Surgical care in the outpatient setting requires knowledge and management of medical emergencies. Any kind of Emergency are to be expected in any active surgical practice. Prevention, the most important component of management of medical emergencies and pathophysiology of various medical conditions. Undoubtedly, the best way to manage medical emergencies is through a thorough preoperative evaluation before they happen. While even this happens then treatment of medical emergency starts in the dental office before summoning the emergency physician.