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Management of Severe Head Injury

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121. 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

122. Purely Ligamentous Flexion-Distraction Injury in a Five-Year-Old Child Treated with Surgical Management (Full text)

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 PubMed abstract

123. Diagnosis and Treatment of Traumatic Cerebrovascular Injury: Pitfalls in the Management of Neurotrauma (Full text)

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 PubMed abstract

124. Traumatic brain injury

intracranial pressure (ICP)] are [hypertonic sodium solutions better than mannitol] at [reducing morbidity and mortality]? Clinical Scenario A 54 year old female pedestrian has been hit by a bus. She is brought into the ED by ambulance. Her GCS is 13 on arrival and examination reveals an isolated head injury with a haematoma over the left occiput. CT confirms a right 2011 13. Elevation of the head during intensive care management in people with severe traumatic brain injury . BACKGROUND: Traumatic brain (...) of the questions/sections on the left-hand side of this page. But if you still have questions please contact us via jon.brassey@tripdatabase.com Top results for traumatic brain injury 1. Guidelines for the Management of Severe Traumatic Brain Injury (4th edition) Guidelines for the Management of Severe Traumatic Brain Injury , Fourth Edition | Neurosurgery | Oxford Academic We use cookies to enhance your experience on our website. By continuing to use our website, you are agreeing to our use of cookies. You

2018 Trip Latest and Greatest

125. Cerebral palsy in under 25s: assessment and management

and management (NG62) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 7 of 46children with cerebral palsy born after 35 weeks: attributed to a perinatal hypoxic–ischaemic injury: 20% not attributed to a perinatal hypoxic–ischaemic injury: 12%. 1.2.7 Recognise that for cerebral palsy associated with a perinatal hypoxic–ischaemic injury: the extent of long-term functional impairment is often related to the severity (...) of the initial encephalopathy the dyskinetic motor subtype is more common than other subtypes. 1.2.8 Recognise that for cerebral palsy acquired after the neonatal period, the following causes and approximate prevalences have been reported: meningitis: 20% other infections: 30% head injury: 12%. 1.2.9 When assessing the likely cause of cerebral palsy, recognise that independent risk factors: can have a cumulative impact, adversely affecting the developing brain and resulting in cerebral palsy may have

2017 National Institute for Health and Clinical Excellence - Clinical Guidelines

126. Glaucoma: diagnosis and management

a visual field defect or IOP of Glaucoma: diagnosis and management (NG81) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 5 of 4124 mmHg or more, unless clinical circumstances indicate urgent or emergency referral is needed. [2017] [2017] 1.1.5 Refer for further investigation and diagnosis of COAG and related conditions, after considering repeat measures as in recommendation 1.1.4, if: there is optic nerve head damage (...) , amended 2017] 1.4.5 When a visual field defect has previously been detected, use the same measurement strategy for each visual field assessment. [2009] [2009] 1.4.6 When clinically indicated, repeat assessment of the optic nerve head (for Glaucoma: diagnosis and management (NG81) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 8 of 41example, stereoscopic slit lamp biomicroscopy or imaging). [2017] [2017] 1.4.7 When

2017 National Institute for Health and Clinical Excellence - Clinical Guidelines

127. 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.

128. 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

129. 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

130. 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

131. Diagnosis and Management of Acute Pulmonary Embolism (Full text)

Assessment of pulmonary embolism severity and the risk of early death 18 5.1 Clinical parameters of pulmonary embolism severity 18 5.2 Imaging of right ventricular size and function 18 5.2.1 Echocardiography 18 5.2.2 Computed tomographic pulmonary angiography 19 5.3 Laboratory biomarkers 19 5.3.1 Markers of myocardial injury 19 5.3.2 Markers of right ventricular dysfunction 19 5.3.3 Other laboratory biomarkers 19 5.4 Combined parameters and scores for assessment of pulmonary embolism severity 20 5.5 (...) for high-risk PE (Section 6.1). A dedicated management algorithm is proposed for high-risk PE ( Supplementary Figure ). NOACs are recommended as the first choice for anticoagulation treatment in a patient eligible for NOACs; VKAs are an alternative to NOACs. The risk-adjusted management algorithm ( Figure ) was revised to take into consideration clinical PE severity, aggravating conditions/comorbidity, and the presence of RV dysfunction. Chronic treatment after the first 3 months Risk factors for VTE

2019 European Society of Cardiology PubMed abstract

132. Guidelines on Supraventricular Tachycardia (for the management of patients with) (Full text)

and electrophysiological procedures. The ESC published management Guidelines for supraventricular tachycardias (SVTs) in 2003 ; corresponding US guidelines have also been published, the most recent being in 2015. There is a need to provide expert recommendations for professionals participating in the care of patients presenting with SVT. In addition, several associated conditions where SVTs may coexist need to be explained in more detail. To address this topic, a Task Force was convened by the ESC, with the remit (...) by agreement of the expert panel after thorough deliberation. The document was peer-reviewed by official external reviewers. The strengths of the recommendations and levels of evidence of particular management options were weighed and graded according to predefined scales, as outlined above in Tables and , respectively. Overall, these Guidelines include evidence and expert opinions from several countries. The pharmacological and non-pharmacological antiarrhythmic approaches discussed may therefore include

2019 European Society of Cardiology PubMed abstract

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

and main findings from the mathematical modelling and cost- effectiveness analyses) is summarised in text and tables to provide an overview of the evidence that informed the possible options for programmatic management of LTBI. Complementary, topic-relevant evidence based guidelines are considered in the narrative text. In the tables with the evidence base, the following is presented: • Specific research questions used in the evidence collection process as headings/sub-headings; • Systematic reviews (...) of LTBI (Table 2), but evidence of increased risk of progression to active TB in people with LTBI belonging to clinical risk groups (i.e. PLHIV and severely immunocompromised persons) was found in all systematic reviews (Table 3). One evidence-based guideline for programmatic management of LTBI listed specific clinical risk groups (based on their risk of progression to active disease) for targeted screening and treatment, differentiated according the country’s socioeconomic and epidemiological profile

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

134. 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 (...) is a risk factor for both. Evidence Summary SMG-3 SMG-3. Guidelines on Management of Dyspnea Page 9 Several recent guidelines on COPD exist (see Appendix E), including those by the Global Initiative for Chronic Obstructive Lung Disease (GOLD) [47], Lung Foundation Australia/Thoracic Society of Australia and New Zealand (based largely on GOLD) [48], the Canadian Thoracic Society [53,55,56], American College of Chest Physicians/Canadian Thoracic Society [54], and the European Respiratory Society/American

2019 Cancer Care Ontario

135. Is traumatic brain injury preventable in amateur boxing competition?

of traumatic brain injury (TBI) as a consequence of repeated blows to the head. Traumatic brain injury can be classified as acute TBI, commonly known as a concussion, and chronic TBI, sometimes called chronic traumatic encephalitis (CTE). 3 Concussion represents an immediate and transient response of the brain to trauma, 4 while CTE is a . 5 Concussions occur less frequently in amateur boxing than professional boxing. 6 The reduction of concussions in amateur boxing could be attributed to shorter match (...) biomarker concentrations included being hit over 15 times in the head during an amateur bout and grogginess after fighting. Further investigation into neuronal damage biomarkers in boxers could provide promising diagnostic and prognostic information regarding acute and chronic TBI. Of note, there was no significant association found in a 2013 study between levels of neuronal and axonal injury biomarkers and . 11 The ability to assess for genetic predisposition to chronic brain injury would be helpful

2019 Clinical Correlations

136. Transcatheter aortic valve implantation (TAVI) for severe symptomatic aortic stenosis

implantation compared to AVR. TAVI was also associated with a lower incidence of strokes, major bleeding, acute kidney injury and new or worsening atrial fibrillation. ? A recent economic evaluation utilising the CoreValve US trial data was adapted to the NHSScotland setting. The results indicate that TAVI may be a cost-effective treatment option for severe aortic stenosis (AS) patients at high surgical risk. However, cost- effectiveness is contingent upon the TAVI device costs being less than £19,500 (...) of these is the multicentre PARTNER trial that recruited patients at 23 sites in the US, two in Canada and one in Germany. Patients with severe calcific AS and New York Heart Association (NYHA) functional class =II were randomised in two separate cohorts: high-risk surgical patients were randomised to undergo TAVI with the SAPIEN™ valve or surgical AVR (cohort A) while those who were considered not to be suitable candidates for surgery were randomised to TAVI or conservative treatment in the form of medical management

2017 Evidence Notes from Healthcare Improvement Scotland

137. 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

138. 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

139. Policy Prevention of Sports-related Orofacial Injuries

protective equipment. 11-14 A large national survey confirmed the bicycle as the most common consumer sports product related to dental injuries in children, followed by playground equip- ment, other riding equipment (skates, inline skates), and trampolines. 3 The use of the trampoline provides specialized training for certain sports. However, when used recreationally, a signifi- cant number of head and neck injuries occurs, with head injuries most commonly a result of falls. 15 The American Academy (...) Data from this source found that in 2016-2017 school year, of the 699,441 injuries reported during competition, 223,623 (32 percent) occurred to the head/face; another 91,410 occurred during practice. 21 A similar study using this database followed athletes from 2008-2014 and found the rate of dental injuries in competition was three times higher than in practice. 21 For the majority of these reported injuries, the athlete was not wearing a mouthguard. 20 Review of this data-base found the highest

2018 American Academy of Pediatric Dentistry

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

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

2014 Scandinavian journal of trauma, resuscitation and emergency medicine PubMed abstract

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