This high-yield revision note on Medical Emergencies in Dental Chair: Syncope to Anaphylaxis covers everything examiners typically test under Dental Emergencies — structured as quick-reference tables, clinical correlations, mnemonics and previous-year-style high-yield points. It's built for last-mile revision before NEET MDS, INI-CET MDS and INBDE, so you can scan it in minutes instead of re-reading a whole textbook chapter.
| Emergency | Signs | Management |
|---|---|---|
| Vasovagal syncope (MOST COMMON dental office emergency) | Pallor, sweating, bradycardia, brief loss of consciousness | Trendelenburg position (supine, legs elevated), loosen tight clothing, ammonia inhalant, monitor vitals |
| Anaphylaxis | Urticaria, bronchospasm, hypotension, angioedema | IM Epinephrine 0.3-0.5mg (1:1000) anterolateral thigh, oxygen, call EMS, may repeat every 5-15min |
| Hypoglycemia (diabetic patient) | Confusion, sweating, tremor | Conscious: oral glucose/sugar; Unconscious: IV dextrose or IM glucagon |
| Angina/suspected MI | Chest pain radiating to arm/jaw | Stop procedure, oxygen, sublingual nitroglycerin (angina), chewable aspirin 325mg (suspected MI), call EMS |
| Asthma attack | Wheezing, dyspnea | Sit upright, patient's own bronchodilator (salbutamol inhaler), oxygen |
| Local anesthetic systemic toxicity | Tinnitus, perioral tingling, seizure, then cardiovascular depression | Stop injection, oxygen, IV lipid emulsion for severe cardiotoxicity (especially bupivacaine) |
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