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The 2021 UK Resuscitation guidelines clarify CPR in the dental practice. They state that Causes of cardiac arrest usually relate to pre-existing medical conditions, complications of the procedure or allergic reactions usually as a result of the procedure.
The 2021 guidelines state that all dental care professionals should undergo annual practical training in the recognition and management of medical emergencies, including the delivery of CPR, including basic airway management and the use of an AED.
To apply what you have already learnt on this course into a dental situation, first check patient’s mouth and remove all solid materials from the oral cavity. Prevention of foreign body airway obstruction should precede positioning.
Recline the dental chair into a fully horizontal position. If reduced venous return or vasodilation has caused loss of consciousness, then cardiac output can be restored by placing the patient horizontally.
Place a stool under the backrest for stabilisation.
Start chest compressions immediately while patient lying flat.
Consider the over-the-head technique of CPR if access to either side of chest is limited.
Basic equipment for standard CPR including a bag-valve-mask device should be available immediately and send someone to bring the AED unit immediately.
Use the AED as soon as possible and continue CPR until the EMS arrive.
