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.

10,347 results for

Management of Severe Head Injury

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

1. Elevation of the head during intensive care management in people with severe traumatic brain injury. (PubMed)

Elevation of the head during intensive care management in people with severe traumatic brain injury. Traumatic brain injury (TBI) is a major public health problem and a fundamental cause of morbidity and mortality worldwide. The burden of TBI disproportionately affects low- and middle-income countries. Intracranial hypertension is the most frequent cause of death and disability in brain-injured people. Special interventions in the intensive care unit are required to minimise factors (...) intensive care management in people with severe TBI.We searched the following electronic databases from their inception up to March 2017: Cochrane Injuries' Specialised Register, CENTRAL, MEDLINE, Embase, three other databases and two clinical trials registers. The Cochrane Injuries' Information Specialist ran the searches.We selected all randomised controlled trials (RCTs) involving people with TBI who underwent different HBE or backrest positions. Studies may have had a parallel or cross-over design

2017 Cochrane

2. Case-control study: Height of head centre of gravity predicts paediatric head injury severity in short-distance falls

Case-control study: Height of head centre of gravity predicts paediatric head injury severity in short-distance falls Height of head centre of gravity predicts paediatric head injury severity in short-distance falls | BMJ Evidence-Based Medicine We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using your username and password (...) For personal accounts OR managers of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Height of head centre of gravity predicts paediatric head injury severity in short-distance falls Article Text Prognosis Case-control study Height of head centre of gravity

2017 Evidence-Based Medicine (Requires free registration)

3. The Incidence and Management of Moderate to Severe Head Injury. (PubMed)

The Incidence and Management of Moderate to Severe Head Injury. The comprehensive expansion of the Trauma Register of the German Trauma Society (Deutsche Gesellschaft für Unfallchirurgie; TR-DGU) now enables, for the first time, studies on traumatic brain injury (TBI) with special attention to care processes, clinical course, and outcomes of treatment on discharge or transfer from the acute-care hospital.Retrospective analysis of patients documented in the TR-DGU in the period 2013-2017 who had (...) moderate to severe head injury as defined by the Abbreviated Injury Scale (AIS).In the period 2013-2017, 41 101 patients with moderate to severe TBI were treated in TR-DGU-associated hospitals in Germany (n = 605 hospitals), corresponding to 8220 cases per year and thus to a population-wide incidence of 10.1 cases per 100 000 persons per year. TBI was present as an isolated injury in 39.1% of cases. The mean age of the patients was 60 years (median; range 0-104 years), and the male-to-female ratio

2019 Deutsches Arzteblatt international

4. Predicting severe brain injuries from apparent minor head trauma without a scan

(LR 3.6, 95% CI 3.1 to 4.1); any decline in GCS score (LR range 3.4 to 16), and pedestrians struck by motor vehicles (LR range, 3.0 to 4.3). The criteria of pedestrians struck by motor vehicles alone (LR of 3.0 to 4.3) was linked to 19-25% probability of severe internal head injury. What does current guidance say on this issue? 2014 NICE guidance on head injury assessment and early management provides a list of risk factors necessitating a CT head scan. This includes clinical judgement as well (...) ) was linked to 19-25% probability of severe internal head injury. What does current guidance say on this issue? 2014 NICE guidance on head injury assessment and early management provides a list of risk factors necessitating a CT head scan. This includes clinical judgement as well as similar criteria to those investigated in this review, although not identical. What are the implications? For assessing people with minor head trauma, increased adoption of clinical decision rules such as the Canadian Head CT

2019 NIHR Dissemination Centre

5. Unexpected results from a trial of therapeutic hypothermia for severe head injury

Unexpected results from a trial of therapeutic hypothermia for severe head injury Unexpected results from a trial of therapeutic hypothermia for severe head injury Discover Portal Discover Portal Unexpected results from a trial of therapeutic hypothermia for severe head injury Published on 1 December 2015 doi: This NIHR-funded trial of cooling the body temperature (therapeutic hypothermia) to treat traumatic head injury was stopped early by the researchers because it appeared that the treatment (...) might be harmful. People who have severe head injuries from trauma can suffer from injury to the brain, which can be very harmful, even fatal. Survivors of traumatic brain injury can be left with highly variable long-term effects, such as difficulty in communicating, understanding and emotional problems. This trial was testing therapeutic hypothermia compared to standard care alone to see if it produced benefits six months later. The trial was stopped early because of ethical concerns that outcomes

2018 NIHR Dissemination Centre

6. Predicting severe brain injuries from apparent minor head trauma without a scan

(LR 3.6, 95% CI 3.1 to 4.1); any decline in GCS score (LR range 3.4 to 16), and pedestrians struck by motor vehicles (LR range, 3.0 to 4.3). The criteria of pedestrians struck by motor vehicles alone (LR of 3.0 to 4.3) was linked to 19-25% probability of severe internal head injury. What does current guidance say on this issue? 2014 NICE guidance on head injury assessment and early management provides a list of risk factors necessitating a CT head scan. This includes clinical judgement as well (...) ) was linked to 19-25% probability of severe internal head injury. What does current guidance say on this issue? 2014 NICE guidance on head injury assessment and early management provides a list of risk factors necessitating a CT head scan. This includes clinical judgement as well as similar criteria to those investigated in this review, although not identical. What are the implications? For assessing people with minor head trauma, increased adoption of clinical decision rules such as the Canadian Head CT

2018 NIHR Dissemination Centre

7. Unexpected results from a trial of therapeutic hypothermia for severe head injury

Unexpected results from a trial of therapeutic hypothermia for severe head injury Unexpected results from a trial of therapeutic hypothermia for severe head injury Discover Portal Discover Portal Unexpected results from a trial of therapeutic hypothermia for severe head injury Published on 1 December 2015 doi: This NIHR-funded trial of cooling the body temperature (therapeutic hypothermia) to treat traumatic head injury was stopped early by the researchers because it appeared that the treatment (...) might be harmful. People who have severe head injuries from trauma can suffer from injury to the brain, which can be very harmful, even fatal. Survivors of traumatic brain injury can be left with highly variable long-term effects, such as difficulty in communicating, understanding and emotional problems. This trial was testing therapeutic hypothermia compared to standard care alone to see if it produced benefits six months later. The trial was stopped early because of ethical concerns that outcomes

2018 NIHR Dissemination Centre

8. Can S100B Serum Biomarker Testing Reduce Head Computed Tomography Scanning in Children With Mild Traumatic Brain Injury?

and low positive predictive value, thus somewhat limiting its ability to reduce the number of CT scans and hospital costs. x 8 Ruan, S., Noyes, K., and Bazarian, J.J. The economic impact of S-100B as a pre-head CT screening test on emergency department management of adult patients with mild traumatic brain injury. J Neurotrauma . 2009 ; 26 : 1655–1664 In addition, many facilities may not have immediate access to the results of the test, with personal experience showing a turnaround time of 3 to 18 (...) Can S100B Serum Biomarker Testing Reduce Head Computed Tomography Scanning in Children With Mild Traumatic Brain Injury? Can S100B Serum Biomarker Testing Reduce Head Computed Tomography Scanning in Children With Mild Traumatic Brain Injury? - Annals of Emergency Medicine Email/Username: Password: Remember me Search Terms Search within Search Share this page Access provided by Volume 73, Issue 5, Pages 456–458 Can S100B Serum Biomarker Testing Reduce Head Computed Tomography Scanning

Full Text available with Trip Pro

2019 Annals of Emergency Medicine Systematic Review Snapshots

9. Guidelines for the Management of Severe Traumatic Brain Injury (4th edition)

monitoring Level IIB • Management of severe TBI patients using information from ICP monitoring is recommended to reduce in-hospital and 2-week post-injury mortality. Recommendations from the prior (Third) Edition not supported by evidence meeting current standards. ICP should be monitored in all salvageable patients with a TBI (GCS 3-8 after resuscitation) and an abnormal CT scan. An abnormal CT scan of the head is one that reveals hematomas, contusions, swelling, herniation, or compressed basal cisterns (...) Guidelines for the Management of Severe Traumatic Brain Injury (4th edition) We use cookies to enhance your experience on our website. By continuing to use our website, you are agreeing to our use of cookies. You can change your cookie settings at any time. Guidelines for the Management of Severe Traumatic Brain Injury, Fourth Edition | Neurosurgery | Oxford Academic Search Account Menu Menu Navbar Search Filter Mobile Microsite Search Term Close search filter search input Article Navigation

Full Text available with Trip Pro

2016 Congress of Neurological Surgeons

10. Management of Severe Head Injury

Management of Severe Head Injury Management of Severe Head Injury Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Management of Severe (...) Head Injury Management of Severe Head Injury Aka: Management of Severe Head Injury , Severe Head Injury , Severe Head Trauma From Related Chapters II. Indications (GCS) <= 8 ( ) III. Evaluation See (ABCDE) lary light reaction Oculocephalic ( ): if no IV. Diagnostics: Testing in Unknown Injury Head Evaluation in all patients Air ventriculogram Cerebral Angiogram Spinal cord evaluation CT in most (if not all) patients Abdominal Evaluation If Systolic <100 mmHg or Exploratory Laparotomy/Celiotomy

2018 FP Notebook

11. Head Injury and patients on Anticoagulation/Antiplatelet Therapies

should be made available within 1 hour of the scan being performed. ? See Pg 119 - 122 of full guideline 5 Guideline Early Management – CT Scan CT scanning is the preferred method of imaging if available and should be performed early in the severe to moderate TBI group. Except for an uncomplicated minor head injury, ideally all patients with a significant head injury should have a CT scan. If it appears that the patient will require transfer to an MTS, the decision as to whether to conduct a CT prior (...) occurred? Methods A search of medical databases and websites known to the author were searched. Documents providing information for the management of oral anticoagulants and/or dual anti-platelet agents for adults who have sustained a minor head injury and optimal timing and frequency of CT scans were included. Results The search of the evidence identified eight clinical practice guidelines 1-8 , one systematic review with meta-analysis 9 and one observational cohort study 10 . The quality

2017 Monash Health Evidence Reviews

12. Management of moderate and severe traumatic brain injury. (PubMed)

Management of moderate and severe traumatic brain injury. Traumatic brain injury (TBI) is a common disorder with high morbidity and mortality, accounting for one in every three deaths due to injury. Older adults are especially vulnerable. They have the highest rates of TBI-related hospitalization and death. There are about 2.5 to 6.5 million US citizens living with TBI-related disabilities. The cost of care is very high. Aside from prevention, little can be done for the initial primary injury (...) intercede with interventions to improve outcome in the mitigating secondary injury. The fundamental concepts in critical care management of moderate and severe TBI focus on alleviating intracranial pressure and avoiding hypotension and hypoxia. In addition to these important considerations, mechanical ventilation, appropriate transfusion of blood products, management of paroxysmal sympathetic hyperactivity, using nutrition as a therapy, and, of course, venous thromboembolism and seizure prevention

Full Text available with Trip Pro

2019 Transfusion

13. The Head Injury Retrieval Trial (HIRT): a single-centre randomised controlled trial of physician prehospital management of severe blunt head injury compared with management by paramedics only. (PubMed)

The Head Injury Retrieval Trial (HIRT): a single-centre randomised controlled trial of physician prehospital management of severe blunt head injury compared with management by paramedics only. Advanced prehospital interventions for severe brain injury remains controversial. No previous randomised trial has been conducted to evaluate additional physician intervention compared with paramedic only care.Participants in this prospective, randomised controlled trial were adult patients with blunt (...) trauma with either a scene GCS score <9 (original definition), or GCS<13 and an Abbreviated Injury Scale score for the head region ≥3 (modified definition). Patients were randomised to either standard ground paramedic treatment or standard treatment plus a physician arriving by helicopter. Patients were evaluated by 30-day mortality and 6-month Glasgow Outcome Scale (GOS) scores. Due to high non-compliance rates, both intention-to-treat and as-treated analyses were preplanned.375 patients met

Full Text available with Trip Pro

2015 Emergency Medicine Journal

14. The Head Injury Retrieval Trial (HIRT): a single-centre randomised controlled trial of physician prehospital management of severe blunt head injury compared with management by paramedics only. (PubMed)

The Head Injury Retrieval Trial (HIRT): a single-centre randomised controlled trial of physician prehospital management of severe blunt head injury compared with management by paramedics only. Advanced prehospital interventions for severe brain injury remains controversial. No previous randomised trial has been conducted to evaluate additional physician intervention compared with paramedic only care.Participants in this prospective, randomised controlled trial were adult patients with blunt (...) trauma with either a scene GCS score <9 (original definition), or GCS<13 and an Abbreviated Injury Scale score for the head region ≥3 (modified definition). Patients were randomised to either standard ground paramedic treatment or standard treatment plus a physician arriving by helicopter. Patients were evaluated by 30-day mortality and 6-month Glasgow Outcome Scale (GOS) scores. Due to high non-compliance rates, both intention-to-treat and as-treated analyses were preplanned.375 patients met

Full Text available with Trip Pro

2015 Emergency Medicine Journal

15. Head Injury: minor, minimal or trivial. The difference matters!

Anticoagulation or bleeding diasthasis Age <2 or >65 WITH a severe headache, nausea/vomiting Extracranial injuries that alone require admission The authors ultimately concluded that a minority of patients with minimal head injury will have pathology, and that there is clearly a need for guidelines to help minimize the over-utilization of imaging in these patients. Scandinavian Guidelines Since then, only guidelines created to help us in the management of the patient with minimal head injury come from (...) injury: results of a prospective study. J Neurosurg . 2004;100(5):825-834. [ ] 4. Stein S, Spettell C. The Head Injury Severity Scale (HISS): a practical classification of closed-head injury. Brain Inj . 1995;9(5):437-444. [ ] 5. Undén J, Ingebrigtsen T, Romner B, Scandinavian N. Scandinavian guidelines for initial management of minimal, mild and moderate head injuries in adults: an evidence and consensus-based update. BMC Med . 2013;11:50. [ ] 6. Undén L, Calcagnile O, Undén J, Reinstrup P, Bazarian

2018 CandiEM

16. External validation of the Scandinavian guidelines for management of minimal, mild and moderate head injuries in children. (PubMed)

External validation of the Scandinavian guidelines for management of minimal, mild and moderate head injuries in children. Clinical decision rules (CDRs) aid in the management of children with traumatic brain injury (TBI). Recently, the Scandinavian Neurotrauma Committee (SNC) has published practical, evidence-based guidelines for children with Glasgow Coma Scale (GCS) scores of 9-15. This study aims to validate these guidelines and to compare them with other CDRs.A large prospective cohort (...) of children (< 18 years) with TBI of all severities, from ten Australian and New Zealand hospitals, was used to assess the SNC guidelines. Firstly, a validation study was performed according to the inclusion and exclusion criteria of the SNC guideline. Secondly, we compared the accuracy of SNC, CATCH, CHALICE and PECARN CDRs in patients with GCS 13-15 only. Diagnostic accuracy was calculated for outcome measures of need for neurosurgery, clinically important TBI (ciTBI) and brain injury on CT.The SNC

Full Text available with Trip Pro

2018 BMC Medicine

17. Shaken baby syndrome or non-accidental head injury caused by shaking

, neck or torso; ? traumatic, thoracic or abdominal visceral lesions (liver, pancreas, digestive tract, etc.). When the diagnosis is made or highly suspected, the child must be considered to have a severe head injury, be at especially high risk of convulsions, and must be hospitalised in a paediatric intensive care unit, with neurosurgical opinion. In case of a constant medical history, compatible with the lesions and with the child’s age, and describing an accidental violent head injury (...) Shaken baby syndrome or non-accidental head injury caused by shaking Shaken baby syndrome or non-accidental head injury caused by shaking Update of the guidelines issued by the 2011 hearing commission GUIDELINES TEXT July 2017 CLINICAL PRACTICE GUIDELINE The good practice guidelines (GPG) are defined in the health field as methodically developed proposals to assist the practitioner and the patient to find the most appropriate care in given clinical circumstances. The GPGs are rigorous summaries

2017 HAS Guidelines

18. Spinal injury: assessment and initial management

or 5 steps, axial load to the head – for example diving, high-speed motor vehicle collision, rollover motor accident, ejection from a motor vehicle, accident involving motorised recreational vehicles, bicycle collision, horse riding accidents) Spinal injury: assessment and initial management (NG41) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 5 of 24paraesthesia in the upper or lower limbs the person is at low (...) and initial management (NG41) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 12 of 24MRI in recommendation 1.5.2 but clinical suspicion remains after repeated clinical assessment. 1.5.4 Discuss the findings of the plain X-rays with a consultant radiologist and perform further imaging if needed. 1.5.5 For imaging in children (under 16s) with head injury and suspected cervical spine injury, follow the recommendations

2016 National Institute for Health and Clinical Excellence - Clinical Guidelines

19. Anti-secretory Factor as a Treatment for Adults With Severe Traumatic Head Injury

Anti-secretory Factor as a Treatment for Adults With Severe Traumatic Head Injury Anti-secretory Factor as a Treatment for Adults With Severe Traumatic Head Injury - Full Text View - ClinicalTrials.gov 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. Anti-secretory Factor as a Treatment for Adults With Severe Traumatic Head Injury (SATSWEDEN) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT03453749 Recruitment Status : Withdrawn (New study in planning) First Posted : March 5, 2018 Last Update Posted : December 12, 2018 Sponsor: Peter

2017 Clinical Trials

20. Retrospective Analysis of a Population of Patients With With Severe Traumatic Head Injury and Woken Early

Retrospective Analysis of a Population of Patients With With Severe Traumatic Head Injury and Woken Early Retrospective Analysis of a Population of Patients With With Severe Traumatic Head Injury and Woken Early - Full Text View - ClinicalTrials.gov 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. Retrospective Analysis of a Population of Patients With With Severe Traumatic Head Injury and Woken Early (PRECOCE TC) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT03293420 Recruitment Status : Completed First Posted : September 26, 2017 Last

2017 Clinical Trials

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