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Emergency
ISSN 2345-4563 · Shahid Beheshti University of Medical Sciences · 289 artikel di indeks
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Artikel Jurnal
Screening performance of Ultrasonographic B-lines in Detection of Lung Contusion following Blunt Trauma; a Diagnostic Accuracy Study
Introduction: Chest ultrasonography is routinely used in evaluation of chest trauma for diagnosis of pulmonary injury. This study aimed to evaluate the accuracy of B-Lines for diagnosing lung contusion in patients with blunt trauma of the chest. Methods: Trauma patients who met the inclusion…
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Artikel Jurnal
Hyper Acute Quadriplegia with Chronic Lead Toxicity; a Case Report
Industrial lead toxicity is more common among miners. This type of toxicity occurs in two forms: acute and chronic. Chronic toxicity is associated with different levels of brain dysfunction, motor impairment, cognitive dysfunction, and neuropsychiatric problems, including depression, anxiety…
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Artikel Jurnal
Job Burnout, Stress, and Satisfaction among Emergency Nursing Staff after Health System Transformation Plan in Iran
Introduction: Job burnout, stress, and satisfaction are linked to quality of care, patient outcomes and retention of staff. This study was conducted to determine the mentioned issues among emergency nurses. Methods: This cross-sectional study was conducted on all nurses working in the emergency…
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Artikel Jurnal
Lidocaine-Midazolam-Fentanyl Combination in Controlling Pain for Reduction of Anterior Shoulder Dislocation; a Randomized Clinical Trial
Introduction: Finding a fast-acting compound with minimal side-effects to induce a safe and efficient analgesia with short or medium duration of action is of great interest in the emergency department. The present study has been designed with the aim of comparing the effect of midazolam + fentanyl…
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Artikel Jurnal
Epidemiology and Outcome of Patients with Acute Kidney Injury in Emergency Department; a Cross-Sectional Study
Introduction: Elimination of preventable deaths due to acute kidney injury (AKI) in low-income countries by 2025 is an important healthcare goal at the international level. The present study was designed with the aim of evaluating the prevalence and outcome of AKI in patients presenting to…
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Artikel Jurnal
Candidemia in Febrile Neutropenic Patients; a Brief Report
Introduction: Febrile neutropenic patients are at risk of serious infections. The aim of the present study is to identify the frequency, species, and susceptibility patterns of candidemia in febrile neutropenic patients. Methods: This cross-sectional study was conducted on febrile neutropenic…
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Artikel Jurnal
Anaphylaxis as a Rare Side Effect of Pantoprazole; a Case Report
Anaphylaxis is a serious life-threatening allergic reaction. Any medication may potentially trigger anaphylaxis, but reaction to pantoprazole is rare. Our case is a 21 year-old girl with anaphylactic reaction to pantoprazole a short time after prescription.
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Artikel Jurnal
Value of Manchester Acute Coronary Syndromes Decision Rule in the Detection of Acute Coronary Syndrome; a Systematic Review and Meta-Analysis
Introduction: There is still no consensus on the value of Manchester Acute Coronary Syndromes (MACS) decision rule in detecting acute coronary syndrome (ACS). Therefore, the purpose of the present systematic review and meta-analyzes is to summarize the clinical evidence in the evaluation of the…
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Artikel Jurnal
Paradoxical Embolism in a Patient with Patent Foramen Ovale; a Case Report
Patent foramen ovale (PFO) is usually asymptomatic; however, it could be quite dangerous for patients with right side clot in which thrombus can transmit the PFO and paradoxically emboli to systemic circulation. Here we present a patient with ankle fracture and paradoxical embolus to the brain, who…
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Artikel Jurnal
Characteristics of Mortalities related to Pulmonary Embolism following Multiple Trauma; a Brief Report
Introduction: Pulmonary embolism (PE) is introduced as the third major cause of death after trauma in those who survive more than 24 hours. This study aimed to describe the characteristics of mortalities due to trauma related PE in cases referred to the forensic medicine department. Methods: The…
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Artikel Jurnal
Introducing a Device for Measuring Pain Intensity; a Letter to Editor
Pain is defined as an unpleasant feeling caused by a real or potential tissue injury and is classified into neuropathic, somatic and visceral types. Characteristics such as severity, location, duration and site of pain referral are very helpful in correct diagnosis and treatment of the disease…
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Artikel Jurnal
New Molecular Aspects of Cardiac Arrest; Promoting Cardiopulmonary Resuscitation Approaches
Introduction: Cardiopulmonary resuscitation (CPR) is a method to improve survival of patients with cardiac arrest. This study aimed to identify the key genes affected five minutes after cardiac arrest, hoping to elevate the efficacy of CPR. Methods: In this bioinformatics study differentially…
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Artikel Jurnal
Sudden Death due to Hydatid Cyst Emboli; a Case Report
Echinococcosis is an infection caused in human by complex parasites that causes cystic hydatid disease. These infections are prevalent in most areas where livestock is raised in association with dogs. These parasites are found in all continents. Slowly enlarging cysts generally remain asymptomatic…
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Artikel Jurnal
Prehospital Emergency Medical Services Challenges in Disaster; a Qualitative Study
Introduction: Prehospital Emergency Medical Care (EMC) is a critical service in disaster management. The aim of this study was to explore the challenges of prehospital Emergency Medical Services (EMS) during disaster response in Iran. Methods: A qualitative study was conducted from April 2015 to…
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Artikel Jurnal
Regression to Middle Effect May Threaten Validity of Triage Scales; a Letter to Editor
Triage is sorting patients based on acuity in order to manage care in the emergency department (ED) {Mirhaghi, 2017 #60}(1). Medical institutes are trying to develop triage scales compatible with their own culture of care. A triage scale must be precise and comprehensive enough to guide triage…
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Artikel Jurnal
A Simple Device to Control Valsalva Manoeuvre Strain Pressure; a Letter to Editor
We read with interest the article by Motamedi and colleagues about the use of a hand held manometer to measure strain pressure during Valsalva manoeuvre (VM) treatment of supraventricular tachycardia (SVT). We also used a manometer in our study (REVERT) of a postural modification of the VM and are…
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Artikel Jurnal
Evaluation of Airway Management Proficiency in Pre-Hospital Emergency Setting; a Simulation Study
Introduction: Infrequency and low exposure to critically ill patients requiring airway management will lead to reduction in the skills and performance of the Emergency Medical Technicians (EMTs) over time. The present study was conducted primarily aiming to evaluate airway management in stationary…
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Artikel Jurnal
Intravascular Hemolysis following Acute Zinc Phosphide Poisoning; a Case Report
Zinc phosphide (ZnP) is low-cost, accessible, and very effective as a rodenticide. It has been used for many human suicide poisonings around the world, including Iran. Nonspecific gastrointestinal symptoms and cardiotoxicity are the most serious complications of ZnP poisoning, which are associated…
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Artikel Jurnal
Rhabdomyolysis and Acute Poisoning; a Brief Report
Introduction: Some studies have reported creatinine phosphokinase (CPK) as a new emerging way in predicting the outcomes of poisoned patients. This study aimed to evaluate the association of serum CPK level in the first 24 hours with outcomes of poisoned patients. Methods: This retrospective…
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Artikel Jurnal
Rectus Muscle Hematoma as a Rare Differential Diagnosis of Acute Abdomen; a Case Report
Rectus sheath hematoma is a rare but well-known problem. Exercise, pregnancy, subcutaneous injection of insulin, abdominal surgery and severe coughs can be predisposing factors of hemorrhage in the mentioned muscle sheath. Here, we will discuss a case of rectus sheath hematoma in a 28 year-old…