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.

10,682 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

41. Management of Suspected Spinal Injury

cord injury are: • a motor vehicle, motor cycle or bicycle incident as an occupant, rider, or pedestrian • an industrial accident (i.e. workplace) • a dive or jump into shallow water or water with obstacles or being "dumped" in the surf • a sporting accident (e.g. rugby, falling from a horse) • a fall from greater than a standing height (e.g. ladder, roof) • falls in the elderly population • a significant blow to the head • a severe penetrating wound (e.g. gunshot). The symptoms and signs (...) the limbs (paralysis) • nausea • headache or dizziness • altered or absent skin sensation. 2.2 Signs Signs of spinal injury include: • head or neck in an abnormal position • signs of an associated head injury • altered conscious state • breathing difficulties • shock • change in muscle tone, either flaccid or stiff • loss of function in limbs • loss of bladder or bowel control • priapism (erection in males). ANZCOR Guideline 9.1.6 January 2016 Page 3 of 6 3 Management The priorities of management

2016 Australian Resuscitation Council

42. Percutaneous osteoplasty for the management of a humeral head metastasis: Two case reports. (Full text)

Percutaneous osteoplasty for the management of a humeral head metastasis: Two case reports. Percutaneous osteoplasty (POP) has been proved effective to relieve pain in metastases of vertebral, pelvis, and femur. Nevertheless, there are few reports about the effectiveness of POP in the humeral head metastases. In this study, we described 2 patients with humeral head metastases treated with POP in our hospital.Case 1 was a 79-year-old man with vertebral and right humeral head metastasis after (...) radical surgery or and periods of chemotherapy for bladder cancer. He suffered constant severe back and right shoulder joint pain even if taking much non-steroidal anti-inflammatory drugs. Case 2 was a 59-year-old woman with vertebral and right humeral head metastasis from lung cancer. She received regular radiotherapy and took much painkillers to relieve pain. However, the pain could not be relieved any more after 1 month and severely affects sleeping and daily activities.Both 2 patients were

2019 Medicine

43. Management of Traumatic Brain Injury in the Emergency Department: Guideline Adherence and Patient Safety. (PubMed)

Management of Traumatic Brain Injury in the Emergency Department: Guideline Adherence and Patient Safety. Traumatic brain injury is a common reason not only for emergency visits worldwide but also for significant morbidity and mortality. Several clinical guidelines exist but adherence is generally low.To study attitudes toward computed tomography of the head among emergency department Change to physicians throughout the article who manage patients with trauma to the head and doctors' adherence (...) to guidelines.Quantitative questionnaire study with questionnaires collected over 3 months before introduction of new guidelines. After introduction, intermission of 8 months passed when information and education were given. Thereafter, questionnaires were collected for another 3 months.A total of 694 patients were registered at the emergency department. A total of 161 questionnaires were analyzed; 50.9% did not use guidelines, 39% before intermission, and 60.5% after. When Canadian CT Head Rule was applied, 30.4

2020 Quality Management in Health Care

44. Intensive care treatments associated with favorable discharge outcomes in Argentine children with severe traumatic brain injury: For the South American Guideline Adherence Group. (Full text)

Intensive care treatments associated with favorable discharge outcomes in Argentine children with severe traumatic brain injury: For the South American Guideline Adherence Group. Little is known about the critical care management of children with traumatic brain injury (TBI) in low middle income countries. We aimed to identify indicators of intensive care unit (ICU) treatments associated with favorable outcomes in Argentine children with severe TBI.We conducted a secondary analysis of data from (...) patients previously enrolled in a prospective seven center study of children with severe TBI who were admitted to an ICU in one of the seven study centers. Severe TBI was defined by head AIS ≥ 3, head CT with traumatic lesion, and admission GCS < 9. Seven indicators of best practice TBI care were examined. The primary outcome was discharge Pediatric Cerebral Performance Category Scale [PCPC] and Pediatric Overall Performance category Scale [POPC]. We also examined variation in ICU care and in-patient

2017 PLoS ONE

45. Sir Hugh Cairns and World War II British advances in head injury management, diffuse brain injury, and concussion: an Oxford tale. (Full text)

Sir Hugh Cairns and World War II British advances in head injury management, diffuse brain injury, and concussion: an Oxford tale. The authors trace the Oxford, England, roots of World War II (WWII)-related advances in head injury management, the biomechanics of concussion and brain injury, and postwar delineation of pathological findings in severe concussion and diffuse brain injury in man. The prominent figure in these developments was the charismatic and innovative Harvey Cushing-trained (...) Hospital for Head Injuries. During this time Cairns also trained the first full-time female neurosurgeon. Pivotal in supporting animal research demonstrating the critical role of acceleration in the causation of concussion, Cairns recruited the physicist Hylas Holbourn, whose research implicated rotary acceleration and shear strains as particularly damaging. Cairns' work in military medicine and head injury remain highly influential in efforts to mitigate and manage brain injury.

2016 Journal of Neurosurgery

46. Management of the paediatric patient with acute head trauma

Management of the paediatric patient with acute head trauma Head trauma leading to brain injury is an important cause of morbidity and mortality in childhood. Injury severity is related to the mechanism of trauma, which itself varies with age. The vast majority of head trauma in paediatric patients is mild, requires no specific therapy and leaves no sequelae. However, it is important to identify individuals at risk of significant injury, and thus in need of specific evaluation. The purpose (...) of this statement is to describe issues related to head trauma in infants, children and youth, including clinical manifestations, initial management priorities, guidelines for imaging, and subsequent observation and treatment. It addresses the evaluation of patients with acute trauma to the head at the time of initial assessment; it does not describe the subsequent management of such patients in the paediatric intensive care unit. Key Words : CT scan; Head trauma; Skull x-rays; Prevention; Traumatic brain

2013 Canadian Paediatric Society

47. rTMS Treatment of Persistent Headache and Post Concussion Symptoms Attributed to Mild Traumatic Injury to the Head

rTMS Treatment of Persistent Headache and Post Concussion Symptoms Attributed to Mild Traumatic Injury to the Head rTMS Treatment of Persistent Headache and Post Concussion Symptoms Attributed to Mild Traumatic Injury to the Head - 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. rTMS Treatment of Persistent Headache and Post Concussion Symptoms Attributed to Mild Traumatic Injury to the Head (TOPiCS-rTMS) 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: NCT03691272 Recruitment Status : Active

2018 Clinical Trials

48. Is There a Worse Outcome When the Systolic Blood Pressure is Lower Than Heart Rate in Those Adult Trauma Patients With Isolated Head/Neck Injury

Is There a Worse Outcome When the Systolic Blood Pressure is Lower Than Heart Rate in Those Adult Trauma Patients With Isolated Head/Neck Injury Is There a Worse Outcome When the Systolic Blood Pressure is Lower Than Heart Rate in Those Adult Trauma Patients With Isolated Head/Neck 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 (...) to 100 Years (Adult, Older Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: No Sampling Method: Probability Sample Study Population Adult patients having isolated TBI with a head abbreviated injury scale (AIS) ≥ 3 and without severe injury to other regions (other AIS ≤ 1) were included. We excluded patients younger than 18 or older than 65 years of age. Patients were grouped and analyzed according to RSI (< 1 or ≥ 1). Criteria Inclusion Criteria: Adult patients having isolated TBI

2018 Clinical Trials

49. Platelet Inhibitor Treated Patients With Head Injury Trauma Meeting NICE Criteria : is the CT-scan Mandatory ?

Platelet Inhibitor Treated Patients With Head Injury Trauma Meeting NICE Criteria : is the CT-scan Mandatory ? Platelet Inhibitor Treated Patients With Head Injury Trauma Meeting NICE Criteria : is the CT-scan Mandatory ? - 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 (...) several conditions including taking antiplatelet inhibitors. However, the real risk of cerebral haemorrhage for theses cases is controversial in litterature. In parallel, more and more patients undergoing antiplatelet inhibitor's treatment are seen in emergencies after a head injury trauma. In routine protocol at the emergency rooms, these patients are seen for a clinical exam and next submitted to a CT-scanner. If the clinician can't detect a cerebral haemorrage, the patient will return at home

2018 Clinical Trials

50. Health-related quality of life in prisoners with attention-deficit hyperactivity disorder and head injury. (Full text)

of the association upon health-related quality of life (HRQoL) and service use among imprisoned adults.An observational study was performed in 2011-2013, at Porterfield Prison, Inverness, United Kingdom (UK). The all male sample included 390 adult prison inmates with capacity to consent and no history of moderate or severe intellectual disability. Head injury was measured with a series of self-reported questions, addressing history of hits to the head: frequency, severity, loss of consciousness (LOC (...) Health-related quality of life in prisoners with attention-deficit hyperactivity disorder and head injury. Attention-deficit hyperactivity disorder (ADHD) and head injury (including traumatic brain injury (TBI)) manifest in high levels across prison samples and guidance from the National Institute for Health and Care Excellence notes that people with acquired brain injury may have increased prevalence of ADHD. We aimed to examine the association of ADHD with TBI and the impact

2018 BMC Psychiatry

51. Observation is unnecessary following a normal CT brain in warfarinised head injuries: an update

for ethical reasons, or routinely before discharge. Clinical follow-up though to elicit clinically important outcomes. Warfarin users more aware of risks and so more likely to present with less severe mechanisms of injury In-hospital mortality after immediate TICH (warfarin group) 8/37 (21.6%) [95% CI 9.8-38.2] Neurosurgical intervention after immediate TICH (warfarin group) 5/37 (13.5%) [95% CI 4.5-28.8] DICH (TICH within 2/52 after initially normal CT in absence of further head trauma (warfarin group) 4 (...) here, but the larger studies described should reassure us as to the very low risk of DICH, particularly with an initial INR Editor Comment aOR, adjusted OR; AUC, area under the curve; CTB, CT brain; DICH, delayed intracranial haemorrhage; ED, emergency department; FFP, fresh frozen plasma; GCS, Glasgow Coma Score; ICU, intensive care unit; INR, International Normalised Ratio; ISS, injury severity score; LOC, loss of consciousness; LOS, length of stay; MHI, minor head injury; MOI, mechanism

2014 BestBETS

52. Coagulopathy as a risk factor in warfarinised head injury patients

reduce ICH progression and improve mortality. Therefore, both the clinical picture and the INR have not shown to be effective at ruling out ICH in the asymptomatic WHI patient. It is, nevertheless, an important investigation in this setting, as an early check has been shown to allow rapid time to reversal of the INR with ICH. Importantly, Nishijima et al (2013) and Rendell and Batchelor (2013) found that there was no ‘low-risk group’ of warfarinised head injury patients safely managed without CT (...) ; PPV = positive predictive value; NPV = negative predictive value; GCS = Glasgow coma score; LOC = loss of consciousness; RR = relative risk; LOS = length of stay; WHI = warfarinised head injury; ISS = injury severity score; MOI = mechanism of injury; DICH = delayed intracranial haemorrhage; FFP = fresh frozen plasma; TICH = traumatic intracranial haemorrhage; IQR = interquartile range. Clinical Bottom Line With the low-risk patient, the level of coagulopathy does not seem to confer an obvious

2014 BestBETS

53. Assessment and Management of Pressure Injuries for the Interprofessional Team, Third Edition

Assessment and Management of Pressure Injuries for the Interprofessional Team, Third Edition Clinical Best Practice Guidelines MAY 2016 Assessment and Management of Pressure Injuries for the Interprofessional T eam Third EditionDisclaimer Th ese guidelines are not binding on nurses, other health care professionals, or the organizations that employ them. Th e use of these guidelines should be fl exible, and based on individual needs and local circumstances. Th ey neither constitute a liability (...) (2016). Assessment and Management of Pressure Injuries for the Interprofessional Team, Th ird Edition. Toronto, ON: Registered Nurses’ Association of Ontario. Th is work is funded by the Ontario Ministry of Health and Long-Term Care. All work produced by RNAO is editorially independent from its funding source. Contact Information Registered Nurses’ Association of Ontario 158 Pearl Street, Toronto, Ontario M5H 1L3 Website: www.rnao.ca/bpgAssessment and Management of Pressure Injuries

2016 Registered Nurses' Association of Ontario

54. Management of Concussion-mild Traumatic Brain Injury (mTBI)

, the Defense and Veterans Brain Injury Center (DVBIC) estimates that over 1.7 million people sustain a TBI every year in the United States.[4] Of these injuries, approximately 84% are classified as mTBI. To determine the TBI severity, clinicians should use the criteria displayed in Table 1 below. VA/DoD Clinical Practice Guideline for the Management of Concussion-mild Traumatic Brain Injury February 2016 Page 7 of 133 Table 1. Classification of TBI Severity [3] (If a patient meets criteria in more than one (...) according to existing evidence-based clinical practice guidelines, and based upon individual factors and the nature and severity of symptoms. Strong for Reviewed, Amended VA/DoD Clinical Practice Guideline for the Management of Concussion-mild Traumatic Brain Injury February 2016 Page 21 of 133 Recommendation Strength* Category† h. Cognitive Symptoms 17. We suggest that patients with a history of mTBI who report cognitive symptoms that do not resolve within 30-90 days and have been refractory

2016 VA/DoD Clinical Practice Guidelines

55. Early Management of Retained Hemothorax in Blunt Head and Chest Trauma. (Full text)

Early Management of Retained Hemothorax in Blunt Head and Chest Trauma. Major blunt chest injury usually leads to the development of retained hemothorax and pneumothorax, and needs further intervention. However, since blunt chest injury may be combined with blunt head injury that typically requires patient observation for 3-4 days, other critical surgical interventions may be delayed. The purpose of this study is to analyze the outcomes of head injury patients who received early, versus delayed (...) thoracic surgeries.From May 2005 to February 2012, 61 patients with major blunt injuries to the chest and head were prospectively enrolled. These patients had an intracranial hemorrhage without indications of craniotomy. All the patients received video-assisted thoracoscopic surgery (VATS) due to retained hemothorax or pneumothorax. Patients were divided into two groups according to the time from trauma to operation, this being within 4 days for Group 1 and more than 4 days for Group 2. The clinical

2018 World Journal of Surgery

56. What Is the Incidence of Intracranial Hemorrhage Among Anticoagulated Patients With Minor Head Trauma?

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

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

-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 (...) documents. Two documents were published by the National Institute of Health and Care Excellence (NICE), one of which was a high quality evidence based guideline [2] ; two guideline documents for the post-fall multidisciplinary management of inpatients in WA healthcare settings [3] and ACR Appropriateness Criteria in the management of head trauma, respectively [4] ; and one review of evidence on the indications for CT scans in minor head injuries [5] . Table 2 provides a summary of the included documents

2019 Monash Health Evidence Reviews

58. Management of Traumatic Brain Injury

, et al. Further experience in the management of severe head injury. J Neurosurg 1981; 54:289-299. Alali, A.S., Fowler, R.A., Mainprize, T.G., et al. Intracranial pressure monitoring in severe traumatic brain injury: results from the American College of Surgeons Trauma Quality Improvement Program. J Neurotrauma 30, 1737- 1746, 2013. Chesnut RM, Temkin N, Carney N et al. A trial of intracranial pressure monitoring in traumatic brain injury. N Engl J Med 367:2471-81, 2012. Chesnut RM. Intracranial (...) van den Brink, W. A., H. van Santbrink, E. W. Steyerberg, C. J. Avezaat, J. A. Suazo, C. Hogesteeger, W. J. Jansen, L. M. Kloos, J. Vermeulen and A. I. Maas. Brain oxygen tension in severe head injury. Neurosurgery 46(4): 868- 876; discussion 876-868. 2000 Surgical Management Bullock RM, Chesnut R, Ghajar JBG, Gordon D, Hartl R,Newell DW, Servadei, F, Walters, BC, Wilberger JE. Guidelines for the Surgical Management of Traumatic Brain Injury. Neurosurgery, Supplement, Volume 58, Number 3. 2006

2015 American College of Surgeons

59. Hyperglycemia: A Predictor of Death in Severe Head Injury Patients (Full text)

Hyperglycemia: A Predictor of Death in Severe Head Injury Patients Management of hyperglycemia during an acute sickness in adults is accompanied by improved outcomes. We have designed a prospective study with meticulous attention to exclude all diabetes patients by checking hemoglobin A1c (HbA1c or glycated hemoglobin) to avoid the ill-effects of hyperglycemia in patients with traumatic head injury admitted to the intensive care unit (ICU).This prospective study included adults with traumatic (...) mortality rate in head injury patients, and comprehensive treatment of hyperglycemia can improve the outcome of severe head injury patients.

2016 Clinical medicine insights. Endocrinology and diabetes

60. Computed Tomography Perfusion in Patients With Severe Head Injury

Computed Tomography Perfusion in Patients With Severe Head Injury Computed Tomography Perfusion in Patients With Severe 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. Computed Tomography (...) Perfusion in Patients With Severe Head 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: NCT02756585 Recruitment Status : Unknown Verified April 2016 by Jai Shankar, Nova Scotia Health Authority. Recruitment status was: Not yet recruiting First Posted : April 29, 2016 Last Update Posted : April 29

2016 Clinical Trials

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