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Emergency (Tehran, Iran)

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https://www.readbyqxmd.com/read/28286861/nerve-stimulator-versus-ultrasound-guided-femoral-nerve-block-a-randomized-clinical-trial
#1
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
#2
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
#3
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
#4
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
#5
Amir Mirhaghi, Mohsen Ebrahimi
No abstract text is available yet for this article.
2017: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/28286856/predatory-journals-and-perished-articles-a-letter-to-editor
#6
Mashallah Narimani, Mehdi Dadkhah
No abstract text is available yet for this article.
2017: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/28286855/a-5-month-old-infant-with-right-scrotum-swelling-a-case-report
#7
Shih-Wen Hung, Kuo-Chih Chen, Chin-Chu Wu, Tzong-Luen Wang, Aming Chor-Ming Lin
Migration of the distal catheters of ventriculoperitoneal (VP) shunt is a rare event. Here, we report an unusual case of a 5-month-old infant with post-hemorrhagic hydrocephalus, who developed right scrotum swelling soon after VP shunting. Plain abdominal x-ray showed the shunt tubing, which was twisted and kinked in its distal portion and coiled in the right scrotum. The infant was operated on and managed with successful outcome.
2017: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/28286854/recurrent-syncope-following-substance-abuse-a-case-report
#8
Forod Salehi, Mohammad Mehdi Hassanzadeh Taheri, HamidReza Riasi, Omid Mehrpour
Drug abuse is considered as the most common poisoning in the world. Stimulants agent especially amphetamines and methamphetamines are among important abused substances. Different types of neurologic, psychiatric, respiratory, gastrointestinal, and cardiogenic complications have been reported to be related to methamphetamine consumption. Some of these substances could cause dysrhythmias which is the most prevalent etiology of cardiogenic syncope. Ecstasy, as one of the most commonly abused drugs, is known as a cause of cardiac dysrhythmias...
2017: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/28286853/paradoxical-embolism-due-to-persistent-foramen-ovale-a-case-report
#9
Dormar David Barrios, Jonathan Roncancio, Albert Alejandro Avila, Jaime Andrés Alvarado, Ana Cristina Montenegro
The mean percentage of cryptogenic strokes among ischemic strokes is 31%, of which one-third may be associated with patent foramen ovale. The foramen ovale is required for blood flow through the fetal atrial septum. It is formed as of the fourth week of gestation, and this leads to right-left interatrial shunt that allows the passage of oxygenated blood to systemic circulation. In 75% of cases, its closure is complete by 2 years of age, but it may persist in 25% of patients. We present the case of a patient with paradoxical embolism in the lower extremities and ischemic stroke in the clinical context of a patent foramen ovale...
2017: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/28286852/acute-myocardial-infarction-following-naltrexone-consumption-a-case-report
#10
Bita Dadpour, Arash Gholoobi, Shahrad Tajoddini, Amir Habibi
Cardiovascular effects of opioid withdrawal have long been studied. It was reported that patients with underlying ischemic heart disease and atherosclerotic vessels may be complicated by a sudden physical and emotional stress due to withdrawal syndrome. But some other believes sudden increase in catecholamine level as a sympathetic overflow might effect on heart with and without underlying ischemia. In the current study, a patient on methadone maintenance therapy (MMT) who experienced myocardial infarction (MI) after taking naltrexone was described...
2017: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/28286851/a-rare-case-of-gastrointestinal-tract-foreign-body-glassy-stomach
#11
Mohsen Ebrahimi, Jafar Malmir, Azadeh Mahmoudi-Gharaee, Mahdi Foroughian
Ingestion of foreign bodies is common and conservative treatment can eliminated most particlesfrom the gastrointestinal tractunless peritoneal signs appear. A 22-year-old man presented to emergency department who had ingested glass particles of a crushed beveragebottle.Hecomplained ofepigastric and periumbilical pain. Physical examination did not revealany peritoneal signs. Abdominal X-ray showed stomach full of small glass particles. Conservative treatment, without any surgical intervention,resulted insafely eliminating glass particlesin this patient...
2017: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/28286850/head-trauma-as-a-precipitating-factor-for-late-onset-leigh-syndrome-a-case-report
#12
Farzad Ashrafi, Hossein Pakdaman, Mehran Arabahmadi, Behdad Behnam
Leigh syndrome is a severe progressive neurodegenerative disorder with different clinical presentationsthat usually becomes apparent in the first year of life and rarely in late childhood and elderly years. It is causedby failure of mitochondrial respiratory chain and often results in regression of both mental and motor skills and might even lead to death. In some of the inherited neurodegenerative diseases like Alexander disease, head trauma is reported as a trigger for onset of the disease. We present a late onset Leigh syndrome in a 14-year-old girl whose symptoms were initiating following head trauma...
2017: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/28286849/isolated-oculomotor-nerve-palsy-following-minor-head-trauma-a-case-report
#13
Iraj GoliKhatir, Hamed Aminiahidashti, Hasan Motamed Motlagh, Seyed Farshad Heidari
Isolated third nerve palsy develops in numerous intracranial pathologies such as closed head trauma, tumor, and aneurysm. This report describes a 61 years old female with an abrasion on the left forehead and ptosis of the left eye. Initial computed tomography did not reveal any causative cerebral and vascular lesions or orbital and cranial fractures. High-resolution and multi-axial enhanced Magnetic resonance imaging (MRI) can be helpful in diagnosis and monitoring of patients with this rare phenomenon.
2017: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/28286848/brain-ultrasonography-findings-in-neonatal-seizure-a-cross-sectional-study
#14
Seyed Saeed Nabavi, Parinaz Partovi
INTRODUCTION: Screening of newborns with seizure, who have curable pathologic brain findings, might be able to improve their final outcome by accelerating treatment intervention. The present study aimed to evaluate the brain ultrasonography findings of newborns hospitalized with complaint of seizure. METHODS: The present cross-sectional study designed to evaluate brain ultrasonography findings of hospitalized newborns complaining seizure. Neonatal seizure was defined as presence of tonic, clonic, myoclonic, and subtle attacks in 1 - 28 day old newborns...
2017: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/28286847/protocol-adherence-in-prehospital-medical-care-provided-for-patients-with-chest-pain-and-loss-of-consciousness-a-brief-report
#15
Mostafa Mehrara, Nader Tavakoli, Marzieh Fathi, Babak Mahshidfar, Mohammad Amin Zare, Azita Asadi, Saeedeh Hosseinzadeh, Mehdi Safdarian
INTRODUCTION: Although many protocols are available in the field of the prehospital medical care (PMC), there is still a notable gap between protocol based directions and applied clinical practice. This study measures the rate of protocol adherence in PMC provided for patients with chest pain and loss of consciousness (LOC). METHOD: In this cross-sectional study, 10 educated research assistants audited the situation of provided PMC for non-traumatic chest pain and LOC patients, presenting to the emergency department of a tertiary level teaching hospital, compare to national recommendations in these regards...
2017: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/28286846/familiarity-of-physicians-and-nurses-with-different-aspects-of-oxygen-therapy-a-brief-report
#16
Reza Goharani, MirMohammad Miri, Mehran Kouchek, Mohammad Sistanizad
INTRODUCTION: Oxygen is a drug and physician and nurses should be familiar with the effects and potential risks of oxygen therapy. The current study aimed to assess familiarity of physicians and nurses with various aspects of oxygen therapy. METHOD: In this cross sectional study, the familiarity of physicians and nurses with various aspects of oxygen therapy in a teaching hospital was evaluated using a validated questionnaire. The collected data were analyzed using SPSS 21 software...
2017: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/28286845/pan-vs-selective-computed-tomography-scans-in-management-of-multiple-trauma-patients-a-brief-report
#17
Anita Sabzghabaei, Majid Shojaee, Hamid Kariman, Mohammad Manouchehrifar, Kamran Heydari, Sirus Sohrabi
INTRODUCTION: Using pan or selective computed tomography (CT) scan in management of multiple trauma patient is a matter of debate. Therefore, the present study was designed aiming to compare the findings of pan and selective CT scans in management of multiple trauma patients. METHOD: This is a prospective cross-sectional study, on patients presented to the emergency department (ED) of Shohadaye Haftome Tir Hospital, Tehran, Iran, following blunt multiple trauma over a 1-year period, from March 2014 to March 2015...
2017: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/28286844/early-versus-late-spinal-decompression-surgery-in-treatment-of-traumatic-spinal-cord-injuries-a-systematic-review-and-meta-analysis
#18
REVIEW
Mahmoud Yousefifard, Vafa Rahimi-Movaghar, Masoud Baikpour, Parisa Ghelichkhani, Mostafa Hosseini, AliMoghadas Jafari, Heidar Aziznejad, Abbas Tafakhori
INTRODUCTION: Despite the vast number of surveys, no consensus has been reached on the optimum timing of spinal decompression surgery. This systematic review and meta-analysis aimed to compare the effects of early and latespinal decompression surgery on neurologic improvement and post-surgical complications in patients with traumatic spinal cord injuries. METHODS: Two independent reviewers carried out an extended search in electronic databases. Data of neurological outcome and post-surgery complication were extracted...
2017: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/28286843/clinical-scoring-systems-in-predicting-the-outcome-of-acute-upper-gastrointestinal-bleeding-a-narrative-review
#19
REVIEW
Hanieh Ebrahimi Bakhtavar, Hamid Reza Morteza Bagi, Farzad Rahmani, Kavous Shahsavari Nia, Arezu Ettehadi
Prediction of the outcome and severity of acute upper gastrointestinal bleeding (UGIB) has significant importance in patient care, disposition, and determining the need for emergent endoscopy. Recent international recommendations endorse using scoring systems for management of non-variceal UGIB patients. To date, different scoring systems have been developed for predicting the risk of 30-day mortality and re-bleeding. We have discussed the screening performance characteristics of Baylor bleeding score, the Rockall risk scoring score, Cedars-Sinai Medical Center predictive index, Glasgow Blatchford score, T-score, and AIMS65 systems, in the present review...
2017: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/28286842/methyl-prednisolone-vs-dexamethasone-in-management-of-copd-exacerbation-a-randomized-clinical-trial
#20
Mohammad Emami Ardestani, Elham Kalantary, Vajihe Samaiy, Keramat Taherian
INTRODUCTION: Corticosteroids are routinely used in management of chronic obstructive pulmonary disease (COPD) exacerbation. The main purpose of present study was to compare the efficacy of methyl prednisolone (MP) and dexamethasone (DXM) for this purpose. METHODS: Adult COPD patients entered the present clinical trial. All patients received standard treatment on admission and were then divided into 2 groups of intravenous MP and DXM. Patients were asked to rate their shortness of breath; sputum volume and viscosity; dyspnea; cough; and general wellbeing on a 0-5 scale...
2017: Emergency (Tehran, Iran)
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