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Management of Severe Head Injury

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181. 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

182. 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

183. 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

184. 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

185. 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

186. 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

187. Head Injury CT Indications in Concussion

Head Injury CT Indications in Concussion Head Injury CT Indications in Concussion 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 Head (...) Patients without loss of consciousness or amnesia (and at least one of the following criteria) Severe Age over 65 years signs GCS Score less than 15 Focal neurologic deficit Significant mechanism of injury Vehicle ejection Pedestrian struck by vehicle Fall from height >3 feet or 5 stairs III. Indications: Head CT for Concussion in age 2 to 20 years old (AAFP and AAP Guidelines) Inclusion Criteria Presenting within 24 hours for isolated Imaging for any of criteria met below Loss of consciousness >60

2018 FP Notebook

188. Increased Intracranial Pressure in Closed Head Injury

Cancer Administration 4 Increased Intracranial Pressure in Closed Head Injury Increased Intracranial Pressure in Closed Head Injury Aka: Increased Intracranial Pressure in Closed Head Injury , Increased Intracranial Pressure in Trauma , Severe Head Trauma Related Increased Intracranial Pressure From Related Chapters II. Differential Diagnosis III. Pathophysiology with secondary IV. Signs: Findings indicating management below >15 mm Severe (GCS 8 or less) Cerebral edema Severe Severe Hypopnea V (...) Increased Intracranial Pressure in Closed Head Injury Increased Intracranial Pressure in Closed 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

2018 FP Notebook

189. Head Injury

Head Injury 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 Head Injury Head Injury Aka: Head Injury , Head Trauma (...) , Closed Head Injury , Craniocerebral Trauma , Traumatic Brain Injury From Related Chapters II. Epidemiology : 1.7 Million tic brain injuries in U.S. per year in 75% of cases Hospitalizations: 275,000 Deaths: 52,000 III. Pathophysiology (ICP) association with injury Note measurements are in mmHg, not cmH2O Normal: 10 mmHg ICP Abnormal: 20 mmHg ICP Severe: 40 mmHg ICP tion: 50 mmHg ICP Hypertensive response in face of increased ICP Helps maintain cerebral perfusion Do not use antihypertensives to lower

2018 FP Notebook

190. Head Injury CT Indications in Children

Head Injury CT Indications in Children Head Injury CT Indications in Children 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 Head (...) hours in children IV. Cause: Severe mechanism of Injury (used in criteria below) Motor vehicle crash with ejection Death of another passenger Rollover Fall greater than 3 feet (>5 feet if over age 2 years) Unhelmeted pedestrian Bicyclist struck by motorized vehicle Head struck by high impact object (e.g. baseball) V. Protocol: Age <2 years old indications (4.4% risk of clinically important TBI) GCS 14 or less or other signs of or or Repetitive questions or slow response to questions Palpable

2018 FP Notebook

191. Head Injury CT Indications in Adults

Head Injury CT Indications in Adults Head Injury CT Indications in Adults 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 Head Injury (...) CT Indications in Adults Head Injury CT Indications in Adults Aka: Head Injury CT Indications in Adults , Head Injury CT Indications , CT Head Indications in Head Injury , Canadian CT Head Rule , Canadian Head CT Rule , New Orleans Head CT Rule II. General Image all moderate and severe head injuries indicated in only select Recommendations listed here are for adults III. Protocol: Canadian CT Head Rule (for Mild Head Injury) See for definition Exclusion criteria (cases in which rules cannot

2018 FP Notebook

192. 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

193. Violence and aggression: short-term management in mental health, health and community settings

Violence and aggression: short-term management in mental health, health and community settings Violence and aggression: short-term Violence and aggression: short-term management in mental health, health and management in mental health, health and community settings community settings NICE guideline Published: 28 May 2015 nice.org.uk/guidance/ng10 © 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 (...) guidance to manage them safely when they occur. Who is it for? Healthcare professionals Adults, young people and children with a mental health problem who use services in mental health, health and community settings, and their families and carers Violence and aggression: short-term management in mental health, health and community settings (NG10) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 5 of 65Introduction

2015 National Institute for Health and Clinical Excellence - Clinical Guidelines

194. Diabetic foot problems: prevention and management

(2006) NICE guideline PH1 Diabetic foot problems: prevention and management (NG19) © NICE 2018. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 29 of 49Guidance on the use of patient-education models for diabetes (2003) NICE technology appraisal guidance 60 Under de Under dev velopment elopment NICE is developing the following guidance: Sepsis: the recognition, diagnosis and management of severe sepsis. NICE guideline (...) Diabetic foot problems: prevention and management Diabetic foot problems: pre Diabetic foot problems: prev vention and ention and management management NICE guideline Published: 26 August 2015 nice.org.uk/guidance/ng19 © NICE 2018. 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

2015 National Institute for Health and Clinical Excellence - Clinical Guidelines

195. Chronic kidney disease: managing anaemia

Chronic kidney disease: managing anaemia Chronic kidne Chronic kidney disease: managing y disease: managing anaemia anaemia NICE guideline Published: 3 June 2015 nice.org.uk/guidance/ng8 © 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 of the evidence available. When (...) Treatment of ESA resistance 27 2.3 Treatment of ESA resistance in haemodialysis patients 28 2.4 Iron therapies for conservative care of anaemia of CKD 29 2.5 T arget haemoglobin levels in conservative management of anaemia of CKD 29 3 Other information 30 3.1 Scope and how this guideline was developed 30 3.2 Related NICE guidance 30 4 The Guideline Development Group, National Collaborating Centre and NICE project team 32 4.1 Guideline Development Group 32 4.2 National Clinical Guideline Centre 33 4.3

2015 National Institute for Health and Clinical Excellence - Clinical Guidelines

196. Guideline for concussion/mild traumatic brain injury & persistent symptoms - Sport-Related Concussion/mTBI

concussion/mTBI may require onsite (on-field) medical assessments by emergency medical professionals for a more severe head injury, cervical or spine injury, or loss of consciousness. In cases in which a concussion/mTBI is suspected without a more severe head or spine injury, a player should be removed from the field of play and a sideline assessment can be performed. The Concussion in Sport Group has created a revised Sport Concussion Assessment Tool (SCAT5 and the Concussion Recognition Tool 5 (...) for retirement from play: multiple concussion/mTBIs >3, increasing duration of symptoms, subsequent concussion/mTBIs requiring lesser force, inability to return to full-time school or work. 7,8 It should be noted that sport-related concussion/mTBI represents one area of study in the mTBI field. Given that the current guideline is not specific to sport-related injuries, the information and guidance included herein for acute and subacute management is limited. Thus, readers interested in further guidance

2018 Ontario Neurotrauma Foundation

197. Guideline for concussion/mild traumatic brain injury & persistent symptoms - Fatigue

, Moss NE, Wade DT. The Rivermead Post Concussion Symptoms Questionnaire: A measure of symptoms commonly experienced after head injury and its reliability". J. Neurol . 1995; 242(9):587–92. Description: A questionnaire that can be administered to someone who sustains a concussion or other form of traumatic brain injury to measure the severity of symptoms. The RPQ is used to determine the presence and severity of post-concussion syndrome symptoms (i.e., a set of somatic, cognitive, and emotional (...) problem, moderate problem, and severe problem. Instructional Video Available? No Ease of Use (By Patient) Very Difficult 1 2 3 4 5 Very Easy Ease of Administration (By Administrator) Very Difficult 1 2 3 4 5 Very Easy Other Comments None 1 King NS, Crawford S, Wenden FJ, Moss NE, Wade DT. The Rivermead Post Concussion Symptoms Questionnaire: A measure of symptoms commonly experienced after head injury and its reliability". J. Neurol. 1995; 242(9):587–92. 2 Potter S, Leigh E, Wade D, Fleminger S

2018 Ontario Neurotrauma Foundation

198. Guideline for concussion/mild traumatic brain injury & persistent symptoms - Post-Traumatic Headache

of the environment. Pharmacologic interventions as appropriate both for acute pain and prevention of headache attacks. Taken from the VA/DoD Management of Concussion/Mild Traumatic Brain Injury Clinical Practice Guideline (VA/DoD, 2016). Pharmacological Treatment of Post-Traumatic Headache New Key Section Level of evidence A B C Updated Evidence 6.7 C All patients with frequent headaches should be strongly encouraged to maintain an accurate headache diary (see Appendix ), medication calendar and activity log (...) , or interdisciplinary concussion clinic is recommended. Appendix 6.1 International Classification of Headache Disorders (ICHD-III) Beta: Acute Headache Attributed to Mild Traumatic Injury to the Head Appendix 6.2 International Classification of Headache Disorders (ICHD-III) Beta: Persistent Headache Attributed to Mild Traumatic Injury to the Head Appendix 6.3 Diagnostic Criteria for Selected Primary Headache Types from the International Classification of Headache Disorders (ICHD-III) Beta Appendix 6.4 Headache

2018 Ontario Neurotrauma Foundation

199. Guideline for concussion/mild traumatic brain injury & persistent symptoms - Sleep-Wake Disturbances

Appendix 7.2 Read Evaluation Short Clinical Interview for Sleep after Head Injury EVALUATION × Title of Resource: Short Clinical Interview for Sleep after Head Injury Reference: Ouellet MC, Beaulieu-Bonneau S Morin CM. Sleep-Wake Disturbances. In Eds. Zasler ND, Katz DI, Zafonte RD. Brain Injury Medicine: Principles and Practice. New York; Demos Medical Publishing LLC; 2012. Description: The short clinical interview for sleep after head injury was designed to qualitatively assess for common sleep (...) or sleep/wake disturbances and changes after brain injury as well as a history of the problem. Resource Criteria: Population Adults with Head Injury Reliability/ Validity NA Proprietary? Yes Time to Administer 6-15 minutes Method to Administer Patient Interview Formal Instructions (Mention if special environment/ equipment is needed) NA Instructional Video Available? No Ease of Use (By Patient) Very Difficult 1 2 3 4 5 Very Easy Ease of Administration (By Administrator) Very Difficult 1 2 3 4 5 Very

2018 Ontario Neurotrauma Foundation

200. Guideline for concussion/mild traumatic brain injury & persistent symptoms - Mental Health Disorders

). Adapted from the VA/DoD Management of Concussion/Mild Traumatic Brain Injury Clinical Practice Guideline (VA/DoD, 2009). 8.3 C Immediate referral to a regulated mental health practitioner should be obtained if: The presentation is complex and/or severe (e.g., suicide risk) Initial treatment is not effective There is a failure of or contraindication to usual medication strategies It is not necessary for the mental health practitioner to be someone who has a specialty in the treatment of concussion (...) injury: results from a randomized controlled trial. J Head Trauma Rehabil. 2014;29(4):E13-22 Country: Canada Design: Randomized Control Trial Quality Rating: PEDro: 7/11 Kennedy SH, Lam RW, McIntyre RS, et al. Canadian Network for Mood and Anxiety Treatments (CANMAT) 2016 Clinical Guidelines for the Management of Adults with Major Depressive Disorder: Section 3. Pharmacological Treatments. Can J Psychiatry. 2016;61(9):540-560. Country: Canada Design: Non-Concussion/mTBI Guideline Quality Rating: N

2018 Ontario Neurotrauma Foundation

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