A Pilot Study of Preparedness for Medical Emergencies in Urban Private Dental Practices in Malaysia

Abstract

The aim of this study was to obtain data of medical emergencies at the non-hospital based private dental practices in Petaling district of Selangor, Malaysia. Ninety out of 281 identified main practitioners of non-hospital based private dental practices had agreed to participate. A standardised questionnaire forms consisting of four parts including demographic data, emergency equipment and drugs available, occurrence of medical emergencies and training of dental practitioners. All data retrieved were analysed using the Statistical Programme for Social Science (SPSS) version 22.0 (SPSS Inc., 1999). Some of the clinics (28.9%) had reported experiencing medical emergencies events. The most common emergency event noted was syncope (42.2%), followed by hypoglycaemia (27.7%). Majority of the events occurred in the dental surgery room (84.3%), after completion of treatment (31.3%) and were associated with dental extraction procedures (61.4%). Only nine of the clinics (3.3%) were equipped with emergency trolley and none were prepared with a defibrillator or automated external defibrillator (AED). It was also found that 32.3% of all clinics do not have any emergency drugs. All of the practitioners received basic life support training before graduation and 52.2% received supplementary training after graduation. In conclusion, emergency medical events do occur, but majority of dental practices involved in this study were not well equipped to manage these emergencies. It is important to have a standardised national guideline to ensure a safe and well-prepared dental setting during any adverse medical events.