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Modock Jacqueline - - 2014
The purpose of this article is to explore the management of coexisting brain insult and acute lung injury to help guide clinicians in balancing what may appear to be competing goals. First, contemporary management of mechanically ventilated patients with either brain or lung injury diagnoses is reviewed, followed by a ...
Shrier I I Centre for Clinical Epidemiology, Jewish General Hospital, McGill University, Montreal, - - 2014
Return-to-play (RTP) decision-making is required for every injured athlete. However, conflict can and often does emerge between sport medicine clinicians, athletes, coaches and sport associations when engaging in recommended shared decision making processes. This study explores differences in professionals' opinion about which criteria should be used for RTP decisions, and ...
Greeff Duncan R DR Dick White Referrals, Newmarket, - - 2014
This report describes the successful management of a carpal hyperextension injury in a cat using combined temporary transarticular internal and external skeletal fixation, without performing an arthrodesis. To our knowledge, there have been no previous reports of management of feline carpal hyperextension injuries in this fashion.
Wright Justin M JM Department of Family and Community Medicine, Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center, El Paso, TX. Electronic address: - - 2014
Head trauma accounts for a significant number of injuries in the wilderness setting. Concussions are possible sequelae of falls or encounters with unforeseen obstacles. Although not immediately life-threatening, concussions can be a source of significant short- and long-term morbidity. Diagnosis of a concussion in the wilderness may be challenging as ...
Launchbury Rebecca R University of - - 2014
During my second year of nurse training, a clinical placement on a specialised spinal rehabilitation unit at Salisbury NHS Foundation Trust taught me the importance of bowel management in spinal cord injury patients.
Makdissi Michael M BSc (Hons), MBBS, PhD, FACSP, Research Fellow, Florey Institute of Neuroscience and Mental Health, Austin Campus, Melbourne Brain Centre, Heidelberg, Australasian College of Sports Physicians, Olympic Park Sports Medicine Centre, Melbourne, - - 2014
Concussion is common in many sports and recreational activities. It is thought to reflect a functional rather than structural injury to the brain. The clinical features are typically short-lived and usually resolve spontaneously. Complications, however, can occur and may include prolonged symptoms and/or cognitive deficits in the short term, as ...
Saad Karim S M KS Urology Department, Faculty of Medicine, Alexandria University, Alexandria, - - 2014
Ileum injury during percutaneous nephrolithotomy (PCNL) is an extremely rare complication. We describe the successful management of an inadvertently injured ileum during subcostal PCNL in a 12-year-old boy. Mechanism of injury, presentation and management will be discussed.
Liddle Jacki J UQ Centre for Clinical Research, The University of Queensland, Brisbane, Queensland, - - 2014
The ability to drive safely can be affected by an acquired brain injury. Following acquired brain injury, clients may experience driving disruptions, formal assessment, return to driving or permanent cessation. Health professionals may be involved in formal driving or component skills' assessment and rehabilitation, or interventions for continued community participation. ...
Christensen Doran M - - 2014
Although the spectrum of information related to diagnosis and management of radiation injuries and illnesses is vast and as radiation contamination incidents are rare, most emergency practitioners have had little to no practical experience with such cases. Exposures to ionizing radiation and internal contamination with radioactive materials can cause significant ...
Walther Carl P CP University of Texas Health Science Center at Houston, Department of Medicine, Division of Renal Diseases and Hypertension, Houston, - - 2014
Clinical practice guidelines are intended to standardize the diagnosis and treatment of diseases in order to improve both patient outcomes and resource utilization, using evidence-based criteria. As recently as a decade ago, there was no agreed upon definition of acute kidney injury (AKI), making it difficult to conduct proper clinical ...
Tavender Emma J - - 2014
Mild traumatic brain injury is a frequent cause of presentation to emergency departments. Despite the availability of clinical practice guidelines in this area, there is variation in practice. One of the aims of the Neurotrauma Evidence Translation program is to develop and evaluate a targeted, theory- and evidence-informed intervention to ...
Goutos I I Department of Plastic and Reconstructive Surgery, John Radcliffe Hospital, Headington, Oxford, - - 2014
Extravasation injuries are common emergencies in clinical practice. If they are not recognized and treated promptly, they can lead to deleterious functional and cosmetic outcomes. There is a vast range of agents involved in these injuries and marked paucity of evidence to support their specific management. Following an extensive literature ...
Hoogmartens Olivier - - 2014
Abstract Objective. This study appraised the completeness and level of evidence behind prehospital recommendations in clinical practice guidelines (CPGs) for management of severe traumatic brain injury (TBI). Differences and similarities in key recommendations for prehospital emergency care were assessed between current CPGs. Methods. A systematic search identified current evidence-based CPGs ...
El Bitar Youssef F - - 2014
Management of injuries to the articular cartilage is complex and challenging; it becomes especially problematic in weight-bearing joints such as the hip. Several causes of articular cartilage damage have been described, including trauma, labral tears, and femoroacetabular impingement, among others. Because articular cartilage has little capacity for healing, nonsurgical management ...
Yang Jie J Department of Chronic Disease Control, Jiangsu Provincial Centre for Disease Control and Prevention, - - 2014
Electric bike (E-bike)-related deaths have been increasing rapidly in China and such injuries may be partly attributable to unsafe riding practice. To describe potentially unsafe riding behaviours among electric bikers (E-bikers) and to investigate factors influencing these practices in China. In September 2012, a cross-sectional observation study including a speed ...
Langer Vijay V Department of Reconstructive and Plastic Surgery, Army Hospital (Research and Referral), New Delhi 110010, - - 2014
Management of major limb injuries is a daunting challenge, especially as many of these patients have severe associated injuries. In trying to save life, often the limb is sacrificed. The existing guidelines on managing such trauma are often confusing. There is scope to lay down such protocols along with the ...
Benson G G NHS and Territorial Army, Glan Clwyd Hospital, Rhuddlan Road, Bodelwyddan, Rhyl LL18 5UJ. - - 2014
The military hospital at camp bastion Afghanistan is reputed to be the world's busiest trauma centre. Much has been learnt there in the field of managing massive haemorrhage, the protocols used by the military show a significantly higher survival rate than might be expected of such injuries. This article aims ...
- - 2014
This comment relates to articles published in archived content of the journal Head and Neck Oncology and is not related to the content of BMC Medicine in any way.
Chekijian Sharon S 0000-0001-5514-3349 Department of Emergency Medicine, Yale University School of Medicine, 464 Congress Avenue, Suite 260, New Haven, CT 06519, - - 2014
Background. Road traffic crash fatalities in the United States are at the lowest level since 1950. The reduction in crash injury burden is attributed to several factors: public education and prevention programs, traffic safety policies and enforcement, improvements in vehicle design, and prehospital services coupled with emergency and acute trauma ...
Wong Ka Woon KW Obstetrics and Gynaecology, Ashford & St Peters' Hospitals, NHS Foundation Trust, Guildford Road, Chertsey KT16 0PZ, United - - 2013
The angle at which a mediolateral episiotomy is incised is critical to the risk of obstetric anal sphincter injuries (OASIS). When a mediolateral episiotomy is incised at least 60 degrees from the midline it is protective to the anal sphincter. The objective of our study was to investigate how accoucheurs ...
Meier Curtis - - 2013
Research has highlighted potential for changes in the technique and implementation of the bag-valve-mask system, a common piece of equipment used during resuscitation attempts to ventilate patients' lungs and deliver oxygen. This article analyses a critical incident involving a patient who experienced traumatic brain injury and required airway management. In ...
Shane Eric R ER Chiropractor, Private Practice, Santa Monica, - - 2013
The purpose of this case series is to report how the symptom section of the Sport Concussion Assessment Tool 2 (SCAT2) was used to manage athletes with concussions in a high school training room setting and to address the need for SCAT2 baseline measurements. During a 4-month period, 3 doctors ...
Kubo Jessica T - - 2013
Prior research has shown increased risk of injury for female employees compared to male employees after controlling for job and tasks, but have not explored whether this increased risk might be moderated by manager gender. The gender of one's manager could in theory affect injury rates among male and female ...
Osbahr Daryl C - - 2013
Syndesmosis sprains in the National Football League (NFL) can be a persistent source of disability, especially compared with lateral ankle injuries. This study evaluated syndesmosis and lateral ankle sprains in NFL players to allow for better identification and management of these injuries. Syndesmosis and lateral ankle sprains from a single ...
Dick Randall W - - 2013
Performing artists are athletes. Like athletes, performing artists practice and/or perform most days with little off season, play through pain, "compete" in challenging environments, and risk career-threatening injury. Athletes and the Arts is a multiorganizational initiative linking the sport athlete and musician/performing artist communities. Performing artists of all ages and ...
Murray Patrick T - - 2013
Over the last decade there has been considerable progress in the discovery and development of biomarkers of kidney disease, and several have now been evaluated in different clinical settings. Although there is a growing literature on the performance of various biomarkers in clinical studies, there is limited information on how ...
Atabaki Shireen M - - 2013
Acute recognition and management of traumatic brain injury along the spectrum from mild to severe is essential in optimizing neurocognitive outcomes. Concussion is common following head trauma in children, and resulting symptoms can last for months if not diagnosed and managed properly. Emerging evidence and consensus demonstrate that a program ...
Oral A - - 2013
One of the objectives of the Professional Practice Committee (PPC) of the Physical and Rehabilitation Medicine (PRM) Section of the Union of European Medical Specialists (UEMS) is the development of the field of competence of PRM physicians in Europe. To achieve this objective, UEMS PRM Section PPC has adopted a ...
Glass Allison S - - 2013
A variety of clinical and imaging findings are used by clinicians to determine utility of renal angioembolization (AE) in managing renal trauma. Our purpose was to investigate specific criteria that clinicians who manage high-grade renal trauma (HGRT) utilize in decision-making for primary or delayed AE. A total of 413 urologists ...
Billmann Franck G - - 2013
The number of tourists exploring mountainous areas continues to increase. As a consequence, rescue operations are increasing, especially for trauma and polytrauma victims. The outcome of such patients depends greatly on the duration of the prehospital stabilization. Limited medical training of mountain rescuers may adversely affect the outcome of patients. ...
Shrier Ian - - 2013
Return-to-play (RTP) decision-making is required for every injured athlete. However, these decisions often lead to conflict between sport medicine professionals, athletes, coaches and sport associations. This study explores differences in professionals' opinion about which criteria should be used for RTP decisions, and who is best able to evaluate them. We ...
Broglio Steven P - - 2013
BACKGROUND:Increased attention is being placed on the role of subconcussive impacts to the head during football participation and long-term cognitive health. Some have suggested that mitigating impacts to the head can be achieved by reducing or eliminating contact football practices. The effect that this might have on the number and ...
Linsenmeyer Todd A - - 2013
A single-center institutional review board-approved prospective cross-sectional observational study. Urodynamic studies are essential to accurately direct bladder management following spinal cord injury (SCI). There is no consensus on how often testing should be performed. To determine the impact of annual urodynamic studies on guiding bladder management following SCI. Individuals with ...
Ng Karen - - 2013
ABSTRACTTar burns are primarily an occupational hazard associated with the road paving or roofing industry. Management of tar burns requires safe and effective removal of solidified tar from the skin using a dissolution or emulsifying agent to prevent inflicting further injury and pain. We report a case of a patient ...
McDermott P - - 2013
The management of the haemo-dynamically unstable patient with traumatic brain injury is challenging. The airway must be secured with an endotracheal tube to protect the patient from aspiration, to allow control of oxygenation and ventilation and to facilitate further management.
Gibbons Lynda - - 2013
Achilles tendon (AT) injury is an overuse injury often seen in professional and recreational athletes. It tends to affect men, particularly those in their thirties and forties, more than women, and is typically seen in people who are intermittently active. To ensure AT ruptures are identified and treated effectively, early ...
Ranka Meena - - 2013
Trauma to the primary dentition is common. This injury may have an impact on the child and his/her parents. The examining dentist should take appropriate factors into consideration before providing the required treatment. This paper discusses the management of trauma to the primary teeth and describes the sequelae of injury ...
Tuckett J W - - 2013
In 1978 the Advanced Trauma Life Support guidelines were first implemented and are viewed by many as the gold standard of care in the emergency setting. It may not be immediately obvious where assessment and management of maxillofacial injuries fits within these trauma guidelines. This article aims to provide a ...
West Therese A - - 2013
Currently there is considerable debate within the sports medicine community about the role of concussion and the risk of chronic neurological sequelae. This concern has led to significant confusion among primary care providers and athletic trainers about how to best identify those athletes at risk, and how to treat concussion. ...
Heydari S T - - 2013
To determine the epidemiological characteristics of fatal traffic accidents in Fars province, Iran. This cross-sectional study included 3642 traffic accident deaths in Fars province, Iran between November 2009 and November 2011. The data source was the Fars Forensic Medicine Registry, which covers the entire province. According to Iranian law, all ...
Clements J Randolph - - 2013
Forefoot traumas, particularly involving the metatarsals, are commonly occurring injuries. There have been several advances in management of these injuries. These advances include updates in operative technique, internal fixation options, plating constructs, and external fixation. In addition, the advances of soft tissue management have improved outcomes. This article outlines these ...
Bertozzi Mirko - - 2013
Dog bite injuries are common in children and represent an important health-care problem. Most dog bite injuries involve the face or an extremity. Victims tend to seek medical care quickly. Dog bites to the external genitalia are rarely reported, but they potentially result in morbidity if improperly managed. Morbidity is ...
Kenefake Mary Ella - - 2013
Pediatric trauma evaluation mimics adult stabilization in that it is best accomplished with a focused and systematic approach. Attention to developmental differences, anatomic and physiologic nuances, and patterns of injury equip emergency physicians to stabilize and manage pediatric injury.
Kim Seung-Sup - - 2013
OBJECTIVES: This paper sought to assess organizational safety practices at three different levels of hierarchical workplace structure and to examine their association with injury outcomes among construction apprentices. METHODS: Using a cross-sectional sample of 1,775 construction apprentices, three measures of organizational safety practice were assessed: contractor-, steward-, and coworker-safety practice. ...
Rathore A - - 2013
Traumatic abdominal wall injuries have been described in literature for over 100 years. These injuries involve abdominal wall from skin to the level of fascia. These are often associated with underlying visceral injuries. The diagnosis requires a high index of suspicion and is based on clinical examination and radiologic investigations. ...
Branco Bernardino C - - 2013
The "Evidence-based Telemedicine - Trauma & Acute Care Surgery" (EBT-TACS) Journal Club performed a critical review of the literature and selected three up-to-date articles on the management of splenic trauma. Our focus was on high-grade splenic injuries, defined as AAST injury grade III-V. The first paper was an update of ...
De Schauwer Catharina - - 2013
In the past decade, mesenchymal stem cells (MSC) have received much attention in equine veterinary medicine. The first therapeutic use of equine MSC was reported in 2003. Since then, the clinical application of MSC has been exploding with thousands of horses now treated worldwide. At present, MSC are mainly used ...
Lanckohr Christian - - 2013
PURPOSE OF REVIEW: A significant proportion of critically ill patients with acute kidney injury require continuous renal replacement therapy (CRRT). This article summarizes current evidence on the diagnosis and treatment of acute kidney injury. Regional citrate anticoagulation (RCA) is an emerging but complex technique. A variety of solutions and systems ...
Schupp Christian M - - 2013
Many articles have been written on specific injury patterns and types of injuries that occur in sports, but few have addressed sideline management with a specific focus on the injuries affecting skeletally immature athletes. This article will review the most common injuries that can occur with the skeletally immature athlete ...
Olympia Robert P - - 2013
Approximately 7.6 million high school students in the United States participate in sports. Although most sport-related injuries in adolescents are considered minor emergencies, life-threatening illnesses or injuries may occur, such as sudden cardiac arrest, heat stroke, status asthmaticus and exercise-induced asthma, catastrophic brain injuries, cervical spine injuries, heat- and cold-related ...
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