Journal of Emergency Medicine, Trauma and Acute Care - Volume 2024, Issue 4

Background: Hollow viscus perforation is one of Pakistan’s most commonly encountered surgical emergencies. Gastroduodenal perforations account for the most common site of perforations worldwide. However, the Pakistani population has a different pattern. Objective: The aim of this study was to determine the clinico-pathologic features of patients and the effectiveness of surgical options in the emergency m Read More

Background: Firearms cause severe injuries that require a large amount of healthcare resources. In Canada, few studies describe the incidence and outcomes of gun violence treated in our trauma centers. Objective: From trauma registry data, we describe the demographic, social, and medical characteristics of patients presenting to the hospital with gunshot wounds. In particular, we describe their injury Read More

Purpose: Unstable intertrochanteric (IT) fractures are common orthopedic injuries in the elderly people with high morbidity. The treatment of unstable IT fractures with sliding hip screw (SHS) is still controversial. The purpose of our study is to assess the outcomes of conventional SHS in unstable IT fractures in comparison to stable ones. Methods: A total of 35 stable and 23 unstable IT fracture cases were treated Read More

Background and Aims: Drowning is defined as a process with consequences ranging from death to survival without continuous injury. This study was conducted to determine the mortality rate and the years of life lost (YLL) due to drowning in Fars Province. Methods: All deaths due to drowning in Fars Province were obtained from the electronic population-based death registration system (EDRS). Crude and age- Read More

Massive pulmonary embolism (PE) carries high mortality, but the decision for thrombolysis during cardiopulmonary resuscitation (CPR) can be complicated by diagnostic uncertainty of cardiac arrest etiology. There are no definite guidelines or strong evidence regarding the benefit of the thrombolytic agent during cardiac arrest. We report a case of suspected acute massive PE with cardiac arrest successfully trea Read More

Background: Surgical site infections (SSIs) after appendectomies constituted a significant patient safety issue and impacted the efficiency of healthcare. Various risk factors had been linked to SSI after appendectomies, including risk to patients and procedures, and compliance with infection control practices. This study aimed at identifying the risk factors for SSI in appendectomies due to acute appendicitis in a Read More

Objective: The aim of this study was to determine the association of HbA1c with coronary artery disease (CAD) in non-diabetic patients undergoing coronary artery angiography. Methods: This cross-sectional study was conducted on 265 individuals referred to an educational heart hospital affiliated with Urmia University of Medical Sciences, north of Iran. Participants were selected through a convenient sa Read More

A failed airway is defined as an unsuccessful intubation. It is a rare occurrence in the emergency department (ED) and always poses a challenge to emergency physicians. The ‘can’t intubate, can ventilate’ situation is one of the two ways a failed airway can occur in ED. Here, we present a case of failed emergency endotracheal intubation due to unanticipated subglottic stenosis. An elderly presented to a Read More

Background: Patients with acute limb ischemia (ALI) are being treated using both open and endovascular procedures, with technological developments making treatments simpler and safer. However, the most significant improvements in outcomes for these patients will come from timely diagnosis, followed by quick and standardized therapy to reduce the likelihood of limb loss and subsequent sequels. Th Read More

Introduction: Congenital diaphragmatic hernia (CDH) is a rare, potentially life-threatening condition characterized by abdominal organs protruding into the thoracic cavity due to diaphragmatic abnormality. Presentation of Case: The 13-year-old male from Ahmedabad presented with increasingly worsening dyspnea and intermittent left-sided chest discomfort, diagnosed with a left-sided CDH involving the enti Read More

Introduction: Blunt intra-abdominal injury (BAI) encompasses a significant portion of trauma cases in the emergency department (ED). Morison pouch is typically considered the most common area of positive free fluid (FF) in BAI on the focused assessment with sonography in trauma (FAST) scan; however, no studies to date have investigated the correlation of the abdominal quadrant for positive FF with the type Read More

Purpose: Difficult mask ventilation occurs due to the inability to form a seal between the patient’s face and the mask. The NuMask® is an intraoral mask with a flange that forms a seal against the buccal gum line. We aimed to compare the intraoral mask and conventional face mask for ventilation of the lungs of patients under general anesthesia. Methods: This randomized crossover study was conducted o Read More