Management of Sedation Emergencies - Simulation Day (CPD07FEB22a)

IMPORTANT INFORMATION FOR FACE TO FACE COURSES

All attendees should take a Lateral Flow Test each morning of the course (including any subsequent sessions) and only attend the course if the result is negative.

Please ensure you have a suitable face covering following government guidance. If you are exempt from wearing a face covering please notify us as soon as possible.

Please note: A face visor or shield may be worn in addition to a face covering but not instead of one. This is because face visors or shields do not adequately cover the nose and mouth, and do not filter airborne particles.

For delegates attending face to face courses please be advised that your details may be shared with NHS Test and Trace if requested.

Face to face attendees are reminded that;

• Should they have symptoms of coronavirus (a high temperature, a new continuous cough or a loss or change to sense of smell or taste), they should not attend an event and let the organisers know by contacting dentaladmin.yh@hee.nhs.uk

• It is the individual’s duty and responsibility to comply with public health measures to control the Covid-19 pandemic and respond to the NHS Test and Trace, or other local systems for contact tracing. If contacted, attendees should confirm their attendance at this event and ask them to contact dentaladmin.yh@hee.nhs.uk for the attendee list.

There is more information about the NHS Test and Trace system available on the government website. It is important to understand your responsibilities.

Mandatory: Dental Nurse, or Dentist

To provide a safe environment to practice the management of complications and medical emergencies when treating patients under intravenous sedation

To comply with the latest guidelines (IACSD 2015 and SDCEP 2017) for management of sedation related complications and rescue skills

The course will consist of theory of how to deal with medical emergencies that may be faced whilst treating patients using conscious sedation. This will be followed by 4 high fidelity simulation (Sim man 3G) scenarios and practical teaching on airway management, the ABCDE approach and the ILS/ALS protocol.

1. Place a supraglottic airway device in the event of airway/breathing compromise in a sedated patient

2. Demonstrate use of a bag-valve-mask for delivery of oxygen

3. Know when to call for an ambulance or ‘crash team’ appropriately

4. Manage an airway appropriately when a patient’s breathing has been compromised due to over sedation

5. Be able to safely manage respiratory arrest and cardiac arrest

6. Be able to use the ABCDE approach to assessing the patient

7. Be able to implement the ALS protocol according to the Resuscitation council, including provision of high quality CPR and safe use of a defibrillator

8. Recognise and treat common medical emergencies related to sedation, including administration of drugs

9. Recognise and appropriately manage: over-sedation, respiratory depression/apnoea, unconscious patient, airway obstruction, vomiting, idiosyncratic responses, delayed recovery and failure of conscious sedation