Sedation emergencies may be rare, but when they happen, the consequences can be catastrophic. In this episode, anesthesiologist Dr. Richard Marn shares a practical framework to help oral surgeons prepare for high-stress, low-frequency events that can jeopardize patient safety and derail a practice. Drawing on his work with multiple oral surgeons and his extensive simulation training experience, Dr. Marn walks through four key pillars of readiness: Infrastructure, Competency, Culture, and Habit. He offers real-world strategies for building team alignment, from five-minute huddles and tabletop drills to equipment checks and fostering psychological safety. Along the way, he underscores how leadership and communication can transform a group of individuals into a high-performing team. This episode is a must-listen for anyone looking to embed a culture of calm, confident emergency response.

Key Points From This Episode:

• Dr. Richard Marn’s journey from surgery intern to pediatric anesthesiologist.
• The importance of stress testing your staff for an emergency event.
• Four pillars of emergency readiness: Infrastructure, Competency, Culture, and Habit.
• The definition of Halo events (High Acuity Low Occurrence) and their potentially devastating impact.
• Why preparation is critical to protect your practice during Halo events.
• How Dr. Marn conducts five-minute emergency drills to build team alignment.
• Sedation as a high-risk activity and how to prepare for it.
• Why soft skills and teamwork are as important as CPR or airway management.
• Simulation training: how they reveal common gaps in emergency preparedness.
• Little details that matter, like knowing how to turn on an oxygen tank.
• The importance of regular huddles: to build habits and uncover weak spots before an emergency hits.
• How to make sure your emergency equipment is in working order: assign liaisons to keep emergency kits, meds, and devices ready for use.
• What you can do to help your team practice emergency skills during real-life, low-stakes cases.
• How culture and psychological safety can affect a team’s emergency response.
• Why culture shifts start with leadership and clear communication of expectations.
• How to access a free online assessment to evaluate team readiness.

Links Mentioned in Today’s Episode:

Dr. Richard Marn — https://www.drrichardmarn.com/
Dr. Richard Marn on LinkedIn — https://www.linkedin.com/in/richardmarn/
Online Sedation Risk Assessment — https://emergency.scoreapp.com

Center for Medical Simulation — https://harvardmedsim.org/
Online Sedation Risk Assessment — https://emergency.scoreapp.com
Blue Pacific Medical Simulation — https://bpmedsim.com/
New York Medical Anesthesia — https://nymedicalanesthesia.com/

Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/

Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/

Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/

Dr. Grant Stucki Email — grantstucki@gmail.com

Dr. Grant Stucki Phone — 720-441-6059

In this episode of Everyday Oral Surgery, we continue our Heme Series on all things blood-related by discussing lymphomas and multiple myeloma. Joining Dr. Stucki on the podcast again, to share a wealth of knowledge, are Drs. Andrew Jenzer and Maxwell Lloyd. They delve into a discussion on the basics of lymphomas, dissecting the two categories of Hodgkin's and non-Hodgkin lymphoma, and get into the diagnosis and presenting symptoms, stages, risk stratification, and treatments of each category. Next, they touch on what Tumor Lysis Syndrome (TLS) is and dive into a broad discussion on multiple myeloma. Dr. Lloyd breaks down the spectrum of this disease, including the signs and symptoms, testing and diagnostics, and explains that there is no cure for the disease. He also expands on the various treatments and management regimens available. To hear more, including thoughts on how to improve communication between collaborating teams, be sure not to miss out on today’s episode. Thanks for tuning in!

Key Points From This Episode:

• Introduction to today’s topic as we continue our Heme Series.
• Dr. Lloyd talks us through lymphoma basics.
• Dr. Jenzer unpacks the presenting symptoms of the Hodgkin lymphoma category.
• Stages and risk stratification that constantly evolve: Ann Arbor Staging System.
• Treatment of lymphoma: thinking broadly, as regimens seem to be changing quickly.
• We discuss the same aspects, but of the non-Hodgkin lymphoma category.
• Dr. Lloyd dives broadly into the chemotherapy regimen options for non-Hodgkin lymphoma.
• He explains a double-hit lymphoma and the associated treatment.
• We discuss Tumor Lysis Syndrome (TLS).
• Dr. Jenzer explains what multiple myelomas are.
• Dr. Lloyd further unpacks the spectrum of this disease (multiple myeloma).
• Signs and symptoms of multiple myeloma.
• An explanation for the lack of a cure for multiple myeloma.
• Testing and diagnostics of multiple myeloma
• Dr. Lloyd broadly delves into the different types of medications and treatments used in managing multiple myeloma.
• He touches on some of the side effects of the medications.
• Big takeaway points from today’s discussion.
• Dr. Lloyd’s thoughts on how we can improve communication between collaborating teams.
• Final thoughts and recommendations to listeners.

Links Mentioned in Today’s Episode:

Dr. Andrew Jenzer Email — andrew.jenzer@duke.edu

Dr. Maxwell Lloyd — https://connects.catalyst.harvard.edu/Profiles/display/Person/192727
AAOMS — https://aaoms.org/education-meetings/meetings/

NCCN Guidelines — https://www.nccn.org/guidelines/category_1

Ann Arbor Staging System — https://www.ncbi.nlm.nih.gov/books/NBK65726.23/table/CDR0000062933__557/?report=objectonly

St. Louis Course — https://stlomfsreview.com/

Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/

Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/

Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/

Dr. Grant Stucki Email — grantstucki@gmail.com

Dr. Grant Stucki Phone — 720-441-6059

Treating congenitally missing lateral incisors is a family and team affair, and it requires stringent protocols to achieve the desired outcome. Dr. Vic Martel, a general dentist in Florida, joins Dr. Stucki on this episode of Everyday Oral Surgery. Their conversation focuses on the interdisciplinary team approach required for successfully treating congenitally missing lateral incisors. Dr. Martel shares his protocol for managing these cases, shedding light on key orthodontic considerations and when it's time to refer to the surgeon. He also details the crucial 3A-2B Rule and explains the important factors that restorative dentists should understand about the implant process to achieve long-term success. Tune in to learn more about his approach and why, in his words, "implants are all about the long game."

Key Points From This Episode:

• How Dr. Martel came up with his general protocol regarding missing lateral incisors.
• Step one: diagnosis between 7 and 9 years of age.
• What’s next after the diagnosis: communication is crucial.
• His thoughts on the ortho component of his protocol.
• At what point do we see the retained primary teeth coming out.
• When it’s time to see the surgeon.
• He explains his release form: an unfortunate story.
• We discuss the age difference between males and females.
• Dr. Martel unpacks the 3A-2B Rule.
• Restoring the super-narrow versus the regular narrow.
• Dr. Martel shares one of his frustrating stories.
• We discuss how restorative dentists handle the occlusions.
• Important things dentists need to understand.
• Why implants are all about the long game.
• He details his 10-minute lecture on the implant failures he’s encountered.

Links Mentioned in Today’s Episode:

Dr. Vic Martel on LinkedIn — https://www.linkedin.com/in/victor-martel-dmd-91431922/

Dr. Vic Martel on Instagram — https://www.instagram.com/drvicmartel/

Dr. Vic Martel Email — martelacademy@gmail.com

Parent Instruction Sheet —

Martel Academy — https://www.martelacademy.com/

Literature 3A-2B Rule — https://www.prosthodontics.es/wp-content/uploads/2019/10/2013-Rojas-Vizcaya.pdf

Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/

Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/

Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/

Dr. Grant Stucki Email — grantstucki@gmail.com

Dr. Grant Stucki Phone — 720-441-6059