How to Trip Rapid Review

Step 1: Select articles relevant to your search (remember the system is only optimised for single intervention studies)

Step 2: press

Step 3: review the result, and maybe amend the or if you know better! If we're unsure of the overall sentiment of the trial we will display the conclusion under the article title. We then require you to tell us what the correct sentiment is.

666 results for

Emergency Medicine Treatment and Labor Act

by
...
Alerts

Export results

Use check boxes to select individual results below

SmartSearch available

Trip's SmartSearch engine has discovered connected searches & results. Click to show

61. Breech Presentation (Treatment)

Breech Presentation (Treatment) Breech Presentation: Overview, Vaginal Breech Delivery, Cesarean Delivery Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMjYyMTU5LW92ZXJ2aWV3 processing > Breech Presentation (...) and no physical evidence of a prolapsed cord is evident, management may be expectant while awaiting full cervical dilation. Technique and tips for assisted vaginal breech delivery The fetal membranes should be left intact as long as possible to act as a dilating wedge and to prevent overt . Oxytocin induction and augmentation are controversial. In many previous studies, oxytocin was used for induction and augmentation, especially for hypotonic uterine dysfunction. However, others are concerned

2014 eMedicine.com

62. Pathophysiology of Chronic Back Pain (Treatment)

depressed. Depression acts though biochemical processes similar to those that operate in chronic pain; this may enhance symptoms through a synergistic relationship. Patients with pain who are depressed may illogically interpret and distort life experiences, further complicating the feasibility of treatment or employment. Psychophysiological mechanisms naturally triggered by pain and injury can lead to generalized muscle overactivity, increased fatigue, and other pain problems (eg, tension myalgia (...) Pathophysiology of Chronic Back Pain (Treatment) Low Back Pain and Sciatica: Overview, Pathophysiology, Characteristics of Pain-Sensitive Structures Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache

2014 eMedicine.com

63. Neurosyphilis (Treatment)

Neurosyphilis (Treatment) Neurosyphilis: Overview of Syphilis of the CNS, Pathophysiology of Syphilis, Epidemiology of Syphilis Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTE2OTIzMS1vdmVydmlldw== processing (...) ashamed to seek medical treatment from their regular clinicians. Some were so stigmatized and marginalized that they simply committed suicide. The recipes, of note, included a variety of everyday herbs and substances, such as incense, chamomile, earthworms, and chicken fat. Occasionally, more expensive and exotic ingredients, such as Artemisia dracunculus (tarragon), badger fat, bear fat, goose fat, or blood from a male pig, were used, especially if the case seemed particularly stubborn. The Italian

2014 eMedicine.com

64. Normal and Abnormal Puerperium (Treatment)

blood count and coagulation studies (fibrinogen, prothrombin time/activated partial thromboplastin time) to exclude resulting anemia or coagulopathy, which may require further treatment with blood products. It is also important that any patient admitted to the labor and delivery unit have an active blood sample (type and screen) available if the need for urgent transfusion arises. A “clot observation test” has been used to detect coagulation problems prior to the return of laboratory studies (...) ) is an effective uterotonic agent for both prevention and treatment of a postpartum hemorrhage. Routine postpartum administration of oxytocin is recommended as a key measure in active management of the third stage of labor to reduce the average risk of maternal hemorrhage at birth and possibly shorten the third stage of labor. [ ] The rate of oxytocin administration can be increased to correct uterine atony however rapid infusion of high-dose oxytocin can be associated with significant risk of cardiovascular

2014 eMedicine.com

65. Neurologic Disease and Pregnancy (Treatment)

posterior leukoencephalopathy (RPLE) (see below) is occasionally seen on imaging studies. [ ] Brain images are usually normal. Treatment of seizures usually includes , but benzodiazepines or rapidly acting antiepileptic drugs (AEDs), such as , may be required. Generally, long-term AED treatment is not needed once the patient’s blood pressure has returned to normal and stabilized. However, no data are available to determine precisely how long short-term treatment should last; for the most part, local (...) is. [ ] CVT is often encountered after delivery. The main symptoms and findings are headache, stroke in a venous distribution, or both. The clinical challenges are as follows: To identify CVT in patients presenting with headache alone before it progresses To recognize CVT as the correct cause of stroke in a patient presenting in the peripartum period Without treatment, CVT may lead to emergence or progression of stroke, exacerbation of dysfunction, worsening of increased intracranial pressure (ICP

2014 eMedicine.com

66. Women's Health and Epilepsy (Treatment)

Epilepsy: The Menstrual Cycle as A Clue to Effective Treatment. J Emerg Med . 2017 May. 52 (5):761-762. . Foldvary-Schaefer N, Falcone T. Catamenial epilepsy: pathophysiology, diagnosis, and management. Neurology . 2003 Sep 1. 61(6 Suppl 2):S2-15. . Herzog AG, Klein P, Ransil BJ. Three patterns of catamenial epilepsy. Epilepsia . 1997 Oct. 38(10):1082-8. . Feely M, Gibson J. Intermittent clobazam for catamenial epilepsy: tolerance avoided. J Neurol Neurosurg Psychiatry . 1984 Dec. 47(12):1279-82 (...) Women's Health and Epilepsy (Treatment) Women's Health and Epilepsy: Overview, Sex Hormones and Epilepsy, Infertility and Epilepsy Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTE4NjQ4Mi1vdmVydmlldw== processing

2014 eMedicine.com

67. Preeclampsia (Toxemia of Pregnancy) (Treatment)

treatment of severe hypertension in pregnancy Antihypertensive treatment is recommended for severe hypertension (SBP >160 mm Hg; DBP >110 mm Hg). The goal of hypertension treatment is to maintain BP around 140/90 mm Hg. Medications used for BP control include the following: Hydralazine Labetalol Nifedipine Sodium nitroprusside (in severe hypertensive emergency refractory to other medications) Fluid management Diuretics should be avoided Aggressive volume resuscitation may lead to pulmonary edema (...) Preeclampsia (Toxemia of Pregnancy) (Treatment) Preeclampsia: Practice Essentials, Overview, Pathophysiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTQ3NjkxOS1vdmVydmlldw== processing > Preeclampsia

2014 eMedicine.com

68. Viral Infections of the Mouth (Treatment)

Viral Infections of the Mouth (Treatment) Viral Infections of the Mouth: Overview, Human Herpesvirus, Human Papillomavirus Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTA3OTkyMC1vdmVydmlldw== processing > Viral (...) who are immunosuppressed or in those older than 50 years. Unusual complications can include devitalization of teeth, root resorption, osteonecrosis, and root resorption. [ ] arises when the virus emerges from latency in the geniculate ganglion. It involves cranial nerve VII (facial nerve), which has both motor and sensory functions. Manifestations may include paralysis that involves the levator palati muscle and the face; hoarseness; loss of secretory function (eg, dry mouth, loss of taste

2014 eMedicine.com

69. Vaginal Birth After Cesarean Delivery (Treatment)

related to managing patients undergoing trials of labor after cesarean delivery, they are less likely to allow new patients to undergo a trial of labor. In addition, 1999 guidelines from the American College of Obstetricians and Gynecologists (ACOG) stated explicitly that patients undergoing TOLAC require the presence of an obstetrician, an anesthesiologist, and/or a staff capable of performing an emergency cesarean delivery throughout the patient’s active phase of labor. [ ] Whereas academic centers (...) studies on this issue, one out of Pennsylvania and the other out of the Maternal-Fetal Medicine Units. These large studies over the last decade have used multivariate statistics to examine risk factors. This means that other risk factors and confounding factors, such as birth weight, maternal age, obstetric history, and labor management, were controlled for in the analysis. In this article, factors associated with mode of delivery in the setting of a trial of labor and factors associated with uterine

2014 eMedicine.com

70. Uterine Rupture in Pregnancy (Treatment)

versus those with documented previous low-transverse hysterotomies. [ , ] The Maternal-Fetal Medicine Units (MFMU) Network cesarean delivery registry reports a 0.5% risk (15 of 3,206) of uterine rupture for patients who underwent a TOLAC with an unknown uterine scar. [ ] For cases in which there are 1 or 2 unknown prior uterine incisions, there is a single small, randomized, controlled trial by Grubb et al that compared labor augmentation with oxytocin (n=95) with no intervention (n=93) in women (...) to detect differences in fetal or maternal morbidity/mortality associated with uterine rupture when an IUPC was used instead of external tocodynamometry. Nevertheless, many institutions have found the IUPC useful in allowing careful titration of oxytocin dosing, especially when maternal habitus poses a limit to the accurate external monitoring of uterine contractions in women undergoing a TOLAC. Previous cesarean delivery with subsequent induction of labor Emerging data indicate that induction of labor

2014 eMedicine.com

71. Pyelonephritis, Acute (Treatment)

be evaluated emergently for consideration for admission and intravenous antibiotics. Continue supportive care by prescribing antiemetics, antipyretics, analgesics, and urinary tract analgesics as needed. Have the patient complete a 14-day course of oral antibiotics. Evidence suggests that when treating a young, healthy female, the course of treatment can be shortened to 7 days from 14 days, if the antibiotic being used is a fluoroquinolone. Healthy young males should complete a 14-day course. Obtain follow (...) generally is 14 days. If the response is not good, CT-guided drainage or surgical drainage with debridement is indicated. The treatment of choice for xanthogranulomatous pyelonephritis is nephrectomy after the patient is stabilized. See the Medscape Reference article for more information. Previous Next: Pregnant Patients Physiologic changes in the urinary tract predispose pregnant women to an increased risk of cystitis and pyelonephritis, which may lead to preterm labor and kidney damage. Hydroureter

2014 eMedicine.com

72. Pulmonary Disease and Pregnancy (Treatment)

be increased further as required by symptomatic and objective asthma assessment. Long-acting adrenergic agonists, such as or , might be used in symptomatic patients on adequate corticosteroid therapy. The leukotriene antagonists are the newest agents available for asthma management. Their exact role in the treatment of asthma during pregnancy is unclear. No widespread experience has been gained with the use of these agents in pregnant patients. Theophylline might be used as a third-line agent after beta (...) Pulmonary Disease and Pregnancy (Treatment) Pulmonary Disease and Pregnancy: Alterations in Pulmonary Physiology During Pregnancy, Alterations in Cardiac Physiology During Pregnancy, Dyspnea During Pregnancy Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache

2014 eMedicine.com

73. Thrombocytopenia in Pregnancy (Treatment)

Thrombocytopenia in Pregnancy (Treatment) Thrombocytopenia in Pregnancy: Overview, Definition and Clinical Manifestations, Etiologic Classification Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache (...) by release of granules containing von Willebrand factor, adenosine 5'-diphosphate (ADP), and serotonin. This serves to recruit other platelets into the growing platelet plug, which acts to stop the bleeding. Simultaneously, the synthesis of thromboxane A 2 and release of serotonin leads to vasoconstriction to reduce blood loss at the site of vascular injury. The secondary hemostatic phase begins when the coagulation pathway is activated on the surface of the activated platelets to form a fibrin meshwork

2014 eMedicine.com

74. Toxicity, Cocaine (Treatment)

and treatment. JAMA . 1983 Sep 16. 250(11):1417-20. . Prosser JM, Perrone J. Cocaine and Amphetamines. In: Tintinalli JE, Stapczynski JS, Ma OJ, Yealy DM, Meckler GD, Cline DM, eds. Tintinalli's Emergency Medicine: A Comprehensive Study Guide . 8th ed. NY: McGraw-Hill Education; 2016. 1256-59. Renzi FP. Cocaine poisoning. Harwood-Nuss AL, ed. The Clinical Practice of Emergency Medicine . 2nd ed. Philadelphia, Pa: Lippincott Raven Publishers; 1996. [Guideline] American Heart Association. Part 10: Special (...) al. Treatment of cocaine cardiovascular toxicity: a systematic review. Clin Toxicol (Phila) . 2016 Jun. 54 (5):345-64. . Thomas JJ, Brady WJ. Acute Coronary Syndrome. In: Walls RM, Hockberger RS, Gausche-Hill M, et al, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice . 9th ed. Philadelphia, PA: Elsevier; 2018. 891-928. Chang AM, Walsh KM, Shofer FS, et al. Relationship between cocaine use and coronary artery disease in patients with symptoms consistent with an acute coronary

2014 eMedicine.com

75. Preeclampsia and Eclampsia (Treatment)

hypertension in pregnancy Antihypertensive treatment is recommended for severe hypertension (SBP >160 mm Hg; DBP >110 mm Hg). The goal of hypertension treatment is to maintain BP around 140/90 mm Hg. Medications used for BP control include the following: Hydralazine Labetalol Nifedipine Sodium nitroprusside (in severe hypertensive emergency refractory to other medications) Fluid management Diuretics should be avoided Aggressive volume resuscitation may lead to pulmonary edema Patients should be fluid (...) Preeclampsia and Eclampsia (Treatment) Preeclampsia: Practice Essentials, Overview, Pathophysiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTQ3NjkxOS1vdmVydmlldw== processing > Preeclampsia Updated: Nov 29

2014 eMedicine.com

76. Malposition of the Uterus (Treatment)

retroversion is again a common but not invariable finding. The cervix may be patulous or cyanotic. Among other treatment possibilities, both hysterectomy and vascular embolization have been used to manage PCS. The symptoms of this condition are nonspecific and poorly defined. Both this and the AMS are suspect diagnostic entities. Previous Next: Uterine Torsion Frequency Uterine torsion is sporadically reported in association with human medicine [ , , , , , , , , , , , , , , ] Most reported cases appear (...) . Nonetheless, these data are a reminder that serious sequelae of torsion are possible, especially as the correct diagnosis is often delayed. Uterine torsion is a rare obstetric complication. Nonetheless, because of its associated risks, torsion should be included in the differential diagnosis when severe but nonspecific abdominal pain occurs during pregnancy. Torsion is also a consideration, albeit a remote one, when dystocia is present or when acute fetal jeopardy develops during labor. Treatment Given

2014 eMedicine.com

77. Eisenmenger Syndrome (Treatment)

have been emerging on the use of bosentan in children. Ambrisentan Ambrisentan, which has been approved for IPAH, is a specific endothelium receptor-1 type A antagonist. Data on its use in Eisenmenger syndrome are limited. [ ] Other studies A retrospective study that examined the outcomes of patients with Eisenmenger syndrome who were treated with pulmonary vasodilators versus those who were not, showed that treatment with prostacyclin analogues and/or endothelin receptor antagonists delayed (...) Eisenmenger Syndrome (Treatment) Eisenmenger Syndrome Treatment & Management: Approach Considerations, Oxygen Therapy, Pulmonary Vasodilator Therapy Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache

2014 eMedicine.com

78. Nephrolithiasis (Treatment)

Nephrolithiasis (Treatment) Nephrolithiasis Treatment & Management: Approach Considerations, Emergency Management of Renal Colic, Surgical Care Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvNDM3MDk2LXRyZWF0bWVudA (...) == processing > Nephrolithiasis Treatment & Management Updated: Jun 21, 2018 Author: Chirag N Dave, MD; Chief Editor: Bradley Fields Schwartz, DO, FACS Share Email Print Feedback Close Sections Sections Nephrolithiasis Treatment Approach Considerations Treatment of nephrolithiasis involves emergency management of renal (ureteral) colic, including surgical interventions where indicated, and medical therapy for stone disease. In emergency settings where concern exists about possible renal failure, the focus

2014 eMedicine.com

79. Nephrolithiasis: Acute Renal Colic (Treatment)

Nephrolithiasis: Acute Renal Colic (Treatment) Nephrolithiasis Treatment & Management: Approach Considerations, Emergency Management of Renal Colic, Surgical Care Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache (...) =aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvNDM3MDk2LXRyZWF0bWVudA== processing > Nephrolithiasis Treatment & Management Updated: Jun 21, 2018 Author: Chirag N Dave, MD; Chief Editor: Bradley Fields Schwartz, DO, FACS Share Email Print Feedback Close Sections Sections Nephrolithiasis Treatment Approach Considerations Treatment of nephrolithiasis involves emergency management of renal (ureteral) colic, including surgical interventions where indicated, and medical therapy for stone disease. In emergency settings where concern exists about possible renal failure

2014 eMedicine.com

80. Genital Herpes in Pregnancy (Treatment)

Serdar H Ural, MD Associate Professor of Obstetrics and Gynecology and Radiology, Director, Division of Maternal-Fetal Medicine, Medical Director, Labor and Delivery Suite, Pennsylvania State University College of Medicine Serdar H Ural, MD is a member of the following medical societies: , , , , , Disclosure: Received honoraria from GSK for speaking and teaching; Received honoraria from J&J for speaking and teaching. What would you like to print? What would you like to print? Sections Genital Herpes (...) Genital Herpes in Pregnancy (Treatment) Genital Herpes in Pregnancy: Overview, Genital HSV Infections, Perinatal Transmission of HSV Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMjc0ODc0LW92ZXJ2aWV3 processing

2014 eMedicine.com

To help you find the content you need quickly, you can filter your results via the categories on the right-hand side >>>>