Tag Archive | conscious sedation

Inspire a Nation, Save a Child!

Virginia, January 2, 2012: In an effort to keep dental professionals educated, prepared and trained when dental medical emergencies arise, Nicole Cuhna, the Executive Director of the Raven Marie Blanco Foundation (a 501C non-profit organization), has filed a petition with the Commonwealth of Virginia’s Board of Dentistry. The foundation was started in response to death of Raven Maria Blanco during, what should had been, a routine dental procedure. The guidelines when filing a petition are as following,

The Code of Virginia (§ 2.2-4007) and the Public Participation Guidelines of this board require a person who wishes to petition the board to develop a new regulation or amend an existing regulation to provide certain information. Within 14 days of receiving a valid petition, the board will notify the petitioner and send a notice to the Register of Regulations identifying the petitioner, the nature of the request and the plan for responding to the petition. Following publication of the petition in the Register, a 21-day comment period will begin to allow written comment on the petition. Within 90 days after the comment period, the board will issue a written decision on the petition.

The Raven Marie Blanco Foundation contends that Part II of the Regulations Governing Dental Practice sets forth conditions for dentists seeking to renew a dental license. Included in this part are requirements for the payment of fees and requirements for continuing education. Although requirements elsewhere in the regulations govern the use of certain anesthetic agents, no requirements exist mandating that all dentists maintain an ability to respond appropriately to an unexpected medical emergency either resulting directly from treatment (dental and/or anesthesia) or as a random event (e.g. myocardial infarction, stroke ,hypoglycemia, seizure). This petition asks the Virginia Board of Dentistry to establish standards in this area through the addition of a new section.

At least twelve deaths have occurred during or immediately subsequent to dental treatment during the calendar years 2010-11. Precise numbers may be higher because the dental profession has no mechanism to quantify medical emergencies (fatal or non-fatal) occurring during treatment.

In the last ten years, Virginia has suffered two deaths in dental care facilities, Raven Maria Blanco (private office, Virginia Beach) and Jacobi Hill (Virginia Commonwealth University Dental School, Richmond). As such, Virginia has the highest per capita death rate during dental treatment of any state in the nation. How many non-lethal medical emergencies have occurred during dental care in Virginia has never been measured or studied.

Currently, the only medical emergency preparation required for all Virginia dentists is maintaining basic CPR. Given an aging population, with increasingly complex medical histories and receiving increasingly complex treatment, the current standard is insufficient. The Six Links of Survival™ was developed to provide dentists with a practical method to assure that dental offices are comprehensively prepared to manage a medical event. The six areas of preparation are:
1.Dentist’s training
2.Staff training
3.Mock drills
4.Maintaining a written emergency plan
5.Stocking appropriate medications
6.Maintaining appropriate equipment (e.g. oxygen).

The Raven Maria Blanco Foundation and its advocates believe implementation of the Six Links of Survival™ in every dental office will provide a necessary stepping stone in saving the lives of dental patients.

The petition was accepted on January 6, 2012 will be published in the Register of Regulations on January 30, 2012 and has also been posted on the Virginia Regulatory Townhall at http://www.townhall.virginia.gov to receive public comment ending February 19, 2012. The request to amend regulations and any comments for or against the petition will be considered by the Board at its meeting scheduled for March 9, 2012. Sign the Petition Here!

For more information about the Raven Maria Blanco Foundation, go to www.rmbfinc.org

See all those involved in the making of this video here.

The Raven Maria Blanco Foundation: Guardian Angel…Raven’s Song

So, when I first decided to initialize this blog I decided that I wanted to share stories of people who not only shined but allowed the beauty within to expand out…something that went past just the surface. So, when I started blogging for the Raven Maria Blanco Foundation I knew that at some point I would have to speak about the wonderful people who have dedicated so much of themselves to this cause.

Let me start by giving you some background on who Raven Maria Blanco was. Raven was a beautiful 8 year old little girl who loved life and her family. As all children must do as one point or another, it was time for Raven to see the dentist.  Well, I’ll let those from the RMBF, Inc. tell you:

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On March 9, 2007, 8-year-old Raven Maria Blanco passed away unexpectedly, leaving family and friends with the challenge of learning to live in a world dimmed by her absence. Raven’s passing was devastating, especially to her parents. In an instant, the world cracked, swallowed joy, and the little angel disappeared. Imagine a room of bright lights, glittered streamers, laughter bouncing off the walls, star-lit ceilings, and music dancing in the air – then darkness and silence, disorientation and pain. There are no words to express the void we have in our hearts. Raven’s short, spirited life touched so many people; we are truly blessed for each and every moment we had in her presence.

Raven died under conscious sedation during a routine dental procedure. The autopsy showed Raven had a blood concentration of 24 mg/L of chloral hydrate — three times the average range — which the medical examiner considered lethal.

After the loss of Raven, her mother Robin clings to her daily routine as a way of somehow maintaining normalcy. She constantly adds items to her to-do list; staying busy is a band aid to the wound that never heals. Robin also helps her other two children deal with the loss of their sister. Raven was the oldest, the one they looked up to. Now when they miss her, they look to the Heavens to feel the sun rays of her heart and the glimmering stars of her curiosity. Robin also devotes her time to making a difference in the lives of children.

Mario, Raven’s father, watched his world crumble after the death of his first born child. He left living, lost somewhere in the limbo of grief. He could not move in the fog. For a little over a year, Mario spent his day’s sitting by his daughter’s gravesite and writing to Raven on her website every day. One day, love and chance gave Mario the strength to pick himself up. Thus begun the RMBF, Inc..

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In all honesty, I can’t imagine a world where my children don’t exist…none at all where they were taken away from me unexpectedly. So to think that this family, still grieving in a pain that never ceases, decided to use the pain of their loss to help others…well I can’t think of a brighter light than that.  RMBF, Inc. is dedicated to the education and advocacy of Pediatric Emergency Preparedness.  Mario and the rest of the family believes that perhaps had the office been prepared to handle the situation his daughter, his angel, Raven Maria Blanco, would still be here with us today. Over the years there has been several deaths of children due to similar causes and the foundations provides resources for Dental Health Professionals, Educators and Parents to become better prepared and aware of the preventative tools available.

While RMBF, Inc has worked extremely hard to get the word out to individuals that can make a change…there is still so much work to be done. So RMBF, Inc. representatives participate in several dental forums and conferences a year trying to advocate their cause. However, never did Mario Blanco think that he would just happen to meet Grammy Award Winning composer/producer Michael “Magnedo7” Crawford and much less that, after telling Raven’s story, Michael would want to write a song in her dedication.  But it did happen! In fact, Michael Crawford’s wife Shameia honored them all by singing it live at the RMBF Masquerade Ball.

Guardian Angel “Raven’s Song” was later re-recorded by the Dream Little Dreamers Foundation as a tribute to all the lost “Angels” of this earth. To read the full story and to hear more about the Raven Maria Blanco Foundation click on the Inspire the Nation, Save the Child Project

Here’s a sneak peek into the live re-recording:

Project Title: Inspire the Nation, Save a Child

RMBF, Inc. would like to offer their deepest thanks and appreciation to all those who participated in this project!

Written by: Shameia Crawford | Purchase Michael & Shameia’s version on iTunes Original Composer/Producer: Michael “Magnedo7” Crawford | Purchase Michael & Shameia’s version on iTunes

Executive Producer: Alisha “M’Jestie” Brooks | Purchase Dream Little Dreamer’s version on iTunes Mixing Engineer: Paul Arnold “The Bodega” Musical Production: Courtney Beard “The Bodega” Performed by: Dream Little Dreamer (see artist names below)

Arielle Hromada Cabell Jones Caleb & Jada Bright “Graesin Rayn” Brownell Kadance & Keshaun Sawyer Hosea “Legit” Sawyer Romel Brown Natalie Moreland Morgan Miller Chardonnay Hawkins Elisha Barnes Marki Mitchell Dontrey Fields “Shaun Strings” Ingram Madeline Smith Tedra Ballard Mercedez McCullers Kirsten Daniels