While allergy-related medical emergencies are rare at the dentist’s office, they do occur. Well-trained and well-equipped dental staff can be a life saver. During national Asthma and Allergy Awareness Month, make sure you’re ready to provide medical aid in event of anaphylaxis.
According to noted dentist anesthesiologist Dr. Stanley F. Malamed, success of emergency response depends on having epinephrine auto-injectors on hand, and being trained in using them.
“Epinephrine is the most important drug in the dental practice medical emergency kit,” according to Dr. Malamed.
“The pre-loaded auto-injector epinephrine syringe is a critical component of the dental office emergency kit,” he says. “I recommend having two 1:1,000 auto-injector syringes (a “2-Pak”) for the >30 kg patient and, if appropriate, two 1: 2,000 auto-injectors for patients weighing less than but up to 30 kg.”
Five steps to manage anaphylactic reaction
In order of importance, follow these steps in the management of an acute anaphylactic reaction, per Dr. Malamed:
- Administer epinephrine
- If using an auto-injector, the dose is calculated for you
- If administering from a vial, the adult dose will vary from 0.3 to 0.5 mg per injection
- For pediatric dosing, or for more information on administering epinephrine from a vial, see this video
- Position the patient (supine feet elevated, if unconscious; comfortable, if conscious)
- Administer portable oxygen
- Call emergency medical services (One staff member should call at onset of emergency, while a second staff member is providing care)
- Be prepared with back-up epinephrine for a bi-phasic reaction, which occurs in approximately 20% of anaphylactic reactions.
Equip your practice for emergency response
HealthFirst is here to help you be ready for the often-severe reactions your food-allergic patients might experience. Product, services and training resources include:
- Emergency medical kits that include epinephrine
- Lower-price generic epinephrine auto-injectors
- Emergency medical kit training DVD featuring Dr. Malamed (includes instruction on managing anaphylaxis).
Practice readiness questions?
Contact a HealthFirst Readiness Advisor or call 800-331-1984.