Letter to Editor Clinical Toxicology
The Challenge of Medication Errors in the Emergency Department Setting

Mojtaba Miladinia; Elham Mousavi Nouri

Volume 8, Issue 1 , January 2022, Pages 1-2

  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

Original Article Education
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

  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

Original Article Emergency medicine
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

  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

Original Article Emergency medicine
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

  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

Original Article Cardiology
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

  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

Original Article Clinical Toxicology
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

  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

Original Article 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

  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

Original Article Cardiology
Electrocardiographic abnormalities and troponin levels provide insight on the prognosis of COVID-19 patients: A single center experience from Iran

Amin Mahdavi; Meysam Moravej; Maryam Aliramezany

Volume 8, Issue 1 , January 2022, Pages 37-42

  Objective: Coronavirus disease 2019 (COVID-19) is an infection which can present itself bythe involvement of various organs, but the most common manifestations are respiratorysymptoms, fever and dyspnea with a high mortality rate. In order to study the prognosis ofpatients and also to determine the treatment ...  Read More

Original Article 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

  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

Original Article 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

  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

Review Article Infectious disease
Urologic oncology during the COVID-19 pandemic

Manas Sharma; Rajendra B Nerli; Shridhar C Ghagane

Volume 8, Issue 1 , January 2022, Pages 55-59

  The COVID-19 pandemic will have numerous consequences in the management of patientswith genitourinary cancers. As we are struggling to best exploit our limited health-careresources in managing COVID-19 infected patients, we need to rethink our approach toprovide the best medical care for cancer patients ...  Read More

Brief Report Infectious disease
The proposed scoring system for hospitalization or discharge of patients with COVID-19

Enayatollah Noori; Mostafa Vahedian; Sajjad Rezvan; Neda Minaei; Reihane Tabaraii

Volume 8, Issue 1 , January 2022, Pages 60-63

  Objective: Since the outbreak of coronavirus disease 2019 (COVID-19), the triage ofpatients diagnosed with corona virus has been a very important issue. The aim of thisstudy was to introduce a triage scoring system according to the clinical and para-clinicalfindings of patients in order to be admitted ...  Read More

Case Report Clinical Toxicology
Pseudo-SAH in a patient with methanol poisoning

Elham Pishbin; Hamidreza Reihani; Bahram Zarmehri; Mahdi Foroughian

Volume 8, Issue 1 , January 2022, Pages 64-65

  Objective: Methanol poisoning is a dangerous life-threatening event, manifested withvarious symptoms, sometimes very rare ones, that all should be addressed to preventmisdiagnosis of the methanol-poisoned patients.Case Presentation: A 21-year-old young man was brought to the emergency department(ED) ...  Read More

Case Report Emergency medicine
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

  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

Case Report Clinical Toxicology
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

  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

Case Report 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

  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

Case Report Emergency medicine
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

  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

Case Report Emergency medicine
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

  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

Case Report Clinical Toxicology
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

  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