{"title":"What's New in Emergency, Trauma, and Shock - When Caution Causes Harm: Rethinking Analgesia in Pediatric Trauma.","authors":"Sekhar Jyoti Sharma, Steve Kamm","doi":"10.4103/jets.jets_183_26","DOIUrl":"10.4103/jets.jets_183_26","url":null,"abstract":"","PeriodicalId":15692,"journal":{"name":"Journal of Emergencies, Trauma, and Shock","volume":"19 3","pages":"113-114"},"PeriodicalIF":1.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13649194/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149137015","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}
Ashley T Huynh, Vivek Chauhan, Sagar Galwankar, Bill Boyer
{"title":"Bridging the Gap: Why Sexual Assault Nurse Examiner Training Belongs in Emergency Medicine Residency.","authors":"Ashley T Huynh, Vivek Chauhan, Sagar Galwankar, Bill Boyer","doi":"10.4103/jets.jets_186_25","DOIUrl":"10.4103/jets.jets_186_25","url":null,"abstract":"","PeriodicalId":15692,"journal":{"name":"Journal of Emergencies, Trauma, and Shock","volume":"19 3","pages":"150-151"},"PeriodicalIF":1.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13649206/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149136666","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}
{"title":"One Intensive Care Unit, Undifferentiated Beds: Are Intermediate Units Still Necessary?","authors":"Kais Regaieg, Sabrina Chaouch, Ilef Alila, Ameni Khaled, Myriam Kallel","doi":"10.4103/jets.jets_176_25","DOIUrl":"10.4103/jets.jets_176_25","url":null,"abstract":"","PeriodicalId":15692,"journal":{"name":"Journal of Emergencies, Trauma, and Shock","volume":"19 3","pages":"156-157"},"PeriodicalIF":1.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13649210/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149136840","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}
{"title":"Planning, Designing, and Installation of Makeshift Facility for the Decontamination of Chemical, Biological, Radiological, and Nuclear Disaster Cases at a Tertiary Care Hospital, New Delhi, India.","authors":"Bishnu Goswami, H Vikas, Kanika Jain, Anant Gupta","doi":"10.4103/jets.jets_189_25","DOIUrl":"10.4103/jets.jets_189_25","url":null,"abstract":"","PeriodicalId":15692,"journal":{"name":"Journal of Emergencies, Trauma, and Shock","volume":"19 3","pages":"155-156"},"PeriodicalIF":1.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13649198/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149136986","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}
{"title":"A Case of Transient Morbitz Type II Following a Bee Sting with Intradermal Hemorrhage.","authors":"Hiromichi Ohsaka, Noriko Tanaka, Chihiro Maekawa, Eri Nakajima, Masashi Kato, Youichi Yanagawa","doi":"10.4103/jets.jets_178_25","DOIUrl":"10.4103/jets.jets_178_25","url":null,"abstract":"","PeriodicalId":15692,"journal":{"name":"Journal of Emergencies, Trauma, and Shock","volume":"19 3","pages":"152-153"},"PeriodicalIF":1.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13649196/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149136730","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}
Madhubanti Sinha, Jay Kumar Ranjan, Chandra Uday Singh, Mahesh A Tripathi
{"title":"Moral Injury and Mental Health Consequences in Active-duty Soldiers: A Systematic Review and Meta-analysis of Cross-sectional Surveys.","authors":"Madhubanti Sinha, Jay Kumar Ranjan, Chandra Uday Singh, Mahesh A Tripathi","doi":"10.4103/jets.jets_207_25","DOIUrl":"10.4103/jets.jets_207_25","url":null,"abstract":"<p><strong>Introduction: </strong>Moral injury (MI), defined as perceived betrayals or violations of one's moral values, causes psychological distress in active-duty soldiers (ADS), and it is associated with various mental health (MH) issues such as post-traumatic stress disorder (PTSD), anxiety, and depression. Although some quantitative reviews have examined the association between MI and MH outcomes in the military population, primarily among veterans, none of the studies focused specifically on ADS. This systematic review and meta-analysis were conducted to address the research gap.</p><p><strong>Methods: </strong>We reviewed published articles from six databases, namely, PubMed, Scopus, Web of Science, Taylor and Francis, and JSTOR up to July 29, 2025, following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.</p><p><strong>Results: </strong>The retrieved articles underwent a systematic selection process using pre-specified inclusion and exclusion criteria, resulting in 12 potentially eligible studies. Seven cross-sectional studies examined the association between MI and PTSD, representing a total sample of 4,370 ADS. Pooled effect measures showed that MI and its dimensions, such as betrayal, transgression toward self, and transgression toward others, were positively correlated with PTSD. Similarly, MI and its domains were significantly positively associated with anxiety and depression in ADS.</p><p><strong>Conclusion: </strong>The present findings should be interpreted with caution, as this review synthesis included a limited number of studies and was conducted mainly in Western countries. Future studies should address the cross-cultural component of MI to understand how MI manifests in non-Western military contexts, where cultural and religious values may shape moral reasoning differently.</p>","PeriodicalId":15692,"journal":{"name":"Journal of Emergencies, Trauma, and Shock","volume":"19 3","pages":"121-128"},"PeriodicalIF":1.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13649193/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149136788","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}
{"title":"Clinical Outcomes of High-dose Intravenous Nitroglycerin in Sympathetic Crashing Acute Pulmonary Edema.","authors":"Jyothiswaroop Bhaskararayuni, Akshay Kumar, Bharath Gopinath, Roshan Mathew, Nayer Jamshed, Meera Ekka, Prakash Ranjan Mishra, Sanjeev Bhoi, Tej Prakash Sinha","doi":"10.4103/jets.jets_177_25","DOIUrl":"10.4103/jets.jets_177_25","url":null,"abstract":"<p><strong>Introduction: </strong>Sympathetic Crashing Acute Pulmonary Edema (SCAPE) is a life-threatening form of acute heart failure requiring immediate management with noninvasive ventilation (NIV) and vasodilator therapy. Although nitroglycerin (NTG) is commonly used, optimal dosing remains uncertain. Emerging evidence suggests high-dose NTG may provide rapid clinical improvement. We aimed to evaluate the safety and efficacy of high-dose intravenous NTG in patients presenting with SCAPE to the emergency department (ED).</p><p><strong>Methods: </strong>We conducted a prospective observational study in a high-volume, busy ED, enrolling adults (>18 years) meeting established diagnostic criteria for SCAPE who received an initial intravenous NTG bolus ≥400 μg. Patients with acute coronary syndrome, trauma, recent phosphodiesterase V inhibitor use, or significant aortic stenosis were excluded. Clinical status and outcomes were assessed at 3, 6, and 12 h, and at ED disposition. The primary objective was clinical outcomes (symptom resolution, need for intubation, and ED disposition) of SCAPE patients.</p><p><strong>Results: </strong>Sixty-one patients were included. The mean NTG bolus dose was 830 μg. One patient (1.6%) developed hypotension requiring fluids and brief inotropic support. Headache occurred in five patients (8.2%). Symptom resolution was observed in 10 patients (16%) at 3 h, 32 (52.5%) at 6 h, and 55 (90%) at 12 h. Five patients (8.2%) required intubation. Overall, 41 patients (67.2%) were discharged directly from the ED. The mean ED length of stay was 14 h.</p><p><strong>Conclusion: </strong>High-dose intravenous NTG may improve clinical outcomes in the acute management of SCAPE, with rapid symptom resolution and reduced need for intubation. Larger studies are warranted to confirm these findings and to standardise dosing protocols.</p>","PeriodicalId":15692,"journal":{"name":"Journal of Emergencies, Trauma, and Shock","volume":"19 3","pages":"144-149"},"PeriodicalIF":1.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13649197/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149136661","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}
H S Varun, Jaislin Joseph, Suhas Rao, Prerana Arun, N S Santhosh, Abhinav Raina, M Muniraju, Abha Verma
{"title":"Sturge-Weber Syndrome: A Rare Cause for Hemiplegic Migraine-like Attacks in a Young Female.","authors":"H S Varun, Jaislin Joseph, Suhas Rao, Prerana Arun, N S Santhosh, Abhinav Raina, M Muniraju, Abha Verma","doi":"10.4103/jets.jets_179_25","DOIUrl":"10.4103/jets.jets_179_25","url":null,"abstract":"","PeriodicalId":15692,"journal":{"name":"Journal of Emergencies, Trauma, and Shock","volume":"19 3","pages":"157-158"},"PeriodicalIF":1.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13649205/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149137033","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}