Journal of Emergency Medicine, Trauma and Acute Care - Volume 2021, Issue 1

Early, aggressive, and minimally invasive approach is an advanced surgical approach for chronic empyema management. The traditional video-assisted technique is considered superior over open thoracotomy for empyema management; however, with further modification, the uniportal video-assisted thoracoscopic surgery (UVATS) has greater advantage for surgeons, providing better anatomical view of target tissues, allowing bimanual ins Read More

Health authorities are focused on swiftly alleviating the spread of COVID-19 infections to support the overburdened healthcare system and reduce the mortality rates associated with the ongoing pandemic. Across Oman, there are 243 primary healthcare (PHC) clinics that act as the first point of contact for providing a comprehensive range of healthcare services. Further, they provide access to more than 30 programs that are delivered by w Read More

Background: The time to initial physician contact or time for medical doctor (tMD) is one of the crucial key performance indicators for the emergency department (ED). The “tMD” helps in improving medical care, administrative benefits, and operational changes. The main aim of this study was to assess the effects of different operational changes on tMD. Methods: The study was a prospectively designed analysis for one year. Data were collec Read More

Background: The emergency department usually takes a supine posteroanterior (PA) chest X-ray imaging in trauma patients. In some cases, pneumothorax is not seen in the chest X-ray because of the patient's position. These cases are called occult pneumothorax. Misdiagnosis of occult pneumothorax in the emergency department may lead to complications such as tension pneumothorax. This study aimed to update patients’ Read More

Background: To determine if neutrophil-to-lymphocyte ratio (NLR) can be used to diagnose appendicitis and distinguish complicated from uncomplicated appendicitis. The secondary aim was to determine if the appendix cut-off size on ultrasound matches that of existing literature. Methods: We retrospectively analyzed all cases that underwent appendectomy in Father Muller medical college and hospital from 2014 to 2019. The NLR, Read More

Background: Lumbosacral spinal stenosis (LSS) is one of the most common causes of back pain and disability. Its treatment varies from surgical to conservative, and the indications for optimal management are not obviously defined. This study aimed to compare the efficacy of caudal epidural injection (CEI) of steroid with and without calcitonin in patients with LSS. Method: This is a randomized, double-blind clinical trial of 31 LSS pati Read More

Background: The coronavirus disease 2019 (COVID-19) pandemic has had a massive impact worldwide. Clinical symptoms vary in different countries. In addition, a wide range of symptoms involve most of the body systems including the respiratory system. However, COVID-19 has no classical presenting signs. Objective: This study aimed to describe the sociodemographic and clinical characteristics of hospitalized and nonhospitalized COVID-19 Read More

Background: BRCA2 genes are not only found in humans, but in other animal species. BRCA2 gene plays a vital role in maintaining the stability of a cell's genetic information. BRCA2 is considered as a gatekeeper gene; however, if mutated or abnormally expressed, it causes the destruction of normal cell structure and promotes the growth of cancer cells. Objective: This study aimed to assess the differences and similarities of BRCA2 gene from Read More