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Management of Severe Head Injury

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101. 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

102. 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

103. 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

104. 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

105. 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

106. 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

107. Management of Oral and Gastrointestinal Mucosal Injury

completed at the inter- national,inter-professionallevel: ? A comprehensive update of oral and gastrointestinal tract mucositis guidelines previously produced by the Mucositis Study Group of MASCC in 2007 [2]. The most recent updated evidence-based guidelines, published in 2014 [3], represent the state-of-the-science for mucositis management in patients receiving conventional chemotherapy and/or head andneckradiation. ? Expert opinion on the management of mucosal injury caused by targeted cancer (...) . Some of these infections can be severe, leading to sepsis, respira- toryand/orhepaticfailure,andfatality[37,38]. It thus seems clinically prudent to optimise oral mucosal hygiene by utilising saline-based oral rinses. As is the case with other types of oral mucosal injury caused by cancer therapy, patient education relative to types and management of oral mucosalinjurycausedbymTORinhibitorsisofprimeimportance toreducingsevereoralulcerations,maximisingpatientcompliance, andclinicaloutcomes

2015 European Society for Medical Oncology

108. Purely Ligamentous Flexion-Distraction Injury in a Five-Year-Old Child Treated with Surgical Management (PubMed)

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

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2017 Cureus

109. Diagnosis and Treatment of Traumatic Cerebrovascular Injury: Pitfalls in the Management of Neurotrauma (PubMed)

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

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2017 Neurologia medico-chirurgica

110. A prospective observational study to assess the diagnostic accuracy of clinical decision rules for children presenting to emergency departments after head injuries (protocol): the Australasian Paediatric Head Injury Rules Study (APHIRST). (PubMed)

study of children aged 0 to less than 18 years presenting to 10 emergency departments within the Paediatric Research in Emergency Departments International Collaborative (PREDICT) research network in Australia and New Zealand after head injuries of any severity. Predictor variables identified in CATCH, CHALICE and PECARN clinical decision rules will be collected. Patients will be managed as per the treating clinicians at the participating hospitals. All patients not undergoing cranial CT (...) A prospective observational study to assess the diagnostic accuracy of clinical decision rules for children presenting to emergency departments after head injuries (protocol): the Australasian Paediatric Head Injury Rules Study (APHIRST). Head injuries in children are responsible for a large number of emergency department visits. Failure to identify a clinically significant intracranial injury in a timely fashion may result in long term neurodisability and death. Whilst cranial computed

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2014 BMC Pediatrics

111. Traumatic Brain Injury and Dementia

on the Management of Concussion-mild Traumatic Brain (mTBI) (2016) 14 and the Brain Trauma Foundation’s 4 th Edition of Guidelines for Management of Severe Traumatic Brain Injury (2016). 15 Furthermore, increased public awareness and concern about reports of Chronic Traumatic Encephalopathy (CTE) in active-duty service members has heightened the urgency to better understand the potential chronic neurodegenerative risks of TBI. 16,17 CTE is a neurodegenerative condition first recognized in contact sports (...) Consortium. Goals and Mission. https://cenc.rti.org/Goals-and-Mission. Accessed December 12, 2018. 14. The Management of Concussion-mild Traumatic Brain Injury Working Group. VA/DoD CLINICAL PRACTICE GUIDELINE FOR THE MANAGEMENT OF CONCUSSION-MILD TRAUMATIC BRAIN INJURY. Department of Veterans Affairs, Department of Defense; 2016. Evidence Brief: TBI and Dementia Evidence Synthesis Program 22 15. Carney MN, Totten SA, O'reilly WJC, et al. Guidelines for the management of severe traumatic brain injury

2019 Veterans Affairs Evidence-based Synthesis Program Reports

112. A review of pressure injury rates in Australian hospitals

) published a safety and quality improvement guide for Standard 8 – the prevention and management of pressure injuries [1] . As a result, robust audit and data collection systems should be developed to evaluate the effectiveness of current strategies and identify areas where improvements can be made. Consequently, health service organisations should ensure that mechanisms are in place to collect data on incidence, prevalence and severity of pressure injuries [2] . To ensure the highest quality of care (...) a safety and quality improvement guide for Standard 8 – the prevention and management of pressure injuries [1] . As a result, robust audit and data collection systems should be developed to evaluate the effectiveness of current strategies and identify areas where improvements can be made. Consequently, health service organisations should ensure that mechanisms are in place to collect data on incidence, prevalence and severity of pressure injuries [2] . To ensure the highest quality of care for our

2019 Monash Health Evidence Reviews

113. Systematic Review - Relationship of Deployment-related Mild Traumatic Brain Injury to Posttraumatic Stress Disorder, Depressive Disorders, Substance Use Disorders, Suicidal Ideation, and Anxiety Disorders

Synthesis Program ii ACKNOWLEDGMENTS This topic was developed in response to a nomination by Stuart Hoffman, PhD, Scientific Program Manager for Brain Injury and Senior Scientific Advisor for Brain Injury; Ralph DePalma, MD, FACS, Special Operations Officer; and David X. Cifu, MD, National Director of Physical Medicine and Rehabilitation Program Office and Chair, VHA TBI Advisory Committee, for use by the VHA TBI Advisory Committee to inform clinical practice guideline development and by the Office (...) Panel (TEP) participants; assure VA relevance; help develop and approve final project scope and timeframe for completion; provide feedback on draft report; and provide consultation on strategies for dissemination of the report to field and relevant groups. Stuart Hoffman, PhD Scientific Program Manager for Brain Injury and Senior Scientific Advisor for Brain Injury Office of Research and Development Ralph DePalma, MD, FACS Special Operations Officer David X. Cifu, MD National Director of Physical

2019 Veterans Affairs Evidence-based Synthesis Program Reports

114. Head and Neck Cancer Survivorship Care

recommendations on the management of adults after head and neck cancer (HNC) treatment, focusing on surveillance and screening for recurrence or second primary cancers, assessment and management of long-term and late effects, health promotion, care coordination, and practice implications. Methods ASCO has a policy and set of procedures for endorsing clinical practice guidelines that have been developed by other professional organizations. The American Cancer Society (ACS) HNC Survivorship Care Guideline (...) due to cancers of the oral cavity, pharynx, and larynx in the United States was 61,760 and 13,190, respectively. Single-modality therapy is used for localized head and neck cancer (HNC), whereas multimodality therapy is used for locoregionally advanced disease, with the goals of care being improved organ preservation and cancer mortality. Surgery, radiation therapy, and systemic chemotherapy can result in short-term and long-term adverse effects, which need to be managed among those who survive

2017 American Society of Clinical Oncology Guidelines

115. Criteria for CT and Initial Management of Head Injured Infants: A Review (PubMed)

Criteria for CT and Initial Management of Head Injured Infants: A Review Criteria for computed tomography (CT) to head injured infants have not been established. Since the identification of neurological findings is difficult in infants, examination by CT may be necessary in some cases, but it may be difficult to perform CT because of problems with radiation exposure and body movement. Moreover, even though no intracranial abnormality was found immediately after injury, abnormal findings may (...) appear after several hours. From this viewpoint, course observation after injury may be more important than CT in the initial treatment of head trauma in infants. The complaints and neurological manifestations of infants, particularly those aged 2 or younger, are frequently unclear; therefore, there is an opinion that CT is recommended for all pediatric patients. However, the appropriateness of its use should be determined after confirming the mechanism of injury, consciousness level, neurological

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2016 Neurologia medico-chirurgica

116. Surgical Management of Intracanal Rib Head Dislocation in Neurofibromatosis Type 1 Dystrophic Kyphoscoliosis: Report of Two Cases and Literature Review (PubMed)

Surgical Management of Intracanal Rib Head Dislocation in Neurofibromatosis Type 1 Dystrophic Kyphoscoliosis: Report of Two Cases and Literature Review There is still no consensus on the management of severe intracanal RH dislocation in neurofibromatosis type 1 dystrophic kyphoscoliosis. This study notes the early cord function impairment signs, reports a serious complication in a susceptible cord, identifies possible mechanisms of injury, and discusses the management of intracanal RH

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2016 Case reports in orthopedics

117. Multidisciplinary Postacute Rehabilitation for Moderate to Severe Traumatic Brain Injury in Adults

. 5 Different injury types and severity levels are associated with specific impairments. For example, penetrating head injuries can result in cognitive decline related to the location of the injury and the amount of tissue lost. 7 Deficits resulting from penetrating head injuries may be similar to those observed in stroke patients. 8 Closed head injuries are more common and can cause diffuse brain damage that leads to a variety of impairments unique to each individual. 8 Evidence suggests (...) Multidisciplinary Postacute Rehabilitation for Moderate to Severe Traumatic Brain Injury in Adults Multidisciplinary Postacute Rehabilitation for Moderate to Severe Traumatic Brain Injury in Adults Comparative Effectiveness Review Number 72Comparative Effectiveness Review Number 72 Multidisciplinary Postacute Rehabilitation for Moderate to Severe Traumatic Brain Injury in Adults Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 540 Gaither

2012 Effective Health Care Program (AHRQ)

118. Management of Pediatric Cervical Spine and Spinal Cord Injuries

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

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2013 Congress of Neurological Surgeons

119. Management of Vertebral Artery Injuries Following Non-Penetrating Cervical Trauma

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

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2013 Congress of Neurological Surgeons

120. The Diagnosis and Management of Traumatic Atlanto-occipital Dislocation Injuries

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

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