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- Volume 2020, Issue 1
Journal of Emergency Medicine, Trauma and Acute Care - Volume 2020, Issue 1
Volume 2020, Issue 1
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Distensibility Index of Inferior Vena Cava and Pulse Pressure Variation as Predictors of Fluid Responsiveness in Mechanically Ventilated Shocked Patients
Background: Currently, pulse pressure variation (PPV) is considered the gold standard dynamic variable for predicting fluid responsiveness. Distensibility index of inferior vena cava (dIVC) is also considered a good predictor of fluid responsiveness. However, information from literature comparing the performance of both variables is still patchy and insufficient. Therefore, we aimed to investigate the accuracy of dIVC and PPV in predicting fl Read More
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The history of emergency medical services response to mass casualty incidents in disasters, Saudi Arabia
Authors: Waleed Alazmy, Osama Samarkandi and Brett WilliamsMass casualty incidents (MCIs) in disasters across the globe are inevitable, and the emergency medical services (EMS) system has played a significant role during such events. This historical review seeks to examine the history of EMS response to MCIs in disasters in Saudi Arabia. Since the first recorded disaster in 1964, the Kingdom has witnessed a range of catastrophic events, causing many deaths and injuries and related economic damag Read More
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Association of RETN − 420 C/G Genotypes with CRP, Brain Edema, GCS, and GOS Among Patients with Traumatic Cerebral Hemorrhagic Contusion
More LessBackground: Traumatic cerebral hemorrhage is a common type of traumatic brain injury. This medical condition exists in two phases: primary, which occurs at the time of trauma, and secondary, which occurs later as a result of multiple biochemical, metabolic, and inflammatory changes that develop over time. The secondary injury is mainly irreversible and worsens the primary injury. Single nucleotide polymorphism (SNP) in RETN gene − Read More
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Unusual presentation of testicular ischemia as a consequence of pressure caused by inguinal hernia
Authors: Farzad Soleimani, S. Mohammad Alzahri and D.O. Jeff WuhantuBackground: The incidence of indirect inguinal hernia in young children ranges from 0.8% to 4.4%. Infants are at a high risk of testicular ischemia from indirect inguinal hernia due to their delicate vascular supply. Case report: A 5-year-old patient presented with a rare case of acute testicular ischemia secondary to an incarcerated inguinal hernia. He underwent surgery that successfully salvaged his testicle. Conclusion: Emergency medicine Read More
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Current State of Trauma Services in Saudi Arabia
Authors: Abdullah Alshamrani, Talal Alshammari, Simon Sawyer and Brett WilliamsTrauma is a major public health problem in Saudi Arabia and a leading cause of mortality and morbidity in young age groups. In 2018, traumatic injuries caused by road traffic accidents were the leading cause of death after ischemic heart diseases. Therefore, a new road safety system is important to reduce the incidence of road accident trauma. First aid care by bystanders to road accidents must be improved to become an effective part Read More
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Knowledge and attitudes toward infant BLS among babysitters and nursemaids working in rural northwest Jordan
Objectives: This study aimed to assess the knowledge and attitude of babysitters and nursemaids toward providing basic life support (BLS) to infants. Setting: This study was conducted at registered nurseries and daycare centers in rural northern Jordan. Participants: The study involved a convenience sample of 77 child caretakers who were looking after infants. Results: Findings showed that majority of participants were unaware of skills ne Read More
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