Journal of Emergency Medicine, Trauma and Acute Care - Volume 2022, Issue 4

Patients with Community-Acquired Pneumonia (CAP) complicated with pleural effusion mostly present with shortness of breath and pleuritic chest pain, and usually, pleural fluid (PE) progresses gradually. In this report, a case of CAP patient complicated with PE presented with left shoulder pain is discussed. The PE was found to have rapidly accumulated as a massive effusion within 24 hours of presentation. Thoracocentesis was perfor Read More

Background: Acute cholangitis (AC) is a life-threatening condition with a mortality risk of 8%–10%. Despite no gold standard for diagnosis, Charcot's triad was introduced to diagnose AC. However, the triad had a low sensitivity (50%–70%). Recently, Tokyo guidelines (TG) for the diagnosis of AC gained international recognition for their excellent diagnostic rate. Objective: In this study, we aimed to apply TG18 guidelines in a retrospective man Read More

Background: Recently, biological dressings have become popular in treating burn injuries. Fish skin has non-infectious microbiota, high levels of type 1 and type 3 collagen, and a structural property similar to human skin, making it a promising xenograft for managing burn wounds. In this study, we aimed to evaluate the effectiveness of fish skin as a physiological dressing cover in patients with burn injuries. Method: From June 2017 to Jun Read More

Background: The coronavirus disease 2019 (COVID-19) pandemic has tested the limits of national public health infrastructures to an unprecedented extent. A huge challenge has been regarding how to safely manage large public gatherings and how to efficiently administer vaccines to a large population. Method: We evaluated three case studies in project management implemented by the Primary Healthcare Corporation (PHCC) ov Read More

Small bowel obstruction is a common surgical emergency and needs timely intervention to prevent the development of complications. Acute appendicitis is a very rare, uncommon, and unnoticed cause of intestinal obstruction. Although functional obstruction due to paralytic ileus is common in acute appendicitis, mechanical obstruction is a fairly uncommon complication of this extremely prevalent disease. Furthermore, a normal ap Read More

Penetrating trauma to male external genitalia is a rare trauma case. It accounts for 20% of all genitourinary trauma cases, and penile involvements are presented between 10- 16% of all cases. Male genital trauma is considered a urological emergency due to the high risk of infection, sexual dysfunction, and infertility. In this work, a 17-year-old male patient presented with scrotal and penile injuries due to a low-velocity gunshot wound. Genital Read More

Many drugs can cause methemoglobinemia, and dapsone is one of the most familiar. Dapsone is used to treat skin disorders like leprosy, and infections like Pneumocystis jiroveci pneumonia. It is also used off-label in conditions like dermatitis herpetiformis, and relapsing polychondritis. In this case report, a 26-year-old male presented to the emergency department with fever and generalized weakness complaints. He was on treatment for lepro Read More

Objective: To evaluate the effects of estrogen on the prognosis of patients with diffuse axonal injury due to severe traumatic brain injury. Design: Triple-blind placebo-controlled randomized clinical trial study Setting: The study was conducted at the Neurosurgery Department of Imam Reza Hospital of Tabriz University of Medical Sciences Patients: A total of 200 patients were enrolled in the study Methods: Two hundred patients were randoml Read More

Introduction: Although various scoring systems are already available for early prognostic evaluation of patients with complicated intra-abdominal infections (cIAIs), none has shown the ideal characteristics in everyday practice. In this study, we aimed to find the most reliable prognostic score in patients with cIAIs. Methods: This retrospective study involved 110 patients with cIAIs admitted to the Department of Surgical Diseases at Uni Read More

Background: The outcomes of patients with ST-elevation myocardial infarction (STEMI) transferred to percutaneous coronary intervention (PCI) facility is strongly related to certain demographic and clinical factors, important timelines, door-to-electrocardiography (ECG) time, door-in door-out (DIDO) time, door to balloon time (DTBT), the use of emergency medical services (EMS), and the existence of a STEMI network. In the study, we examined Read More

Background: Till date, there is no consensus reached on the foremost tool for identifying the propensity of risk in critically sick patients. In this study, we plan to assess the nutritional risk in critically ill patients admitted to the medical ICU using the modified nutrition risk in critically ill (mNUTRIC) score and to anticipate the outcome in terms of overall mortality, 72-hour mortality, and the use of mechanical ventilation. Method: A total of 1,990 pati Read More

Background: In this study, we compared the efficacy, patient satisfaction, and adverse effects of nebulized ketamine to those of Entonox in reducing acute traumatic pain in the Emergency Department. Methods: This was a randomized, single-centre pilot study. Eligible patients were selected from triage and divided into two groups which was nebulized ketamine and Entonox. Nebulized ketamine 50 mg (mean 0.7 mg/kg for an average a Read More