheffield.
---------------------------------------------------------- So what do we do about this. Well, you need to know who to treat and who to be cautious about. At the very least you need an updated medical history on any patient you are going to do treatment on, and we are not just talking Minor Oral Surgery here. If you are going to give a local anaesthetic, you need an updated medical history. Even if this means giving them their medical history sheet and asking:
"Has there been any change in your medical history?"
A simple question right, but one that is often overlooked. It's OK, we have "Rmh o" written three cards back. The patient looks healthy, and has never had any problems.
NOT GOOD ENOUGH
You need to update their medical history regularly, in writing, and get the patient to sign it. You should then sign it and so should your nurse. Yes it takes time, but it's the bare minimum you should do to be SAFE. You do want to be safe don't you? Or do you enjoy the prospect of calling an ambulance to your practice? Looks good for your local image don't you think.
"Oh Mavis, you never guess what I saw the other day. Ambulance outside the dentist. See I always told you he wasn't to be trusted...."
So your first line of defence is to be aware of the conditions that can cause problems during dental treatment. Conditions like:
And you were taught all this stuff at dental school (or at least you were supposed to be taught it). But the problem is, the mind can become a bit hazy. Things are easily forgotten, and information can become out of date quickly. For example, look at the controversy over antibiotic cover for patients at risk of infective endocarditis. Recent studies have indicated that the risk is negligible, but you still have to follow the guidelines in the DPF. And what do you do when the Orthopaedic surgeon insists on ABC for the new hip he has placed in your patient? Do you give the antibiotic cover, even though it contravenes the working party directive? If you do and the patient has an allergic reaction, you have no defence. If you don't and the hip replacement gets infected......
So what do we do? Well you could rely on the DPF, but it's a bit scarce on information. And you could of course buy one of the excellent books on handling medical emergencies in dental practice. But most of these run to several hundred pages, and do you really want to be searching through that every time you have an emergency. No you need an easy to access resource that can tell you what to do quickly. You need a resource that you can incorporate in your staff training sessions, so that everyone is singing from the same song sheet. EVERYONE needs to know what their rolls are in an emergency. You need to incorporate a system into your practice so that you know:
So why buy the Medical Emergency Management System? Well, it gives you the latest guidelines on dealing with:
Each emergency is dealt with by showing the:
This will give you the information you and your staff need to detect those patients that you will
You will also be able to incorporate this into your existing practice systems, and set designated tasks to designated members of staff. This way emergencies are handles smoothly, effectively and correctly. This will likely mean that the emergency turns into an interesting incident, and not a coroner's appearance.
Here is a sample page from this system --------------------------------------------------------------- Fainting
Causes:
Signs and symptoms:
Management of faint:
Differential Diagnosis:
----------------------------------------------------- So how much would you pay for all this? Well, I had to think long and hard for that. I had to decide how much to charge for a product which could potentially save someone's career. I was thinking in the region of several hundred dollars (we use dollars and not pounds because the internet is truly international). And you know how expensive dental publications are these days.
So the price I ask is £77.12.......
But wait.
I'm feeling crazy here. Perhaps I am having a mental fugue (too much mercury maybe?), but I've decided that, to introduce this product, I am going to offer an introductory price for the next 90 days. If you order within the next 90 days, you won't be paying £77.12. No. Order within the next 90 days and pay the discount rate of £41.75
BUT hold on, there's more....
I wanted to give you the best value possible for your money. So what better way than to give you a special bonus? In fact, order in the next 90 days and you will not only get the reduced price, but you will also get two special bonuses:
This second bonus covers conditions such as:
AND, the product has been recently updated for 2009
Use the "buy it now" button to purchase the product for the 90 day reduced rate of £41.75
OR: We realise that some people don't like to use their credit card over the internet. If this is the case, the following link will allow you to print out an order form which you can mail to us with your cheque or postal order. Once your payment has been processed, we will email you products directly to you. IT IS THEREFOR ESSENTIAL THAT YOU PUT YOUR EMAIL ADDRESS ON THE ORDER FORM. This service is only available to dentists in the UK. Buy it today so you don't miss out. Regards
Stephen Hudson, BDS, MFGDP
P.S. Remember, this special offer ends in 90 days. By clicking on the buy it now button, you are locking in this once in a lifetime reduced rate of £41.75 + tax. You are also locking in the special bonuses.
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