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Management of Severe Head Injury

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161. 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

162. 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

163. Consensus Guidelines on the Use of Intravenous Ketamine Infusions for Acute Pain Management Full Text available with Trip Pro

is the burgeoning effort to reduce the risk of chronic opioid use after acute exposure and its subsequent complications, including addiction. Ketamine is increasingly being administered in inpatient settings with acute pain service guidance and in outpatient settings under a variety of models. Although interest clearly exists, the details of implementation and management have not been defined, and clinicians and patients have questions with yet-to-be-determined answers. Some of the questions revolve around (...) variability in patient selection, drug-dosing regimens, and management protocols. To date, few recommendations are available to guide this emerging acute pain therapy. The variability in patient selection, drug dosing, monitoring, and management protocols speaks to the need for guidance. The purpose of these guidelines is therefore to provide a framework for safe use of ketamine in the acute pain setting. | METHODS OF DEVELOPMENT This was a joint effort launched in November 2016 by the American Society

2018 American Society of Regional Anesthesia and Pain Medicine

164. Management of Acute Pancreatitis in the Pediatric Population: A Clinical Report From the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition Pancreas Committee

recommendations rely on adult published guide- lines. Pediatric-speci?c recommendations are needed. Methods: The North American Society for Pediatric Gastroenterology, Hepatology and Nutrition Pancreas committee performed a MEDLINE review using several preselected key terms relating to management considerations in adult and pediatric AP. The literature was summarized, quality of evidence reviewed, and statements of recommendations developed. The authorship met to discuss the evidence, statements, and voted (...) recognized to be the 2 primary AP risk factors (4). Most of the literature regarding management of AP describes adult experience. Recommendations for fluid resuscitation, prog- nosis based on markers of severity/signs of multiorgan failure, and management thereof are all based on adult criteria and experience, What Is Known Pediatric acute pancreatitis incidence is increasing. A subset of children develop local and systemic complications of acute pancreatitis. No guidelines exist for management

2018 North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition

165. Management of Immune-Related Adverse Events in Patients Treated With Immune Checkpoint Inhibitor Therapy Full Text available with Trip Pro

(irAEs) with close monitoring. However, moderate to severe irAEs may be associated with severe declines in organ function and quality of life, and fatal outcomes have been reported; hence, these toxicities require early detection and proper management. Use of ICPis in patients with preexisting autoimmune disease or history of prior organ transplant requires an especially thoughtful discussion of potential risks and benefits. In recognition of an increasing need for guidance, ASCO and the National (...) of Washington, and the Fred Hutchinson Cancer Research Center, Seattle, WA; and Tanyanika Phillips, CHRISTUS St Frances Cabrini Cancer Center, Alexandria, LA. Abstract Section: Purpose To increase awareness, outline strategies, and offer guidance on the recommended management of immune-related adverse events in patients treated with immune checkpoint inhibitor (ICPi) therapy. Methods A multidisciplinary, multi-organizational panel of experts in medical oncology, dermatology, gastroenterology, rheumatology

2018 American Society of Clinical Oncology Guidelines

166. ACC/AHA/HRS Guideline on the Evaluation and Management of Patients With Bradycardia and Cardiac Conduction Delay

. 1.4. Scope of the Guideline The purpose of this ACC/AHA/HRS guideline is to provide guidance to clinicians for the management of patients with bradycardia, or symptoms thought to be associated with bradycardia or cardiac conduction system disorders. This guideline supersedes the pacemaker recommendations made in the “ACC/AHA/HRS 2008 Guidelines for Device-Based Therapy of Cardiac Rhythm Abnormalities” (S1.4-1, S1.4-2) and “2012 ACCF/AHA/HRS Focused Update Incorporated Into the ACCF/AHA/HRS 2008 (...) ACC/AHA/HRS Guideline on the Evaluation and Management of Patients With Bradycardia and Cardiac Conduction Delay Accepted Manuscript 2018 ACC/AHA/HRS Guideline on the Evaluation and Management of Patients With Bradycardia and Cardiac Conduction Delay Fred M. Kusumoto, MD, FACC, FAHA, FHRS, Chair, Writing Committee, Mark H. Schoenfeld, MD, FACC, FAHA, FHRS, Vice Chair, Writing Committee, Coletta Barrett, RN, FAHA, Writing Committee Member, James R. Edgerton, MD, FACC, FHRS, Writing Committee

2018 American College of Cardiology

167. Evaluation and Management of Testosterone Deficiency

Evaluation and Management of Testosterone Deficiency 1 Executive Summary Testosterone testing and prescriptions have nearly tripled in recent years; however, it is clear from clinical practice that there are many men using testosterone without a clear indication. 1-3 Some studies estimate that up to 25% of men who receive testosterone therapy do not have their testosterone tested prior to initiation of treatment. 2, 3 Of men who are treated with testosterone, nearly half do not have (...) landscape, the American Urological Association (AUA) identified a need to produce an evidence-based document that informs clinicians on the proper assessment and management of patients with testosterone deficiency. The AUA and the Testosterone Panel were committed to creating a Guideline that ensures that men in need of testosterone therapy are treated effectively and safely. Methodology A systematic review utilized research from the Mayo Clinic Evidence Based Practice Center and additional

2018 American Urological Association

168. Practical Assessment and Management of Vulnerabilities in Older Patients Receiving Chemotherapy Full Text available with Trip Pro

Hopkins University School of Medicine, Baltimore, MD; Harvey Jay Cohen, Duke University Medical Center, Durham; Judith O. Hopkins, Novant Health Oncology Specialists; Heidi D. Klepin, Wake Forest Baptist Comprehensive Cancer Center, Winston-Salem, NC; Holly M. Holmes, McGovern Medical School, Houston, TX; and Alok A. Khorana, Cleveland Clinic, Cleveland, OH. Abstract Section: Purpose To provide guidance regarding the practical assessment and management of vulnerabilities in older patients undergoing (...) with household chores), has had several recent falls without injury, and has no significant life-limiting comorbidities or medication issues. In addition, his Mini-Cog is abnormal (unable to perform three-word recall), Geriatric Depression Scale score is normal (< 5), and he has had no significant weight loss (body mass index, 29 kg/m 2 ). CARG Toxicity Score CARG toxicity score is 12, with an 82% risk of grade 3 to 5 toxicity with full-dose monotherapy based on inputted age (over 72), height and weight (180

2018 American Society of Clinical Oncology Guidelines

169. European Society of Endocrinology Clinical Practice Guidelines for the management of aggressive pituitary tumours and carcinomas Full Text available with Trip Pro

was developed for healthcare providers of patients with aggressive pituitary tumours but can also provide guidance as patient information material. 2.3 Aims The overall purpose of this guideline is to provide clinicians with practical guidance for identification and management of patients with aggressive pituitary tumours. It was prompted by the increasing use of temozolomide (TMZ) in aggressive pituitary tumours. 2.4 Summary of methods used for guideline development The methods used have been described (...) with single session therapy compared to daily application of EBRT over several weeks. Importantly, there are no controlled trials comparing fractionated EBRT and SRS. Of note, SRS has been used as salvage therapy with some success in a small series of patients with persistent active tumour despite prior fractionated EBRT ( ). Stereotactic guidance by high-resolution imaging allows very precise delivery of radiation to the tumour and is also increasingly used with EBRT. There are different modalities

2018 European Society of Endocrinology

170. 2018 IDSA Clinical Practice Guideline for the Management of Outpatient Parenteral Antimicrobial Therapy

2018 IDSA Clinical Practice Guideline for the Management of Outpatient Parenteral Antimicrobial Therapy Outpatient Antimicrobial Parenteral Therapy Search Search 2018 IDSA Clinical Practice Guideline for the Management of Outpatient Parenteral Antimicrobial Therapy Published : 13 November 2018 Anne H Norris, Nabin K Shrestha, Genève M Allison, Sara C Keller, Kavita P Bhavan, John J Zurlo, Adam L Hersh, Lisa A Gorski, John A Bosso, Mobeen H Rathore, Antonio Arrieta, Russell M Petrak, Akshay Shah (...) . It does not offer recommendations on the treatment of specific infections. The reader is referred to disease- or organism-specific guidelines for such support. Executive Summary Outpatient parenteral antimicrobial therapy (OPAT) is defined as the administration of parenteral antimicrobial therapy in at least 2 doses on different days without intervening hospitalization. Recommendations made in the updated guideline for the prescription and management of OPAT are summarized below. The panel followed

2018 Infectious Diseases Society of America

171. 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

172. 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)

173. 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.

174. What Is the Incidence of Intracranial Hemorrhage Among Anticoagulated Patients With Minor Head Trauma? Full Text available with Trip Pro

emergency department (ED) patients receiving anticoagulation therapy who presented with a head injury and which reported the incidence of diagnosed intracranial hemorrhage were included. Anticoagulation therapy included vitamin K antagonists, dabigatran, edoxaban, apixaban, rivaroxaban, fondaparinux, and low-molecular-weight heparin. The search was limited to prospective studies and included published studies, unpublished studies, and conference abstracts. There were no language restrictions. Studies (...) with fewer than 20 eligible participants, those that reported only a subset of anticoagulated patients with head injury, those that reported patients receiving antiplatelet medications alone, and those that reported only the incidence of delayed intracranial hemorrhage were excluded. Data Extraction and Synthesis Four reviewers independently abstracted data, with discrepancies resolved by consensus. The primary outcome was the incidence of intracranial hemorrhage among anticoagulated patients

2019 Annals of Emergency Medicine Systematic Review Snapshots

175. Decision-making criteria for CT head scans on patients not on anti-coagulants

Excellence. 2014. Head Injury: Triage, assessment, investigation and early management of head injury in children, young people and adults. NICE. Accessed March 2016. https://www.nice.org.uk/guidance/cg176/evidence/full-guideline-191719837 3. Western Australian Department of Health. WA Multidisciplinary Post Fall Management Guidelines 2018. Perth: Post Fall Working Group Western Australia; 2018. 4. Shetty A.S. et al. ACR Appropriateness Criteria Head Trauma. J Am Coll Radiol 2016;13:668-679. 5. Zyluk (...) -coagulants. In an extension of the rapid review request, the Committee are also investigating post-fall management, specific to the use of brain CT scans after a fall for non-anticoagulated patients. Objective To provide a review of guidelines and synthesised evidence around the use of brain CT scans after a fall. For the purpose of the review, post-fall guidelines and literature around minor head injuries will be included. Search Strategy A recent CCE scoping review: Head Injury and Patients

2019 Monash Health Evidence Reviews

176. Fractures (non-complex): assessment and management

is it for? 4 Recommendations 5 1.1 Initial pain management and immobilisation 5 1.2 Acute stage assessment and diagnostic imaging 7 1.3 Management in the emergency department 7 1.4 Ongoing orthopaedic management 8 1.5 Documentation 10 1.6 Information and support for patients, family members and carers 11 1.7 Non-accidental injury 13 1.8 Training and skills 13 Context 15 Recommendations for research 16 1 Imaging of ankle fractures 16 2 Virtual compared with face-to-face clinics 16 3 Image guidance (...) management for definitive treatment of uncomplicated injuries consider surgery for injuries complicated by an open wound, tenting of the skin, vascular injury, fracture dislocation or a split of the humeral head. Definitiv Definitive treatment of femor e treatment of femoral shaft fr al shaft fractures in children (sk actures in children (skeletally immature eletally immature) ) 1.4.9 Admit all children (skeletally immature) with femoral shaft fractures and consider 1 of the following according to age

2016 National Institute for Health and Clinical Excellence - Clinical Guidelines

177. Changing attitudes to the management of severe head injuries. Full Text available with Trip Pro

Changing attitudes to the management of severe head injuries. 990863 1977 01 29 2018 11 13 0007-1447 2 6046 1976 Nov 20 British medical journal Br Med J Changing attitudes to the management of severe head injuries. 1234-9 Lewin W W eng Journal Article England Br Med J 0372673 0007-1447 8W8T17847W Urea AIM IM Attitude of Health Personnel Brain Concussion pathology Brain Edema etiology Brain Injuries drug therapy Craniocerebral Trauma complications therapy Hematoma complications Humans

1976 British medical journal

178. Early management of the severe head injury. Full Text available with Trip Pro

Early management of the severe head injury. 4821614 1974 06 10 2018 11 13 0035-9157 67 1 1974 Jan Proceedings of the Royal Society of Medicine Proc. R. Soc. Med. Early management of the severe head injury. 8-9 Gordon D S DS Crockard H A HA eng Journal Article England Proc R Soc Med 7505890 0035-9157 IM Adult Airway Obstruction therapy Blood Transfusion Cerebral Hemorrhage therapy Coma complications Cough complications Craniocerebral Trauma therapy Cyanosis complications Hemostasis Humans

1974 Proceedings of the Royal Society of Medicine

179. Effect of Antisecretory Factor, Given as a Food Supplement to Adult Patients With Severe Traumatic Brain Injury

Effect of Antisecretory Factor, Given as a Food Supplement to Adult Patients With Severe Traumatic Brain Injury Effect of Antisecretory Factor, Given as a Food Supplement to Adult Patients With 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 (...) this and thus reduce cerebral edema in traumatic brain injury. Furthermore, the reduction of cerebral edema is hypothesized to decrease intracranial pressure, reduce the development of secondary brain damage and subsequently reduce treatment intensity levels and death. Aims and Objectives Though, the number of patients with severe traumatic head injury in Sweden is decreasing and the need for a larger, randomized trial in a centre with large volumes of traumatic brain injury is needed The primary focus

2017 Clinical Trials

180. Falling down a flight of stairs: The impact of age and intoxication on injury pattern and severity Full Text available with Trip Pro

Falling down a flight of stairs: The impact of age and intoxication on injury pattern and severity Falling down a flight of stairs is a common injury mechanism in major trauma patients, but little research has been undertaken into the impact of age and alcohol intoxication on the injury patterns of these patients. The aim of this study was to compare the impact of age and alcohol intoxication on injury pattern and severity in patients who fell down a flight of stairs.This was a retrospective (...) observational study of prospectively collected trauma registry data from a major trauma centre in the United Kingdom comparing older and younger adult patients admitted to the Emergency Department following a fall down a flight of stairs between July 2012 and March 2015.Older patients were more likely to suffer injuries to all body regions and sustained more severe injuries to the spine; they were also more likely to suffer polytrauma (23.6% versus 10.6%; p < 0.001). Intoxicated patients were more likely

2017 Trauma (London, England)

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