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Child Safety Seat

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121. Penetrating pediatric trauma owing to improper child safety seat use. (Abstract)

Penetrating pediatric trauma owing to improper child safety seat use. We present a case of a 15-month-old child with a history of thoracic impalement after improper safety seat restraint. The foreign body was stabilized with bulky dressings in the field before transport. Imaging revealed possible pulmonary artery involvement; and consequently, a thoracotomy was done to obtain vascular control before removal. We use this case to highlight prehospital care and operative management of a patient

2010 Journal of Pediatric Surgery

122. Health Supervision of the Well Child

from changing tables and around stairs Vigilantly supervising children when in bathtubs and while learning to walk For children aged 1 to 4 yr: Using an age- and weight-appropriate car seat (infants and toddlers should use a rear-facing car seat until they are at least 2 yr of age or until they exceed the rear-facing weight or height limits for their convertible child safety seat) Reviewing automobile safety both as passenger and pedestrian Tying window cords Using safety caps and latches (...) to check for masses, and adolescent girls should be taught how to do breast self-examination. Prevention Preventive counseling is part of every well-child visit and covers a broad spectrum of topics, such as recommendations to have infants sleep on their backs, injury prevention, nutritional and exercise advice, and discussions of violence, firearms, and substance abuse. Safety Recommendations for injury prevention vary by age. Some examples follow. For infants from birth to 6 mo: Using a rear-facing

2013 Merck Manual (19th Edition)

123. Supporting adult carers

carers may prefer to continue identifying primarily as a husband, wife, partner, sibling, parent, child or friend rather than as a carer carers often become engulfed by competing demands, including working and caring, and as a result may overlook their own needs as a carer and may not seek support the person being supported may not accept that they have care and support needs the carer does not live with the person or the person has moved away from home, for example into supported living

2020 National Institute for Health and Clinical Excellence - Clinical Guidelines

124. Stroke and transient ischaemic attack in over 16s: diagnosis and initial management

of the leg, a previous history of venous thromboembolism, dehydration or comorbidities (such as malignant disease), or who is a current or recent smoker. Such people should be kept under regular review if they are given prophylactic anticoagulation. [9] There was insufficient evidence to support any recommendation on the safety and efficacy of anticoagulants versus antiplatelets for the treatment of people with acute ischaemic stroke associated with antiphospholipid syndrome. Stroke and transient

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

125. Attention deficit hyperactivity disorder: diagnosis and management

1.1.1 People with attention deficit hyperactivity disorder (ADHD) would benefit from improved organisation of care and better integration of child health services, child and adolescent mental health services (CAMHS) and adult mental health services. [2008] [2008] 1.1.2 Mental health services for children, young people and adults, and child health services, should form multidisciplinary specialist ADHD teams and/or clinics for children and young people, and separate teams and/or clinics for adults (...) . These teams and clinics should have expertise in the diagnosis and management of ADHD, and should: provide diagnostic, treatment and consultation services for people with ADHD who have complex needs, or where general psychiatric services are in doubt about the diagnosis and/or management of ADHD put in place systems of communication and protocols for information sharing among paediatric, child and adolescent, forensic, and adult mental health services for people with ADHD, including arrangements

2018 National Institute for Health and Clinical Excellence - Clinical Guidelines

126. Guidelines for diagnosing and managing pediatric concussion

Guidelines for diagnosing and managing pediatric concussion Guidelines for Diagnosing and Managing Pediatric Concussion First edition, June 2014, v1.1 Recommendations for Health Care Professionals This document is intended to guide health care professionals in diagnosing and managing pediatric—not adult—concussion. It is not for self-diagnosis or treatment. Parents and/or caregivers may bring it to the attention of their child/adolescent’s health care professionals. The best knowledge available (...) and managing recovery at home, school and play. The target population is every child/adolescent aged 5 to 18 years who has or may have sustained a concussion in the previous month. These guidelines do not apply to children under 5 years. Diagnosing concussion in children under five years is controversial because it relies heavily on the child’s ability to recognize and/or communicate his/her symptoms. Most preschoolers have not developed that capacity yet. As well, there are no validated tools for this age

2019 CPG Infobase

127. Bikes for All: widening access to cycling through social inclusion

to this challenge. Despite positive engagement with the project, safety remains a key concern for many participants. Wider evidence suggests that to address barriers relating to safety or a lack of confidence, a range of complementary approaches will be needed. The requirement for cycle training and safe cycling infrastructure is not an either/or; both are needed. Reduced traffic speeds would also contribute to a safer road environment 4 . The intensive work of Bike for Good staff and engagement with community (...) expansion of nextbike Glasgow through increasing the number of bikes at existing locations and by opening new stations. To ensure that any further expansion to peripheral parts of the city is taken up – in particular in areas where cycling rates are lower – further financial incentives, intensive support, route-finding information and cycle training will be needed, as well as improvements to safety already described. 6 1. Introduction and background 1.1 About Bikes for All Bikes for All (BfA

2020 Glasgow Centre for Population Health

128. Association between weight and risk of crash-related injuries for children in child restraints. Full Text available with Trip Pro

significant injuries.The National Automotive Sampling System Crashworthiness Data System study sample included 650 children 1 to 5 years of age in forward-facing child restraints who weighed 20 to 65 lb and 344 children 3 to 8 years of age in belt-positioning booster seats who weighed 30 to 100 lb. With adjustment for seating position, type of vehicle, direction of impact, crash severity, and vehicle model year, there was no association between absolute weight and clinically significant injuries in either (...) age group (odds ratio: 1.17 [95% confidence interval: 0.96-1.42] for children 1-5 years of age in forward-facing child restraints and 1.22 [95% confidence interval: 0.96-1.55] for children 3-8 years of age in belt-positioning booster seats).The risk of clinically significant injuries was not associated with weight across a broad weight range in this sample of children in MVCs who were using child restraint systems. Parents should continue to restrain their children according to current

2011 Pediatrics

129. Citizen engagement in public services in low? and middle?income countries: A mixed?methods systematic review of participation, inclusion, transparency and accountability (PITA) initiatives Full Text available with Trip Pro

for access to services, such as for social protection services in Indonesia (food subsidies) and India (public works), maternal and child health care in India and freedom of information in Pakistan. six evaluations of public official or service provider performance information interventions, such as the dissemination of municipal government performance scorecards in Afghanistan, Brazil, the Philippines and Uganda, and monitoring information provided in police stations in India. Ten evaluations

2019 Campbell Collaboration

130. Staff and associate specialist (SAS) grade handbook

is to represent the interests of those SAS members, and to advise the Association Board on matters affecting SAS doctors, as well as encouraging the professional development of SAS doctors. Members of the Committee also sit on many of the Association’s other committees, e.g. education and safety, and working parties, to represent our members. Continuing Professional Development A key priority of the SAS Committee is encouraging the professional development of our SAS members. We recognise that SAS doctors (...) as set down in the GMC Good Medical Practice guide, which sets out training and development requirements.12 Association of Anaesthetists | The SAS Handbook 2020 Back to contents Principles These fall into four domains: 1. Knowledge, skills and performance 2. Safety and quality 3. Communication, partnership and teamwork 4. Maintaining trust Domains Each domain has areas of attributes with generic standards that map to these attributes. The RCoA has produced specialty specific guidance to match

2020 Association of Anaesthetists of GB and Ireland

131. Checklist for draw-over anaesthetic equipment

Commercial-No Derivs 4.0 International License CC BY-NC-ND3 Association of Anaesthetists | Checklist for draw-over anaesthetic equipment 2019 Summary This checklist with accompanying guidance is written to ensure the correct functioning of draw-over anaesthetic equipment and is important to patient safety. The anaesthetist has a primary responsibility to understand the function of the anaesthetic equipment and check it before use. Anaesthetists should not use equipment unless they have been trained (...) by an anaesthetic practitioner trained in the use of draw- over anaesthetic equipment; 2. A full check should be undertaken at the start of every operating session; 3. Veri?cation that the checklist has been completed and local constraints (such as electricity or oxygen supply) should be documented as part of the WHO safety brie?ng; 4. The short checklist is intended to be used between cases and its use documented as part of WHO safety brie?ng; 5. The breathing system leak tests with the two-bag test

2020 Association of Anaesthetists of GB and Ireland

133. 2020-2023 Value Assessment Framework

. These components are described below. • Population: The population that is eligible to use the intervention(s) under review. For certain topics, such as drug therapies, the population may be defined to align with current or anticipated FDA indications for that therapy. ICER also examines whether there are subpopulations for whom the relative effectiveness or safety of the intervention may vary or whether there are subpopulations for whom variations in baseline risk lead to higher or lower absolute benefits (...) and are often inadequate to address all questions relevant to assessments of comparative clinical effectiveness. RWE can be ©Institute for Clinical and Economic Review, 2020 Page 14 2020-2023 Value Assessment Framework Return to Table of Contents particularly helpful under certain circumstances such as when long-term safety of a treatment or durability of a medication’s effect is unclear. We have also emphasized how RWE can be helpful in supporting consideration of a treatment’s “potential other benefits

2020 California Technology Assessment Forum

134. Car Safety Seat and Gastroesophageal Reflux Disease

Car Safety Seat and Gastroesophageal Reflux Disease Car Safety Seat and Gastroesophageal Reflux Disease - Full Text View - Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Car Safety Seat and Gastroesophageal Reflux Disease (...) episodes, which was significantly higher in the car safety seat. Larger trials are needed for decisive conclusions. Condition or disease Intervention/treatment Phase Gastroesophageal Reflux Disease and Position Device: car safety seat Not Applicable Detailed Description: OBJECTIVE - Over the past few decades, an increase in gastroesophageal reflux disease (GERD) has been seen in infants. This increase may be due to a continuous growth in the use of car safety seats. The objective of this study

2010 Clinical Trials

135. Preparing HIV-infected children and adolescents for travel

advice when planning travel – at least 6 weeks before. • If a child was recently started on antiretroviral therapy (ART) or their ART has changed, make sure it is tolerated prior to travel. • Be up to date with routine UK vaccinations including catch up vaccinations – see CHIVA guidelines ( When to start talking about travel medicine? • Approach the general travel safety points in routine consultation • Ask patients to come for review at least 6 weeks before (...) Preparing HIV-infected children and adolescents for travel 1 Guideline: Preparing HIV-infected children and adolescents for travel Authors: Natalie Prevatt Date of preparation: February 2017 Next review date: February 2019 Contents Summary 2 Introduction to the guideline 2 General travel health and safety advice for travel 2 Traveller’s diarrhoea: prevention and treatment 4 Malaria prevention 4 Personal protection 6 Chemoprophylaxis 6 Important interactions between antimalarials and ART 7

2018 The Children's HIV Association

136. International evidence-based guideline for the assessment and management of polycystic ovary syndrome (PCOS)

. Undertakes day to day management and decisions on behalf of the Project Owner. Strategic Advisors Group: Represents key stakeholders with valid interest, but not sufficiently central to project success to warrant a seat on the Project Board. Concerns and issues in this group have a direct conduit to the Project Board. GDG Chair Lifestyle management and models of care GDG members International representation GDG Chair Screening, diagnostic assessment and management of emotional wellbeing GDG members (...) the guideline does not address This guideline does not seek to provide full safety and usage information on pharmacological and surgical interventions. The pharmacological and surgical interventions recommended in the guideline should not be applied without consideration of the patient’s clinical profile and preferences. We recommend that the reader consults relevant regional bodies for prescribing information including indications, drug dosage, method and route of administration, contraindications

2018 European Society of Human Reproduction and Embryology

137. Online mental health counselling interventions

over online platforms, which promote more casual interactions (51). Few guidelines underline the importance of explaining the difference between online and face-to-face counselling with clients with respect to professional boundaries and therapeutic relationships. For videoconferencing specifically, the American Telemedicine Association suggests that specific measures be taken to ensure that background, lighting, seating, and camera positions are conducive to a professional, comfortable, and secure (...) specific recommendations. While efforts have been made in both Canada and the U.S. to regulate online counselling programs, these efforts have been limited, and often are restricted to technologies that fall under the stringent criteria of ‘health devices’ (1). This is particularly troublesome with the rate of mobile app creation (1), and regulators that wish to ensure safety without obstructing innovation (1). There is also the concern surrounding the restriction of language such as ‘therapy

2018 Ontario HIV Treatment Network

138. Optimisation of RIZIV – INAMI lump sums for incontinence

therapeuthic chemical (classification) AUS Artificial urinary sphincter BAMS Bone anchored male sling BCFI-CBIP Belgisch Centrum voor Farmacotherapeutische Informatie – Le Centre Belge d’Information Pharmacothérapeutique BT Bladder training DDD Defined daily dosis EAS External anal sphincter muscle EPS Echantillon Permanent – Permanente Steekproef ER Extended release EStim Electrical stimulation FI Faecal incontinence FPS Public Health Federal Public Service for Health, Food Chain Safety and Environment (...) %. On the contrary, in women SUI is the most common subtype, followed by MUI, and then UUI. Other types of urinary incontinence are: • Postural (urinary) incontinence: Complaint of involuntary loss of urine associated with change of body position, for example, rising from a seated or lying position; • Incontinence associated with chronic retention of urine; • Nocturnal enuresis: Complaint of involuntary loss of urine which occurs during sleep; • Continuous (urinary) incontinence: Complaint of continuous

2019 Belgian Health Care Knowledge Centre

139. Organisation of mental health care for adults in Belgium

THROUGH PRIMARY HEALTH CARE AND RELATED SECTORS101 4.2.1 General practitioner 102 4.2.2 Centre for general welfare 103 4.2.3 Family planning centre 105 4.2.4 Health Relays 105 4.2.5 Aid to maltreated elderly persons 106 4.2.6 Helplines 106 4.2.7 Child abuse 107 4.2.8 Mental health in the related sectors 108 4.3 COMMUNITY MENTAL HEALTH SERVICES AND PSYCHIATRIC SERVICES IN GENERAL HOSPITAL 114 4.3.1 Community mental health centres 115 4.3.2 Mobile teams 117 4.3.3 Day centre 121 4.3.4 Services

2019 Belgian Health Care Knowledge Centre

140. Position of KCE on patient involvement in health care policy research

involvement in health policy research. Several agencies, including KCE, have established seats at important advisory commissions or –as in the case of KCE- their Board of Directors, but not always with voting rights. In the early years of KCE, huge emphasis has been put on quantitative “hard data”, i.e. data coming from randomized controlled trials, data registries, etc., imposing high quality criteria. Quality of life was from the very beginning considered to be an important outcome and included (...) in this reflection process. Note on patient-based quantitative and qualitative evidence Health policy research aims to provide or contribute to the justification of decisions, by collecting relevant data and evidence, analysing these and weighing the different pieces of collected evidence to formulate recommendations. Different types of evidence, quantitative and qualitative, on different aspects of healthcare (e.g. safety, effectiveness, organisation) are usually automatically considered in policy research

2019 Belgian Health Care Knowledge Centre

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