Journal of Emergency Practice and Trauma最新文献_第7页

Non-visible penetrating brain trauma: a case report 不可见穿透性脑外伤1例报告

Journal of Emergency Practice and Trauma Pub Date : 2019-11-13 DOI: 10.15171/jept.2019.20

R. Varutti, A. Mosca, N. Latronico

引用次数: 0

A case report of an isolated traumatic dental injury in an 8-year-old child 个案报告一个孤立的创伤性牙齿损伤在一个8岁的孩子

Journal of Emergency Practice and Trauma Pub Date : 2019-10-09 DOI: 10.15171/JEPT.2019.18

Seyed Reza Habibzadeh, Hamid Zamani Moghadam, N. Mehramiz, Mahdi Foroughian

{"title":"A case report of an isolated traumatic dental injury in an 8-year-old child","authors":"Seyed Reza Habibzadeh, Hamid Zamani Moghadam, N. Mehramiz, Mahdi Foroughian","doi":"10.15171/JEPT.2019.18","DOIUrl":"https://doi.org/10.15171/JEPT.2019.18","url":null,"abstract":"Objective: Anterior teeth are of utmost importance with regard to chewing, speaking, and beauty. Therefore, any traumatic dental injury has psychologically undesirable effects on children and their parents. The present study reported a case of a traumatic dental injury induced by falling off a bike and referral to an emergency department as well as measures taken for dental reconstruction and patient’s improvement.Case Presentation: An 8-year-old child was taken to an emergency department due to falling off a bike following imbalance, while suffering from dental pain in his upper jaw due to dental subluxation. Afterwards, dental retaining paste along with a fixer wire was used to maintain the position of the teeth. The patient also received oral non-steroidal analgesia (acetaminophen) for proper control of the pain and was subsequently referred to a dentist to repair the teeth. The initial examinations revealed that the child was fully conscious. Considering the patient’s severe pain and intrusion of the superior left primary first tooth and the subluxation of the superior right primary first tooth. Local anesthesia was performed using 1% lidocaine in the location of the given teeth using infiltration technique. Then they were brought into an alignment by extracting the plunged tooth and the child was referred to a dentist for advanced dental trauma care.Conclusion: Dentists are not always present in hospital emergency departments; therefore, an emergency medicine specialist should be able to diagnose common traumatic dental injuries in order to manage them appropriately at the early stages, and if necessary, refer patients to dentists for further complementary treatments. This important fact will bedone after full examination and ruling out critical causes of trauma in the emergency department.","PeriodicalId":36499,"journal":{"name":"Journal of Emergency Practice and Trauma","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42342657","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

A brief review of some strange and unusual poisoning in children 简要回顾一些奇怪和不寻常的儿童中毒

Journal of Emergency Practice and Trauma Pub Date : 2019-10-03 DOI: 10.15171/JEPT.2019.17

Mohammad Hossein Kamaloddini, A. Ghamsari, B. Dadpour

引用次数: 0

A case report of an unexpected traumatic brain injury following severe child abuse 一个意外的创伤性脑损伤后严重虐待儿童的案例报告

Journal of Emergency Practice and Trauma Pub Date : 2019-09-23 DOI: 10.34172/JEPT.2019.16

Seyed Reza Habibzadeh, Ehsan Bolvardi, Esmail Rayat Dost, Mahdi Foroughian

{"title":"A case report of an unexpected traumatic brain injury following severe child abuse","authors":"Seyed Reza Habibzadeh, Ehsan Bolvardi, Esmail Rayat Dost, Mahdi Foroughian","doi":"10.34172/JEPT.2019.16","DOIUrl":"https://doi.org/10.34172/JEPT.2019.16","url":null,"abstract":"\u0000 Introduction: Child abuse has been defined as allowing others to cause physical, emotional, and sexual harm, and also physical and emotional pain to a child. The present study was a report on a case of physical and sexual child abuse accompanied by traumatic brain injury (TBI) referred to an emergency department. Case Presentation: A 4-year-old child was rushed into an emergency department by her mother. At the time of hospital admission, the child was feeling confused and drowsy and had symptoms of hemorrhage in the right preperitoneal space as well as bleeding from the mouth. According to the pattern of the child’s admission to the emergency department, contradictory descriptions by parents, clinical examinations, and TBI pattern; the probability of a case of child abuse was raised. Thus; neurosurgery, legal medicine, gynecology, and surgery consultations were requested. With regard to the brain injury and epidural hematoma, immediate measures (i.e. head lifting, taking Dilantin, blood glucose control, blood pressure control, and maintaining adequate oxygen saturation in the arterial blood) were taken to put a stop to secondary brain injury, and the patient was then transferred to the intensive care unit (ICU) for further treatments. Conclusion: In the present case study, the child was seriously examined and followed up. In conclusion; 20 days later, the case was discharged from the pediatric ward with good medical conditions, and received counseling and psychiatric services for one year.","PeriodicalId":36499,"journal":{"name":"Journal of Emergency Practice and Trauma","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45664067","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

Satisfaction with the performance of emergency medical services: a case study in Tabriz 对紧急医疗服务表现的满意度：大不里士的一个案例研究

Journal of Emergency Practice and Trauma Pub Date : 2019-07-01 DOI: 10.15171/JEPT.2019.03

Fereshteh Jamali, Haniyeh Ebrahimi-Bakhtavar, Mahbubeh Zomordi Torkdari, F. Rahmani

{"title":"Satisfaction with the performance of emergency medical services: a case study in Tabriz","authors":"Fereshteh Jamali, Haniyeh Ebrahimi-Bakhtavar, Mahbubeh Zomordi Torkdari, F. Rahmani","doi":"10.15171/JEPT.2019.03","DOIUrl":"https://doi.org/10.15171/JEPT.2019.03","url":null,"abstract":"Objective: Assessing patients’ satisfaction with emergency medical services (EMSs) is an important managerial point of view. The present study aimed to assess the patients’ satisfaction with EMS in Tabriz, Iran. Methods: This is a descriptive-analytic study that was done in the prehospital emergency and disaster management center of Tabriz University of Medical Sciences. In this study, from May to December 2017, we included 659 patients who were transferred to hospitals with our prehospital emergency services. A valid and reliable questionnaire was used to evaluate the satisfaction of patients about the performance of prehospital EMSs. Results: Data of 659 patients were evaluated. Trauma was the most common cause of contact with 115 and help request (33.83%). The results indicated that patients’ level of satisfaction was good and very good. The highest level of satisfaction was related to the treatment of patients and use of medical equipment in the ambulance (n=578 patients, 87.7%) as well as the treatment practiced by the emergency medical technicians (EMTs) (n=575 patients, 87.24%). However, the lowest level of satisfaction was related to the absence of an active EMT in the rear cabin when transferring patients to the hospital (n=337 patients, 51.14%) and transfer of the patient from the accident scene to the ambulance (n=410 patients, 62.21%). Conclusion: Patients’ satisfaction with EMS was optimal. The minimum and maximum satisfaction rates were related to the absence of an active EMT in the rear cabin, treatment of the patient, and use of medical equipment.","PeriodicalId":36499,"journal":{"name":"Journal of Emergency Practice and Trauma","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49541787","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

The prevalence of Staphylococcus aureus contamination in the ambulances and on-call emergency medical service personnel of Kashan city in Iran 伊朗卡尚市救护车和随叫随到的紧急医疗服务人员中金黄色葡萄球菌污染的流行情况

Journal of Emergency Practice and Trauma Pub Date : 2019-06-20 DOI: 10.15171/JEPT.2019.13

Mohammad Paravar, S. Safavi, R. Eghtesadi, Mahdi Mohamadzade, M. Sehat, M. Fazel, Esmaeil Fakharian, Mohammadhosein Makki, M. Erami, Tayebeh Taghipor, Abdolreza Dayani Najafabadi

{"title":"The prevalence of Staphylococcus aureus contamination in the ambulances and on-call emergency medical service personnel of Kashan city in Iran","authors":"Mohammad Paravar, S. Safavi, R. Eghtesadi, Mahdi Mohamadzade, M. Sehat, M. Fazel, Esmaeil Fakharian, Mohammadhosein Makki, M. Erami, Tayebeh Taghipor, Abdolreza Dayani Najafabadi","doi":"10.15171/JEPT.2019.13","DOIUrl":"https://doi.org/10.15171/JEPT.2019.13","url":null,"abstract":"\u0000 Objective: Emergency medical services systems are at the first line of dealing with patients who suffer from various infections. Conducting investigations on the bacterial contamination of emergency ambulances play a crucial role to improve the occupational health of staff as well as the quality of patient care. Therefore, the aim of the present study was to investigate the presence of Staphylococcus aureus and other life treating bacteria in the urban and rural ambulances and their on-call emergency medical service personnel. Methods: This descriptive cross-sectional study was conducted on 12 front line prehospital emergency urban and rural ambulances in Kashan, Iran, in 2015. A total of 18 sites were sampled in each ambulance and from the nose of personnel. Grown colonies were confirmed based on colony morphology on mannitol salt agar plates, gram stain reaction and biochemical characteristics reactions. Results: The S. aureus contamination was only isolated from the nose of on-call emergency medical service providers of 12 urban and road ambulances, while no sign of contamination was found in 18 sampling sites of these front-line ambulances. Also, further evaluation of these sampling sites revealed the contamination with coagulase-negative staphylococci in all of them and oxygen tank was introduced as the most contaminated site inside the ambulances. Moreover, the prevalence of equipment contamination was significantly higher in urban ambulances. Conclusion: Identifying the rate of pathogens in clinical settings like the pre-hospital ambulance setting is an important issue which should be carefully considered.","PeriodicalId":36499,"journal":{"name":"Journal of Emergency Practice and Trauma","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45618380","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

The efficacy of inferior vena cava diameters and the jugular vein in assessing fluid resuscitation 下腔静脉直径和颈静脉在评估液体复苏中的作用

Journal of Emergency Practice and Trauma Pub Date : 2019-05-23 DOI: 10.15171/JEPT.2019.10

Nahid Zamanimehr, S. Vahdati, Hamed Hojjatpanah

{"title":"The efficacy of inferior vena cava diameters and the jugular vein in assessing fluid resuscitation","authors":"Nahid Zamanimehr, S. Vahdati, Hamed Hojjatpanah","doi":"10.15171/JEPT.2019.10","DOIUrl":"https://doi.org/10.15171/JEPT.2019.10","url":null,"abstract":"Objective: Fluid resuscitation is necessary in almost all critical patients. The central venous pressure (CVP) is a well-established method of assessing resuscitation. Recently, there have been attempts to investigate less invasive methods like the diameters of inferior vena cava (IVC) or the jugular vein. We aimed to investigate this method in our research. Methods: Seventy eight critical patients admitted to the emergency department from April 2018 to December 2018 were studied. The CVP was measured along with the diameters of the two mentioned veins before and during resuscitation. The urinary output was also recorded after administering the fluid. The minimum p-value that would illustrate a significant association was equal to 0.05. Results: Findings showed that 53.8% of patients were males and 46.2% were females with an average age of 71.48 years. The causes of the critical state were 25.6% hemorrhagic shocks, 30.8% septic shocks and 43.6% hypovolemic shocks. The mean diameter of the jugular vein before and during resuscitation was 27.21 mm and 25.38 mm, respectively (P=0.1). The mean of IVC diameter before and during resuscitation was 63.33 mm and 57.98 mm, respectively (P <0.001). The CVP was 4.23 mmHg before resuscitation and 5.61 mmHg after resuscitation (P <0.001). With an average urine output of 201.28 cc, a significant correlation was observed with the increase in the CVP, while no such correlations were observed with the decreasing state of the diameters of the IVC or the jugular vein. Conclusion: Both the IVC diameter and the jugular vein diameter are unable to assess fluid resuscitation independently from respiratory factors.","PeriodicalId":36499,"journal":{"name":"Journal of Emergency Practice and Trauma","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41669802","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

MRI findings in patients with blunt cervical trauma having a normal level of consciousness and normal CT reports 钝性颈外伤患者意识水平和CT报告正常的MRI表现

Journal of Emergency Practice and Trauma Pub Date : 2019-05-02 DOI: 10.15171/JEPT.2019.09

H. Amiri, M. Chardoli, Maryam Sarvari, S. Vahdati, Niloufar Ghodrati, Roshan Fahimi

{"title":"MRI findings in patients with blunt cervical trauma having a normal level of consciousness and normal CT reports","authors":"H. Amiri, M. Chardoli, Maryam Sarvari, S. Vahdati, Niloufar Ghodrati, Roshan Fahimi","doi":"10.15171/JEPT.2019.09","DOIUrl":"https://doi.org/10.15171/JEPT.2019.09","url":null,"abstract":"Objective: This study investigates the possible magnetic resonance imaging (MRI) findings in patients with cervical trauma having a normal level of consciousness and normal CT reports. These patients have tenderness or an uncomfortable feeling in the traumatized area as well. Methods: In this cross-sectional anterograde study, cases were selected among patients referred to the emergency department of Hafte Tir, Iran University of Medical Sciences from 2012 to 2014. Inclusion criteria to select cases were: age above 15, blunt neck trauma, GCS=15, normal CT scan reports of neck, no past medical history of cervical vertebral surgery, and no persistent neurologic lesions. In order to analyse qualitative data, chisquare test was used and for quantitative data t test was applied accordingly. Results: Two hundred eighty patients with chief complaints of neck pain due to trauma entered our study. Among this batch, 264 of them had normal CT scan reports and MRI was done for all of them. According to the results, the maximum injury in MRI was related to intervertebral disc injury (38 cases), ligamentous edema (35 cases), and muscle edema (22 cases), respectively. Neck tenderness from the beginning of the accident and transient neurologic signs had a significant role in MRI results (P < 0.05). Conclusion: In patients with acute cervical trauma having normal CT reports, MRI must be done in those with the average age of 45 or more, tenderness in the neck area, and in those with neurologic transient symptoms.","PeriodicalId":36499,"journal":{"name":"Journal of Emergency Practice and Trauma","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48255333","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

Fatal road traffic accidents in Yazd province, Iran during 2011-2015 2011-2015年伊朗亚兹德省致命道路交通事故

Journal of Emergency Practice and Trauma Pub Date : 2019-05-01 DOI: 10.15171/JEPT.2019.07

M. Lotfi, H. Lashkardoost, Andishe Hamedi

{"title":"Fatal road traffic accidents in Yazd province, Iran during 2011-2015","authors":"M. Lotfi, H. Lashkardoost, Andishe Hamedi","doi":"10.15171/JEPT.2019.07","DOIUrl":"https://doi.org/10.15171/JEPT.2019.07","url":null,"abstract":"Objective: The rate of road traffic accidents in Iran per capita and for the number of vehicles is much higher than the average in the world. The present study was conducted to investigate road traffic accidents in Yazd province during 2011-2015. Methods: The present study is a descriptive-analytic study in which data were obtained from data collection forms related to deaths from driving accidents of forensic medicine organizations. Data were entered into SPSS version 23. We calculated the frequency, percentage, and mean indices. We used Fisher exact test for data analysis. Results: In this research, 1437 individuals were studied. The number of deaths in men was three times more than women. Most fatal accidents occurred in the age group of 20-30 years. The most common accident which occurred during these years was the collision of vehicles with each other and in terms of the final cause of death, 1045 people died due to head injuries. In this study, we showed that the incidence decreased from 29.03 in 2011 to 22.03 in 2015. Conclusion: According to the results of this study, the most cases of fatal accidents occurred in the age group of 20-30 years, in people with elementary education and in the summer. Therefore, preventive action is necessary by raising awareness.","PeriodicalId":36499,"journal":{"name":"Journal of Emergency Practice and Trauma","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48106226","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

Giant cell tumor of patella: A case report and review of literature 髌骨巨细胞瘤1例报告及文献复习

Journal of Emergency Practice and Trauma Pub Date : 2019-04-29 DOI: 10.15171/JEPT.2019.06

M. Arora, E. Madaan, Rajnand Kumar

{"title":"Giant cell tumor of patella: A case report and review of literature","authors":"M. Arora, E. Madaan, Rajnand Kumar","doi":"10.15171/JEPT.2019.06","DOIUrl":"https://doi.org/10.15171/JEPT.2019.06","url":null,"abstract":"\u0000 Objective: Patella is a sesamoid bone which develops in the quadriceps tendon. It is an uncommon site for neoplasms. The most common primary tumors which involve patella are benign. These include chondroblastoma, giant cell tumor (GCT) and aneurysmal bone cyst. Malignant lesions are less common in patella. These encompass metastasis, osteosarcoma and hemangioendothelioma. The most common complaint in patients of GCT patella is anterior knee pain. Early diagnosis and optimal management are necessary for improving survival rate in these patients. Case Presentation: The authors present a case report of GCT of patella in a 16-year old child. Incisional biopsy was done to confirm the diagnosis. Further radiological examination showed that the tumor involved almost whole of the patella. Hence, surgical management in the form of patellectomy and extensor mechanism repair was done to improve the outcome of the disease. The patient did not have any clinical or radiological symptoms at the end of the final follow up of 22 months. Conclusion: Primary tumor of patella is a rare entity. Benign tumors like GCT present only with anterior knee pain and should be included in the differential diagnosis of anterior knee pain. MRI is useful to determine the extent of involvement of tumor in the patella. Treatment may vary from curettage and bone grafting to total patellectomy with extensor mechanism repair","PeriodicalId":36499,"journal":{"name":"Journal of Emergency Practice and Trauma","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41916219","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