Dental OSCE (Objective Structured Clinical Examination) Practice Exam

What is the first step you should take if a patient faints and is unconscious in the dental chair?

1. Administer medication immediately

2. Call for emergency help

3. Ensure open airway and check for breathing

4. Assess the patient's vital signs

The correct answer is: Ensure open airway and check for breathing

In the event that a patient faints and becomes unconscious in the dental chair, ensuring an open airway and checking for breathing is of utmost priority. This step is crucial because the initial response to any unconscious patient involves making sure that they can breathe adequately. A compromised airway can lead to insufficient oxygen supply to the brain and other vital organs, which can worsen the patient's condition. Opening the airway can often be achieved by positioning the patient correctly, typically tilting the head back and lifting the chin, which helps to clear any obstruction and allows for proper airflow. Following this, it is essential to check for breathing. If the patient is not breathing or is breathing abnormally, immediate resuscitation measures may need to be initiated. This foundational assessment lays the groundwork for any further actions that might be necessary, such as calling for emergency help or administering medication if indicated. In summary, ensuring an open airway and verifying breathing takes precedence as it directly impacts the patient's ability to receive oxygen, thereby addressing the most immediate and critical needs in an emergency situation.