Online ISSN: 2515-8260

Keywords : syncope

Clinical characterisation of severe hypoglycaemia in hospitalized patients

Dr. Abhijit A. Patil, Dr. Amit Porwal, Dr. Jabbar Desai .

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 7, Pages 8852-8856

Background: Hypoglycemia is an endocrine emergency that can alter the patient’s mental status, resulting in lethargy, confusion and organ dysfunction. The present study was conducted to assess clinical characterisation of severe hypoglycaemia in hospitalized patients.
Materials & Methods: 74 patients presenting to emergency with hypoglycaemia of both genders were selected. Causes of hypoglycaemia were identified A blood glucose concentration was determined by Accu-Check Gluco-stix. Hypoglycaemia was defined as a capillary blood glucose of 70 mg/dL or less.
Results: Out of 74 patients, males were 34 and females were 40. The mean HGT was 42.5, pulse rate was 87.2 beats per minute, systolic blood pressure was 134.2 mm Hg, diastolic blood pressure was 80.6 mm Hg and GCS was 10.4. Common causes of hypoglycaemia were OHA in 34, OHA+ insulin in 12, insulin in 10, others in 6, skipped meal in 7 and alcohol in 5 cases. The difference was significant (P< 0.05). Common clinical features were anorexia in 45, fever in 68, syncope in 42 and others in 21. The difference was significant (P< 0.05).
Conclusion: Common causes of hypoglycaemia were OHA, OHA+ insulin, insulin, others, skipped meal and alcohol. Common clinical features were anorexia, fever, syncope and others.

Medical Emergencies In Dentistry-An Update

Siddharth Rawat; Vanshika Agarwal; Nitin Bhagat; Pallav Prakash; Shashank Agarwal; Aprajita Dhawan

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 3161-3172

Medical emergencies at dental office are a rare situation. When the dentist encounters such occasional incidences, they should initiate emergency procedures to save the life of the patient. In case of an emergency, the roles and activities of the dentist and the team members should be planned, documented, and displayed. The staff members should be trained and updated in first aid, cardiopulmonary resuscitation, and other emergency procedures. The knowledge of management of medical emergencies will increase the confidence of the dental surgeons in their clinical practice. The objective of this review article is to provide a vision to the commonly occurring medical and dental emergencies and complications in dental practice and their management.