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Management of Severe Head Injury

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141. Management of Stroke in Neonates and Children Full Text available with Trip Pro

antihypertensive treatment, the benefit of initiating or reinitiating treatment of hypertension within the first 48 to 72 hours is uncertain. It might be reasonable to lower BP by 15% during the first 24 hours after onset of stroke. Although several prospective randomized studies have examined the role of antihypertensive treatment in the acute management of adult stroke, the results of these studies have been mixed. A lack of consistent results in previous studies may have been the result of differing (...) be particularly sensitive to rapid decreases in blood pressure, resulting in cerebral hypoperfusion. Use of antihypertensive therapy in these children can trigger flow-related ischemia. In addition, hypotension in children with stroke should be treated aggressively, and in our experience, patients with pressure-dependent stenosis may need aggressive management and monitoring for even borderline hypotension. Treatment may include laying the head of the bed flat (although recent adult data show no benefit

2019 American Heart Association

142. Clinical Practice Guideline for the Management of Infantile Hemangiomas

arch vascular abnormalities accompanying a large facial IH). This clinical practice guideline for the management of IHs emphasizes several key concepts. It defines those IHs that are potentially higher risk and should prompt concern, and emphasizes increased vigilance, consideration of active treatment and, when appropriate, specialty consultation. It discusses the specific growth characteristics of IHs, that is, that the most rapid and significant growth occurs between 1 and 3 months of age (...) evaluate, triage, and manage IHs, employing an evidence-based approach. Specifically, the CPG will: provide an approach to risk stratification and recognition of potentially problematic IHs; emphasize that early and frequent monitoring in the first few weeks and months of life is crucial in identifying those IHs that require intervention because IHs may change rapidly during this time period; review the role of imaging in patients who have IHs; and offer evidence-based guidance for the management

2019 American Academy of Pediatrics

143. AACE/ACE Guidelines for Management of Growth Hormone Deficiency in Adults and Patients Transitioning from Pediatric to Adult Care

treatment efficacy, provided the patient is treatment-adherent, and reductions in reported side effects (48,49). Adult GHD is most often associated with damage to the hypothalamic-pituitary region as a result of tumors, and/ or treatment with surgery and radiation (50). Nonetheless, in the past decade, several other subpopulations of patients, such as those with traumatic brain injury (TBI), subarach- noid hemorrhage, ischemic stroke, and infections in the central nervous system, have been described (...) Brain injury Traumatic brain injury a Sports-related head trauma a Blast injury a Infiltrative/granulomatous disease Langerhans cell histiocytosis Autoimmune hypophysitis (primary, secondary) Sarcoidosis Tuberculosis Amyloidosis Surgery to the sella, suprasellar, and parasellar region a Cranial irradiation a Central nervous system infections Bacteria, viruses, fungi, parasites Infarction/hemorrhage Apoplexy Sheehan’s syndrome Subarachnoid hemorrhage Ischemic stroke Snake bite Empty sella

2019 American Association of Clinical Endocrinologists

144. Evaluation and Management of the Child and Adult With Fontan Circulation: A Scientific Statement From the American Heart Association Full Text available with Trip Pro

Evaluation and Management of the Child and Adult With Fontan Circulation: A Scientific Statement From the American Heart Association Evaluation and Management of the Child and Adult With Fontan Circulation: A Scientific Statement From the American Heart Association | Circulation Search Hello Guest! Login to your account Email Password Keep me logged in Search December 2019 November 2019 October 2019 September 2019 August 2019 July 2019 June 2019 May 2019 April 2019 March 2019 February 2019 (...) January 2019 This site uses cookies. By continuing to browse this site you are agreeing to our use of cookies. Free Access article Share on Jump to Free Access article Evaluation and Management of the Child and Adult With Fontan Circulation: A Scientific Statement From the American Heart Association , MD, Chair , MD, FAHA , MBBS, PhD , MD , MD, PhD , MD, PhD , MD , MD, FAHA , PhD , MD, MPH, FAHA , MD, MPH, FAHA , PhD, FAHA , MD , MD , MD, MS , MD, MPP, MSCE, FAHA , MD , MBChB, FRCP , MD , MD, PhD, Co

2019 American Heart Association

145. WHO Guidelines for the pharmacological and radiotherapeutic management of cancer pain in adults and adolescents

COMPARING ANALGESICS FOR CANCER PAIN MANAGEMENT INITIATION & MAINTENANCE AND FOR BREAKTHROUGH CANCER PAIN 137 ANNEX 8: GLOSSARY .. 1386 WHO GUIDELINES FOR THE PHARMACOLOGICAL AND RADIOTHERAPEUTIC MANAGEMENT OF CANCER PAIN IN ADULTS AND ADOLESCENTS WHO GUIDELINES FOR THE PHARMACOLOGICAL AND RADIOTHERAPEUTIC MANAGEMENT OF CANCER PAIN IN ADULTS AND ADOLESCENTS ACKNOWLEDGEMENTS These guidelines were prepared by the WHO Department for Management of Noncommunicable Diseases, Disability, Violence and Injury (...) Bouesseau, Nicolas Clark, Andre Ilbawi, Taskeen Khan, Nicola Magrini and Slim Slama. The WHO Department for Management of Noncommunicable Diseases, Disability, Violence and Injury Prevention would like to thank the members of the Guideline Development Group (GDG) for the commitment, enthusiasm and expertise that they contributed. GDG members: Gauhar Afshan, Zipporah Ali, Chioma Asuzu, Eduardo Bruera, Jim Cleary 1 , Malcolm Dobbin, Kathy Foley, Harmala Gupta, Eric Krakauer 2 , Philip Larkin, Diederik

2019 World Health Organisation Guidelines

146. AACE/ACE Comprehensive Type 2 Diabetes Management Algorithm Full Text available with Trip Pro

of Endocrinology 19 Clinical Professor, Medicine, Division of Endocrinology, Diabetes, Metabolism, University California Irvine School of Medicine, Irvine, California, Co-Director, Diabetes Out-Patient Clinic, UCI Medical Center, Orange, California, Director & Principal Investigator, Diabetes/Lipid Management & Research Center, Huntington Beach, California 20 Professor of Medicine, Emory University, Section Head,, Diabetes & Endocrinology, Grady Health System, Atlanta, Georgia, Editor-in-Chief, BMJ Open (...) to lifestyle efforts. The need for medical therapy should not be interpreted as a failure of lifestyle management but as an adjunct to it. Minimizing the risk of both severe and nonsevere hypoglycemia is a priority. It is a matter of safety, adherence, and cost. Minimizing risk of weight gain is also a priority. This is important for long-term health, in addition to safety, adherence, and cost. Weight loss should be considered in all patients with prediabetes and T2D who also have overweight or obesity

2019 American Association of Clinical Endocrinologists

147. Incorporating Recognition and Management of Perinatal Depression Into Pediatric Practice

of age. , , In addition to primary associations with poor long-term outcomes for the child, untreated perinatal depression is also strongly tied with other unfavorable states and events that may add to the adverse effect on a child’s overall health and development, including the following: child abuse and neglect; failure to implement the injury-prevention components from anticipatory guidance (eg, car safety seat and electrical plug covers) , ; failure to implement preventive health practices (...) outcomes related to depression in the postpartum period, particularly on childhood development. There is growing evidence that untreated antenatal depression is 1 of the highest risk factors for meeting criteria for postpartum depression. , , , Early identification and management of depressive symptoms antenatally are needed to optimize the postpartum environment and prevent such symptoms from persisting. , , Recommendations by several professional organizations, such as the Centers for Disease Control

2019 American Academy of Pediatrics

148. Management of Hyperbilirubinemia in Healthy Term and Late Preterm Neonates

are not applicable to practice in Canada. The bilirubin levels used to diagnose ‘severe hyperbilirubinemia’ and initiate 12 CLINICAL PRACTICE GUIDELINE 18 phototherapy in the study were lower than current Canadian guidance on phototherapy management. Due to these differences in treatment thresholds, the association between formula supplementation and the prevention of hyperbilirubinemia cannot be elucidated. The following recommendation is strong, although the evidence available was of very low certainty. The WG (...) , hypotonia and poor suck to hypertonia of extensor muscles (with opisthotonus, rigidity, retrocollis), high-pitched cry, fever and irritability and eventually to seizures and coma. (2,6) An infant with severe or critical hyperbilirubinemia is at greater risk of developing kernicterus, a diagnosis of yellow staining of the brain by bilirubin and evidence of neuronal injury. (7) However, bilirubin toxicity varies in different clinical scenarios, which makes defining normal and abnormal bilirubin

2019 Ontario Midwives

149. Perinatal Management of Extreme Preterm Birth Before 27 weeks of Gestation

. Gestation-based risk assessment, including mortality and survival with severe impairment 7 1b. Modified risk assessment 8 2. Counselling parents and decision-making 11 3. Agreeing and documenting a management plan 11 Obstetric management 13 Active (survival focused) obstetric management 13 Palliative (comfort focused) obstetric management 14 Neonatal Management 15 Active (survival focused) neonatal management 15 Palliative (comfort focused) neonatal management 15 Implementation of this Framework (...) for Practice 17 Appendix 1: Outcomes for extremely preterm babies 18 Appendix 2: Situations of uncertainty and potential conflict 22 Appendix 3: Communication: Guidance for professionals consulting with families at risk of extreme preterm delivery. 23 Appendix 4: Helping parents to understand extreme preterm birth. 26 Appendix 5: Example scenarios 31 References 33 Perinatal management of extreme preterm birth before 27 weeks of gestation A BAPM Framework for Practice 3 ©BAPM 2019 Executive Summary 1

2019 British Association of Perinatal Medicine

150. Living Guideline for Diagnosing and Managing Pediatric Concussion

be referred to a physician or nurse practitioner to perform a comprehensive medical assessment to exclude more severe injuries, consider a full differential diagnosis, and confirm the diagnosis of concussion. Domain 2. Initial Medical Assessment and Management 2.1 Physicians or nurse practitioners should perform a comprehensive medical assessment on all children/adolescents with a suspected concussion or with acute head or spine trauma. 2.1a Take a comprehensive clinical history. 2.1b Note common (...) of the visual signs of a suspected concussion or reports any symptoms of a suspected concussion as detailed in the Concussion Recognition Tool 5 (Tool 1.2). Premature return to activities and sport can lead to another injury. Another blow to the head may complicate the injury further and have a longer recovery time due to the higher risk of prolonged symptoms. Severe brain swelling or cerebral edema after a concussion is very rare but potentially fatal. 14 Guideline for Diagnosing and Managing Pediatric

2019 Ontario Neurotrauma Foundation

151. Management of Hypoglycaemia in Children and Young People with Type 1 Diabetes

Management of Hypoglycaemia in Children and Young People with Type 1 Diabetes ssociation of Children’s Diabetes Clinicians Clinicians Version 4, May 2018 Review 2021 Authors: SM Ng, E Williams, F Ackland, C Burren, J Edge, E Hind, A McAulay, Bill Lamb 1 SETTING Children and young people with diabetes mellitus PATIENTS Children and young people with diabetes mellitus Guidance • Definition of hypoglycaemia in children with diabetes is a blood glucose 4.0mmol/L, Retest 20-30 minutes later (...) for review of treatment, advice or education If child not improving: • If patients have protracted vomiting and are unable to tolerate oral fluids, hospital admission and IV glucose infusion must be considered, especially if a child has returned to the emergency department with further hypoglycaemia during the same intercurrent illness. • If a child/Adolescent remains unconscious on correction of BG consider cerebral oedema, head injury, adrenal insufficiency or drug overdose ssociation of Children’s

2020 British Society for Paediatric Endocrinology and Diabetes

152. Acute Kidney Injury Management

Acute Kidney Injury Management Acute Kidney Injury Management 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 Acute Kidney Injury (...) Management Acute Kidney Injury Management Aka: Acute Kidney Injury Management , Acute Renal Failure Management From Related Chapters II. Management: General Consult Nephrology early in course Most patients with require hospitalization (except mild cases with known reversible cause) Eliminate s See Consider renal replacement therapy (see indications below) Consider specific therapy for underlying cause Example: s or Immunosuppressants in Nutritional Intake Maintain 30-50 KCal/Kg/day Hemodynamic stability

2018 FP Notebook

153. Early Tracheostomy Versus Standard of Care in Patients With Severe Head Injury

Early Tracheostomy Versus Standard of Care in Patients With Severe Head Injury Early Tracheostomy Versus Standard of Care in Patients With Severe 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 (...) Procedure: Tracheostomy Not Applicable Detailed Description: Introduction; Most patients with severe head injury cannot protect their airway, have excessive secretions and inadequate spontaneous breathing which contributes to cerebral hypoxia. Thus, in their initial management the airway is secured with either an endotracheal tube (ETT) or a tracheostomy. In Mulago Hospital some of these patients are intubated and then subjected to the wait and see strategy of delayed or no tracheostomy, very few

2015 Clinical Trials

154. 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

155. 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

156. 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

157. 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

158. 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

159. 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

160. 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

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