Journal of Emergency Practice and Trauma

Original Article Emergency Medical Services

Evaluation and comparison of diagnostic accuracy of early warning scores in the diagnosis of traumatic brain injury: a prospective study

Mohammad Ganji; Elham Navab; shima haghani; mahboobeh shali

Volume 10, Issue 2 , July 2024

Abstract

Objective: When dealing with patients with possible traumatic brain injury, prehospital emergencypersonnel must make decisions quickly with very little data. Determining the amount of risk thatthreatens patients can lead to making correct treatment decisions. The present study aimed todetermine and compare ... Read More

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Hyperkalemia-induced complete heart block

Volume 1, Issue 1 , January 2015, , Pages 35-38

Abstract

Background: Potassium, as an extracellular ion, plays an important role in the electrophysiologic function of the myocardium and any change in extracellular concentration of this ion might have a marked impression upon myocyte electrophysiologic gain. High serum potassium levels are thought to impair ... Read More

A road to ethics: a new experience of retraction

Volume 2, Issue 1 , January 2016, , Pages 1-2

Abstract

Every journal finds its fundamentals in the course of time by the validity and originality of its published literature. This is validated if authors keep diligence and honesty when they conduct their research and submit their work in a journal. But at times what comes out of a scientific research is ... Read More

Using risk factors to help in the diagnosis of acute myocardial infarction in patients with non-diagnostic electrocardiogram changes in emergency department

Volume 1, Issue 1 , January 2015, , Pages 3-6

Abstract

Objective: This study aimed to determine the association of cardiac risk factors and the risk of Acute Myocardial Infarction (AMI) in Emergency Department (ED) patients with non-diagnostic ECG changes. Methods: This cross-sectional study was conducted in the ED of Imam Hossein Hospital during a period ... Read More

Factors influencing decisions on organ donation in brain death patients

Volume 1, Issue 2 , July 2015, , Pages 60-66

Abstract

Organ 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 ... Read More

Evaluation of suicide attempts with drug poisoning in North-West of Iran

Volume 1, Issue 1 , January 2015, , Pages 1-2

Abstract

Deliberate Self-Poisoning (DSP) or drug induced suicide is the most common method of suicide in the developed countries and is associated with significant morbidity and mortality (1-3). Factors associated with DSP include economic and social factors, culture, religion, and health (4-6). Other symptoms ... Read More

Penetrating abdominal injuries in an emerging semi-urban teaching hospital

Volume 6, Issue 1 , January 2020, , Pages 7-12

Abstract

Objective: There has been a worldwide rise in the prevalence of penetrating abdominal injury (PAI), and there are both inter-country and intra-country variations in frequencies. This study evaluates the mechanisms and pattern of penetrating abdominal injuries and the treatment outcome in our center.Methods: ... Read More Objective: There has been a worldwide rise in the prevalence of penetrating abdominal injury (PAI), and there are both inter-country and intra-country variations in frequencies. This study evaluates the mechanisms and pattern of penetrating abdominal injuries and the treatment outcome in our center.Methods: This descriptive study of adult patients managed for PAI was conducted at the Ekiti State University Teaching Hospital (EKSUTH), Ado-Ekiti from January 2015 to December 2018. Data were prospectively collected and analyzed by using descriptive statistics from Statistical Package for Social Sciences (SPSS) version 20.0.Results: There were 96 patients managed for abdominal injuries during the study period. Forty-six (47.9%) of them had PAI, while 50 (52.1%) others sustained blunt trauma. Patients ages ranged from 17-72 years (mean = 34.2±10.8 years; median = 34 years). Majority, 42 (91.3%), were males, while 4 (8.7%) were females (M: F=11:1). The most afflicted age group was in the 4th decade. Majority of the injuries were due to gunshot (60.9%) followed by stab (26.1%), unsafe abortion (6.5%), road traffic injury (4.3%) and fall (2.2%). Gastrointestinal injuries were the most common with small bowel perforations predominating. Solid organ injuries were only seen in 3 (7.9%) patients. Eight (17.4%) had associated extra-abdominal injuries. Thirty-eight (82.6%) patients required exploratory laparotomy, while 8 (17.4%) were managed non-operatively. The negative laparotomy rate was 2.6%. Seven (15.2%) patients developed complications which were mostly wound infection (10.8%). The duration of hospital stay was 1-58 days (mean 12.7±10.5). Three patients (6.5%) with gunshot injuries died.Conclusion: Gunshot wounds were the major variant of PAI, and the highest cause of mortality from it. Gut injuries were most common, and exploratory laparotomy remains the main-stay of treatment, while non-operative management is practicable in carefully selected cases.

Volume 10 (2024)

Volume 9 (2023)

Volume 8 (2022)

Volume 7 (2021)

Volume 6 (2020)

Volume 5 (2019)

Volume 4 (2018)

Volume 3 (2017)

Volume 2 (2016)

Volume 1 (2015)

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