What would you do if your patient suddenly lost consciousness or went into cardiac arrest mid-procedure? In this high-stakes episode of Everyday Oral Surgery, Dr. Grant Stucki is joined by Drs. Andrew Jenzer and Elisa Hannan for a practical and insightful deep dive into managing medical emergencies in the office-based surgical setting. From syncope and seizures to bronchospasm, laryngospasm, and myocardial infarction (MI), they break down real-world scenarios, emergency algorithms, medication protocols, and critical decision points like when to activate emergency medical services (EMS). They also discuss nuances in pharmacology, airway management, and board prep strategies that can help you become a safer and more prepared surgeon. Whether you’re a resident studying for boards or a seasoned practitioner looking to refine your emergency response, this conversation is packed with actionable guidance and clinical advice. Tune in to sharpen your skills and ensure you're ready when every second counts!
Key Points From This Episode:
- Why board prep should include emergency scenarios.
- Knowing when and why to activate EMS.
- Guidelines for managing vasovagal syncope effectively.
- Signs and symptoms for identifying high-risk patients for syncope.
- Tips for recognizing and treating bronchospasm.
- Pros and cons of IV versus IM epinephrine for emergencies.
- Breaking laryngospasm with proper technique and preventing it during sedation.
- Strategies for managing seizures and airway support.
- Differentiating seizure-like activity and the importance of ABCDEFG.
- Practical lessons from real-life seizure emergency stories.
- Understanding MI symptoms and ONAM updates.
- Why drugs like nitroglycerin and morphine require caution.
- Managing intraoperative hypo/hypertension and drug choices based on heart rate.
- Variable approaches to the three levels of hypoglycemia.
- How doing mock cases and boards makes you a better surgeon.
Links Mentioned in Today’s Episode:
Dr. Andrew Jenzer — https://surgery.duke.edu/profile/andrew-clark-jenzer
Dr. Andrew Jenzer Email — andrew.jenzer@gmail.com
Dr. Elisa Hannan — https://www.avonomfs.com/elisa-b-hannan-dmd-md
Avon Oral, Facial, and Dental Implant Surgery — https://www.avonomfs.com/
Dr. Elisa Hannan on LinkedIn —https://www.linkedin.com/in/elisa-hannan-66ba1530a/
Dr. Elisa Hannan Email — ebhannan@gmail.com
St. Louis Oral & Maxillofacial Surgery Review — https://stlomfsreview.com/
Oral Board Review for Oral and Maxillofacial Surgery: A Study Guide for the Oral Boards — https://www.amazon.com/dp/3030488799
AAOMS Office Anesthesia Evaluation Manual — https://members.aaoms.org/PersonifyEbusiness/AAOMSStore/Product-Details/productId/1525502
Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/
Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/
Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/
Dr. Grant Stucki Email —
