Emergency medicine
Splenic injury in pregnancy requiring urgent splenectomy: A rare surgical emergency

Aloysius Ugwu-Olisa Ogbuanya; Daniel AA Umezurike; Bieda Fongue; Ifeoma Ekwunife

Articles in Press, Accepted Manuscript, Available Online from 05 April 2024

Abstract
  Objective: The spleen is the most frequently injured organ in blunt abdominal trauma (BAT). We present an interesting case of traumatic splenic rupture in pregnancy managed successfully by emergency splenectomy in a low-resource setting.Case Presentation: A 27-year old multiparous woman at 23 weeks gestational ...  Read More

Emergency medicine
Is Clavicular Fracture Associated with Accompanying Injuries in Multi Trauma Patients?

Shiva Salmasi; Sadaf Dilmaqani; Hanieh Ebrahimi Bakhtavar; Alireza Ala; Farzad Rahmani

Volume 9, Issue 2 , July 2023, , Pages 104-108

Abstract
  Objective: This study aimed to evaluate the relationship between clavicular fracture and associated injuries in multi-traumatic patients.Methods: In this prospective cohort study, 185 multi-traumatic patients referred to the Emergency Department of Imam Reza (AS) Hospital of Tabriz University of Medical ...  Read More

Emergency medicine
Fatal Triad: Spontaneous Pneumothorax, Pneumomediastinum, and Pneumorrhachis in a Case of Paraquat Ingestion

Zainab Mehdi; Daljinderjit Kaur; Parv kamra; Nidhi Arora; Narinder kaur; Shivam Bansal

Volume 9, Issue 2 , July 2023, , Pages 138-141

Abstract
  Objective: Dependency on agriculture and the unregulated sale of paraquat makes it an easy alternative for homicidal and suicidal use in developing nations. It kills by multiorgan failure, predominantly pulmonary fibrosis, and ARDS. We report a case of alleged paraquat ingestion with spontaneous pneumothorax, ...  Read More

Emergency medicine
Cellulitis: when to say its treatment failure

Sadaf Sheikh

Volume 9, Issue 1 , January 2023, , Pages 1-1

Abstract
  Cellulitis is treated with antibiotics as routine management and based on the literature the cellulitis hospitalization can be avoided by 11% if appropriate antibiotics are used.1 Randomized clinical trials and Cochrane reviews have suggested that oral antibiotics are non-inferior to intravenous administration ...  Read More

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

Marziye Hadian; Alireza Jabbari; Hojjat Sheikhbardsiri

Volume 9, Issue 1 , January 2023, , Pages 4-8

Abstract
  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

Trauma
Adherence to guideline in hydrating traumatic patients with crystalloid fluids: A single center experience from Southern Iran

Shahram Paydar; Armin Akbarzadeh; Ladan Nasermoadeli; Vahid Mohammadkarimi

Volume 9, Issue 1 , January 2023, , Pages 9-12

Abstract
  Objective: The adherence of the physicians to guidelines in resuscitation of the patientsis of great importance since it can predict the outcome. To evaluate the adherence of thephysicians of our center in hydration of traumatic patients with crystalloids regarding theAdvanced Trauma Life Support (ATLS) ...  Read More

Emergency medicine
Comparing the effectiveness of oral versus intravenous antibiotics in the prophylaxis of wound infection in hand laceration

Mehdi Momeni; Elnaz Vahidi; Neda Karimi Tafti; Zeinab Naderpour; Javad Seyedhosseini; Morteza Saeedi

Volume 9, Issue 1 , January 2023, , Pages 13-18

Abstract
  Objective: Hand lacerations are among the most frequent causes of visiting emergencydepartments (EDs). Wound infection is one of its complications. There is still an ongoingdisagreement on the administration of oral versus intravenous (IV) antibiotics (ABs). Theobjective of this study is to compare the ...  Read More

Infectious disease
Prognostic value of intensive care scores concerning the prediction of 30-day mortality in COVID-19

Navid Kalani; Masoud Tavasolian; Khaterh Dehghani; Seyed Reza Mousavi; Erfan Ghanbarzadeh; Masihallah Shakeri; Elahe Rahmanian; Poorya Aryanpoor; Naser Hatami; Zhila Rahmanian; Samaneh Abiri

Volume 9, Issue 1 , January 2023, , Pages 19-24

Abstract
  Objective: The goal of our study was to determine the prognostic value of CURB-65,Sequential Organ Failure Assessment (SOFA), pneumonia severity index (PSI), MuLBSTA,and Acute Physiology and Chronic Health Evaluation (APACHE) II upon admission inpatients with coronavirus disease 2019 (COVID-19, as well ...  Read More

Trauma
Effects of perioperative use of two doses of magnesium sulfate infusion on intraoperative blood loss in patients undergoing lumbar spinal fusion surgery

Zahra Rahim; Mehrdad MasoudifarI; Behzad Nazemroaya; Mehrdad Norouzi; Amirali Mousavi I

Volume 9, Issue 1 , January 2023, , Pages 25-31

Abstract
  Objective: In general, spinal fusion surgery causes heavy bleeding. The purpose of thisstudy was to evaluate the use of two different doses of magnesium sulfate to control thebleeding in lumbar fusion surgery.Methods: This study was carried out as a randomized double-blinded clinical trial in 2020in ...  Read More

Resuscitation
Relationship between cardiac ultrasound findings during cardiopulmonary resuscitation with the outcome of patients

Javad Seyedhosseini; Rasha Ahmadi; Ehsan Karimialavijeh; Mehrad Aghili

Volume 9, Issue 1 , January 2023, , Pages 32-37

Abstract
  Objective: Cardiopulmonary arrest is a devastating outcome of some clinical situationsand requires strict implementation of cardiopulmonary resuscitation (CPR) protocols.Since ultrasound is one of the recommended tools to determine the presence of cardiacmovements and may be a predictor of the outcome, ...  Read More

Infectious disease
Post-traumatic growth and perceived social support in young adolescents during the COVID-19 pandemic

Khadigesadat Kazemi; Hooman Esfahani; Hadis Amiri; Asghar Tavan; Hojjat Farahmandnia

Volume 9, Issue 1 , January 2023, , Pages 38-43

Abstract
  Objectives: Pandemics would certainly have a negative impact on mental health. Positivemodifications as well as negative alterations have been documented in earlier viralpandemic according to previous investigations. Teenagers face a variety of challengesduring adolescence. Adolescents may become more ...  Read More

Emergency medicine
Using Weibull model of survival analysis workflow and its relevant factors: A prospective cohort study

Mohammad Nikzadian; Sima Hashemi; Reza Beiranvand; Maryam Khormehr

Volume 9, Issue 1 , January 2023, , Pages 44-51

Abstract
  Objective: One of the most important indicators used in the evaluation of emergency centers is the chronometric analysis of patients’ workflow. The aim of this study was to provide a chronometric analysis of patients’ workflow (patients’ waiting time in the emergency department) and ...  Read More

Trauma
Lag screw principle to fix unstable sagittal fracture of infraorbital rim: A technical note

Smita Bhat; Amal Suresh; Apeksha Inamdar; Anil Kumar Desai; Gopal Krishnan

Volume 9, Issue 1 , January 2023, , Pages 52-53

Abstract
  Objective: Fractures of orbital rims are common and restoration of these fractures back toits normal anatomic form is essential to maintain the function and aesthetics of the eyes.Low profile miniplates are the rigid fixation device of choice for such fractures. But in caseof sagittal and grossly displaced ...  Read More

Emergency medicine
Periorbital emphysema and pneumomediastinum following blunt orbital fracture: A case report and review of the literature

Abdolghader Pakniyat; Farzane Jafari; Rojin Ramezani; Mohammad Ghasemi-rad

Volume 9, Issue 1 , January 2023, , Pages 54-57

Abstract
  Objective: Orbital emphysema, defined as the presence of air in orbital and periorbital tissues, is a relatively uncommon clinical condition which occurs mostly following facial trauma. It can not only resolve spontaneously without any treatment, but it can also cause life threatening complications such ...  Read More

Trauma
Purtscher’s retinopathy following trauma: A case report

Seyed Ahmad Rasoulinejad

Volume 9, Issue 1 , January 2023, , Pages 58-59

Abstract
  Objective: Purtscher’s retinopathy is the retinal damage following trauma or non-traumatic systemic disease, which may contain cotton-wool spots (CWSs), and may cause Purtscher flecken, atrophy of the optic nerve, and hemorrhage of the posterior pole of the eye.Case Presentation: A 28-year-old ...  Read More

Imaging
Minimal invasive management of proximal small bowel bleeding: A case report and reviewing the evidences

Mohammad Rezazadehkermani; Seyed Vahid Hosseini

Volume 9, Issue 1 , January 2023, , Pages 60-63

Abstract
  Objective: Gastrointestinal bleeding is one of the surgical emergencies that is routinelyvisited in emergency departments. Although most of these patients are managed withendoscopic modalities, some of them are managed with surgical interventions. Most ofemergency surgical interventions are done via ...  Read More

Trauma
Rhabdomyolysis following electrical injury without acute kidney injury

Alper Alp; Burcu Arslan; Dilek Gibyeli Genek; Bülent Huddam

Volume 9, Issue 1 , January 2023, , Pages 72-75

Abstract
  Objective: Rhabdomyolysis is an important etiology for developing acute kidney injury(AKI). Among the many varying reasons for rhabdomyolysis, electrical injury seems to bea lesser-known factor. The clinical presentation of rhabdomyolysis is usually in the formof severe and widespread pain, tenderness, ...  Read More

Ultrasonography
New acoustic window for assessing the inferior vena cava collapsibility in humans in the prone position

Anton Kasatkin; Aleksandr Urakov; Alekse Shchegolev; Vadim Matreshkin; Ivan Zlobin

Volume 9, Issue 1 , January 2023, , Pages 76-78

Abstract
  Objective: Ultrasound assessment of inferior vena cava (IVC) collapsibility is performed todetermine the volume status of critically ill patients. We propose a new acoustic windowfor visualizing a vein in a prone patient.Case Presentation: A healthy volunteer took part in the study. The study protocol ...  Read More

Orthopedics
Sudden calf swelling and pseudo-thrombophlebitis in rheumatoid arthritis: an uncommon emergency spot diagnosis

Ganesh Singh Dharmshaktu; Tanuja Pangtey

Volume 8, Issue 2 , July 2022, , Pages 88-89

Abstract
  A 52-year-old male presented with atraumatic left side calf swelling for the last three months. The swelling had acute onset and increased gradually in size. He had a history of rheumatoid arthritis with treatment options limited to physiotherapy sessions and pain medication as he could not continue ...  Read More

Trauma
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

Volume 8, Issue 2 , July 2022, , Pages 95-98

Abstract
  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

Infectious disease
Challenges of prehospital emergency staff in the COVID-19 pandemic: A phenomenological research

Mohammad Mohammadi; Abdolghani Abdollahimohammad; Mohammadreza Firouzkouhi; Maryam Shivanpour

Volume 8, Issue 2 , July 2022, , Pages 99-103

Abstract
  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

Trauma
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

Volume 8, Issue 2 , July 2022, , Pages 104-109

Abstract
  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

Emergency medicine
The influence of cold versus room temperature charcoal on reducing nausea of poisoned patients: A randomized clinical trial

Morteza Talebi Doluee; Bita Dadpoor; Behrang Rezvani Kakhki; Veda Vakili; Elahe Barati; Elnaz Vafadar Moradi

Volume 8, Issue 2 , July 2022, , Pages 122-127

Abstract
  Objective: Intoxication is among the most common causes of emergency department (ED) visits. Activated charcoal is one of the useful treatments preventing poison absorption. However, nausea caused by using charcoal has made this substance less acceptable among patients. This study aims at investigating ...  Read More

Trauma
A new method to predict the in-hospital outcome of multi-trauma patients: R-GAP

Pegah Sepehri Majd; Amirhossein Alimohammadi Siyabani; Haniyeh Ebrahimi Bakhtavar; Farzad Rahmani

Volume 8, Issue 2 , July 2022, , Pages 128-133

Abstract
  Objective: Awareness of the severity of trauma and the outcome of patients can help physicians decide how long to treat patients. The objective of this study is to design a new score (R-GAP: Revised-GCS, Age, Pressure) for multi-trauma patients and determine its predictive value concerning in-hospital ...  Read More

Emergency medicine
Aprospective risk stratification and validation of HEART,GRACE andTIMIscoresfor chestpainpatients presenting to the emergency department

Madhushri Vadhone Dinesh; Aruna Chala Ramesh; Keshava Murthy M Rangaswamy; Hariprasad Kanakapura Veerendranath

Volume 8, Issue 2 , July 2022, , Pages 134-140

Abstract
  Objective: Chest pain is amongst the most frequently occurring symptoms in patientspresenting to the emergency department (ED). Accurate and fast risk stratification isparamountforidentification of patients with immediate risk of acute coronary syndrome(ACS). The present study has compared different ...  Read More