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Management of Severe Head Injury

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181. AACE/ACE Comprehensive Type 2 Diabetes Management Algorithm

of Endocrinology 19 Clinical Professor, Medicine, Division of Endocrinology, Diabetes, Metabolism, University California Irvine School of Medicine, Irvine, California, Co-Director, Diabetes Out-Patient Clinic, UCI Medical Center, Orange, California, Director & Principal Investigator, Diabetes/Lipid Management & Research Center, Huntington Beach, California 20 Professor of Medicine, Emory University, Section Head,, Diabetes & Endocrinology, Grady Health System, Atlanta, Georgia, Editor-in-Chief, BMJ Open (...) to lifestyle efforts. The need for medical therapy should not be interpreted as a failure of lifestyle management but as an adjunct to it. Minimizing the risk of both severe and nonsevere hypoglycemia is a priority. It is a matter of safety, adherence, and cost. Minimizing risk of weight gain is also a priority. This is important for long-term health, in addition to safety, adherence, and cost. Weight loss should be considered in all patients with prediabetes and T2D who also have overweight or obesity

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2019 American Association of Clinical Endocrinologists

182. Guidelines for Monitoring and Management of Pediatric Patients Before, During, and After Sedation for Diagnostic and Therapeutic Procedures

and advanced airway skills, such as, but not limited to, a physician anesthesiologist, an oral surgeon, a dentist anesthesiologist, or other medical specialists with the requisite licensure, training, and competencies; a certified registered nurse anesthetist or certified anesthesiology assistant; or a nurse with advanced emergency management skills, such as several years of experience in the emergency department, pediatric recovery room, or intensive care setting (ie, nurses who are experienced (...) Guidelines for Monitoring and Management of Pediatric Patients Before, During, and After Sedation for Diagnostic and Therapeutic Procedures Guidelines for Monitoring and Management of Pediatric Patients Before, During, and After Sedation for Diagnostic and Therapeutic Procedures | From the American Academy of Pediatrics | Pediatrics '); document.write(''); } function OAS_AD(pos) { if (OAS_version >= 11 && typeof(OAS_RICH)!='undefined') { OAS_RICH(pos); } else { OAS_NORMAL(pos); } } //--> Search

2019 American Academy of Pediatrics

183. Benign Prostatic Hyperplasia: Surgical Management of Benign Prostatic Hyperplasia/Lower Urinary Tract Symptoms

and the severity of lower urinary tract symptoms (LUTS) in the aging male can be progressive and is an important diagnosis in the healthcare of patients and the welfare of society. In the management of bothersome LUTS, it is important that healthcare providers recognize the complex dynamics of the bladder, bladder neck, prostate, and urethra, in addition to the fact that symptoms may result from interactions of these organs as well as with the central nervous system or other systemic diseases (e.g., metabolic (...) who are at higher risk of bleeding, such as those on anti-coagulation drugs. (Expert Opinion) Introduction Purpose Benign prostatic hyperplasia (BPH) is a histologic diagnosis that refers to the proliferation of smooth muscle and epithelial cells within the prostatic transition zone. The prevalence and the severity of lower urinary tract symptoms (LUTS) in the aging male can be progressive and is an important diagnosis in the healthcare of patients and the welfare of society. In the management

2019 American Urological Association

184. Management of Infertility

Management of Infertility Management of Infertility Comparative Effectiveness Review Number 217 RComparative Effectiveness Review Number 217 Management of Infertility Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No. 290-2015-00004-I Prepared by: Duke Evidence-based Practice Center Durham, NC Investigators: Evan R. Myers, M.D., M.P.H. Jennifer L. Eaton, M.D., M.S.C.I. Kara (...) . Suggested citation: Myers ER, Eaton JL, McElligott KA, Moorman PG, Chatterjee R, Zakama AK, Goldstein K, Strauss J, Coeytaux RR, Goode A, Borre E, Swamy GK, McBroom AJ, Lallinger K, Schmidt R, Davis JK, Hasselblad V, Sanders GD. Management of Infertility. Comparative Effectiveness Review No. 217. (Prepared by the Duke Evidence-based Practice Center under Contract No. 290-2015-00004-I.) AHRQ Publication No. 19-EHC014-EF. Rockville, MD: Agency for Healthcare Research and Quality; May 2019. Posted final

2019 Effective Health Care Program (AHRQ)

185. The management of obstructive azoospermia: a committee opinion

The management of obstructive azoospermia: a committee opinion The management of obstructive azoospermia: a committee opinion PracticeCommitteeoftheAmericanSocietyforReproductiveMedicineincollaborationwiththeSocietyfor Male Reproduction and Urology American Society for Reproductive Medicine, Birmingham, Alabama Infertilityduetoobstructiveazoospermiamaybetreatedeffectivelybysurgicalreconstructionorbyretrievalofspermfromtheepidid- ymisortestis (...) to a complete absence of sperm in the ejaculate, and accounts for approximately 40% of all cases of azoospermia (1). Obstruction may be congenitaloracquiredandmayinclude oneormoresegmentsofthemalerepro- ductive tract: epididymis, vas deferens, and ejaculatory ducts. Congenital causes of obstructive azoospermia include congenital bilateral absence of thevasdeferens(CBAVD)andidiopathic epididymal obstruction. Acquired causes of obstructive azoospermia include vasectomy, infection, trauma, or iatrogenic injury

2019 Society for Assisted Reproductive Technology

186. Management of the Neck in Squamous Cell Carcinoma of the Oral Cavity and Oropharynx

, factors that would favor operative versus nonoperative primary management, and clarifying criteria for an incomplete response to definitive chemoradiation for which salvage neck dissection would be recommended. Consensus was reached and recommendations were made for all six clinical scenarios. Additional information is available at . INTRODUCTION Section: Head and neck cancer (HNC) remains a significant global public health problem, with more than 450,000 new diagnoses worldwide each year (...) (Type: evidence based; Evidence quality: intermediate, benefit outweighs harm; Strength of recommendation: moderate). Recommendation 4.2. Patients with lateralized oropharyngeal cancer who undergo neck dissection concurrently or before transoral endoscopic head and neck surgery should have ligation of at-risk feeding blood vessels to reduce the severity and incidence of postoperative bleeding (Type: evidence based; Evidence quality: low, benefit outweighs harm; Strength of recommendation: moderate

2019 American Society of Clinical Oncology Guidelines

187. Critical Issues in the Evaluation and Management of Adult Patients Presenting to the Emergency Department With Acute Headache

be considered, 102 the literature as a whole is predominantly represented by studies focused on diagnosis of SAH. As a result, this 103 clinical policy addresses circumstances in which intracranial saccular berry aneurysms or arteriovenous 104 malformations are the suspected rule-out diagnosis. However, the clinician should keep in mind that there are other 105 unusual causes of acute severe headache that may require urgent diagnosis and management. For example, among 106 thunderclap headaches presenting (...) rule in or rule out significant pathology associated with acute severe headaches, thereby avoiding acute 330 ED brain imaging, is warranted. The availability of reliable and immediately available laboratory testing would 331 have dramatic effect on the evaluation of acute headache complaints in the ED. 332 333 2. In the adult ED patient treated for acute primary headache, are nonopioids preferred to opioid 334 medications? 335 336 Patient Management Recommendations 337 Level A recommendations

2019 American College of Emergency Physicians

188. 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

189. 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

190. 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

191. 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

192. 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

193. 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

194. 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

195. 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

196. 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

197. 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

198. CRACKCast E062 – Venomous Animal Injuries

are universally recommended. Signs of systemic envenomation require admission for observation. Antivenin is available in South America, but not commonly in North America. [7] List 3 classes of venomous marine injuries, and describe key principles of management for each? Bites Generally from cephalopods such as octopi. The octopus has a pair of modified salivary glands that secrete venom from its beak. The blue ringed octopus in particular has reported fatalities from its venomous neuromuscular inhibitor (...) CRACKCast E062 – Venomous Animal Injuries CRACKCast E062 - Venomous Animal Injuries - CanadiEM CRACKCast E062 – Venomous Animal Injuries In , by Chris Lipp February 13, 2017 This episode of CRACKCast covers Rosen’s Chapter 62, Venomous Animal Injuries. This presentation will be highly variable depending on where you practice, and this episode will equip you with tools to approach these cases as they arise. Shownotes – Rosen’s in Perspective Before we dive into Rosens, I just wanted to note

2017 CandiEM

199. CRACKCast E064 – Chemical Injuries

CRACKCast E064 – Chemical Injuries CRACKCast E064 - Chemical Injuries - CanadiEM CRACKCast E064 – Chemical Injuries In , by Adam Thomas February 27, 2017 This episode of CRACKCast covers Rosen’s Chapter 64, Chemical Injuries. Whether from a workplace incident or chemical terrorism, these patients require urgent intervention in the ED to prevent progression of their injuries. This episode discusses the approach to a variety of chemical injuries and their management. Shownotes – Rosen’s (...) in Perspective Chemicals are everywhere, >10,000 new ones are made every year → be afraid! Most susceptible organs: skin, eyes, lungs Most commonly release substances: Volatile organic compounds (VOC’s) Herbicides Acids Ammonia Cement Drain cleaner Gasoline Pathophysiology: Most cause damage through a chemical reaction with the skin 1) Describe the difference between Alkali and Acid injuries Acidic compounds: Cause protein denaturation and coagulative necrosis with the skin The necrosis forms eschar → which

2017 CandiEM

200. Pancreatic Injuries

, and pancreaticoduodenectomy. [18] Commonly reported complications have included fistulae, pseudocysts, intraabdominal abscesses, and pancreatitis. [9] Pancreaticoduodenectomy was recommended by Foley and Fry [18] in 1969 as an aggressive approach for destructive pancreatic head injuries to curtail bleeding and ensure removal of all devitalized tissue. More recent advancements in surgical trauma care have introduced additional strategies, such as increased use of nonoperative management, endoscopic stenting for ductal (...) injuries, and damage control surgery. [19–21] It is currently unknown which management strategies lead to the most favorable outcomes. Our group investigated treatment strategies by severity (American Association for the Surgery of Trauma grade) of pancreatic injury. Additionally, we investigated two other common management decisions: first, whether octreotide should routinely be used after pancreatic surgery to prevent the development of pancreatic fistulae; and second, whether splenectomy should

2017 Eastern Association for the Surgery of Trauma

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