South Asian Journal of Emergency Medicine最新文献_第5页

Assessment of cyberchondria among patients presenting to the emergency department of a tertiary care hospital in Islamabad, Pakistan 巴基斯坦伊斯兰堡一家三级护理医院急诊科对患者网络疑病症的评估

South Asian Journal of Emergency Medicine Pub Date : 1900-01-01 DOI: 10.5455/sajem.020207

M. Malik, M. Mustafa, Maira Yaseen, S. Ghauri, Arslaan Javaeed

{"title":"Assessment of cyberchondria among patients presenting to the emergency department of a tertiary care hospital in Islamabad, Pakistan","authors":"M. Malik, M. Mustafa, Maira Yaseen, S. Ghauri, Arslaan Javaeed","doi":"10.5455/sajem.020207","DOIUrl":"https://doi.org/10.5455/sajem.020207","url":null,"abstract":"OBJECTIVE \u0000 \u0000Cyberchondriasis is an emerging mental health disorder in lower and middle-income countries. The study was aimed for assessment of cyberchondriasis in patients presenting to the emergency department of three tertiary care hospitals of Pakistan \u0000 \u0000METHODS \u0000A questionnaire-based study, formulated on the Cyberchondriasis Severity Scale, was carried out in three emergency departments of \u0000tertiary care hospitals in Islamabad, Pakistan. The study duration was three months i.e. March to May 2019. A self-reported questionnaire was distributed amongst participants and results were calculated through SPSS version 23. Ethical approval was obtained. \u0000 \u0000RESULTS \u0000Out of 958 participants, 304 people returned the questionnaire with a response rate of 31.4%. 189 patients (62.17%) admitted that if they would notice an unexplained bodily sensation, they would often search for it on the internet. Alarmingly, a significant population \u0000(11.18%) of the participants said that they would rarely trust their GP over their online self-diagnosis. Online searching and self-diagnosis \u0000made 244 patients (80.26%) panic while 32 patients (10.52%) always found it difficult to sleep after researching perceived medical conditions. \u0000 \u0000CONCLUSION \u0000Many aspects of cyberchondriasis are evident in the study. Further studies are required to report the exact prevalence and association with mental health.","PeriodicalId":389251,"journal":{"name":"South Asian Journal of Emergency Medicine","volume":"157 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":"125923677","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: 4

The benefit of nebulized magnesium sulphate therapy in patients with acute severe asthma: a scoping review 雾化硫酸镁治疗急性重症哮喘患者的益处:范围综述

South Asian Journal of Emergency Medicine Pub Date : 1900-01-01 DOI: 10.5455/sajem.040110

D. Qureshi, U. Fatima, Areena Akram

引用次数: 0

Developing Emergency Medicine Clinical Practice Guidelines in Pakistan - a pressing priority 在巴基斯坦制定急诊医学临床实践指南——一个紧迫的优先事项

South Asian Journal of Emergency Medicine Pub Date : 1900-01-01 DOI: 10.5455/sajem.040201

Tamkeen Pervez

引用次数: 0

Thoracic Air Leak Syndrome in COVID-19 Patients: An Emergent Complication COVID-19患者胸腔漏气综合征:一种紧急并发症

South Asian Journal of Emergency Medicine Pub Date : 1900-01-01 DOI: 10.5455/sajem.040206

Ruhul Munshi, Samia Jahan, Mohammad Hussein, E. Toraih, E. Kandil

{"title":"Thoracic Air Leak Syndrome in COVID-19 Patients: An Emergent Complication","authors":"Ruhul Munshi, Samia Jahan, Mohammad Hussein, E. Toraih, E. Kandil","doi":"10.5455/sajem.040206","DOIUrl":"https://doi.org/10.5455/sajem.040206","url":null,"abstract":"Background\u0000Sudden clinical deterioration in coronavirus disease 2019 (COVID 19) patients may be caused by thoracic air leaks. In this review, we aimed to identify the risk factors predisposing to the development of alveolar air leak and outcomes in COVID 19 patients.\u0000Method\u0000Analysis of 33 studies of COVID 19 who developed air leaks, published between April 20 to Aug 27, 2020, reviewed.\u0000 \u0000Result\u0000Twenty-one females (16.8%) and 104 males (83.2%) were included in this study. Their median age was 44.75 years, ranging from 27.5 to 60.0. Of the 125 patients, 100(80%) developed\u0000Spontaneous pneumothorax, 47 (37.6%) had pneumomediastinum, and 37 (29.6%) presented with subcutaneous emphysema. A chest tube was inserted in 63 (50.4%) patients, 97 (77.6%) received supplemental oxygen, 56 (44.8%) required mechanical ventilation, 64 (51.2%) were admitted to the Intensive Care Unit (ICU), 42 (33.6%) were admitted to the floor, and 35(28%) developed acute respiratory distress syndrome. The median length of hospital stay was 12 days (interquartile range=5.617.25), 57 (45.6%), patients were discharged with a median length of stay of 9 days (5.25-16.5), while mortality was reported in 29 patients (23.2%) after a longer hospitalization of 15 days (6.0-18.0). Of those who expired, only one was a smoker, and another had chronic obstructive pulmonary disease.\u0000\u0000Conclusion \u0000In COVID-19 disease, air leaks may cause potentially fatal outcomes even in formally stabilized non-smoker patients. Therefore, physicians should be aware of the development of occult air leak disease in rapidly deteriorating cohorts.","PeriodicalId":389251,"journal":{"name":"South Asian Journal of Emergency Medicine","volume":"16 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":"123378320","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

Impact of the COVID-19 Pandemic on Emergency Room Attendances: Experience at a Tertiary Care Centre in Pakistan 2019冠状病毒病大流行对急诊室就诊人数的影响:巴基斯坦三级医疗中心的经验

South Asian Journal of Emergency Medicine Pub Date : 1900-01-01 DOI: 10.5455/sajem.030210

Fouzia Aurangzeb, A. Waheed, A. Khan, A. Sattar

引用次数: 0

Mode of presentation and disposition of suspected swine flu (H1N1) patients in the Emergency Department, Pakistan 巴基斯坦急诊科疑似猪流感(H1N1)患者的表现和处置模式

South Asian Journal of Emergency Medicine Pub Date : 1900-01-01 DOI: 10.5455/sajem.020203

U. Kausar, M. Ishtiaq, Muhammad Nasser

{"title":"Mode of presentation and disposition of suspected swine flu (H1N1) patients in the Emergency Department, Pakistan","authors":"U. Kausar, M. Ishtiaq, Muhammad Nasser","doi":"10.5455/sajem.020203","DOIUrl":"https://doi.org/10.5455/sajem.020203","url":null,"abstract":"OBJECTIVE \u0000 \u0000The purpose of the study is to review the clinical characteristics of patients suspected of swine flu and their disposition in the emergency department of a tertiary care hospital. \u0000 \u0000METHODOLOGY \u0000Retrospective chart review of the patients suspected of swine flu presenting to the emergency department of Shifa International Hospital from January 2018 to February 2019 was done. The data was taken from infection control department and files of the patient were reviewed from medical record department. Frequency and percentages were calculated using SPSS version 23. Ethical approval was taken. \u0000 \u0000RESULTS \u000059 patients were enrolled in the study out of which 29 (49%) were positive for either H1N1, flu A or Flu B most of which were adults. The common presenting features were cough (96%), dyspnoea (75%), tachypnoea (76%) and fever (48%). Influenza A had the highest incidence (65%) among all cases. Eight patients (27.6%) were discharged from the emergency department whereas twenty-one (72.4%) patients were offered admission with five patients being admitted in the critical unit. \u0000 \u0000CONCLUSION \u0000Cases of swine flu are reported every year across the country. Mortality rates are higher among the patients with a diagnosis delay. Further studies need to be done among different hospitals to get more precise data about the prevalence and early identification of swine flu.","PeriodicalId":389251,"journal":{"name":"South Asian Journal of Emergency Medicine","volume":"30 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":"127177709","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