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Prehospital Management of Dental Emergencies: A Review of EMS Activations at a Tertiary Care Hospital

Author(s) Saad N. Alhazzani, Ahad N. Albulayhid, Abdulrahman T. Alanazi, Maha A. Oqla, Abdullah J. Al-Anzi, Shaikha N. Binsunbel, Sami S. Alanazi
Country Saudi Arabia
Abstract Background: Traumatic injuries and odontogenic infections present unique problems in prehospital care and are often overlooked in EMS protocols. The purpose of this study is to assess the prehospital management of dental emergencies where the EMS was utilized in a tertiary care hospital located in Saudi Arabia.

Methods: This study analyzes the 2-year period of dental emergency cases in an advanced hospital in Saudi Arabia, focusing on the EMS calls activated for said cases. Collected data included demographics, the time EMS took to respond, prehospital measures taken and patient outcomes. All data was analyzed and interpreted.

Results: The search identified 198 activations of EMS for dental emergencies. Most patients were young males, 62.6% to be exact, traumatic dental injuries were the most common diagnosis at 38.4%, followed by odontogenic infections at 29.3%. Analgesics had been administered in 65.7% of cases with better pain management results seen in patients attended by ALS units. Majority of patients 79.3% were managed discharged from the emergency department, 16.7% admitted for inpatient admission. Prolonged response times of EMS took slowed time to definitive care.

Conclusion: Some measurable proportion of EMS patient workload contains dental emergencies indicating focused strategies are needed for prehospital care. There is potential for improving outcomes with greater focus on EMS protocol standardization pertaining to dental emergencies alongside improving the clarity of care pathways intended for use between prehospital tertiary services.
Field Medical / Pharmacy
Published In Volume 15, Issue 1, January-March 2024
Published On 2024-01-09
Cite This Prehospital Management of Dental Emergencies: A Review of EMS Activations at a Tertiary Care Hospital - Saad N. Alhazzani, Ahad N. Albulayhid, Abdulrahman T. Alanazi, Maha A. Oqla, Abdullah J. Al-Anzi, Shaikha N. Binsunbel, Sami S. Alanazi - IJSAT Volume 15, Issue 1, January-March 2024. DOI 10.5281/zenodo.15222796
DOI https://doi.org/10.5281/zenodo.15222796
Short DOI https://doi.org/g9fk2d
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