Journal of Emergency Medicine, Trauma and Acute Care - Volume 2024, Issue 3

Background and Aims: Several methods have been used in plastic and reconstructive surgery to reduce post-surgical complications, such as partial or complete flap loss due to ischemia and necrosis. Nitroglycerine application has been introduced as a viable alternative to papaverine to act as a local vasodilator to improve perfusion and reduce vasospasm. However, the literature has not thoroughly studied its effi Read More

Introduction: Various early warning score tools have been developed to identify clinical deterioration in patients. This study assessed the predictive capacity of the National Early Warning Score 2 (NEWS-2) in the prehospital setting to predict death within 24 hours and 30-day intensive care unit admission. Methods: A single-center observational retrospective study was conducted in the emergency medical Read More

Tracheobronchial injury (TBI) is an uncommon, life-threatening chest injury, particularly in children, that can occur as a result of iatrogenic or unintentional trauma. It can induce airway obstruction and precipitate life-threatening respiratory failure. However, clinical manifestations can vary, posing challenges in establishing a diagnosis. We report an 11-year-old male presented with respiratory difficulty and neck sw Read More

Spontaneous pneumomediastinum (SPM) associated with subcutaneous emphysema and tracheal injury following persistent vomiting is rare. Here, we report a case of a young adult who presented to the emergency and trauma department with severe vomiting and abdominal pain, persisting for four days, and denied any symptoms of respiratory distress. Physical examination revealed mild dehydration and abd Read More

Background: Globally, road traffic accidents cause around 50 million injuries and disabilities and close to 1.35 million deaths every year. In Ethiopia, approximately five thousand deaths are estimated to occur annually due to road traffic accidents. However, there is limited data on the precise burden of the problem in Ethiopia. This study aimed to assess the magnitude of road traffic accidents and associated fa Read More

Diaphragmatic hernias following severe thoracoabdominal injuries are infrequent clinical occurrences, and right-sided post-traumatic hernias are particularly rare due to the protective barrier provided by the liver. The overall incidence of diaphragmatic rupture following trauma is approximately 1.3%, with only 20% of these cases identified on the right side. This report aims to present the case of a patient diag Read More

Purpose: No study to date has investigated the prognostic ability of the recently introduced “systemic immune-inflammation index” (SII) in thoracic empyema. Therefore, we aimed to evaluate the association between SII and outcome in such patients. Methods: The single-center retrospective study involved 84 patients with thoracic empyema admitted to the Clinic of Thoracic Surgery at a University Hospital Read More

This paper presents a case of Enterococcus cecorum (E. cecorum) meningitis with bacteremia in a middle-aged woman who had previously undergone a splenectomy. Within 24 hours, the bacterium was identified from a blood culture. The patient was clinically diagnosed with meningitis, which was radiologically verified by an MRI brain scan. Fortunately, she had a favorable outcome. To the best of our kno Read More

Background and Aim: Distal radius fractures are the most frequent upper extremity fractures in the whole population. The incidence of distal radius fractures is 195.2/100,000, and the rate is increasing. It can occur with low-energy trauma in the elderly associated with osteoporosis. The purpose of this study is to compare the two different treatment groups (1. Sedation analgesia, 2. Supracondylar radial nerve bl Read More

Background and Importance: Emergency department (ED) care is complex, involving multifaceted factors such as patient volume, provider experience, throughput metrics, and patient-provider interactions. While some studies have explored relationships between these parameters, there is still much to understand about the nuances in ED care. Objective: Our study aimed to analyze the statistical relationships b Read More