Date: Tue, 22 May 2007 00:14:50 -0500
From: "ESCO automatic digest system" <LISTSERV@LISTSERV.UIC.EDU>
Subject: ESCO Digest - 17 May 2007 to 21 May 2007 (#2007-50)

There is 1 message totalling 34 lines in this issue.

Topics of the day:

1. Protocols for MIA


Date: Sun, 20 May 2007 12:03:06 +1000
From: "Mark Cordato" <markc@IX.NET.AU>
Subject: Protocols for MIA

Dear ESCO members, A dentist that works for me told me the patient had swallowed a mandibular 7s bracket before she could get the tweezers there to catch it. No cough, she just swallowed. I certainly have patients that come in with brackets and ligs missing in action (mia). I also have the odd bit of wire that the safety end cutters don't hold onto that also dissapears. At uni I had a patient swallow an RME key. The protocol was to request a chest Xray and then to follow up to check it had 'passed through'. A couple of years ago our medical defense insurer presented a case where a burr was inhaled. I know we have a diligent group out there. What do you do when a patient comes in without a lig? or without a bracket? or when a small piece of wire dissapears?

Mark Cordato
Bathurst Australia