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Management of Severe Head Injury

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181. Management of acute (fulminant) liver failure

and hyperacute liver failure (which have similar phenotype and clinical course), and subacute liver failure (which presents with a dif- ferent clinical course). Separation of these two groups should be considered in future guidance, regarding prognosis and clinical management pathways. Another prerequisite for de?ning cases of ALF is the absence of previous severe ?brotic or cirrhotic chronic liver disease. Speci?c exceptions are the acute de novo presentation of autoimmune hepatitis and Budd-Chiari syndrome (...) (a condition that should be termed acute-on-chronic liver failure [AoCLF]), or liver involvement in systemic disease processes. Liver injury secondary to alcohol, which presents as alcoholic hepatitis, and other forms of AoCLF, can be dif- ?cult to distinguish from ALF on occasion. However, there are clear differences, and different forms of management are required. Following extensive liver resection, patients with or without underlying chronic liver disease, may develop a clinical syndrome of jaundice

2017 European Association for the Study of the Liver

182. Management of Pain in Children

the likely severity of the pain experienced. Management of pain in children (REV July 2017) 9 Appendix 2 (ctd) Algorithm for treatment of acute pain in children in the Emergency Department *Other causes of distress include: fear of the unfamiliar environment, parental distress, fear of strangers, needle phobia, fear of injury severity etc. ** The MHRA has restricted use of codeine to those over 12 years of age (10) Most children can and are able to use entonox, remember this may be a valuable source (...) with moderate pain should have the effectiveness of analgesia re-evaluated within 60 minutes of the first dose of analgesia. Level 5 evidence. 4. An audit against these standards should be done annually. Level 5 evidence. 5. In treating pain, pay attention to the other factors distressing the child such as fear of the unfamiliar environment and people, parental distress, people in uniforms, needle avoidance, fear of injury severity etc. Level 5 evidence. 6. Training in pain relief in children for all staff

2017 Royal College of Emergency Medicine

183. Management of Diabetic Foot

Management of Diabetic Foot MANAGEMENT OF (SECOND EDITION) CLINICAL PRACTICE GUIDELINES 2018 MOH/P/PAK/411.18(GU)-e Ministry of Health Malaysia Academy of Medicine Malaysia Family Medicine Specialists Association of Malaysia Malaysian Endocrine & Metabolic Society Malaysian Orthopaedic AssociationManagement of Diabetic Foot (Second Edition) Published by: Malaysian Health Technology Assessment Section (MaHTAS) Medical Development Division, Ministry of Health Malaysia Level 4, Block E1, Presint 1 (...) http://www.acadmed.org.my http://www.moa-home.com http://www.mems.my http://fms-malaysia.org https://marp.online Also available as an app for Android and IOS platform: MyMaHTAS STATEMENT OF INTENT These clinical practice guidelines (CPG) are meant to be guides for clinical practice, based on the best available evidence at the time of development. Adherence to these guidelines may not necessarily guarantee the best outcome in every case. Every healthcare provider is responsible for the management

2018 Ministry of Health, Malaysia

184. Policy Prevention of Sports-related Orofacial Injuries

protective equipment. 11-14 A large national survey confirmed the bicycle as the most common consumer sports product related to dental injuries in children, followed by playground equip- ment, other riding equipment (skates, inline skates), and trampolines. 3 The use of the trampoline provides specialized training for certain sports. However, when used recreationally, a signifi- cant number of head and neck injuries occurs, with head injuries most commonly a result of falls. 15 The American Academy (...) Data from this source found that in 2016-2017 school year, of the 699,441 injuries reported during competition, 223,623 (32 percent) occurred to the head/face; another 91,410 occurred during practice. 21 A similar study using this database followed athletes from 2008-2014 and found the rate of dental injuries in competition was three times higher than in practice. 21 For the majority of these reported injuries, the athlete was not wearing a mouthguard. 20 Review of this data-base found the highest

2018 American Academy of Pediatric Dentistry

185. Multidisciplinary Postacute Rehabilitation for Moderate to Severe Traumatic Brain Injury in Adults

. 5 Different injury types and severity levels are associated with specific impairments. For example, penetrating head injuries can result in cognitive decline related to the location of the injury and the amount of tissue lost. 7 Deficits resulting from penetrating head injuries may be similar to those observed in stroke patients. 8 Closed head injuries are more common and can cause diffuse brain damage that leads to a variety of impairments unique to each individual. 8 Evidence suggests (...) Multidisciplinary Postacute Rehabilitation for Moderate to Severe Traumatic Brain Injury in Adults Multidisciplinary Postacute Rehabilitation for Moderate to Severe Traumatic Brain Injury in Adults Comparative Effectiveness Review Number 72Comparative Effectiveness Review Number 72 Multidisciplinary Postacute Rehabilitation for Moderate to Severe Traumatic Brain Injury in Adults Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 540 Gaither

2012 Effective Health Care Program (AHRQ)

186. What Is the Incidence of Intracranial Hemorrhage Among Anticoagulated Patients With Minor Head Trauma? Full Text available with Trip Pro

emergency department (ED) patients receiving anticoagulation therapy who presented with a head injury and which reported the incidence of diagnosed intracranial hemorrhage were included. Anticoagulation therapy included vitamin K antagonists, dabigatran, edoxaban, apixaban, rivaroxaban, fondaparinux, and low-molecular-weight heparin. The search was limited to prospective studies and included published studies, unpublished studies, and conference abstracts. There were no language restrictions. Studies (...) with fewer than 20 eligible participants, those that reported only a subset of anticoagulated patients with head injury, those that reported patients receiving antiplatelet medications alone, and those that reported only the incidence of delayed intracranial hemorrhage were excluded. Data Extraction and Synthesis Four reviewers independently abstracted data, with discrepancies resolved by consensus. The primary outcome was the incidence of intracranial hemorrhage among anticoagulated patients

2019 Annals of Emergency Medicine Systematic Review Snapshots

187. Decision-making criteria for CT head scans on patients not on anti-coagulants

Excellence. 2014. Head Injury: Triage, assessment, investigation and early management of head injury in children, young people and adults. NICE. Accessed March 2016. https://www.nice.org.uk/guidance/cg176/evidence/full-guideline-191719837 3. Western Australian Department of Health. WA Multidisciplinary Post Fall Management Guidelines 2018. Perth: Post Fall Working Group Western Australia; 2018. 4. Shetty A.S. et al. ACR Appropriateness Criteria Head Trauma. J Am Coll Radiol 2016;13:668-679. 5. Zyluk (...) -coagulants. In an extension of the rapid review request, the Committee are also investigating post-fall management, specific to the use of brain CT scans after a fall for non-anticoagulated patients. Objective To provide a review of guidelines and synthesised evidence around the use of brain CT scans after a fall. For the purpose of the review, post-fall guidelines and literature around minor head injuries will be included. Search Strategy A recent CCE scoping review: Head Injury and Patients

2019 Monash Health Evidence Reviews

188. 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

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 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 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 Ruan S, Noyes K, Bazarian JJ Record Status (...) ’ conclusions should be interpreted with caution. Funding Supported by a grant from the National Center for Research Resources, National Institutes of Health (NIH), USA, and the NIH Roadmap for Medical Research. Bibliographic details Ruan S, Noyes K, Bazarian JJ. 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. Journal of NeuroTrauma 2009; 26(10): 1655-1664 PubMedID DOI Original Paper URL Indexing Status

2009 NHS Economic Evaluation Database.

189. Fractures (non-complex): assessment and management

is it for? 4 Recommendations 5 1.1 Initial pain management and immobilisation 5 1.2 Acute stage assessment and diagnostic imaging 7 1.3 Management in the emergency department 7 1.4 Ongoing orthopaedic management 8 1.5 Documentation 10 1.6 Information and support for patients, family members and carers 11 1.7 Non-accidental injury 13 1.8 Training and skills 13 Context 15 Recommendations for research 16 1 Imaging of ankle fractures 16 2 Virtual compared with face-to-face clinics 16 3 Image guidance (...) management for definitive treatment of uncomplicated injuries consider surgery for injuries complicated by an open wound, tenting of the skin, vascular injury, fracture dislocation or a split of the humeral head. Definitiv Definitive treatment of femor e treatment of femoral shaft fr al shaft fractures in children (sk actures in children (skeletally immature eletally immature) ) 1.4.9 Admit all children (skeletally immature) with femoral shaft fractures and consider 1 of the following according to age

2016 National Institute for Health and Clinical Excellence - Clinical Guidelines

190. Changing attitudes to the management of severe head injuries. Full Text available with Trip Pro

Changing attitudes to the management of severe head injuries. 990863 1977 01 29 2018 11 13 0007-1447 2 6046 1976 Nov 20 British medical journal Br Med J Changing attitudes to the management of severe head injuries. 1234-9 Lewin W W eng Journal Article England Br Med J 0372673 0007-1447 8W8T17847W Urea AIM IM Attitude of Health Personnel Brain Concussion pathology Brain Edema etiology Brain Injuries drug therapy Craniocerebral Trauma complications therapy Hematoma complications Humans

1976 British medical journal

191. Early management of the severe head injury. Full Text available with Trip Pro

Early management of the severe head injury. 4821614 1974 06 10 2018 11 13 0035-9157 67 1 1974 Jan Proceedings of the Royal Society of Medicine Proc. R. Soc. Med. Early management of the severe head injury. 8-9 Gordon D S DS Crockard H A HA eng Journal Article England Proc R Soc Med 7505890 0035-9157 IM Adult Airway Obstruction therapy Blood Transfusion Cerebral Hemorrhage therapy Coma complications Cough complications Craniocerebral Trauma therapy Cyanosis complications Hemostasis Humans

1974 Proceedings of the Royal Society of Medicine

192. Effect of Antisecretory Factor, Given as a Food Supplement to Adult Patients With Severe Traumatic Brain Injury

Effect of Antisecretory Factor, Given as a Food Supplement to Adult Patients With Severe Traumatic Brain Injury Effect of Antisecretory Factor, Given as a Food Supplement to Adult Patients With Severe Traumatic Brain 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 (...) this and thus reduce cerebral edema in traumatic brain injury. Furthermore, the reduction of cerebral edema is hypothesized to decrease intracranial pressure, reduce the development of secondary brain damage and subsequently reduce treatment intensity levels and death. Aims and Objectives Though, the number of patients with severe traumatic head injury in Sweden is decreasing and the need for a larger, randomized trial in a centre with large volumes of traumatic brain injury is needed The primary focus

2017 Clinical Trials

193. Falling down a flight of stairs: The impact of age and intoxication on injury pattern and severity Full Text available with Trip Pro

Falling down a flight of stairs: The impact of age and intoxication on injury pattern and severity Falling down a flight of stairs is a common injury mechanism in major trauma patients, but little research has been undertaken into the impact of age and alcohol intoxication on the injury patterns of these patients. The aim of this study was to compare the impact of age and alcohol intoxication on injury pattern and severity in patients who fell down a flight of stairs.This was a retrospective (...) observational study of prospectively collected trauma registry data from a major trauma centre in the United Kingdom comparing older and younger adult patients admitted to the Emergency Department following a fall down a flight of stairs between July 2012 and March 2015.Older patients were more likely to suffer injuries to all body regions and sustained more severe injuries to the spine; they were also more likely to suffer polytrauma (23.6% versus 10.6%; p < 0.001). Intoxicated patients were more likely

2017 Trauma (London, England)

194. Transcranial LED Therapy for Severe Acute Traumatic Brain Injury Full Text available with Trip Pro

Transcranial LED Therapy for Severe Acute Traumatic Brain Injury Transcranial LED Therapy for Severe Acute Traumatic Brain 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. Transcranial LED Therapy (...) for Severe Acute Traumatic Brain Injury (LED-TBI) 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. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03281759 Recruitment Status : Recruiting First Posted : September 13, 2017 Last Update Posted : September 13, 2017 See Sponsor

2017 Clinical Trials

195. Effect of Age on Glasgow Coma Scale in Patients with Moderate and Severe Traumatic Brain Injury: An Approach with Propensity Score-Matched Population Full Text available with Trip Pro

Effect of Age on Glasgow Coma Scale in Patients with Moderate and Severe Traumatic Brain Injury: An Approach with Propensity Score-Matched Population Background: The most widely used methods of describing traumatic brain injury (TBI) are the Glasgow Coma Scale (GCS) and the Abbreviated Injury Scale (AIS). Recent evidence suggests that presenting GCS in older patients may be higher than that in younger patients for an equivalent anatomical severity of TBI. This study aimed to assess (...) these observations with a propensity-score matching approach using the data from Trauma Registry System in a Level I trauma center. Methods: We included all adult patients (aged ≥20 years old) with moderate to severe TBI from 1 January 2009 to 31 December 2016. Patients were categorized into elderly (aged ≥65 years) and young adults (aged 20-64 years). The severity of TBI was defined by an AIS score in the head (AIS 3‒4 and 5 indicate moderate and severe TBI, respectively). We examined the differences in the GCS

2017 International journal of environmental research and public health

196. Risk Factors and Common Preventive Measures for Ventilator Associated Pneumonia in Patients With Severe Traumatic Brain Injury

Risk Factors and Common Preventive Measures for Ventilator Associated Pneumonia in Patients With Severe Traumatic Brain Injury Risk Factors and Common Preventive Measures for Ventilator Associated Pneumonia in Patients With Severe Traumatic Brain 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. Risk Factors and Common Preventive Measures for Ventilator Associated Pneumonia in Patients With Severe Traumatic Brain Injury 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. of clinical studies and talk to your health care provider before participating. Read our

2017 Clinical Trials

197. Intensive Faciltiation of Swallowing in Patients With Severe Dysphagia After Acquired Brain Injury

Intensive Faciltiation of Swallowing in Patients With Severe Dysphagia After Acquired Brain Injury Intensive Faciltiation of Swallowing in Patients With Severe Dysphagia After Acquired Brain 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. Intensive Faciltiation of Swallowing in Patients With Severe Dysphagia After Acquired Brain Injury 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: NCT03145740 Recruitment Status : Completed First Posted : May 9, 2017 Last Update Posted : May 9, 2017 Sponsor

2017 Clinical Trials

198. Intracranial pressure monitoring in severe traumatic brain injuries: a closer look at level 1 trauma centers in the United States. (Abstract)

College of Surgeons Trauma Quality Improvement Program database was queried for all patients admitted to level I trauma centers with isolated blunt severe TBI (AIS>3, GCS<9) who met criteria for ICP monitoring. Patients who had severe extracranial injuries, craniectomy, or death in the first 24h were excluded. Comparison between groups with and without ICP monitoring was made, analyzing demographics, comorbidities, mechanism of injury, head Abbreviated Injury Scale (AIS), vital signs on admission (...) Intracranial pressure monitoring in severe traumatic brain injuries: a closer look at level 1 trauma centers in the United States. The Brain Trauma Foundation (BTF) recently updated recommendations for intracranial pressure (ICP) monitoring in severe traumatic brain injury (TBI). The effect of ICP monitoring on outcomes is controversial, and compliance with BTF guidelines is variable. The purpose of this study was to assess both compliance and outcomes at level I trauma centers.The American

2017 Injury

199. Perfusion Abnormalities are Frequently Detected by Early CT Perfusion and Predict Unfavourable Outcome Following Severe Traumatic Brain Injury. (Abstract)

Perfusion Abnormalities are Frequently Detected by Early CT Perfusion and Predict Unfavourable Outcome Following Severe Traumatic Brain Injury. In patients with severe traumatic brain injury (TBI), early CT perfusion (CTP) provides additional information beyond the non-contrast CT (NCCT) and may alter clinical management. We hypothesized that this information may prognosticate functional outcome.Five-year prospective observational study was performed in a level-1 trauma centre on consecutive (...) predicting model for unfavourable outcome.Fifty patients were investigated with CTP (one excluded for the absence of TBI) [male: 80%, median age: 35 (23-55), prehospital intubation: 7 (14.2%); median GCS: 5 (3-7); median injury severity score: 29 (20-36); median head and neck abbreviated injury scale: 4 (4-5); median days in ICU: 10 (5-15)]. Thirty (50.8%) patients had an unfavourable outcome. GCS was a moderate predictor of unfavourable outcome (AUC = 0.74), while CTP variables showed greater predictive

2017 World Journal of Surgery

200. Type 1 diabetes in adults: diagnosis and management

Type 1 diabetes in adults: diagnosis and management T T ype 1 diabetes in adults: diagnosis and ype 1 diabetes in adults: diagnosis and management management NICE guideline Published: 26 August 2015 nice.org.uk/guidance/ng17 © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-of- rights).Y Y our responsibility our responsibility The recommendations in this guideline represent the view of NICE, arrived at after careful consideration (...) and management (NG17) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 5 of 87Introduction Introduction This guidance is an update of 'type 1 diabetes' (NICE guideline CG15) and replaces the guidance for adults. The recommendations are labelled according to when they were originally published (see update information for details). Type 1 diabetes affects over 370,000 adults in the UK. It results from destruction of the cells

2015 National Institute for Health and Clinical Excellence - Clinical Guidelines

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