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What are some factors that increase the likelihood of an incident
increased number of older persons seeking dental care
therapeutic advances in medicine and pharmaceuticals
trends toward longer dental appointments
increased use and administration of drugs in dentistry
What are goals of physical evaluation
determine the patients ability to tolerate stress of appointment
determine whether treatment modifications are required
determine whether the use of psych sedation is needed
What are the steps to physically evaluate patients
medical and dental questionnaire including meds
physical exam
vital signs
visual inspection
dialogue
What are some signs of modern anxiety
questions to receptionist or has nervous conversation with other patients, history if emergency dental care or cancellations, nervousness, quick answers
What are the most frequent forms of medical emergencies
stress related
-Vasodepressor Syncope
-Hyperventilation
-Acute cardiovascular emergencies
How do deaths generally occur in dental
general/ local anesthesia, and parenteral (non-oral) medication