Table 3.
Percentages of correct answers of participating dental students and clinical trainers to the management of 20 medical emergency cases that frequently take place in the dental chair.
| Medical Emergency Scenario | 4th Year (N = 143) % (95% CI) |
5th Year (N = 35) % (95% CI) |
Internship (24) % (95% CI) |
Trainer (41) % (95% CI) |
p |
|---|---|---|---|---|---|
| Fainting patient in dental chair | 72.7% (64.7–79.8%) |
60% (42.1–76.1%) |
83.3% (62.6–95.3%) |
92.7% (80.1–98.5%) |
0.01 * |
| Patient with hyperventilation | 65.7% (57.3–73.5%) |
62.9% (44.9–78.5%) |
91.7% (73–99%) |
70.7% (54.5–83.9%) |
0.17 |
| Patient with postural hypotension | 65.7% (57.3–73.5%) |
74.3% (56.7–87.5%) |
79.2% (57.8–92.9%) |
90.2% (76.9–97.3%) |
0.001 * |
| Conscious patient with hypoglycemia | 96.5% (92–98.9%) |
100% (90–100%) |
100% (85.8–100%) |
92.7% (80.1–98.5%) |
0.49 |
| Unconscious patient with hypoglycemia | 75.5% (67.6–82.3%) |
65.7% (47.8–80.9%) |
75% (53.3–90.2%) |
63.4% (46.9–77.9%) |
0.16 |
| Epileptic seizure | 73.4% (65.4–80.5%) |
80% (63.1–91.6%) |
87.5% (67.6–97.3%) |
85.4% (70.8–94.4%) |
0.05 * |
| Crisis of hypoadrenalism | 30.1% (22.7–38.3%) |
45.7% (28.8–63.4%) |
50% (29.1–70.9%) |
61% (44.5–75.8%) |
<0.001 * |
| Acute asthmatic attack | 68.5% (60.2–76%) |
85.7% (69.7–95.2%) |
91.7% (73–99%) |
90.2% (76.9–97.3%) |
0.001 * |
| Anaphylactic shock | 50.3% (41.9–58.8%) |
71.4% (53.7–85.4%) |
79.2% (57.8–92.9%) |
70.7% (54.5–83.9%) |
0.002 * |
| Deeply sedated with benzodiazepine overdose | 24.5% (17.7–32.4%) |
54.3% (36.6–71.2%) |
41.7% (22.1–63.4%) |
34.1% (20.1–50.6%) |
0.08 |
| Sudden onset of brain stroke | 67.1% (58.8–74.8%) |
68.6% (50.7–83.1%) |
70.8% (48.9–87.4%) |
68.3% (51.9–81.9%) |
0.8 |
| Psychiatric patient | 60.8% (52.3–68.9%) |
65.7% (47.8–80.9%) |
62.5% (40.6–81.2%) |
56.1% (39.7–71.5%) |
0.69 |
| Crushed chest pain | 47.6% (39.1–56.1%) |
37.1% (21.5–55.1%) |
70.8% (48.9–87.4%) |
78% (62.4–89.4%) |
<0.001 * |
| Episode of chest pain relieved by rest and nitrates | 50.3% (41.9–58.8%) |
51.4% (34–68.6%) |
50% (29.1–70.9%) |
73.2% (57.1–85.8%) |
0.03 * |
| Severe chest pain not relieved by rest and nitrates | 51.7% (43.2–60.2%) |
37.1% (21.5–55.1%) |
54.2% (32.8–74.4%) |
68.3% (51.9–81.9%) |
0.11 |
| Sudden heart arrest | 81.8% (74.5–87.8%) |
74.3% (56.7–87.5%) |
87.5% (67.6–97.3%) |
97.6% (87.1–99.9%) |
0.02 * |
| Cardiopulmonary resuscitation steps | 71.3% (63.2–78.6%) |
82.9% (66.4–93.4%) |
70.8% (48.9–87.4%) |
85.4% (70.8–94.4%) |
0.1 |
| Chronic liver disease needs dental extraction | 69.2% (61–76.7%) |
74.3% (56.7–87.5%) |
91.7% (73–99%) |
85.4% (70.8–94.4%) |
0.008 |
| Known diabetes who becomes sweaty, with nausea and tachycardia | 73.4% (65.4–80.5%) |
91.4% (76.9–98.2%) |
75% (53.3–90.2%) |
85.4% (70.8–94.4%) |
0.11 |
| Renal failure needs dental extraction | 71.3% (63.2–78.6%) |
80% (63.1–91.6%) |
79.2% (57.8–92.9%) | 70.7% (54.5–83.9%) |
0.79 |
* Significant difference in percentages of correct answers of participating dental students and clinical trainers to the management of 20 medical emergency cases that frequently take place in the dental chair (p < 0.001, Student’s t-test).