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How prepared are dental students to manage medical emergencies, a cross-sectional survey from Saudi Arabia

Front Med (Lausanne). 2026 Jan 7;12:1715028. doi: 10.3389/fmed.2025.1715028. eCollection 2025.

ABSTRACT

BACKGROUND: Medical emergencies (MEs) in dental practice, though rare, can occur posing significant risks to patients. Dental professionals should be well-prepared to manage such situations. This study aimed to assess the knowledge, self-perceived confidence and preparedness of dental students and interns regarding the management of MEs in dental settings.

METHODS: A questionnaire-based cross-sectional study was conducted among clinical dental students and interns at a dental college in Saudi Arabia. Data were collected using an anonymous, self-administered online questionnaire consisting of 20 multiple-choice questions assessing knowledge, preparedness and confidence in handling MEs. Statistical analysis was performed using SPSS and employing Pearson’s Chi-squared test and logistic regression analysis.

RESULTS: The study analyzed data from 145 out of 200 participants invited (response rate = 72.5%). Most participants were female (51.0%) and aged ≥ 24 years (62.8%). A high knowledge level was identified in 58.6% of participating students and interns. While females exhibited a slightly higher knowledge than males, higher confidence and preparedness levels were identified among males, though the difference was not statistically significant (p = 0.05). Older and more advanced students demonstrated significantly higher knowledge and confidence (p < 0.05). The most encountered emergency by participants during dental treatment was syncope (65.5%), and seizures (29.6%). Adrenaline was the most commonly cited emergency drug in terms of availability in dental practices (38.6%), followed by anti-histamines (23.4%), while atropine was the least available (13.8%). Notably, 58.6% of participants reported lack of these emergency drugs in their practice settings.

CONCLUSION: The study highlighted a gap in the preparedness of dental students and interns to manage MEs effectively. The findings emphasize the need for enhanced training and education, particularly in managing more severe medical emergencies, to improve the overall emergency response in dental practices. Further, efforts should focus on increasing access to emergency drugs and equipment, along with regular BLS training, to ensure optimal patient safety.

PMID:41574378 | PMC:PMC12819686 | DOI:10.3389/fmed.2025.1715028

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