Emergency medicine
Cellulitis: when to say its treatment failure

Sadaf Sheikh

Articles in Press, Accepted Manuscript, Available Online from 27 April 2022

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

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

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

Emergency medicine
Purtscher’s retinopathy following trauma: A case report

Seyed Ahmad Rasoulinejad

Articles in Press, Corrected Proof, Available Online from 02 June 2022

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

Emergency medicine
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

Emergency medicine
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

Emergency medicine
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

Emergency medicine
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

Clinical Toxicology
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

Emergency medicine
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

Emergency medicine
Three patients with acute appendicitis diagnosis following blunt abdominal trauma

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

Volume 8, Issue 2 , July 2022, , Pages 145-147

Abstract
  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

Critical Care
Renal infarction mimicking cholecystitis: a case report of a patient presenting with stroke

Sadaf Sheikh; Umair Javed

Volume 8, Issue 2 , July 2022, , Pages 159-161

Abstract
  Objective: Renal infarction which is a rare phenomenon can be missed on the patient’s work up making its incidence low.Case Presentation: We report a 68-year-old lady with known history of hypertension presented with epigastric pain and vomiting for 4 days. During her stay in the emergency room, ...  Read More

Clinical Toxicology
The Challenge of Medication Errors in the Emergency Department Setting

Mojtaba Miladinia; Elham Mousavi Nouri

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

Abstract
  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

Education
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

Abstract
  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

Emergency medicine
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

Abstract
  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

Emergency medicine
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

Abstract
  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

Cardiology
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

Abstract
  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

Clinical Toxicology
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

Abstract
  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

Emergency medicine
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

Abstract
  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

Emergency medicine
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

Abstract
  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

Emergency medicine
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

Abstract
  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

Emergency medicine
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

Abstract
  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

Emergency medicine
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

Abstract
  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

Emergency medicine
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

Abstract
  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