Journal of Emergency Medicine, Trauma and Acute Care - Volume 2021, Issue 3

Several studies have reported on developing neurological complications following scrub typhus, however vocal cord palsy (VCP) symptoms in this case have never been reported. This work reports on a case where a twelve-year-old male child has been presented to the emergency department with stridor due to bilateral vocal cord palsy as a complication of post-scrub typhus infection.

The temporary pacemaker (TPM) insertion must be done in symptomatic bradycardia to provide adequate heart rate and stable hemodynamic. Transvenous TPM is inserted under fluoroscopy guidance. However, in an extraordinary situation, such as the unavailability of the catheterization laboratory, transvenous TPM insertion can be performed using the blind approach. This case report focused on the procedural aspects of blin Read More

Double j stent is commonly used in urological procedures. Its main purpose is to afford the sufficient drainage from the renal pelvis to the urinary bladder. Following increased usage of double-J stent, several consequences associated to it have been reported. In this work, we report on a case of “forgotten” double j stent for 1 year in a 32-year-old male patient who visited emergency department with bilateral flank pain, fever, and vo Read More

Massive goiter with retrosternal extension is most frequently found in the anterior mediastinum; however, 10%–15% of the cases are found in the posterior mediastinum. It may induce symptoms caused by tracheal, esophageal, and recurrent laryngeal nerve compression. Surgery for such a huge mass requires a high degree of experience to avoid serious complications, particularly if it weighs >500 g. Herein, we report the case of a 64 Read More

Aggression and violence against paramedics by patients or their relatives are frequent events. Therefore, the aim of this study is to estimate the prevalence of aggression / violence against paramedics in Germany and the impact on their mental health. To perform this study, a nationwide survey method was followed where items of the Perceptions of Prevalence of Aggression Scale (POPAS) and the short version of the Depression-Anxi Read More

Background: The rapid spread of COVID-19 disease in Iraq has been a daunting challenge. Given the overwhelmed Iraqi healthcare system, healthcare directors struggled to manage this unprecedented crisis. The role of telemedicine during the coronavirus pandemic has evolved to allow for social distancing while providing appropriate health care to the community at large. Telemedicine emerged as a reasonable solution to deliver appr Read More

Dysrhythmias are commonly encountered in the Emergency Department (ED). Timely management and recognition of dysrhythmia in the ED is essential and crucial. Physicians working in the ED should be familiar with atypical presentation of common dysrhythmias. This case report illustrates atrioventricular nodal re-entrant tachycardia (AVNRT) with an unusually slow heart rate in an adolescent. A 16-year-old male presented to the Read More

Background: Traumatic hemothorax is a common consequence of blunt chest trauma. A hemothorax that is missed by initial chest X-ray, but diagnosed by computed tomography (CT), is known as an occult hemothorax. The present study aims at investigating the clinical outcomes of conservative management of occult hemothorax in mechanically ventilated trauma patients. Methods: A retrospective study of all adult blunt chest traum Read More

As a global parasitic disease, Ascariasis has the highest prevalence in the tropical areas of developing countries, such as Yemen. This study was conducted to present our experience in three cases of surgical complications of ascariasis, represented by intestinal obstruction, acute acalculous cholecystitis, and acute appendicitis. Occasional severe manifestations and a high morbidity and mortality rate, especially in endemic areas, Read More

Purpose: This retrospective study compares point-of-care ocular ultrasound to MRI in order to establish preliminary data for and identify challenges to a multicenter study into the utility of ocular ultrasound for diagnosing optic neuritis. Methods: Our ultrasound archive was queried to identify subjects suspected of having optic neuritis who underwent ocular ultrasound and MRI of the brain or orbit. Blinded ultrasounds were reviewed by ultra Read More

Background: The available data on gender differences in a) markers of cardiac involvement, b) peripheral blood parameters, and c) clinical adverse outcomes related to COVID-19 pneumonia severity are limited in the literature.:Objectives: To investigate gender differences in ECG markers of increased risk for malignant arrhythmias. This includes T from peak to end (Tp-e) interval, corrected QT (QTc), transmural dispersion of repol Read More

Background: There are shared guidelines about Non-Operative Management (NOM) of splenic injuries, but some unanswered questions remain. The aim of the present study is to establish the usefulness of a standardized protocol for management and follow-up of NOM patients with splenic injuries. Methods: Multicenter retrospective observational study including patients with major blunt trauma (ISS >15) with splenic injuries managed be Read More

Background: Hypertriglyceridemia-induced pancreatitis accounts for up to 15 % of all acute pancreatitis admitted to hospitals. It is important to diagnose the etiology to provide adequate and timely management of the case and reduce complications. Epidemiological and clinical data on hypertriglyceridemia-induced pancreatitis in the Intensive Care Unit (ICU) are scarce, especially in Middle Eastern countries. We are reporting Read More

Objective: Inflammation and pain are normally present concomitantly, which requires using a combination of anti-inflammatory and pain killer medications. This could potentially decrease patient adherence to such combinations. Therefore, there is an urgent need to develop combinations of anti-inflammatory and analgesic therapies. This study is designed to evaluate the analgesic and anti-inflammatory activities of a newly synthe Read More

Adult intussusception is a challenging disease that occurs infrequently, and differs in presentation, etiology, and management from childhood intussusception. In fact, it accounts only for just 5% of all intussusceptions with approximately 1% of cases causing intestinal obstruction. The diagnosis in adults is often delayed as symptoms are non-specific and of intermittent nature. When present, these symptoms may include abdominal p Read More