Introduction: A medical emergency is a medical condition that requires immediate treatment. During practice, dentists face many emergency events especially medical emergencies. Objectives: To assess the knowledge, confidence and skills of House Officers regarding chair side management of common medical emergencies in dental teaching hospitals of Peshawar. Methodology: A Cross Sectional study design was conducted and self-administered questionnaire which included closed ended questions regarding knowledge ,clinical skills and confidence to deal with medical emergencies were distributed among the participants after taking written consent in three different institutions of Peshawar, SBDC; Sardar Begum Dental College, PDC; Peshawar Dental College, KCD; Khyber College Of Dentistry. Results: Out of 140 house officers (majority females) from different dental teaching hospitals in Peshawar. Most of them responded correctly to the dental scenarios. Some of the house officers (44.3%) were not confident enough to deal with medical emergencies in their dental practice due to lack of skills in dealing with such scenario.