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Management of Severe Head Injury

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81. The economic impact of S-100B as a pre-head CT screening test on emergency department management of adult patients with mild traumatic brain injury

The economic impact of S-100B as a pre-head CT screening test on emergency department management of adult patients with mild traumatic brain injury The economic impact of S-100B as a pre-head CT screening test on emergency department management of adult patients with mild traumatic brain injury The economic impact of S-100B as a pre-head CT screening test on emergency department management of adult patients with mild traumatic brain injury Ruan S, Noyes K, Bazarian JJ Record Status (...) ’ conclusions should be interpreted with caution. Funding Supported by a grant from the National Center for Research Resources, National Institutes of Health (NIH), USA, and the NIH Roadmap for Medical Research. Bibliographic details Ruan S, Noyes K, Bazarian JJ. The economic impact of S-100B as a pre-head CT screening test on emergency department management of adult patients with mild traumatic brain injury. Journal of NeuroTrauma 2009; 26(10): 1655-1664 PubMedID DOI Original Paper URL Indexing Status

2009 NHS Economic Evaluation Database.

82. Association between Hyperglycaemia with Neurological Outcomes Following Severe Head Trauma (PubMed)

Association between Hyperglycaemia with Neurological Outcomes Following Severe Head Trauma Head Trauma (HT) is a major cause of death, disability and important public health problem. HT is also the main cause of hyperglycaemia that can increase mortality.The aim of this study was to assess the correlation between hyperglycaemia with neurological outcomes following severe Traumatic Brain Injury (TBI).This is a descriptive and correlation study that was carried out at the Imam Khomeini Hospital (...) affiliated with Ilam University of Medical Sciences, Ilam, IR, during March 2014-March 2015 on patients with severe TBI. Data were collected from the patient records on mortality, Intensive Care Unit (ICU) length of stay, hospital length of stay, admission GCS score, Injury Severity Score (ISS), mechanical ventilation, Ventilation Associated Pneumonia (VAP) and Acute Respiratory Distress Syndrome (ARDS). Random Blood Sugar (RBS) level on admission was recorded. Patients with diabetes mellitus

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2016 Journal of clinical and diagnostic research : JCDR

83. Stroke and transient ischaemic attack in over 16s: diagnosis and initial management

the possible risks of not offering CT brain imaging to everyone with a suspected TIA. They agreed that, in the absence of clinical 'red flag' indicators (for example, headache, anticoagulation, head injury, repetitive stereotyped events), it is rare for a CT scan to reveal an alternative diagnosis needing a different referral pathway. Therefore, the number of referrals to TIA clinics should not increase greatly. Stroke and transient ischaemic attack in over 16s: diagnosis and initial management (NG128) © (...) or thrombectomy on anticoagulant treatment a known bleeding tendency a depressed level of consciousness (Glasgow Coma Score below 13) unexplained progressive or fluctuating symptoms Stroke and transient ischaemic attack in over 16s: diagnosis and initial management (NG128) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 7 of 38papilloedema, neck stiffness or fever severe headache at onset of stroke symptoms. If thrombectomy

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

84. Prostate cancer: diagnosis and management

insignificant prostate cancer if they have a prostate biopsy. The most common type of biopsy, transrectal ultrasound-guided (TRUS), has some rare but important complications. The most serious is sepsis, which develops in a bit less than 1 out of 100 people. Other serious complications, including acute urinary retention, severe haematuria and severe rectal bleeding may need hospitalisation. Prostate cancer: diagnosis and management (NG131) © NICE 2019. All rights reserved. Subject to Notice of rights (https (...) reported in: 3 out of 100 patients offered active surveillance 2 out of 100 patients offered radical prostatectomy 4 out of 100 patients offered radical radiotherapy. Prostate cancer: diagnosis and management (NG131) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 16 of 51Moderate to severe impact of bowel habits on quality of life: At 6 months, it was reported in: 3 out of 100 patients offered active surveillance 3

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

85. Appropriate Use Criteria: Imaging of the Head & Neck

adenoma Diagnosis of suspected pituitary adenoma when supported by symptoms and laboratory findings Management (including perioperative evaluation) of known adenoma Seizure disorder ? Initial evaluation, to rule out a structural brain lesion as a cause of seizure ? Evaluation of seizures increasing in frequency or severity ? Prior to discontinuation of anticonvulsant therapy in patients who have not been previously imaged Trauma Initial evaluation when a mechanism of injury has been identified (...) . Imaging evaluation of sensorineural hearing loss. Semin Ultrasound CT MR. 2001 Jun;22(3):229-49. Review. 26. Davis T, Ings A; National Institute of Health and Care Excellence. Head injury: triage, assessment, investigation and early management of head injury in children, young people and adults (NICE guideline CG 176). Arch Dis Child Educ Pract Ed. 2015 Apr;100(2):97-100. 27. De Falco F a. Sentinel headache. Neurol Sci. 2004;25 Suppl 3:S215-S217. 28. Delgado Almandoz JE, Jagadeesan BD, Refai D, et al

2018 AIM Specialty Health

86. A Review of Sport-Related Head Injuries (PubMed)

A Review of Sport-Related Head Injuries We review current topics in sport-related head injuries including acute subdural hematoma (ASDH), traumatic cerebrovascular disease, cerebral concussion, and chronic traumatic encephalopathy (CTE). Sports-related ASDH is a leading cause of death and severe morbidity in popular contact sports like American football and Japanese judo. Rotational acceleration can cause either cerebral concussion or ASDH due to rupture of a parasagittal bridging vein (...) . To avoid fatal consequences of CTE, it is essential to understand the criteria for safe post-concussion sports participation. Once diagnosed with a concussion, an athlete should not be allowed to return to play on the same day and should not resume sports before the concussion symptoms have completely resolved. Information about the risks and management of head injuries in different sports should be widely disseminated in educational institutions and by sport organization public relations campaigns.

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2016 Korean Journal of Neurotrauma

87. Evaluation of Discriminating Power of Two Biomarkers in the Evaluation of Cerebral Lesions Due to Head Injuries in Infants and Children

Evaluation of Discriminating Power of Two Biomarkers in the Evaluation of Cerebral Lesions Due to Head Injuries in Infants and Children Evaluation of Discriminating Power of Two Biomarkers in the Evaluation of Cerebral Lesions Due to Head Injuries in Infants and Children - 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 (...) protein S100B and copetin). It is the first clinical biological evaluation of severity of head injury based on dosing of copeptin alone or associated with protein S100B. Condition or disease Intervention/treatment Phase Traumatic Brain Injury Other: Blood samples Not Applicable Detailed Description: 220 children or infants will be recruited during 24 months. Each patient will attend: a visit of inclusion: a visit at 96 hours +/-24hours after the inclusion: this visit is made by phone. The patient

2016 Clinical Trials

88. Head Injury

Head Injury Head Injury Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Head Injury Head Injury Aka: Head Injury , Head Trauma (...) , Closed Head Injury , Craniocerebral Trauma , Traumatic Brain Injury From Related Chapters II. Epidemiology : 1.7 Million tic brain injuries in U.S. per year in 75% of cases Hospitalizations: 275,000 Deaths: 52,000 III. Pathophysiology (ICP) association with injury Note measurements are in mmHg, not cmH2O Normal: 10 mmHg ICP Abnormal: 20 mmHg ICP Severe: 40 mmHg ICP tion: 50 mmHg ICP Hypertensive response in face of increased ICP Helps maintain cerebral perfusion Do not use antihypertensives to lower

2018 FP Notebook

89. Head Injury CT Indications in Children

Head Injury CT Indications in Children Head Injury CT Indications in Children Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Head (...) hours in children IV. Cause: Severe mechanism of Injury (used in criteria below) Motor vehicle crash with ejection Death of another passenger Rollover Fall greater than 3 feet (>5 feet if over age 2 years) Unhelmeted pedestrian Bicyclist struck by motorized vehicle Head struck by high impact object (e.g. baseball) V. Protocol: Age <2 years old indications (4.4% risk of clinically important TBI) GCS 14 or less or other signs of or or Repetitive questions or slow response to questions Palpable

2018 FP Notebook

90. Head Injury CT Indications in Adults

Head Injury CT Indications in Adults Head Injury CT Indications in Adults Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Head Injury (...) CT Indications in Adults Head Injury CT Indications in Adults Aka: Head Injury CT Indications in Adults , Head Injury CT Indications , CT Head Indications in Head Injury , Canadian CT Head Rule , Canadian Head CT Rule , New Orleans Head CT Rule II. General Image all moderate and severe head injuries indicated in only select Recommendations listed here are for adults III. Protocol: Canadian CT Head Rule (for Mild Head Injury) See for definition Exclusion criteria (cases in which rules cannot

2018 FP Notebook

91. Increased Intracranial Pressure in Closed Head Injury

Cancer Administration 4 Increased Intracranial Pressure in Closed Head Injury Increased Intracranial Pressure in Closed Head Injury Aka: Increased Intracranial Pressure in Closed Head Injury , Increased Intracranial Pressure in Trauma , Severe Head Trauma Related Increased Intracranial Pressure From Related Chapters II. Differential Diagnosis III. Pathophysiology with secondary IV. Signs: Findings indicating management below >15 mm Severe (GCS 8 or less) Cerebral edema Severe Severe Hypopnea V (...) Increased Intracranial Pressure in Closed Head Injury Increased Intracranial Pressure in Closed Head Injury Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse

2018 FP Notebook

92. Head Injury CT Indications in Concussion

Head Injury CT Indications in Concussion Head Injury CT Indications in Concussion Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Head (...) Patients without loss of consciousness or amnesia (and at least one of the following criteria) Severe Age over 65 years signs GCS Score less than 15 Focal neurologic deficit Significant mechanism of injury Vehicle ejection Pedestrian struck by vehicle Fall from height >3 feet or 5 stairs III. Indications: Head CT for Concussion in age 2 to 20 years old (AAFP and AAP Guidelines) Inclusion Criteria Presenting within 24 hours for isolated Imaging for any of criteria met below Loss of consciousness >60

2018 FP Notebook

93. A Porcine Model of Traumatic Brain Injury via Head Rotational Acceleration (PubMed)

A Porcine Model of Traumatic Brain Injury via Head Rotational Acceleration Unique from other brain disorders, traumatic brain injury (TBI) generally results from a discrete biomechanical event that induces rapid head movement. The large size and high organization of the human brain makes it particularly vulnerable to traumatic injury from rotational accelerations that can cause dynamic deformation of the brain tissue. Therefore, replicating the injury biomechanics of human TBI in animal models (...) presents a substantial challenge, particularly with regard to addressing brain size and injury parameters. Here we present the historical development and use of a porcine model of head rotational acceleration. By scaling up the rotational forces to account for difference in brain mass between swine and humans, this model has been shown to produce the same tissue deformations and identical neuropathologies found in human TBI. The parameters of scaled rapid angular accelerations applied for the model

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2016 Methods in molecular biology (Clifton, N.J.)

94. Head Injury- A Maxillofacial Surgeon’s Perspective (PubMed)

and mechanisms of traumatic brain injury is crucial for their treatment. Many a times, facial fractures tend to distract our attention from more severe and often life threatening injuries. Early diagnosis of these intracranial haemorrhage leads to prompt treatment which is essential to improve the outcome of these patients. An oral and maxillofacial surgeon should be able to suspect and diagnose head injury and also provide adequate initial management. (...) Head Injury- A Maxillofacial Surgeon’s Perspective Injuries and violence are one of the leading causes of mortality worldwide. A substantial portion of these injuries involve the maxillofacial region. Among the concomitant injuries, injuries to the head and cervical spine are amongst those that demand due consideration on account of their life threatening behaviour. Studies have shown that facial fractures have a strong association with traumatic brain injury. Knowledge of the types

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2016 Journal of clinical and diagnostic research : JCDR

95. The role of cell-free DNA measured by a fluorescent test in the management of isolated traumatic head injuries. (PubMed)

The role of cell-free DNA measured by a fluorescent test in the management of isolated traumatic head injuries. Traumatic brain injury (TBI) is a major cause of death and disability. In this study a new method to measure cell free DNA (CFD) for the management of TBI is tested. Our hypothesis was that CFD concentrations correlate to the magnitude of brain damage, and may predict the outcome of injured patients.Twenty eight patients with isolated head injury were enrolled. Their demographic (...) and clinical data were recorded. CFD levels were determined in patients' sera samples by a direct fluorescence method developed in our laboratory.Mean admission CFD values were lower in patients with mild TBI compared to severe injury (760 ± 340 ng/ml vs. 1600 ± 2100 ng/ml, p = 0.03), and in patients with complete recovery upon discharge compared to patients with disabilities (680 ± 260 ng/ml vs. 2000 ± 2300 ng/ml, p = 0.003). Patients with high CFD values had a relative risk to require surgery of 1.5 (95

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2014 Scandinavian journal of trauma, resuscitation and emergency medicine

96. Evaluation of a Telehealth Lifestyle Management Program to Improve Healthy Behaviors Post Head Injury

Evaluation of a Telehealth Lifestyle Management Program to Improve Healthy Behaviors Post Head Injury Evaluation of a Telehealth Lifestyle Management Program to Improve Healthy Behaviors Post 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. Evaluation of a Telehealth Lifestyle Management Program to Improve Healthy Behaviors Post Head Injury (ProjectLIFT) 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: NCT02223728 Recruitment Status : Completed First Posted : August 22, 2014 Last Update Posted

2014 Clinical Trials

97. Management of Severe Head Injury

Management of Severe Head Injury Management of Severe Head Injury Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Management of Severe (...) Head Injury Management of Severe Head Injury Aka: Management of Severe Head Injury , Severe Head Injury , Severe Head Trauma From Related Chapters II. Indications (GCS) <= 8 ( ) III. Evaluation See (ABCDE) lary light reaction Oculocephalic ( ): if no IV. Diagnostics: Testing in Unknown Injury Head Evaluation in all patients Air ventriculogram Cerebral Angiogram Spinal cord evaluation CT in most (if not all) patients Abdominal Evaluation If Systolic <100 mmHg or Exploratory Laparotomy/Celiotomy

2015 FP Notebook

98. Management of screwdriver-induced penetrating brain injury: a case report. (PubMed)

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.

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2017 BMC Surgery

99. 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

2017 Quality Management in Health Care

100. Evaluation of functional outcome after nonsurgical management of terrible triad injuries of the elbow. (PubMed)

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

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