Emergency

Requirements

It is mandatory that each student, faculty, and auxiliary staff and

employee in clinical-related areas have a valid “Basic Life Support”
certificate.

All faculty, students, and support staff involved in direct patient care
are required to annually review procedures for the management of
common medical emergencies. In-service training in the
management of medical emergencies is presented on an annual
basis to faculty and staff of the TUDH.

Emergency “crash cart” is available in ER room convenient to all

clinical areas. These cart contain appropriate and current
resuscitation equipment, including emergency oxygen with a bag-
valve-mask system, appropriate medications, first aid supplies and
automatic external defibrillators.

The Medical Emergency Response Team is on call at the UDH during

general clinic hours to manage medical emergencies. For potentially
life-threatening medical emergencies that occur after normal clinic
operating hours, the Emergency Service is to be notified by 911.

‫وﻛﺎﻟﺔ ﻛﻠﯾﺔ طب اﻻﺳﻧﺎن ﻟﻠﺷﺋون اﻟﻌﻼﺟﯾﺔ‬

1
 Emergency
Types of medical emergency

All incident reports are forwarded to and catalogued by the Office of assistant
director/ the Office of Clinical Affairs and reviewed by the quality Manager in the
Incident Report Tracking Log. Results are tabulated about the type and frequency
of incidents that occur. An annual summary report is given to the hospital
administration for review.

Incidents are classified as:

• Medical Emergency: Acute emergency requiring activation of the MERT.
• Patient Behavior: Disruptive/violent patient actions.
• Facility Related: Injury in facility, such as “slip and fall.”
• Patient Injury During Treatment: Injury such as “lip lacerated by bur.”
• Exposure: Exposure to blood borne pathogens through puncture,
laceration, or mucous membrane contact.

Types of Medical Emergencies:

The following are examples of emergencies that require management by the
emergency response team, until the patient is treated, stabilized or further help
arrives through the Taif University Medical Services Center.
• Syncope (fainting): due to fear, exhaustion, low blood sugar etc
• Dyspnea (shortness or difficulty breathing)
• Chest pain
• Suspected stroke
• Seizure or epileptic fits
• Allergic reactions
• Other injuries, e.g. cuts, burns or acute bleeding

‫وﻛﺎﻟﺔ ﻛﻠﯾﺔ طب اﻻﺳﻧﺎن ﻟﻠﺷﺋون اﻟﻌﻼﺟﯾﺔ‬

2
 Emergency
Nonemergency events

Conditions not Considered Medical Emergencies:

• Generally, if the patient is responsive, conscious, able to talk and has stable
vital signs, he/she should be referred to their physician or nearest emergency
department.
• The emergency room and ERT is not equipped to deal with chronic medical
conditions such as an elevated blood glucose level or blood pressure, headache,
abdominal pain, etc. which are not an immediate threat to life nor will have
immediate complications.
• Chronic diseases which require urgent - but not emergent – care should be
referred to the patient’s physician or to the emergency department. In these
cases, the patient is instructed to go to the nearest emergency department, and
the ambulance will not be contacted.

Non-Emergency Events and Outcomes:

1. Report the event immediately to a supervising faculty member.
2. If the incident is an unusual outcome (related to treatment), advise the
patient of the incident as directed by the supervising faculty member, in the
presence of that faculty member.
3. If treatment for the patient is required, follow any directions requested by the
faculty member.
4. After the patient is dismissed, obtain, and complete an Incident Report Form.
Submit the completed form to the Vice Dean for Clinical Affairs / assistant
director of UDH.
5. The student must make an accurate and complete entry in the patient’s
dental record. This entry must be approved by the supervising faculty
member(s).

‫وﻛﺎﻟﺔ ﻛﻠﯾﺔ طب اﻻﺳﻧﺎن ﻟﻠﺷﺋون اﻟﻌﻼﺟﯾﺔ‬

3
 Emergency
Medical Emergency Response Team

Medical Emergency Response Team (MERT)Protocol:

• The MERT will respond due to acute, medical emergencies requiring

immediate medical attention.

• The MERT consists of one (3) Registered Nurse (RN) and (1) family
medicine doctor, (1) faculty from Oral and Maxillofacial Surgery or
dentist. There is an on-call schedule, with complete contact
information in the medical emergency office, for which the nurse will
call the on-call doctor accordingly.

• The MERT is available from 8:00 AM to 4:00 PM. They will respond to
medical emergency occurring in all university dental hospital
departments.

Members of the MERT:

• Team Leader physician: from Medical Services Center.
• Nursing Supervisor: Ms. Maha.
• 2 Assigned Nurses: Mr. Peter and Mr. Julius.
• Physician II: Doctors from Oral and Maxillofacial Surgery.
• Emergency medical technician: Mr. Moh Yasil
• Security Guard.
• Vice Dean of Clinical affairs/ Assistant director of TUDH.
• Director of medical and clinical affairs department.
‫وﻛﺎﻟﺔ ﻛﻠﯾﺔ طب اﻻﺳﻧﺎن ﻟﻠﺷﺋون اﻟﻌﻼﺟﯾﺔ‬
4
 Emergency
Management of Specific Medical Emergency Events
Management of Vasodepressor Syncope Management of CVA/Stroke:
1. Supine or Trendelenburg position
2. Assess level of consciousness
3. ABC’s
4. Calm the patient
5. Loosen uncomfortable clothing
6. Remove drape
7. Cool compress
8. Administer oxygen
9. Aromatic ammonia
10. Monitor vital signs
11. If unconsciousness persists, call
EMS
Management of Orthostatic Hypotension
(Postural Hypotension):
1. Supine position
2. Assess level of consciousness
3. ABC’s
4. Administer oxygen
5. After recovery, raise patient in
stages
6. If unconsciousness persists, call
EMS
1. Comfortable position (seated or
semi-fowler’s)
2. Supine if unconscious
a. Head and chest up if BP is very
high
3. BLS, as needed
4. Call EMS, if CVA or first TIA
5. Monitor vital signs
6. Administer Oxygen (?), definitely if
unconscious
7. Transport to hospital
Management of Seizure Disorders:
1. Supine position
2. Protect the patient
3. Possibly place soft object in mouth
4. Basic life support, as needed
5. Call EMS
6. Administer oxygen
7. Monitor vital signs
8. Establish IV
a. Administer 10mg Diazepam
(Valium) [0.3 mg/kg for kids]
‫وﻛﺎﻟﺔ ﻛﻠﯾﺔ طب اﻻﺳﻧﺎن ﻟﻠﺷﺋون اﻟﻌﻼﺟﯾﺔ‬
5
 Emergency
Management of Specific Medical Emergency Events
Management of Hyperglycemia in
Conscious Patient
1. Refer to MD
2. If unsure, treat as Hypoglycemia
Management of Hyperglycemia in
Unconscious Patient:
1. Supine position
2. BLS, as needed
3. Call EMS
4. Administer oxygen
5. IV fluids
6. If unsure, treat as Hypoglycemia
7. Transport to hospital
a. Hydration
b. Treat electrolyte imbalances
c. Insulin therapy
Management of Hypoglycemia in the
Conscious Patient:
1. Comfortable position
2. BLS, as needed
3. Administer Oral Carbohydrate
4. Monitor vital signs
Management of Hypoglycemia in the
Unconscious Patient:
1. Supine position
2. BLS, as needed
3. Call EMS
4. Administer Intravenous
Carbohydrate
a. 50 ml of 50% Dextrose IV
5. Glucagon 1 mg IM or IV
6. Monitor vital signs
7. Transport to hospital
Management of Acute Adrenal
Insufficiency:
1. Supine position
a. Comfortable position, if stable
2. ABC’s
3. BLS, as needed
4. Administer oxygen
5. Monitor vital signs
6. Establish IV
7. Administer Glucocorticoid
a. 100 mg Solu-Cortef
(Hydrocortisone Sodium Succinate)
IM, IV [or
equivalent]
8. Call EMS
9. Transport to hospital
‫وﻛﺎﻟﺔ ﻛﻠﯾﺔ طب اﻻﺳﻧﺎن ﻟﻠﺷﺋون اﻟﻌﻼﺟﯾﺔ‬
6
 Emergency
Management of Specific Medical Emergency Events

Management of a Mild Asthmatic Attack:

1. Place patient in a comfortable Treatment of Aspirated Object
position (usually sitting) 1. Place patient on left side with head
2. Calm the patient down
3. Administer bronchodilator via 2. Encourage coughing
inhaler 3. Radiologic examination
4. Basic Life Support, as needed 4. Retrieval of object
Management of a Severe Asthmatic Attack: a. Bronchoscopy
1. Comfortable position b. Thoracotomy
2. Calm the patient Treatment if Object is Visible in Oropharynx
3. Bronchodilator via inhaler 1. Trendelenburg position
4. Basic Life Support 2. Use Magill Forceps or suction
5. Administer Oxygen -or-
6. Call EMS 1. Have patient put head down
7. Monitor vital signs 2. Encourage coughing
8. Administer Bronchodilator IM, SC Treatment of Partial Airway Obstruction
a. Epinephrine 0.3 - 0.5 mg (0.3 - 0.5 with Good Air Exchange:
ml of 1:1000 solution) 1. Encourage coughing if due to
9. Administer medications IV foreign body
a. Isoproterenol Treatment of Partial Airway Obstruction
b. Aminophylline ( 4 -10mg.kg /body with Poor Air Exchange:
weight) 1. Treat as if acute complete airway
c. Corticosteroids obstruction
Management of Airway
Treatment of Swallowed Object:
1. Radiologic examination
2. Medical consultation
3. Await evidence of passage of object
‫وﻛﺎﻟﺔ ﻛﻠﯾﺔ طب اﻻﺳﻧﺎن ﻟﻠﺷﺋون اﻟﻌﻼﺟﯾﺔ‬
7
 Emergency
Management of Specific Medical Emergency Events
Treatment of Complete Airway Obstruction
in Conscious Patient:
1. Use Heimlich Maneuver if due to
foreign body
2. Call EMS
3. Use additional medical or surgical
management as needed
Treatment of Complete Airway
Obstruction in Unconscious Patient
1. Supine position, with feet elevated
2. Try to establish an airway
3. ABC’s
4. Call EMS
5. Use additional medical or surgical
management as needed, including
Cricothyrotomy
Management of Hyperventilation
Syndrome:
1. Comfortable position (usually
sitting)
2. Make the patient comfortable
3. Calm the patient
4. Have the patient breath carbon
dioxide enriched air
a. Paper bag
b. Cupped hands
c. Full face mask
5. Pharmacologic management
a. Rarely needed
b. Valium
6. BLS, as needed
7. Use stress reduction to prevent in
future
Management of Local Anesthetic Overdose:
1. Comfortable position
a. Supine, if unconscious
2. Calm patient
3. BLS, as needed
4. Administer Oxygen - Hyperventilate
5. Monitor vital signs
6. Administer Anticonvulsive, if
needed
7. Call EMS, if needed
a. Early, if severe reaction
8. Possible MD evaluation
Management of Epinephrine Overdose:
1. Comfortable position
a. Not Supine
2. Calm patient
3. BLS, as needed
4. Monitor vital signs
5. Administer Oxygen, if needed
6. Call EMS, if needed
‫وﻛﺎﻟﺔ ﻛﻠﯾﺔ طب اﻻﺳﻧﺎن ﻟﻠﺷﺋون اﻟﻌﻼﺟﯾﺔ‬
8
 Emergency
Management of Specific Medical Emergency Events
Management of Sedative-Hypnotic
Overdose:
1. Supine position
2. BLS, as needed
3. Administer Oxygen
4. Monitor vital signs
5. Call EMS, if needed
6. Establish IV
7. Administer reversal agents:
a. Flumazenil for Benzodiazepines
8. Supportive therapy
Management of Narcotic Overdose:
1. Supine position
2. BLS, as needed
3. Administer Oxygen
4. Monitor vital signs
5. Call EMS, if needed
6. Establish IV
7. Naloxone (Narcan) 0.4 mg IM or IV
8. Supportive therapy
Management of Mild Allergic Reactions:
1. Comfortable position
2. BLS, as needed
3. Monitor vital signs
4. Administer Diphenhydramine
(Benadryl) 50 mg PO
a. 25 - 50 mg PO tid or qid for 2-3 days
5. Possible MD consultation
Reactions:
1. Comfortable position
2. BLS, as needed
3. Monitor vital signs
4. Administer Diphenhydramine
(Benadryl) 50 mg IM or IV
a. 25 - 50 mg PO tid or qid for 2-3 days
5. Administer Corticosteroid, possibly
a. Hydrocortisone Sodium Succinate
(Solu-Cortef) 100 mg IM/IV
b. Dexamethasone (Decadron) 7.5 mg
IM or IV
c. PO follow-up doses
6. MD Consultation
Management of Severe Allergic Reactions:
1. Supine Position
2. BLS, as needed
3. Call EMS
4. Administer Epinephrine
(Adrenaline): 0.3-0.5 mg (0.3-0.5 ml of
1:1,000) IM or SC, 0.25 mg for child,
0.125 mg for infant
5. Administer Oxygen
6. Monitor vital signs
7. Administer Diphenhydramine IM or
IV
8. Administer Corticosteroid IM or IV
9. Transport to hospital
‫وﻛﺎﻟﺔ ﻛﻠﯾﺔ طب اﻻﺳﻧﺎن ﻟﻠﺷﺋون اﻟﻌﻼﺟﯾﺔ‬
9
 Emergency
Management of Specific Medical Emergency Events
Management of Bronchospasm:
1. Comfortable position
2. Calm the patient
3. BLS, as needed
4. Call EMS
5. Administer Oxygen
6. Administer Bronchodilator via Aerosol
Inhaler
a. Albuterol
b. Isoproterenol
7. Administer Bronchodilator via
Parenteral Route
a. Epinephrine 0.3 - 0.5 mg (1:1,000) SC
or IM
8. Administer Diphenhydramine IM or
IV(25-50 mg PO q6-8hr; not to exceed
300 mg/day. 10-50 mg (no more than
100 mg) IV/IM q4-6hr)
9. Administer Corticosteroid IM or IV
10. Transport to hospital
Management of Laryngeal Edema:
1. Comfortable position
a. Supine if unconscious
2. BLS, as needed
3. Call EMS
4. Administer Epinephrine SC or IM
5. Administer Oxygen
6. Airway Adjuncts, as needed
7. Administer Diphenhydramine IM or IV
8. Administer Corticosteroid IM or IV
9. Possible Cricothyrotomy
10. Transport to hospital
Management of Acute Pulmonary Edema:
1. Comfortable Position (usually upright)
2. Calm the patient
3. Call EMS
4. Administer oxygen
5. BLS, as needed
6. Monitor vital signs
7. Transport to hospital
Management of Acute Angina Pectoris
Episode:
1. Comfortable position
2. BLS, as needed
3. Administer Nitroglycerin
a. 1 tab (1/150 grain) SL every 5 minutes,
up to 3 tabs
b. Patient’s own first, then office supply
4. Administer Oxygen
5. Monitor vital signs
6. Call EMS, if needed
a. Call early if new onset, or changes in
character of angina
7. IF NO RELIEF FROM 3 DOSES OF
NITRO, ASSUME PATIENT IS
HAVING AN MYOCARDIAL
INFARCTION (MI)!
‫وﻛﺎﻟﺔ ﻛﻠﯾﺔ طب اﻻﺳﻧﺎن ﻟﻠﺷﺋون اﻟﻌﻼﺟﯾﺔ‬
10
 Emergency
Management of Specific Medical Emergency Events

Management of Acute Myocardial Infarction (MI):

1. Comfortable position
a. Supine, if unconscious
2. BLS, as needed
3. Call EMS
4. Administer Oxygen
5. Administer Nitroglycerin 0.4mg (1/150 grain) SL, up to 3 doses
6. 325 mg aspirin tablet PO (Chew)
6. Monitor vital signs
7. Morphine Sulfate 2-5 mg IV, or 5-10 mg IM

Management of Cardiac Arrest:

1. Supine position
2. Call EMS
3. ABC’s
4. CPR
5. Early defibrillation, if indicated

‫وﻛﺎﻟﺔ ﻛﻠﯾﺔ طب اﻻﺳﻧﺎن ﻟﻠﺷﺋون اﻟﻌﻼﺟﯾﺔ‬

11
 Emergency
Emergency Crash Cart

Emergency Crash Cart Locations:

Emergency crash carts are available in locations convenient to all
clinical areas of patient care:

• All staff and students should become familiar with the location of the
code blue crash cart.
• There is (1) CODE BLUE crash cart located in: ER room
• The contents of the code blue crash cart are in full accordance with
the Ministry of Health requirements.
• The code blue cart is checked monthly and the locks are checked
daily by ER nurse at TUDH.
• Contents are updated, replaced, and maintained by the ERT staff at
UDH.

Automatic External Defibrillators (AED) are in the ER room.

All faculty, students and staff must familiarize themselves with these
carts and their locations.

F. Crash Cart Contents:

All carts contain appropriate and current resuscitation equipment,
including emergency oxygen with a bag-value-mask system,
appropriate medications and first aid supplies. The contents of each
cart is monitored on a monthly basis to identify shortages or outdated
items.
‫وﻛﺎﻟﺔ ﻛﻠﯾﺔ طب اﻻﺳﻧﺎن ﻟﻠﺷﺋون اﻟﻌﻼﺟﯾﺔ‬
12
Emergency
Emergency Crash Cart

Medications:

• Ammonia Inhalant ampules

• Aspirin 325mg (non-coated), (81mg)
• Bacitracin ointment
• Bacteriostatic Water
• Benadryl – 25mg tablets
• Benadryl – 10mg/cc oral liquid and 50mg/cc for injection
• Betadine Solution
• Decadron 4 mg/cc
• D5W IV bags 500cc
• Dextrose – 50%/50ml vial for IV use
• Epinephrine 1:1,000 for injection
• Glucose 15, honey
• Hydrogen Peroxide Solution
• Hydrocortisone Cream/ointment (100mg)
• Narcan (nalaxone) 0.4mg/ml
• Normal Saline IV bag 500cc’s
• Nitroglycerin 1/150gr tabs, (0.4mg)
• Solumedrol 40 mg.
• Tang
• Sterile Water bottle for mixing Tang
• Albuterol Sulfate (inhaler) 90 mcg/actuation (remove Ventolin)
• Oxygen Tank
• Chlorphenarmine Maleate Syrup
‫وﻛﺎﻟﺔ ﻛﻠﯾﺔ طب اﻻﺳﻧﺎن ﻟﻠﺷﺋون اﻟﻌﻼﺟﯾﺔ‬
13
 Emergency
Emergency Crash Cart

Equipment: • Band-aids
• Ambu-bag/Mask device (adult & pediatric • Bite Stick
size masks) • Cotton Tip Applicators
• Oxygen delivery system: Portable oxygen • Incident Forms
supply (e-cylinder and regulator) and • Gauze Sponges (sterile/non-sterile)
Disposable oxygen mask and tubing • Gloves
• Arm-Board (remove) • IV catheters
• Bite Blocks • IV Infusion sets
• Blanket/Pillow (disposable pillowcase) • Kidney Basin
• Blood Pressure Cuff (adult, pediatric, • Nasal Cannula
obese) • Oral Airways
• Flashlight • Syringes/Needles
• Hemostat • Paper Bag
• Pen • Paper cups
• Scalpel Handle/Blades • Rebreather mask
• Bandage Scissors • Tape/Tegaderm
• Oral Airways • Disposable Tongue Blades
• Stethoscope
• Tourniquet
• Towel
• Yankuer Suction Tip
• Cardiac Defibrillator.
• Portable monitor (blood pressure cuff (all
sizes), pulse oximeter, 3-lead ECG, heart
rate).
• A glucometer kit.

‫وﻛﺎﻟﺔ ﻛﻠﯾﺔ طب اﻻﺳﻧﺎن ﻟﻠﺷﺋون اﻟﻌﻼﺟﯾﺔ‬

14
 Emergency
In case of an emergency

• STOP THE PROCEDURE.

• DO NOT LEAVE THE VICTIM! (assume charge of the emergency until expert help arrives)
• BE CALM! and Do not panic.
• CALL FOR HELP! (Call the group assistant to find the nearest faculty). Notify the nearest
faculty member of the emergent situation, relating the events that precipitated the
emergency and the status of the patient’s medical condition, and assist the faculty
member in any manner that (s)he directs.
• Faculty: Call the assistants to help you (Head Assistant: Mr. Nawaf or Mr. Fayez).
• Calls the Medical Emergency Response Team office at extension:0000, state the
clinical area and cubicle number. They will announce the Code Blue clearly
through the overhead pager. The members of code blue teams shall rush to the
code site. The Emergency Response Team Schedule is posted at the ER room,
Reception, and all clinical areas.
• Asks the the Security to direct the Medical Emergency Response Team to the
location of the emergency and to control crowds, keep all visitors away from the
code area.
• Notify the Vice Dean of Clinical affairs (Assistant Director of UDH) at
extension:0000 or the director of medical and clinical affairs department at
extension:0000.
·POSITION THE PATIENT APPROPRIATELY.
• If the patient is conscious and talking, then adequate ABCs are present, position in
the most comfortable position.
• If the patient is unconscious, position the patient in a supine position with legs
elevated.
• CHECK THE AIRWAY, BREATHING, AND CIRCULATION (ABC): Check for pulse at the
neck, watch the chest for rise and fall to check for breathing.
• If ABCs are present, continue to definitive care: drugs and diagnosis.
• If ABCs are not present, Note the time for arrest and start basic life
support (CPR), till the MERT arrives.

‫وﻛﺎﻟﺔ ﻛﻠﯾﺔ طب اﻻﺳﻧﺎن ﻟﻠﺷﺋون اﻟﻌﻼﺟﯾﺔ‬

15
 Emergency
In case of an emergency

Group Assistant:
• Brings the glucometer.
• Place the chest board under the patient.
• Ensure oxygen and suction are available and operable and attaches
Ambu bag to oxygen.
• Assist in resuscitation procedure until MERT arrives.
• Continue CPR until there are signs of movement or Medical Emergency
Response Team take over.
• If the MERT does not respond within three minutes of a code signal, notify
Taif University Medical Services Center by dialing “0507779822.” Or 911 if
they did not respond within three minutes.
• Student and security must wait for the team at clinics entrance to direct
them to the emergency site.
• One person (Faculty) should give the MERT staff a quick summary of events.
• On arrival, MERT assumes responsibility for resuscitation of the patient
immediately and take over their defined roles:
• The Team Leader (TUMSC physician or OMFS faculty) should take overall
control and direct all proceedings, documentation and ensuring that clear
instructions are given to the attending MERT and that there is total
cooperation between nurses and doctors. Must clearly identify himself as
Head of the Team. Should be highly proficient with ACLS protocols. Escorts
the patient in the ambulance when referred to the hospital.
• One nurse; (Medication Nurse: Moh Yasil); will assume the responsibility for:
• Starting 2 peripheral IV lines and drawing blood for investigation if
ordered.
• Bringing the crash cart to the code site.
• Placing chest electrodes to the patient.
• Giving medication as ordered by the physician.
‫وﻛﺎﻟﺔ ﻛﻠﯾﺔ طب اﻻﺳﻧﺎن ﻟﻠﺷﺋون اﻟﻌﻼﺟﯾﺔ‬
16
 Emergency
In case of an emergency

• Wiping off excess gel on patient’s chest after every defibrillation.

• Responsible for obtaining rhythm strips and endorse these strips to the
nursing Supervisor.
• Responsible for the after care of crash cart and cleaning of the portable
defibrillator.
Another nurse; (ventilation nurse: Peter); will assume the responsibility for:
• Providing oxygen via Ambu bag, suctioning and assisting the doctor in
intubation.
• Assist in performing chest compressions.
• After the CPR they will clean the Ambu Bag, Laryngoscope, O2 humidifier
and cardiac board.
• The nursing supervisor: Maha will take overall responsibility for documenting
the events; and will be responsible for calling the ambulance to refer patient to
the hospital. Coordinates and communicates with the patient affairs: Mr.
Abdualaziz Altalhi about the Code and its result to inform the family.
• The TUMSC pharmacy will be available by phone 0507779822 to provide
additional drugs, equipment and supplies, and will check the crash cart for
emergency medications and refill it after the code.
• Resuscitation procedures should be followed in line with the current guidelines
provided by Saudi Heart Association/ American Heart Association.
• Resuscitation efforts must continue until the success of restoration of
circulation and respiration or transfer patient to the nearest hospital by the
ambulance, the Taif University Medical Services Center are called by reception
0507779822 , patient should be accompanied with ER physician and relative to
the nearest hospital with all documentations, referral form and a copy of CPR
record form.

‫وﻛﺎﻟﺔ ﻛﻠﯾﺔ طب اﻻﺳﻧﺎن ﻟﻠﺷﺋون اﻟﻌﻼﺟﯾﺔ‬

17
 Emergency
In case of an emergency

• It is the responsibility of the MERT doctor(s) to determine the disposition of the

victim or to transfer to TUMSC –Emergency Department. If The patient is
transferred to the TUMSC – ED, s/he should be accompanied by the relative and
attending dentist.
• If the patient requires hospital care, the student provider and faculty supervisor
must accompany the patient to the hospital until the final disposition is learned.
RECORDS:
• Chart Notes: For all emergencies, a medical emergency report must be filed, and
a case note documented in a chart. The student must write an accurate and
complete entry in the patient’s dental record. This entry must be APPROVED by
the supervising faculty member(s) immediately after the event.
· Incident report: After the emergency is resolved, an incident form is filled out.
The supervising Faculty will enter the information into the Incident Tracking Log by
the Vice Dean for Clinical Affairs or assistant director of UDH.
· MERT Report: ALL record forms are to be recorded by the nursing supervisor &
signed by the team leader and other team members, placed one copy in the patient
file, and another copy submitted to Vice Dean of Clinical affairs (Assistant Director of
UDH), the data will include:
• Patient data: name and health record number.
• ER Incident venue.
• Date and time Incident started & ended.
• Type of the ER Incident.
• Time of calling and time of arrival the MERT.
• Time of Intubation, tube size & depth.
• Patient vital signs if present, and cardiac status, Sequence of events
including the number and if shock given, Medications given, time, dosage
and response and Outcome of resuscitation i.e., successful; sinus rhythm or
self-ventilating, or not successful.
‫وﻛﺎﻟﺔ ﻛﻠﯾﺔ طب اﻻﺳﻧﺎن ﻟﻠﺷﺋون اﻟﻌﻼﺟﯾﺔ‬
18
Emergency
SUMMARY: In case of an emergency

Students:
• STOP THE PROCEDURE.
• DO NOT LEAVE THE VICTIM!
• CALL FOR HELP!
Faculty:
• Call the Head Assistant: Mr. Nawaf or Mr. Fayez:
• Calls the MERT at extension:0000 and front desk announce the Code Blue
• Asks the the Security to direct the MERT to the location of the
emergency.
• Notify the Vice Dean of Clinical affairs (Assistant Director of UDH) at
extension:0000 or the director of medical and clinical affairs department
at extension:0000.
• CHECK THE AIRWAY, BREATHING, AND CIRCULATION:
• If ABCs are present: put in recovery position.
• If ABCs are not present, Note the time for arrest and start basic life
support (CPR), till the MERT arrives.
• If the MERT did not respond within 3 minutes of a code signal, notify Taif
University Medical Services Center by dialing “0507779822.” Or If Taif
University Medical Services Center did not respond within 3 minutes of a
code signal, notify 911.
• On arrival, MERT assumes responsibility for resuscitation of the patient
immediately and take over their defined roles.
• Faculty should give the MERT staff a quick summary of events.
• It is the responsibility of the MERT doctor(s) to determine the disposition of the
victim or to transfer to TUMSC –Emergency Department. If The patient is
transferred to the TUMSC – ED, s/he should be accompanied by the relative and
the student provider or faculty.
• If the patient requires hospital care, the student provider or faculty supervisor
must accompany the patient to the hospital until the final disposition is learned.
• For all emergencies, a medical emergency report must be filed, and a case note
documented in a chart by student and approved by faculty.

‫وﻛﺎﻟﺔ ﻛﻠﯾﺔ طب اﻻﺳﻧﺎن ﻟﻠﺷﺋون اﻟﻌﻼﺟﯾﺔ‬

19