Evaluating the Incidence, Response, and Management Proficiency of Medical Emergencies in Dental Practices

Abstract

Background: Dental professionals must be ready to respond quickly and effectively to medical emergencies that may arise in unexpected locations, such as dental offices. Given its sizable population and expanding dental sector, Pakistan is not exempt from such potential catastrophes.

Objectives: The objective of this study was to determine the frequency of medical emergencies in dental outpatient departments (public and private). In addition, we aimed to pinpoint any inadequacies in procedures that impede efficient administration and offer ideas for enhancing the capacity to handle medical crises in dental offices.

Methods: In a six-month cross-sectional study, dental professionals were given a reliable, closed-ended questionnaire to evaluate their attitudes, procedures, and level of expertise in handling medical emergencies. A total of 271 responses were evaluated. 

Results: Most instances recorded in medical crises were syncope (36%), followed by hypoglycemia (26%). The majority of reported 
medical situations (77.8%) were managed successfully within the hospital according to the findings of the study. Of the 
practitioners, approximately 55.9% adhered to all required guidelines for handling medical emergencies, while 34.8% only 
partially did so. Approximately 69.6% of practitioners did not follow the protocol when it came to using emergency 
equipment or drugs. 
Approximately 65% of practitioners stated that the most difficult aspects of handling medical emergencies were panic or 
disorientation and a lack of training. Dental professionals and personnel were trained in basic life support (39%), 
demonstration/lectures (21%), and addressing medical crises (figure 2).

Conclusion: The fact that medical emergencies at dental offices are uncommon does not mean that a large percentage of dentists are well-equipped to manage these circumstances. By filling these gaps, the dental profession can improve patient safety and 
emergency practitioner competencies.