Earthquake Preparedness in Iranian Hospitals: A Systematic Review and Meta-Analysis
Daem
Roshani
Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical
Sciences, Sanandaj, Iran
author
Aram
Karimian
Department of Emergency Medical Sciences, School of Paramedical Sciences, Kurdistan University of Medical Sciences, Sanandaj,
Iran
author
text
article
2021
eng
Objective: To assess the preparedness of Iranian hospitals against earthquake.Methods: In this systematic review, a query was carried out on PubMed, Scopus, Web of Sciences, Sid, Irandoc, Google scholar, and Magiran databases for articles published between 2000-2019. Statistical analysis was performed using Chi-square and I2 tests at a confidence interval of 95%. Finally, out of 7458 studies, 10 related articles were analyzed.Results: As evidenced by the obtained results, the highest readiness was obtained at 0.709 (95% CI: 0.49-0.88) in “disaster plan”, while the lowest readiness was reported at 0.455 (95% CI: 0.23-0.68) in “structural safety”. The overall earthquake preparedness of these hospitals was calculated at 0.47 (95% CI: 0.37-0.56).Conclusion: The results of the present study pointed to the moderate level of earthquake preparedness in Iranian hospitals. This finding highlights the necessity of a training plan and implementation of a national program in all hospitals of the country to increase earthquake preparedness.
Bulletin of Emergency And Trauma
Shiraz University of Medical Sciences
2322-2522
9
v.
1
no.
2021
1
8
https://beat.sums.ac.ir/article_47294_9bf5460b83c5371aec744e4f07a52bc7.pdf
dx.doi.org/10.30476/beat.2021.86968
The Comparison of Biomechanical Volar and Dorsal Plating in Distal Part Radius Fractures; a Finite Element Analysis Study
Ali
Ghaemmaghami
Department of Orthopedic Surgery, School of Medicine, AJA University of Medical Sciences, Tehran, Iran
author
Ehsan
Fallah
Department of Orthopedic Surgery, School of Medicine, AJA University of Medical Sciences, Tehran, Iran
author
Hamid
Namazi
Bone and Joint Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
author
Mohammad Taghi
Karimi
Rehabilitation Sciences Research Center, Shiraz University of Medical Sciences, Shiraz Iran
author
Seyed Iman
Houseini
Department of Mechanical and Aerospace Engineering, Shiraz University of Technology, Shiraz, Iran
author
text
article
2021
eng
Objective: To compare the stability of the radius stabilized fractured parts by volar and dorsal planting based on modeling approach. Methods: Ten forearm models were created based on Computed Tomography (CT) Scan images by using of Mimics software. The distal part fracture of radius was induced in the models. The stress were developed and implanted in various parts of the bone and and their displacement were evaluated in volar and dorsal inserted implants. Results: The results of this study showed that the stress developed in screws, implant and bony parts differed significantly between volar and dorsal plate conditions. The displacement of implant and bony parts in volar plating was more than dorsal plating (p=0.05). However, the screws displacement in dorsal plating significantly increased compared to volar plating. Conclusion: The stress developed in dorsal and volar implants is not too high to fail the structure. However, it seems that the irritation of soft tissue and tendon would be less in volar inserted implant than dorsal implant. It is recommended to use valor plating to be a good approach for stabilizing the distal part fracture of radius.
Bulletin of Emergency And Trauma
Shiraz University of Medical Sciences
2322-2522
9
v.
1
no.
2021
9
14
https://beat.sums.ac.ir/article_47374_376d6eb435f6901d246c233e5c065a3e.pdf
dx.doi.org/10.30476/beat.2020.86681
Diagnostic Value Evaluation of Bed Ultrasound Compared with Wound Openness to Diagnose Tendon Rupture in Penetrating Hand Trauma at Taleghani Hospital in Kermanshah, 2019
Amirhosein
Meisami
Department of Emergency Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran
author
text
article
2021
eng
Objective: To determine the sensitivity, specificity and accuracy of ultrasound to diagnose the patients with tendon rupture of upper extremity referred to Taleghani Hospital’s center of Kermanshah in 2019. Methods: This was a diagnostic value study which performed on 113 patients with non-fracture penetrating hand trauma. In the first stage, all patients have been diagnosed with tendon injury by a first-year resident and then ultrasound was performed by a trained 2nd year resident in emergency medicine ward and the results were recorded in a checklist. Further examination of the tendon was performed as well as exploring the site for the patients after the patient was transferred to the orthopaedic service. Final result was recorded in the checklist. Data were analysed by SPSS software and sensitivity and specificity of ultrasound have been calculated. Results: Results showed that ultrasound was able to identify 73 patients of 77 individuals with tendon injury. Of the patients with complete rupture, 45 individuals were correctly diagnosed based on the results of surgery in ultrasound test. Ultrasound and surgical findings were significantly different. Of the 36 individuals without confirmed rupture in surgery, 10 cases were diagnosed with tendon rupture by ultrasound. Of 52 cases of complete rupture based on surgical findings, 45 individuals were correctly diagnosed based on the results of surgery. Twenty-one patients were correctly diagnosed based on ultrasound out of 25 cases of partial rupture based on surgical findings. Conclusion: Overall, the results of the present study show that ultrasound is not very sensitive and specific in diagnosing of upper extremity tendon rupture and cannot be used as a reliable alternative in diagnosing of upper exteremity rupture; however, further studies is essential according to the limitations of this research. The limitations were low sample size in subgroups analysis based on the presence of complete or partial rupture and performing the ultrasound by an emergency medicine resident who is less experienced rather than radiologists.
Bulletin of Emergency And Trauma
Shiraz University of Medical Sciences
2322-2522
9
v.
1
no.
2021
15
20
https://beat.sums.ac.ir/article_47365_4dd5a97f50d0066eb8204623768c3f5c.pdf
dx.doi.org/10.30476/beat.2021.85570
Transferred Patients by Fars Province’s Helicopter Emergency Medical Service (HEMS); A 2-Years Cross-Sectional Study in Southern Iran
Seyed Mahmoudreza
Sajjadi
Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
author
Fatemeh
Rahmanian
Student Research Committee, Emergency Medicine Department, Faculty of Medicine, Shiraz University of Medical Sciences, Namazee Hospital, Shiraz, Iran
author
Razieh Sadat
Mousavi-Roknabadi
Community Medicine Specialist, Department of Emergency Medicine, Faculty of Medicine, Shiraz University of Medical Sciences, Namazee Hospital, Shiraz, Iran
author
Faramarz
Farahmand
Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
author
Afsaneh
Dehbozorgi
Department of Emergency Medicine, Faculty of Medicine, Shiraz University of Medical Sciences, Namazee Hospital, Shiraz, Iran
author
Hadid
Hamrah
Department of Emergency Medicine, Faculty of Medicine, Shiraz University of Medical Sciences, Namazee Hospital, Shiraz, Iran
author
Mohamad Javad
Moradian
Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
author
text
article
2021
eng
Objective: To investigate the patients transferred by helicopters, as well as an emergent medical services that were performed for them.Methods: In this retrospective cross-sectional study, all patients who were transferred by Fars province of Helicopter Emergency Medical Services (HEMS) to Shiraz hospitals, southern Iran (March 2017-March 2019) were investigated. Patients’ information was collected and analyzed includes age, gender, dispatch reason, trauma mechanisms, take hold of emergent medical services, as well as the air transportation time, time between dispatch from the origin hospital and starting the procedures, and patients’ outcome.Results: Eighty-three patients were enrolled with the mean±SD age of 36.9±19.47 years that 75.9% had trauma (p <0.0001). Mental status deterioration (25.3%) was the most dispatched indications. The mortality rate was 13.25% totally (11.11% in traumatic vs. 10% in non-traumatic). The mean±SD of air transportation time was significantly lower than ground transportation in both traumatic (p=0.0013) and non-traumatic (p <0.0001) patients. Also, the mean±SD of time between dispatch from the origin hospital and starting the procedures wasstatistically lower in air transportation in both traumatic (p=0.0028) and non-traumatic (p=0.0017) patients.Conclusion: Most of the patients transferred by HEMS were traumatic. The air transportation time as well as the time between dispatches from the origin hospital to the starting of the procedures were significantly lower in HEMS in comparison with ground transportation for both traumatic and non-traumatic patients.
Bulletin of Emergency And Trauma
Shiraz University of Medical Sciences
2322-2522
9
v.
1
no.
2021
21
27
https://beat.sums.ac.ir/article_47360_698b6747584443072da4b0ba60a3f6dd.pdf
dx.doi.org/10.30476/beat.2021.86919
Exploring the Factors Affecting Unsafe Antisocial Behaviors of Drivers in Iran: A Qualitative Study
Farshad
Faghisolouk
Department of Health in Disasters and Emergencies, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
author
Sanaz
Sohrabizadeh
2Safety Promotion and Injury Prevention Research Center, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
author
Hamid
Soori
Safety Promotion and Injury Prevention Research Center, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
author
Davoud
Khorasani-zavareh
Workplace Health Promotion Research Center (WHPRC), School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
author
text
article
2021
eng
Objective: To explore the factors affecting unsafe antisocial behaviors of drivers in the context of Iran.Methods: The interviews were conducted from June to November 2019. A number of 19 participants were selected using purposive sampling method. The data were collected using face to face in-depth semi-structured interviews. Content analysis using Granheim’s approach was applied for data analysis.Results: Seven categories and 14 sub-categories were extracted from the data. The categories included cultural factors, educational and training factors, laws, imitating, substance abuse, awareness and attitude, and psychological problems.Conclusion: Based on the findings, various cultural, legal, educational, individual and psychological factors affect the unsafe antisocial behavior in driving. Seemingly, such behaviors could increase the chance of death or injury caused by road traffic crashes among the road users and affect social welfare of the citizens and road user’s safety.
Bulletin of Emergency And Trauma
Shiraz University of Medical Sciences
2322-2522
9
v.
1
no.
2021
28
35
https://beat.sums.ac.ir/article_47280_05e99b5fb1f6770cfde4259357de2279.pdf
dx.doi.org/10.30476/beat.2021.87240
Analysis of Hospital Costs in Road Traffic Injuries
Sara
Emamgholipour
Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
author
Mehdi
Raadabadi
Trauma Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
author
MohammadHosein
Dehghani
Trauma Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
author
Saeed
Fallah Aliabadi
Department of health in emergencies and disaster, School of public Health, Shahid Sadoughi University of medical Sciences, Yazd, Iran
author
text
article
2021
eng
Objective: To investigate the factors affecting the hospital costs in the road traffic injuries.Methods: This applied study examined the information of patients presenting to Yazd Trauma Center in 2018. The data were extracted from Comprehensive Traffic Injuries System affiliated to the center, which were described with frequency, percentage, mean, and SD, and then analyzed using independent t-test and one-way ANOVA.Results: Most injuries (%66.4) are caused by motorcycle and pertained to head region (%61.8). Some significant correlations were found among gender, type of injury, patient’s final status, site of road accident, patient’s nationality, type of vehicle used at the time of accident, length of stay (hospital stay), patient’s age, and hospital costs (p <0.05). Moreover, the costs were higher in men, and in those with head and neck injuries, dead casualties, suburban high-way accidents, motor cyclists, hospital stay longer than three days, and older patients.Conclusion: Given the significant correlations between demographic and social variables under study, the results may be used in planning and designing strategies for controlling road traffic injuries and reducing the related hospitalization costs.
Bulletin of Emergency And Trauma
Shiraz University of Medical Sciences
2322-2522
9
v.
1
no.
2021
36
41
https://beat.sums.ac.ir/article_47323_88e99ed0787b8304317feaa2f5e24a95.pdf
dx.doi.org/10.30476/beat.2021.86855
Main Bronchus Penetration by Thoracostomy Tube: A Rare Inadvertent Complication
Parviz
Mardani
Department of Surgery, Shiraz University of Medical Sciences, Shiraz, Iran.
Thoracic and Vascular Surgery Research Center, Shiraz University of Medical Science, Shiraz, Iran
author
Reza
Shahriarirad
Thoracic and Vascular Surgery Research Center, Shiraz University of Medical Science, Shiraz, Iran
author
Amirhossein
Erfani
Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
Thoracic and Vascular Surgery Research Center, Shiraz University of Medical Science, Shiraz, Iran
author
Keivan
Ranjbar
Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
Thoracic and Vascular Surgery Research Center, Shiraz University of Medical Science, Shiraz, Iran
author
Bizhan
Ziaian
MD, Assistant Professor of Thoracic Surgery, Shiraz University of Medical Sciences, Shiraz, Iran
Thoracic and Vascular Surgery Research Center, Shiraz University of Medical Science, Shiraz, Iran
author
Armin
Amirian
Thoracic and Vascular Surgery Research Center, Shiraz University of Medical Science, Shiraz, Iran
Department of Surgery, Shiraz University of Medical Sciences, Shiraz, Iran.
author
Hamed
Ghoddusi Johari
Thoracic and Vascular Surgery Research Center, Shiraz University of Medical Science, Shiraz, Iran
author
text
article
2021
eng
Tube thoracostomy has been known to be a common and invasive, however not innocuous, procedure which is often life-saving. Though, numerous complications have been reported during executing this procedure. In this report, we describe a 27-year-old woman, case of multiple trauma due to car collision that was transferred to our service due to severe right side chest tube air leak and subcutaneous emphysema in which after proper evaluation, it was revealed that the chest tube crossed through the right pleural cavity and penetrated the bronchus intermedius. A literature search failed to identify a similar case. The misplacement was confirmed by fiber optic bronchoscopy and after surgical and intensive care management of the patient, she was dischargedwith an uneventful post-op course. This case noticeably determines that bearing in mind the extreme risks and the careful checks of the tube location are required, particularly in trauma patients, even in the absence of anatomical abnormalities.
Bulletin of Emergency And Trauma
Shiraz University of Medical Sciences
2322-2522
9
v.
1
no.
2021
42
45
https://beat.sums.ac.ir/article_47266_c7088e0768237da6ef437d69343e29b0.pdf
dx.doi.org/10.30476/beat.2020.85839
Solving The Problem of Fogged Eyewear in Orthopedic Surgeries in the COVID Scenario
Rizwan
Khan
Department of Orthopaedics, Hamdard Institute of Medical Sciences and Research, New Delhi, India
author
Arvind
Kumar
Department of Orthopaedics, Hamdard Institute of Medical Sciences and Research, New Delhi, India
author
Mukesh
Kumar
Department of Orthopaedics, Hamdard Institute of Medical Sciences and Research, New Delhi, India
author
Javed
Jameel
Department of Orthopaedics, Hamdard Institute of Medical Sciences and Research, New Delhi, India
author
text
article
2021
eng
The current COVID-19 situation has been taking a high toll on the healthcare workers who are at constant risk of exposure to the contagion, especially those who are involved in treating the COVID-19 infected patients. The risk of exposure is further high during the surgical procedures, considering the aerosol generation and prolonged contact with the patients. Performing orthopedic surgeries in PPEs (personal-protective-equipment) is not an easy task. Besides the cumbersome body coverage of PPE gown and hood, and the N95 masks which result in early fatigue and exhaustion, a constantly frustrating issue is the fogging of eyewear which limits surgeon’s vision and ability to perform fine tasks [1].
Bulletin of Emergency And Trauma
Shiraz University of Medical Sciences
2322-2522
9
v.
1
no.
2021
46
47
https://beat.sums.ac.ir/article_47271_a5e55025f6404b4bd1a897cf8ea7efb8.pdf
dx.doi.org/10.30476/beat.2021.86869.1171
Subtle Radiographic Findings of Thoracolumbar Fractures in Patients with Ankylosing Spinal Disease
Johannes
Gossner
Department of Diagnostic and Interventional Radiology, Evangelisches Krankenhaus Göttingen- Weende, An der Lutter 24, 37074, Göttingen, Germany
author
text
article
2021
eng
Ankylosing spinal disease (ASD) is a common clinical entity [1]. The main etiologies of ASD are diffuse idiopathic skeletal hyperostosis (DISH), ankylosing spondylitis and postoperative spinal fusion after removal of instrumentation. Because of the rigidity of the spine patients with ASD are prone to fractures even with minor trauma and unstable fracture patterns (distraction fractures and involvement of the posterior column) are common [1].
Bulletin of Emergency And Trauma
Shiraz University of Medical Sciences
2322-2522
9
v.
1
no.
2021
48
49
https://beat.sums.ac.ir/article_47273_799e14bb834ef54f7f081e3961071287.pdf
dx.doi.org/10.30476/beat.2021.86642