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Bulletin of Emergency and Trauma

Taha Samad Soltani
No abstract text is available yet for this article.
January 2018: Bulletin of Emergency and Trauma
Morteza Arab-Zozani, Djavad Ghoddoosi-Nejad, Mohammad Dehghani
No abstract text is available yet for this article.
January 2018: Bulletin of Emergency and Trauma
Nurettin Aktas, Umut Gulacti, Ugur Lok, İrfan Aydin, Tayfun Borta, Murat Celik
Objective: To identify errors in forensic reports and to describe the characteristics of traumatic medico-legal cases presenting to the emergency department (ED) at a tertiary care hospital. Methods: This study is a retrospective cross-sectional study. The study includes cases resulting in a forensic report among all traumatic patients presenting to the ED of Adiyaman University Training and Research Hospital, Adiyaman, Turkey during a 1-year period. We recorded the demographic characteristics of all the cases, time of presentation to the ED, traumatic characteristics of medico-legal cases, forms of suicide attempt, suspected poisonous substance exposure, the result of follow-up and the type of forensic report...
January 2018: Bulletin of Emergency and Trauma
Abdolkhalegh Keshavarzi, Sina Kardeh, Amirhosein Pourdavood, Mana Mohamadpour, Maryam Dehghankhalili
Objective: To evaluate the lethal area 50 (LA50) and determinants of mortality in burn patients admitted to a single burn center. Methods: This retrospective cross-sectional study was conducted in a tertiary burn center affiliated with Shiraz University of Medical Sciences, Shiraz, Iran, during a 1-year period from 2015 to 2016. To determine prognostic factors in fatal burns, medical records of eligible burn patients were reviewed for demographic and clinical variables, as well as patient outcome...
January 2018: Bulletin of Emergency and Trauma
Hadid Hamrah, Sara Mehrvarz, Amir Mohammad Mirghassemi
Objective: To determine the frequency of the brain CT-scan findings in patients with mild traumatic brain injury (TBI) and scalp lacerations. Methods: This cross-sectional study was conducted during a 1-year period from March 2016 to March 2017 in Level I trauma center in Shiraz, Southern Iran. We included all the adult patients (≥18 years) admitted to our emergency room with mild TBI (GCS on admission of 15) and scalp lacerations. All the patients underwent Brain CT-Scan and the scans were reviewed by two radiologists who were unaware of the patients' clinical findings...
January 2018: Bulletin of Emergency and Trauma
Mohamadreza Saatian, Jamal Ahmadpoor, Younes Mohammadi, Ehsan Mazloumi
Objective: To determine the epidemiological aspects of patients with traumatic brain injury (TBI) in a regional trauma center. Methods: A cross-sectional study was conducted on patients with TBI during 2013 to 2016 in a single center in Hamedan, central Iran. The distribution and relationships of TBI was assessed with gender, age, type of trauma, traumatic cause, exiting status and Length of Hospitalization (LOH). Data were analyzed by Stata V11 statistical software...
January 2018: Bulletin of Emergency and Trauma
Seyed Amir Reza Mesbahi, Ali Ghaemmaghami, Sara Ghaemmaghami, Pouya Farhadi
Objective: To determine the functional and radiologic results of surgical treatment in patients with acetabular fractures. Methods: This was a retrospective cross-sectional study. We retrospectively reviewed medical records of patients operatively treated acute acetabular fractures at a level I trauma center (Shahid Rajaee) and an orthopedic center (Shahid Chamran) both in southern Iran (Shiraz) with minimally 1 year follow up over a period of 7 years from April 2009 to March 2016...
January 2018: Bulletin of Emergency and Trauma
Fatemeh Jahanian, Seyed Mohammad Hosseininejad, Hamed Amini Ahidashti, Farzad Bozorgi, Iraj Goli Khatir, Seyyed Hosein Montazar, Vahideh Azarfar
Objective: To compare the effects of intravenous morphine and a low dose of ketamine on pain intensity of patients with traumatic fractures of the long bones. Methods: This randomized, controlled, double-blinded, clinical trial was conducted in the adult emergency department (ED) of Emam Khomeini hospital, a tertiary general hospital affiliated with Mazandaran University of Medical Sciences, in Northern Iran, during a 6-month period. Patients were randomly assigned to receive intravenous morphine (0...
January 2018: Bulletin of Emergency and Trauma
Shahram Paydar, Behnam Dalfardi, Bardia Zangbar-Sabegh, Hossein Heidaripour, Leila Pourandi, Alireza Shakibafard, Mehdi Tahmtan, Leila Shayan, Mohammad Hadi Niakan
Objective: To determine the predictive value of repeated abdominal ultrasonography in patients with multiple trauma and decreased level of consciousness (LOC). Methods: This prospective cross-sectional study was conducted over a six-month period at Shahid Rajaee Trauma Hospital, Shiraz, Iran. We included hemodynamically stable blunt abdominal trauma patients with a decreased LOC (Glasgow Coma Scale ≤ 13) who were referred to the neurosurgery ICU ward. Included cases underwent 1 contrast-enhanced CT scan and two-time ultrasonographic study of the abdomen with an interval of 48 hours...
January 2018: Bulletin of Emergency and Trauma
Hassan Al-Thani, Gaby Jabbour, Ayman El-Menyar, Husham Abdelrahman, Ruben Peralta, Ahmad Zarour
Objective: To investigate the presentation, management and outcomes of left and right-sided traumatic diaphragmatic injury (TDI) in a single level I trauma center. Methods: This cross-sectional study was conducted during a 7-year period from 2008 to 2015 in a level I trauma center in Qatar. We included all the patients who presented with TDIs during the study period. Data included demographics, mechanism of injury, associated injuries, initial vitals, emergency department disposition, length of ICU and hospital stay, ventilator days, management, and outcomes...
January 2018: Bulletin of Emergency and Trauma
Reza Ranjbar, Alireza Yousefi
Objective: To assess effect of Aleo vera with chitosan nanoparticle biofilm on wound healing in full thickness infected wounds with antibiotic resistant gram positive bacteria. Method: Thirty rats were randomized into five groups of six rats each. Group I: Animals with uninfected wounds treated with 0.9% saline solution. Group II: Animals with infected wounds treated with saline. Group III: Animals with infected wounds were dressed with chitosan nanoparticle thin-film membranes...
January 2018: Bulletin of Emergency and Trauma
Holger Rupprecht, Katharina Gaab
A penetrating chest trauma, a myocardial contusion or a myocardial infarction can lead to a cardiac rupture, which is linked to an extreme high death rate. Only few cases with delayed perforation of the myocardium have been reported in literature. We report about a penetrating gunshot injury, which led to a myocardial contusion with secondary delayed rupture of the left ventricle and the left inferior lobe of the lung. The leakage of the lesion in the left ventricle could be sealed sufficiently with fibrin-coated collagen fleeces after adapting stitches with Prolene 2-0...
January 2018: Bulletin of Emergency and Trauma
Suvashis Dash, Shibajyoti Ghosh
Diabetes insipidus is a disease charaterised by increased urine production and thrist. Neurogenic diabetes insipidus following head trauma,autoimmune disease and infection is quite common but diabetes insipidus following thermal burn injury is a rare complication.We should know about this complication as its management need a comprehensive approach for satisfactory outcome. Thermal burn can cause different complications in early post burn period like electrolyte imbalance, dehydration, acute renal failure, but diabetes insipidus is a very rare and unusual complication that may come across in thermal burn...
October 2017: Bulletin of Emergency and Trauma
Pankaj Sharma, Nishank Mehta, Amit Narayan
Isolated traumatic brachialis muscle tears are uncommonly reported - leading to occasional misdiagnosis and misdirected treatment. The rarity of brachialis muscle tear may promote misdiagnosis or mistreatment of this injury. We report an isolated brachialis muscle tear in a young female, possibly caused by strenuous exercise in the gymnasium. The diagnosis was made clinically and confirmed by magnetic resonance imaging. The patient was subsequently managed adequately with conservative treatment. We herein present a 35-year-old woman who was diagnosed with an acute brachialis muscle tear being diagnosed with a combination of clinical signs and imaging and successfully managed non-operatively...
October 2017: Bulletin of Emergency and Trauma
Saptarshi Biswas, Boris Hristov
Traumatic iliac vessels injuries secondary to gunshot wound can often be fatal at the scene. One of the intriguing complications of vascular injuries is arteriovenous fistula. If the patient survives, these lesions may often not be diagnosed on first evaluation and patients may present with clinical signs and symptoms years later. Open surgical repair can have prohibitive morbidity and mortality and endovascular techniques, an effective treatment alternative, can interrupt the abnormal vascular communication and preserve artery vein patency...
October 2017: Bulletin of Emergency and Trauma
Mohammadkarim Bahadori, Ahmad Hajebrahimi, Khalil Alimohammadzadeh, Ramin Ravangard, Seyed Mojtaba Hosseini
Objective: To identify and prioritize factors affecting the location of road emergency bases in Iran using Analytical Hierarchy Process (AHP). Methods: This was a mixed method (quantitative-qualitative) study conducted in 2016. The participants in this study included the professionals and experts in the field of pre-hospital and road emergency services issues working in the Health Deputy of Iran Ministry of Health and Medical Education, which were selected using purposive sampling method...
October 2017: Bulletin of Emergency and Trauma
Mohammadreza Maleki, Seyyed Meysam Mousavi, Mina Anjomshoa, Nasrin Shaarbafchizadeh, Zeinab Naimi Taleghani
Objective: To explore impact of emergency medicine residency program on patient waiting times in emergency department (ED) and determine the associated factors. Methods: A two-phased sequential exploratory mixed-methods approach was used. The first phase was comprised of retrospective before-after design of ED encounters for a 3-month period, six months before and six months after the introduction of an emergency medicine residency program in an Iranian teaching hospital...
October 2017: Bulletin of Emergency and Trauma
Batoul Sedaghati Shokri, Seyed Rasoul Davoodi, Majid Azimmohseni, Gholamreza Khoshfar
Objective: To presents a survey investigating differences between drivers' beliefs regarding utilizing cellphone when driving. Methods: In this population-based survey, the participants who were studied in the North of Iran, Gorgan, were categorized as main urban and rural areas. A sample of 400 drivers, 92 women and 308 men, filled out the four sections questionnaire which was based on the Theory of Planned Behavior (TPB) used for measuring the differences between the drivers' opinions (attitudinal beliefs, normative beliefs, and perceived control behavioral beliefs) about utilizing a cell phone when driving along with their age and driving purpose...
October 2017: Bulletin of Emergency and Trauma
Robab Mehdizadeh Esfanjani, Homayoun Sadeghi-Bazargani, Mina Golestani, Reza Mohammadi
Objective: To investigate epidemiological aspects of injuries among Iranian children under 7 years of age using obtained data from a national registry. Methods: Injury data were derived from a national-based injury supervision system during 2000-2002. This registry involved all of home-related injuries for children less than 7 years of age that treated in health or emergency centers. The study population included 25% of Iranian people. The descriptive statistical methods were used for representing the distribution of the variables like age, sex, injury mechanisms, types of injuries, etc...
October 2017: Bulletin of Emergency and Trauma
Haleh Ghaem, Maryam Soltani, Mahnaz Yadollahi, Tanaz ValadBeigi, Atousa Fakherpour
Objective: To epidemiologically assess the accidents and incidents in the injured pedestrians referred to Shahid Rajaee Hospital, Shiraz in order to provide basic preventive strategies and reduce injuries and fatalities caused by traffic accidents in pedestrians. Methods: This cross-sectional study was conducted on 5840 injured pedestrians referred to Shahid Rajaee Hospital, Shiraz from 2009 to 2014. The baseline characteristic including the demographic and clinical information, the mechanism of injury, injury severity score (ISS) and outcome determinants...
October 2017: Bulletin of Emergency and Trauma
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