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Management of Severe Head Injury

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61. Pharmacologic Glycemic Management of Type 2 Diabetes in Adults: 2020 Update

Guidelines Expert Committee Lorraine Lipscombe MD, MSc, FRCPC; Sonia Butalia MD, FRCPC, MSc; Kaberi Dasgupta MD, MSc, FRCPC c; Dean T. Eurich BSP, PhD; Lori MacCallum BScPhm, PharmD, CDE; Baiju R. Shah MD, PhD, FRCPC; Scot Simpson BSP, PharmD, MSc; Peter A. Senior BMedSci, MBBS, PhD, FRCP Key Messages Recommendations Figures Full Text References Chapter Headings Introduction The Diabetes Canada Clinical Practice Guidelines for the Prevention and Management of Diabetes in Canada (CPG) were last published (...) Pharmacologic Glycemic Management of Type 2 Diabetes in Adults: 2020 Update My Site - Chapter 13: Pharmacologic Glycemic Management of Type 2 Diabetes in Adults: 2020 Update Diabetes Canada | Clinical Practice Guidelines The Canadian Diabetes Association has become Diabetes Canada* Search: Guidelines Key Messages For Health-Care Providers For People with Diabetes Other Languages Links Pharmacologic Glycemic Management of Type 2 Diabetes in Adults: 2020 Update Diabetes Canada Clinical Practice

2021 Diabetes Canada

62. Early head up mobilisation for patients with severe acquired brain injury

Early head up mobilisation for patients with severe acquired brain injury Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr Smith" or "Joanne") for correspondence: Organisation web address: Timing and effect (...) models Example: Heterogeneity will be assessed using the (residual) I2 and adjusted R2 statistics. ">Heterogeneity For further guidance please refer to the and to pre-clinical meta-analysis. Example: Whenever a control group serves more than one experimental group, we will correct the total number of control animals in the meta-analysis by dividing the number of animals in the control group by the number of treatment groups served. Where applicable, Holm-Bonferroni correction for testing multiple

2018 PROSPERO

63. Management of Vertebral Artery Injuries Following Non-Penetrating Cervical Trauma Full Text available with Trip Pro

Management of Vertebral Artery Injuries Following Non-Penetrating Cervical Trauma 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. Management of Vertebral Artery Injuries Following Non-Penetrating Cervical Trauma | Neurosurgery | 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 March 2013 Article Contents Article Navigation Management of Vertebral Artery Injuries Following Non-Penetrating Cervical Trauma Mark R. Harrigan, MD *Division of Neurological Surgery, University of Alabama at Birmingham, Birmingham, Alabama Search for other works by this author on: Mark N. Hadley, MD *Division of Neurological Surgery, University of Alabama at Birmingham, Birmingham, Alabama † Correspondence: Mark N. Hadley, MD, FACS, UAB

2013 Congress of Neurological Surgeons

64. Management of Pediatric Cervical Spine and Spinal Cord Injuries Full Text available with Trip Pro

maturation and his/her specific injury. The purpose of this review is to address the unique aspects of children with real or potential cervical spinal injuries, and provide recommendations regarding their management. SEARCH CRITERIA Incorporating and expanding upon the first iteration of these guidelines, a National Library of Medicine (PubMed) computerized literature search from 1966 to 2011 was undertaken using Medical Subject Headings in combination with “spinal cord injuries” and “child” and yielded (...) and performed. Several authors have evaluated the indications for radiographic assessment of children with a potential cervical spinal injury. , Laham et al investigated the role of cervical spine x-ray evaluation of 268 children with apparent isolated head injuries. They retrospectively divided the children into high (n = 133) and low-risk (n = 135) groups. High-risk characteristics were children incapable of verbal communication either because of age (< 2 years of age) or head injury, and those children

2013 Congress of Neurological Surgeons

65. The Diagnosis and Management of Traumatic Atlanto-occipital Dislocation Injuries Full Text available with Trip Pro

AOD. KEY ISSUES FOR FUTURE INVESTIGATION Although the use of external immobilization for AOD was often associated with late instability, several patients achieved stability without operative management. The complimentary usage of CT imaging (with 3-dimensional reconstruction images for more precise measurement of the magnitude of displacement) and MRI (for differentiation of partial and complete ligament tears from stretch injuries) may be useful in identifying a subgroup of patients in whom (...) The Diagnosis and Management of Traumatic Atlanto-occipital Dislocation Injuries 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. Diagnosis and Management of Traumatic Atlanto-occipital Dislocation Injuries | Neurosurgery | Oxford Academic Search Account Menu Menu Navbar Search Filter Mobile Microsite Search Term Close search filter search input Article Navigation

2013 Congress of Neurological Surgeons

66. The Acute Cardiopulmonary Management of Patients With Cervical Spinal Cord Injuries Full Text available with Trip Pro

acute spinal cord injuries (SCIs). – Several reports describe improved patient management and lower morbidity and mortality following acute SCI with ICU monitoring and aggressive medical management. – , – Despite this interest in and commitment to more comprehensive care for the patient with an acute SCI, many traumatic SCI patients are not managed in an ICU setting, nor are they routinely monitored for cardiac or respiratory dysfunction. There exist divergent management strategies for acute SCI (...) itself, or a combination of the two. The presence of hypotension has been shown to be associated with worse outcomes after traumatic injury, including severe head injury. , , – Although a prospective controlled assessment of the effects of hypotension on acute human SCI has not been performed, laboratory evidence suggests that hypotension contributes to secondary injury after acute SCI by further reducing spinal cord blood flow and perfusion. , , , , – Hypotension in animal models of SCI results

2013 Congress of Neurological Surgeons

67. Methodology of the Guidelines for the Management of Acute Cervical Spine and Spinal Cord Injuries Full Text available with Trip Pro

; 49 : 407 – 498 . 2. Rosenberg J , Greenberg MK Practice parameters: strategies for survival into the nineties . Neurology . 1992 ; 42 ( 5 ): 1110 – 1115 . 3. Field M , Lohr K Clinical Practice Guidelines: Directions for a New Program—Committee to Advise the Public Health Service on Clinical Practice Guidelines: Institute of Medicine . Washington, DC : National Academy Press ; 1990 . 4. Bullock R , Chesnut RM , Clifton G , et al. Guidelines for the management of severe head injury: Brain Trauma (...) of these guidelines, as well as several other neurosurgical guideline documents. – The levels of recommendations as used in the previous iteration of the “Guidelines for the Management of Acute Cervical Spine and Spinal Cord Injuries,” which are derived from the classes of evidence listed above, are related to the certainty that a clinician has that the evidence is strong enough to support the recommendation(s) as follows: Standards: Reflection of a high degree of clinical certainty Guidelines: Reflection

2013 Congress of Neurological Surgeons

68. Evidence-based approaches to the management of cognitive and behavioral impairments following pediatric brain injury

, Juttler E, Unterberg A, Hacke W. Decompressive surgery for severe brain edema. J. Intensive Care Med. 24(3),168–178 ( 2009 ). , 20 Guerguerian A, Milly Lo TY, Hutchison JS. Clinical management and functional neuromonitoring in traumatic brain injury in children. Curr. Opin. Pediatr. 21,1–8 ( 2009 ). , 21 Philip S, Udomphorn Y, Kirkham FJ, Vavilala MS. Cerebrovascular pathopysiology in pediatric traumatic brain injury. J. Trauma Inj. Infect. Crit. Care 67(2),128–134 ( 2009 ). , 22 Beauchamp MH, Babl FE (...) CE, Adelson PD. Neurobehavioral effects of amantadine after pediatric traumatic brain injury. J. Head Trauma. Rehabil. 20(5),450–463 ( 2005 ). , 38 Patrick PD, Buck ML, Conaway MR, Blackman JA. The use of dopamine enhancing medications with children in low response states following brain injury. Brain Inj. 17(6),497–506 ( 2003 ). , , 39 Trovato M, Slomine B, Pidock F, Christensen J. The efficacy of donepezil hydrochloride on memory functioning in three adolescents with severe traumatic brain

2013 Clinical Practice Guidelines Portal

69. Covid-19: Management of emergency department patients

, open suctioning, tracheostomy, high speed drilling and bronchoscopy. Please see guidance from PHE and consult with your local infectious diseases team if in any doubt, and note that guidance on this may change. 3 | Clinical guide for the management of emergency department patients during the coronavirus pandemic – severity assessment of the illness – establishing a differential diagnosis based on history, examination, haematological, biochemical and CXR findings – judicious use of CT where (...) to the latest advice available (which may change from the information contained in this document). Guidance from NHSI/E and PHE is being frequently updated as the national caseload and required response is evolving. Your Trust will have an Incident Management Team in place and you will have plans on what activity continues in light of pressure on services and staffing. Please consult with your local management team. We must engage with those planning our local response. We may also need to work outside

2020 Covid-19 Ad hoc guidelines

70. Management of essential cancer surgery for adults during the coronavirus pandemic

Management of essential cancer surgery for adults during the coronavirus pandemic A NHS England clinical guide for the management of essential cancer surgery for adults during the coronavirus pandemic: applicable to NHSScotland? HIS Evidence were asked whether the recommendations in the following guidance are evidence based, practical and not in conflict with other advice? Academy of Medical Royal Colleges and NHS England (7 April 2020) Clinical guide for the management of essential cancer (...) that they were based on clinical expert opinion. In the background, the authors state that the guidance ‘builds on the experience of China, Italy and London…on the prioritisation and management of essential cancer surgery’. Contact was made with the authors of the guidance, who provided more information around how China and Italy organised their services. Guidance from other countries on the prioritisation of cancer surgeries often state that they are based on clinical expert opinion – suggesting

2020 Covid-19 Ad hoc papers

71. 2020 Acute Coronary Syndromes (ACS) in Patients Presenting without Persistent ST-Segment Elevation (Management of) Guidelines Full Text available with Trip Pro

without mechanical prosthetic heart valves or moderate-to-severe mitral stenosis undergoing percutaneous coronary intervention or managed medically (Supplementary Data) 30 5.3.2 Patients requiring vitamin K antagonists or undergoing coronary artery bypass surgery 32 5.4 Management of acute bleeding events (Supplementary Data) 34 5.4.1 General supportivemeasures (Supplementary Data) 34 5.4.2 Bleeding events on antiplatelet agents (Supplementary Data) 34 5.4.3 Bleeding events on vitamin K antagonists (...) onset if using high-sensitivity assays) after symptom onset and remain elevated for a variable period of time (usually several days). , , , , , Advances in technology have led to a refinement in cardiac troponin assays and have improved the ability to detect and quantify cardiomyocyte injury. , , , , , , , Data from large multicentre studies have consistently shown that hs-cTn assays increase diagnostic accuracy for MI at the time of presentation as compared with conventional assays ( ), especially

2020 European Society of Cardiology

72. 2020 Adult Congenital Heart Disease (previously Grown-Up Congenital Heart Disease) (Management of) Guidelines Full Text available with Trip Pro

Table 10 Congenital heart disease with high risk and extremely high risk for pregnancy 28 Table 11 Recurrence rates for various congenital heart lesions according to the sex of the affected parent 28 Table 12 Diagnostic criteria for degree of aortic stenosis severity 37 List of figures Figure 1 Central illustration. Congenital heart disease is a lifelong chronic condition 14 Figure 2 Management of atrial septal defect 31 Figure 3 Management of ventricular septal defect 34 Figure 4 Management (...) 2020 Adult Congenital Heart Disease (previously Grown-Up Congenital Heart Disease) (Management of) Guidelines 2020 ESC Guidelines for the management of adult congenital heart disease | European Heart Journal | Oxford Academic ') 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. Navbar Search Filter Mobile Microsite Search Term search filter search input Article

2020 European Society of Cardiology

73. Peri-operative management of patients with sickle cell disease

by theRoyal College ofAnaesthetists, theAssociation of PaediatricAnaesthetists of GreatBritain and Ireland, theObstetricAnaesthetists’AssociationandtheSickleCellSociety. Recommendations 1 Clinicalteamsshouldworkinpartnershipwithpatients andtheirfamilies,andendeavourtomakesuretheyare keptinformedofclinicaldecisionsrelatingtotheircare atalltimes. 2 The lead clinician in the Department of Anaesthesia is responsible for making sure that there is local departmental guidance for the peri-operative management (...) period. Children who are < 5 y with severe obstructive sleep apnoea are at particular risk of postoperativeoxygendesaturation. Children should be prepared for surgery with pre- operative transfusion, as per standard guidance. Blood Table 4 Suggestedtransfusionstrategybeforeelectivesurgery. Genotype Surgicalriskcategory BaselineHb(g.l -1 ) Suggestedpre-operativetransfusion Allgenotypes High-risk – ExchangetransfusionaimingforHbof100 g.l -1 HbSS/HbSß 0 Low-ormedium-risk <90 g.l -1 Top

2021 Association of Anaesthetists of GB and Ireland

74. Medical Management of Chronic Pancreatitis in Children: A Position Paper by the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition Pancreas Committee

- agement, such as nutrition, pain management, lifestyle modifica- tion, and monitoring for sequela of disease, however, seem different than those seen in other populations and require further guidance and study among children with CP. Herein we summarize relevant literature, present the first recommendations dedicated to the medical care of children with CP, and highlight areas that require future study. Authorized and prepared by the North American Society for Pediatric Gastroenter- ology, Hepatology (...) severe clinical consequences surface, which may be irreversible at that stage. Recommendations: 8. Insuf?cient data exists to recommend the use of antioxidants as a treatment to prevent EPI or other disease progression in children with CP. (GRADE 2C) 15/15¼ 93% Agreement V oting results: 10 strongly agree; 4 agree; 1 neutral; 0 disagree; 0 strongly disagree Medical Management of Pain in Chronic Pancreatitis The pathophysiology of CP pain is multifactorial with mul- tiple mechanisms

2021 North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition

75. ACC/AHA Guideline for the Management of Patients With Valvular Heart Disease Full Text available with Trip Pro

guideline-directed management and therapy for heart failure. 9. Patients presenting with severe symptomatic isolated tricuspid regurgitation, commonly associated with device leads and atrial fibrillation, may benefit from surgical intervention to reduce symptoms and recurrent hospitalizations if done before the onset of severe right ventricular dysfunction or end-organ damage to the liver and kidney. 10. Bioprosthetic valve dysfunction may occur because of either degeneration of the valve leaflets (...) on multiple criteria, including symptoms, valve anatomy, valve hemodynamics and the effects of valve dysfunction on ventricular and vascular function (eg, end-organ damage). Surgical and transcatheter interventions are performed primarily on patients with severe VHD, but diagnosis, patient education, periodic monitoring, and medical therapy are essential elements in the management of patients at risk of VHD and with mild to moderate valve dysfunction. This document provides a classification

2021 American College of Cardiology

76. AARC Clinical Practice Guideline: Management of Adult Patients with Tracheostomy in the Acute Care Setting

with tracheostomies is a complex undertaking that can be challenging due to multiple factors, including the nature and severity of disease, patient age, the use of an extensive assortment of tracheostomy tubes, and variations in the skill level of care providers. Effective and efficient management of patients with tracheostomy is necessary to prevent morbidity and mortality and to reduce the cost of care in this patient population. We conducted a systematic review of peer-reviewed literature to develop (...) in the tracheostomy service (35.5%) or control groups (24.6%) ( P = .005). There was no significant difference in the median hospital LOS between the 3 groups of subjects. Because this observational study of 393 subjects was conducted in a single institution and the severity of illness and duration of mechanical ventilation was different between groups, it is unclear whether these results can be generalized. Over the past decade, the awareness of medical device-related pressure injury has increased, as have

2021 American Association for Respiratory Care

77. Management of emergency department patients (Covid-19)

and act on national and local guidelines. These are constantly evolving and we should adhere to the latest advice available (which may change from the information contained in this document). Guidance from NHS England and NHS Improvement and Public Health England (PHE) is being frequently updated as the national caseload and required response is evolving. Your trust will have an Incident Management Team in place and you will have plans on what activity continues in light of pressure on services (...) and staffing. Please consult with your local management team. We must engage with those planning our local response. We may also need to work outside of our specific areas of training and expertise and the General Medical Council (GMC) has already indicated its support for this in the exceptional circumstances we may face. Personal protective equipment (PPE) As frontline clinicians, it is imperative that all members of your staff understand the importance of PPE and that all guidance is made clear to them

2021 NHS England

78. Management of anticoagulant services (Covid-19)

omit the missed dose Extra doses taken: obtain advice immediately from pharmacist/GP/NHS Direct (111) Importance of adherence: short half-life and associated risk of stroke and/or thrombosis if non-compliant Common and serious side-effects and who/when to refer: symptoms of bleeding/unexplained bruising. Avoidance of contact sports. • Single/self-terminating bleeding episode – routine appointment with GP/pharmacist • Prolonged/recurrent/severe bleeding/head injury – A&E Major bleeds managed (...) by clinicians in primary or secondary care with experience in managing anticoagulation. • DOACs should be initiated, if possible, instead of warfarin to minimise the monitoring burden and need for regular INR (International Normalised Ratio) monitoring. • In line with NICE guidance, where more than 1 product is available for the indication, the product with the lowest acquisition cost should be used. • Patients with mechanical heart valves should be initiated on warfarin. However, when monitoring

2021 NHS England

79. AARC Clinical Practice Guideline: Management of Pediatric Patients with Tracheostomy in the Acute Care Setting

. Abstract Children requiring a tracheostomy to maintain airway patency or to facilitate long-term mechanical ventilatory support require comprehensive care and committed, trained, direct caregivers to manage their complex needs safely. These guidelines were developed from a comprehensive review of the literature to provide guidance for the selection of the type of tracheostomy tube (cuffed vs uncuffed), use of communication devices, implementation of daily care bundles, timing of first tracheostomy (...) elements, and general guidelines and decannulation. The American Academy of Otolaryngology–Head and Neck Surgery Foundation convened a consensus panel to review the literature, synthesize information, and clarify controversial or ambiguous aspects of the care and management of children and adults requiring a tracheostomy. A literature search identified clinical practice guidelines, systematic reviews, and meta-analyses related to tracheostomy care in pediatric and adult patients through April 2011

2021 American Association for Respiratory Care

80. Acute pain management: scientific evidence (5th Edition)

Center Sydney, Australia Boston, USA Acute Pain Management: Scientific Evidence v INTRODUCTION INTRODUCTION This is the third edition of the document Acute Pain Management: Scientific Evidence . The first edition was written by a multidisciplinary committee headed by Professor Michael Cousins and published by the National Health and Medical Research Council (NHMRC) of Australia in 1999. The second edition was written by multiple contributors and a working party chaired by Assoc Prof Pam Macintyre (...) : Scientific Evidence xv CONTENTS 9. SPECIFIC CLINICAL SITUATIONS 237 9.1 Postoperative pain 237 9.1.1 Risks of acute postoperative neuropathic pain 237 9.1.2 Acute postamputation pain syndromes 238 9.1.3 Other postoperative pain syndromes 240 9.1.4 Day-stay or short-stay surgery 242 9.1.5 Cranial neurosurgery 245 9.2 Acute pain following spinal cord injury 247 9.3 Acute burn injury pain 249 9.3.1 Management of procedural pain 250 9.3.2 Non-pharmacological pain management 251 9.4 Acute back pain 252 9.5

2020 National Health and Medical Research Council

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