Journal of Emergency Medicine, Trauma and Acute Care - Volume 2025, Issue 2

Introduction: The prognostic ability of the urea-to-albumin ratio (UAR), systemic immune-inflammation index (SII), and neutrophil-to-lymphocyte ratio (NLR) has not yet been assessed in local peritonitis. Therefore, our aim was to determine whether these prognostic tools can predict which patients are at increased risk for fatal outcomes. Material and Methods: A retrospective analysis including 76 patients Read More

Purpose: This study aims to investigate the clinical presentation, etiology, and management outcomes of acute mechanical bowel obstruction (AMBO) in Yemen, focusing on predictors of postoperative complications and mortality. Patients and Methods: A prospective observational study was conducted at Al-Thawra Modern General Hospital in Sana’a, Yemen, from October 2022 to October 2023. We enrolled 10 Read More

Background: Considering the aging society, there are few studies on the development of contrast-induced nephropathy (CIN) in emergency departments (EDs), especially in geriatric age groups. The aim of this study was to evaluate the effects of intravenous contrast media use for computed tomography on the development of acute kidney injury (AKI) in geriatric patients admitted to the ED. Methods: This was Read More

Purpose: Head and facial lacerations often require effective anesthesia for proper repair and healing. This study aims to evaluate the effectiveness of lidocaine and diphenhydramine, administered via injection or margin push, in providing appropriate anesthesia for patients’ pain during suturing head and face lacerations. Materials and Methods: This study involved 200 trauma patients with head and face Read More

Purpose: To compare the efficacy of retromandibular approach (RM) to transmasseteric anteroparotid approach (TMAP) in open reduction and internal fixation of mandibular condylar fractures using various clinical parameters. The parameters evaluated include duration (time taken from incision to reach the fractured site, accessibility to reach the fractured site (intraoperative), facial nerve palsy, sialocele, and s Read More

Background: Limited tools are available to predict the mortality outcome in chronic kidney disease (CKD) patients. Recently, the Charlson Comorbidity Index (CCI), CHADS2, and CHA2DS2 scores were used to evaluate mortality among these patients. However, the effectiveness of these scoring systems for predicting mortality in hemodialysis (HD) patients remains unclear, and comparative data are limited. Thi Read More

Background: Current guidelines recommend the use of normal saline (NS) as the preferred resuscitative fluid in the treatment of diabetic ketoacidosis (DKA). However, due to the development of hyperchloremic metabolic acidosis when using NS, balanced crystalloids such as lactated Ringer’s solution (LRS) and plasma-lyte have been proposed as alternative treatments. Therefore, the current meta-analys Read More