Aims and Scope

The Journal of Emergency Practice and Trauma is an Open Access free of charge and double blind peer-reviewed journal which provides an international forum for communication among health professionals with clinical, academic, and research interests in emergency practice. The journal gives particular emphasis to papers that integrate the findings of academic research into realities of clinical practice in the following areas:
Clinical Toxicology, Environmental Emergencies, Resuscitation, Anesthesiology, Emergency Ultrasonography, Disaster Medicine, Traumatology, Trauma Surgery, Critical Care, Internal Medicine, Cardiac Emergencies, Pediatrics Emergency Medicine, Behavioral Emergencies, Emergency Medical Services, Emergency Nursing and any other research related to emergency practice.

JEPT adheres to ICMJE and follows the guidelines of the Committee on Publication Ethics (COPE) recommendations.


We are pleased to announce that Journal of Emergency Practice and Trauma (ISSN: 2383-4544) has been accepted for inclusion in Scopus by Content Selection and Advisory Board (CSAB).

The CSAB has advised that the title is accepted for inclusion in Scopus.



The Journal of Emergency Practice and Trauma was approved at the 115th session of the National Medical Journals Commission of Iran on 14/Feb/2016 as a scientific-research journal.


Letter to Editor Clinical Toxicology
1. The Challenge of Medication Errors in the Emergency Department Setting

Mojtaba Miladinia; Elham Mousavi Nouri

Volume 8, Issue 1 , January 2022, Pages 1-2

  Medication errors (MEs) are considered the most common medical errors and as one of the major challenges threatening the health system, which can be also reduced. MEs threaten patients' safety and may increase the length of hospital stay, lead to unexpected complications, mortality and side costs. In ...  Read More

Original Article Education
2. The effect of teacher-made simulation moulage on learning cricothyrotomy skills in emergency medicine physicians

Hamid Reza Moretza Bagi; Amir Ghaffarzad; Peyman Fathipour; Reza Yazdani; Zhila Khamnian; Sama Rahnemayan

Volume 8, Issue 1 , January 2022, Pages 3-7

  Objective: Nowadays, simulation of clinical environment in medical education system (simulation-based learning) has led to a huge revolution in the quality of education and has increased the safety of educators and patients. In this study, we investigated the effect of teacher-made neck and lung simulators ...  Read More

Original Article Emergency medicine
3. Assessing the effectiveness of ketorolac in pain management of traumatic injuries in prehospital emergency care services

Seyyed Meysam Amini; Mehriyar Yoldashkhan; Sima Zohari; Malihe Nasiri; Zahra Mousavi; Seyed Mohammad Amini

Volume 8, Issue 1 , January 2022, Pages 8-12

  Objective: Pain is usually one of the most common symptoms among all traumatic injuries. One of the drugs that has recently entered the Iranian prehospital emergency system is ketorolac. Ketorolac is a non-steroidal anti-inflammatory drug (NSAID) that inhibits prostaglandin synthesis by inhibiting cyclooxygenase ...  Read More

Original Article Emergency medicine
4. Pattern of injuries in blunt trauma abdomen: A retrospective evaluation of imaging findings at a high-volume tertiary care trauma centre

Vikas Bhatia; Suzanne Koshi; Varun Bansal; Uma Debi; Lokesh Singh; Manavjit Singh Sandhu

Volume 8, Issue 1 , January 2022, Pages 13-18

  Objective: Contrast-enhanced computed tomography (CECT) is the investigation of choice in trauma patients. The purpose of this study was to retrospectively evaluate the pattern, severity and association of abdominal injuries based on imaging at a high-volume tertiary trauma care centre. Methods: Retrospective ...  Read More

Original Article Cardiology
5. Predictive value of HEART score in the outcome of acute coronary syndrome and disposition

elnaz vahidi; Maryam Beladi; Ahmad Abbasian; Amirhosein Jahanshir; Javad Seyedhosseini

Volume 8, Issue 1 , January 2022, Pages 19-25

  Objective: Disposition in acute coronary syndrome (ACS) is pivotal in an emergency department (ED). HEART score is a recent scoring system for finding primary endpoints in undetermined ACS. This study aimed at evaluating the predictive value of HEART score in ACS outcome and disposition.Methods: In this ...  Read More

Original Article Clinical Toxicology
6. Frequency of opium use in traumatic patients admitted to Shahid Rahnemoon hospital

Malek Moradi; Amir Motamedi; Adele Pouyafard; Mostafa Gavahi; Mohsen Barzegar

Volume 8, Issue 1 , January 2022, Pages 26-31

  Objective: Narcotic and alcohol use are recognized as the two important underlying factors in all types of trauma. In this study, the prevalence of opium consumption was investigated in traumatic patients who referred to Shahid Rahnemoon hospital in Yazd in 2018.Methods: In this descriptive cross-sectional ...  Read More

Original Article Emergency medicine
7. Association between a history of child neglect, abuse and the suicidal patient: a cross-sectional study

Ali Delirrooyfard; Maria Cheraghi; Mehdi Sayyah; Zahra Farahbakhsh

Volume 8, Issue 1 , January 2022, Pages 32-36

  Objective: People with a significant childhood history of abuse may exhibit emotionaldysregulations and psychiatric disorders and, in some cases, present suicidal ideation.Methods: In this descriptive-analytical and cross-sectional study data were collectedfrom suicidal patients referred to two grand ...  Read More

Original Article Cardiology
8. Electrocardiographic abnormalities and troponin levels provide insight on the prognosis of COVID-19 patients: A single center experience from Iran

Amin Mahdavi; Meysam Moravej; Maryam Aliramezany

Volume 8, Issue 1 , January 2022, Pages 37-42

  Objective: Coronavirus disease 2019 (COVID-19) is an infection which can present itself bythe involvement of various organs, but the most common manifestations are respiratorysymptoms, fever and dyspnea with a high mortality rate. In order to study the prognosis ofpatients and also to determine the treatment ...  Read More

Original Article Emergency medicine
9. Implementation and evaluation of the five-level emergency triage (emergency severity index tool): A hospital-based, prospective, observational study

Harish Kodisiddaiah Shivanna; Aruna Chala Ramesh; Keshava Murthy M Rangaswamy

Volume 8, Issue 1 , January 2022, Pages 43-48

  Objective:To implement the 5-level Emergency Severity Index (ESI) triage tool into nursingpractice in the emergency department (ED) and validate it with a population-based cohortusing hospitalization and length of stay (LOS) as outcome measures.Methods: The study included 850 patients, irrespective of ...  Read More

Original Article Emergency medicine
10. Candida isolation from peritoneal fluid: Its role in the outcome of patients with perforation peritonitis

Shyam lal; Vinod Kumar Singh; Suhas Agarwal

Volume 8, Issue 1 , January 2022, Pages 49-54

  Objective: Perforation peritonitis is a common surgical emergency which is treated bysurgery and antibiotics. Candida isolation in peritoneal fluid and antifungal treatment isnot a norm. The aim of this study was to determine the incidence of Candida in peritonealfluid and its role in the outcome of ...  Read More

Review Article Infectious disease
11. Urologic oncology during the COVID-19 pandemic

Manas Sharma; Rajendra B Nerli; Shridhar C Ghagane

Volume 8, Issue 1 , January 2022, Pages 55-59

  The COVID-19 pandemic will have numerous consequences in the management of patientswith genitourinary cancers. As we are struggling to best exploit our limited health-careresources in managing COVID-19 infected patients, we need to rethink our approach toprovide the best medical care for cancer patients ...  Read More

Brief Report Infectious disease
12. The proposed scoring system for hospitalization or discharge of patients with COVID-19

Enayatollah Noori; Mostafa Vahedian; Sajjad Rezvan; Neda Minaei; Reihane Tabaraii

Volume 8, Issue 1 , January 2022, Pages 60-63

  Objective: Since the outbreak of coronavirus disease 2019 (COVID-19), the triage ofpatients diagnosed with corona virus has been a very important issue. The aim of thisstudy was to introduce a triage scoring system according to the clinical and para-clinicalfindings of patients in order to be admitted ...  Read More

Case Report Clinical Toxicology
13. Pseudo-SAH in a patient with methanol poisoning

Elham Pishbin; Hamidreza Reihani; Bahram Zarmehri; Mahdi Foroughian

Volume 8, Issue 1 , January 2022, Pages 64-65

  Objective: Methanol poisoning is a dangerous life-threatening event, manifested withvarious symptoms, sometimes very rare ones, that all should be addressed to preventmisdiagnosis of the methanol-poisoned patients.Case Presentation: A 21-year-old young man was brought to the emergency department(ED) ...  Read More

Case Report Emergency medicine
14. An unusual case of both bones forearm shaft fracture with ipsilateral distal radio-ulnar joint disruption

Atul Rai Sharma; Akash Singhal; Anurag Patil; Gladson David Masih

Volume 8, Issue 1 , January 2022, Pages 66-68

  Objective: Distal radioulnar joint (DRUJ) subluxation with associated both bones forearm fracture is a rare clinical entity and is easily missed, leading to significant functional limitations.Case Presentation: A 28-year-old male fell on the outstretched hand and suffered left side both bones forearm ...  Read More

Case Report Clinical Toxicology
15. When numbers can be misleading: lithium induced irreversible neurotoxicity at therapeutic drug levels

Jyoti Aggarwal; Zainab Mehdi; Baldeep Kaur; Yuvraj Singh Cheema; Monica Gupta

Volume 8, Issue 1 , January 2022, Pages 69-73

  Objective: Lithium is a principal drug used in the treatment of bipolar disorder (BPD). Due to its narrow therapeutic index, serum levels need to be monitored regularly. In elderly patients with renal dysfunction lithium toxicity can develop paradoxically within the therapeutic range. This can lead to ...  Read More

Case Report Emergency medicine
16. An acute ST-elevation myocardial infarction which went viral

Chui King Wong; Glen Chiang Hong Tan; Mohd Johar Jaafar

Volume 8, Issue 1 , January 2022, Pages 74-76

  Objective: ST-elevations in electrocardiogram (ECG) secondary to an acute myocarditis may mimic ST-elevation myocardial infarction (STEMI). It is vital to distinguish between the two entities to avoid inappropriate clinical management and complications.Case Presentation: A previously well 19-year-old ...  Read More

Case Report Emergency medicine
17. Base of skull fracture leading to pneumomediastinum and pneumo-retroperitoneum: a case report with review of literature

Garima Sharma; Sanya Vermani; Anjum Syed

Volume 8, Issue 1 , January 2022, Pages 77-79

  Objective: The presence of air within the mediastinal compartment and retro-peritoneal compartment, in the setting of trauma, can be because of visceral and skeletal injuries. However, in absence of a local site injury, an approach based on anatomical communication between various body compartments should ...  Read More

Case Report Emergency medicine
18. Pneumoperitoneum due to pneumothorax in blunt thoracoabdominal trauma: A diagnostic challenge

Luis Miguel Castro; Rui Manuel Mendes; Coelho Fátima Borges; Capella Vanessa; Ávila Leonor

Volume 8, Issue 1 , January 2022, Pages 80-82

  Objective: A Perforation of hollow viscus is the most common cause of pneumoperitoneumafter a blunt thoracoabdominal trauma and demands prompt surgical exploration.Alternative routes into the peritoneal cavity, such as the presence of a diaphragmaticlaceration associated with pneumothorax, although rare, ...  Read More

Case Report Clinical Toxicology
19. Compsobuthus matthiesseni sting from Bazoft: A case report

Rouhullah Dehghani; Kobra Taji; Amrollah Mahmoudi; Masoomeh Varzandeh

Volume 8, Issue 1 , January 2022, Pages 83-85

  Objective: A Scorpion sting is one of the most important health and medical problems in most parts of Iran.Case Presentation: This case report occurred in Chaharmahal Bakhtiari province of Bazoft city. The injured person was a 48-year-old woman, weighing about 69 kg. Two documentary filmmakers were on ...  Read More

1. Hyperkalemia-induced complete heart block

Alireza Baratloo; Pauline Haroutunian; Alaleh Rouhipour; Saeed Safari; Farhad Rahmati

Volume 1, Issue 1 , January 2015, , Pages 35-38

  Background: Potassium, as an extracellular ion, plays an important role in the electrophysiologic function of the myocardium and any change in extracellular concentration of this ion might have a marked impression upon myocyte electrophysiologic gain. High serum potassium levels are thought to impair ...  Read More

Emergency medicine
2. Using risk factors to help in the diagnosis of acute myocardial infarction in patients with non-diagnostic electrocardiogram changes in emergency department

Ali Arhami Dolatabadi; Parvin Kashani; Hamidreza Hatamabadi; Hamid Kariman; Alireza Baratloo

Volume 1, Issue 1 , January 2015, , Pages 3-6

  Objective: This study aimed to determine the association of cardiac risk factors and the risk of Acute Myocardial Infarction (AMI) in Emergency Department (ED) patients with non-diagnostic ECG changes. Methods: This cross-sectional study was conducted in the ED of Imam Hossein Hospital during a period ...  Read More

3. A road to ethics: a new experience of retraction

Hafez Mohammadhassanzadeh; Amin Beigzadeh; Mehrdad Nazarieh

Volume 2, Issue 1 , January 2016, , Pages 1-2

  Every journal finds its fundamentals in the course of time by the validity and originality of its published literature. This is validated if authors keep diligence and honesty when they conduct their research and submit their work in a journal. But at times what comes out of a scientific research is ...  Read More

emergency nursing
4. Factors influencing decisions on organ donation in brain death patients

Amin Beigzadeh; Bahareh Bahmanbijari; Mahla Salajegheh; Ali Akbar Haghdoost; Habibolah Rezaei

Volume 1, Issue 2 , July 2015, , Pages 60-66

  Organ donation is an integral part of the health care system. Many patients who have had an accident or have undergone a progressive disease are in need of an organ transplant and if they do not receive the required organ they would die. It is important to know that the most important source of organ ...  Read More

Clinical Toxicology
5. Evaluation of suicide attempts with drug poisoning in North-West of Iran

Samad Shams Vahdati; Narges Moradi; Jamil Hemat Ghadim; Shahrad Tajoddini

Volume 1, Issue 1 , January 2015, , Pages 1-2

  Deliberate Self-Poisoning (DSP) or drug induced suicide is the most common method of suicide in the developed countries and is associated with significant morbidity and mortality (1-3). Factors associated with DSP include economic and social factors, culture, religion, and health (4-6). Other symptoms ...  Read More

Review Article Infectious disease
1. Final triage methods to decide on home-isolation versus hospitalization in COVID-19 pandemic: a challenge for clinicians

Mojtaba Miladinia; Farhad Abolnezhadian; Joachim G. Voss; Kourosh Zarea; Naser Hatamzadeh; Mandana Ghanavati

Articles in Press, Corrected Proof, Available Online from 23 September 2020

  Objective: Final patient triage determines which patients can be home-isolated andwhich patients require hospitalization on the basis to predict the patient’s prognosismost accurately. Final triage is an important link in the clinical management chain of thecoronavirus disease 2019 (COVID-19) pandemic, ...  Read More

Editorial Infectious disease
2. Clubfoot management during COVID-19 times: An Indian scenario

Akash Singhal; Anil Kapoor

Articles in Press, Corrected Proof, Available Online from 19 February 2022

  The coronavirus disease 2019 (COVID-19) pandemic has been universal and swift in its spread. As orthopaedic surgeons, for the most of us this timeframe has reduced our activity to emergency and trauma cases only, with virtual outpatient clinics and no elective surgeries. With some of the common deformity ...  Read More

Original Article Emergency medicine
3. Underlying causes of pulled elbow in children: Could there be a physiopathology similar to transient synovitis of the hip?

Raheleh Faramarzi; Mohammad Davood Sharifi; Elnaz Vafadar Moradi; Behnaz Alizadeh

Articles in Press, Corrected Proof, Available Online from 20 October 2020

  Objective: Partial dislocation of radius head (pulled elbow) is the most common trauma observed in out-patient orthopedic treatment of children. The typical mechanism of this trauma includes exertion of longitudinal force along the forearm in a pronation position, causing partial dislocation of the radius ...  Read More

Original Article Emergency medicine
4. Challenges of prehospital emergency staff in the COVID-19 pandemic: A phenomenological research

Mohammad Mohammadi; Abdolghani Abdollahimohammad; Mohammadreza Firouzkouhi; Maryam Shivanpour

Articles in Press, Corrected Proof, Available Online from 03 December 2021

  Objective: Pre-hospital emergency staff are involved in the front line of care for COVID-19 patients and face many challenges. The aim of this study was to explore the challenges of prehospital emergency staff in the COVID-19 pandemic.Methods: This qualitative research was conducted with a descriptive ...  Read More

Original Article Emergency medicine
5. Utility of type and screen policy for pretransfusion compatibility testing at an urban level Ι apex trauma center

Rahul Chaurasia; Naveen Akhtar; Subramanian Arulselvi; Vedanand Arya; Sulekha Karjee

Articles in Press, Accepted Manuscript, Available Online from 20 December 2021

  Objective: Type and crossmatch (TC) policy is the most common approach for pretransfusion compatibility testing prior to issue of blood for transfusion. As it involvesreserving of the blood units (usually up to 72 hours) prior to issue or un-reserving, it can leadto excessive blood cross matching, inventory ...  Read More

Review Article Emergency medicine
6. The effect of chit powder technology in the treatment of burn hazards victims: A systematic review

Marziye Hadian; Alireza Jabbari; Hojjat Sheikhbardsiri

Articles in Press, Accepted Manuscript, Available Online from 20 December 2021

  Objective: In order to heal burn wounds, many researches have been done, including the use of biological scaffolds due to their ability to achieve the desired properties. Owing to the appropriate biological properties of chitosan such as biocompatibility and antimicrobial properties as well as the promotion ...  Read More

Case Report Infectious disease
7. Pulmonary necrosis and bronchopleural fistula in a patient infected with COVID-19: A case report

Mohsen Eshraghi; Enayatollah Noori; Ahmad Kachoie; Moien Zolmafakher

Articles in Press, Corrected Proof, Available Online from 23 April 2021

  Objective: Bronchopleural fistula (BPF) is a pathological communication between thebronchial tree and pleural space. BPFs are commonly seen after lung surgery, and are lesscommon in trauma, lung abscess, and radiation therapy. In this study, we describe theclinical course and surgery of a case of pulmonary ...  Read More

Case Report
8. Three patients with acute appendicitis diagnosis following blunt abdominal trauma

Khosro Ayazi; Parham Nikraftar; Hamidreza Hatamabadi; Fatemeh Shojaeian; Shervan Family

Articles in Press, Corrected Proof, Available Online from 03 December 2021

  Objective: One of the most prevalent surgical emergencies is appendicitis, caused by different factors. However, its relation to trauma has not been well-known yet. Here we have described three cases with blunt abdominal trauma and a secondary diagnosis of appendicitis that were transferred to the operation ...  Read More

Emergency medicine
1. Penetrating abdominal injuries in an emerging semi-urban teaching hospital

Julius Gbenga Olaogun; Amarachukwu Chiduziem Etonyeaku; Joshua Taye Ige; Obafemi Kayode Wuraola

Volume 6, Issue 1 , January 2020, , Pages 7-12

  Objective: There has been a worldwide rise in the prevalence of penetrating abdominal injury (PAI), and there are both inter-country and intra-country variations in frequencies. This study evaluates the mechanisms and pattern of penetrating abdominal injuries and the treatment outcome in our center.Methods: ...  Read More

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