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Article: Volume 47 Number 1 Page 51 - January 2020

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  Dental Update 474: 51-53

Oral surgery:  Accidental Administration of Auto-Injectable Adrenaline into a Digit

CPD:  CPD  0:24   (closed)      Self assess

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Abstract: General Dental Practitioners (GDPs) and Dental Care Professionals (DCPs) have a duty of care to ensure that patient safety is at the forefront of their clinical practice. Medical emergencies, although rare, can occur in the dental setting, and early, effective management of these emergencies can, not only save lives, but also improve long-term outcomes. A case is reported which highlights a safety incident involving accidental self-administration of an adrenaline auto-injector (AAI) into a digit during a medical emergencies training session. Consequently, the aim is to raise awareness of these unexpected safety incidences and propose a protocol for the treatment of such injuries.

Clinical relevance: This paper highlights the importance of vigilance when undertaking a medical emergency training course, and the introduction of a new protocol to be used in cases of accidental AAI injury.

Author notes: Christine Wanis, MFDS RCS(Ed), BDS Hons(Lond), PGCertDentEd, StR in Oral Surgery, Yorkshire and the Humber Deanery (email:, Huda Jawad, MJDF RCS(Eng), BChD, StR in Oral Surgery, Yorkshire and the Humber Deanery, Richard J Moore, FDS RCPS, MAcadMed, CertClinEd, FFDTEd, FHEA, Lecturer and Specialist in Oral Surgery, School of Dentistry, University of Leeds, Leeds LS2 9JT and Julie Burke, PhD, FDS RCS FHEA, Senior Lecturer and Honorary Consultant in Oral Surgery, Edinburgh Dental Institute, Lauriston Place, Edinburgh EH3 9HA, UK.

Objective: To understand the implications of accidental AAT injury and the importance of safety within a medical emergency training setting. Enhanced CPD DO C

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