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Management of Severe Head Injury

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141. Neurogenic pulmonary edema after severe head injury: a transpulmonary thermodilution study. (Abstract)

Neurogenic pulmonary edema after severe head injury: a transpulmonary thermodilution study. Neurogenic pulmonary edema (NPE) is a possible complication of severe central nervous system insult. Its physiopathology is still debated. We report a fatal case of a 55-year-old man who was admitted because of severe head injury. The diagnosis of NPE was considered according to clinical and radiologic findings. Transpulmonary thermodilution study showed decreased stroke volume index and cardiac function (...) index. Indexed extravascular lung water was increased as well as pulmonary vascular permeability index. The impairment of the left ventricular function was confirmed by the echocardiographic study. Our case suggests that NPE imply both cardiac dysfunction and lung injury. Thus, transpulmonary thermodilution can be helpful in managing fluid balance and the choice of vasopressors in patients with life-threatening NPE.

2015 American Journal of Emergency Medicine

142. Dental Management of Pediatric Patients Receiving Chemotherapy, Hematopoietic Cell Transplantation, and/or Radiation Therapy

, accelerating the healing process. 23 The current MASCC/ISOO guidelines support the use of low-level laser therapy to prevent oral mucositis for patients undergoing HSC conditioning with high-dose chemotherapy with or without total body irradiation as well as patients un- dergoing radiation treatment for head and neck cancer. 22 LLLT can decrease pain and the duration and severity of chemo- therapy-induced mucositis in children. 24-26 LLLT may not be available at all cancer treatment centers due to the cost (...) , alcohol-free oral rinses, and/or oral moistur- izers are recommended. 8,32 Placing a humidifier by bedside at night may be useful. 14 Saliva stimulating drugs are not approved for use in children. Fluoride rinses and gels are recommended highly for caries prevention in these patients. Trismus: Daily oral stretching exercises/physical therapy must continue during radiation treatment. Management of trismus may include prosthetic aids to reduce the severity of fibrosis, AMERICAN ACADEMY OF PEDIATRIC

2018 American Academy of Pediatric Dentistry

143. Clinical Practice Guidelines for the Prevention and Management of Diabetes in Canada

Clinical Practice Guidelines for the Prevention and Management of Diabetes in Canada CONTENTS: April 2018 Volume 42 Supplement 1 A Publication of the Professional Section of Diabetes Canada Une publication de la Section professionnelle de Diabète Canada Publication Mail Agreement 41536048 Return undeliverable Canadian addresses to: Transcontinental Printing, 737 Moray St, Winnipeg, MB R3J 3S9 Printed in Canada S1 Introduction Robyn L. Houlden MD, FRCPC S6 Methods Diana Sherifali RN, PhD, CDE (...) , FRCPC, FACE, Yvonne Mullan MSc, RD, CDE Management S27 Organization of Diabetes Care Maureen Clement MD, CCFP, Pierre Filteau MD, CFPC, CMFC, Betty Harvey RN(EC), BScN, MScN, Susie Jin RPh, CDE, CPT BCGP, Tessa Laubscher MBChB, CCFP, FCFP, Geetha Mukerji MD, MSc, FRCPC, Diana Sherifali RN, PhD, CDE S36 Self-Management Education and Support Diana Sherifali RN, PhD, CDE, Lori D. Berard RN, CDE, Enza Gucciardi PhD, Barbara MacDonald RN, BSN, MS-DEDM, CDE, Gail MacNeill BNSc, RN, MEd, CDE S42 Targets

2018 Diabetes Canada

144. 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

145. 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

146. Clinical judgement in pediatric head injury (Babl 2018)

that should be noted. The primary outcome is a composite outcome that clearly combines things of unequal value. Death is nothing like a 2 day admission. Furthermore, an admission for 2 days is subjective, and could be influenced by a large number of factors that are completely unrelated to the severity of the injury. We are not given a very good breakdown of the actual outcomes in this manuscript. I really dislike combining GCS 13 and 15 patients into the same group. A lot of head injury studies do (...) Clinical judgement in pediatric head injury (Babl 2018) Clinical judgement in pediatric head injury (Babl 2018) - First10EM Search Clinical judgement in pediatric head injury (Babl 2018) by | Published - Updated | Emergency medicine loves decision rules. I can understand why, considering the apparent certainty they provide in a job that is anything but certain. However, decision tools are tests like any other, and can cause harm if they lead patients down inappropriate pathways. Although rare

2019 First10EM

147. Using Clinical Laboratory Tests to Monitor Drug Therapy in Pain Management Patients

and limitations for detecting specific medications within a drug class to prevent incorrect interpretation and to determine when additional testing is necessary. Strength of Recommendation: B; Quality of Evidence: II Numerous articles have compared the accuracy of immuno- assays to mass-spectrometry-based assays. However, many ar- ticles do not include pain management patients or specifically correlate results with outcomes. Overall, laboratory-based im- munoassays across several populations (e.g., pain (...) and specificity. Strength of Recommendation: A; Quality of Evidence: II Several articles provide evidence that qualitative definitive assays such as GC-MS and LC-MS/MS are more sensitive and spe- cific than laboratory-based immunoassays. One may infer, there- fore, that these assays are superior at detecting adherence/com- pliance with or diversion/misuse of various drugs/drug classes in pain management. However, none of the studies examined any patient outcomes directly. All articles demonstrate that LC-MS

2018 American Academy of Pain Medicine

148. Management of Diabetic Foot

Management of Diabetic Foot MANAGEMENT OF (SECOND EDITION) CLINICAL PRACTICE GUIDELINES 2018 MOH/P/PAK/411.18(GU)-e Ministry of Health Malaysia Academy of Medicine Malaysia Family Medicine Specialists Association of Malaysia Malaysian Endocrine & Metabolic Society Malaysian Orthopaedic AssociationManagement of Diabetic Foot (Second Edition) Published by: Malaysian Health Technology Assessment Section (MaHTAS) Medical Development Division, Ministry of Health Malaysia Level 4, Block E1, Presint 1 (...) http://www.acadmed.org.my http://www.moa-home.com http://www.mems.my http://fms-malaysia.org https://marp.online Also available as an app for Android and IOS platform: MyMaHTAS STATEMENT OF INTENT These clinical practice guidelines (CPG) are meant to be guides for clinical practice, based on the best available evidence at the time of development. Adherence to these guidelines may not necessarily guarantee the best outcome in every case. Every healthcare provider is responsible for the management

2018 Ministry of Health, Malaysia

149. Management Of Haemophilia

these activities are preferably carried out within 24-hour of factor infusion. • Sports and physical fitness are important to maintain good muscle tone to protect the joints from the haemophilic-induced injuries, and these activities contribute to improvement in quality of life. 1 Management of Haemophilia 1. INTRODUCTION Haemophilia is a group of inherited blood disorders in which there is life-long defect in the clotting mechanism. The most common types of haemophilia are haemophilia A (factor VIII (...) Management of Haemophilia Table 1. Relationship of bleeding severity to clotting factor level in haemophilia Source: World Federation of Haemophilia. Guidelines for the Management of Haemophilia (2nd edition). Montréal: Blackwell Publishing Ltd; 2012 Severity Clotting factor level Bleeding manifestations 2 infusions for complete resolution Moderate No improvement within 12 hours or worsening of symptoms requiring >2 infusions for complete resolution Poor 12 Management of Haemophilia PWH with HIV

2018 Ministry of Health, Malaysia

150. Multidisciplinary guidelines for the management of paediatric tracheostomy emergencies Full Text available with Trip Pro

% of respondents were instructing families and carers of tracheostomised children in the recognition of respiratory distress, emergency management and tube replacement . However, comprehensive, universal guidance was not described in the published literature. We also reviewed local guidelines and policies for the management of paediatric tracheostomy emergencies that were known to the authors or retrieved through our search strategies. Most detailed tracheostomy care bundles and daily care, with little (...) instructors and participants. The Working Party invited formal reviews of the algorithm from several organisations with a stated interest in patient safety, airway management and professional guidelines in children. These included the Advanced Life Support Group, the Association of Paediatric Anaesthetists, the British Association of Paediatric Otolaryngologists, the Global Tracheostomy Collaborative, the Paediatric Intensive Care Society, the Resuscitation Council (UK) and the Royal College

2018 Association of Paediatric Anaesthetists of Great Britain and Ireland

151. A Guideline for the Clinical Management of Opioid Use Disorder

to translating the best scientific evidence into practice and policy change, promoting evidence-based approaches to addiction, and training the next generation of leaders through our comprehensive education programs. British Columbia Centre on Substance Use and B.C. Ministry of Health. A Guideline for the Clinical Management of Opioid Use Disorder. Published June 5, 2017. Available at: http://www.bccsu.ca/care-guidance-publications/4 AUTHORS AND CONTRIBUTORS Provincial Opioid Use Disorder Treatment Guideline (...) management) to be coupled with treatments that have been proven to promote abstinence from heroin and other opioid use. This may be particularly valuable given the evidence in support of changing the environment of individuals who are seeking treatment for concurrent opioid and cocaine dependence, and who are severely addicted and actively using. 119,120 Of note, methadone doses may need adjustment as patients transition into and out of cocaine abstinence, as cocaine is a CYP inducer that can increase

2017 Clinical Practice Guidelines and Protocols in British Columbia

152. Diagnosis, Staging, and Management of Hepatocellular Carcinoma

Diagnosis, Staging, and Management of Hepatocellular Carcinoma 723 PRACTICE GUIDANCE | Hepatology , Vol. 68, No . 2, 2018 VIRAL HEPATITIS Diagnosis, Staging, and Management of Hepatocellular Carcinoma: 2018 Practice Guidance by the American Association for the Study of Liver Diseases Jorge a. Marrero, 1 laura M. Kulik, 2 Claude B. Sirlin, 3 andrew X. Zhu, 4 Richard S. Finn, 5 Michael M. a becassis, 2 l ewis R. Roberts, 6 and Julie K. Heimbach 6 Purpose and Scope This guidance provides a data (...) -supported approach to the diagnosis, staging, and treatment of patients diag- nosed with hepatocellular carcinoma (HCC). A guid- ance document is different from a guideline. Guidelines are developed by a multidisciplinary panel of experts who rate the quality (level) of the evidence and the strength of each recommendation using the Grading of Recommendations Assessment, Development, and Evaluation system (GRADE). A guidance document is developed by a panel of experts in the topic, and guidance

2018 American Association for the Study of Liver Diseases

153. Diagnosis, Evaluation, and Management of High Blood Pressure in Children and Adolescents

HTN in children impact long-term risk of HTN into adulthood? Among children and adolescents with systemic HTN, how does the presence and the severity of systemic HTN influence comorbidities such as dyslipidemia, obstructive sleep apnea syndrome (OSAS), and cognition? Search Strategy The epidemiologist and 2 librarians created a list of appropriate search terms and strategies (see Appendix A). Search terms included keywords and database-specific terminology (eg, medical subject headings terms (...) Diagnosis, Evaluation, and Management of High Blood Pressure in Children and Adolescents Diagnosis, Evaluation, and Management of High Blood Pressure in Children and Adolescents | From the American Academy of Pediatrics | Pediatrics '); document.write(''); } function OAS_AD(pos) { if (OAS_version >= 11 && typeof(OAS_RICH)!='undefined') { OAS_RICH(pos); } else { OAS_NORMAL(pos); } } //--> Search for this keyword Source User menu Sections Sign up for highlighting editor-chosen studies

2018 American Academy of Pediatrics

154. Stroke in childhood - clinical guideline for diagnosis, management and rehabilitation

Stroke in childhood - clinical guideline for diagnosis, management and rehabilitation Stroke in childhood Clinical guideline for diagnosis, management and rehabilitation May 2017 i Endorsement Association of Ambulance Chief Executives Association of Paediatric Chartered Physiotherapists British Association for Community Child Health British Academy of Childhood Disability British Association of General Paediatrics British Association of Stroke Physicians British Paediatric Neurology Association (...) does happen to children and young people and in showing that there are interventions that can make a difference. The first edition of these guidelines was published over 12 years ago, and one of the major conclusions then was a desperate need for more research into stroke in childhood. It is therefore disappointing that there has been so little progress in so many areas of stroke management. We are still in a position where most of the recommendations are based on expert consensus or weak evidence

2017 Royal College of Paediatrics and Child Health

155. Management of Pregnancy

factors, such as poor relationship satisfaction and low self- esteem.[ ] 22-24 Other VA/DoD CPGs provide guidance regarding care for the following conditions: • Screening and Management of Obesity and Overweight (VA/DoD Obesity CPG) 1 • Management of Posttraumatic Stress Disorder and Acute Stress Disorder (VA/DoD PTSD CPG) 2 • Management of Major Depressive Disorder (VA/DoD MDD CPG) 3 III. About this Clinical Practice Guideline This guideline represents an important step toward improving the treatment (...) Management of Pregnancy VA/DOD CLINICAL PRACTICE GUIDELINE FOR THE MANAGEMENT OF PREGNANCY Department of Veterans Affairs Department of Defense QUALIFYING STATEMENTS The Department of Veterans Affairs and the Department of Defense guidelines are based upon the best information available at the time of publication. They are designed to provide information and assist decision making. They are not intended to define a standard of care and should not be construed as one. Neither should

2018 VA/DoD Clinical Practice Guidelines

156. Guideline for the management of knee and hip osteoarthritis

questions for hip OA 691 Guideline for the management of knee and hip osteoarthritis Second edition Summary: Plain language Osteoarthritis (OA) is a chronic disease and the most common form of chronic arthritis. It is characterised by joint pain, stiffness and swelling, and mainly affects the hands, knees and hips. OA most frequently occurs in people aged >55 years, although younger people can also be affected. Risk factors for OA include joint injury, being overweight or obese, and older age (...) Guideline for the management of knee and hip osteoarthritis racgp.org.au Healthy Profession. Healthy Australia. Guideline for the management of knee and hip osteoarthritis Second editionGuideline for the management of knee and hip osteoarthritis. Second edition Disclaimer The information set out in this publication is current at the date of first publication and is intended for use as a guide of a general nature only and may or may not be relevant to particular patients or circumstances. Nor

2018 Clinical Practice Guidelines Portal

157. Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU Full Text available with Trip Pro

” the experiencing person says it is, existing “whenever” the experiencing person says it does ( ). Although the reference standard measure of pain is a patient’s self-report, the inability to communicate clearly does not negate a patient’s pain experience or the need for appropriate pain management ( ). Fortunately, validated behavioral pain scales provide alternative measures for pain assessment in those patients unable to self-report their pain . Severe pain negatively affects patient status (e.g., cardiac (...) Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU Clinical Practice Guidelines for the Prevention and Manageme... : Critical Care Medicine You may be trying to access this site from a secured browser on the server. Please enable scripts and reload this page. Login No user account? Lippincott Journals Subscribers , use your username or email along with your password to log in. Remember me

2018 Society of Critical Care Medicine

158. Perioperative Management of Obstructive Sleep Apnea and Obesity Hypoventilation Syndrome: A Workshop Report

andanincreaseintheapnea–hypopneaindex (AHI)inbothpatientswithandwithoutOSA (6). The most severe arterial oxygen desaturations and highest AHI occur on Night 3 postoperatively, and have been attributed in part to a gradual increase in rapid eye movement sleep and a reduction in the use of supplemental oxygen after the initial postoperative night (6). Numerous variablesin?uencesleep-disorderedbreathing in the perioperative period, including the anesthetic, upper airway injury after intubation,?uid shifts, pain (...) the basis for the SASM guidelines (1). During the creation of these guidelines, numerous limitations in our knowledge on how to identify and manage OSA perioperatively were identi?ed. An additional drive to better understand perioperative management of sleep-disordered breathing is that OSA-related perioperative complications are increasingly linked to malpractice lawsuits with severe ?nancial penalties (2, 13). Further research in this area is urgently needed. The purpose of this workshop

2018 American Thoracic Society

159. Management of Acute Myocardial Infarction in patients presenting with ST-segment elevation Full Text available with Trip Pro

Management of Acute Myocardial Infarction in patients presenting with ST-segment elevation 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. 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation | European Heart Journal | 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 07 January 2018 Article Contents Article Navigation 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: The Task Force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC) Borja Ibanez (Chairperson) (Spain) * Corresponding authors

2017 European Society of Cardiology

160. Management of Valvular Heart Disease Full Text available with Trip Pro

artery disease The use of stress tests to detect CAD associated with severe valvular disease is discouraged because of their low diagnostic value and potential risks. A summary of the management of associated CAD is given in section 3.1.3.1 (see table of recommendations on the management of CAD in patients with VHD) and is detailed in specific guidelines. 3.7.2 Atrial fibrillation Non-vitamin K antagonist oral anticoagulants (NOACs) are approved only for non-valvular atrial fibrillation (...) of evidence. Management of atrial fibrillation in patients with VHD LA = left atrial; NOAC = non-vitamin K antagonist oral anticoagulant; VHD = valvular heart disease; VKA = vitamin K antagonist. a Class of recommendation. b Level of evidence. Key points Precise evaluation of the patient’s history and symptomatic status as well as proper physical examination are crucial for the diagnosis and management of VHD. Echocardiography is the key technique to diagnose VHD and assess its severity and prognosis

2017 European Society of Cardiology

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