Localized tracheobronchial amyloidosis: A rare case presentation and tailored management approaches.

Localized tracheobronchial amyloidosis (TBA) is a rare manifestation of pulmonary amyloid disease, and can result in central airway obstruction. The nature of presentation is variable and there may be a delayed diagnosis. TBA has a variable prognosis and the most commonly used strategy for management is airway recanalization.

A lexicon of assessment and outcome measures for telemental health.

Background: The purpose of this document is to provide initial recommendations to telemental health (TMH) professionals for the selection of assessment and outcome measures that best reflect the impacts of mental health treatments delivered via live interactive videoconferencing.

Materials And Methods: The guidance provided here was created through an expert consensus process and is in the form of a lexicon focused on identified key TMH outcomes.

Results: Each lexical item is elucidated by a definition, recommendations for assessment/measurement, and additional commentary on important considerations.

Reducing "cry wolf"--changing trauma team activation at a pediatric trauma centre.

Background: To improve utilization of scarce surgical resources, we changed from a single tier trauma paging system (TPS) to a three tiered TPS at a tertiary pediatric trauma center. We investigated if patients were appropriately classified into the three levels of trauma team activation.

Methods: Trauma registry data were used to review data 12 months before and after implementation of a three tiered TPS (level I entire team present, level II surgical subspecialties within 10 minutes, level III emergency department team only at patient arrival).