OSCE Practice – Anaphylaxis (Severe Allergic Reaction)

Practise recognising and managing an anaphylaxis emergency in a dental setting, following NEBDN OSCE expectations.

Scenario

A patient develops sudden swelling of the lips and face during a dental procedure. They are struggling to breathe, appear distressed, and their condition is rapidly worsening. You are the dental nurse assisting the clinician.

Your Task

  • Identify the condition
  • Initiate immediate emergency management
  • Position the patient appropriately
  • Administer the correct first-line drug
  • Escalate care and monitor the patient

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Key Learning Points

  • Anaphylaxis is a severe, life-threatening allergic reaction affecting airway and circulation
  • The patient should be laid flat with legs elevated (do not sit upright unless breathing is severely compromised)
  • Adrenaline (IM) is the first-line treatment and must be given immediately
  • Oxygen should be administered alongside adrenaline in severe cases
  • If symptoms persist after 5 minutes, a repeat dose of adrenaline is required
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