Emergency最新文献_第8页

Emergency Medicine Resident versus Radiologist in Detecting the Ultrasonographic Signs of Acute Cholecystitis; a Diagnostic Accuracy Study. 急诊住院医师与放射科医师超声检查急性胆囊炎征象的比较诊断准确性研究。

Emergency Pub Date : 2018-01-01 Epub Date: 2018-03-15

Javad Tootian Tourghabe, Hamid Reza Arabikhan, Ali Alamdaran, Hamid Zamani Moghadam

{"title":"Emergency Medicine Resident versus Radiologist in Detecting the Ultrasonographic Signs of Acute Cholecystitis; a Diagnostic Accuracy Study.","authors":"Javad Tootian Tourghabe, Hamid Reza Arabikhan, Ali Alamdaran, Hamid Zamani Moghadam","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Dependence of ultrasonography on the operator's skill plays a major role in the differences between various studies in reporting its diagnostic accuracy. Therefore, the present study was done with the aim of comparing the ultrasonography findings performed by emergency medicine resident and radiologist in evaluation of acute cholecystitis.Methods: The present diagnostic accuracy study has been carried out on patients presenting to the emergency department with complaint of pain in the right upper quadrant of abdomen suspected with acute cholecystitis. All the patients underwent gallbladder ultrasonography by a trained emergency medicine resident and a radiologist and their findings were compared with surgical and pathology findings regarding gallstone and increased gallbladder wall thickness.Results: 51 patients with the mean age of 42.3±15.8 (17-81) years were analyzed (82.4% female). The overall agreement between emergency medicine resident and radiologist in ultrasonographic diagnosis of cholecystitis was 0.421 (95% CI: 0.118-0.724). Based on the pathology and surgical findings, acute cholecystitis was confirmed for all 51 (100%) patients. Meanwhile, based on the ultrasonographic report of radiologist and emergency medicine resident only 45 (88.2%) and 34 (66.7%) patients, respectively, were diagnosed with cholecystitis. Screening performance characteristics of ultrasonography by radiologist for detection of gallbladder stone (p = 0.010) and gallbladder wall thickness (p < 0.0001) were significantly better than emergency medicine resident.Conclusion: The screening performance characteristics of ultrasonography by radiologist in detection of gallstones and increased wall thickness of gallbladder were significantly better.","PeriodicalId":11681,"journal":{"name":"Emergency","volume":"6 1","pages":"e19"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/be/f7/emerg-6-e19.PMC6036519.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36311543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Vagus Nerve Stimulation and External Defibrillation during Resuscitation; a Letter to Editor. 复苏过程中迷走神经刺激与体外除颤给编辑的信。

Emergency Pub Date : 2018-01-01 Epub Date: 2018-04-25

Matthias Wittstock, Johannes Buchmann, Uwe Walter, Johannes Rösche

引用次数: 0

Hopkins Syndrome in a 14 Year Old Boy; a Case Report. 一名14岁男孩的霍普金斯综合征一份病例报告。

Emergency Pub Date : 2018-01-01 Epub Date: 2018-04-16

Alireza Majidi, Sasan Saket, Zohreh Nabizadeh Gharghozar, Ehsan Akrami, Seyed Mohsen Fayyazi

引用次数: 0

Acute Lidocaine Toxicity; a Case Series. 利多卡因急性毒性;a案例系列。

Emergency Pub Date : 2018-01-01 Epub Date: 2018-06-16

Mitra Rahimi, Mahboubeh Elmi, Hossein Hassanian-Moghaddam, Nasim Zamani, Kambiz Soltaninejad, Reza Forouzanfar, Shahin Shadnia

{"title":"Acute Lidocaine Toxicity; a Case Series.","authors":"Mitra Rahimi, Mahboubeh Elmi, Hossein Hassanian-Moghaddam, Nasim Zamani, Kambiz Soltaninejad, Reza Forouzanfar, Shahin Shadnia","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Parenteral form of lidocaine is the best-known source of lidocaine poisoning. This study aimed to evaluate the characteristics of acute lidocaine toxicity .Methods: In this retrospective cross-sectional study, demographics, clinical presentation, laboratory findings, and outcome of patients intoxicated with lidocaine (based on ICD10 codes) admitted to Loghman Hakim Hospital, during April 2007 to March 2014 were analyzed.Results: 30 cases with the mean age of 21.83 ± 6.57 year were studied (60% male). All subjects had used either 6.5% lidocaine spray or 2% topical formulations of lidocaine. The mean consumed dose of lidocaine was 465 ± 318.17 milligrams. The most frequent clinical presentations were nausea and vomiting (50%), seizure (33.3%), and loss of consciousness (16.7%). 22 (73.3%) cases had normal sinus rhythm, 4 (13.3%) bradycardia, 2 (6.7%) ventricular tachycardia, and 2 (6.7%) had left axis deviation. 11 (36.6%) cases were intubated and admitted to intensive care unit (ICU) for 6.91 ± 7.16 days. Three patients experienced status epilepticus that led to cardiac arrest, and death (all cases with suicidal intention).Conclusion: Based on the results of this study, most cases of topical lidocaine toxicity were among < 40-year-old patients with a male to female ratio of 1.2, with suicidal attempt in 90%, need for intensive care in 36.6%, and mortality rate of 10%.","PeriodicalId":11681,"journal":{"name":"Emergency","volume":"6 1","pages":"e38"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/af/72/emerg-6-e38.PMC6036540.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36313214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prehospital Emergency Medical Services Challenges in Disaster; a Qualitative Study. 灾害中院前急救医疗服务面临的挑战定性研究。

Emergency Pub Date : 2018-01-01 Epub Date: 2018-04-26

Mohamad Sorani, Sogand Tourani, Hamid Reza Khankeh, Sirous Panahi

引用次数: 0

Paradoxical Embolism in a Patient with Patent Foramen Ovale; a Case Report. 卵圆孔未闭患者的矛盾栓塞一份病例报告。

Emergency Pub Date : 2018-01-01 Epub Date: 2018-08-08

Mohammad Khani, Fariba Bayat, Atoosheh Rohani, Mehdi Pishgahi

引用次数: 0

Quetiapine versus Haloperidol in Controlling Conversion Disorder Symptoms; a Randomized Clinical Trial. 喹硫平与氟哌啶醇对照控制转化障碍症状随机临床试验。

Emergency Pub Date : 2018-01-01 Epub Date: 2018-08-02

Saeed Reza Ghanbarizadeh, Hossein Dinpanah, Reza Ghasemi, Yaser Salahshour, Samaneh Sardashti, Mostafa Kamali, Seyed Reza Khatibi

{"title":"Quetiapine versus Haloperidol in Controlling Conversion Disorder Symptoms; a Randomized Clinical Trial.","authors":"Saeed Reza Ghanbarizadeh, Hossein Dinpanah, Reza Ghasemi, Yaser Salahshour, Samaneh Sardashti, Mostafa Kamali, Seyed Reza Khatibi","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: About 5% of visits to emergency departments are made up of conversion disorder cases. This study was designed with the aim of comparing the effectiveness of quetiapine and haloperidol in controlling conversion disorder symptoms.Methods: The present single-blind clinical trial has been performed on patients with conversion disorder (based on the DSM-IV definition) presenting to emergency department of 9-Day Hospital, Torbat Heydariyeh, Iran, from January 2017 until May 2018.Results: 73 patients were allocated to haloperidol and 71 to quetiapine group. Mean age of these patients was 32.03 ± 12.80 years (62.50% female). Two groups were similar regarding the baseline characteristics. Within 30 minutes, 90.41% of haloperidol cases and 91.55% of quetiapine cases were relieved (p=0.812). The most common side effects after 30 minutes were extrapyramidal symptoms (9.59%) in the haloperidol group and fatigue and sleepiness (7.04%) in the quetiapine group. Extrapyramidal symptoms was significantly higher than the quetiapine group (p=0.013).Conclusion: The results of the present study showed that although quetiapine and haloperidol have a similar effect in relieving the patients from conversion disorder symptoms, the prevalence of extrapyramidal symptoms is significantly lower in the group under treatment with quetiapine. Therefore, it seems that quetiapine is a safer drug compared to haloperidol.","PeriodicalId":11681,"journal":{"name":"Emergency","volume":"6 1","pages":"e47"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2c/55/emerg-6-e47.PMC6289155.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36814595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Brain Natriuretic Peptides in Screening of Syncope with Cardiac Origin; a Commentary. 脑钠肽在心源性晕厥筛查中的应用一个评论。

Emergency Pub Date : 2018-01-01 Epub Date: 2018-02-18

Hamideh Feiz Disfani, Mostafa Kamandi, Kazem Rahmani

引用次数: 0

Key Performance Indicators of Chest Pain Management in Emergency Department; a Letter to the Editor. 急诊科胸痛处理的关键绩效指标给编辑的信

Emergency Pub Date : 2018-01-01 Epub Date: 2018-02-18

Mehrdad Taghizadeh, Roghayeh Taghipour, Kamran Heydari

引用次数: 0

Sudden Death due to Hydatid Cyst Emboli; a Case Report. 包虫囊肿栓塞致猝死一份病例报告。

Emergency Pub Date : 2018-01-01 Epub Date: 2018-03-19

Mohammad Ali Emam Hadi, Fares Najari, Leila Soleimani

引用次数: 0