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Emergency Medicine Treatment and Labor Act


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181. Normal birth

as a pain management and/or comfort strategy in labour of: o Reflexology 91 o Traditional Chinese medicines o Homeopathy—efficacy and safety not established o Music and audio 80 Queensland Clinical Guideline: Normal birth Refer to online version, destroy printed copies after use Page 16 of 42 3.1.1 Water immersion Warm water immersion is an effective method of non-pharmacological analgesia during labour 92,93 and one which facilitates and promotes normal birth. 94 Table 9. Water immersion: principles (...) · Provides mild analgesia and sedation 112 · Minimal toxicity · Fast acting with rapid elimination 112,114 · No effect on uterine contractility · No known fetal or neonatal effects 114,115 · Effective for labour pain 73,116 · Can assist relaxation (breathing techniques) Risk · Overdose causes respiratory depression o Risk increased when used with opioid · Associated with: o Vomiting, nausea, headache and dizziness 73,110,114,116 o Disorientation and claustrophobia 73 · Can be minimised by careful

2017 Queensland Health

182. Occupational Radiation Exposure in the Electrophysiology Laboratory with a Focus on Personnel with Reproductive Potential and During Pregnancy: 2017 EHRA Consensus Document

cardiologists has increased in the last 10 years to 18% but still remains low compared to other special- ities in internal medicine. 1 The percentage of female trainees in cardiac electrophysiology is only 11%. 1 Although 30% of the fe- male cardiologists performed procedures with radiation risk while pregnant, the survey suggested that occupational exposure is a concern to both men and women. Female cardiologists made more changes in their training and careers to reduce or avoid ra- diation exposure (...) guidelines have been issued by the International Commission on Radiological Protection (ICRP) on radiological protection in medicine and specifically in cardi- ology. 3,4 These guidelines have also addressed occupational ex- posure during pregnancy and proposed new recommendations. Several organizations in subspecialties translated the ICRP guide- lines and issued similar recommendations. 5–8 The EHRA has issued in 2014 a practical guide on ways to reduce radiation dose for patients and staff during

2017 Heart Rhythm Society

183. AIM Clinical Appropriateness Guidelines for Joint Surgery

HK, Clinical practice guidelines for the management of rotator cuff syndrome in the workplace, (2013) Port Macquarie Australia, 80. 10. Washington State Department of Labor and Industries, Shoulder Conditions Diagnosis and Treatment Guideline, (2013) Olympia WA, 28 pgs. CPT Codes Arthrotomy and Open Procedures, Shoulder 23105 Arthrotomy; glenohumeral joint, with synovectomy, with or without biopsy 23107 Arthrotomy, glenohumeral joint, with joint exploration, with or without removal of loose (...) review examining surgical indications, treatment options, and outcomes. Arthroscopy. 2014;30(12):1634-41. 3. Kroger EW, Griesser MJ, Kolovich GP, et al. Efficacy of surgery for internal snapping hip. International journal of sports medicine. 2013;34(10):851-5. 4. Lustenberger DP, Ng VY, Best TM, et al. Efficacy of treatment of trochanteric bursitis: a systematic review. Clin J Sport Med. 2011;21(5):447-53. 5. Nelson SJ, Webb ML, Lukasiewicz AM, et al. Is Outpatient Total Hip Arthroplasty Safe

2017 AIM Specialty Health

184. Diagnosis and Management of Noncardiac Complications in Adults With Congenital Heart Disease: A Scientific Statement From the American Heart Association

strategies, but the efficacy of each treatment strategy remains unknown. Intestinal therapies comprise a low-fat/high- protein diet and medium-chain triglycerides, which act to reduce intestinal lymphatic flow and fluid losses. As PLE progresses, intestinal losses can exceed dietary in- take. When diarrhea is severe and oral intake is poorly tolerated, parenteral nutrition may be considered, al- though thromboembolism and line sepsis are signifi- cant risks. Pharmacological strategies directed at reduc (...) in total lung capacity. 78,79 Baseline and annual chest x-ray with baseline pulmonary func- tion tests with diffusing capacity for carbon monoxide and high-resolution computed tomography (CT) as in- dicated can identify pulmonary disease in patients on amiodarone therapy. 80 Effective treatment options exist for patients with restrictive lung function. Pulmonary rehabilitation with endurance training is an evidence-based, multidisci- plinary, comprehensive intervention for patients with chronic

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2017 American Heart Association

185. Heart Disease and Stroke Statistics 2017 Update: A Report From the American Heart Association

sup- port the importance of the following: • Individual-focused approaches, which target lifestyle and risk factor treatments at the individual level. • Healthcare systems approaches, which encour- age, facilitate, and reward efforts by providers and patients to improve health behaviors and health factors. • Population approaches, which target lifestyle and treatments in schools, places of worship, work- places, local communities, and states, as well as throughout the nation. Smoking and Tobacco (...) the National Health and Nutrition Examination Survey (NHANES) 1999 to 2000 to NHANES 2011 to 2012 show that the use of cho- lesterol-lowering treatment has increased substan- tially among adults, from 8% in 1999 to 2000 to 18% in 2011 to 2012. During this period, the use of statins increased from 7% to 17%. • From 1988 to 1994 to 2013 to 2014, mean serum total cholesterol for adolescents 12 to 19 years of age has decreased across all subgroups of race and sex. High Blood Pressure (Chapter 9) • The age

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2017 American Heart Association

186. Defining Optimal Brain Health in Adults

<200 mg/dL, and fasting blood glucose <100 mg/dL). In addition, in relation to maintenance of cognitive health, we recommend following previously published guidance from the AHA/American Stroke Association, Institute of Medicine, and Alzheimer’s Association that incorporates control of cardiovascular risks and suggest social engagement and other related strategies. We define optimal brain health but recognize that the truly ideal circumstance may be uncommon because there is a continuum of brain (...) to be highest in South Korea, western European countries, and some emerging economies. Anticipated gains in longevity will occur in older age groups, particularly among women. By 2030, it is estimated there will be a >50% probability that women in some of the aforementioned regions will break the 90-year survival barrier. These gains may be explained by improvements in social status, education, and childhood and adolescent nutrition; expanded primary and secondary health care; a rapid scale-up of new

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2017 American Heart Association

187. Sterilization of Women: Ethical Issues and Considerations

Content Obstetrician–gynecologists have an ethical duty to ensure that all patients understand the risks and benefits of sterilization (including emerging noncontraceptive benefits, such as possible cancer risk reduction) and that sterilization must be considered permanent, albeit with occasional failures and concomitant ectopic pregnancy risk ( ). Long-acting reversible contraceptive methods should be raised as additional options for women who have completed their childbearing or do not ever wish (...) J Obstet Gynecol 1996;174:116–8; discussion 1168­–70. [ ] Winner B, Peipert JF, Zhao Q, Buckel C, Madden T, Allsworth JE, et al. Effectiveness of long-acting reversible contraception. N Engl J Med 2012;366:1998–2007. [ ] [ ] Trussell J. Contraceptive failure in the United States. Contraception 2011;83:397–404. [ ] [ ] Davis K, Schoenbaum SC, Audet AM. A 2020 vision of patient-centered primary care. J Gen Intern Med 2005;20:953–7. [ ] [ ] Arnett JJ. Emerging adulthood. A theory of development

2017 American College of Obstetricians and Gynecologists

188. Opioid Use and Opioid Use Disorder in Pregnancy

on Obstetric Practice in collaboration with committee members Maria A. Mascola, MD, MPH; Ann E. Borders, MD, MSc, MPH; and the American Society of Addiction Medicine member Mishka Terplan, MD, MPH. This information is designed as an educational resource to aid clinicians in providing obstetric and gynecologic care, and use of this information is voluntary. This information should not be considered as inclusive of all proper treatments or methods of care or as a statement of the standard of care (...) diminish the intensity of pain signals and are generally prescribed for the treatment of pain, although cough and diarrhea are other indications for their use. Opioids have the additional effect of causing a sense of euphoria, which can lead to their misuse ( ). Opioid use disorder may develop with repetitive use of any opioid, particularly in individuals with an underlying genetic vulnerability. Heroin is a rapidly acting opioid that may be injected, smoked, or nasally inhaled ( ). Heroin has a short

2017 American College of Obstetricians and Gynecologists

189. Quality measures in high-risk pregnancies: Executive summary of a cooperative workshop of SMFM, NICHD, and ACOG

and treatment Availability of a protocol foridenti?cation and treatment of sepsis in pregnant women: categoric (yes/no) Not applicable Obstetric ultrasound accreditation Accreditation per nationally recognized standards that wereassessedbyacentralorganizationwithpeerreview for practices that perform obstetric ultrasonography; in addition,similarlyrecognizedaccreditationformaternal- fetal medicine practices that perform specialized detailed fetal anatomic sonography: categoric (yes/no) Not applicable SMFM (...) gaps, improve methods of data collection, and recommend means of change. T he healthcare system is undergoing a major trans- formative change. In response to the provisions insti- tutedunderthePatientProtectionandAffordableCareAct, there has been heightened impetus to control costs, in- crease coverage, and improve quality. Even before the enactment of the Patient Protection and Affordable Care Act, organizations have been working on issues of quality

2017 Society for Maternal-Fetal Medicine

190. Advocacy Interventions to Reduce or Eliminate Violence and Promote the Physical and Psychosocial Wellbeing of Women Who Experience Intimate Partner Abuse: A Systematic Review

Abuse: A Systematic Review. Institution The Campbell Collaboration Authors Carol Rivas 1 , Jean Ramsay 2 , Laura Sadowski 3 , Leslie L Davidson 4 , Danielle Dunne 5 , Sandra Eldridge 2 , Kelsey Hegarty 6 , Angela Taft 7 , Gene Feder 8 1 Faculty of Health Sciences, University of Southampton, Southampton, UK 2 Centre for Primary Care and Public Health, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK 3 Department of Medicine, Stroger Hospital of Cook (...) County, Chicago, MI, USA 4 Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA 5 Evaluation Department, Department for International Development, London, UK 6 Department of General Practice, The University of Melbourne, Melbourne, Australia 7 The Judith Lumley Centre, La Trobe University, Melbourne, Australia 8 Centre for Academic Primary Care, School of Social and Community Medicine, University of Bristol, Bristol, UK DOI 10.4073/csr.2016.2

2016 Campbell Collaboration

191. History, politics and vulnerability: explaining excess mortality

& Public Health Sciences Unit, University of Glasgow • Jill Muirie, Public Health Programme Manager, Glasgow Centre for Population Health • Dr John O’Dowd, Consultant in Public Health Medicine, NHS Greater Glasgow and Clyde • Dr Tony Robertson, Lecturer in Public Health, University of Stirling • Dr Katherine Smith, Reader - Global Public Health Unit, University of Edinburgh • Dr Michael Smith, Associate Medical Director for Mental Health, NHS Greater Glasgow and Clyde • Dr Katherine Trebeck, Senior (...) Researcher , Oxfam GB Global Research Team, and Honorary Professor, University of the West of Scotland • Dr David Taylor-Robinson, Senior Clinical Lecturer in Public Health, University of Liverpool • Professor Jim Tomlinson, Professor of Economic and Social History, University of Glasgow • Bruce Whyte, Public Health Programme Manager, Glasgow Centre for Population Health • Dr Andrea Williamson, GP and Director of Community Based Education (Strategy and Innovation), School of Medicine, University

2016 Glasgow Centre for Population Health

192. Oral Health Care for the Pregnant Adolescent

of not treating an active infection during pregnancy outweigh the possible risks pre- sented by most of the medications required for dental care. 33 In addition, deferring elective dental treatment during a healthy pregnancy is not justified. 65 The objectives of professional oral health care during the first trimester include avoiding fetal hypoxia, premature labor/ fetal demise, and teratogenic effects. 60 Due to the increased risk of pregnancy loss, use of nitrous oxide may be contraindicated in the first (...) . If a pregnant adolescent’s parents are unaware of the pregnancy, and state laws require parental consent for dental treatment, the practitioner should encour- age the adolescent to inform them so appropriate informed consent for dental treatment can occur. The Health Insurance Portability and Accountability Act (HIPAA) specifically addresses minor confidentiality. 98 References 1. Martin JA, Hamilton BE, Osterman MJK, Curtin SC, Mathews TJ. Births: Final Data for 2013. National vital statistics reports; vol

2016 American Academy of Pediatric Dentistry

193. What is the evidence on the reduction of inequalities in accessibility and quality of maternal health care delivery for migrants? A review of the existing evidence in the WHO European Region

–138). Inclusion of pregnant women in a national framework does not, however, necessarily ensure their appropriate care; for example in Croatia pregnant women are recognized as vulnerable but the ordinance on health-specific needs was still not adopted in mid-2015 (136). The United Kingdom removed HIV treatment from its emergency care list in 2009, including for pregnant women and newborns (139). Since then, HIV has been included in the list of diseases for which there can be no charge (...) and their Social Determinants, and Fostering Change (project) SRH sexual and reproductive health UNFPA United Nations Population Fund UNHCR United Nations High Commissioner for Refugeesv CONTRIBUTORS Authors Ines Keygnaert Postdoctoral researcher, International Centre for Reproductive Health, Ghent University, Ghent, Belgium Olena Ivanova Researcher, International Centre for Reproductive Health, Ghent University, Ghent, Belgium, and Division of Infectious Diseases and Tropical Medicine, Medical Centre

2016 WHO Health Evidence Network

194. How do variations in definitions of ?migrant? and their application influence the access of migrants to health care services?

of health; • provision of health care, free of charge, for the diagnosis and treatment of communicable diseases, including primary and emergency health care; and • incorporation of the needs of migrants into all aspects of health services and provision for all migrants of the same access to health care as for the general population, regardless of the definition used.WHAT IS THE EVIDENCE ON THE REDUCTION OF INEQUALITIES IN ACCESSIBILITY AND QUALITY OF MATERNAL HEALTH CARE DELIVERY FOR MIGRANTS? A REVIEW (...) to emergency medical care, treatment of painful conditions, vaccinations and care during pregnancy, childbirth and delivery. If asylum is granted, individuals receive a health insurance card and obtain access to health care services in the same way as the general population. Those who have waited four years for their application to be processed are treated in the same way as those who have been granted asylum (82), although this waiting period has increased from one year in 1994–1996 to three years in 1997

2016 WHO Health Evidence Network

195. SCAI Expert Consensus Statement: 2016 Best Practices in the Cardiac Catheterization Laboratory

and management, and served as a patient-centered approach to safety and quality in the cardiac catheterization laboratory (CCL) [1]. It was noted that the CCL is a setting in which elective, urgent, and emergent percutaneous procedures are performed, and that high throughput and increasing patient complexity demand optimal periprocedural communication, clinical management, documentation, and protocol. Regulations primarily targeted at open surgical suites have the potential to negatively impact the quality (...) , Pinehurst, NC 5 Cardiovascular Medicine Division, Perelman School of Medi- cine, University of Pennsylvania, Philadelphia, PA 6 University of Illinois School of Medicine-Peoria, Peoria, IL 7 University of Oklahoma and VA Medical Center, Oklahoma City, OK 8 University of Pittsburgh and VA Pittsburgh Healthcare Sys- tem, Pittsburgh, PA 9 Duke University Medical Center, Durham, NC 10 Weill Cornell Medical College, New York-Presbyterian Hospi- tal, Greenberg Division of Cardiology, New York, NY 11 Geisinger

2016 Society for Cardiovascular Angiography and Interventions

196. Recommendations for the Implementation of Telehealth in Cardiovascular and Stroke Care: A Policy Statement From the American Heart Association

in the history of medicine when the annual growth in US healthcare spending increased to 5.3% in 2014, up from 2.9% in 2013, after 5 consecutive years of historically low growth. Spending on federal healthcare programs continues to grow significantly. Regardless, the need to provide high-quality care continues. More than 85 million Americans (≈26% of the US population) suffer from cardiovascular disease (CVD), and nearly 7 million (2.2%) are stroke survivors. CVD and stroke cost the US healthcare system more (...) exist, including cultural, financial, and legal or regulatory constraints. Substantial implementation of telehealth will likely transform the practice of medicine, just as other major innovations such as electronic health records and payment reform have, and may increase pressure on solo practices or small groups to adopt new technology and methods of practice. In addition, there are many ways in which patients and experts may be brought together through telehealth, including transfer of health

2016 American Heart Association

197. Evidence-Based Policy Making: Assessment of the American Heart Association?s Strategic Policy Portfolio

, including evaluation of the effectiveness of BMI assessment as a Healthcare Effectiveness Data and Information Set measure, has dramatically improved the measurement of BMI in clinical settings. The US Preventive Services Task Force found that behavioral intervention for treatment of obesity can be safe and effective in lowering BMI. An emerging policy area for the AHA is to determine best practices and policy solutions for integrating lifestyle behavioral counseling and treatment into delivery systems (...) . There is also likely no evidence on equity and/or efficiency. Promising Impact In general, the evidence shows that these components positively affect health across at least a few settings, and there might also be evidence of improved equity and/or efficiency. However, the evidence base is lacking rigorous study types, peer review, and a sufficient amount of evidence from practice or theory and research. Emerging In general, there is very little or no evidence on the health, equity, and efficiency impacts

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2016 American Heart Association

198. Mitochondrial Function, Biology, and Role in Disease

with heart failure. Ranolazine has a similar structure to trimetazidine and is currently approved by the US Food and Drug Administration for treatment of stable angina. Although it can affect free fatty acid metabolism, its main mechanism of action might be related to inhibition of the late inward Na + channel. In the MERLIN-TIMI 36 trial (Metabolic Efficiency With Ranolazine for Less Ischemia in Non–ST-Elevation Acute Coronary Syndromes–Thrombolysis in Myocardial Infarction 36), ranolazine did (...) regulatory cues need to be explored. Finally, although the role of acetylation in modifying individual proteins is the main focus of this section, data are emerging to show that the overall function of mitochondrial quality control and integrity, which are also modulated by nutrient levels and redox stress, including mitochondrial turnover (mitochondrial dynamics, mitophagy, and biogenesis) , , , and redox- and proteotoxic-stress amelioration effects, , might be regulated by the mitochondrial acetylome

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2016 American Heart Association

199. ICU Admission, Discharge, and Triage Guidelines

of Nursing, Hershey, PA. 7 Research Medical Library, The University of Texas MD Anderson Cancer Center, Houston, TX. 8 PH Huntersville, Nursing Education, Practice and Research, Novant Health Huntersville Medical Center, Huntersville, NC. 9 Department of Surgery, UNC-Chapel Hill, Carolinas Medical Center, Charlotte, NC. 10 Department of Emergency Medicine, Durham VA Medical Center, Durham, NC. 11 General Intensive Care Unit , Department of Anesthesiology and Critical Care Medicine, Hadassah Hebrew (...) technologies and treatments that have occurred in the United States in the 15 years since the original ADT guidelines were published, the American College of Critical Care Medicine Board of Regents, through the Guidelines Management Committee, appointed a new Task Force to re-evaluate and update the guidelines. The following recommendations are the result of the work of the ADT Task Force. The recommendations are divided into sections: admission criteria and benefits of different levels of care, triage

2016 Society of Critical Care Medicine

200. Cervical Radiculopathy and Myelopathy

] . ? Steroid injections may provide short term pain relief for patients with radiculopathy [17, 18] , although they are not without risks. The injection typically includes both steroid and a long acting anesthetic. See L&I’s guideline on spinal injections at 10 Effective December 1, 2014 Formatting and hyperlinks updated September 2016 B. Surgical Treatment The ideal surgical approach for radiculopathy related (...) Cervical Radiculopathy and Myelopathy Effective December 1, 2014 Formatting and hyperlinks updated September 2016 Diagnosis and Treatment of Cervical Radiculopathy and Myelopathy Table of Contents I. Cervical Surgery Review Criteria II. Introduction III. Background and Prevalence IV. Establishing Work-Relatedness A. Cervical Conditions as Industrial Injury B. Cervical Conditions as Occupational Disease V. Making the Diagnosis A. History and Clinical Exam B. Diagnostic Tests and Imaging C

2016 Washington State Department of Labor and Industries

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