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Management of Severe Head Injury

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181. Mild fetal ventriculomegaly: diagnosis, evaluation, and management

Mild fetal ventriculomegaly: diagnosis, evaluation, and management Mild fetal ventriculomegaly: diagnosis, evaluation, and management Society for Maternal-Fetal Medicine (SMFM); Nathan S. Fox, MD; Ana Monteagudo, MD; Jeffrey A. Kuller, MD; Sabrina Craigo, MD; and Mary E. Norton, MD Thepracticeofmedicinecontinuestoevolveandindividualcircumstanceswillvary.Thisopinionre?ectsinformation available at the time of acceptance for publication and is neither designed nor intended to establish (...) %.Withmoderateventriculomegaly(13e15mm),thelikelihood of normal neurodevelopment is 75e93%. The following are Society for Maternal-Fetal Medicine recommendations: We suggest that ventriculomegaly be characterized as mild (10e12 mm), moderate (13e15 mm), or severe (>15 mm) for the purposes of patient counseling, given that the chance of an adverse outcome and potential for other abnormalities are higher when the ventricles measure 13e15 mm vs 10e12 mm (GRADE 2B); we recommend that diagnostic testing (amniocen- tesis

2019 Society for Maternal-Fetal Medicine

182. Role of Treatment Deintensification in the Management of p16+ Oropharyngeal Cancer

the rationale for and evidence supporting treatment deintensification in the management of p16+ oropharyngeal cancer (OPC). STATEMENT OF THE CLINICAL ISSUE Section: The human papillomavirus (HPV) has been identified as the etiologic agent in the majority of patients with squamous cell carcinoma of the oropharynx (tonsil and base of tongue) in North America and northern Europe. Unlike tobacco-induced squamous cell cancer, which represents most cancers at other head and neck subsites, HPV-mediated OPC (...) Role of Treatment Deintensification in the Management of p16+ Oropharyngeal Cancer Role of Treatment Deintensification in the Management of p16+ Oropharyngeal Cancer: ASCO Provisional Clinical Opinion | Journal of Clinical Oncology Search in: Menu Article Tools ASCO SPECIAL ARTICLE Article Tools OPTIONS & TOOLS COMPANION ARTICLES No companion articles ARTICLE CITATION DOI: 10.1200/JCO.19.00441 Journal of Clinical Oncology - published online before print April 25, 2019 PMID: Role of Treatment

2019 American Society of Clinical Oncology Guidelines

183. Pharmacological Management of Osteoporosis in Postmenopausal Women

Pharmacological Management of Osteoporosis in Postmenopausal Women 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. Pharmacological Management of Osteoporosis in Postmenopausal Women: An Endocrine Society* Clinical Practice Guideline | The Journal of Clinical Endocrinology & Metabolism | Oxford Academic Search Account Menu Menu Navbar Search Filter Mobile Microsite (...) Search Term Close search filter search input Article Navigation Close mobile search navigation Article navigation May 2019 Article Contents Article Navigation Pharmacological Management of Osteoporosis in Postmenopausal Women: An Endocrine Society Clinical Practice Guideline Richard Eastell University of Sheffield, Sheffield, United Kingdom Search for other works by this author on: Clifford J Rosen Maine Medical Center Research Institute, Scarborough, Maine Correspondence: Clifford J. Rosen, MD

2019 The Endocrine Society

184. Management of Stroke Rehabilitation

Management of Stroke Rehabilitation VA/DoD CLINICAL PRACTICE GUIDELINE FOR THE MANAGEMENT OF STROKE REHABILITATION Department of Veterans Affairs Department of Defense QUALIFYING STATEMENTS The Department of Veterans Affairs and the Department of Defense guidelines are based upon the best information available at the time of publication. They are designed to provide information and assist decision making. They are not intended to define a standard of care and should not be construed as one (...) . Neither should they be interpreted as prescribing an exclusive course of management. This Clinical Practice Guideline is based on a systematic review of both clinical and epidemiological evidence. Developed by a panel of multidisciplinary experts, it provides a clear explanation of the logical relationships between various care options and health outcomes while rating both the quality of the evidence and the strength of the recommendation. Variations in practice will inevitably and appropriately occur

2019 VA/DoD Clinical Practice Guidelines

185. Assessment and Management of Patients at Risk for Suicide

be considered, if appropriate. This CPG is designed to assist providers in managing or co-managing patients at risk for suicide as well as any co-occurring conditions (e.g., major depressive disorder [MDD], generalized anxiety disorder, SUD, posttraumatic stress disorder [PTSD], traumatic brain injury [TBI]). VA/DoD CPGs exist for MDD 2 , mild TBI 3 , PTSD 4 , SUD 5 , and opioid therapy for chronic pain 6 . Moreover, the patient population of interest for this CPG is patients at risk for suicide who (...) are eligible for care in the VA and DoD healthcare delivery systems 2 See the VA/DoD Clinical Practice Guideline for the Management of Major Depressive Disorder. Available at: https://www.healthquality.va.gov/guidelines/MH/mdd/ 3 See the VA/DoD Clinical Practice Guideline for the Management of Concussion-mild Traumatic Brain Injury. Available at: https://www.healthquality.va.gov/guidelines/Rehab/mtbi/ 4 See the VA/DoD Clinical Practice Guideline for the Management of Posttraumatic Stress Disorder and Acute

2019 VA/DoD Clinical Practice Guidelines

186. CRACKCast Episode 142 – Electrical and Lightning Injuries

CRACKCast Episode 142 – Electrical and Lightning Injuries CRACKCast Episode 142 - Electrical and Lightning Injuries - CanadiEM CRACKCast Episode 142 – Electrical and Lightning Injuries In , by Chris Lipp January 8, 2018 This episode of CRACKCast covers Rosen’s Chapter 142, Electrical and Lightning Injuries. The episode will thoroughly differentiate the different types of electrical injuries in terms of recognition and management. Shownotes: PDF Key concepts Electrical current follows the path (...) of ™ due to shock wave / blast effect (expansion effect from air) Hearing loss, tinnitus, vertigo, Eyes Immediate or delayed onset of cataracts Paralysis of ciliary muscle Other injuries Due to blunt trauma or blast injury ….we’ll re-summarize this in the next question! [6] List clinical findings (early and late) associated with electrical injuries. Early: go head to toe CNS Apnea, LOC, amnesia, peripheral nerve damage/paralysis, keraunoparalysis Cardiovascular Asystole (DC or lightning

2018 CandiEM

187. CRACKCast E143 – Diving Injuries and Dysbarism

***Nitrogen is highly fat soluble – so it can very easily absorb into the white matter of the CNS → leading to huge problems when the pressure suddenly drops. [5] List 5 potential injuries a diver can sustain in descent, at depth, and on ascent See Figure 143-8 (8 th ) / 135.9 (9 th ) Descent : – head squeezed like a tube of toothpaste Middle Ear Barotrauma Most common complaint among divers Inner Ear Barotrauma External Ear Barotrauma Rare – due to wax in the auditory canal. Facial barotrauma Due (...) CRACKCast E143 – Diving Injuries and Dysbarism CRACKCast E143 - Diving Injuries and Dysbarism - CanadiEM CRACKCast E143 – Diving Injuries and Dysbarism In , by Chris Lipp January 11, 2018 This episode of CRACKCast covers Rosen’s Chapter 143, Diving Injuries and Dysbarism. While infrequently encountered except for those centers frequented by SCUBA enthusiasts, we must know the hard facts on the potentially life-threatening diving related injuries that may occur suddenly and need urgent attention

2018 CandiEM

188. Therapeutic hypothermia for intacranial hypertension following traumatic brain injury

degrees C hypothermia on intracranial pressure and clinical outcome in patients with severe traumatic brain injury'. J Trauma, 66 (1), 166-73. 18. NSW Ministry of Health (2011). Initial Management of Closed Head Injury in Adults: Adult Trauma Clinical Practice Guidelines, NSW Ministry of Health, Sydney, NSW 19. Colorado Division of Workers' Compensation (2012). Traumatic brain injury medical treatment guidelines, Colorado Division of Workers' Compensation, Denver, CO (...) . Khalili, H., Sadraei, N. et al (2016). 'Role of Intracranial Pressure Monitoring in Management of Patients with Severe Traumatic Brain Injury; Results of a Large Level I Trauma Center in Southern Iran'. World Neurosurg. 3. Merchant, R. M., Becker, L. B. et al (2009). 'Cost-effectiveness of therapeutic hypothermia after cardiac arrest'. Circ Cardiovasc Qual Outcomes, 2 (5), 421-8. 4. Schreckinger, M.& Marion, D. W. (2009). 'Contemporary management of traumatic intracranial hypertension: is there a role

2018 COAG Health Council - Horizon Scanning Technology Briefs

189. All-Terrain Vehicle Injuries, Prevention of

riders. They queried the National Trauma Data Bank for patients with ATV-related injuries between 2002 and 2006 to identify associations between helmet usage and injury severity. They found that TBI was more common in 5,732 unhelmeted riders as compared with 5,857 helmeted riders (40% vs. 31%, p < 0.01). Further, TBI in unhelmeted riders was more severe (admission GCS score, 14.3 vs. 13.6, p < 0.01; head AIS score, > 4, 9% vs. 3%, p < 0.01) and required more invasive monitoring and surgical (...) management. Ontario also saw an increase in ATV use among children with a concomitant increase in ATV-related trauma. Alawi et al. [ ] identified 17 patients younger than 18 years from their hospital’s trauma registry who suffered major ATV-related trauma (ISS ≥ 12), with unhelmeted riders more often experiencing significant head injury (67% vs. 18%, p = 0.05). Of note, “significant head injury” was undefined and inferential statistical analysis was not performed, so this study group performed a chi

2018 Eastern Association for the Surgery of Trauma

190. Damage control resuscitation in patients with severe traumatic hemorrhage

Damage control resuscitation in patients with severe traumatic hemorrhage Damage control resuscitation in patients with severe traumatic hemorrhage - Practice Management Guideline Search » Damage control resuscitation in patients with severe traumatic hemorrhage Published 2017 Citation: Authors Cannon, Jeremy W. MD, SM; Khan, Mansoor A. MBBS (Lond), PhD; Raja, Ali S. MD; Cohen, Mitchell J. MD; Como, John J. MD, MPH; Cotton, Bryan A. MD; Dubose, Joseph J. MD; Fox, Erin E. PhD; Inaba, Kenji MD (...) termed damage control resuscitation (DCR) (Table 1). [1–25] Damage control resuscitation seeks to minimize blood loss until definitive hemostasis is achieved. [26–28] Damage control resuscitation has proven successful in combat casualty care, [29][30] prompting the translation of DCR principles to civilian trauma care as well. [31] The following practice management guideline (PMG) quantifies the potential benefits of several aspects of DCR and provides recommendations for managing severely injured

2017 Eastern Association for the Surgery of Trauma

191. Mild head injury in pediatrics: algorithms for management in the ED and in young athletes. (PubMed)

Mild head injury in pediatrics: algorithms for management in the ED and in young athletes. Mild head injury is of interest because of a history of under diagnosis and underestimated clinical importance. Half of the patients with mild head injuries or concussions have sport-related injuries. Knowledge of symptoms and appropriate management can be improved and is a matter of practical interest. Several algorithms exist for discharge, admission or for cranial computed tomography (CT).These employ (...) attempting to determine the need for cranial CT in the emergency department and the impact of mild head injuries in young athletes. We describe in detail standardized guidelines for appropriate diagnosis and treatment and discuss the association between repetitive minor injuries and chronic traumatic encephalopathy and neurodegenerative diseases. Copyright © 2013 Elsevier Inc. All rights reserved.

2013 American Journal of Emergency Medicine

192. Pruning Emtree: Does Focusing Embase Subject Headings Impact Search Strategy Precision and Sensitivity?

it does not explode the subject heading. Pruning Emtree: Does Focusing Embase Subject Headings 3 Impact Search Strategy Precision and Sensitivity? ? Did the review have fewer than 100 studies? (This was a pragmatic criterion to keep the project manageable.) Once a study failed on any of these criteria, the researcher stopped looking to see if it passed the other aspects. Decisions for inclusion were not refereed. The actual quality of the various search strategies was not evaluated as part (...) Pruning Emtree: Does Focusing Embase Subject Headings Impact Search Strategy Precision and Sensitivity? Canadian Agency for Drugs and Technologies in Health Agence canadienne des médicaments et des technologies de la santé Supporting Informed Decisions HTA Pruning Emtree: Does Focusing Embase Subject Headings Impact Search Strategy Precision and Sensitivity? April 2015 Cite as: Glanville J, Kaunelis D, Mensinkai S, Picheca L. Pruning Emtree: does focusing Embase subject headings impact search

2015 Canadian Agency for Drugs and Technologies in Health - Rapid Review

193. Effectiveness of Freedom Bed Compared to Manual Turning in Prevention of Pressure Injuries in Persons With Limited Mobility Due to Traumatic Brain Injury and/or Spinal Cord Injury.

Effectiveness of Freedom Bed Compared to Manual Turning in Prevention of Pressure Injuries in Persons With Limited Mobility Due to Traumatic Brain Injury and/or Spinal Cord Injury. Effectiveness of Freedom Bed Compared to Manual Turning in Prevention of Pressure Injuries in Persons With Limited Mobility Due to Traumatic Brain Injury and/or Spinal Cord Injury. - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results (...) , head and leg elevations must be "dialed in" within a week of the study beginning. Any modification to the program during the study must be approved by the care team and documented accordingly. Subjects placed on standard hospital bed will require manual re-positioning every 2 hours. All turning and/or re-positioning must be timed and documented. Subjects who experience either development of pressure injuries, or worsening of their skin condition to the point a specialty bed is required

2017 Clinical Trials

194. Management of Acute Myocardial Infarction in patients presenting with ST-segment elevation

Management of Acute Myocardial Infarction in patients presenting with ST-segment elevation 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. 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation | European Heart Journal | Oxford Academic Search Account Menu Menu Navbar Search Filter Mobile Microsite (...) Search Term Close search filter search input Article Navigation Close mobile search navigation Article navigation 07 January 2018 Article Contents Article Navigation 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: The Task Force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC) Borja Ibanez (Chairperson) (Spain) * Corresponding authors

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2017 European Society of Cardiology

195. Management of Valvular Heart Disease

artery disease The use of stress tests to detect CAD associated with severe valvular disease is discouraged because of their low diagnostic value and potential risks. A summary of the management of associated CAD is given in section 3.1.3.1 (see table of recommendations on the management of CAD in patients with VHD) and is detailed in specific guidelines. 3.7.2 Atrial fibrillation Non-vitamin K antagonist oral anticoagulants (NOACs) are approved only for non-valvular atrial fibrillation (...) of evidence. Management of atrial fibrillation in patients with VHD LA = left atrial; NOAC = non-vitamin K antagonist oral anticoagulant; VHD = valvular heart disease; VKA = vitamin K antagonist. a Class of recommendation. b Level of evidence. Key points Precise evaluation of the patient’s history and symptomatic status as well as proper physical examination are crucial for the diagnosis and management of VHD. Echocardiography is the key technique to diagnose VHD and assess its severity and prognosis

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2017 European Society of Cardiology

196. A Guideline for the Clinical Management of Opioid Use Disorder

management) to be coupled with treatments that have been proven to promote abstinence from heroin and other opioid use. This may be particularly valuable given the evidence in support of changing the environment of individuals who are seeking treatment for concurrent opioid and cocaine dependence, and who are severely addicted and actively using. 119,120 Of note, methadone doses may need adjustment as patients transition into and out of cocaine abstinence, as cocaine is a CYP inducer that can increase (...) A Guideline for the Clinical Management of Opioid Use Disorder 1 A Guideline for the Clinical Management of2 THIS IS A BLANK PAGE3 About the British Columbia Centre on Substance Use & the Canadian Research Initiative in Substance Misuse The BC Centre on Substance Use ( BCCSU) is a new provincially networked resource with a mandate to develop, implement and evaluate evidence-based approaches to substance use and addiction. The BCCSU’s focus is on three strategic areas including research

2017 Clinical Practice Guidelines and Protocols in British Columbia

197. Dental Management of Pediatric Patients Receiving Chemotherapy, Hematopoietic Cell Transplantation, and/or Radiation Therapy

, accelerating the healing process. 23 The current MASCC/ISOO guidelines support the use of low-level laser therapy to prevent oral mucositis for patients undergoing HSC conditioning with high-dose chemotherapy with or without total body irradiation as well as patients un- dergoing radiation treatment for head and neck cancer. 22 LLLT can decrease pain and the duration and severity of chemo- therapy-induced mucositis in children. 24-26 LLLT may not be available at all cancer treatment centers due to the cost (...) , alcohol-free oral rinses, and/or oral moistur- izers are recommended. 8,32 Placing a humidifier by bedside at night may be useful. 14 Saliva stimulating drugs are not approved for use in children. Fluoride rinses and gels are recommended highly for caries prevention in these patients. Trismus: Daily oral stretching exercises/physical therapy must continue during radiation treatment. Management of trismus may include prosthetic aids to reduce the severity of fibrosis, AMERICAN ACADEMY OF PEDIATRIC

2018 American Academy of Pediatric Dentistry

198. Stroke in childhood - clinical guideline for diagnosis, management and rehabilitation

Stroke in childhood - clinical guideline for diagnosis, management and rehabilitation Stroke in childhood Clinical guideline for diagnosis, management and rehabilitation May 2017 i Endorsement Association of Ambulance Chief Executives Association of Paediatric Chartered Physiotherapists British Association for Community Child Health British Academy of Childhood Disability British Association of General Paediatrics British Association of Stroke Physicians British Paediatric Neurology Association (...) does happen to children and young people and in showing that there are interventions that can make a difference. The first edition of these guidelines was published over 12 years ago, and one of the major conclusions then was a desperate need for more research into stroke in childhood. It is therefore disappointing that there has been so little progress in so many areas of stroke management. We are still in a position where most of the recommendations are based on expert consensus or weak evidence

2017 Royal College of Paediatrics and Child Health

199. A Study of Bryostatin in Moderately Severe to Severe Alzheimer's Disease Subjects Not On Memantine

A Study of Bryostatin in Moderately Severe to Severe Alzheimer's Disease Subjects Not On Memantine A Study of Bryostatin in Moderately Severe to Severe Alzheimer's Disease Subjects Not On Memantine - 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 (...) and 15-week scores (Day 91 and Day 107) ] The SIB assesses cognition in subjects with moderate and severe Alzheimer's disease(AD). Test questions measure attention, language, orientation, memory, praxis, visuospatial ability, construction, social skills, orienting head to name. Non-verbal responses are allowed, thus decreasing the need for language output. Forty questions are included with a total point score range of 0-100. Lower scores indicate greater cognitive impairment. Secondary Outcome

2018 Clinical Trials

200. Does Mannitol Reduce Mortality From Traumatic Brain Injury?

Does Mannitol Reduce Mortality From Traumatic Brain Injury? Systematic Review Snapshot TAKE-HOME MESSAGE There is insuf?cient evidence to support the routine use of mannitol in the management of severe traumatic brain injury. Does Mannitol Reduce Mortality From Traumatic Brain Injury? EBEM Commentators Michael Gottlieb, MD John Bailitz, MD Department of Emergency Medicine Cook County Hospital Chicago, IL Results Four studies met the authors’ in- clusion criteria. Two trials com- pared mannitol (...) , National Center for Injury Prevention & Control; 2010. Available at: http://www.cdc.gov/ traumaticbraininjury/pdf/blue_book.pdf. Accessed May 25, 2015. 6. Sam R, Pearce D, Ives H. Diuretic agents. In: Katzung BG, Trevor AJ, eds. Basic and Clinical Pharmacology. 13th ed. New York, NY: Lange Medical Books; 2015; p. 249-270. 7. Brain Trauma Foundation. Guidelines for the management of severe traumatic brain injury. II. Hyperosmolar therapy. J Neurotrauma. 2007;24(suppl 1):S14-20. 8. Berger Pelletier E

2016 Annals of Emergency Medicine Systematic Review Snapshots

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