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Emergency (Tehran, Iran)

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https://www.readbyqxmd.com/read/28920070/prevalence-and-associated-factors-of-acute-traumatic-coagulopathy-a-cross-sectional-study
#1
Hojjat Derakhshanfar, Ali Vafaei, Ali Tabatabaey, Shamila Noori
INTRODUCTION: Acute traumatic coagulopathy (ATC) is defined as having evidence of coagulopathy in patients with severe trauma. The aim of this preliminary study was to assess the prevalence and associated factors of ATC in severely traumatic patients presenting to emergency department (ED). METHODS: In this retrospective cross sectional study, all patients with severe traumatic injury and available coagulation profile, presenting to the EDs of two major trauma centers in Tehran, Iran, during one year, were studied...
2017: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/28894784/blood-lead-levels-in-asymptomatic-opium-addict-patients-a-case-control-study
#2
Kazem Ghaemi, Atefeh Ghoreishi, Navid Rabiee, Samira Alinejad, Esmaeil Farzaneh, Alireza Amirabadi Zadeh, Mohammad Abdollahi, Omid Mehrpour
INTRODUCTION: One of the newest non-occupational sources of lead contamination is drug addiction, which has recently been addressed as a major source of lead poisoning in some countries. The present study aimed to investigate the blood lead level (BLL) of asymptomatic opium addicts. METHODS: This case-control study was conducted during a one-year period to compare BLL of three groups consisting of opium addicts, patients under methadone maintenance therapy (MMT), and healthy individuals...
2017: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/28894783/intravenous-lidocaine-versus-morphine-sulfate-in-pain-management-for-extremity-fractures-a-clinical-trial
#3
Arash Forouzan, Hassan Barzegari, Hassan Motamed, Ali Khavanin, Hamideh Shiri
INTRODUCTION: Considering the existing contradictions regarding effectiveness of intravenous (IV) lidocaine, especially in emergency department (ED), the present study was designed to compare the analgesic effect of IV lidocaine and morphine sulfate in pain management for extremity bone fractures. METHOD: In this triple blind clinical trial, 15 to 65 year-old patients with extremity fractures and in need of pain management were randomly allocated to either IV lidocaine or morphine sulfate group and were compared regarding severity of pain 5, 10, 15, 20, 25, and 30 minutes after infusion via intention to treat analysis...
2017: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/28894782/accidental-chronic-poisoning-with-methotrexate-report-of-two-cases
#4
Reza Bidaki, Mojgan Kian, Hamid Owliaey, Mojtaba Babaei Zarch, Masoud Feysal
Methotrexate has been used widely in dermatology, oncology and rheumatology fields. However, methotrexate-induced mucocutaneous lesions may occur in rare cases. In this case presentation, we report two cases of accidental poisoning with methotrexate. They had accidentally used methotrexate instead of digoxin. This case report emphasizes that early diagnosis and appropriate management is critical in order to improve outcome.
2017: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/28894781/diagnostic-accuracy-of-quick-stick-for-identifying-traumatic-patients-in-need-of-tetanus-prophylaxis-a-cross-sectional-study
#5
Iraj Golikhatir, Seyed Hossein Montazer, Nabiollah Bagheri, Fatemeh Jahanian, Farzad Bozorgi, Seyed Mohammad Hosseininejad, Hamed Amini Ahidashti
INTRODUCTION: Based on the existing studies, measuring serum level of immunoglobulin for making decisions regarding prescription of tetanus prophylaxis seems logical and cost effective. Therefore, the present study was done with the aim of evaluating the diagnostic accuracy of tetanus quick stick (TQS) in comparison with ELISA method in this regard. METHODS: The present diagnostic accuracy study was carried out on trauma patients presenting to emergency department, who were in need of receiving tetanus prophylaxis due to dirty wounds or injuries...
2017: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/28894780/a-41-year-old-woman-with-seizure
#6
Fatemeh Mohammadi, Reza Mosaddegh, Samira Vaziri
No abstract text is available yet for this article.
2017: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/28894779/emergency-department-readmission-rate-within-72-hours-after-discharge-a-letter-to-editor
#7
Hassan Barzegari, Mohammad Ali Fahimi, Schwann Dehghanian
No abstract text is available yet for this article.
2017: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/28894778/role-of-serum-creatinine-phosphokinase-in-outcome-prediction-of-intoxicated-patients-a-brief-report
#8
Bita Dadpour, Shahrad Tajoddini, Elham Shaarbaf Eidgahi, Mohsen Shokouhizadeh, Azam Shafahi
INTRODUCTION: Several mechanisms were introduced as causes of serum creatinine phosphokinase (CPK) raise in intoxicated patients. This study aimed to assess the relationship between serum CPK level in the first 24 hours and baseline characteristics as well as outcomes of these patients. METHODS: This one year retrospective cross-sectional study was conducted on all intoxicated patients, who were admitted to a referral toxicology center, Northwest of Iran, stayed for at least 24 hours and had serum CPK level more than 500 IU/L in the first 24 hours of admission...
2017: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/28894777/relationship-between-dyspnea-descriptors-and-underlying-causes-of-the-symptom-a-cross-sectional-study
#9
Seyyed Mohammad Ali Sajadi, Alireza Majidi, Fahimeh Abdollahimajd, Fatemeh Jalali
INTRODUCTION: History taking and physical examination help clinicians identify the patient's problem and effectively treat it. This study aimed to evaluate the descriptors of dyspnea in patients presenting to emergency department (ED) with asthma, congestive heart failure (CHF), and chronic obstructive pulmonary disease (COPD). METHOD: This cross-sectional study was conducted on all patients presenting to ED with chief complaint of dyspnea, during 2 years. The patients were asked to describe their dyspnea by choosing three items from the valid and reliable questionnaire or articulating their sensation...
2017: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/28894776/diagnostic-accuracy-of-computed-tomography-scan-in-detection-of-upper-gastrointestinal-tract-injuries-following-caustic-ingestion
#10
Hooman Bahrami-Motlagh, Mohammad Hadizadeh-Neisanghalb, Hassan Peyvandi
INTRODUCTION: Endoscopy is an invasive procedure and finding noninvasive alternative tools in detection of probable upper gastrointestinal (GI) tract injuries following caustic ingestion is an area of interest. The present study aimed to evaluate the screening performance characteristics of thoraco-abdominal computed tomography (CT) scan in this regard. METHODS: This prospective cross sectional study was conducted on patients presenting to emergency department following acute caustic ingestion...
2017: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/28894775/pregnancy-screening-before-diagnostic-radiography-in-emergency-department-an-educational-review
#11
REVIEW
Abdelrahman Ibrahim Abushouk, Morteza Sanei Taheri, Parichehr Pooransari, Sahar Mirbaha, Alaleh Rouhipour, Alireza Baratloo
In modern medical practice, there is an increasing dependence on imaging techniques in most medical specialties. Radiation exposure during pregnancy may have serious teratogenic effects to the fetus. Therefore, checking the pregnancy status before imaging women of child bearing age can protect against these effects. Lack of international regulations and standard protocols exposes the patient to unexpected fetal radiation effects and the health professionals to medicolegal suits. Recently, the American Academy of Radiology and the European community of Medical Ionizing Radiation Protection released national guidelines regarding pregnancy screening before imaging potentially pregnant females...
2017: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/28894774/spontaneous-adrenal-hematoma-in-a-pregnant-woman-a-case-report
#12
Mahshid Ghasemi, Ali Akbar Beigi, Faranak Behnaz, Farhad Fathi, Elham Memary
Spontaneous adrenal hematoma is a very rare condition and its prevalence has been reported to be about 1% in previous studies. Although various causes have been proposed to explain its incidence in existing case reports, the etiology and pathology of this condition is still not known. The present study presents a case of spontaneous adrenal hematoma in a pregnant 31 year old womanwithout history of trauma or other probable risk factors of hemorrhage, presenting to the emergency department with chief complaint of pain in the right flank...
2017: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/28894773/the-pattern-of-pre-hospital-medical-service-delivery-in-iran-a-cross-sectional-study
#13
Mashyaneh Haddadi, Mohammad Sarvar, Hamid Soori, Elaheh Ainy
INTRODUCTION: Pre-hospital emergency systems provide service by Franco-German and Anglo American models. This study was carried out to compare the Iranian emergency medical service (EMS) with the two models regarding timing and equipment. METHODS: In this cross sectional study, response time, scene time, and transport time to hospital as well as ambulance equipment of five hundred thousand Tehran EMS recorded missions, during one year, were compared with Franco-German and Anglo American models, trying to determine the pattern of EMS delivery in Iran...
2017: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/28894772/epidemiologic-features-and-outcomes-of-caustic-ingestions-a-10-year-cross-sectional-study
#14
Athena Alipour Faz, Fahimeh Arsan, Hassan Peyvandi, Mahbobeh Oroei, Omid Shafagh, Maryam Peyvandi, Maryam Yousefi
INTRODUCTION: Caustic ingestions are among the most prevalent causes of toxic exposure. The present 10-year survey aimed to evaluate the epidemiologic features and outcomes of caustic ingestion cases presenting to emergency department. METHODS: This is a retrospective cross-sectional study on patients who were admitted to a referral toxicology center during 2004 to 2014, following caustic ingestion. Baseline characteristics, presenting chief complaint, severity of mucosal injury, complications, imaging and laboratory findings as well as outcomes (need for ICU admission, need for surgery, mortality) were recorded, reviewing patients' medical profile, and analyzed using SPSS 22...
2017: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/28894771/baseline-characteristics-of-fall-from-height-victims-presenting-to-emergency-department-a-brief-report
#15
Hamidreza Hatamabadi, Ali Arhami Dolatabadi, Batoul Atighinasab, Saeed Safari
INTRODUCTION: Trauma due to accidents or fall from height is a major cause of disability and mortality. The present study was designed aiming to evaluate the baseline characteristics of fall from height victims presenting to emergency department (ED). METHODS: This prospective cross-sectional study evaluates the baseline characteristics of fall from height cases presenting to EDs of three educational Hospitals, Tehran, Iran, during one year. Data were analyzed using SPSS 21 and presented using descriptive statistics...
2017: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/28286861/nerve-stimulator-versus-ultrasound-guided-femoral-nerve-block-a-randomized-clinical-trial
#16
Arash Forouzan, Kambiz Masoumi, Hasan Motamed, Mohammad Reza Gousheh, Akram Rohani
INTRODUCTION: Pain control is the most important issue in emergency department management of patients with femoral bone fractures. The present study aimed to compare the procedural features of ultrasonography and nerve stimulator guided femoral nerve block in this regard. METHOD: In this randomized clinical trial, patients with proximal femoral fractures presenting to emergency department were randomly divided into two groups of ultrasonography or nerve stimulator guided femoral block and compared regarding success rate, procedural time, block time, and need for rescue doses of morphine sulfate, using SPSS 20...
2017: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/28286860/determinants-of-prolonged-length-of-stay-in-the-emergency-department-a-cross-sectional-study
#17
Seyed Mohammad Hosseininejad, Hamed Aminiahidashti, Seyede Masoume Pashaei, Iraj Goli Khatir, Seyed Hosein Montazer, Farzad Bozorgi, Fahime Mahmoudi
INTRODUCTION: Timeliness has been considered as a key domain in quality of emergency department (ED) care and delay in care providing is influential determinants of patient's outcomes. The present study, aimed to evaluate the determinants of prolonged ED length of stay (LOS). METHODS: In this cross-sectional study, using adopted version of the latest form for external evaluation and accreditation of EDs introduced by Iranian Ministry of Health, determinants of prolonged LOS were evaluated in the ED of an educational Hospital...
2017: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/28286859/sampling-methods-in-clinical-research-an-educational-review
#18
Mohamed Elfil, Ahmed Negida
Clinical research usually involves patients with a certain disease or a condition. The generalizability of clinical research findings is based on multiple factors related to the internal and external validity of the research methods. The main methodological issue that influences the generalizability of clinical research findings is the sampling method. In this educational article, we are explaining the different sampling methods in clinical research.
2017: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/28286858/urgent-need-to-strengthen-the-chain-of-survival-in-the-united-arab-emirates-a-letter-to-the-editor
#19
Alan Michael Batt, Ahmed Saleh Mohamed Al-Hajeri, Fergal Henry Cummins
No abstract text is available yet for this article.
2017: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/28286857/the-australasian-triage-scale-level-5-criteria-may-need-to-be-revised
#20
Amir Mirhaghi, Mohsen Ebrahimi
No abstract text is available yet for this article.
2017: Emergency (Tehran, Iran)
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