Review Article
Diagnostic Accuracy of Rapid Ultrasound in Shock (RUSH) Exam; A Systematic Review and Meta-analysis

Mojtaba Keikha; Mohammad Salehi-Marzijarani; Reihane Soldoozi Nejat; Hojat sheikh Motahar Vahedi; Seyed Mohammad Mirrezaie

Volume 6, Issue 4 , October 2018, Pages 271-278

Abstract
  Objective: To perform a diagnostic accuracy of the rapid ultrasound in shock (RUSH) to diagnose the etiology of undifferentiated shock in patients presenting to the emergency department (ED).Methods: We searched the Medline via PubMed, Scopus, and ISI Web of Knowledge till July 2017. Two independent ...  Read More

Review Article
Epidemiology of Road Traffic Injuries among Elderly People; A Systematic Review and Meta-Analysis

Saber Azami-Aghdash; Mir Hossein Aghaei; Homayoun Sadeghi-Bazarghani

Volume 6, Issue 4 , October 2018, Pages 279-291

Abstract
  Objective: To systematically review the epidemiological patterns and interventions for prevention of road traffic injuries (RTIs) among elderly.Methods: Searching keywords including: accident, trauma, road injury, road traffic injuries, aging, old, elder, strategy, intervention, road traffic crash prevention ...  Read More

Original Article
Effect of Intramuscular Ketamine versus Haloperidol on Short-Term Control of Severe Agitated Patients in Emergency Department; A Randomized Clinical Trial

Farhad Heydari; Alireza Gholamian; Majid Zamani; Saeed Majidinejad

Volume 6, Issue 4 , October 2018, Pages 292-299

Abstract
  Objective: To evaluate the efficacy and safety of intramuscular ketamine and haloperidol in sedation of severely agitated patients in emergency department (ED).Methods: This randomized, double-blind clinical trial study was performed on agitated patients referring to two university educational hospitals. ...  Read More

Original Article
The Effect of Hyoscine on Pain, Tenderness, and Rebound Tenderness in Patients with Appendicitis: Quasi-Interventional Study

Alireza Esmaeili; Vahideh Salimi; Naser Mohammad Karimi; Majid Hajimaghsoudi; Mahmoud Vakili; Ehsan Zarepur

Volume 6, Issue 4 , October 2018, Pages 300-305

Abstract
   Objective: To evaluate the effect of hyoscine on pain and tenderness, rebound tenderness and appendicitis patients before surgery and this study can be considered as the first study investigated the efficacy of hyoscine on pain, tenderness, and rebound tenderness in patients with appendicitis.Methods: ...  Read More

Original Article
Outcome of Extra-Articular Distal Humerus Fractures Fixed by Single Column Extra-Articular Distal Humerus Locking Compression Plate Using Triceps Sparing Postero-Lateral Approach

Nadeem Ali; Naseer Ahamd Mir; Tahir Ahmad Dar; Mohmad Nawaz Rather; Wajahat Ahmad Mir; Senin Shah; Saheel Maajid

Volume 6, Issue 4 , October 2018, Pages 306-312

Abstract
  Objective: To determine the time to radiological union and final functional outcome of fixation of extra-articular distal humeral fractures with extra-artricular distal humerus locking plate.Methods: This prospective study was conducted from March 2014 to February 2018 and included extra-articular distal ...  Read More

Original Article
Pattern and Distribution of Shock Index and Age Shock Index Score Among Trauma Patients in Towards Improved Trauma Care Outcomes (TITCO) Dataset

Prashant Bhandarkar; Ashok Munivenkatappa; Nobhojit Roy; Vineet Kumar; Luis Rafael Moscote-Salazar; Amit Agrawal

Volume 6, Issue 4 , October 2018, Pages 313-317

Abstract
  Objective: To compare the shock index (SI – which is the ratio of heart rate to systolic blood pressure) and Age SI (Age in years multiplied by SI) with survival outcome of the patients across multicenter trauma registry in India.Methods: Study is based on Towards Improved Trauma Care Outcomes ...  Read More

Original Article
Prognostic Value of Arterial Blood Gas Indices Regarding the Severity of Traumatic Injury and Fractures of the Femur and Pelvis

Leila Mohsenian; Mohamad Karim Khoramian; Sara Sadat Mazloom

Volume 6, Issue 4 , October 2018, Pages 318-324

Abstract
  Objective: To evaluate the prognostic value of arterial blood gas (ABG) indices, especially base excess (BE), regarding the severity of traumatic injury.Methods: A total number of 96 trauma patients with fractures of femur and pelvis were included in this study. Demographic characteristics and clinical ...  Read More

Original Article
Effects of Body Mass Index on Outcome Measures of the Patients with Penetrating Injuries; A Single Center Experience

Farris Serio; Quinn Fujii; Keval Shah; Andrew McCague

Volume 6, Issue 4 , October 2018, Pages 325-328

Abstract
  Objective: To determine if there was any decrease in measures of injury severity or outcome with obese patients (body mass index greater than or equal to 30 kg/m2) as compared to non-obese patients (body mass index less than 30 kg/m2).Methods: We conducted a retrospective review of the trauma database ...  Read More

Original Article
Validity and Reliability of the Emergency Severity Index and Australasian Triage System in Pediatric Emergency Care of Mofid Children's Hospital in Iran

Mehrnaz ghafarypour jahrom; Mehrdad Taghizadeh; Kamran Heidari; Hojat Derakhshanfar

Volume 6, Issue 4 , October 2018, Pages 329-333

Abstract
  Objective: To evaluate the validity, reliability, sensitivity, and specificity of the Emergency Severity Index (ESI) and Australasian Triage System (ATS) for children visiting admitted to the emergency department (ED).Methods: This was a prospective study occurred in the Mofid children's Hospital ...  Read More

Original Article
Assessment of Pre-Hospital Emergency Care and its Associated Factors in Traumatic Patients in North of Iran

Mina Mohseni; Tahereh Khaleghdoust Mohammadi; Zahra Mohtasham-Amiri; Ehsan Kazemnejad; Morteza Rahbar Taramsari; Leila Kouchakinejad-Eramsadati

Volume 6, Issue 4 , October 2018, Pages 334-340

Abstract
  Objective: To determine the status of pre-hospital emergency care and its associated factors in traumatic patients.Methods: In across-sectional study, 577 traumatic patients who were transferred to Poursina hospital by EMS (Emergency Medical Services) personnel were selected by simple random sampling ...  Read More

Original Article
Analysis and Forecasting the Accident Mortality Trends in the Islamic Republic of Iran Applying Lee-Carter Model During the Years 2006 to 2035

Saeide Aghamohamadi; Katayoun Jahangiri; Amir Kavousi; Ardeshir Sayah Mofazali

Volume 6, Issue 4 , October 2018, Pages 341-348

Abstract
  Objective: To predict the accident mortality trend in next two decades in Iran.Methods: The study population comprised all deaths recorded in the system of registration and classification of causes of death of Ministry of Health and Medical Education of Iran during the years 2006 to 2015. The information ...  Read More

Original Article
Analysis of Risk Factors with Hospital Mortality in Pedestrian Injured Patients; A Dataset Analysis of a Level-I Trauma Center in Southern Iran

Mahnaz Yadollahi; Narges Rahmanian; Kazem Jamali

Volume 6, Issue 4 , October 2018, Pages 349-354

Abstract
  Objective: To determine the indicators predicting the hospital mortality in pedestrian injured patients admitted to a level I trauma center in Southern Iran.Methods: This case control study was conducted in a Level-I trauma hospital in Shiraz. We selected all survived pedestrians who were admitted in ...  Read More

Original Article
Antimicrobial Survey of Local Herbal Drugs against Acinetobacter baumannii Isolated from Patients Admitted to a Level-I Trauma Center

Hossein Abdolrahimzadeh; Shahram Bolandparvaz; Hamid Reza Abbasi; Maryam Dehghankhalili; Shahram Paydar; Amirreza Dehghanian; Salar Hafez Ghoran; Mojtaba Asadollahi; Mehdi Zare

Volume 6, Issue 4 , October 2018, Pages 355-362

Abstract
  Objective: To determine the antimicrobial activity and entity of several local herbal plants against Acintobacters isolated from trauma patients admitted to a Level-I trauma center.Methods: The antibacterial activities of the Satureja bachtiarica oil and some selected Iranian medicinal plants (Artemisia ...  Read More

Brief Communication
Spontaneous Bacterial Peritonitis in Afebrile Cirrhotic Patients; Report from a Referral Transplantation Center

Sara Saadat Mazloom; Mohamad Karim Khoramian; Leila Mohsenian

Volume 6, Issue 4 , October 2018, Pages 363-366

Abstract
  Spontaneous bacterial peritonitis (SBP) is a complication of liver cirrhosis with adverse effect on patient prognosis. Early diagnosis and treatment is highly important, especially in patients without remarkable manifestations. We designed this study to determine the prevalence of SBP among afebrile ...  Read More

Case Report
Surgical Management of Adult Traumatic Atlantoaxial Rotatory Subluxation with Unilateral Locked Facet; Case Report and Literature Review

Keyvan Eghbal; Abbas Rakhsha; Arash Saffarrian; Abdolkarim Rahmanian; Hamid Reza Abdollahpour; Fariborz Ghaffarpasand

Volume 6, Issue 4 , October 2018, Pages 367-371

Abstract
  Atlantoaxial rotatory subluxation (AARS) is rarely occurred in adults with trauma as the most common cause. In type A and B it is usually managed with close reduction and external brace; however, in nonresponsive cases, surgical interventions might be needed. Our patient is a 21-year-old man with neck ...  Read More

Case Report
Intrauterine Fetal Traumatic Brain Injury Following Motor Vehicle Accident; A Case Report and Review of the Literature

Mohammad Safdari; Zohre Safdari; Masoud Pishjoo

Volume 6, Issue 4 , October 2018, Pages 372-375

Abstract
  Trauma, especially traumatic injuries due to car accidents are one of the causes of maternal and fetal mortality and morbidity during pregnancy. Fetus brain injuries are usually caused fetus death. We herein report a pregnant woman in 28 weeks of gestation. The fetus was found to be normal during in-hospital. ...  Read More

Case Report
Isolated Mesenteric Injury causing Ileal Devascularisation with Uterine Perforation following Termination of Pregnancy; A Case Report and Literature Review

Dileep Ramesh Hoysal; Hemashree Kumaraswamy

Volume 6, Issue 4 , October 2018, Pages 376-378

Abstract
  Surgical abortion is one of the leading causes of maternal mortality, constituting up to 20% of maternal deaths. Uterine perforation is a rare complication, accounting for4% of all the abortion related complications. Intestinal injury with uterine perforation following termination of pregnancy is even ...  Read More