Early-bird pricing extended for medical emergency management courses

Three medical emergency training courses come to CDA Presents The Art and Science of Dentistry in Anaheim, May 17–19, answering a high demand from dentists and dental team members for hands-on training in medical emergency preparation and management to help ensure successful patient outcomes and reduce risk to the practice. 

The courses are led by Rick Ritt, EMT-P, MA, a paramedic for more than 35 years who has trained thousands of dentists and their staff, and are co-sponsored by The Dentists Insurance Company .

Emergency simulation training using the SimMan

A workshop on Saturday, May 19, will incorporate hands-on simulation training for the entire dental team using the SimMan. This high-fidelity mannequin talks, offers IV and intraosseous access and demonstrates airway and breathing complications. It can also respond to medical interventions such as nasotracheal intubation and surgical cricothyrotomy.

Making use of the SimMan’s many cardiac and circulation features, the workshop will address assessment and management of patient complications that can occur in the dental office. Through several case studies, participants will have the opportunity to demonstrate appropriate patient management using a variety of hands-on simulations.

Participants will also receive feedback on how well they recognize and treat emerging situations. In fact, Ritt says the simulation training is incomplete without this assessment. “The entire dental team can use their debriefing session to examine their performance and identify strengths, weaknesses and gaps, with the goal of improving operations and performance and, ultimately, patient outcomes.”

“TDIC commends the use of the post-drill assessment,” says Carla Queipo, senior risk management analyst, The Dentists Insurance Company. “Acknowledging that no two medical emergencies are alike and being able to discuss what transpired during the simulation helps reinforce critical roles each team member can play when assisting distressed patients.”

Attendees may join a morning session of “Emergency Simulation Training for the Dental Office Team” from 8:30 to 11:30 a.m. or an afternoon session from 1 to 4 p.m. The workshop offers 3 C.E. units, and the early-bird rate of $225 has been extended through the show.

Monitoring workshop for assistants

Scheduled on the convention’s opening day, Thursday, May 17, “Monitoring the Dental Patient: A Hands-On Workshop for Assistants” will cover the basic parameters of physiology and how they translate onto the monitors found in dental offices. Ritt says this understanding is crucial to how dental assistants identify changes from the normal baselines and communicate them effectively with the dentist.

“Every dental office wants empowered assistants who can make the dentist aware of potential problems that the dentist may not have recognized,” Ritt says. “Communicating these potential problems may improve the patient outcome.” Alternatively, he says, a lack of this communication can contribute to or worsen an adverse outcome.

Careful patient monitoring is also crucial to reducing risk for the practice, Queipo says.

“Dental assistants and other members of the dental team have an important role in monitoring and managing patients, especially as practices are seeing patients at the more extreme ends of the age range as well as patients with more medically complex histories,” Queipo says. And applying all of the senses when initially assessing the patient may even uncover health concerns affecting delivery of care and treatment outcomes. “The smell of cigarette or cannabis smoke, an anemic or anxious appearance, a persistent cough, shortness of breath or skin that feels clammy or cold to the touch … these observations should be shared with the clinical team and discussed with the patient before proceeding with treatment.”

Although geared more specifically to the dental assistant’s role, the workshop is open to the entire dental team. In fact, Ritt says it’s “vital” that the entire team participate together in medical emergency training.

In “Simulation Training for the Office-Based Anesthesia Team,” a paper Ritt co-authored with Jeffrey D. Bennett, DMD, and David W. Todd, DMD, MD, FACD, he writes that individual development “focuses on knowledge, task acquisition, and equipment and drug familiarity” while team development emphasizes such things as staff member empowerment, stress reduction and closed-loop communication.

Specifically, workshop attendees will learn how to utilize basic and advanced monitors for the sedated and nonsedated patient, prepare staff to assist in recognizing and treating emergencies and review and recall the essentials of emergency equipment and its use.

The 2 ½-hour workshop starts at 1:30 p.m. and offers 2.5 core C.E. units. The early-bird rate of $225 has been extended through the show.

Working together as a team for successful patient outcomes

In the event of a complication or emergency in the dental office, a successful outcome depends on how well the dentist and staff work together as a team. As part of this, Ritt says the office must have a process in place to “organize and optimize resources to provide the best possible care.”

The lecture “Medical Emergency Preparedness for the Dental Office Team via Simulation Training” offers a training approach that the dental team can take back to the office and put into practice through simulation exercises.

“A simulated drill has the potential to identify the errors that may occur during a real-time event and allow for potential threats to be corrected,” writes Ritt and co-authors in “Simulation Training for the Office-Based Anesthesia Team.” And involving all office staff in the exercise is critical. “Optimal outcome depends on the functionality of a team,” Ritt says.

In addition to being able to identify what emergency equipment and instrumentation is necessary for a dental office, attendees will leave this course understanding what roles and responsibilities factor into medical emergencies and why frequent office drills are important to outcomes.

“Medical Emergency Preparedness for the Dental Office” takes place 8–11 a.m. Thursday, May 17, and offers 2 C.E. units.

Register for or learn more about these courses at cdapresents.com/anaheim2018.

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