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brain injury

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1. Neuroprotection from acute brain injury in preterm infants

Neuroprotection from acute brain injury in preterm infants Infants born at ≤32 +6 weeks gestation are at higher risk for intracranial ischemic and hemorrhagic injuries, which often occur in the first 72 hours postbirth. Antenatal strategies to reduce the incidence of acute brain injuries include administering maternal corticosteroids and prompt antibiotic treatment for chorioamnionitis. Perinatal strategies include delivery within a tertiary centre, delayed cord clamping, and preventing (...) hypothermia. Postnatal strategies include empiric treatment with antibiotics when chorioamnionitis is suspected, the cautious use of inotropes, the avoidance of blood PCO2 fluctuation, and neutral head positioning. Clinicians should be aware of the policies and procedures that, especially when combined, can provide neuroprotection for preterm infants. Keywords: Acute brain injury; Infant; Intraventricular hemorrhage; Neuroprotection; Neuroprotective strategies; Premature

2019 Canadian Paediatric Society

2. Traumatic brain injury

Traumatic brain injury Printed copies of this document may not be up to date, obtain the most recent version from www.cats.nhs.uk Children’s Acute Transport Service Clinical Guidelines Traumatic Brain Injury Document Control Information Author D Lutman Author Position Head of Clinical Service Document Owner E. Polke Document Owner Position Service Coordinator Document Version Version 4 Replaces Version Version 3 First Introduced 2002 Review Schedule 2 Yearly Active Date January 2016 Next Review (...) of injury o Mechanism of injury – pattern of injury and prognostic information • Clinical o GCS (attention to trend of motor component- may be more sensitive) o Airway or need for intubation o Pupillary response o Signs of base of skull fracture ? Haemotympanium, “panda” eyes, CSF otorrhoea, Battle’s sign o External signs of head injury including skull fractures, haemorrhage control o Post traumatic seizures (load with phenytoin) o Vomiting o Amnesia o Assessment of spinal cord function (movement

2018 Children's Acute Transport Service

3. Guideline for concussion/mild traumatic brain injury & persistent symptoms - Return-to-Activity / Work / School Considerations

Guideline for concussion/mild traumatic brain injury & persistent symptoms - Return-to-Activity / Work / School Considerations Return-to-Activity / Work / School Considerations // Brain Injury Guidelines Toggle navigation NAVIGATION > > > > > > > > > > > > > > > > > > Guideline For Concussion/Mild Traumatic Brain Injury & Persistent Symptoms 3rd Edition, for Adults over 18 years of age Return-to-Activity / Work / School Considerations Returning to usual activities after a concussion/mTBI can (...) -aged children physical activity within 7 days of acute injury compared with no physical activity was associated with reduced risk of persistent post-concussive symptoms. 3 For workers, the literature demonstrates brain injury patients who are employed report better health status, improved sense of well-being, greater social integration within the community, less usage of health services and a better quality of life than do those who are not employed. 4 In order to facilitate early and safe

2018 Ontario Neurotrauma Foundation

4. Guideline for concussion/mild traumatic brain injury & persistent symptoms - Cognitive Difficulties

Guideline for concussion/mild traumatic brain injury & persistent symptoms - Cognitive Difficulties Cognitive Difficulties // Brain Injury Guidelines Toggle navigation NAVIGATION > > > > > > > > > > > > > > > > > > Guideline For Concussion/Mild Traumatic Brain Injury & Persistent Symptoms 3rd Edition, for Adults over 18 years of age Cognitive Difficulties The presence and persistence of cognitive symptoms following concussion/mTBI can affect an individual’s ability to function in everyday life (...) evidence that early education intervention is associated with a significant reduction in the persistence and misattribution of symptoms. 5,10,23,24 Related interventions include education about the mechanisms of brain injury, reassurance, and early management strategies that include graduated reintegration into physical activity, work, and school, as well as the understanding that symptoms should typically resolve within 3 to 6 months. 25,26 Therefore, attempts should be made to document the specific

2018 Ontario Neurotrauma Foundation

5. Guideline for concussion/mild traumatic brain injury & persistent symptoms - Vestibular (Balance/ Dizziness) & Vision Dysfunction

Guideline for concussion/mild traumatic brain injury & persistent symptoms - Vestibular (Balance/ Dizziness) & Vision Dysfunction Vestibular (Balance/ Dizziness) & Vision Dysfunction // Brain Injury Guidelines Toggle navigation NAVIGATION > > > > > > > > > > > > > > > > > > Guideline For Concussion/Mild Traumatic Brain Injury & Persistent Symptoms 3rd Edition, for Adults over 18 years of age Vestibular (Balance/ Dizziness) & Vision Dysfunction Vestibular (Balance/Dizziness) Dysfunction (...) to video demonstrations). VOR abnormalities from peripheral vestibular dysfunction usually present with unilateral directed nystagmus in the acute phase of injury. Central compensation usually occurs and as a result spontaneous nystagmus is rarely seen. The presence of bilateral gaze evoked nystagmus or nystagmus in one or more planes is either congenital or representative for central nervous system pathology somewhere in the brain. When assessment suggests vestibular dysfunction, vestibular

2018 Ontario Neurotrauma Foundation

6. Guideline for concussion/mild traumatic brain injury & persistent symptoms - Fatigue

Guideline for concussion/mild traumatic brain injury & persistent symptoms - Fatigue Fatigue // Brain Injury Guidelines Toggle navigation NAVIGATION > > > > > > > > > > > > > > > > > > Guideline For Concussion/Mild Traumatic Brain Injury & Persistent Symptoms 3rd Edition, for Adults over 18 years of age Fatigue Fatigue has been conceptualized as an experience of weariness or tiredness following mental or physical exertion, often resulting in a reduced capacity for work and limited efficiency (...) , Moss NE, Wade DT. The Rivermead Post Concussion Symptoms Questionnaire: A measure of symptoms commonly experienced after head injury and its reliability". J. Neurol . 1995; 242(9):587–92. Description: A questionnaire that can be administered to someone who sustains a concussion or other form of traumatic brain injury to measure the severity of symptoms. The RPQ is used to determine the presence and severity of post-concussion syndrome symptoms (i.e., a set of somatic, cognitive, and emotional

2018 Ontario Neurotrauma Foundation

7. Guideline for concussion/mild traumatic brain injury & persistent symptoms - Sleep-Wake Disturbances

Guideline for concussion/mild traumatic brain injury & persistent symptoms - Sleep-Wake Disturbances Sleep-Wake Disturbances // Brain Injury Guidelines Toggle navigation NAVIGATION > > > > > > > > > > > > > > > > > > Guideline For Concussion/Mild Traumatic Brain Injury & Persistent Symptoms 3rd Edition, for Adults over 18 years of age Sleep-Wake Disturbances More than 50% of patients report sleep disturbances following mTBI, specifically insomnia, hypersomnia, obstructive sleep apnea, poor (...) Appendix 7.2 Read Evaluation Short Clinical Interview for Sleep after Head Injury EVALUATION × Title of Resource: Short Clinical Interview for Sleep after Head Injury Reference: Ouellet MC, Beaulieu-Bonneau S Morin CM. Sleep-Wake Disturbances. In Eds. Zasler ND, Katz DI, Zafonte RD. Brain Injury Medicine: Principles and Practice. New York; Demos Medical Publishing LLC; 2012. Description: The short clinical interview for sleep after head injury was designed to qualitatively assess for common sleep

2018 Ontario Neurotrauma Foundation

8. Guideline for concussion/mild traumatic brain injury & persistent symptoms - General Recommendations Regarding Diagnosis/Assessment of Persistent Symptoms

Guideline for concussion/mild traumatic brain injury & persistent symptoms - General Recommendations Regarding Diagnosis/Assessment of Persistent Symptoms General Recommendations Regarding Diagnosis/Assessment of Persistent Symptoms // Brain Injury Guidelines Toggle navigation NAVIGATION > > > > > > > > > > > > > > > > > > Guideline For Concussion/Mild Traumatic Brain Injury & Persistent Symptoms 3rd Edition, for Adults over 18 years of age General Recommendations Regarding Diagnosis/Assessment (...) as some symptoms may exacerbate others. Adapted from the VA/DoD Management of Concussion/Mild Traumatic Brain Injury Clinical Practice Guideline (VA/DoD, 2009). 4.3 C The assessment should include a review of currently prescribed medications, over-the-counter medications/supplements and substance use, including alcohol, marijuana and other recreational drugs. 4.4 C The persisting physical, cognitive, and/or psychological symptoms following mTBI can be nonspecific and may overlap. Therefore, careful

2018 Ontario Neurotrauma Foundation

9. Guideline for concussion/mild traumatic brain injury & persistent symptoms - Post-Traumatic Headache

Guideline for concussion/mild traumatic brain injury & persistent symptoms - Post-Traumatic Headache Post-Traumatic Headache // Brain Injury Guidelines Toggle navigation NAVIGATION > > > > > > > > > > > > > > > > > > Guideline For Concussion/Mild Traumatic Brain Injury & Persistent Symptoms 3rd Edition, for Adults over 18 years of age Post-Traumatic Headache Headache is the most common and among the most prevalent persistent symptoms following mTBI. 1-4 Studies to date have documented (...) of the environment. Pharmacologic interventions as appropriate both for acute pain and prevention of headache attacks. Taken from the VA/DoD Management of Concussion/Mild Traumatic Brain Injury Clinical Practice Guideline (VA/DoD, 2016). Pharmacological Treatment of Post-Traumatic Headache New Key Section Level of evidence A B C Updated Evidence 6.7 C All patients with frequent headaches should be strongly encouraged to maintain an accurate headache diary (see Appendix ), medication calendar and activity log

2018 Ontario Neurotrauma Foundation

10. Guideline for concussion/mild traumatic brain injury & persistent symptoms - General Recommendations Regarding Management of Persistent Symptoms

Guideline for concussion/mild traumatic brain injury & persistent symptoms - General Recommendations Regarding Management of Persistent Symptoms General Recommendations Regarding Management of Persistent Symptoms // Brain Injury Guidelines Toggle navigation NAVIGATION > > > > > > > > > > > > > > > > > > Guideline For Concussion/Mild Traumatic Brain Injury & Persistent Symptoms 3rd Edition, for Adults over 18 years of age General Recommendations Regarding Management of Persistent Symptoms (...) brain injury. 1,13-15 Symptoms associated with persistent post-concussion symptoms are also common in populations who have not sustained a mTBI. 15 Nonetheless, patients are often functionally affected by these symptoms, and therefore they should be addressed. This guideline has been designed to provide an approach that focuses on optimizing management of individual symptoms to enhance function following mTBI. By addressing symptoms in a coordinated manner, improvement in outcome can be achieved

2018 Ontario Neurotrauma Foundation

11. Guideline for concussion/mild traumatic brain injury & persistent symptoms - Mental Health Disorders

Guideline for concussion/mild traumatic brain injury & persistent symptoms - Mental Health Disorders Mental Health Disorders // Brain Injury Guidelines Toggle navigation NAVIGATION > > > > > > > > > > > > > > > > > > Guideline For Concussion/Mild Traumatic Brain Injury & Persistent Symptoms 3rd Edition, for Adults over 18 years of age Mental Health Disorders General considerations Mental health disorders are common following mTBI, and appear to be major determinants of post-mTBI wellness (...) can influence related mental health disorders. In the case of mTBI, biologically the individual may suffer an insult to the brain and injuries to the body (e.g., whiplash injuries, etc.), with consequences to their experience of pain and ability to sleep, which can further cause changes in the neurobiology of the brain. At the psychological level they may experience acute stress due to their experience of trauma or injury, as well as in response to the consequences to their functional abilities

2018 Ontario Neurotrauma Foundation

12. Guideline for concussion/mild traumatic brain injury & persistent symptoms - Initial Management of Concussion/mTBI

Guideline for concussion/mild traumatic brain injury & persistent symptoms - Initial Management of Concussion/mTBI Initial Management of Concussion/mTBI // Brain Injury Guidelines Toggle navigation NAVIGATION > > > > > > > > > > > > > > > > > > Guideline For Concussion/Mild Traumatic Brain Injury & Persistent Symptoms 3rd Edition, for Adults over 18 years of age Initial Management of Concussion/mTBI Whether a patient first presents to the Emergency Department (ED) or to the primary care (...) provider’s (PCP’s) office, ruling out traumatic brain or spine injury that requires emergency intervention is the initial priority. Acutely following injury, it is essential that a management plan be initiated for each patient including: information regarding monitoring for potential acute complications requiring re-assessment, education regarding expected symptoms and course of recovery, and recommendations for healthcare follow-up post-injury. 1 Treatment should be individualized and based

2018 Ontario Neurotrauma Foundation

13. Guideline for concussion/mild traumatic brain injury & persistent symptoms - Sport-Related Concussion/mTBI

Guideline for concussion/mild traumatic brain injury & persistent symptoms - Sport-Related Concussion/mTBI Sport-Related Concussion/mTBI // Brain Injury Guidelines Toggle navigation NAVIGATION > > > > > > > > > > > > > > > > > > Guideline For Concussion/Mild Traumatic Brain Injury & Persistent Symptoms 3rd Edition, for Adults over 18 years of age Sport-Related Concussion/mTBI In the sports literature, the effects of traumatic biomechanical forces on the brain have traditionally been referred (...) to as a concussion. In this Guideline, the term concussion/mTBI will be used to maintain consistency within this document. A sport-related concussion/mTBI is a traumatic brain injury that may be caused by either a direct blow to the head, face, neck or elsewhere on the body as an indirect force being transmitted to the head during sports activity. A sport-related concussion/mTBI can result in a range of clinical signs and symptoms that may or may not involve a loss of consciousness. While the injury may result

2018 Ontario Neurotrauma Foundation

14. Guideline for concussion/mild traumatic brain injury & persistent symptoms - Diagnosis/Assessment of Concussion/mTBI

Guideline for concussion/mild traumatic brain injury & persistent symptoms - Diagnosis/Assessment of Concussion/mTBI Diagnosis/Assessment of Concussion/mTBI // Brain Injury Guidelines Toggle navigation NAVIGATION > > > > > > > > > > > > > > > > > > Guideline For Concussion/Mild Traumatic Brain Injury & Persistent Symptoms 3rd Edition, for Adults over 18 years of age Diagnosis/Assessment of Concussion/mTBI Diagnosis of mTBI/concussion (Table B) is the first critical step in successful management (...) outcomes for patients. Concussion can be recognized in the community by a non-medical professional, whereas diagnosis should be made by a physician/ nurse practitioner. Adapted from the Motor Accidents Authority NSW, Guidelines for Mild Traumatic Brain Injury following a Closed Head Injury (MAA, NSW, 2008). 1.2 A On presentation, the primary care provider should conduct a comprehensive review of every patient who has sustained concussion/mTBI (see Appendix ). The assessment should include taking

2018 Ontario Neurotrauma Foundation

15. Management of Perceived Devastating Brain Injury After Hospital Admission

Management of Perceived Devastating Brain Injury After Hospital Admission MANAGEMENT OF PERCEIVED DEVASTATING BRAIN INJURY AFTER HOSPITAL ADMISSION A Consensus Statement January 20182 Management of Perceived Devastating Brain Injury after Hospital Admission CONSENSUS GROUP MEMBERSHIP Dr. Dan Harvey: Faculty of Intensive Care Medicine, Nottingham University Hospitals, Nottingham (Chair) Dr. John Butler: Royal College of Emergency Medicine, Manchester Royal Infirmary, Manchester Dr. Jeremy Groves (...) Medicine (FICM) Intensive Care Society (ICS) Neuroanaesthesia and Critical Care Society of Great Britain and Ireland (NACCS) Royal College of Emergency Medicine (RCEM) Society of British Neurological Surgeons (SBNS) Welsh Intensive Care Society (WICS)3 Management of Perceived Devastating Brain Injury after Hospital Admission 1. INTRODUCTION It is recognised that accurate prognostication in life threatening brain injury is difficult, particularly at an early stage. The eventual outcome for such patients

2018 Faculty of Intensive Care Medicine

16. Reducing brain injury after cardiopulmonary resuscitation

Reducing brain injury after cardiopulmonary resuscitation Practice guideline summary: Reducing brain injury following cardiopulmonary resuscitation | Neurology Advertisement Search for this keyword Main menu User menu Search Search for this keyword The most widely read and highly cited peer-reviewed neurology journal Share May 30, 2017 ; 88 (22) Special Article Practice guideline summary: Reducing brain injury following cardiopulmonary resuscitation Report of the Guideline Development (...) , Kansas City; and Department of Neurology (J.L.), University of Toronto, Canada. Practice guideline summary: Reducing brain injury following cardiopulmonary resuscitation Romergryko G. Geocadin , Eelco Wijdicks , Melissa J. Armstrong , Maxwell Damian , Stephan A. Mayer , Joseph P. Ornato , Alejandro Rabinstein , José I. Suarez , Michel T. Torbey , Richard M. Dubinsky , Jason Lazarou Neurology May 2017, 88 (22) 2141-2149; DOI: 10.1212/WNL.0000000000003966 Citation Manager Formats Make Comment See

2017 American Academy of Neurology

17. Beta Blockers After Traumatic Brain Injury

Beta Blockers After Traumatic Brain Injury Beta-blockers and Traumatic Brain Injury: A Systematic Revie... : Annals of Surgery You may be trying to access this site from a secured browser on the server. Please enable scripts and reload this page. Login No user account? Lippincott Journals Subscribers , use your username or email along with your password to log in. Remember me on this computer Register for a free account Registered users can save articles, searches, and manage email alerts. All (...) and Traumatic Brain Injury: A Systematic Revie... If you're not a subscriber, you can: You can read the full text of this article if you: Institutional members Email to a Colleague Colleague's E-mail is Invalid Your Name: (optional) Your Email: Colleague's Email: Separate multiple e-mails with a (;). Message: Thought you might appreciate this item(s) I saw at Annals of Surgery. Send a copy to your email Your message has been successfully sent to your colleague. Some error has occurred while processing your

2017 Eastern Association for the Surgery of Trauma

18. Clinical Practice Guideline for the Management of Communication and Swallowing Disorders following Paediatric Traumatic Brain Injury

Clinical Practice Guideline for the Management of Communication and Swallowing Disorders following Paediatric Traumatic Brain Injury Clinical Practice Guideline for the Management of Communication and Swallowing Disorders following Paediatric Traumatic Brain Injury | Murdoch Children's Research Institute Search form Search Search You are here Clinical Practice Guideline for the Management of Communication and Swallowing Disorders following Paediatric Traumatic Brain Injury for the management (...) of communication and swallowing disorders following paediatric traumatic brain injury. Traumatic brain injury (TBI) is a leading cause of disability, affecting approximately 765 to 2008 per 100 000 Australian children each year. Its effects are vast and include speech, language and swallowing disorders. To ensure a standard, best-evidence approach to the clinical care of children with communication and swallowing disorders following moderate or severe TBI, a multidisciplinary guideline committee has developed

2017 Clinical Practice Guidelines Portal

19. Clinical Practice Guideline for the Management of Communication and Swallowing Disorders following Paediatric Traumatic Brain Injury

Clinical Practice Guideline for the Management of Communication and Swallowing Disorders following Paediatric Traumatic Brain Injury CLINICAL PRACTICE GUIDELINE FOR THE MANAGEMENT OF COMMUNICATION AND SWALLOWING DISORDERS FOLLOWING PAEDIATRIC TRAUMATIC BRAIN INJURY GUIDELINE© Murdoch Childrens Research Institute and the National Health and Medical Research Council Centre of Research Excellence on Psychosocial Rehabilitation in Traumatic Brain Injury 2017 Publisher: Murdoch Childrens Research (...) Institute Publication date: February 2017 ISBN Print: 978-0-9876209-0-3 ISBN Online: 978-0-9876209-1-0 Suggested citation: Morgan A, Mei C, Anderson V, Waugh M-C, Cahill L, & the TBI Guideline Expert Working Committee. Clinical Practice Guideline for the Management of Communication and Swallowing Disorders following Paediatric Traumatic Brain Injury. Melbourne: Murdoch Childrens Research Institute; 2017. Expert working committee: Jeanette Baker Katie Banerjee Mandy Beatson Candice Brady Kate Brommeyer

2017 Clinical Practice Guidelines Portal

20. Clinical practice guideline for the rehabilitation of adults with moderate to severe Traumatic Brain Injury

Clinical practice guideline for the rehabilitation of adults with moderate to severe Traumatic Brain Injury Brain Injury Guidelines - Ontario Neurotrauma Foundation (ONF) Welcome to braininjuryguidelines.org INESSS-ONF CLINICAL PRACTICE GUIDELINE FOR THE REHABILITATION OF ADULTS WITH MODERATE TO SEVERE TBI GUIDELINE FOR CONCUSSION/MILD TRAUMATIC BRAIN INJURY & PERSISTENT SYMPTOMS 3RD EDITION, FOR ADULTS OVER 18 YEARS OF AGE

2016 CPG Infobase

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