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Posterior Nasal Hemorrhage Management

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1. Posterior Nasal Hemorrhage Management

Posterior Nasal Hemorrhage Management Posterior Nasal Hemorrhage 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 Posterior (...) Nasal Hemorrhage Management Posterior Nasal Hemorrhage Management Aka: Posterior Nasal Hemorrhage Management , Epistaxis Management of Posterior Bleeding II. Epidemiology: Study of 88 episodes of posterior Epistaxis Etiologies or Prior history of Re-bleeding Associated with removal nasal pack under 48 hours III. General Consult with otolaryngology Posterior bleeding is much more serious than anterior Significant blood loss can result IV. Preparation Apply topical anesthetic and to mucosa V

2018 FP Notebook

2. Posterior Nasal Hemorrhage Management

Posterior Nasal Hemorrhage Management Posterior Nasal Hemorrhage 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 Posterior (...) Nasal Hemorrhage Management Posterior Nasal Hemorrhage Management Aka: Posterior Nasal Hemorrhage Management , Epistaxis Management of Posterior Bleeding II. Epidemiology: Study of 88 episodes of posterior Epistaxis Etiologies or Prior history of Re-bleeding Associated with removal nasal pack under 48 hours III. General Consult with otolaryngology Posterior bleeding is much more serious than anterior Significant blood loss can result IV. Preparation Apply topical anesthetic and to mucosa V

2015 FP Notebook

3. Nasal Pack, Posterior Epistaxis

from the aerodigestive tract (eg, hemoptysis, melena, anemia, or just nausea). A posterior source of the bleeding must be sought when epistaxis is bilateral, brisk, and not controlled with anterior nasal packing. Posterior epistaxis is usually treated by an otolaryngologist, but an emergency practitioner may be called upon to treat this condition in a medical environment with few support services. A focused history aids the clinician in managing the acutely bleeding patient. This history should (...) . 1987 Dec. 97(12):1392-6. . Tintinalli JE, Ruiz E, Krome RL, eds. Nasal emergencies and sinusitis. Emergency Medicine: A Comprehensive Study Guide . 4th. New York: McGraw-Hill, Health Professions Division; 1996. 1083-93. Reichman E, et al. Emergency Medicine Procedures . McGraw Hill; 2004. Leong SC, Roe RJ, Karkanevatos A. No frills management of epistaxis. Emerg Med J . 2005 Jul. 22(7):470-2. . Chiu TW, McGarry GW. Prospective clinical study of bleeding sites in idiopathic adult posterior epistaxis

2014 eMedicine.com

4. Management of Acute Myocardial Infarction in patients presenting with ST-segment elevation

; FMC = first medical contact; IRA = infarct-related artery; PCI = percutaneous coronary intervention; STEMI = ST-segment elevation myocardial infarction. Isolated posterior MI. In AMI of the inferior and basal portion of the heart, often corresponding to the left circumflex territory, isolated ST-segment depression ≥ 0.5 mm in leads V 1 –V 3 represents the dominant finding. These should be managed as a STEMI. The use of additional posterior chest wall leads [elevation V 7 –V 9 ≥ 0.5 mm (≥1 mm (...) 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

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2017 European Society of Cardiology

5. Management of Immune-Related Adverse Events in Patients Treated With Immune Checkpoint Inhibitor Therapy

Management of Immune-Related Adverse Events in Patients Treated With Immune Checkpoint Inhibitor Therapy Management of Immune-Related Adverse Events in Patients Treated With Immune Checkpoint Inhibitor Therapy: American Society of Clinical Oncology Clinical Practice Guideline | Journal of Clinical Oncology Search in: Menu Article Tools ASCO SPECIAL ARTICLE Article Tools OPTIONS & TOOLS COMPANION ARTICLES No companion articles ARTICLE CITATION DOI: 10.1200/JCO.2017.77.6385 Journal of Clinical (...) Oncology - published online before print February 14, 2018 PMID: Management of Immune-Related Adverse Events in Patients Treated With Immune Checkpoint Inhibitor Therapy: American Society of Clinical Oncology Clinical Practice Guideline x Julie R. Brahmer , x Christina Lacchetti , x Bryan J. Schneider , x Michael B. Atkins , x Kelly J. Brassil , x Jeffrey M. Caterino , x Ian Chau , x Marc S. Ernstoff , x Jennifer M. Gardner , x Pamela Ginex , x Sigrun Hallmeyer , x Jennifer Holter Chakrabarty , x

2018 American Society of Clinical Oncology Guidelines

6. Clinical Practice Guideline for the Management of Communication and Swallowing Disorders following Paediatric Traumatic Brain Injury

Clinical Practice Guideline for the Management of Communication and Swallowing Disorders following Paediatric Traumatic Brain Injury CLINICAL PRACTICE GUIDELINE FOR THE MANAGEMENT OF COMMUNICATION AND SWALLOWING DISORDERS FOLLOWING PAEDIATRIC TRAUMATIC BRAIN INJURY GUIDELINE© Murdoch Childrens Research Institute and the National Health and Medical Research Council Centre of Research Excellence on Psychosocial Rehabilitation in Traumatic Brain Injury 2017 Publisher: Murdoch Childrens Research (...) Institute Publication date: February 2017 ISBN Print: 978-0-9876209-0-3 ISBN Online: 978-0-9876209-1-0 Suggested citation: Morgan A, Mei C, Anderson V, Waugh M-C, Cahill L, & the TBI Guideline Expert Working Committee. Clinical Practice Guideline for the Management of Communication and Swallowing Disorders following Paediatric Traumatic Brain Injury. Melbourne: Murdoch Childrens Research Institute; 2017. Expert working committee: Jeanette Baker Katie Banerjee Mandy Beatson Candice Brady Kate Brommeyer

2017 Clinical Practice Guidelines Portal

7. Practice Guidelines for the Diagnosis and Management of Aspergillosis

Practice Guidelines for the Diagnosis and Management of Aspergillosis 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. Practice Guidelines for the Diagnosis and Management of Aspergillosis: 2016 Update by the Infectious Diseases Society of America | Clinical Infectious Diseases | 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 15 August 2016 Article Contents Article Navigation Practice Guidelines for the Diagnosis and Management of Aspergillosis: 2016 Update by the Infectious Diseases Society of America Thomas F. Patterson 1University of Texas Health Science Center at San Antonio and South Texas Veterans Health Care System a T. F. P. and J. E. B. served as co-chairs for the IDSA Aspergillus Guidelines Committee

Full Text available with Trip Pro

2016 Infectious Diseases Society of America

8. Management of Concussion-mild Traumatic Brain Injury (mTBI)

Management of Concussion-mild Traumatic Brain Injury (mTBI) VA/DoD CLINICAL PRACTICE GUIDELINE FOR THE MANAGEMENT OF CONCUSSION-MILD TRAUMATIC BRAIN INJURY 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 they be interpreted as prescribing an exclusive course of management. This Clinical Practice Guideline is based on a systematic review of both clinical and epidemiological evidence. Developed by a panel of multidisciplinary experts, it provides a clear explanation of the logical relationships between various care options and health outcomes while rating both the quality of the evidence and the strength of the recommendation. Variations

2016 VA/DoD Clinical Practice Guidelines

9. Conservative management of penetrating ocular trauma caused by a nail gun (PubMed)

Conservative management of penetrating ocular trauma caused by a nail gun To report the conservative management of a penetrating ocular trauma caused by a nail gun with a six-month follow up.A 21 year-old healthy female suffered an ocular penetrating trauma with a nail gun. She presented with a metallic foreign body that partially entered her left eye through the nasal sclera via pars plana, 3 mm posterior to the limbus, but did not reach the retina. Surgical removal of the foreign body (...) (such as vitreous hemorrhage, retinal detachment, endophthalmitis, etc) that are an indication for vitrectomy.

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2018 American journal of ophthalmology case reports

10. Nasal Packing

Nasal Hemorrhage Management , Epistaxis Management with Nasal Packing II. Indications not controlled with basic measure Recurrent III. Complications: Nasal Packing or abscess Avoid excessive on Nasal Packing insertion Septal pressure necrosis Avoid overly tight Nasal Packing Risk of or Apply Bactroban in nares Oral antibiotic prophylaxis indications are patient specific Optional in otherwise healthy patients Recommended if would otherwise be indicated at standard treatment doses is reasonable option (...) Nasal Packing Nasal Packing 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 Nasal Packing Nasal Packing Aka: Nasal Packing , Anterior

2018 FP Notebook

11. Nasal Intubation Using a Parker Flex-tip Endotracheal Tube Compared to a Nasal RAE Tube

Nasal Intubation Using a Parker Flex-tip Endotracheal Tube Compared to a Nasal RAE Tube Nasal Intubation Using a Parker Flex-tip Endotracheal Tube Compared to a Nasal RAE Tube - 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 (...) : January 8, 2016 Last Verified: January 2016 Keywords provided by University of British Columbia: Epistaxis Nasal Intubation Maxillofacial surgery Additional relevant MeSH terms: Layout table for MeSH terms Epistaxis Nose Diseases Respiratory Tract Diseases Otorhinolaryngologic Diseases Hemorrhage Pathologic Processes Signs and Symptoms, Respiratory Signs and Symptoms

2014 Clinical Trials

12. Endoscopic management of congenital bilateral posterior choanal atresia: value of using stents. (PubMed)

Endoscopic management of congenital bilateral posterior choanal atresia: value of using stents. Objective of this study is to evaluate the efficacy and safety of using stents after endoscopic repair of bilateral posterior choanal atresia. Twenty cases of congenital bilateral posterior choanal atresia were managed by endoscopic transnasal approach which was performed using a nasal stent in 10 cases and without stenting in the other 10 cases. The stent was left for 4 weeks and patients had 1-5 (...) in 50%, erosion of the nares in 10%, premature extrusion in 10%, and dislodgement in 10% of stent group. Granulation tissue formation was detected in 20%, hemorrhage occurred in 10% of the non-stent group patients. There was a statistically significant difference between the two groups (P-value < 0.05) regarding granulation tissue formation. The use of stents after endoscopic repair of congenital bilateral posterior choanal atresia does not seem to decrease the incidence of re-closure and restenosis

2013 European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery

13. Acute Pain Management: Scientific Evidence

Acute Pain Management: Scientific Evidence ACUTE PAIN MANAGEMENT: SCIENTIFIC EVIDENCE Fourth Edition 2015 Australian and New Zealand College of Anaesthetists and Faculty of Pain Medicine Edited by: Stephan A Schug Greta M Palmer David A Scott Richard Halliwell Jane T rinca© Australian and New Zealand College of Anaesthetists 2015 ISBN Print: 978-0-9873236-7-5 Online: 978-0-9873236-6-8 This work is copyright. Apart from any use as permitted under the Copyright Act 1968, no part may be reproduced (...) and Faculty of Pain Medicine (2015), Acute Pain Management: Scientific Evidence (4th edition), ANZCA & FPM, Melbourne. Copyright information for Tables 10.1 and 10.2 The material presented in Table 10.1 and Table 10.2 of this document has been reproduced with permission from Prescribing Medicines in Pregnancy, 2015, Therapeutic Goods Administration. It does not purport to be the official or authorised version. © Commonwealth of Australia 2015 This work is copyright. You may download, display, print

2015 Clinical Practice Guidelines Portal

14. Flashes and floaters - A practical approach to assessment and management

with rhegmatogenous retinal detach- ments. Clin Experiment Ophthalmol 2004;32:603–06. 3. Dayan MR, Jayamanne DG, Andrews RM, Griffiths PG. Flashes and floaters as predictors of vitreoretinal pathology: is follow-up necessary for posterior vitre- ous detachment? Eye (Lond) 1996;10(Pt 4):456–58. 4. Johnson D, Hollands H. Acute-onset floaters and flashes. CMAJ 2012;184:431. 5. Spraul CW, Grossniklaus HE. Vitreous Hemorrhage. Surv Ophthalmol 1997;42:3–39. 6. Gariano RF , Kim CH. Evaluation and management of suspected (...) , Theodoro D, Sierzenski PR. A study of bedside ocular ultrasonography in the emergency department. Acad Emerg Med 2002;9:791–99. 8. Sarrafizadeh R, Hassan TS, Ruby AJ, et al. Incidence of retinal detachment and visual outcome in eyes presenting with posterior vitreous separation and dense fundus-obscuring vitreous hemorrhage. Ophthalmology 2001;108:2273–78. 9. Diamond JP . When are simple flashes and floaters ocular emergencies? Eye (Lond) 1992;6(Pt 1):102–04. 10. Hollands H, Johnson D, Brox AC, Almeida

2014 Clinical Practice Guidelines Portal

15. Primary Care Management of Headache in Adults

and not through mouth mucous membranes. Primary Care Management of Headache in Adults | September 2016 Clinical Practice Guideline Page 15 of 76 Recommendations Section 2: Management of Migraine Headache cont’d Recommendation Evidence Source (Legend on Page 43) The triptan nasal sprays, particularly zolmitriptan nasal spray, have been demonstrated to be absorbed at least partially through the nasal mucosa. Therefore these formulations may be more helpful in patients with severe nausea. The injectable (...) Primary Care Management of Headache in Adults PRIMARY CARE MANAGEMENT OF HEADACHE IN ADULTS Clinical Practice Guideline | September 2016 2 nd Edition These recommendations are systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances. They should be used as an adjunct to sound clinical decision making. OBJECTIVES ? To increase the use of evidence-informed approaches for the prevention, assessment, diagnosis

2012 Toward Optimized Practice

16. 2013 ACCF/AHA Guideline for the Management of ST-Elevation Myocardial Infarction

2013 ACCF/AHA Guideline for the Management of ST-Elevation Myocardial Infarction 2013 ACCF/AHA Guideline for the Management of ST-Elevation Myocardial Infarction | Circulation Search Hello Guest! Login to your account Email Password Keep me logged in Search March 2019 March 2019 March 2019 March 2019 March 2019 February 2019 February 2019 February 2019 February 2019 January 2019 January 2019 January 2019 January 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 2013 ACCF/AHA Guideline for the Management of ST-Elevation Myocardial Infarction A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines , , MD, FACC, FAHA , MD, FACC, FAHA, FSCAI , MD, FACC , MD, MPH, MBA, FACP, FAHA , MD, FACC, FAHA , MD, FACC , MD, FACC , MD, FACC, FAHA , MD, FACEP , PhD, FAHA , MD, FACC, FAHA , MD, SM, FACC, FAHA , MS, CNP-BC , MD

2012 American Heart Association

17. Nasal Polyps (Follow-up)

Nasal Polyps (Follow-up) Nasal Polyps Treatment & Management: Approach Considerations, Medical Care, Surgical Care Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvOTk0Mjc0LXRyZWF0bWVudA== processing > Nasal Polyps (...) Treatment & Management Updated: Dec 14, 2017 Author: John E McClay, MD; Chief Editor: Ravindhra G Elluru, MD, PhD Share Email Print Feedback Close Sections Sections Nasal Polyps Treatment Approach Considerations Historically, children diagnosed with cystic fibrosis (CF) already had digestive and pulmonary disease and were the children with the more severe form of disease. These children were often treated with intravenous antibiotics directed at the most common pathogens found in the lungs

2014 eMedicine Pediatrics

18. Nasal Fracture Reduction

ecchymosis. Plain radiographs are not helpful in the diagnosis or management of nasal fractures in isolated nasal injury. [ ] scan is helpful if the patient has associated facial fractures. [ ] Be sure to ask the patient how the external shape of the nose has changed since the fracture. This helps determine what corrective maneuvers should be taken to restore the patient’s appearance through reduction of the nasal fracture. Next: Indications See the list below: Simple fracture of the nasal bones or nasal (...) , measure the distance from the alar rim to the depressed fragment externally. Mark position with thumb. Reduce depressed side of nose first. Insert Boies or Salinger elevator into the nose under the depressed fragment. Apply steady outward pressure on the posterior aspect of the nasal bone. Control outward pressure with counterpressure exteriorly with the other thumb. Fragments may need to be molded into the proper position. If unable to reduce with elevators, use Walsham forceps to directly grasp

2014 eMedicine.com

19. Nasal Pack, Anterior Epistaxis

and posterior ethmoid arteries with the added contribution of the superior labial artery (anteriorly) and the greater palatine artery (posteriorly). The Kiesselbach plexus, or the Little area, represents a region in the anteroinferior third of the nasal septum, where all 3 of the chief blood supplies to the internal nose converge. For more information about the relevant anatomy, see . A focused history aids the clinician in managing the acutely bleeding patient. This history should include some or all (...) , originating from the Kiesselbach plexus (see the image below). Anterior epistaxes exhibit unilateral, steady, nonmassive bleeding. Just 10% of epistaxes are posterior, exhibiting massive bleeding that is initially bilateral. Nasal vascular anatomy Nasal vascular anatomy. The lateral nasal wall is supplied by the sphenopalatine artery posteroinferiorly and by the anterior and posterior ethmoid arteries superiorly. The nasal septum also derives its blood supply from the sphenopalatine and the anterior

2014 eMedicine.com

20. Nasal Polyps (Treatment)

Nasal Polyps (Treatment) Nasal Polyps Treatment & Management: Approach Considerations, Medical Care, Surgical Care Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvOTk0Mjc0LXRyZWF0bWVudA== processing > Nasal Polyps (...) Treatment & Management Updated: Dec 14, 2017 Author: John E McClay, MD; Chief Editor: Ravindhra G Elluru, MD, PhD Share Email Print Feedback Close Sections Sections Nasal Polyps Treatment Approach Considerations Historically, children diagnosed with cystic fibrosis (CF) already had digestive and pulmonary disease and were the children with the more severe form of disease. These children were often treated with intravenous antibiotics directed at the most common pathogens found in the lungs

2014 eMedicine Pediatrics

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