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

Ultrasonography
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

Emergency medicine
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

Emergency medicine
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

Emergency medicine
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

Trauma
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

Trauma
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

Emergency medicine
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

Emergency medicine
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

Orthopedics
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

Trauma
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

Trauma
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

Abstract
  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

Infectious disease
Interleukin-6 blockade and cytokine release syndrome in coronavirus disease of 2019: Is that a lot? Thoughts from the emergency department

Sadaf Sheikh

Volume 7, Issue 2 , July 2021, , Pages 80-81

Abstract
  Interleukin-6 is pro-inflammatory cytokine which plays a role in cytokine storm and brought into notice with corona virus disease of 2019. Lymphopenia and dysregulated immune response were seen in the critically ill patients of corona virus disease of 2019. IL-6 inhibitors were proposed as a treatment ...  Read More

Emergency medicine
Diagnostic relevance of neutrophil gelatinase-associated lipocalin in early detection of acute kidney injury

Madhusudhan Mahadevaiah; Murali Mohan Nidasale Thimmaiah; Venu Sashank Yerramsetty; Jeevan Kumar; Ranjith Kumar

Volume 7, Issue 2 , July 2021, , Pages 88-92

Abstract
  Objective: To evaluate the predictive and diagnostic accuracy of neutrophil gelatinase-associated lipocalin (NGAL) in acute kidney injury (AKI) and also to predict the renal replacement therapy (RRT) using NGAL as a marker.Methods: This prospective study was conducted among the patients admitted to intensive ...  Read More

Ultrasonography
The effect of a short ultrasound training course on the performance of emergency medical technicians in terms of using extended-focused assessment with sonography in trauma (E-FAST) in the pre-hospital setting

Anita Sabzghabaei; Fariba Farahi; Masoud Ghanbari Boroujeni; Hamidreza Hatamabadi

Volume 7, Issue 2 , July 2021, , Pages 97-100

Abstract
  Objective: The aim of this study was to determine the effect of an ultrasound training course on the performance of emergency medical technicians (EMTs) in terms of using extended-focused assessment with sonography in trauma (E-FAST) in the pre-hospital setting.Methods: In this quasi-experimental study, ...  Read More

Trauma
Clinical competencies of emergency medical services paramedics in responding to emergency conditions using Objective Structured Clinical Examination (OSCE) in Guilan

Arash Amirrafiei; Seyyed Mahdi Zia Ziabari; Fatemeh Haghshenas-Bakerdar; Ehsan Kazemnejad-Leili; Payman Asadi

Volume 7, Issue 2 , July 2021, , Pages 101-105

Abstract
  Objective: Evaluating the abilities of emergency medical services (EMS) staff who are in the frontline of the diseases could be an excellent reflection of the accuracy of curriculum both before and after graduation. This study was done to determine the clinical competencies of Guilan EMS staff in responding ...  Read More

emergency nursing
Exploring nurses’ knowledge of basic life support guideline of American Heart Association: a local study

Payman Asadi; Seyyed Mahdi Zia Ziabari; Vahid Monsef-Kasmaei1

Volume 7, Issue 2 , July 2021, , Pages 106-110

Abstract
  Objective: Awareness of the changes concerning the clinical guidelines for cardiopulmonary resuscitation (CPR) is essential for nurses. This study aimed at assessing the nurses’ knowledge of the 2015 American Heart Association basic life support guideline algorithm. Methods: In a cross-sectional ...  Read More

Emergency medicine
Emergency laparotomy at district hospitals in a developing nation: a review of indications and outcomes of treatment

Aloysius Ugwu-Olisa Ogbuanya; Nonyelum Benedett Ugwu

Volume 7, Issue 2 , July 2021, , Pages 111-117

Abstract
  Objective: Recently, emergency and essential surgical and anesthesia care at district hospitals is increasingly gaining recognition as a critical, though neglected element of health care system in Africa and other developing nations. Emergency laparotomy is a versatile procedure that can cure a great ...  Read More

Trauma
An overview of the prevalence and pattern of maxillofacial trauma in the south of Iran

Mahnaz Yadollahi; sarina sahmeddini

Volume 7, Issue 2 , July 2021, , Pages 118-122

Abstract
  Objective: The purpose of the current study is to determine the prevalence and pattern of maxillofacial trauma.Methods: This is a cross sectional study of maxillofacial trauma cases treated in the referral trauma center of south of Iran. Data of 264 patients were extracted from patients’ records ...  Read More