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Emergency (Tehran, Iran)

Kuo-Chih Chen, Aming Chor-Ming Lin, Chin-Chu Wu, Tzong-Luen Wang, Chai-Hock Chua
No abstract text is available yet for this article.
2016: Emergency (Tehran, Iran)
Tahmine Biazar, Mehran Shokri, Hajar Hosseinnia, Masomeh Bayani
Orf is a mucocutaneous disease that occurs when non-intact skin comes into contact with contaminated sheep saliva. The lesions may complicate to lymphangitis or secondary bacterial infection, but systemic complications such as erythema multiforme, maculopapular rash, and generalized lymphadenopathy are rare. In this paper, we present two cases of erythema multiforme following Orf disease.
2016: Emergency (Tehran, Iran)
Younes Nozari, Masih Tajdini, Mehdi Mehrani, Rosa Ghaderpanah
Distinguishing ST-elevation myocardial infarction (STEMI) differential diagnoses is more challenging. Myopericarditis is one of these differentials that results from viral involvement of myocardium and pericardium of the heart. Myopericarditis in focal form can mimic acute STEMI in its electrocardiogram (ECG) features and elevated cardiac enzymes. Myocarditis patients may face thrombolytic related complications such as intracranial bleeding, myocardial rupture, and hemorrhagic cardiac tamponade. Furthermore, re-administration of streptokinase (a common thrombolytic agent in our country) is banned for at least six months of previous administration; however, it can save patients' lives in emergency conditions such as massive pulmonary embolism...
2016: Emergency (Tehran, Iran)
Hassan Barzegari, Arash Forouzan, Mohammad Ali Fahimi, Behzad Zohrevandi, Mandana Ghanavati
INTRODUCTION: Determining the proper angle for inserting central venous catheter (CV line) is of great importance for decreasing the complications and increasing success rate. The present study was designed to determine the proper angle of needle insertion for internal jugular vein catheterization. METHODS: In the present case series study, candidate patients for catheterization of the right internal jugular vein under guidance of ultrasonography were studied. At the time of proper placing of the catheter, photograph was taken and Auto Cad 2014 software was used to measure the angles of the needle in the sagittal and axial planes, as well as patient's head rotation...
2016: Emergency (Tehran, Iran)
Anahita Alizadeh Ghamsari, Bita Dadpour, Fares Najari
INTRODUCTION: Previous studies have raised the probably of cardiac manifestation in tramadol poisoning. However, conclusive information on electrocardiographic (ECG) abnormalities of tramadol overdose remains to be explained. Therefore, the present study aimed to evaluate the epidemiology of ECG abnormalities in tramadol poisoned patients. METHODS: In a prospective cross-sectional study, all patients with tramadol poisoning, who were admitted to the emergency department of Loghman Hospital during 2012 - 2013, were evaluated...
2016: Emergency (Tehran, Iran)
Bahram Mofid, Kambiz Novin, Elham Sadat Roointan, Mohammad Mehdi Forouzanfar
INTRODUCTION: Accurate diagnosis and proper treatment of oncology patients presented to emergency department (ED) can dramatically enhance their quality of life and decrease their mortality rate. Therefore, the present study aimed to evaluate these patients from an epidemiologic point of view as well as identifying death-related factors. METHODS: In this retrospective cross-sectional study, all the oncology patients presented to ED during one year were evaluated using census sampling...
2016: Emergency (Tehran, Iran)
Keihan Golshani, Mehrdad Esmailian, Aniseh Valikhany, Majid Zamani
INTRODUCTION: Acute dyspnea is a common cause of hospitalization in emergency departments (ED).Distinguishing the cardiac causes of acute dyspnea from pulmonary ones is a major challenge for responsible physicians in EDs. This study compares the characteristics of bedside ultrasonography with serum level of blood natriuretic peptide (BNP) in this regard. METHODS: This diagnostic accuracy study compares bedside ultrasonography with serum BNP levels in differentiating cardiogenic causes of acute respiratory distress...
2016: Emergency (Tehran, Iran)
Firooz Behboodi, Zahra Mohtasham-Amiri, Navid Masjedi, Reza Shojaie, Peyman Sadri
INTRODUCTION: Focused assessment with sonography for trauma (FAST) is a highly effective first screening tool for initial classification of abdominal trauma patients. The present study was designed to evaluate the outcome of patients with blunt abdominal trauma and positive FAST findings. METHODS: The present prospective cross-sectional study was done on patients over 7 years old with normal abdominal examination, positive FAST findings, and available abdominopelvic computed tomography (CT) scan findings...
2016: Emergency (Tehran, Iran)
Anita Sabzghabaei, Majid Shojaee, Ali Arhami Dolatabadi, Mohammad Manouchehrifar, Mahdi Asadi
INTRODUCTION: Distal radius fractures are a common traumatic injury, particularly in the elderly population. In the present study we examined the effectiveness of ultrasound guidance in the reduction of distal radius fractures in adult patients presenting to emergency department (ED). METHODS: In this prospective case control study, eligible patients were adults older than 18 years who presented to the ED with distal radius fractures. 130 consecutive patient consisted of two group of Sixty-Five patients were prospectively enrolled for around 1 years...
2016: Emergency (Tehran, Iran)
Ali Shahrami, Majid Shojaee, Seyed Mohammadreza Tabatabaee, Elaheh Mianehsaz
INTRODUCTION: Necessity of imaging for symptom-free conscious patients presented to emergency department (ED) following traumatic thoracolumbar spine injuries has been a matter of debate. The present study was aimed to evaluate the diagnostic value of clinical findings in prediction of traumatic thoracolumbar injuries compared tocomputed tomography (CT) scan. METHODS: The present diagnostic value study was carried out using non-random convenience sampling during the time between October 2013 and March 2014...
2016: Emergency (Tehran, Iran)
Vafa Rahimi-Movaghar, Mahmoud Yousefifard, Parisa Ghelichkhani, Masoud Baikpour, Abbas Tafakhori, Hadi Asady, Gholamreza Faridaalaee, Mostafa Hosseini, Saeed Safari
INTRODUCTION: Hemothorax is one of the most prevalent injuries caused by thoracic traumas. Early detection and treatment of this injury is of utmost importance in prognosis of the patient, but there are still controversial debates on the diagnostic value of imaging techniques in detection of hemothorax. Therefore, the present study aimed to evaluate the diagnostic value of chest ultrasonography and radiography in detection of hemothorax through a systematic review and meta-analysis. METHODS: Two independent reviewers performed an extended systematic search in databases of Medline, EMBASE, ISI Web of Knowledge, Scopus, Cochrane Library, and ProQuest...
2016: Emergency (Tehran, Iran)
Abdelrahman Ibrahim Abushouk
No abstract text is available yet for this article.
2016: Emergency (Tehran, Iran)
Saeed Safari, Alireza Baratloo, Mohamed Elfil, Ahmed Negida
No abstract text is available yet for this article.
2016: Emergency (Tehran, Iran)
Mohammad Taghi Safari, Shabnam Shahrokh, Mohammad Bagher Miri, Mohammad Javad Ehsani Ardakani
Eosinophilic gastroenteritis (EGE) is a rare inflammatory disorder of gastrointestinal tract characterized by eosinophilic infiltration of the bowel wall. It can mimic many gastrointestinal disorders due to its wide spectrum of presentations. Diagnose is mostly based on excluding other disorders and a high suspicion. Here we report a case of 26 year old man with a history of sever epigastric pain followed by nausea, vomiting since a few days before admission with final diagnosis of EGE.
2016: Emergency (Tehran, Iran)
Rezvan Sadr Mohammadi, Reza Bidaki, Fazlollah Mirdrikvand, Seyyed Nader Mostafavi Yazdi, Pouria Yazdian Anari
There are several reports in the literature indicating a great variety of pharmacological effects for peganum harmala or aspand such as sedative anti-bacterial, anti-fungal, antiviral and antiprotozoal. Some people believe that can be used for treatment of some organic or psychiatric disorders. We introduce a woman with history of long time constipation that was disappointed in novel medical treatment and decided to use comminuted Aspand to relieve her problem. Two hours after use, the intoxication symptoms manifested as blurred vision, phonophobia, floating feeling, and tinnitus ringing...
2016: Emergency (Tehran, Iran)
Hamid Shokoohi, Keith S Boniface, Bruce M Abell, Ali Pourmand, Mohammad Salimian
Early detection of free air in the peritoneal cavity is vital in diagnosis of life-threatening emergencies, and can play a significant role in expediting treatment. We present a series of cases in which bedside ultrasound (US) in the emergency department accurately identified evidence of free intra-peritoneal air and echogenic (dirty) free fluid consistent with a surgical final diagnosis of a perforated hollow viscus. In all patients with suspected perforated viscus, clinicians were able to accurately identify the signs of pneumoperitoneum including enhanced peritoneal stripe sign (EPSS), peritoneal stripe reverberations, and focal air collections associated with dirty shadowing or distal multiple reflections as ring down artifacts...
2016: Emergency (Tehran, Iran)
Fares Najari, Alimohammad Alimohammadi, Parisa Ghodrati
INTRODUCTION: Natural and unexpected death that happens within less than one hour of first symptom occurrence is called sudden death. Cardiovascular diseases are the main known reason of sudden death and more than 75% of sudden deaths in athletes are assigned to it. Here we reported the autopsy results of all cases with sudden death following exercise that were referred to forensic center of Tehran, Iran, from 2009 to 2014. METHODS: In this cross sectional study all subjects who were registered to forensic medicine center of Tehran, Iran, from 2009 to 2014, as a case of sudden death following exercise were evaluated...
2016: Emergency (Tehran, Iran)
Mohammad Gharavifard, Azadeh Tafakori, Hamid Zamani Moghadam
INTRODUCTION: Performance of painful diagnostic and therapeutic procedures is common in emergency department (ED), and procedural sedation and analgesia (PSA) is a fundamental skill for every emergency physician. This study was aim to compare the efficacy of remifentanil with fentanyl/midazolam in painless reduction of anterior shoulder dislocation. METHOD: In this randomized, double blind, clinical trial the procedural characteristics, patients' satisfaction as well as adverse events were compared between fentanyl/midazolam and remifentanil for PSA of 18-64 years old patients, which were presented to ED following anterior shoulder dislocation...
2016: Emergency (Tehran, Iran)
Parvin Darbandsar Mazandarani, Kamran Heydari, Hamidreza Hatamabadi, Parvin Kashani, Yasin Jamali Danesh
INTRODUCTION: More than 50 scoring systems have been published for classification of trauma patients in the field, emergency room, and intensive care settings, so far. The present study aimed to compare the ability of trauma injury severity score (TRISS) and acute physiology and chronic health evaluation (APACHE) III in predicting mortality of intensive care unit (ICU) admitted trauma patients. METHODS: This prospective cross-sectional study included ICU admitted multiple trauma patients of Imam Hossein and Hafte-Tir Hospitals, Tehran, Iran, during 2011 and 2012...
2016: Emergency (Tehran, Iran)
Bahman Naghipour, Gholamreza Faridaalaee
INTRODUCTION: The correlation of central venous pressure (CVP) with inferior vena cava (IVC) sonographic diameter has been reported in several studies. However, few studies have attempted to find the best anatomic location of measurement. Therefore, the purpose of this study was determining the best anatomic location to find precise correlation between CVP and IVC diameter using transesophageal echocardiography (TEE). METHODS: In the present diagnostic accuracy study, patients in need of central venous catheterization and TEE were enrolled...
2016: Emergency (Tehran, Iran)
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