Acting and knowledge of emergency rescue teams in dental trauma

Amjad Abu Hasna,Tatiane Sampaio Bittencourt,Cláudio Antonio Talge Carvalho,Carlos Henrique Ribeiro Camargo,Carlos Henrique Ferrari

doi:10.14295/bds.2019.v22i3.1717

Amjad Abu Hasna, Tatiane Sampaio Bittencourt + Show 3 more

Open Access

https://doi.org/10.14295/bds.2019.v22i3.1717

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Abstract

Dental trauma is common in patients assisted by rescue teams at sites of accidents and by emergency teams in hospitals. However, these professionals are given little or no information about taking care of the injured teeth and mouth. The aim of this study was to evaluate the level of knowledge of rescue and emergency teams’ professionals (physicians, Nurses, and Paramedics) concerning dental trauma first management. Material and methods: 196 professionals of rescue and emergency units had received a standard questionnaire of 5 questions concerning dental trauma first management and reserving avulsed dental tissue (tooth or its fragment). The results showed high level of attendance of dental trauma patients by paramedics, nurses, and physicians, with very low-level knowledge about dealing with such cases, and with moderate results about the best medium to reserve the avulsed tooth, and the actions taken during the rescue process. Conclusions: Our results show a high occurrence of cases of dental trauma attended by rescue and emergency medical teams, with a lack of knowledge. This suggests a need for more educational campaigns for these professionals with a long-term follow-up.Keywords: Traumatic dental injury, Tooth Avulsion, Emergence rescue teams.

Highlights

Traumatic dental injury (TDI) is a public dental health problem due to its frequency, occurrence at a young age, costs and that treatment may continue for the rest of the patient’s life [1]
This study aimed to evaluate the level of knowledge of rescue and emergency teams’ professionals (Physicians, Nurses, and Paramedics) concerning the dental trauma; and the best ways to preserve the dental tissue and avulsed teeth during accidents
About 96.29 % of physicians had dealt with TDI case during their carrier, 84.12%, and 77.21% of nurses and paramedics respectively. (Figure 2)

Summary

Introduction

Traumatic dental injury (TDI) is a public dental health problem due to its frequency, occurrence at a young age, costs and that treatment may continue for the rest of the patient’s life [1]. In Brazil, a recent study showed that TDI was found in 31.7% of the examined children affecting a total of 214 teeth [7]. In Brazil, the emergency service units are appropriate places to handle patients care during acute specific conditions, where there are expert working teams, which can be divided into 3 categories [9], emergencies room; first aid unites; and hospitals according to the ministry of health [10]. The rescue teams, which is divided into 2 categories [10], the prehospital care (In Portuguese APH): consists of 2 professional teams, the first one called originating health professionals which included physician, nurse and nursing technicians. In addition to the pre-hospital rescue (In Portuguese SPH): A team moves to relief situations with greater complexity in different areas. In 1985, the Brazilian Society of Trauma Nurses (SOBET) was created, being the first association of specialized nurses in trauma [9]

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