Emergency medicine
176. 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 , Winter and Spring 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
177. Medical system error causing methotrexate poisoning and delay in diagnosis: report of two cases

Hamidreza Reihani; Maryam Ziadi Lotfabadi

Volume 7, Issue 1 , Winter and Spring 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
178. Case report of a piece of dishwashing steel wool in a child’s pharynx

Parvin Aَbbaslou; Maryam Ahmadipour

Volume 6, Issue 2 , Summer and Autumn 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
179. A woman with a postpartum severe headache

Mustafa Mahmood Eid

Volume 7, Issue 1 , Winter and Spring 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

180. 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

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

Clinical Toxicology
181. 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 , Winter and Spring 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
182. 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 , Summer and Autumn 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
183. An acute ST-elevation myocardial infarction which went viral

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

Volume 8, Issue 1 , Winter and Spring 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
184. 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 , Winter and Spring 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
185. 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 , Winter and Spring 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
186. Compsobuthus matthiesseni sting from Bazoft: A case report

Rouhullah Dehghani; Kobra Taji; Amrollah Mahmoudi; Masoomeh Varzandeh

Volume 8, Issue 1 , Winter and Spring 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