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Bulletin of Emergency and Trauma
ISSN 2322-2522 · Shiraz University of Medical Sciences · 707 artikel di indeks
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Comparison of the Diagnostic Value of the Neutrophil-to-Lymphocyte Ratio Versus the Pediatric Appendicitis Scoring System in Children with Suspected Acute Appendicitis
Objective: This study aimed to evaluate and compare the diagnostic value of the neutrophil-to-lymphocyte ratio (NLR) and the pediatric appendicitis score (PAS) in pediatric patients with suspected acute appendicitis (AA). Methods: This cross-sectional study included 300 children presenting with…
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Development of a Minimum Dataset for a Prehospital Stroke Emergency Dashboard
Objective: Stroke is a leading global cause of death and disability, with Emergency Medical Services (EMS) critical for timely management, requiring accurate and systematic data. This study developed a Minimum Data Set (MDS) for a prehospital stroke emergency information dashboard in Iran.Methods…
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Challenges and Barriers of Reducing Fatalities and Injuries from Road Traffic Accidents: A Systematic Scoping Review of National and International Solutions
Objective: This study aimed to map national and international evidence on the challenges associated with reducing road traffic fatalities and injuries. Methods: This systematic scoping review was conducted in 2025 following the PRISMA Extension for Scoping Reviews (PRISMA-ScR) guidelines and the…
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Fracture Patterns in Pediatric Maxillofacial Trauma: Retrospective Study at a Tertiary Care Center in Iran
Objective: This study aimed to investigate the demographic characteristics, etiology, and fracture patterns of maxillofacial traumas in patients aged 18 years or less in Gorgan, northern Iran.Methods: In this cross-sectional study, 132 patients (≤18 years old) were enrolled. These patients were…
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Palm Vein Biometrics A Rapid Patient Identification Tool for Emergency and Trauma Care
Accurate and rapid patient identification remains a persistent challenge in emergency and trauma care. Patients frequently present unconscious, unaccompanied, or without valid identification, thereby elevating the risk of medication errors, delayed treatment, duplicate records, and medicolegal…
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Epidemiology, Clinical Outcomes, and Emergency Department Utilization Among Trauma Patients in Northern Iran: A Retrospective Cross-Sectional Study
Objective: This study aimed to investigate the epidemiological characteristics, clinical outcomes, and emergency department (ED) utilization patterns among trauma patients in northern Iran.Methods: This retrospective cross-sectional study was conducted in northern Iran from January 2021 to December…
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Clinical Evaluation and Surgical Management of Diaphragmatic Eventration Mimicking Traumatic Hernia: A Case Report
Objective: Diaphragmatic eventration (DE) is a rare condition that can mimic a traumatic diaphragmatic hernia, particularly in trauma cases. We present a case of DE initially misdiagnosed as a diaphragmatic hernia following a road traffic accident, highlighting diagnostic challenges and surgical…
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Spontaneous Sublingual Hematoma Caused by Warfarin Toxicity: A Case Report
Objective: Anticoagulation therapy is an exceptionally effective approach for preventing thromboembolic events, including both primary and secondary occurrences that can significantly affect patient health. Among the range of anticoagulants available for clinical use, warfarin is particularly…
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Diagnostic Utility of Clinical Scoring System and D-Dimer Assay in Suspected Cerebral Venous Thrombosis: A Prospective Observational Study
Objective: This study aimed to evaluate the diagnostic accuracy of a clinical scoring system, both aloneand in combination with D-dimer assay, for suspected cerebral venous thrombosis (CVT) in the emergencydepartment.Methods: This prospective observational study was conducted in the Emergency…
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Thyroid Abscess and Jugular Vein Thrombosis Caused by a Migratory Fish Bone: A Case Report and Literature Review
We present a rare case of a migratory fish bone into the thyroid gland with abscess formation and internal jugular vein (IJV) thrombosis. A 73-year-old woman was referred to our emergency department due to several syncopal attacks, a ground-level fall, drowsiness, and left-sided neck swelling, with…
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Emergency Hemorrhage Control Strategies and Outcomes in Hemodynamically Unstable Pelvic Fracture Trauma: A Systematic Review
Objectives: This systematic review aimed to evaluate and compare emergency hemorrhage controlinterventions for hemodynamically unstable pelvic fracture trauma, assessing clinical outcomes, includingmortality, transfusion requirements, and complication rates.Methods: A comprehensive literature…
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Assessment of Early Warning Systems for Emergencies and Disasters in Hospitals of Mazandaran, Iran, in 2024: A Cross-Sectional Study
Objective: This study aimed to assess the status of early warning systems (EWS) for disaster and emergency response in hospitals affiliated with Mazandaran University of Medical Sciences in 2024. Methods: This descriptive-analytical study was conducted from April to December 2024 across all…
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Epidemiology and Clinical Outcomes of Vertebral Fractures in Older Adults: A Three-Year Study from Northwestern Iran
Objective: This study aimed to determine the epidemiological characteristics of elderly patients hospitalizedfor spinal fractures at Mousavi Referral Hospital in Zanjan, Iran, from 2021 to 2023.Methods: In this cross-sectional study, medical records of 261 elderly patients hospitalized with…
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Commentary on Comparing the Performance of Emergency Department Personnel and Patients’ Preferences in Breaking Bad News
I commend the authors for their insightful manuscript "Comparing the Performance of Emergency Department Personnel and Patients’ Preferences in Breaking Bad News."(1) This study examines a sensitive yet essential aspect of emergency care—effectively delivering bad news in high-stress environments…
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Clinical Outcomes of Chevron Osteotomy with Tension Band Wiring for Distal Humerus Fractures: A Prospective Study
Objectives: Chevron osteotomy could be fixed using various techniques, each yielding different outcomes.This study aimed to determine the complications and outcomes caused by Chevron osteotomy fixed withtension band wire in distal humeral fractures.Methods: In this prospective study, patients with…
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Effects of Intravenous Lidocaine on Airway Complications and Hemodynamic Stability Following Emergency Laparoscopic Cholecystectomy: A Randomized Controlled Trial in Different Age Groups
Objectives: This randomized controlled trial aimed to evaluate the effect of pre-extubation intravenouslidocaine (1 mg/Kg) on the incidence of airway complications and hemodynamic stability in patients undergoingemergency laparoscopic cholecystectomy, while accounting for age differences.Methods…
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Incidence and Risk Factors for Post-Appendectomy Emergency Surgical Site Infections
Objective: This study aimed to investigate the incidence and risk factors for surgical site infection (SSI)following appendectomy.Methods: This retrospective cohort study examined the records of 180 patients who underwent appendectomyin Emam Khomeini Hospital from January 2021 to December 2022. The…
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Trauma-Induced Delayed Presentation of Diaphragmatic Hernia and Gastric Volvulus: A Rare Presentation
A 19-year-old male presented with a three-day history of worsening epigastric pain, persistent vomiting,abdominal distension, and obstipation. His medical history included high-fall trauma in 2022, resulting in aparietal bone fracture, scalp swelling, and an epidural hematoma. Physical examination…
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Prevalence and Risk Factors of Dental Trauma in Pediatrics and Adolescents: A Retrospective Study in Ilam, Iran
Objectives: This study aimed to determine the prevalence of dental trauma (DT) in pediatrics and adolescentsin Ilam.Methods: This retrospective study was conducted in Ilam (Iran) on a group of pediatric and adolescent patientswith DT between 2017 and 2021. The researchers reviewed patient records…
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Respiratory and Pulmonary Allergic Emergencies in Dental and Periodontal Surgery: A Systematic Review of Identification, Management, and Prevention Strategies
Objective: Allergic respiratory and pulmonary emergencies, though uncommon, represent a potentially lethal risk in dentistry, and anaphylaxis is the cause of a significant percentage of perioperative allergic reactions. If left uncorrected, it increases the mortality rate.Methods: Systematic review…