What do you consider to be “sedation”? Some clinicians consider “nitrous oxide” to be a form of sedation. Do you agree? Sedation is defined as either the state of being relaxed or sleepy because of a drug or the act of drugging someone with a sedative. In dentistry, there are different types of sedation levels including mild-moderate sedation and deep sedation in which such sedative medications are being taken before dental treatment to tranquilize the patient for their procedure. This happens quite often in a variety of clinics. Due to the commonality of this in practice, its often overlooked. However, any time a sedative (medication) is involved in the practice, the medical emergency armamentarium changes as well.
Province dependant, an Automated External Defibrillator is required in clinics upon the use of benzodiazepines. As of now, it is strongly recommended in all clinics but required where mild-moderate – deep sedation (and of course general anesthesia) is performed. In 2017 L’Ordre des dentistes du Québec updated their regulations to have all dental clinics across the province to be equipped with an AED whether or not sedation is involved. If you are not sure whether or not you need an AED at your clinic, it’s better to have one and be prepared than to not. The Philips HeartStart Onsite is proven to be one of the easiest AED’s on the market for all staff members, trained or not.
If your clinic is delivering sedation, altering someone’s state of mind, an AED must be present in your clinic. According to the heart and stroke foundation, cardiac arrest can occur at any age, any time, to people of all fitness levels without warning. Are you prepared to save a life? Are you complaint based on your clinic’s profile?