Medical Emergencies — ORE Part 1 MCQ
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Correct answer: A — Adrenaline (epinephrine) 1 mg/mL (1:1000)
Adrenaline 1:1000 is the only mandatory emergency drug that all UK dental practices must stock. Under the Prescription Only Medicines (Human Use) Order 1997, any dental team member may administer adrenaline for life-saving purposes in an emergency. The other options, whilst used in emergency medicine, are not mandatory components of the dental emergency drug kit per SDCEP/Scottish Government guidance. Diazepam (Option D) is not used in dental emergency kits; midazolam may be stocked for conscious sedation or epilepsy management but is not mandatory for all practices. Atropine, hydrocortisone, and naloxone do not feature on the mandatory emergency drug list for dental practice.
Reference: Scottish Dental Clinical Effectiveness Programme (SDCEP) Practice Support Manual: Medical Emergency Drugs section. https://www.psm.sdcep.org.uk/topics/medical-emergencies-and-life-support/medical-emergency-drugs/ (2024)