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Emergency (Tehran, Iran)

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https://www.readbyqxmd.com/read/29201964/intravenous-lidocaine-compared-to-fentanyl-in-renal-colic-pain-management-a-randomized-clinical-trial
#1
Hassan Motamed, Mohammadreza Maleki Verki
Introduction: Using alpha blockers such as intravenous (IV) lidocaine has been deemed effective in controlling acute pain. Therefore, the current study was designed with the aim of evaluating the efficiency of IV lidocaine in comparison to IV fentanyl in pain management of patients with renal colic in emergency department (ED). Methods: In this double blind clinical trial, 18-65 year old patients that presented to ED with colicky flank pain and met the inclusion criteria of the study were allocated to either lidocaine or fentanyl group using block randomization and compared regarding pain severity 5, 10, 15, and 30 minutes after drug administration...
2017: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/29201963/valsalva-maneuver-using-a-handmade-device-in-supraventricular-tachycardia-reversion-a-quasi-experimental-study
#2
Maryam Motamedi, Mohammad Ali Akbarzadeh, Saeed Safari, Mehrnoosh Shahhoseini
Introduction: The use of vagal nerve stimulation is identified as a proper treatment option in patients with stable supraventricular tachycardia (SVT). This study aimed to assess the success of Valsalva maneuver via a handmade device in reversion of SVT. Methods: In this quasi experimental study, using a handmade device, vagus nerve stimulation was performed for SVT patients presenting to emergency department or cardiac intervention unit and the success rate and its related factors were assessed...
2017: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/29201962/characteristics-of-methadone-intoxicated-children-presenting-to-emergency-department-a-cross-sectional-study
#3
Parvin Kashani, Saeed Safari, Hamidreza Hatamabadi, Ali Arhami Dolatabadi, Mohammad Manouchehrifar, Maryam Dokht Tabrizi
Introduction: Each year a large number of patients present to emergency departments (EDs) following accidental or intentional poisoning with methadone. This study was designed with the aim of demographic evaluation of methadone poisoning in children presenting to ED and proposing preventive measures to parents and the healthcare system. Methods: This cross sectional study was carried out on children under the age of 12 years presenting to ED of a poisoning referral center...
2017: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/29201961/intranasal-lidocaine-for-primary-headache-management-in-emergency-department-a-clinical-trial
#4
Hassan Barzegari, Hassan Motamed, Behrad Ziapour, Majid Hajimohammadi, Mina Kadkhodazadeh
Introduction: Most of the headache cases only require pain management in emergency department (ED). The present study aimed to evaluate the efficacy of intranasal lidocaine in this regard. Method: In this clinical trial, adult patients with primary headache were randomly treated with 7.5 mg intravenous (IV) chlorpromazine and 1 ml intranasal lidocaine 2% (treatment) or normal saline 0.9% (placebo), and were compared 5, 15, and 30 minutes later regarding success rate using SPSS 21...
2017: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/29201960/demographics-of-fall-related-trauma-among-the-elderly-presenting-to-emergency-department-a-cross-sectional-study
#5
Hamid Reza Morteza Bagi, Sajjad Ahmadi, Maryam Hosseini
Introduction: Falling is reported to be the most common cause of mortality due to trauma in individuals over the age of 75 years. The present study is designed with the aim of determining the demographics of fall-related trauma among the elderly presenting to emergency department (ED). Methods: The present prospective cross-sectional study was carried out on all elderly patients ≥ 60 years old presenting to ED of a major referral trauma center in North West of Iran during 1 year...
2017: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/29201959/demographics-of-scorpion-sting-in-iran-a-cross-sectional-study
#6
Babak Mahshidfar, Hamed Basir Ghafouri, Mohammad Reza Yasinzadeh, Mani Mofidi, Mahdi Rezai, Davood Farsi, Saeed Abbasi, Peyman Hafezimoghadam
Introduction: Scorpion sting is an important public health problem in some countries, including Iran. This study aimed to describe the demographics of a large number of these victims in some endemic areas of Iran. Methods: This cross-sectional study evaluated baseline characteristics, clinical findings, management, and disposition of scorpion stung cases in 26 cities of 4 provinces in the southwest quarter of Iran, during one year. Results: 3008 cases of scorpion sting with mean age of 27...
2017: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/29201958/perspectives-of-patient-handover-among-paramedics-and-emergency-department-members-a-qualitative-study
#7
Majid Najafi Kalyani, Zheila Fereidouni, Raheleh Sabet Sarvestani, Zahra Hadian Shirazi, Ali Taghinezhad
Introduction: Improving patient handover is currently considered as a patient safety goal and one of the top five WHO priorities. So, the aim of this study was to explore the perspectives of patient handover among paramedics and emergency department staff. Methods: This is a descriptive exploratory study with a qualitative content analysis approach. Twenty five paramedics and emergency department staff were selected through purposeful sampling. The data were collected through semi-structured interviews in 2015 and Qualitative Content Analysis was used to analyze the data...
2017: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/29201957/saline-flush-versus-chest-x-ray-in-confirmation-of-central-venous-catheter-placement-a-diagnostic-accuracy-study
#8
Mehrdad Esmailian, Reza Azizkhani, Nazila Najafi
Introduction: Central venous catheterization (CVC) is a commonly performed procedure in critically ill patients of emergency department. This study was designed to compare the diagnostic accuracy of saline flush with CXR in confirmation of above-the-diaphragm CVC placement. Methods: This prospective cross sectional study was conducted on adult patients in need of CVC placement in emergency department. Placement Confirmation was performed with saline flush method and CXR, then chest computed tomography (CT) was performed as the gold standard...
2017: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/29201956/traumatic-brain-injury-is-unlikely-precipitating-leigh-syndrome-due-to-the-gjb2-mutation-c-35delg
#9
Josef Finsterer, Sinda Zarrouk-Mahjoub
No abstract text is available yet for this article.
2017: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/29201955/the-relationship-of-st-segment-changes-in-lead-avr-with-outcomes-after-myocardial-infarction-a-cross-sectional-study
#10
Mohammad Reza Beyranvand, Mohammad Assadpour Piranfar, Mohammadreza Mobini, Mehdi Pishgahi
Introduction: Among the 12 leads studied in electrocardiography (ECG), lead aVR can be considered as the most forgotten part of it since no attention is paid to it as the mirror image of other leads. Therefore, the present study has been designed with the aim of evaluating the prevalence of ST segment changes in lead aVR and its relationship with the outcome of these patients. Methods: In this retrospective cross sectional study medical profiles of patients who had presented to emergency department with the final diagnosis of myocardial infarction (MI) in a 4-year period were evaluated regarding changes of ST segment in lead aVR and its relationship with in-hospital mortality, the number of vessels involved, infarct location and cardiac ejection fraction...
2017: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/29201954/accuracy-of-endoscopy-in-predicting-the-depth-of-mucosal-injury-following-caustic-ingestion-a-cross-sectional-study
#11
Athena Alipour-Faz, Maryam Yousefi, Hassan Peyvandi
Introduction: Esophagogastroduodenoscopy (EGD) is currently considered as the primary method of determining the degree of mucosal injury following caustic ingestion. The present study aimed to evaluate the screening performance characteristics of EGD in predicting the depth of gastrointestinal mucosal injuries following caustic ingestion. Methods: Adult patients who were referred to emergency department due to ingestion of corrosive materials, over a 7-year period, were enrolled to this diagnostic accuracy study...
2017: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/29201953/concurrent-hand-and-penile-gangrene-following-prolonged-warfarin-use-a-case-report
#12
Fatemeh Mahdizadeh, Saeed Safari
Warfarin induced skin necrosis (WISN) is a rare but important side effect of warfarin. Early diagnosis may lessen the amount of permanent tissue damage and can prevent progression to full thickness skin necrosis. So, physicians should be aware of such a complication. Screening for protein C or S or anti-thrombin deficiencies, or presence of anti-phospholipid antibodies before beginning warfarin therapy, could be helpful to avoid high levels of international normalized ratio (INR). Here, we report a 54-year-old man who presented to the emergency department with acral and penile gangrene following prolonged use of warfarin...
2017: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/29201952/an-echocardiography-training-program-for-improving-the-left-ventricular-function-interpretation-in-emergency-department-a-brief-report
#13
Mary Jacob, Hamid Shokoohi, Fabith Moideen, Amelia Pousson, Keith Boniface
Introduction: Focused training in transthoracic echocardiography enables emergency physicians (EPs) to accurately estimate the left ventricular function. This study aimed to evaluate the efficacy of a brief training program utilizing standardized echocardiography video clips in this regard. Methods: A before and after design was used to determine the efficacy of a 1 hour echocardiography training program using PowerPoint presentation and standardized echocardiography video clips illustrating normal and abnormal left ventricular ejection fraction (LVEF) as well as video clips emphasizing the measurement of mitral valve E-point septal separation (EPSS)...
2017: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/28920070/prevalence-and-associated-factors-of-acute-traumatic-coagulopathy-a-cross-sectional-study
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
Hassan Barzegari, Mohammad Ali Fahimi, Schwann Dehghanian
No abstract text is available yet for this article.
2017: Emergency (Tehran, Iran)
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