Letter to Editor Clinical Toxicology
Brain multi-infarct and decompression sickness

Luis Rafael Moscote-Salazar; Guru Dutta Satyarthee; Nidia Escobar Hernandez; Jorge Aquino Matus; Willem Guillermo Calderon-Miranda; Marco Antonio Blancas-Varas; Johana Maraby; Joulen Mo-Carrascal

Volume 4, Issue 2 , July 2018, Pages 53-54

Abstract
  Scuba diving is associated with an important risk of devel­oping decompression sickness secondary to formation of gas bubbles inside the body. The latter is formed mainly by nitrogen in the body on the diver’s way to the surface (1,2). In some cases, it might injure the central nervous system. ...  Read More

Original Article Emergency Medical Services
The ability of the emergency medical service personnel to take patients’ medical history

Ali Sadrollahi; Adeleh Gharataghani; Mehdi Mahmoudi; Fardaneh Gholipour

Volume 4, Issue 2 , July 2018, Pages 55-61

Abstract
  Objective: The key point to detect patients’ need in pre-hospital emergency is to have high ability to take medical history. All research findings show that this ability is low. The objective of this research is to investigate the ability to take medical history of patients among the personnel ...  Read More

Original Article Anesthesiology
Effect of oral tizanidine on prolongation of intrathecal lidocaine

Arman Taheri; Morteza Hashemian; Mehrdad Noroozi; Mohammad Bakhtiari; Mohammad Reza Doroodian; Shirin Salajegheh

Volume 4, Issue 2 , July 2018, Pages 62-66

Abstract
  Objective: In order to prolong the duration of intrathecal lidocaine, various drugs are used along with it. Due to the promising effects of tizanidine on central nervous system, it can be assumed that tizanidine can have a positive effect on increasing the anesthesia duration too. Thus, we aimed to investigate ...  Read More

Original Article Trauma
Abdominal trauma in a semi-urban tertiary health institution

Julius Gbenga Olaogun; Olusoga Olusola Akute; Amarachuku Chiduziem Etonyeaku; Joshua Taye Ige; David Brown Ajibola; Jide Michael Afolayan; Eyitayo Ebenezer Emmanuel

Volume 4, Issue 2 , July 2018, Pages 67-72

Abstract
  Objective: There has been a global increase in the incidence of abdominal trauma in surgical patients. We conducted this study to evaluate the pattern of abdominal injuries, patient characteristics and the management outcome in our setting.Methods: It was a descriptive (combined retrospective and prospective) ...  Read More

Original Article Internal Medicine
Prevalence and pattern of hypertension and effect of body mass index on blood pressure in six communities of Biase LGA In Cross River, Nigeria

Lawson Ekpe; Kingsley Osuji

Volume 4, Issue 2 , July 2018, Pages 73-76

Abstract
  Objective: Hypertension is a major risk factor for stroke, renal failure, and heart failure globally. This trend of complications has been seen even among our rural and urban dwellers in the tropics. This study aims at determining the prevalence and pattern of hypertension and body mass index (BMI) in ...  Read More

Original Article Emergency medicine
Patients’ satisfaction towards medical services at the emergency department of European Gaza Hospital- Gaza Strip

Hammoda Abu-Odah; Akram Abu Salah; Ali El-Khateeb; Khawla El-Nems

Volume 4, Issue 2 , July 2018, Pages 77-81

Abstract
  Objective: Patients’ satisfaction (PS) is recognized as an important emergency department service design and it has received a high interest and attention in the health management where many studies have focused on determining factors affecting PS in health-related circumstances. In this study, ...  Read More

Case Report Clinical Toxicology
Tramadol abuse and shoulder dislocation

Behnam Behnush; Roya Kordrostami; Nahid Dadashzadeh; Maryam Ameri

Volume 4, Issue 2 , July 2018, Pages 82-85

Abstract
  This study aimed to evaluate the shoulder dislocation following tramadol-induced seizure and its potential difference with other shoulder dislocations. We evaluated six cases that used tramadol tablets and some of them had a history of seizure. All of the cases had shoulder dislocation. According to ...  Read More

Case Report Trauma
Munchausen syndrome as scorpion biting:a misdiagnosis

Reza Bidaki; Mehrdad Roozbeh; Mohamad Amin Sharifi; Seyed Nader Mostafavi; Mohammad Ali Abdolkarimi Davarani

Volume 4, Issue 2 , July 2018, Pages 86-88

Abstract
  Factitious disorder as Munchausen syndrome is a time and money consuming condition that is presented with different signs and symptoms. In emergent situations, it is not a differential diagnosis with high priority, but when it becomes recurrent with atypical symptoms, factitious disorder and malingering ...  Read More

Case Report Emergency medicine
Traumatic spinal epidural hematoma: an alarming and diagnostic challenge in the ED

Krishna Prasad; Susan Tharian; Jebu A Thomas

Volume 4, Issue 2 , July 2018, Pages 89-91

Abstract
  Traumatic spinal epidural hematoma (TSEH) is a neurosurgical emergency which is considered as one of the rare causes of back pain. The onset of symptoms presentation can vary especially following a trauma. Here, we report a case where a young girl had a trivial fall and presented symptoms of back pain ...  Read More