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Biomedical subjects

F M McCarthy

Publications and source records attributed to F M McCarthy.

At least 19 recordsLinked to original sources
PubMed1989

Cocaine and sudden cardiac death.

Cocaine may induce totally unexpected cardiotoxicity in young individuals at some time distant from the cocaine ingestion. Commonly, such individuals are asymptomatic for coronary artery disease; some have no demonstrable coronary artery disease even after the cardiac event. Those who use cocaine must be considered at risk of cardiotoxicity at any time after recent cocaine ingestion. Guidelines are suggested for clinical management in oral and maxillofacial surgery.

Adult↗
PubMed1989

Documenting safe treatment of the medical-risk patient.

An easily mastered safe treatment documentation system is presented. The routine consists of two parts, a comprehensive yet manageable medical history and a treatment modification record. Millions of medically compromised patients may now receive comprehensive care in safety.

Anesthesia, Dental↗
PubMed1989

Safe treatment of the post-heart-attack patient.

No dental patient represents a greater risk of serious illness or sudden death related to the emotional and physical stresses of dental treatment than the patient who presents for emergency or routine care with a history of heart attack (acute myocardial infarction, MI). Yet most post-MI patients can be treated effectively with basic treatment modifications that reduce risk to a minor and acceptable level, allowing comprehensive care rather than the simple emergency treatment or basic esthetic care so often reserved for these patients. This article reviews methods of safe and complete care for the post-MI patient.

Anesthesia, Dental↗
PubMed1980

Vital signs--the six-minute warnings.

The six classic vital signs (blood pressure, pulse, temperature, respiration, height, and weight) are reviewed on an historical basis and on their current use in dentistry. Normal and abnormal vital signs are explored in depth, with special attention to those conditions which can be readily recognized by the dental practitioner and with special attention to safe management of the patient in each instance. Measurement of blood pressure at the initial physical evaluation of the adult dental patient is approaching a standard of care status. A plea is made for expanding this practice and adding additional vital signs to usual office measurements. An efficient routine by which the dental assistant can measure and record the six vital signs in from three to six minutes is reviewed, and the frequency of vital sign measurement is explored.

Arrhythmias, Cardiac↗
PubMed1979

Physical evaluation system to determine medical risk and indicated dental therapy modifications.

The physical evaluation system allows the practitioner to rapidly classify each patient according to medical risk and thus to provide dental treatment comfortably and safely. The evaluation system serves as a guide to the level of dental therapy, deisions of management, and modification of treatment for the medically compromised patient. Extensive use of the ADA physical status classification system in dentistry would allow meaningful studies of morbidity and mortality that are related to various management protocols and could conceivably have an impact on insurance schedules associated with psychosedation modalities and general anethesia on an out patient basis. A physical evaluation system cannot substitute for knowledge and good judgment. Recommended categories of physical status and modification of treatment should not be considered as absolutes, but as guides. Wheras the guidelines may appear to be inflexible, they should not be considered as such. Deviation from recommendations is often justified and is expected.

Classification↗
PubMed1978

Ethyl alcohol by the oral route as a sedative in dentistry.

The history and social use and misuse of alcohol have been reviewed. Alcohol is an effective mild sedative drug for dental therapy when used in suggested dosage, and its use is encouraged. Guidelines and contraindications for administration have been suggested.

Administration, Oral↗