Emergency medicine
176. Painless aortic dissection with slurred speech (Neurologic symptom)

Esmaeal Rayat Dost; Saeed Barazandehpour; Navid Kalani; Samaneh Abiri

Volume 7, Issue 1 , January 2021, , Pages 71-73

Abstract
  Objective: Aortic dissection is an uncommon disorder with a high mortality rate, especially if misdiagnosis and mistreatment are not considered. Case Presentation: We present a 67-year old female with slurred speech and left sided plegia during her brother’s funeral. The patient did not have ...  Read More

Emergency medicine
177. A patient with a traumatic brain injury due to barrel bomb tertiary blast effect

Mustafa Bolatkale; Çağdaş Can; Ahmet Çağdaş Acara; Aydın Sarıhan

Volume 3, Issue 2 , July 2017, , Pages 75-76

Abstract
   Preparing to manage weapons of mass destruction events challenges emergency services systems neighboring Syria every day. Understanding injury from explosives is essential for all providers of emergency care in both civilian and military settings. In this case, the authors present a 22-year-old ...  Read More

Emergency medicine
178. 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

Clinical Toxicology
179. Medical system error causing methotrexate poisoning and delay in diagnosis: report of two cases

Hamidreza Reihani; Maryam Ziadi Lotfabadi

Volume 7, Issue 1 , January 2021, , Pages 74-76

Abstract
  Objective: We are going to alert the emergency physicians to be aware of drugs side effects. Some drugs like methotrexate are not routine drugs, and the symptoms may be miss diagnosed if not completely notified.Case Presentation: We present two patients under treatment with methotrexate. Both of them ...  Read More

Emergency medicine
180. Case report of a piece of dishwashing steel wool in a child’s pharynx

Parvin Aَbbaslou; Maryam Ahmadipour

Volume 6, Issue 2 , July 2020, , Pages 118-120

Abstract
  Objective: Foreign body swallowing is a common pediatric problem. A foreign body in the pharynx is a medical emergency that requires urgent intervention. Evaluation and treatment of pharyngeal foreign bodies is much more difficult in children than in adults and sometimes requires hospitalization and ...  Read More

Emergency medicine
181. A woman with a postpartum severe headache

Mustafa Mahmood Eid

Volume 7, Issue 1 , January 2021, , Pages 77-79

Abstract
  Objective: Epidural anesthesia is one of the famous, generally safe, and most requestedpain relief measures in labor. Nevertheless, it can have some complications thoughpneumocephalus and subdural effusion are very rare complications.Case Presentation: A 32-year-old woman presented with a severe persistent ...  Read More

Clinical Toxicology
182. 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

Abstract
  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

Clinical Toxicology
183. Severe hemoglobinuria due to Hemiscorpius enischnochela (Scorpiones: Hemiscorpiidae) envenomation from South of Iran

Mehran Shahi; Seyed Hamid Moosavy; Hossein Sanaei-Zadeh

Volume 6, Issue 2 , July 2020, , Pages 121-125

Abstract
  Objective: Scorpion stings are common in tropical regions of Iran. Hemiscorpius enischnochela are distributed in southern part of Iran. The venom of this scorpion causes severe hemolysis, hemoglobinuria, and occasionally death.Case Presentation: This report describes the clinical manifestations of envenomation ...  Read More

Emergency medicine
184. 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
185. 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

Emergency medicine
186. 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

Clinical Toxicology
187. 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

Abstract
  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