Medical Emergencies and Operational Preparedness Among Dentists: A Scoping Review

Background: Medical emergencies occur at varying rates across the globe. Given the significant effort invested in identifying them and assessing dentists' preparedness to deliver treatment in these life-threatening conditions, a global overview was needed. Materials and Methods: In this scoping review, data from PubMed, Cochrane Library, and Google Scholar databases were examined to identify all relevant studies reporting on the impact of medical emergencies on dentists and determine their operational preparedness at a national or regional level. Operational preparedness was determined in accordance with existing emergency operational preparedness frameworks across six domains: Anticipate, Assess, Prevent, Prepare, Respond, and Recover. Significant Findings: Global data show that dentists will invariably encounter medical emergencies across their careers. However, our investigation found that in countries where there is strong foundational training and regular refresher training, fewer frequent emergencies and stronger operational preparedness are reported. Governmental regulation emerged as a key facilitator of operational preparedness. Still, barriers exist, primarily limited access to medical emergency courses, shortages of office supplies for emergency drugs and materials, and the absence of medical emergency registries. Conclusions: A reassessment of the medical emergency training courses' content appropriateness is paramount. Training interventions should also focus on raising awareness about the importance of preventive measures and office optimization through planning. Further research is needed to identify any overlooked facilitators and barriers to operational preparedness in medical emergencies. This will help identify opportunities for improvement and minimize the impact of emergencies on dental practices.