Emergency Procedures Protocol for Dental Practices

Standard Operating Procedures for Managing Dental Emergencies

General Dentistry

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Last updated: Mar 24, 2025

1. Emergency Assessment Protocol

Initial Triage

  • Obtain vital signs (BP, pulse, respiration)
  • Assess level of consciousness
  • Document chief complaint
  • Rate pain level (1-10 scale)
  • Screen for medical alerts/conditions

Emergency Categories

Priority 1 (Immediate Care Required)

  • Severe uncontrolled bleeding
  • Facial/oral trauma with compromised airway
  • Severe infection with swelling
  • Post-extraction complications

Priority 2 (Urgent Care)

  • Acute pulpitis
  • Pericoronitis
  • Localized abscess
  • Avulsed tooth

2. Emergency Equipment Requirements

Basic Emergency Kit

  • Oxygen delivery system
  • Blood pressure monitor
  • Automated External Defibrillator (AED)
  • Emergency medications
  • Suction equipment

Emergency Medications

  • Epinephrine 1:1000
  • Diphenhydramine
  • Nitroglycerin
  • Albuterol inhaler
  • Aspirin 325mg

3. Staff Responsibilities

Front Office

  • Screen emergency calls
  • Document incident details
  • Contact emergency services if needed
  • Maintain emergency contact list

Clinical Staff

  • Assess patient condition
  • Prepare emergency equipment
  • Assist dentist during procedures
  • Monitor vital signs

4. Documentation Requirements

Emergency Record

  • Time and date of incident
  • Patient vital signs
  • Treatments provided
  • Medications administered
  • Follow-up instructions

5. After-Hours Protocol

On-Call System

  • Rotating schedule for dentists
  • Emergency phone coverage
  • Referral protocols
  • Documentation procedures

6. Monthly Checklist

  • Verify emergency kit contents
  • Check medication expiration dates
  • Test emergency equipment
  • Review staff emergency roles
  • Update emergency contacts

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