Journal of Emergency Medicine, Trauma and Acute Care - Volume 2024, Issue 7

Trauma surgery as a clinical discipline has greatly benefited from the integration of advanced technologies in the diagnosis, treatment, and management of critically injured patients across high-income countries. The rapid evolution of imaging modalities, robotics, and artificial intelligence (AI) has transformed the evaluation and management of complex clinical cases in modern medicine. However, amidst t Read More

Currently, surgery in children is optimally managed using a multimodal approach aimed at reducing opioid use. Some studies suggest that epidural anesthesia is the gold standard, but it still has limitations due to its short duration with a single injection. Therefore, the latest approach is continuous caudal anesthesia. However, there are currently no systematic review studies on this approach. This resear Read More

Simultaneous fractures of the acetabular and subtrochanteric femur are relatively uncommon and present a complex clinical challenge. These fractures are often the result of high-energy trauma, such as automobile accidents or falls from a height. Managing both fractures simultaneously is challenging and requires a comprehensive surgical plan to optimize patient outcomes. We highlight the successful Read More

Background: Septic shock remains a critical medical condition with significant morbidity and mortality rates worldwide. Early and accurate risk assessment is crucial for optimizing patient management and improving outcomes. Various clinical indices and biochemical markers have been proposed as predictive tools for assessing the severity of septic shock and its associated morbidity and mortality. The aim of t Read More

Introduction: Catamenial pneumothorax is a rare but potentially life-threatening condition that affects women of reproductive age. It is characterized by the recurrent occurrence of pneumothorax during or around the menstrual period. The pathophysiology of catamenial pneumothorax is not well understood, but is thought to be related to the presence of endometrial tissue in the pleural cavity. Case Read More

Objectives: The aim of this study was to evaluate the level of paramedics’ knowledge toward first aids of road traffic accidents and to determine the effectiveness of an educational program on paramedics’ knowledge about first aids. Methods: A quantitative approach using a pre-experimental design was carried out to determine the effectiveness of an educational program on paramedics’ knowledge abo Read More

Background: Patient-centered care is a foundation for high-quality healthcare delivery and is recognized by the Institute of Medicine as one of the six key elements of healthcare quality. It is fundamental to improving health outcomes, patient satisfaction, and overall healthcare system performance. In contemporary healthcare, we are encouraged to optimize our practices and deliver patient-centered care by activ Read More

Background: Pain associated with rib fractures can last particularly long. While it is commonly advised in the outpatient setting to anticipate rib fracture pain to improve relatively within a few weeks, there is no evidence to support this statement. The aim of this study was to examine the duration of pain-related disability following single rib fractures based on the objective clinical records. Methods: This study retro Read More

Objective: Research in the field of EMS (emergency medical services) has been primarily limited to individual aspects of EMS systems and patient care. However, there is a need for a broad outcome-based analysis of the impacts of the overall system design. The aim of this study was to explore the associations between various EMS system design characteristics and patient outcomes post-hospital discharge. Read More

Introduction: The COVID-19 pandemic posed significant global challenges to healthcare systems, necessitating rapid education and training adaptations for frontline workers. In Qatar, Hamad Medical Corporation Ambulance Service (HMCAS) has transitioned to distance learning platforms to ensure the continuing professional development of paramedics. The aim of this study was to evaluate the effectivenes Read More

Purpose: Effective face mask ventilation is a life-saving skill. Loss of muscle tone under general anesthesia may lead to tongue fall and pharyngeal collapse and reduce the efficiency of face mask ventilation. It has been suggested that lateral head rotation may improve the efficiency of face mask ventilation. The aim of this study was to compare face mask ventilation in neutral and head-rotated position Read More

Background: There is a scarcity in the literature on the management of retained bullet injuries (RBIs), and there are no comprehensive treatment guidelines. This study reports a single-center experience in the management of thoracoabdominal RBIs in resource-limited settings. Patients and Methods: A retrospective study of 103 patients diagnosed with RBIs was conducted between January 2004 and Decem Read More

Surfer's myelopathy is a rare, non-traumatic spinal cord injury that presents with acute paraparesis, typically following activities involving back hyperextension, such as surfing. This report describes a 13-year-old boy who developed lower extremity weakness and sensory loss after his first surfing lesson. MRI showed hyperintense T2 signals from T9 to T12, indicating spinal cord ischemia. Treatment included dexam Read More