Guide to paediatric medical emergencies

Abstract

Paediatric medical emergencies can be distressing for the child, parent and clinician alike. This paper aims to remind those in primary dental care how to manage these emergencies safely and effectively. Topics covered include paediatric airway management, basic life support, defibrillation, choking, asthma, paediatric emergency drug doses and epilepsy.

Access options

Rent or Buy article

Get time limited or full article access on ReadCube.

from$8.99

All prices are NET prices.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9
Fig. 10

References

  1. 1.

    Jevon P. Updated posters to help manage medical emergencies in the dental practice. 2016. BDJ Team 2015; 21-24. Online information available at https://www.nature.com/articles/bdjteam201655.pdf (accessed January 2019).

  2. 2.

    Greenwood M, Meechan J G. General medicine and surgery for dental practitioners: part 2. Medical emergencies in dental practice: the drug box, equipment and basic principles of management. Br Dent J 2014; 216: 633-637.

  3. 3.

    Allman K G, Wilson I H. Paediatric and neonatal anaesthesia. In Oxford handbook of anaesthesia. 4th ed. pp 784-785. Oxford: Oxford University Press, 2016.

  4. 4.

    Resuscitation Council. Paediatric Basic Life Support. 2015. Online information available at https://www.resus.org.uk/resuscitation-guidelines/paediatric-basic-life-support/ (accessed February 2019).

  5. 5.

    Topjian J J, Berg R A, Nadkami V M. Paediatric cardiopulmonary resuscitation: advances in science, techniques, and outcomes. Paediatrics 2008; 122: 1086-1098.

  6. 6.

    Atkins D L, Berger S, Duff J P et al. Part 11: Paediatric basic life support and cardiopulmonary resuscitation quality: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2015; 132: S519-525.

  7. 7.

    Girdler N M, Smith D G. Prevalence of emergency events in British dental practice and emergency management skills of British dentists. Resuscitation 1999; 41: 159-167.

  8. 8.

    Jevon P. Management of choking in the dental practice. Br Dent J 2019; 226: 183-187.

  9. 9.

    Asthma UK. Your asthma action plan. 2018. Online information available at https://www.asthma.org.uk/advice/manage-your-asthma/action-plan (for teenagers) and https://www.asthma.org.uk/globalassets/health-advice/resources/children/child-asthma-action-plan.pdf (for children) (accessed January 2019).

  10. 10.

    Asthma UK. How to use your inhaler. 2019. Online information available at https://www.asthma.org.uk/advice/inhaler-videos/ (accessed January 2019).

  11. 11.

    Asthma UK. Maintenance and Reliever Therapy (MART). 2019. Online information available at https://www.asthma.org.uk/advice/inhalers-medicines-treatments/inhalers-and-spacers/mart (Accessed January 2019).

  12. 12.

    Greenwood M, Meechan J G. General medicine and surgery for dental practitioners: part 3. Management of specific medical emergencies in dental practice. Br Dent J 2014; 217: 21-26.

  13. 13.

    Allman K G, Wilson I H. Paediatric emergencies. acute severe asthma. In Oxford handbook of anaesthesia. 4th ed. pp 935. Oxford: Oxford University Press, 2016.

  14. 14.

    British National Formulary for Children. Medical Emergencies in the Community. Online information available at https://bnfc.nice.org.uk/treatment-summary/medical-emergencies-in-the-community.html (accessed June 2019).

  15. 15.

    Allman K G, McIndoe A K, Wilson I H. Paediatrics. In Emergencies in anaesthesia. 2nd ed. pp141. Oxford: Oxford University Press. 2009.

  16. 16.

    National Institute for Health and Care Excellence (NICE). Epilepsies: diagnosis and management. January 2012, Updated April 2018. Online information available at https://www.nice.org.uk/guidance/cg137 (accessed February 2019).

  17. 17.

    Epilepsy Society. First Aid for epileptic seizures. 2018. Online information available at https://www.epilepsysociety.org.uk/first-aid-epileptic-seizures#.Xax2h_ZFzIU (accessed October 2019).

  18. 18.

    General Dental Council. CPD Requirements. 2019. Online information available at https://www.gdc-uk.org/professionals/cpd/requirements (Accessed May 2019).

  19. 19.

    Resuscitation Council. Apps. 2019. Online information available at https://www.resus.org.uk/apps/ (accessed January 2019).

Download references

Acknowledgements

Thanks to Newcastle Dental Hospital Child Dental Health and Sedation staff for assistance with equipment and resources for photographs.

Author information

Affiliations

Authors

Corresponding author

Correspondence to Christopher K. Wallace.

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Wallace, C., Hind, V. Guide to paediatric medical emergencies. Br Dent J 227, 783–789 (2019). https://doi.org/10.1038/s41415-019-0856-8

Download citation

Search