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Management of Severe Head Injury

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81. American College of Rheumatology/Arthritis Foundation Guideline for the Management of Osteoarthritis of the Hand, Hip, and Knee

making treatment decisions for the management of OA. Clinicians and patients should engage in shared decision- making that accounts for patients’ values, preferences, and comor- bidities. These recommendations should not be used to limit or deny access to therapies. Guidelines and recommendations developed and/or endorsed by the American College of Rheumatology (ACR) are in- tended to provide guidance for patterns of practice and not to dictate the care of a particular patient. The ACR considers (...) conditions, such as hypertension, cardi- ovascular disease, heart failure, gastrointestinal bleeding risk, chronic kidney disease, or other comorbidities, that might have an impact on their risk of side effects from certain pharmacologic agents, as well as injuries, disease severity, surgical history, and access to and availability of services (transportation, distance, ability to take time off work, cost, insurance coverage) that might have an impact on the choice of physical, psychological, and mind

2020 American College of Rheumatology

82. Recognition and Initial Management of Fulminant Myocarditis: A Scientific Statement From the American Heart Association Full Text available with Trip Pro

of a lack of sensitivity and specificity compared with viral genome polymerase chain reaction performed on endomyocardial tissue obtained by biopsy. The emergency department and outpatient diagnosis of FM has several diagnostic pearls and potential pitfalls (partially listed in ) that should be kept in mind by frontline providers in the outpatient setting. Table 1. Potential Pearls and Pitfalls in the Evaluation and Early Management of FM Diagnosis Consider myocarditis in young patients with apparent (...) and Management Issues During Hospital Admission for FM: Roles for Multimodality Imaging and EMB Echocardiography Because of rapid and portable acquisition, echocardiography remains the first test in most cases of FM, with the ability to rapidly process a wide differential diagnosis (including pericardial disease) and to assess cardiac and valvular function and morphology. Early use of echocardiography is essential to establish a diagnosis and the severity of cardiovascular compromise. Apart from cardiac

2020 American Heart Association

83. 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

2020 Society for Assisted Reproductive Technology

84. Management of Cancer Medication-Related Infusion Reactions

• For high-risk patients (e.g. patients who experienced severe anaphylaxis during the initial infusion, as well as patients with severe respiratory or cardiac disease and patients who are pregnant), a four-bag 16 step protocol can be used. 112,118,119,127 Management of Cancer Medication-Related Infusion Reactions 19 RECOMMENDATIONS FOR INFUSION REACTION PROPHYLAXIS [Return to Table 1.1] Risk Factors Given the potential for life-threatening injury when an IR occurs, it is important to consider all (...) whatsoever regarding the report content or use or application and disclaims any responsibility for its application or use in any way Management of Cancer Medication-Related Infusion Reactions 2 ACKNOWLEDGEMENTS Working Group Members Dr. Leta Forbes, Medical Oncologist, Provincial Head, Systemic Treatment Program, Cancer Care Ontario, Co-chair Andrea Crespo, Sr. Pharmacist, Systemic Treatment Program, Cancer Care Ontario, Co-chair Daniela Gallo-Hershberg, Pharmacist, Group Manager, Systemic Treatment

2019 Cancer Care Ontario

85. Guidelines on Management of Dyspnea (Breathlessness) in Patients with Cancer

on Management of Dyspnea Page 5 the literature search was not designed to locate these guidelines, additional guidelines on these topics may exist. The list for COPD is more extensive, with several of the guidelines identified from references in other guidelines. Guidelines Focused on Dyspnea or Symptom Management The guideline by the Japanese Society for Palliative Medicine covers palliative interventions for respiratory symptoms in cancer and is probably the most comprehensive for the therapies it covers (...) series by the Oncology Nursing Society [3] includes literature until January 2017. The recommendations include several topics that were not part of the literature search strategy. It lists agents by strength of evidence and recommendation, then citations to supporting evidence, but provides no further analysis or guidance as to when or how to use specific interventions. The user would need to read items on the list of citations for each treatment, and therefore its use appears mainly as a list

2019 Cancer Care Ontario

86. Programmatic management of latent tuberculosis infection in the European Union

Programmatic management of latent tuberculosis infection in the European Union SCIENTIFIC ADVICE Programmatic management of latent tuberculosis infection in the European Union www.ecdc.europa.euECDC SCIENTIFIC ADVICE Programmatic management of latent tuberculosis infection in the European Union ii This guidance was commissioned by ECDC and coordinated by Senia Rosales Klintz, Netta Beer and Marieke J. van der Werf with the support of Helena de Carvalho Gomes (ECDC). The inventory of expert (...) in the European Union 2 1.2 Scope and objectives of the guidance 2 1.3 Target audience 2 2. Background 3 2.1 Tuberculosis and latent tuberculosis infection 3 2.2 TB/LTBI as a public health priority for EU/EEA 3 3. Guidance development 4 3.1 Inventory of expert opinions 4 3.2 Evidence collection, appraisal and synthesis 5 3.3 Expert consultation 7 4. Conclusions 8 4.1 Target risk groups 8 4.2 Diagnosis of LTBI 16 4.3 Treatment of LTBI 18 4.4 Programmatic issues of LTBI management 21 4.5 ECDC assessment 27 5

2019 European Centre for Disease Prevention and Control - Public Health Guidance

87. Preoperative or Postoperative Therapy for the Management of Patients with Stage II or III Rectal Cancer

Preoperative or Postoperative Therapy for the Management of Patients with Stage II or III Rectal Cancer Evidence-Based Series 2-4 Version 3 A Quality Initiative of the Program in Evidence-Based Care (PEBC), Cancer Care Ontario (CCO) Preoperative or Postoperative Therapy for the Management of Patients with Stage II or III Rectal Cancer Members of the Gastrointestinal Cancer Disease Site Group Evidence-based Series (EBS) 2-4 Version 3 was reviewed in 2019 and ENDORSED by the Gastrointestinal (...) Section 4: Document Review Summary and Review Tool March 13, 2019 For information about this document, the PEBC and/or the most current version of all reports, please visit the CCO web site at http://www.cancercare.on.ca/ or contact the PEBC office at: Phone: 905-527-4322 ext. 42822 Fax: 905-526-6775 Email: ccopgi@mcmaster.ca PEBC Report Citation (Vancouver Style): Wong R, Berry S, Spithoff K, Simunovic M, Chan K, Agboola O, et al. Preoperative or postoperative therapy for the management of patients

2019 Cancer Care Ontario

88. The Prevention, Assessment and Management of in-Hospital Newborn Falls and Drops

. There should be a standardised debriefing tool to support staff in the event of a fall or drop. The Prevention, Assessment and Management of in-Hospital Newborn Falls and Drops A BAPM Framework for Practice 11 ©BAPM2020 Assessment and Management 15-35 This guidance aims to support units in assessing and managing babies safely following an in- hospital fall or drop specifically in relation to potential head injury. 1. Care pathway - Immediate action Physical examination and ongoing assessment of a child (...) (NEWTT+ The Prevention, Assessment and Management of in-Hospital Newborn Falls and Drops A BAPM Framework for Practice 13 ©BAPM2020 Modified GCS) (Appendix -3). Check anterior fontanelle and sutures, pupil size, symmetry and response to light, tone, power, primitive reflexes, measure head circumference and plot 4,516,17,22 . c. Decisions about severity of brain injury, management or prognosis should not be based on Modified GCS scoring alone. d. If any non-accidental injury (NAI) suspected, ensure

2020 British Association of Perinatal Medicine

89. Management and Transfer of Patients with a Diagnosis of Ruptured Abdominal Aortic Aneurysm to a Specialist Vascular Centre

. head injury, asthma etc. There is evidence of wide variation in current practice in the emergency management of patients with rAAA (see below). There is an accelerating trend for vascular and endovascular surgery to be practised in fewer, but larger, vascular centres, which is likely to increase the need for the transfer of patients from presenting centres to centres where definitive treatment can be offered. 1–3 The views of a cohort of vascular specialists (including radiologists) and emergency (...) Management and Transfer of Patients with a Diagnosis of Ruptured Abdominal Aortic Aneurysm to a Specialist Vascular Centre 0 The Royal College of Emergency Medicine Best Practice Guideline Management and Transfer of Patients with a Diagnosis of Ruptured Abdominal Aortic Aneurysm to a Specialist Vascular Centre January 2019 1 Summary of recommendations 1. A clinical diagnosis of ruptured abdominal aortic aneurysm (rAAA) should be considered: • In patients over the age of 50 years presenting

2019 Royal College of Emergency Medicine

90. Covid-19: Clinical guide for the management of anticoagulant services during the coronavirus pandemic

of missed dose, otherwise 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 (...) anticoagulation • Anticoagulation should only be initiated 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 one product is available for the indication, the product with the lowest acquisition cost should be used. • Patients with mechanical heart valves should

2020 NHS England

91. AGA Institute Rapid Review of the GI and Liver Manifestations of COVID-19, Meta-Analysis of International Data, and Recommendations for the Consultative Management of Patients with COVID-19 Full Text available with Trip Pro

and liver function test checks on admission to better quantify and qualify the association of these symptoms with COVID-19. Based on findings from our meta-analysis, we provide several Best Practice Statements for the consultative management of COVID-19. Keywords Abbreviations used in this paper: ( ), ( ), ( ), ( ), ( ), ( ), ( ), ( ), ( ), ( ), ( ), ( ), ( ), ( ) The coronavirus family has 4 common human coronaviruses (ie, 229E, NL63, OC43, and HKU1) associated with the common cold, and 3 strains (...) for possible fecal–oral transmission. Xiao F. Tang M. Zheng X. et al. Evidence for gastrointestinal infection of SARS-CoV-2. Gastroenterology. 2020; 158 : 1831-1833.e3 In addition, angiotensin converting enzyme II receptors can be expressed in hepatic cholangiocytes Zhang C. Shi L. Wang F.S. Liver injury in COVID-19: management and challenges. Lancet Gastroenterol Hepatol. 2020; 5 : 428-430 and hepatocytes, Xu L. Liu J. Lu M. et al. Liver injury during highly pathogenic human coronavirus infections. Liver

2020 American Gastroenterological Association Institute

92. Position Statement on the Management of Cardiac Electrophysiology and Cardiac Implantable Electronic Devices in Australia During the COVID-19 Pandemic: A Living Document Version 2

) infection. Increasing age and the presence of multiple medical comorbidities are associated with more severe infection and increased mortality. Many of these patients will suffer from arrhythmias. In at least one series arrhythmias were reported in 16.7% of hospitalised patients and were more common in those patients managed in the intensive care unit. Myocardial injury with raised troponin levels may be identified in hospitalised patients and is a marker of increased mortality. Atrial (...) regimens. Arrhythmias in COVID-19 patients Whilst the most common presenting clinical symptoms of SARS-CoV-2 infection are fever, cough and respiratory symptoms, some patients in China first presented with palpitations and chest tightness. 4 The reports of arrhythmias with SARS-CoV-2 infection are limited but arrhythmias do appear to occur commonly in hospitalised patients. Whilst most patients have a mild infection 10-20% may develop severe infection and a proportion of these will require management

2020 Cardiac Society of Australia and New Zealand

93. Clinical Management of Stable Coronary Artery Disease in Patients With Type 2 Diabetes Mellitus: A Scientific Statement From the American Heart Association

Clinical Management of Stable Coronary Artery Disease in Patients With Type 2 Diabetes Mellitus: A Scientific Statement From the American Heart Association Clinical Management of Stable Coronary Artery Disease in Patients With Type 2 Diabetes Mellitus: A Scientific Statement From the American Heart Association | Circulation Search Search Hello Guest! Login to your account Email Password Keep me logged in Search Search June 2020 May 2020 April 2020 March 2020 February 2020 January 2020 This site (...) uses cookies. By continuing to browse this site you are agreeing to our use of cookies. Free Access article Share on Jump to Free Access article Clinical Management of Stable Coronary Artery Disease in Patients With Type 2 Diabetes Mellitus: A Scientific Statement From the American Heart Association , MD, MHA, Chair , MD, MPH, FAHA, Vice Chair , MD, FAHA , MD , MD , MD , MD, FAHA , MD, FAHA , MD, MHS , MD, MPH, FAHA , MD, FAHA Suzanne V. Arnold , Deepak L. Bhatt , Gregory W. Barsness , Alexis L

2020 American Heart Association

94. Evaluation of functional outcome after nonsurgical management of terrible triad injuries of the elbow. (Abstract)

Evaluation of functional outcome after nonsurgical management of terrible triad injuries of the elbow. Terrible triad (TT) is one of the severe injuries of the elbow that generally requires surgery. Nonsurgical treatment has recently been applied in selected cases of TT injury. Evaluation of the results of this treatment was the main aim of this study.In a prospective cohort study, 10 patients with a mean follow-up of 30.6 months were evaluated. The inclusion criteria included a congruent joint (...) and the contralateral elbows, respectively, the mean extension of the elbow was 11° ± 7° and 0.0° ± 2°; the mean flexion was 131° ± 9° and 140° ± 10°; the mean supination was 58° ± 17° and 85 ± 7°; and the mean pronation was 53° ± 23° and 85° ± 7°. The mean Disabilities of the Arm, Shoulder, and Hand score was 4.76 ± 5.17. The mean Mayo Elbow Performance Index was 95 ± 8.16.Nonsurgical management of the TT injury can result in acceptable functional outcomes when a patient meets the criteria set for nonsurgical

2017 Journal of Shoulder and Elbow Surgery

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

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

2017 Quality Management in Health Care

96. Diagnosis and Treatment of Traumatic Cerebrovascular Injury: Pitfalls in the Management of Neurotrauma Full Text available with Trip Pro

was based on the Guidelines for the Management of Severe Head Injury in Japan. TCVI was confirmed in 33 (1.7%) patients; 29 blunt and 4 penetrating injuries. The primary location of the injury included 16 cervical, 6 craniofacial, and 11 intracranial lesions. On arrival, 15 patients presented with hemorrhage, 5 of these arrived in shock status with massive hemorrhage. Ten presented with ischemic symptoms. Sixteen patients underwent surgical or endovascular intervention, 13 of whom required immediate (...) Diagnosis and Treatment of Traumatic Cerebrovascular Injury: Pitfalls in the Management of Neurotrauma Traumatic cerebrovascular injury (TCVI) is an uncommon clinical entity in traumatic brain injury (TBI), yet it may cause devastating brain injury with high morbidity and mortality. Early recognition and prioritized strategic treatment are of paramount importance. A total of 1966 TBI patients admitted between 1999 and 2015 in our tertiary critical care center were reviewed. Screening of TCVI

2017 Neurologia medico-chirurgica

97. Purely Ligamentous Flexion-Distraction Injury in a Five-Year-Old Child Treated with Surgical Management Full Text available with Trip Pro

involved in a head-on collision who suffered a purely ligamentous flexion-distraction injury (Chance-type injury, without bone involvement) at the L2-L3 vertebral level. Previously these injuries were managed conservatively with serial casting; however, we present a case in which surgical management was used. A five-year-old girl sustained multiple injuries after being involved in a high-speed motor vehicle accident. At presentation, there was obvious abdominal bruising with a seat-belt sign and marked (...) and internal fixation with an L2-L3 laminectomy, pedicle screw and rod placement. The kyphotic deformity was reduced using a compression device and stable alignment was achieved intraoperatively. This was a rare and difficult case with limited evidence on the appropriate management of such an injury. Due to the severe instability of her injury, a surgical approach was taken. At two years postoperative, the patient is neurologically intact and pain free. Imaging revealed stable alignment of her lumbar

2017 Cureus

98. Management of screwdriver-induced penetrating brain injury: a case report. Full Text available with Trip Pro

Management of screwdriver-induced penetrating brain injury: a case report. Penetrating brain injury (PBI) can be caused by several objects ranging from knives to chopsticks. However, an assault with long and electric screwdriver is a peculiar accident and is relatively rare. Because of its rarity, the treatments of such injury are complex and nonstandardized.We presented a case of a 54-year-old female who was stabbed with a screwdriver in her head and accompanied by loss of consciousness for 1 (...)  h. Computer tomography (CT) demonstrated that the screwdriver passed through the right zygomatic bone to posterior cranial fossa. Early foreign body removal and hematoma evacuation were performed and the patient had a good postoperative recovery.In this study, we discussed the clinical presentation and successful management of such a unique injury caused by a screwdriver. Our goal is to demonstrate certain general management principles which can improve patient outcomes.

2017 BMC Surgery

99. Management of stable angina

myocardial perfusion is due to arterial narrowing resulting from underlying atherosclerotic CAD. Stable angina is usually assessed in the outpatient setting. It is important when taking a clinical history to identify, and manage appropriately, those patients whose symptoms may be due to the more severe changes of plaque erosion and rupture occurring as part of the spectrum of acute coronary syndrome (see SIGN guideline number 148 on acute coronary syndromes). 10 1.2.3 TARGET USERS OF THE GUIDELINE (...) is a symptom that suggests an individual has underlying obstructive CAD. Investigation to confirm the severity and extent of underlying CAD will allow management strategies to be developed and optimise cardiovascular risk reduction. 14 A significant proportion of patients with chest pain will not have angina and initial assessment should try to identify alternative diagnoses for these patients at an early stage. Patients with acute cardiac chest pain (suspected acute coronary syndrome) are outside

2018 SIGN

100. Diagnosis and management of epilepsy in adults

after a seizure, and by recordings during sleep or following sleep deprivation. 16, 37, 38 Incidental epileptiform abnormalities are found in 0.5% of healthy young adults, but are more likely in people with learning disability and psychiatric disorders, patients with previous neurological insult (for example head injury, meningitis, stroke, cerebral palsy), and patients who have undergone neurosurgery. 39-41 Diagnosis and management of epilepsy in adults 3 • Diagnosis 2 +10 | In a patient in whom (...) for children the risks are higher after less than two years of seizure freedom than for more than two years. 153 Diagnosis and management of epilepsy in adults 4 • Treatment 2 + 2 - 2 + 1 + 1 ++20 | The effect of different rates of AED withdrawal on the risk of seizure recurrence has not been adequately studied. Important factors influencing a decision about AED withdrawal in adults include driving, employment, fear of further seizures, risks of injury or death with further seizures and concerns about

2018 SIGN

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