The aims of this study were to survey the occurrence of acute medical situations in Dutch orthodontic practice and to examine the self-perceived competence of orthodontists in managing acute medical emergencies. A self-designed questionnaire was distributed among all 149 Dutch orthodontists attending the spring meeting of the Dutch Society for Orthodontists. The questionnaire was divided into three parts, addressing background information of the orthodontist, precautions against and experiences in acute medical situations, and self-perceived competence of nine common medical emergencies. The statistical analysis was performed using the chi-square test and a multiple logistic regression analysis. The response rate was 74.5% (105 out of 149). The male to female ratio in this population was 55:50. Mean age of all participants was 46.9 years (SD 10.4 years) with on average 16.7 years of working experience (SD 10.6 years). The most common medical emergency reported by Dutch orthodontists was vasovagal collapse (n = 219), followed by acute allergic reaction (n = 163) and hyperventilation (n = 83). On average, 75% (n = 79) of the orthodontists felt competent to handle any acute medical situation with an average occurrence of 0.36 acute medical emergencies per orthodontist per year. Male participants were more likely to send patients towards the emergency department (p = 0.049). Moreover, a statistically significant negative correlation was observed between self-perceived competence handling hypoglycemia and years of clinical experience. The longer orthodontists were clinically active, the less competent they felt when encountered with a hypoglycemia (p = 0.031). Medical emergencies may be rare but challenging occurrences in the orthodontic practice. It is strongly recommended for all orthodontists and supporting staff to be trained regularly in the management of medical emergencies and to possess up-to-date evidence-based knowledge. Familiarity with and availability of appropriate drugs and equipment are deemed essential to the management of acute medical emergencies that may arise in the orthodontic practice.

中文翻译：

---

正畸实践中的医疗紧急情况的管理。

这项研究的目的是调查荷兰正畸实践中急性医疗情况的发生，并检查正畸医生在处理急性医疗紧急情况方面的自我认知能力。在参加荷兰正畸医生春季会议的所有149名荷兰正畸医生中分发了一份自行设计的调查表。该问卷分为三个部分，分别涉及正畸医生的背景信息，急性医疗情况下的预防措施和经验以及九种常见紧急医疗事件的自我感知能力。使用卡方检验和多元逻辑回归分析进行统计分析。回应率为74.5％（149人中有105人）。该人口中的男女比例为55:50。所有参与者的平均年龄为46.9岁（SD 10。4年），平均工作经验为16.7年（标准差为10.6年）。荷兰正畸医生报告的最常见的医疗急症是血管迷走神经塌陷（n = 219），其次是急性过敏反应（n = 163）和过度换气（n = 83）。平均而言，有75％（n = 79）的牙齿矫正医生认为有能力处理任何急性医疗情况，每名牙齿矫正医生每年平均发生0.36例紧急医疗事故。男性参与者更有可能将患者送往急诊室（p = 0.049）。此外，在处理低血糖的自我认知能力和多年临床经验之间观察到统计学上显着的负相关。正畸医生的临床活动时间越长，遇到低血糖症时他们感觉能力越差（p = 0.031）。在牙科正畸实践中，医疗紧急情况可能很少见，但具有挑战性。强烈建议所有牙齿矫正医生和辅助人员定期接受医疗急症培训，并掌握最新的循证知识。熟悉适当的药物和设备并提供适当的设备对管理正畸实践中可能发生的急性医疗紧急情况至关重要。