Journal of Emergency Medicine, Trauma and Acute Care - Volume 2016, Issue 3

Objective: To correlate collapsibility of the inferior vena cava (IVC) with packed cell volume (PCV) and clinical condition and to ascertain IVC collapsibility as a guide to estimate intravascular volume using bedside ultrasonography (USG) in children with dengue fever. Methods: A prospective observational study was conducted in the Pediatric Emergency Department of an academic hospital in India. Clinical data and PCV of children with dengue f Read More

Diabetic muscle infarction (DMI) occurs as a rare complication associated with long-standing, poorly controlled diabetes mellitus (DM) and typically presents as acute painful muscle swelling in the absence of trauma. It resolves spontaneously over a few weeks to months in most patients and generally has a good prognosis. However, the coexistence of deep vein thrombosis (DVT) with DMI may have an additional risk of complicatio Read More

Purpose: Hyoid bone fractures are uncommon, reported mainly in cases of hanging. There is a paucity of reports involving other mechanisms, and only a handful of case reports are available to guide the management of these fractures, especially within the emergency department setting. This study focused on identifying optimal initial airway management and subsequent treatment of patients with hyoid fractures. Methods: Patients prese Read More

Background: Point-of-care ultrasound (POCUS) is an invaluable tool in the diagnosis and management of conditions presenting to emergency departments across the world. It has also improved the success rate of invasive bedside procedures. Objectives: This study aimed to investigate the current utilization of POCUS in a large tertiary care emergency department in the Middle East and to identify barriers to its utilization. Method Read More

Introduction: Migraines are one of the commonest presenting complaints to emergency departments (ED), and may result in prolonged length of stay with symptoms being severe and refractory to typical remedies, such as paracetamol, non-steroidal anti-inflammatory drugs and triptans. The objective of this study was to describe and compare patient demographics, presentation, management and outcomes to hospital discharge between fi Read More

Biphalangeal toe is a normal anatomic variant where distal and middle phalanges fuse to each other. In the context of trauma, biphalangeal toes may pose a diagnostic challenge and fractures may be interpreted as normal which can lead to misdiagnosis and under treatment. Here, we present a rare case of fracture through a biphalangeal fifth toe with delayed diagnosis. This variation should be kept in mind during the evaluation of a patie Read More

Many educational tools are used for prehospital trauma life support (PHTLS) training, including mobile apps. This study describes the currently available mobile apps for PHTLS training. Systematic searches in the Apple Store, Google Play Store, and BlackBerry World were conducted in December 2015. Two researchers performed all searches independently and collected their findings in different databases, which were later compared. Finally Read More

A seven-day-old male neonate presented with symptomatic hypocalcemia in the form of generalized seizure activity for three minutes. He arrived at the pediatric emergency department in a postictal state. His clinical examination was unremarkable, but his initial laboratory evaluation revealed marked hypocalcemia and hypomagnesemia. The patient received intravenous boluses of calcium gluconate for correction. The patient had bradycar Read More

Background: As the cost of attendance for US medical schools continues to increase faster than inflation, students can turn to alternative sources of funding beyond traditional educational loans. The Armed Forces Health Professions Scholarship Program (HPSP) pays for medical students' tuition and fees as well as provides a stipend in exchange for an active-duty service commitment. The aim of this study was to compare the financial im Read More