Journal of Emergency Practice and Trauma最新文献_第4页

Compsobuthus matthiesseni sting from Bazoft: A case report Compsobuthus matthiesseni sting来自Bazoft:一个病例报告

Journal of Emergency Practice and Trauma Pub Date : 2021-12-29 DOI: 10.34172/jept.2021.37

R. Dehghani, Kobra Taji, Amrollah Mahmoudi, Masoomeh Varzandeh

{"title":"Compsobuthus matthiesseni sting from Bazoft: A case report","authors":"R. Dehghani, Kobra Taji, Amrollah Mahmoudi, Masoomeh Varzandeh","doi":"10.34172/jept.2021.37","DOIUrl":"https://doi.org/10.34172/jept.2021.37","url":null,"abstract":"Objective: A Scorpion sting is one of the most important health and medical problems in most parts of Iran. Case Presentation: This case report occurred in Chaharmahal Bakhtiari province of Bazoft city. The injured person was a 48-year-old woman, weighing about 69 kg. Two documentary filmmakers were on their way to work and suddenly one of them felt pain caused by a sting in the thigh area of her lower limb. The patient was referred to the medical center with the ‘scorpion’ sample, where she was examined by a doctor. The doctor prescribed some medicine for the patient. The pain from the sting lasted for about three hours. The patient recovered after taking the medication and received counseling three days after the sting. A photo of the dorsal and ventral surface of the scorpion specimen was sent to the animal identification specialist along with the size and color record. Scorpion specimen with a size of 4 cm was identified as Compsobuthus matthiesseni. Conclusion: According to the findings of this report, the clinical signs of C. matthiesseni sting are mild in the injured person and comparable to the stings of yellow bees Vespa germania. There is local pain two to three hours after the sting. Other systemic clinical manifestations can improve after a maximum of 2 to 3 days.","PeriodicalId":36499,"journal":{"name":"Journal of Emergency Practice and Trauma","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48669267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Urologic oncology during the COVID-19 pandemic 新冠肺炎大流行期间的泌尿肿瘤学

Journal of Emergency Practice and Trauma Pub Date : 2021-12-10 DOI: 10.34172/jept.2021.31

Manas Sharma, R. Nerli, S. Ghagane

引用次数: 0

The effect of chit powder technology in the treatment of burn hazards victims: A systematic review 爽身粉技术在烧伤患者治疗中的效果:系统综述

Journal of Emergency Practice and Trauma Pub Date : 2021-12-10 DOI: 10.34172/jept.2021.32

M. Hadian, A. Jabbari, H. Sheikhbardsiri

{"title":"The effect of chit powder technology in the treatment of burn hazards victims: A systematic review","authors":"M. Hadian, A. Jabbari, H. Sheikhbardsiri","doi":"10.34172/jept.2021.32","DOIUrl":"https://doi.org/10.34172/jept.2021.32","url":null,"abstract":"Objective: In order to heal burn wounds, many researches have been done, including the use of biological scaffolds due to their ability to achieve the desired properties. Owing to the appropriate biological properties of chitosan such as biocompatibility and antimicrobial properties as well as the promotion of wound healing in biomedical applications, we aimed to perform a systematic review to investigate the effect of this technology on the treatment of burn hazards victims. Methods: The present research was conducted in 2020 as a systematic review of studies related to the effect of chitosan on burns. In this study, Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and Critical Appraisal Skills Programme (CASP) guidelines were used to assess the articles. The key words \"Chitosan,\" \"Chitin,\" \"victim,\" \"Injury,\" \"Burn,\" \"Heal,\" \"wound\" \"treat,\" \"hazard,\" and \"care\" were used in combination with the Boolean operators OR and AND. The ISI web of science, PubMed, Scopus, Science Direct, Ovid, Pro Quest, Wiley and Google Scholar were searched. Results: Recently, chitosan and its derivatives have been proposed as suitable candidates for scaffolding and can be used as temporary scaffolds to modify and stimulate the growth of new tissues. Studies to demonstrate the use of chitosan in the treatment of burns have been limited to research on animal models and have been superior to conventional therapies in terms of time, pain, and efficacy. Conclusion: The effect of chitosan on burns has been positive in animal models and has accelerated wound healing. Since the main ingredient of chit powder is chitosan and due to the limited studies done on humans, it cannot be said with certainty that the use of chitosan and its derivatives to treat burns is better than other ways to treat burns.","PeriodicalId":36499,"journal":{"name":"Journal of Emergency Practice and Trauma","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47158432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

When numbers can be misleading: lithium induced irreversible neurotoxicity at therapeutic drug levels 当数字可能误导:锂在治疗药物水平诱导不可逆的神经毒性

Journal of Emergency Practice and Trauma Pub Date : 2021-12-07 DOI: 10.34172/jept.2021.36

Jyoti Aggarwal, Zainab Mehdi, Baldeep Kaur, Y. Cheema, Monica Gupta

{"title":"When numbers can be misleading: lithium induced irreversible neurotoxicity at therapeutic drug levels","authors":"Jyoti Aggarwal, Zainab Mehdi, Baldeep Kaur, Y. Cheema, Monica Gupta","doi":"10.34172/jept.2021.36","DOIUrl":"https://doi.org/10.34172/jept.2021.36","url":null,"abstract":"Objective: Lithium is a principal drug used in the treatment of bipolar disorder (BPD). Due to its narrow therapeutic index, serum levels need to be monitored regularly. In elderly patients with renal dysfunction lithium toxicity can develop paradoxically within the therapeutic range. This can lead to erroneous diagnosis and delayed treatment resulting in irreversible neurological sequelae as is described in our case. Case Presentation: A 65-year-old hypertensive female, with a 7-year history of BPD presented with decreased oral intake since 5-7 days, followed by altered sensorium. Neurological examination revealed coarse tremors in bilateral upper and lower limbs with spasticity, hyperreflexia, bilateral knee clonus. Twenty-five days earlier, she was prescribed Lithium carbonate. On evaluation she was found to have chronic kidney disease. Serum lithium levels came out to be 1.18 mg/dL (borderline high). After ruling out other differentials, a diagnosis of lithium toxicity was considered and she underwent two sessions of hemodialysis (HD) leading to significant improvement in sensorium; however, the patient had persistent dysarthria, difficulty in walking and proximal myopathy predominantly in the lower limbs. Nerve conduction studies confirmed the presence of axonal neuropathy. These findings of peripheral neuropathy (both sensory and motor) were suggestive of SILENT (syndrome of irreversible lithium-effectuated neurotoxicity). Conclusion: Unintended lithium toxicity can occur even at therapeutic levels especially in the elderlies owing to its narrow therapeutic window, complex pharmacokinetics and numerous drug interactions. Lithium can result in irreversible neurotoxicity including SILENT; therefore, a high level of suspicion is required to prevent such permanent disability.","PeriodicalId":36499,"journal":{"name":"Journal of Emergency Practice and Trauma","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45354008","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Association between a history of child neglect, abuse and the suicidal patient: a cross-sectional study 儿童被忽视、虐待史与自杀倾向之间的关系:一项横断面研究

Journal of Emergency Practice and Trauma Pub Date : 2021-12-07 DOI: 10.34172/jept.2021.34

Ali Delirrooyfard, M. Cheraghi, Mehdi Sayyah, Z. Farahbakhsh

{"title":"Association between a history of child neglect, abuse and the suicidal patient: a cross-sectional study","authors":"Ali Delirrooyfard, M. Cheraghi, Mehdi Sayyah, Z. Farahbakhsh","doi":"10.34172/jept.2021.34","DOIUrl":"https://doi.org/10.34172/jept.2021.34","url":null,"abstract":"Objective: People with a significant childhood history of abuse may exhibit emotional dysregulations and psychiatric disorders and, in some cases, present suicidal ideation. Methods: In this descriptive-analytical and cross-sectional study data were collected from suicidal patients referred to two grand hospitals in 2019. One hundred ninety-five participants were evaluated concerning child abuse and neglect history. Data were reported as mean, SD, frequency, and percent. T-test and chi-square tests were used for statistical analyses accordingly. Results: Child abuse regarding suicidal people were to the following order, neglect (n=103), child emotional abuse (n=102), child physical abuse (n=101), malnutrition (n=96), and child sexual abuse (n=87). Suicide was different between the two genders, but it was not different based on parents’ education and marital status. Conclusion: The harassed child is not equipped with proper behavioral skills and is subjected to low self-esteem due to incorrect training. Therefore, he/she may commit suicide in adolescence by facing some problems and failures. In this regard, community plays an important role, parents must be informed and use the right culture to reward the child.","PeriodicalId":36499,"journal":{"name":"Journal of Emergency Practice and Trauma","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42328533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Implementation and evaluation of the five-level emergency triage (emergency severity index tool): A hospital-based, prospective, observational study 五级急诊分诊（急诊严重程度指数工具）的实施和评估：一项基于医院的前瞻性观察性研究

Journal of Emergency Practice and Trauma Pub Date : 2021-12-06 DOI: 10.34172/jept.2021.33

Harish Kodisiddaiah Shivanna, A. Ramesh, Keshava Murthy M Rangaswamy

{"title":"Implementation and evaluation of the five-level emergency triage (emergency severity index tool): A hospital-based, prospective, observational study","authors":"Harish Kodisiddaiah Shivanna, A. Ramesh, Keshava Murthy M Rangaswamy","doi":"10.34172/jept.2021.33","DOIUrl":"https://doi.org/10.34172/jept.2021.33","url":null,"abstract":"Objective: To implement the 5-level Emergency Severity Index (ESI) triage tool into nursing practice in the emergency department (ED) and validate it with a population-based cohort using hospitalization and length of stay (LOS) as outcome measures. Methods: The study included 850 patients, irrespective of age and gender, reporting to the ED of a tertiary care hospital. Each patient was assessed by the triage nurse as per the 5-level ESI triage tool and categorized. The number and type of resources used by the patient, LOS in the ED and the outcome were noted. Data were statistically analyzed by using RStudio Team software, 2015. A P value of<0.05 was considered to be statistically significant. Results: The majority of patients belonged to ESI-4 (46.82%), followed by ESI-1 (19.41%), ESI-2 (17.06%), ESI-3 (10.35%), and ESI-5 (6.35%). In most patients, the LOS in the ED was<120 minutes (55.65%). ESI showed a statistically significant association with all the clinical characteristics, as well as resources used, interventions needed, maximum time allowed before initiating physician assessment, duration of stay in ED, and patient outcomes (P=0.000). ESI was found to have a sensitivity of 100% and specificity of 78%. Conclusion: ESI is a useful and valid tool for the emergency triage and has the potential to become the standard triage acuity assessment in EDs in India.","PeriodicalId":36499,"journal":{"name":"Journal of Emergency Practice and Trauma","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41829420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pneumoperitoneum due to pneumothorax in blunt thoracoabdominal trauma: A diagnostic challenge 钝性胸腹外伤气胸所致气腹:一个诊断挑战

Journal of Emergency Practice and Trauma Pub Date : 2021-12-05 DOI: 10.34172/jept.2021.30

L. Castro, Rui Manuel Mendes, Coelho Fátima Borges, Capella Vanessa, Ávila Leonor

{"title":"Pneumoperitoneum due to pneumothorax in blunt thoracoabdominal trauma: A diagnostic challenge","authors":"L. Castro, Rui Manuel Mendes, Coelho Fátima Borges, Capella Vanessa, Ávila Leonor","doi":"10.34172/jept.2021.30","DOIUrl":"https://doi.org/10.34172/jept.2021.30","url":null,"abstract":"Objective: A Perforation of hollow viscus is the most common cause of pneumoperitoneum after a blunt thoracoabdominal trauma and demands prompt surgical exploration. Alternative routes into the peritoneal cavity, such as the presence of a diaphragmatic laceration associated with pneumothorax, although rare, should be considered when approaching these patients. Case Presentation: We present the case of a 78-year-old male admitted to the emergency department after being ran over by a car resulting in right thoracoabdominal trauma, presenting with dyspnea and signs of peritoneal irritation. CT scan identified right pneumothorax, pneumoperitoneum and free abdominal fluid. The pneumothorax was drained and posteriorly he underwent exploratory laparotomy where a traumatic laceration of the diaphragm was identified as the cause of pneumoperitoneum. Conclusion: Alternative causes of pneumoperitoneum should be considered in blunt thoracoabdominal trauma with possibility of conservative management in the absence of peritoneal irritation signs. Pneumothorax drainage is mandatory before intubation to avoid creation of a tension pneumothorax.","PeriodicalId":36499,"journal":{"name":"Journal of Emergency Practice and Trauma","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48821289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Challenges of prehospital emergency staff in the COVID-19 pandemic: A phenomenological research COVID-19大流行中院前急救人员面临的挑战:现象学研究

Journal of Emergency Practice and Trauma Pub Date : 2021-12-03 DOI: 10.34172/jept.2021.35

M. Mohammadi, Abdolghani Abdollahimohammad, M. Firouzkouhi, Maryam Shivanpour

引用次数: 2

Three patients with acute appendicitis diagnosis following blunt abdominal trauma 三例腹部钝性损伤后诊断为急性阑尾炎的患者

Journal of Emergency Practice and Trauma Pub Date : 2021-12-02 DOI: 10.34172/jept.2021.28

K. Ayazi, Parham Nikraftar, H. Hatamabadi, F. Shojaeian, Shervan Family

引用次数: 0

An acute ST-elevation myocardial infarction which went viral 一例病毒性急性ST段抬高型心肌梗死

Journal of Emergency Practice and Trauma Pub Date : 2021-11-30 DOI: 10.34172/jept.2021.27

Chui King Wong, Glen Chiang Hong Tan, M. J. Jaafar

{"title":"An acute ST-elevation myocardial infarction which went viral","authors":"Chui King Wong, Glen Chiang Hong Tan, M. J. Jaafar","doi":"10.34172/jept.2021.27","DOIUrl":"https://doi.org/10.34172/jept.2021.27","url":null,"abstract":"Objective: ST-elevations in electrocardiogram (ECG) secondary to an acute myocarditis may mimic ST-elevation myocardial infarction (STEMI). It is vital to distinguish between the two entities to avoid inappropriate clinical management and complications. Case Presentation: A previously well 19-year-old male presented with two episodes of central chest pain which were resolved spontaneously. His presentation was preceded by multiple episodes of vomiting, diarrhoea and abdominal pain. Physical examination was unremarkable except for a low-grade temperature of 37.7°C. The first ECG revealed ST-segment elevations in anterior leads without reciprocal changes. Serial ECGs showed increasing ST elevations and his cardiac markers were significantly raised. As the initial clinical presentation was potentially an acute coronary syndrome, he was instinctively treated with anti-platelets. Fortunately, this patient was not given thrombolysis as there were clinical suspicions of an acute myocarditis due to his young age, presence of viral symptoms, and absence of cardiac risk factors. Subsequent cardiac MRI confirmed the diagnosis of an acute myocarditis. Conclusion: An acute myocarditis is well known but less common presentation of viral infections. ST-segment elevations in ECG of any young patients with chest pain but without risk factors for acute coronary syndrome should always raise the suspicion of acute myocarditis especially in the presence of viral symptoms. Investigations such as cardiac magnetic resonance imaging (MRI) should be carried out emergently to distinguish both conditions.","PeriodicalId":36499,"journal":{"name":"Journal of Emergency Practice and Trauma","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49509172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0