Kerman University of Medical SciencesJournal of Emergency Practice and Trauma2383-45441220150701Iranian emergency department overcrowding39399885ENAlirezaBaratlooDepartment of Emergency Medicine, Shohadaye Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, IranMarziehMalekiDepartment of Emergency Medicine, Shohadaye Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, IranJournal Article20141214Today, overcrowding in emergencies has turned out to be one of the biggest problems in health systems around the world. In this case, a short and an accessible solution could not be reached. In fact, several basic reasons play a role in such a problem, and eliminating each of them would require long-term planning. This issue not only has a negative effect on the quality of services presented to the patients, but also produces both psychological and physical effects on the emergency staff such as physicians and nurses. In addition, it also causes increased dissatisfaction among referees as well as imposing excessive exhaustion on medical staff.Kerman University of Medical SciencesJournal of Emergency Practice and Trauma2383-45441220150701Comparing two methods of electronic and teacher-based education on nursing students’ level of knowledge in taking care of trauma patients40439886ENSamanehAlizadehNursing & Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, IranSamadShams VahdatiRoad Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran0000-0002-4831-6691AleheSeyyed RasooliMedical Education Research Center, Tabriz University of Medical Sciences, Tabriz, IranMohammadAsghari JafarabadiFaculty of Dentistry, Tehran University of Medical Sciences, Tehran, IranSabaAmir FarhangiFaculty of Dentistry, Tehran University of Medical Sciences, Tehran, IranShahradTajoddiniKerman Neuroscience Research Center, Kerman University of Medical Sciences, Kerman, IranJournal Article20150204<strong>Objective</strong>: Trauma is a major health problem worldwide regardless of regional socioeconomic and healthcare status. As a leading cause of death, trauma results in severe socioeconomic damages, which could be highly prevented by optimal care. As nurses are the major professional groups involved in patient care, improvement of their knowledge and practical skill leads to more qualified healthcare staff. Nowadays, traditional methods of education cannot meet students’ needs and modern methods of training are recommended to be applied. This study, therefore, aimed to compare the effects of two methods of teaching (electronic education and teacher-based education) on students’ learning and the efficacy rate of each method on the knowledge of fourth year students of nursing and midwifery faculty in Tabriz University of Medical Sciences.
<strong>Methods:</strong> In this study, the participants were randomly assigned into 2 educational groups of electronic (experimental group) and teacher-based (control group) method. All participants took a pre-test. Then each group attended the same course in a different method. Finally, post-test was taken by the participants and data were analyzed.
<strong> Results:</strong> A comparison of the mean knowledge score of both groups showed that electronic education was more effective than teacher-based education.
<strong> Conclusion:</strong> The electronic training will result in more effective learning in comparison to teacher-based method and can be applied as an appropriate and efficient method of educationKerman University of Medical SciencesJournal of Emergency Practice and Trauma2383-45441220150701Prognosis of emergency room stabilization of decompensated congestive heart failure with high dose lasix44479887ENMahboobPouraghaeiEmergency Department, Tabriz University of Medical Sciences, Tabriz, IranBehzadMohammadiEmergency Department, Tabriz University of Medical Sciences, Tabriz, IranAliTaghizadehEmergency Department, Tabriz University of Medical Sciences, Tabriz, IranPariaHabibollahiPharmacology and Toxicology Department, Tabriz University of Medical Sciences, Tabriz, IranPaymanMoharamzadehEmergency Department, Tabriz University of Medical Sciences, Tabriz, IranJournal Article20150204<strong>Objective:</strong> Congestive heart failure (CHF) has become one of the most important health care problems in western countries. This article focuses on the outpatient diagnosis and management of heart failure. We want to compare the outcome of patients who were treated with high dose diuretics in the emergency department (ED) without admission with patients who were admitted to hospital for standard treatment.
<strong> Methods:</strong> This was a randomized prospective clinical trial study. The patients who came to the ED from March 20, 2008 up to August 20, 2008 were divided into two groups randomly. The length of ED stay in the experimental group was documented. Also, readmission and mortality in 6 months and satisfaction in both groups were taken into consideration. All data were analyzed using SPSS 15.0.
<strong> Results:</strong> In experimental group, the rate of recurrent admission, expiration, discharge, clinic visit, and clinic admission was 8%, 4%, 29%, 18%, and 0% respectively. On the other hand, in control group it was 16%, 40%, 18%, 22%, and 2% respectively. Additionally, there was a significant difference between these groups (<em>P </em>= 0.00).
<strong>Conclusion:</strong> This study is the first regional prospective trial to comprehensively examine the therapeutic management in patients with CHF. This study, comparing the high dose diuretic efficacy in the decreasing of hospital stay and readmission; and decreasing mortality rate with routine therapy, showed that there was a significant difference between these two strategies in the mortality rate, readmission, and length of hospital stay (<em>P </em>= 0.00).Kerman University of Medical SciencesJournal of Emergency Practice and Trauma2383-45441220150701Characteristics of road traffic injuries in the second largest city of Iran48519888ENDavoodSoroushShahid Hasheminejad Hospital, Mashhad University of Medical Sciences, Mashhad, IranMortezaTalebi DeloeiDepartment of Emergency Medicine, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, IranHamidrezaReihaniDepartment of Emergency Medicine, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, IranVidaVakiliDepartment of Community Medicine, Mashhad University of Medical Sciences, Mashhad, IranAzadehMahmoodi GharaeeDepartment of Emergency Medicine, School of Medicine, Mashhad University of Medical Sciences, Mashhad, IranAzadehTafakoriDepartment of Emergency Medicine, School of Medicine, Mashhad University of Medical Sciences, Mashhad, IranRezaFarahmand RadSchool of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, IranElhamPishbinDepartment of Emergency edicine, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, IranJournal Article20150401<strong>Objective:</strong> Road traffic injuries (RTIs) are the second leading causes of death in Iran. One of the most important steps in the prevention of traffic-related trauma and its consequences is gaining insight into the epidemiology of injuries. We conducted this study to describe the characteristics of RTIs and to find strategies for its prevention.
<strong>Methods:</strong> This was a prospective cross-sectional study on consecutive road traffic trauma patients admitted to the emergency department (ED) of the second largest trauma center in the northeast of Iran, during July to September 2013. Demographic characteristics, type of vehicle, and injured area of the body were documented for each patient.
<strong> Results:</strong> Of 666 included patients, 562 (84.4%) were male and 104 (15.6%) were female, with a mean age of 28.89 ± 16.62 years. Most of the patients were uneducated. The highest frequency of RTIs was related to motorcyclists with an attributed risk of RTIs for motorcycles at 75.8%. The most common traumatized area was head, face, and lower extremities.
<strong> Conclusion:</strong> The largest number of traumatized patients was among motorcyclists and uneducated population underscores the importance of public training about motorcycle usage and security and increase social awareness about reasons behind traffic law.Kerman University of Medical SciencesJournal of Emergency Practice and Trauma2383-45441220150701One-day triage course for nurses, it is essential52559889ENRaminAzhoughDepartment of Surgery, Tabriz University of Medical Sciences, Tabriz, IranSamadShams VahdatiEmergency Department, Tabriz University of Medical Sciences, Tabriz, Iran0000-0002-4831-6691FaribaFarajiSina Hospital, Tabriz University of Medical Sciences, Tabriz, IranMaliheFarajiSina Hospital, Tabriz University of Medical Sciences, Tabriz, IranMaryamGhorbanianMedical Faculty, Tabriz University of Medical Sciences, Tabriz, IranAliRamouzStudent Research Committee and Medicine Faculty, Tabriz University of Medical Sciences, Tabriz, IranShahradTajoddiniKerman Neuroscience Research Center, Kerman University of Medical Sciences, Kerman, IranJournal Article20150504<strong>Objective:</strong> Triage procedure is one of the most important aspects of emergency departments as it has an undeniable role on the management of patients. It includes 5 categories based on the Emergency Severity Index (ESI) according to the condition of severity. For better decision making and management, it is important to have skillful and experienced nursing staff. In the current study, we aimed to investigate the effectiveness of a one-day workshop on participants in terms of their triage knowledge improvement.
<strong>Methods:</strong> This is a pre- and post-test trial study. In this study all the nursing staff of Sina hospital participated. The workshop was conducted in a single day for 6 hours. During the one-day workshop, topics such as emergency triage and hospital triage were covered according to START and ESI. In order to evaluate triage knowledge, each participant completed a pre-test before the workshop, and a post-test after the workshop (15 questions). Data were analyzed with SPSS 15.0. Paired <em>t </em>test was applied for data analysis.
<strong>Results:</strong> Fifty-five nurses with the mean age of 35.72 ± 7.35 participated in the workshop. The analysis of the data, using paired <em>t </em>test based on the pre-test and post-test results, did not show any significant differences (<em>P </em>> 0.05).
<strong> Conclusion:</strong> This study suggests that a one-day workshop is not really effective and reliable for triage knowledge improvement. We propose longer planned workshops in order to train more skillful staff.Kerman University of Medical SciencesJournal of Emergency Practice and Trauma2383-45441220150701Evaluation of reasons for staying and waiting for more than 24 hours in the emergency ward of Imam Hossein hospital56599890ENHosseinAlimohammadiDepartment of Emergency Medicine, Shahid Beheshti University of Medical Sciences, Tehran, IranPapakBabaieDepartment of Emergency Medicine, Shahid Beheshti University of Medical Sciences, Tehran, IranHamid RezaHatamabadiDepartment of Emergency Medicine, Shahid Beheshti University of Medical Sciences, Tehran, IranAnitaSabzghabaeiDepartment of Emergency Medicine, Shahid Beheshti University of Medical Sciences, Tehran, IranHojatDerakhshanfarDepartment of Emergency Medicine, Shahid Beheshti University of Medical Sciences, Tehran, IranFarahnazBidari ZerehpooshSafety Promotion and Injury Prevention Research Center, Shahid Beheshti University of Medical Sciences, Tehran, IranJournal Article20150215<strong>Objective:</strong> Standardization of hospital emergency units is a major goal in developed countries to decrease the duration of patients stay in these units. The present study was undertaken to evaluate the prevalence of long-term staying in an emergency ward.
<strong>Methods:</strong> In the present 2-month cross-sectional study, patients referring to the emergency ward of Imam Hossein hospital were assessed. The patients’ demographic data, including age, the presenting symptoms and signs, reasons for delays, and the final outcome in relation to the location of hospitalization and discharge information were recorded. Data were reported as frequencies and percentages. The results were reported as means and standard deviations using SPSS version 20.
<strong> Results:</strong> Of 10087 patients admitted into the emergency ward during a 2-month period, 75 patients (0.7%) needed to stay and wait for more than 24 hours. The mean ± standard deviation of the patients’ ages was 62.5 ± 20.2 years, with 60% of the patients being over 60 years of age. The most common reason for overcrowding in the emergency ward was a lack of empty beds, with the need for ICU beds as the most important reason for bed deficiency in 59% of the cases. Nervous system problems were the most common reasons for referring to the emergency unit (41%) in patients under study. Finally, 81% of the patients were hospitalized, 10% died, 7% were discharged based on personal request and 1.3% were transferred to another hospital.
<strong>Conclusion:</strong> The prevalence of patients staying and waiting in the emergency ward for more than 24 hours was 0.7%. Lack of empty ICU beds was the most important reason for such delays; however, paraclinical problems had no role in these delays which were associated with the death of 10% of patients.Kerman University of Medical SciencesJournal of Emergency Practice and Trauma2383-45441220150701Factors influencing decisions on organ donation in brain death patients60669891ENAminBeigzadehResearch Center for Health Services Management, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran0000-0002-1734-8236BaharehBahmanbijariDepartment of Pediatrics, Medical School, Kerman University of Medical Sciences, Kerman, IranMahlaSalajeghehMedical Education Department, Tehran University of Medical Sciences, Tehran, IranAli AkbarHaghdoostResearch Center for Modeling in Health, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman,IranHabibolahRezaeiMedical Education Department, Education Development Center, Isfahan University of Medical Sciences, Isfahan, IranJournal Article20150402Organ donation is an integral part of the health care system. Many patients who have had an accident or have undergone a progressive disease are in need of an organ transplant and if they do not receive the required organ they would die. It is important to know that the most important source of organ donation is the brain death patients. It is highly essential to determine the pivotal factors that have an effect on organ donation. The aim of this study was to determine factors influencing decisions on organ donation in brain death patients. This study was conducted in 2014 and was based on a literature review both in English and Persian databases. In addition, some relevant books were scrutinized. Overall, 2 categories were identified as factors associated with the acceptance of organ donation and factors associated with the refusal of organ donation. Based on the results obtained, these factors have an effect organ donation and policy makers and management authorities should consider these factors to increase the likelihood of organ donationKerman University of Medical SciencesJournal of Emergency Practice and Trauma2383-45441220150701Successful outcome in managing of aluminum phosphide poisoning67689383ENSamadShams VahdatiDepartment of Emergency Medicine, Tabriz University of Medical Sciences, Tabriz, Iran0000-0002-4831-6691RezaShahab MoghadamDepartment of Emergency Medicine, Tabriz University of Medical Sciences, Tabriz, IranPouyaPaknejadDepartment of Emergency Medicine, Tabriz University of Medical Sciences, Tabriz, IranZahraVandrajabpourMedical Faculty, Tabriz University of Medical Sciences, Tabriz, IranShahradTajoddiniKerman Neuroscience Research Center, Kerman University of Medical Sciences, Kerman, IranJournal Article20141009Aluminum phosphide (ALP) is a potent lethal substance, that use for agriculture purpose, as a pesticide. this substance may use for suicide, and it will kill the patient rapidly. we want to report a patient who use ALP for suicide purpose and was managed quickly in the emergency department and he became alive.