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Emergency Medicine Treatment and Labor Act


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61. 2012 Update to The Society of Thoracic Surgeons Guideline on Use of Antiplatelet Drugs in Patients Having Cardiac and Noncardiac Operations

options of patients exposed to anti- platelet drugs who need urgent operation. A. Search Methods The search methods used to survey the published liter- ature changed in the current guideline version compared with the previously published guideline [1]. In the inter- est of transparency, literature searches were conducted using standardized Medical Subject Heading (MeSH) terms from the National Library of Medicine PUBMED database list of search terms. The following terms com- prised the standard (...) doses of clopidogrel, it may be helpful to switch to another P2Y12 inhibitor (eg, prasugrel or ticagrelor). Class IIb (Level C) Treatment options for patients on antiplatelet drugs who require urgent operations For patients who require urgent operation while on dual antiplatelet therapy, delay of even a day or two before operation is reasonable to decrease bleeding risk and minimize thrombotic risk in patients with acute coronary syndromes. Class IIa (Level B) For patients on dual antiplatelet

2012 Society of Thoracic Surgeons

62. Core Competencies for Management of Labour

, obstetrical, medical, surgical, psycho- social, religious, spiritual and cultural factors • Risk factors for maternal/ fetal complications • Social determinants of health and their impact on access to care and perinatal outcomes • Process and stages of normal labour and birth • Process of initiation of breastfeeding • Assessment for urgent and emergent conditions • Protecting and supporting the normal labour and birth process • Providing evidenced based care • Identifying psychosocial support needs (...) • Monitoring woman’s response to pain relief options • Administering appropriate medications/ treatment • Collecting specimens, and interpreting laboratory data • Initiating intravenous access • Facilitating breastfeeding initiation and maternal- newborn interaction • Performing neonatal resuscitation • Advocating for spontaneous labour • Ensuring freedom of movement as a means of promoting normal labour • Recognizing indications for and the effects of non-pharmacological or pharmacological pain relief

2014 British Columbia Perinatal Health Program

63. Prevalence Survey of Antimalarial Drug Resistance Markers

of drug resistant malaria was a major factor contributing to the failure of the first global malaria eradication campaign in the mid-20th century (1). The widespread implementation of highly effective artemisinin-based combination therapy (ACT) for malaria has contributed to significant gains in global control and elimination efforts and has brought malaria eradication back on the agenda, 40 years after the first global malaria eradication campaign was abandoned (2). However the gains seen in the past (...) : Mahidol University Worldwide Antimalarial Resistance Network Mahidol Oxford Tropical Medicine Research Unit Myanmar Oxford Clinical Research Unit Shoklo Malaria Research Unit Lao-Oxford-Mahosot Hospital Wellcome Trust Research Unit Oxford University Clinical Research Unit, Vietnam Cambodia Oxford Medical Research Unit Information provided by (Responsible Party): University of Oxford Study Details Study Description Go to Brief Summary: Study is cross-sectional and observational with one-time dried

2017 Clinical Trials

64. Induced Pluripotent Stem Cells for Cardiovascular Disease Modeling and Precision Medicine: A Scientific Statement From the American Heart Association Full Text available with Trip Pro

Induced pluripotent stem cells (iPSCs) offer an unprece-dented opportunity to study human physiology and disease at the cellular level. They also have the potential to be leveraged in the practice of precision medicine, for example, personalized drug testing. This statement comprehensively describes the provenance of iPSC lines, their use for cardiovascular disease modeling, their use for precision medicine, and strategies through which to promote their wider use for biomedical applications. Human (...) to (1) summarize the state of the science with respect to the use of iPSCs for modeling of cardiovascular traits and disorders and for therapeutic screening; (2) identify opportunities and challenges in the use of iPSCs for disease modeling and precision medicine; and (3) outline strategies that will facilitate the use of iPSCs for biomedical applications. This statement is not intended to address the use of stem cells as regenerative therapy, such as transplantation into the body to treat ischemic

2018 American Heart Association

65. Cash?based approaches in humanitarian emergencies: a systematic review Full Text available with Trip Pro

Cash?based approaches in humanitarian emergencies: a systematic review Cash‐based approaches in humanitarian emergencies: a systematic review - Doocy - 2017 - Campbell Systematic Reviews - Wiley Online Library By continuing to browse this site, you agree to its use of cookies as described in our . Search within Search term Search term SYSTEMATIC REVIEW Open Access Cash‐based approaches in humanitarian emergencies: a systematic review Corresponding Author Corresponding author Shannon Doocy Johns (...) and Conditions of Use. Shareable Link Use the link below to share a full-text version of this article with your friends and colleagues. Copy URL Share a link Share on ). In addition, violent conflict affects the lives of roughly 1.5 billion people across the globe every year (World Bank, 2011). Although some crises can be directly attributed to a single, distinct event that occurs with little or no warning, most emergencies are complex, protracted and chronic, evolving from a series of related or unrelated

2017 Campbell Collaboration

66. Antimicrobial stewardship: systems and processes for effective antimicrobial medicine use

(including antibiotics) in children, young people and adults. It aims to change prescribing practice to help slow the emergence of antimicrobial resistance and ensure that antimicrobials remain an effective treatment for infection. Who is it for? Health and social care practitioners Organisations commissioning, providing or supporting the provision of care People who are taking antimicrobials and their families and carers. Antimicrobial stewardship: systems and processes for effective antimicrobial (...) ). Page 6 of 25P Person-centred care erson-centred care This guideline offers best practice advice on the effective use of antimicrobial medicines. Patients and health professionals have rights and responsibilities as set out in the NHS Constitution for England – all NICE guidance is written to reflect these. Treatment and care should take into account individual needs and preferences. Patients should have the opportunity to make informed decisions about their care and treatment, in partnership

2015 National Institute for Health and Clinical Excellence - Clinical Guidelines

67. Regional Models of Care for Systemic Treatment: Standards for the Organization and Delivery of Systemic Treatment

care at all times, including during vacation, illness, etc.* ? Cancer care includes the management of symptoms and complications of therapy and oncological emergencies.* ? Follow regulatory guidelines and standards for the safe handling and disposal of hazardous drugs including personal protective equipment and training for staff who are handling systemic treatment or waste.* For additional information, please see Appendix 1 #25. ? Centres have policies and educational programs available for all (...) Technicians, Institute for Safe Medication Practices Canada, CCO (Systemic Treatment Program & PDRP), and Canadian Council on Continuing Education in Pharmacy Ontario Public Drug Programs: Patients for Patient Safety Canada, Ontario Hospital Association, College of Physicians and Surgeons of Ontario, Innovative Medicines Canada and Health Quality Ontario References from identified documents were also searched. Given the breadth of the information identified by this approach, the selection of documents

2019 Cancer Care Ontario

68. Immediate Postpartum Long-Acting Reversible Contraception

Immediate Postpartum Long-Acting Reversible Contraception Immediate Postpartum Long-Acting Reversible Contraception - ACOG Menu ▼ Immediate Postpartum Long-Acting Reversible Contraception Page Navigation ▼ Number 670, August 2016 (Reaffirmed 2018) Committee on Obstetric Practice The American College of Nurse–Midwives and the Society for Maternal–Fetal Medicine endorse this document. The American Academy of Family Physicians and the Association of Women’s Health, Obstetric and Neonatal Nurses (...) support this document. This Committee Opinion was developed by the American College of Obstetricians and Gynecologists’ Committee on Obstetric Practice in collaboration with committee members Ann E. Borders, MD, MSc, MPH and Alison M. Stuebe, MD, MSc, and reviewed by the Long-Acting Reversible Contraception Work Group. This document reflects emerging clinical and scientific advances as of the date issued and is subject to change. The information should not be construed as dictating an exclusive course

2016 American College of Obstetricians and Gynecologists

69. Pharmacologic Therapy for Pulmonary Arterial Hypertension in Adults

of our patients, who risk their well-being as volunteer participants in clinical studies. Met h o d s Th e goal of this CHEST guideline project was to produce clinically relevant and useful recommendations on medical therapies for PAH for clinicians who treat adult patients with PAH. Health-care providers should use these guidelines to assist patients with treatment choices that optimize benefi ts and minimize harms and burdens. In 2011, the Institute of Medicine (IOM) released new guideline (...) It is a critical responsibility of the clinician to ensure that an accurate diagnosis is established, and readers are referred to previously published guidelines by the American College of Chest Physicians (CHEST) and other organizations on the evaluation of PH and diagnosis of PAH. 2 - 4 Th e recom- mendations in this guideline are for the treatment of patients with PAH and should not be applied to the treatment of patients with other types of PH. None of the drugs currently approved for therapy for PAH

2014 American College of Chest Physicians

70. MASCC/ISOO Clinical Practice Guidelines for the Management of Mucositis Secondary to Cancer Therapy

Cancer. 2004;4: 277-284. 12. Al-Dasooqi N, Sonis ST, Bowen JM, et al. Emerging evidence on the pathobiology of mucositis. Support Care Cancer. 2013;21:2075- 2083. 13. Rubenstein EB, Peterson DE, Schubert M, et al;Mucositis Study Sec- tion of the Multinational Association for Supportive Care in Cancer;- International Society for Oral Oncology. Clinical practice guidelines for the prevention and treatment of cancer therapy-induced oral and gastrointestinal mucositis. Cancer. 2004;100(suppl 9):2026-2046 (...) refer to the use of the listed agents for the specific indication listed (ie, the prevention or treatment of mucositis or related symptoms). These guidelines do not apply to the use of the listed agents for other indications. For example, although it is suggested that chlorhexidine mouthwash not be used to prevent oral mucositis in patients receiving head and neck radiation therapy, clinicians may choose to use this agent for other indications in this or other populations. DOI: 10.1002/cncr.28592

2014 International Society for Oral Oncology

71. i STAT CG4+ and CHEM8+ cartridges for point-of-care testing in the emergency department

decision improve. Age is a protected characteristic under the 2010 Equality Act. i STAT CG4+ and CHEM8+ cartridges for point-of-care testing in the emergency department (MIB38) © NICE 2018. All rights reserved. Subject to Notice of rights ( conditions#notice-of-rights). Page 12 of 41Evidence re Evidence review view Clinical and technical evidence Regulatory bodies Regulatory bodies A search of the Medicines and Healthcare Products Regulatory Agency website revealed (...) : 1120–4 The College of Emergency Medicine (2014) Crowding in emergency departments. Date for review: 24 June 2015 The College of Emergency Medicine (2011) Emergency department clinical quality indicators – A CEM guide to implementation. [online; accessed 5 June 2015] Thomas FO, Hoffman TL, Handrahan DL et al. (2009) The measure of treatment agreement between portable and laboratory blood gas measurements in guiding protocol-driven ventilator management. Journal of Trauma and Acute Care Surgery 67

2015 National Institute for Health and Clinical Excellence - Advice

72. BTS guideline for oxygen use in adults in healthcare and emergency settings.

, a subsequent written record must be made of what oxygen therapy has been given to every patient in a similar manner to the recording of all other emergency treatment. If a patient has an oxygen alert card (see the "Availability of Companion Documents" field), initial oxygen therapy should be based on the guidance on the card until the results of blood gases are available. Monitoring and Adjusting Oxygen Therapy (see sections 9-11 in the original guideline document) Pulse oximetry must be available in all (...) is below or above the target range ( grade D ). Good Practice Points for Clinical Assessment of Patients with Suspected Hypoxaemia The medical history should be taken when possible in an acutely breathless patient and may point to the diagnosis of a particular acute illness such as pneumonia or pulmonary embolism or an exacerbation of a chronic condition such as COPD, asthma or heart failure. Never discontinue oxygen therapy to obtain an oximetry measurement on room air in patients who clearly require

2017 National Guideline Clearinghouse (partial archive)

73. Bankruptcy, medical insurance, and a law with unintended consequences. Full Text available with Trip Pro

Bankruptcy, medical insurance, and a law with unintended consequences. Congress passed the Emergency Medical Treatment and Active Labor Act (EMTALA) in 1986, guaranteeing a standard of medical care to anyone who entered an emergency room. This guarantee made default a more reliable substitute for medical insurance. I construct a tractable structural model of the medical insurance market and find that repealing EMTALA would increase the fraction of the population with insurance while decreasing

2014 Health economics

74. Esketamine for the Treatment of Treatment-Resistant Depression: Effectiveness and Value

59 Final Evidence Report – Esketamine for Treatment-Resistant Depression Return to TOC resulted in increased pharmaceutical costs. These costs, labeled initial and alternative treatments in the model, are shown in Table 4.9. Table 4.9. Alternative Treatment Costs Health Care Utilization Costs Non-drug depression related health care utilization and costs were derived from data on inpatient and outpatient costs by number of depression medication regimen changes, obtained from the same source (...) adjustments and six to 12 weeks to assess response, patients may find it difficult to remain on therapy long enough for an adequate trial of the treatment. For this reason, TRD can be difficult to define because it includes not only the number of unique treatments tried, but whether the trials were considered adequate. Treatment options for individuals with TRD broadly include modifying antidepressant therapy or augmenting existing therapies with non-antidepressant medications (such as atypical

2019 California Technology Assessment Forum

75. Perioperative Medication Management

. During the procedure, while the patient is under anesthesia, these drugs are usually not needed. Following surgery, if the endotracheal tube is still present, the inhaled medication can be continued. Optimization of treatment for chronic obstructive pulmonary disease is critical, and some patients require an increase in their steroid dose for 1-2 weeks preoperatively. Consider preoperative bronchodilator therapy in those with a forced vital capacity of less than 1 L or a forced expiratory volume in 1 (...) . Many medications must be continued through the perioperative period, with the last dose taken with a sip of clear liquid up to 2 hours prior to the procedure, and resumed during recovery. Other drugs must be stopped, replaced, or temporarily administered by another route. Obtain advice on selecting alternative treatments from clinical or drug information pharmacists. Additional monitoring of the patient or plasma drug concentrations may be required when different treatments or formulations are used


76. Electronic personal protective equipment: A strategy to protect emergency department providers in the age of COVID-19. Full Text available with Trip Pro

Electronic personal protective equipment: A strategy to protect emergency department providers in the age of COVID-19. Emergent policy changes related to telemedicine and the Emergency Medical Treatment and Labor Act during the novel coronavirus disease 2019 (COVID-19) pandemic have created opportunities for technology-based clinical evaluation, which serves to conserve personal protective equipment (PPE) and protect emergency providers. We define electronic PPE as an approach using (...) telemedicine tools to perform electronic medical screening exams while satisfying the Emergency Medical Treatment and Labor Act. We discuss the safety, legal, and technical factors necessary for implementing such a pathway. This approach has the potential to conserve PPE and protect providers while maintaining safe standards for medical screening exams in the emergency department for low-risk patients in whom COVID-19 is suspected.© The Author(s) 2020. Published by Oxford University Press on behalf

2020 Journal of the American Medical Informatics Association

77. Is oxygen an effective treatment option to alleviate the symptoms of breathlessness for patients dying with COVID-19 and what are the potential harms?

, in-depth recommendations about oxygen therapy for elderly people with COVID-19 is [16] and more general oxygen therapy [17]. International Association for Hospice and Palliative Care (IAHPC): The guidance suggests that, if dyspnoea persists despite optimal treatment of the acute disease, medical and non-medical measures should be used for symptom control. Suggested non-pharmacological interventions include body positioning (leaning forward position, pillow support for arms etc.), relaxation or cooling (...) ”[All Fields] OR “breathless”[All Fields]) AND (die[All Fields] OR dying[All Fields] OR “death”[MeSH Terms] OR “death”[All Fields]) Example of terms used to search PubMed for oxygen therapy relevant literature: (oxygen or o2) AND (end of life care or palliative care or palliation) and (breathless or short of breath or Dyspnoea or dyspnic or laboured breathing) Most viewed COVID-19 podcast © 2020 Centre for Evidence-Based Medicine

2020 Oxford COVID-19 Evidence Service

78. Addiction Treatment in Canada: The National Treatment Indicators Report: 2014?2015 Data

use) 24 , 25 , 26 , 27 Note: Individuals can report a number of different substances used in the past 12 months. A complete list of substance categories and examples can be found in Appendix E. 24 Numbers represent unique individuals who accessed treatment for oneself and not for friends or family members. 25 Alberta does not assess over-the-counter medication and prescription drugs and thus they are not reflected in Figure 11. 26 In Alberta anti-depressants are included in “other drugs.” 27 (...) a number of different substances used in the past 12 months. A complete list of substance categories and examples can be found in Appendix E. 33 Numbers represent unique individuals who accessed treatment for oneself and not for friends or family members. 34 Saskatchewan does not capture prescription drugs or over the counter medications and had no “other drugs” to report. 0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% 70.0% 80.0% 90.0% 100.0%Addiction Treatment in Canada: The National Treatment Indicators

2017 Canadian Centre on Substance Abuse

79. Organisation and payment of emergency care services in Belgium: current situation and options for reform

beroepstitel in de up and therapeutic guidance; required actions to preserve the continuity of care to patients whether they are admitted to the hospital or not. 20 Besides other recognition standards (e.g. architecture) it is stipulated that a 24/7 hour service must be provided by at least two nurses (with at least one nurse with a ‘special title in intensive and emergency care d ’ or equal) and one physician. 21 The physician should be: a medical specialist in emergency medicine e (or in training (...) and geriatrics. 22, 23 Acute hospitals without a ‘specialised ED’ are obliged to have a non- specialised ED that is capable to deal with the first care and treatment of patients with an acute pathology. The recognition standards for non- specialised EDs are light compared to these of specialised EDs (e.g. nursing staff is not required to have a special title in emergency and intensive care; one nurse instead of two; medical 24/7 service provided by physician on call for the entire hospital). The legislator

2016 Belgian Health Care Knowledge Centre

80. National Practice Guideline For the Treatment of Opioid Use Disorder

– American College of Obstetrics and Gynecology ACT – Assertive Community Treatment AIDS – Acquired Immunodeficiency Syndrome ASAM – American Society of Addiction Medicine CBT – Cognitive Behavioral Therapy CDC – Centers for Disease Control and Prevention CNS – Central Nervous System COWS – Clinical Opioid Withdrawal Scale DATA 2000 – Drug Addiction Treatment Act of 2000 DEA – Drug Enforcement Agency DSM-4 – Diagnostic and Statistical Manual of Mental Disorders, 4th Edition DSM-5 – Diagnostic (...) misused pain relievers, and 808,000 who misused heroin. 8 The 2018 National Survey of Drug Use and Health (NSDUH) further found that 2.0 million persons in America met DSM-4 criteria for opioid use disorder. 8 Adopted by the ASAM Board of Directors December 18, 2019 NPG for the Treatment of Opioid Use Disorder 2020 American Society of Addiction Medicine 7Opioid misuse is associated with increased morbidity and mortality. The leading causes of death in people using opioids for non-medical purposes

2020 American Society of Addiction Medicine

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