{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T14:56:50Z","timestamp":1790607410098,"version":"4.1.0"},"reference-count":28,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T00:00:00Z","timestamp":1788480000000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Public Health Challenges"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Medical emergencies in dental settings are uncommon but potentially life\u2010threatening, and the response depends on practitioner training, institutional protocols and available equipment. Little has been published on these elements in Ghanaian dental services. This study described self\u2010reported emergency encounters, training status, protocol awareness, equipment availability and perceived challenges at one tertiary facility.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methodology<\/jats:title>\n                    <jats:p>\n                      A descriptive cross\u2010sectional study was conducted at the Oral Health Directorate, Komfo Anokye Teaching Hospital, Kumasi. All 78 dentists on the roster were approached (attempted census); 62 returned completed self\u2010administered questionnaires over 14 consecutive working days (response rate 79.5%). All variables were categorical, summarised as frequencies and percentages. Associations of rank and years of practice with formal emergency\u2010management training status were examined using\n                      <jats:italic>\u03c7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      tests with Yates\u2019 correction and Fisher's exact test with odds ratios (ORs).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Percentages denote the proportion of 62 respondents reporting each multiple\u2010response item, not the frequency of events among patients. Hypoglycaemia (87.1%) and syncope (79.0%) were most often reported as ever encountered, then asthma attack (69.4%), seizures (62.9%) and anaphylaxis (48.4%). Thirty\u2010six (58.1%) reported formal training, 22 (35.5%) a written protocol and none an automated external defibrillator (AED). Training was reported more often by senior than junior dentists (69.2% vs. 39.1%;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.040; OR 3.50, 95% confidence interval [CI] 1.19\u201310.29); the association with years of practice was borderline and test\u2010dependent (Yates\u2010corrected\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.052; Fisher's exact\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.039; OR 3.20, 95% CI 1.12\u20139.15). Commonest challenges were inadequate equipment (87.1%), lack of training (72.6%) and no clear protocol (69.4%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Two in five dentists reported no formal emergency\u2010management training, most were unaware of a written protocol, and none reported access to an AED. These self\u2010reported, single\u2010centre findings suggest that periodic training, written protocols and verified equipment stocks merit institutional attention; confirmation in larger multi\u2010centre studies is needed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/puh2.70359","type":"journal-article","created":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T00:29:41Z","timestamp":1788568181000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Self\u2010Reported Preparedness and Perceived Challenges in Managing Medical Emergencies Among Dentists at Komfo Anokye Teaching Hospital, Ghana: A Cross Sectional Study"],"prefix":"10.1002","volume":"5","author":[{"given":"Anabella Koteikai","family":"Kotey","sequence":"first","affiliation":[{"name":"School of Dentistry College of Health Sciences Kwame Nkrumah University of Science and Technology  Kumasi Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Abu\u2010Sakyi","sequence":"additional","affiliation":[{"name":"School of Dentistry College of Health Sciences Kwame Nkrumah University of Science and Technology  Kumasi Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuella\u2010Krysty Asabea","family":"Siaw","sequence":"additional","affiliation":[{"name":"School of Dentistry College of Health Sciences Kwame Nkrumah University of Science and Technology  Kumasi Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John Billy","family":"Owusu Quarshie","sequence":"additional","affiliation":[{"name":"School of Dentistry College of Health Sciences Kwame Nkrumah University of Science and Technology  Kumasi Ghana"},{"name":"Department of Health Policy Management and Economics School of Public Health College of Health Sciences Kwame Nkrumah University of Science and Technology  Kumasi Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nana Atuahene","family":"Oti","sequence":"additional","affiliation":[{"name":"School of Dentistry College of Health Sciences Kwame Nkrumah University of Science and Technology  Kumasi Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nana Bempong","family":"Owusu\u2010Ankomah","sequence":"additional","affiliation":[{"name":"School of Dentistry College of Health Sciences Kwame Nkrumah University of Science and Technology  Kumasi Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel","family":"Baffour\u2010Awuah","sequence":"additional","affiliation":[{"name":"Komfo Anokye Teaching Hospital  Kumasi Ghana"},{"name":"Sunyani Teaching Hospital  Sunyani Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kwabena Opoku","family":"Owusu\u2010Ansah","sequence":"additional","affiliation":[{"name":"Komfo Anokye Teaching Hospital  Kumasi Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elijah Kwegyir","family":"Johnson","sequence":"additional","affiliation":[{"name":"University of Ghana Dental School, Korle Bu  Accra Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-2191-2494","authenticated-orcid":false,"given":"Kwame Adu","family":"Okyere Boadu","sequence":"additional","affiliation":[{"name":"School of Dentistry College of Health Sciences Kwame Nkrumah University of Science and Technology  Kumasi Ghana"},{"name":"Department of Health Policy Management and Economics School of Public Health College of Health Sciences Kwame Nkrumah University of Science and Technology  Kumasi Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,4]]},"reference":[{"issue":"7","key":"e_1_2_14_2_1","first-page":"300","article-title":"Medical Emergencies in Dental Practices in South Africa","volume":"70","author":"Owen C. P.","year":"2015","journal-title":"South African Dental Journal"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.2344\/0003-3006(2006)53[20:MOMEIT]2.0.CO;2"},{"issue":"2","key":"e_1_2_14_4_1","first-page":"134","article-title":"Medical Emergencies in Dental Office","volume":"4","author":"Kumar A.","year":"2014","journal-title":"Journal of Oral Biology and Craniofacial Research"},{"key":"e_1_2_14_5_1","article-title":"Prevalence and Management of Medical Emergencies in Dental Practice: A 12\u2010Year Retrospective Study","volume":"37","author":"D'Innocenzo R.","year":"2023","journal-title":"Brazilian Oral Research"},{"issue":"2","key":"e_1_2_14_6_1","first-page":"199","article-title":"Medical Emergencies Encountered during Dental Treatment: A 3\u2010Year Retrospective Study in a Nigerian Dental School","volume":"25","author":"Braimah R. O.","year":"2022","journal-title":"Nigerian Journal of Clinical Practice"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ssmph.2022.101026"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwu239"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034514557546"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034519849557"},{"issue":"1","key":"e_1_2_14_11_1","first-page":"27","article-title":"Medical Emergency Preparedness and Management in Dental Practice: A Cross\u2010Sectional Study","volume":"31","author":"Tariq U.","year":"2022","journal-title":"Journal of the Pakistan Dental Association"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bdj.4800023"},{"key":"e_1_2_14_13_1","volume-title":"General Anaesthesia, Sedation and Resuscitation in Dentistry: Report of an Expert Working Party","author":"Poswillo D.","year":"1999"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/idj.12473"},{"key":"e_1_2_14_15_1","doi-asserted-by":"publisher","DOI":"10.3126\/jonmc.v13i2.75004"},{"key":"e_1_2_14_16_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0325136"},{"key":"e_1_2_14_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/hsr2.70763"},{"key":"e_1_2_14_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.0022-0337.2010.74.4.tb04883.x"},{"key":"e_1_2_14_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/idj.12046"},{"key":"e_1_2_14_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/adj.12649"},{"key":"e_1_2_14_21_1","doi-asserted-by":"publisher","DOI":"10.4103\/2230-8229.163038"},{"key":"e_1_2_14_22_1","volume-title":"Medical Emergencies in the Dental Office","author":"Malamed S. 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A.","year":"2013","journal-title":"Journal of Dental Hygiene"},{"issue":"1","key":"e_1_2_14_26_1","first-page":"8S","article-title":"Preparing for Medical Emergencies: The Essential Drugs and Equipment for the Dental Office","volume":"141","author":"Rosenberg M.","year":"2010","journal-title":"Journal of the American Dental Association"},{"issue":"4","key":"e_1_2_14_27_1","first-page":"187","article-title":"Staff Communication and Emergency Response in Hospital Settings","volume":"32","author":"Murray E.","year":"2019","journal-title":"Healthcare Management Forum"},{"issue":"2","key":"e_1_2_14_28_1","first-page":"88","article-title":"Basic Life Support: Knowledge and Attitudes Among Dental Students and Staff","volume":"28","author":"Alotaibi O.","year":"2016","journal-title":"Saudi Dental Journal"},{"issue":"4","key":"e_1_2_14_29_1","first-page":"e81","article-title":"Simulation Training for Medical Emergencies in the Dental Setting Using an Inexpensive Robotic Mannequin","volume":"21","author":"Kishimoto N.","year":"2017","journal-title":"European Journal of Dental Education"}],"container-title":["Public Health Challenges"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/puh2.70359","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/puh2.70359","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/puh2.70359","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T14:09:26Z","timestamp":1790604566000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/puh2.70359"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":28,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1002\/puh2.70359"],"URL":"https:\/\/doi.org\/10.1002\/puh2.70359","archive":["Portico"],"relation":{},"ISSN":["2769-2450","2769-2450"],"issn-type":[{"value":"2769-2450","type":"print"},{"value":"2769-2450","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9]]},"assertion":[{"value":"2026-05-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-22","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-04","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70359"}}