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.

10,562 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. Clinical judgement in pediatric head injury (Babl 2018)

that should be noted. The primary outcome is a composite outcome that clearly combines things of unequal value. Death is nothing like a 2 day admission. Furthermore, an admission for 2 days is subjective, and could be influenced by a large number of factors that are completely unrelated to the severity of the injury. We are not given a very good breakdown of the actual outcomes in this manuscript. I really dislike combining GCS 13 and 15 patients into the same group. A lot of head injury studies do (...) Clinical judgement in pediatric head injury (Babl 2018) Clinical judgement in pediatric head injury (Babl 2018) - First10EM Search Clinical judgement in pediatric head injury (Babl 2018) by | Published - Updated | Emergency medicine loves decision rules. I can understand why, considering the apparent certainty they provide in a job that is anything but certain. However, decision tools are tests like any other, and can cause harm if they lead patients down inappropriate pathways. Although rare

2019 First10EM

42. Trends in head injury outcome from 1989 to 2003 and the effect of neurosurgical care: an observational study. (PubMed)

guidelines, suggesting that treatment in a neurosurgical centre represents an important strategy in the management of severe head injury. (...) Trends in head injury outcome from 1989 to 2003 and the effect of neurosurgical care: an observational study. Case fatality rates after all types of blunt injury have not improved since 1994 in England and Wales, possibly because not all patients with severe head injury are treated in a neurosurgical centre. Our aims were to investigate the case fatality trends in major trauma patients with and without head injury, and to establish the effect of neurosurgical care on mortality after severe head

2017 Lancet

43. Communication quality between the medical team and the head coach/manager is associated with injury burden and player availability in elite football clubs. (PubMed)

at four postseason meetings to provide their perceptions of internal communications in their teams. They also recorded data on individual players' exposure to football and time-loss injuries.The injury burden and incidence of severe injuries were significantly higher in teams with low quality of communication between the head coach/manager and the medical team (scores of 1-2 on a 5-point Likert scale) compared with teams with moderate or high-quality scores (scores of 3-5; p=0.008 for both). Teams (...) Communication quality between the medical team and the head coach/manager is associated with injury burden and player availability in elite football clubs. We investigated medical staff interpretations and descriptions of internal communication quality in elite football teams to determine whether internal communication was correlated with injuries and/or player availability at training and matches.Medical staff from 36 elite football clubs across 17 European countries produced 77 reports

Full Text available with Trip Pro

2018 British Journal of Sports Medicine

44. 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

45. Pre-Trauma Center Management of Intracranial Pressure in Severe Pediatric Traumatic Brain Injury. (PubMed)

Pre-Trauma Center Management of Intracranial Pressure in Severe Pediatric Traumatic Brain Injury. Pre-trauma center care is a critical component in severe pediatric traumatic brain injury (TBI). For geographically large trauma catchment areas, optimizing increased intracranial pressure (ICP) management may potentially improve outcomes. This retrospective study examined ICP management in nontrauma centers and during interfacility transport to the trauma center.Charts from a pediatric level I (...) -five patients (74%) had increased ICP upon admission at trauma center, 48% experienced ICPs greater than 20 cm H2O within 12 hours of admission, 12% required an urgent craniotomy, and 16% had herniation syndromes on neuroimaging. Pre-trauma center ICP management included osmotherapy and head-of-bed elevation. Sixty-four percent of patients with increased ICP at trauma center admission received pre-trauma center ICP management.Early increased ICP is a common presentation of severe pediatric TBI

2016 Pediatric Emergency Care

46. Outcomes after Traumatic Brain Injury with Concomitant Severe Extracranial Injuries (PubMed)

Outcomes after Traumatic Brain Injury with Concomitant Severe Extracranial Injuries Traumatic brain injury (TBI) is a leading cause of death and disability in trauma patients. Patients with TBI frequently sustain concomitant injuries in extracranial regions. The effect of severe extracranial injury (SEI) on the outcome of TBI is controversial. For 8 years, we retrospectively enrolled 485 patients with the blunt head injury with head abbreviated injury scale (AIS) ≧ 3. SEI was defined as AIS ≧ 3 (...) injuries in the face, chest, abdomen, and pelvis/extremities. Vital signs and coagulation parameter values were also extracted from the database. Total patients were dichotomized into isolated TBI (n = 343) and TBI associated with SEI (n = 142). The differences in severity and outcome between these two groups were analyzed. To assess the relation between outcome and any variables showing significant differences in univariate analysis, we included the parameters in univariable and multivariable logistic

Full Text available with Trip Pro

2018 Neurologia medico-chirurgica

47. Percutaneous osteoplasty for the management of a humeral head metastasis: Two case reports. (PubMed)

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

48. Acute kidney injury: prevention, detection and management

, assessment, initial treatment and referral for renal replacement therapy. The inpatient mortality of acute kidney injury varies considerably, depending on its severity, setting (intensive care or not), and many other Acute kidney injury: prevention, detection and management (CG169) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 5 of 38patient-related factors, but in the UK might typically be 25–30% or more. In view (...) = 90 Kidney damage, normal or increased GFR Kidney damage (presence of structural abnormalities and/or persistent haematuria, proteinuria or microalbuminuria) for = 3 months 2 60-89 Kidney damage, mildly reduced GFR 3A 45-59 Moderately reduced GFR ± other evidence of kidney damage GFR < 60 ml/min for = 3 months ± kidney damage 3B 30-44 4 15-29 Severely reduced GFR ± other evidence of kidney damage 5 < 15 Established kidney failure Acute kidney injury: prevention, detection and management (CG169) ©

2013 National Institute for Health and Clinical Excellence - Clinical Guidelines

49. 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

50. 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

51. 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

52. Health-related quality of life in prisoners with attention-deficit hyperactivity disorder and head injury. (PubMed)

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

Full Text available with Trip Pro

2018 BMC Psychiatry

53. 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

54. 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

55. 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

56. Severity-dependent differences in early management of thoracic trauma in severely injured patients - Analysis based on the TraumaRegister DGU®. (PubMed)

of different thoracic trauma severity in severely injured patients and identify related differences in prehospital and early clinical management. This may help to anticipate necessary treatment for chest injuries.Patients documented between 2002 and 2012 in the TraumaRegister DGU®, aged ≥ 16 years, determined Injury Severity Score ≥ 16, and documentation from European trauma centers were analyzed. Isolated brain injury and severe head injury (Abbreviated Injury ScaleHead ≥ 4) led to patient exclusion (...) Severity-dependent differences in early management of thoracic trauma in severely injured patients - Analysis based on the TraumaRegister DGU®. Major trauma is associated with chest injuries in nearly 50% of multiple injuries. Thoracic trauma is a relevant source of comorbidity throughout the period of multiply-injured patient care and may require swift and well-thought-out interventions in order to avert a deleterious outcome. In this epidemiological study we seek to characterize groups

Full Text available with Trip Pro

2017 Scandinavian journal of trauma, resuscitation and emergency medicine

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. 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

59. Early Management of Retained Hemothorax in Blunt Head and Chest Trauma. (PubMed)

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

Full Text available with Trip Pro

2018 World Journal of Surgery

60. Managing behavioural and mental health outcomes following a traumatic brain injury

and symptoms of a TBI, specifically a SRC, often dissipate to the point of clinical recovery within several weeks after injury, the long-term behavioural effects of childhood head trauma are misunderstood. 1,4,5 These effects may not present themselves until later in life, perhaps effecting the quality of life well into adulthood. 1,2,4,5 As healthcare providers in sports medicine, we must continue to evolve our practice regarding mental and behavioural health by exploring all aspects of the patient (...) Managing behavioural and mental health outcomes following a traumatic brain injury Managing behavioural and mental health outcomes following a traumatic brain injury | BJSM blog - social media's leading SEM voice by By Sadie R. Morway, Zachary K. Winkelmann , Kenneth E. Games It is crucial to examine the long-term effects following a traumatic brain injury (TBI) in sports medicine. This is especially important for children given the sensitive development of the brain during childhood

2018 British Journal of Sports Medicine Blog

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