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Management of Severe Head Injury

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101. 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

102. 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

103. 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

104. 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

105. 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

106. 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

107. 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

108. 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

109. 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)

110. 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

111. 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

112. 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

113. 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

114. The Acute Cardiopulmonary Management of Patients With Cervical Spinal Cord Injuries

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

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2013 Congress of Neurological Surgeons

115. Methodology of the Guidelines for the Management of Acute Cervical Spine and Spinal Cord Injuries

; 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

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2013 Congress of Neurological Surgeons

116. Assessment of traumatic brain injury, acute

of severity and prognosis. Carney N, Totten AM, O'Reilly C, et al. Guidelines for the management of severe traumatic brain injury, fourth edition. Neurosurgery. 2017 Jan 1;80(1):6-15. https://braintrauma.org/uploads/03/12/Guidelines_for_Management_of_Severe_TBI_4th_Edition.pdf http://www.ncbi.nlm.nih.gov/pubmed/27654000?tool=bestpractice.com Stiell IG, Wells GA, Vandemheen K, et al. The Canadian CT head rule for patients with minor head injury. Lancet. 2001;357(9266):1391-6. http://www.ncbi.nlm.nih.gov (...) . The Canadian CT head rule for patients with minor head injury. Lancet. 2001;357(9266):1391-6. http://www.ncbi.nlm.nih.gov/pubmed/11356436?tool=bestpractice.com Bullock MR, Chesnut R, Ghajar J, et al; Surgical Management of Traumatic Brain Injury Author Group. Surgical management of acute subdural hematomas. Neurosurgery. 2006 Mar;58(3 Suppl):S16-24. http://www.ncbi.nlm.nih.gov/pubmed/16710968?tool=bestpractice.com Epidural haematomas (EDH) are seen in about 10% of patients with moderate to severe TBI

2018 BMJ Best Practice

117. Overview of sport-related injuries

either a direct blow to the head or the transmission of an impulsive force to the head. Symptoms can be divided into 3 groups: cognitive, somatic, and affective. A combination of somatic and cognitive symptoms is most common. Collection of blood between the dural and arachnoid coverings of the brain. May be acute or chronic, and the primary cause is trauma. It is the most common life-threatening injury encountered by boxers. Miele VJ, Bailes JE, Cantu RC, et al. Subdural hematomas in boxing (...) haemodynamic effects. Patients typically present with new, not previously experienced, headache of variable character. Subarachnoid haemorrhage (SAH) is bleeding into the subarachnoid space. This may be due to trauma or rupture of an intracranial aneurysm (which may be triggered by stress and physical exertion). Sudden severe headache, photophobia, and loss of consciousness are characteristic. Sports are a frequent cause of these traumatic injuries. Blunt trauma to the globe of the eye (e.g., impact

2018 BMJ Best Practice

118. Assessment of traumatic brain injury, acute

of severity and prognosis. Carney N, Totten AM, O'Reilly C, et al. Guidelines for the management of severe traumatic brain injury, fourth edition. Neurosurgery. 2017 Jan 1;80(1):6-15. https://braintrauma.org/uploads/03/12/Guidelines_for_Management_of_Severe_TBI_4th_Edition.pdf http://www.ncbi.nlm.nih.gov/pubmed/27654000?tool=bestpractice.com Stiell IG, Wells GA, Vandemheen K, et al. The Canadian CT head rule for patients with minor head injury. Lancet. 2001;357(9266):1391-6. http://www.ncbi.nlm.nih.gov (...) . The Canadian CT head rule for patients with minor head injury. Lancet. 2001;357(9266):1391-6. http://www.ncbi.nlm.nih.gov/pubmed/11356436?tool=bestpractice.com Bullock MR, Chesnut R, Ghajar J, et al; Surgical Management of Traumatic Brain Injury Author Group. Surgical management of acute subdural hematomas. Neurosurgery. 2006 Mar;58(3 Suppl):S16-24. http://www.ncbi.nlm.nih.gov/pubmed/16710968?tool=bestpractice.com Epidural haematomas (EDH) are seen in about 10% of patients with moderate to severe TBI

2018 BMJ Best Practice

119. 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

2017 FP Notebook

120. Early Mobilisation After Severe Traumatic Brain Injury

Early Mobilisation After Severe Traumatic Brain Injury Early Mobilisation After Severe Traumatic Brain 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. Early Mobilisation After Severe Traumatic Brain (...) for study information Study Type : Interventional (Clinical Trial) Estimated Enrollment : 60 participants Allocation: Randomized Intervention Model: Parallel Assignment Masking: Single (Outcomes Assessor) Primary Purpose: Treatment Official Title: Early Mobilisation by Head-up Tilt With Stepping Compared With Standard Care After Severe Traumatic Brain Injury - a Randomised Clinical Feasibility Trial Study Start Date : January 2017 Estimated Primary Completion Date : May 2019 Estimated Study Completion

2016 Clinical Trials

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