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Table I

Summary of rapid response calls at the Royal Dental Hospital of Victoria over a 5-year period.

n %
Sex
F 86 55.1
M 54 34.6
Unspecified 16 10.3
Age
Range 7-100
Mean 43.9
Location
Primary Care Unit/General Dentistry Unit 61 39.1
Specialist Unit (OMS, Periodontics, Oral Medicine, Orthodontics, Prosthodontics, Special Needs) 24 15.4
Non-clinical hospital location † 23 14.7
Dental Teaching Clinic 21 13.5
External location 13 8.3
Day Surgery (GA) 5 3.2
Unspecified 9 5.8
Day of week
Weekend 5 3.2
Type of call
Airway 10 6.4
Breathing 7 4.5
Circulation 9 5.8
Disability 61 39.1
Exposure 7 4.5
Other - Pain 19 12.2
Other - Psychological 19 12.2
Other - Miscellaneous 12 7.7
Unspecified 5 3.2
Clinical context
Pre-treatment 41 26.3
Mid-treatment 27 17.3
Post-treatment 27 17.3
Non-treatment related ‡ 29 18.6
GA 5 3.2
Not specified 32 20.5
Diagnosis
Transient loss of consciousness inc. vasovagal syncope, seizures, orthostatic hypotension 52 33.3
Cardiovascular diagnoses inc. chest pain, hypotension, hypertension, arrhythmias 26 16.7
Psychological diagnoses inc. anxiety or panic attack, delirium 20 12.8
Respiratory diagnoses inc. oxygen desaturation, airway obstruction, asthmatic attacks, influenza 14 9.0
Odontogenic diagnoses inc. dental abscess 9 5.8
Gastrointestinal diagnoses inc. nausea, abdominal pain 9 5.8
Neurological diagnoses inc. migraine, vertigo, neuropathic pain 4 2.6
Hypersensitivity reactions 4 2.6
Endocrine diagnoses inc. hypoglycaemia, hyperglycaemia 2 1.3
Other diagnoses§ 2 1.3
Not specified 14 9.0
Management
No treatment including observation, reassurance 101 64.7
Medications 21 13.5
Airway management inc. oxygen, LMA, ETT 5 3.2
Dental treatment including extraction, LA 4 2.6
Other including CPR 1 0.6
Not specified 24 15.4
Outcome
Recovery without referral 86 55.1
Transfer to tertiary medical hospital 40 25.6
Recovery with referral to outpatient setting # 10 6.4
Not specified 20 12.8

† Includes Dental Laboratory, General Dentistry Unit, Health Promotion, ADC Examinations.

‡ Includes accompanying people who were not patients of the dental hospital.

§ Includes friction burn, fatigue.

¶ Includes antibiotics, aspirin, salbutamol, glucose, metformin, glucose, verapamil, paracetamol.

# Includes outpatient referrals to Oral Medicine, OMS, ENT, cardiology, and GP referrals.

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