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- Volume 2015, Issue 1
Journal of Emergency Medicine, Trauma and Acute Care - Volume 2015, Issue 1
Volume 2015, Issue 1
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Resolution of severe vertigo in a remote location by the modified Epley maneuver
Authors: Khalid Bashir, Tooba Tariq, Furqan B. Irfan and Sameer A. PathanBenign paroxysmal positional vertigo (BPPV) is an extremely common cause of peripheral vertigo. BPPV is believed to be caused by the presence of tiny crystals in the semicircular canals. It is typically diagnosed from a patient's history and examination. A 55-year-old lady dialed the emergency services due to severe vertigo and vomiting for about two hours. The previous night she travelled around 250 miles in her caravan to North Wales, UK Read More
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Abdominal aortic aneurysm screening for high-risk cardiac patients in the emergency department
Authors: Laura E. Diffenderfer, Payal Shah and Amit BahlBackground: The prevalence of abdominal aortic aneurysm (AAA) is 1-2 percent in the general population, and is as high as 6 percent in groups with risk factors. Objectives: The aim of this study was to determine the prevalence of AAA amongst high-risk cardiac patients in the emergency department (ED). Methods: A prospective study was conducted to evaluate the prevalence of AAA in a high-risk population presenting to the ED. Inclusion Read More
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Traumatic inferior epigastric vessel haemorrhage
Authors: Babiker Ali Mohammed, Hani Dimassi and Fahad Mohammed AlshehriInferior epigastric vessel (IEV) bleeding usually results in a localised rectus sheath haematoma. This condition was thought to be uncommon and sometimes overlooked or misdiagnosed. Lately the condition has become more prevalent with life threatening bleeding which may need emergency intervention to save life. A case report of IEV bleeding following trauma in a 17-year-old male is reported. A CT scan enabled localisation of th Read More
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Indications for blood transfusion following trauma - a pilot study
Authors: Arun Ilancheran, Fatima Rahman and Biswadev MitraBackground: Indications for blood transfusion during trauma resuscitation remain poorly understood. This study aimed to objectively determine the range of factors that lead to initiation of blood transfusion during trauma resuscitation. Design and method: This was a prospective, observational pilot study. A questionnaire was distributed to all clinicians following any transfusion of packed red blood cells during trauma resuscitation. The que Read More
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Assessment of the numbers-based model for evaluation of resident competency in emergency ultrasound core applications
Authors: Amit Bahl and Aaron YunkerBackground: The objective of this study was to assess the current numbers-based model of evaluation of emergency medicine residents in emergency ultrasound, specifically by focusing on the proficiency of residents to interpret right upper quadrant, focused abdominal sonogram for trauma, abdominal aorta, first trimester pregnancy, and cardiac scans. Methods: A prospective analysis of emergency medicine residents' competenc Read More
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Fentanyl buccal tablet versus oral oxycodone for Emergency Department treatment of musculoskeletal pain
Authors: Annette O. Arthur, Nasir Mushtaq, Shannon Mumma and Stephen H. ThomasBackground: Emergency Department (ED) analgesia can potentially be delivered quickly using transbuccal administration. A previous study identified time-of-onset advantage of a 100 mcg fentanyl buccal tablet (FBT) as compared to a dose of 5 mg oxycodone with 325 mg acetaminophen. The current study reports comparison of higher-dose (200 mcg) FBT as compared to a more commonly used oxycodone dose of 10 mg with 650 mg acet Read More
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Bilateral intratonsillar abscesses: A first case report in an adult patient
Authors: Jack Pein Cheong, Aun Wee Chong and Kein Seong MunIntratonsillar abscesses are not uncommon. The reported incidence of unilateral tonsillar abscess is 5 percent. There have not been any cases of bilateral tonsillar involvement previously reported. The clinical presentation of intratonsillar abscess are similar to peritonsillar abscess. Negative aspiration of pus from a case of intratonsillar abscess presumed to be peritonsillar abscess can lead to misdiagnosis and subsequent delay in Read More
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Disaster medicine curricula in Saudi Arabian medical schools
Background: Disaster medicine training in medical school is a key element of disaster preparedness, and several international educational authorities have called for an increase in this specific type of training. The objective of this study was to assess the current state of disaster medicine education in the Kingdom of Saudi Arabia. Methods: All 30 medical schools in Saudi Arabia were invited to participate in the study, and a 25-item online su Read More
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Bilateral temporomandibular joint dislocation in a 26-month-old child: A rare emergency
Authors: Muhammad Faisal Khilji and Aftab Khalid MalikBilateral temporomandibular joint (TMJ) dislocation is very rare in children with only three cases previously reported in the literature. We report a case of a 26-month-old female child who presented to the emergency department of a tertiary care hospital with complaints of inability to close her mouth and drooling of saliva for the last two hours. Clinical examination and X-ray of the TMJ revealed bilateral TMJ dislocation. Bilateral TMJ reduction w Read More
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