South Asian Journal of Emergency Medicine最新文献

{"title":"Management of cervical ectopic pregnancy: A report of two cases","authors":"Z. Akhtar","doi":"10.5455/sajem.020208","DOIUrl":"https://doi.org/10.5455/sajem.020208","url":null,"abstract":"Cervical pregnancy is a rare and life-threating form of ectopic pregnancy. Early diagnosis and treatment can prevent undesired fatal consequences. We present two cases of cervical ectopic pregnancy managed with different medical modalities with literature review and highlights on different management modalities.","PeriodicalId":389251,"journal":{"name":"South Asian Journal of Emergency Medicine","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128619409","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}

{"title":"Role of Potassium Permanganate (KMnO4) and/or vegetable oil gastric lavage in aluminium phosphide poisoning","authors":"S. Tahir","doi":"10.5455/SAJEM.020103","DOIUrl":"https://doi.org/10.5455/SAJEM.020103","url":null,"abstract":"Aluminium phosphide poisoning poses a common clinical dilemma in Asia. We, as Emergency physicians working in this part of the world frequently encounter patients with intentional intake of wheat/ rice tablets. Due to its highly toxic potential, the intake of a single tablet is enough to cause mortality. Its ability to liberate phosphine gas, leading to early systemic toxicity in terms of cardiovascular arrhythmias’, refractory hypotension and severe metabolic derangements are well observed. Despite multiple recent medical advances, there is no specific antidote thus the management remains mainly supportive. Our current practices, in managing aluminium phosphide toxicity are highly varied across the region. It is a common practice to use KMnO4 and/or vegetable oil gastric lavage in these patients which is considered to have a survival benefit. In this review article, we will search for the best evidence to answer this question whether there is a role of KMnO4 or vegetable oil gastric lavage in reducing the mortality.","PeriodicalId":389251,"journal":{"name":"South Asian Journal of Emergency Medicine","volume":"223 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127921037","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}

{"title":"Eddy - A hypothetical model for comprehending emergency medicine research themes","authors":"Shahan Waheed, M. Baig, N. Kapadia, A. Mian","doi":"10.5455/sajem.020209","DOIUrl":"https://doi.org/10.5455/sajem.020209","url":null,"abstract":"Choosing a research topic during emergency medicine residency for postgraduate trainees has always been a daunting task. The difficulty in choosing a research area can be due to the overlapping themes/clinical spectrum and the wide age range that the emergency medicine physician sees during his/her clinical practice. In this brief report we are proposing a model that can be utilized either by the trainees or the postgraduate program of the hospital in order to help them selecting research domains.","PeriodicalId":389251,"journal":{"name":"South Asian Journal of Emergency Medicine","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125579025","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}

{"title":"Cardiac Pacing Using A Guidewire In Emergency Situation","authors":"Rajnish Kumar, M. Mohan","doi":"10.5455/sajem.040207","DOIUrl":"https://doi.org/10.5455/sajem.040207","url":null,"abstract":"We were describing an interesting case of complete heart block (CHB) received in the emergency department (ED) with the cardiogenic shock in the life-threatening situation, who was successfully manage by cardiac pacing, initially using a J Tip guidewire (JTG) due to non-availability of temporary transvenous pacing catheter (TVPC) and later on using TVPC once available . TVPC placement is a potentially life-saving procedure that involves placing a catheter-based electrode within the right ventricle via central venous access, and then stimulating that electrode and the heart with an external pacing generator to optimize cardiac output. In the ED, the procedure can be performed either blindly or with ECG guidance and recently with USG guidance. After placement, CXR perform to verify position of TVPC as well as any procedural complication.","PeriodicalId":389251,"journal":{"name":"South Asian Journal of Emergency Medicine","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126994748","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}

{"title":"The era of asphyxiation","authors":"U. Kausar","doi":"10.5455/sajem.040203","DOIUrl":"https://doi.org/10.5455/sajem.040203","url":null,"abstract":"","PeriodicalId":389251,"journal":{"name":"South Asian Journal of Emergency Medicine","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131518240","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}

{"title":"Prevalence of burnout and satisfaction with the profession, among doctors and nurses working in the emergency department of a tertiary care hospital, Islamabad, Pakistan","authors":"Sharoon Shahzad, Amar Javed, A. Khan, H. Usman, Nizar Ali","doi":"10.5455/sajem.020211","DOIUrl":"https://doi.org/10.5455/sajem.020211","url":null,"abstract":"OBJECTIVE \u0000To assess the level of burnout and professional satisfaction among the doctor and nurses working in an emergency department of a \u0000tertiary care hospital in Islamabad, Pakistan. \u0000 \u0000METHODOLOGY \u0000A self-administered questionnaire-based cross-sectional study was conducted in the emergency department of Shifa international \u0000hospital, Islamabad. The questionnaire was based on a Maslach burnout inventory tool and pre-validated study. Data was collected from all the doctors and nurses who were working in this particular department for at least 3 months in any capacity. The tool consisted \u0000of 12 questions and covered 4 domains which included emotional exhaustion, depersonalization, personal accomplishment and personal satisfaction. \u0000 \u0000RESULT \u0000There were 80 participants with 40% doctors and 60% nurses and the male to female ratio was 50-50%. The results found 78.8% of the \u0000study population showing low or no burnout and 21.3% having moderate to high burn out. 17% of the study population was emotionally \u0000exhausted and depersonalization was prevalent among 18% of study population. \u0000 \u0000CONCLUSION \u0000Emotional exhaustion and depersonalization is a significant concern for the people working in the emergency department. A sense of personal accomplishment and satisfaction with the profession can be a prominent feature that prevents burnout.","PeriodicalId":389251,"journal":{"name":"South Asian Journal of Emergency Medicine","volume":"119 6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129313799","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}

{"title":"Always Read The Fine Print - Cyanide Toxicity From Ingestion Of Vitamin B17 Tablets: A Case Report","authors":"M. Rehman, Mohamed Abd, Laila Hussein, Lara Abumuaileq","doi":"10.5455/sajem.040209","DOIUrl":"https://doi.org/10.5455/sajem.040209","url":null,"abstract":"The use of vitamins and minerals as supplements is highly prevalent in most patient populations, owing to their purported long-term benefits and relative lack of harm on continued use. However, similarly marketed supplements may contain ingredients that can harm the user. Our case highlights a 45-year-old male who ingested several tablets of a supplement known as vitamin B17, Amygdalin, with subsequent fatigue, mild lactic acidosis, and worsening shortness of breath. He was treated as a case of cyanide toxicity based on clinical suspicion and improved subsequently.\u0000The case describes the potential harm from unregulated substances, particularly those purchased online. Vitamin B17, or Amygdalin, may be present in various anti-cancer supplementation and caution is advised in its use due to its association with cyanide poisoning.","PeriodicalId":389251,"journal":{"name":"South Asian Journal of Emergency Medicine","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127815911","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}

{"title":"The Good Doctor gone bad: A medicolegal error in Season 4 Episode 5 titled “Fault”","authors":"S. Mansoor, Shoab Saadat","doi":"10.5455/sajem.040204","DOIUrl":"https://doi.org/10.5455/sajem.040204","url":null,"abstract":"","PeriodicalId":389251,"journal":{"name":"South Asian Journal of Emergency Medicine","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116558413","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}

{"title":"DNAR decisions in Pakistan, Middle East and UK: An emergency physician's perspective","authors":"I. Qureshi","doi":"10.5455/SAJEM.020107","DOIUrl":"https://doi.org/10.5455/SAJEM.020107","url":null,"abstract":"Although resuscitation aims to preserve life and restore health, it is sometimes at the expense of increased suffering and disability to the receiving patient. In this situation, the treating physicians often end up in the dilemma of whether resuscitation is appropriate for the patient and have discussions with the patient and/or family. This may lead to a decision to “Do Not Attempt Resuscitation” (DNAR). In western societies, the patients have an option to opt out of Cardiopulmonary Resuscitation (CPR) if they are in the situation, and at times, the medical team can make a clinical decision when the efforts are deemed futile. This is supported in the legislation of those countries, and as an example, the UK law states, There is no obligation to give treatment that is futile or burdensome.1 As the preservation of life in Muslim countries is of paramount importance due to religious reasons as well as cultures and traditions, a similar blanket approach to DNAR in Muslim countries is rarely seen. One of the earliest Fatwa (Islamic law) on this topic by Shaykh ‘Abd al-‘Azeez ibn ‘Abd-Allaah ibn Baaz and Shaykh ‘Abd al-Razzaaq ‘Afeefi in the year 1986, states “if reviving the heart and lungs is of no benefit and not appropriate because of a certain situation, according to the opinion of three trustworthy specialist doctors, then there is no need to use resuscitation equipment, and no attention should be paid to the opinions of the patient’s next of kin concerning the use of resuscitation equipment or otherwise, because this is not their specialty.” 2 This has led to physicians in Saudi Arabia being empowered to make DNAR decisions for their terminal patients and allow dignified death. The lack of similar legislation in Pakistan often places physicians in the unenviable situation of having to explain to patients and their families why CPR would be futile, and, in the absence of consensus, having to provide expensive, futile treatment, at the expense of the family, and other patients who may benefit from the resources used up. When possible, these discussions should be had by the treating speciality and the patient/families, but emergency physicians often find themselves in the awkward and undesirable situation of initiating these difficult conversations. The area to discuss and investigate here is about the ethical, religious, and legal implications of such a decision, and how an emergency physician can continue to act in the patient’s best interest while keeping themselves safe.","PeriodicalId":389251,"journal":{"name":"South Asian Journal of Emergency Medicine","volume":"303 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114443424","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}

{"title":"Physician led team triage shortens the length of stay of patients in Emergency department; a descriptive case series.","authors":"A. Bano, Maqsood Ahmad","doi":"10.5455/sajem.040107","DOIUrl":"https://doi.org/10.5455/sajem.040107","url":null,"abstract":"","PeriodicalId":389251,"journal":{"name":"South Asian Journal of Emergency Medicine","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126066353","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}