Journal of Emergency Medicine, Trauma and Acute Care - Volume 2022, Issue 5

Objectives: Lactic acid is a metabolite that is physiologically produced and metabolized in a balanced state in the body from glucose. Critically ill patients with sepsis are found to have higher serum lactate levels. In this study, the established Intensive Care Unit (ICU) scores that are Sequential Organ Failure Assessment (SOFA) and Acute physiology and chronic health evaluation (APACHE IV) were compared to serial serum lactate measurements a Read More

Background: Exploratory laparotomy has been the standard intervention for surgical evaluation or treatment of abdominal trauma. Laparoscopic surgery with its proposed favorable surgical outcome may provide a reliable and accurate diagnosis of the injury. In this study, we aim to define the diagnostic role of laparoscopy in abdominal trauma and define the proposed advantages of reducing nontherapeutic laparotomies. Methodol Read More

Background: The consequences and potential complications of encrusted double J (DJ) stents can be devastating. This work retrospectively reviews a series of Yemeni patients with encrusted DJ stents and shares the experience of handling such a challenging subject. Materials and Methods: A retrospective study was carried out from January 2016 to February 2021 at the Urology center, 48 Model Hospital, and Al-Khamseen Hospital, Read More

Objectives: This study aims to understand how decision fatigue affects emergency department (ED) operations which is of paramount importance to improve patient flow through the ED and to minimize cognitive errors. It assessed admission rates and throughput metrics in relation to time into 12-hour ED shifts. It was hypothesized that there would be increased throughput and increased likelihood of admission toward the end of the shif Read More

Background: Research strengthening and capacity development in academic health systems are important for advancing medicine, delivering best practices, improving patient outcomes, and reducing healthcare costs. The Research Forum is a biomedicine and health research strengthening program facilitated by the lead organization of the Academic Health System in Qatar. The event brought together researchers and health pro Read More

Background: Fasting for extended periods of time increases gastric acid and pepsin levels and consequently the risk of peptic ulcer perforation (PUP). The effects of Ramadan fasting on PUP have not been thoroughly studied, and a few existing studies report contradictory findings. The present study compares patients with PUP operated during the Islamic Ramadan fasting to those operated outside this period and determines whether an a Read More

Sudden cardiac arrest (SCA) in long-distance running races has an incidence rate of 2.18 per 100,000 participants and a high mortality rate. Strategic planning for the medical response in a marathon event is therefore an uphill task for the organizer. Our medical operational model for the Penang Bridge International Marathon (PBIM) has not just improved the survival for marathon-related SCA, but also has been cost-effective for a mid Read More

Background: Mortality associated with COVID-19 varies in various reports, with minimal data on the factors associated with in-hospital mortality. Objective: To identify the risk factors for in-hospital death of patients with COVID-19 in an intensive care unit (ICU) in Qatar. Methods: A retrospective observational study of patients confirmed with COVID-19 and admitted to the medical-surgical ICU at The Cuban Hospital was carried out fro Read More

Background: Pre-hospital emergency medical services (EMS) staff are at a high risk of occupational injuries. Therefore, this analysis aimed to calculate the 12-month prevalence of injuries due to occupational accidents and identify the associated factors in German pre-hospital EMS staff. Methods: We analyzed data from a cross-sectional survey to calculate the 12-month prevalence and the 95% confidence interval (95% CI) of an injury due Read More