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. ...
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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. At birth, the female neonate demonstrated developmental delay and neurological deficits (hypotonicity). Neuroimaging after birth revealed extreme dilatation of lateral ventricles, hypoplasia and aplasia of the brain. In 4 months, she had multiple morbidities including developmental delay, hypotonia, blindness, oropharyngeal dysphagia and simple partial seizure. Motor and response to stimulation was normal. Appropriate seatbelt usage can protect the fetus from sustaining severe intracranial injuries.
Mohammad Javad Moradian; Behnaz Rastegarfar; Ali Ardalan; Abbasali Keshtkar; Saharnaz Nejat
Volume 7, Issue 4 , October 2019, , Pages 431-432
Abstract
Dear Editor, We appreciate the interest of the authors in our article entitled “A productive proposed search syntax for health disaster preparedness research”. They have rightly emphasized on the standard reporting of systematic reviews. However, as it is clear from the title and objective ...
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Dear Editor, We appreciate the interest of the authors in our article entitled “A productive proposed search syntax for health disaster preparedness research”. They have rightly emphasized on the standard reporting of systematic reviews. However, as it is clear from the title and objective of the published article, we did not report results of a systematic review, our article instead aimed to present a syntax validation process which guide with creating a proper search strategy for systematic reviews on disaster preparedness [1-4].
Manouchehr Ghorbanpour; Hamid Reza Makarchian; Babak Yousefi; Mehrdad Taghipour
Volume 7, Issue 2 , April 2019, , Pages 196-198
Abstract
The HELLP syndrome is an important variant of pre-eclampsia which is known by triad of hemolysis (H), elevated liver enzymes (EL) and low platelet count (LP). Intraparenchymal liver hematoma is a rare and important complication of HELLP syndrome which is a life threatening condition. The incidence of ...
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The HELLP syndrome is an important variant of pre-eclampsia which is known by triad of hemolysis (H), elevated liver enzymes (EL) and low platelet count (LP). Intraparenchymal liver hematoma is a rare and important complication of HELLP syndrome which is a life threatening condition. The incidence of intraparenchymal hematoma of the liver has been reported to vary from 1 in each 40,000 to 250,000 deliveries worldwide. Herein we report a case of intraparenchymal liver hematoma following HELLP syndrome. An 18 year- old woman with moderate to severe preeclampsia after delivery, presented with Right upper quadrant (RUQ) pain and tachycardia and significant drop in hemoglobin level. Ultrasonography revealed intraparenchymal liver hematoma. This finding was also confirmed by computerized tomography (CT)-scan. Conservative treatment was applied and the patient improved without need of any surgical intervention. Spontaneous hepatic hematoma should always be considered as a life threatening and important complication of HELLP syndrome during pregnancy and it can be managed conservatively in a hemodynamically stable patient.
Mohammad Sadegh Masoudi; Saber Zafar Shamspour; Mohammad Ghasemi-Rad; Neda Soleimani; Abbas Rakhsha; Christie Lincoln
Volume 7, Issue 3 , July 2019, , Pages 324-329
Abstract
New onset seizures in pregnancy or the postpartum period can be of great importance and denote various underlying pathologies. Eclampsia and cerebrovascular accidents are common, and brain tumors are uncommon causes of postpartum seizures among others. Acute presentation of brain tumors in pregnancy ...
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New onset seizures in pregnancy or the postpartum period can be of great importance and denote various underlying pathologies. Eclampsia and cerebrovascular accidents are common, and brain tumors are uncommon causes of postpartum seizures among others. Acute presentation of brain tumors in pregnancy or the postpartum period is extremely rare. Meningiomas are the most common benign intracranial tumors. Although 1.3 to 2.4% of these benign tumors may bleed, acute presentation of them with hemorrhage is quite rare. Herein, we report a rare case of a 36-year-old lady who presented with severe headache, seizure, and loss of consciousness in the postpartum period, five days after delivery of a full-term baby. Primary emergency evaluation revealed an extra-axial lesion with subdural hemorrhage. A Decompressive craniectomy was performed, hematoma was evacuated, and the tumor was totally resected. Histopathologic evaluation was consistent with a fibroblastic meningioma (WHO grade I). She was discharged in good general condition. Our case highlights the significance of complete evaluation of patients with new-onset seizures in pregnancy or the postpartum period. Although uncommon, brain tumors in pregnancy can have potentially devastating outcomes which may necessitate prompt surgical intervention.
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 ...
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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 rare and is a potentially fatal complication with mortality of up to 10%. A 27-year-old G3P2L2 woman with 12 weeks of gestation referred to our hospital in hemorrhagic shock with a suspicion of uterine perforation following dilatation and curettage for termination of pregnancy. Patient underwent emergency laparotomy. She was found to have uterine perforation with mesenteric and ileal injuries intraoperatively. Perforation closure with ileoileal resection and anastomosis was done. Postoperatively the patient recovered completely. Prompt reporting/recognition of uterine perforation, preoperative resuscitation and early intervention are the most important steps in the management of patients with intestinal injury. Trauma surgeon should never hesitate or delay in considering an Emergency Laparotomy/laparoscopy in cases of suspected intestinal injury with uterine perforation. Emergency exploration decreases the morbidity and mortality to a great extent in patients with intestinal injury.
Mehrdad Amir-Behghadami; Ali Janati
Volume 7, Issue 4 , October 2019, , Pages 433-433
Abstract
In the original article entitled “Prognostic Value of P-POSSUM and Osteopenia for Predicting Mortality After Emergency Laparotomy in Geriatric Patients”[1] which was published in July 2019 issue of the journal, there was an error in the specified mortality outcome in the manuscript. The published ...
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In the original article entitled “Prognostic Value of P-POSSUM and Osteopenia for Predicting Mortality After Emergency Laparotomy in Geriatric Patients”[1] which was published in July 2019 issue of the journal, there was an error in the specified mortality outcome in the manuscript. The published version describes 30-day mortality, however, the correct outcome measure should be 90-day mortality throughout the article. The article has been corrected accordingly online.
Mahmoudreza Peyravi; Ali Asghar Peyvandi; Ali Khodadadi; Milad Ahmadi Marzaleh
Volume 7, Issue 2 , April 2019, , Pages 199-200
Abstract
Dear Editor,Extreme climatic changes have increased the frequency and intensity of natural disasters all over the world imposing disastrous effects on human life and environment[1]. One of the dangerous disasters is flood. Flood may happen due to extreme rain or human-made actions in shores[2]. This ...
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Dear Editor,Extreme climatic changes have increased the frequency and intensity of natural disasters all over the world imposing disastrous effects on human life and environment[1]. One of the dangerous disasters is flood. Flood may happen due to extreme rain or human-made actions in shores[2]. This report has investigated the feature and causes, actions taken, problems faced and lessons learned regarding flood management in Khuzestan province in Iran in January, 2019.
Gülçin Aydin; Bülent Bakar
Volume 7, Issue 3 , July 2019, , Pages 330-334
Abstract
Bonsai is a synthetic cannabinoid (SC) substance which can cause lung toxicity with chronic use. However, there are few case reports in literature related to bonsai-induced intracerebral hemorrhage in literature. A 25-year-old man presented at the Emergency Room (ER) with dyspnea, hemoptysis and agitation ...
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Bonsai is a synthetic cannabinoid (SC) substance which can cause lung toxicity with chronic use. However, there are few case reports in literature related to bonsai-induced intracerebral hemorrhage in literature. A 25-year-old man presented at the Emergency Room (ER) with dyspnea, hemoptysis and agitation subsequent to bonsai use. He became unconscious in ER and was then intubated and admitted to the intensive care unit (ICU). The cranial computed tomography (CT) scan was non-specific and a thoracic CT scan revealed consolidation and the appearance of “ground-glass” in the lung, and therefore, development of diffuse alveolar hemorrhage was considered. The patient recovered consciousness on the second day of hospitalization and was extubated. During follow-up, he lost consciousness once again and on the cranial CT images, hemorrhage areas located in the left frontal and right posterior parietal regions were observed. Nevertheless, no surgical intervention was considered. The patient recovered consciousness three weeks after the second intubation and was transferred to the psychiatry clinic. In patients with synthetic cannabinoid substance abuse, life-threatening intracranial complications in the early and/or late phase should be kept in mind in addition to respiratory and systemic complications in the acute phase.
Vikram Khanna
Volume 6, Issue 4 , October 2018, , Pages 379-380
Behnaz Rastegarfar; Ali Ardalan; Saharnaz Nejat; Abbasali Keshtkar; Mohammad Javad Moradian
Volume 7, Issue 4 , October 2019, , Pages 434-434
Abstract
In the original investigation entitled “Cervical Epidural Steroid Injection: Parasagittal versus Midline Approach in Patients with Unilateral Cervical Radicular Pain; A Randomized Clinical Trial.”[1] which was published in April 2019 issue of the journal, one author name has been unintentionally ...
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In the original investigation entitled “Cervical Epidural Steroid Injection: Parasagittal versus Midline Approach in Patients with Unilateral Cervical Radicular Pain; A Randomized Clinical Trial.”[1] which was published in April 2019 issue of the journal, one author name has been unintentionally omitted from the final draft and the affiliations were wrongly assigned. There is an error in the author list of this article, which should be corrected as follows: “Masoud Hashemi,1 Payman Dadkhah,1 Mehrdad Taheri,1 Ebrahim Golmakani,1,2 Kasra Dehghan,1 Rouhollah Valizadeh.3”. The affiliations are also corrected as follow: “1Pain Management Fellowship, Department of Anesthesiology, Anesthesiology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran; 2Department of Anesthesiology, Mashhad University of Medical Sciences, Mashhad, Iran; 3Department of Epidemiology, Student Research Committee, Iran University of Medical Sciences, Tehran, Iran”. The article was corrected online.
Mazlum Kılıç; Rohat Ak
Volume 7, Issue 3 , July 2019, , Pages 335-336
Abstract
A 59-year-old woman was admitted to the emergency department with complaints of redness and swelling in both eyes and face. She had a long history of headache, therefore applied leech treatment occasionally. Swelling began on the face after the treatment of leech therapy. Vital signs were as follows; ...
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A 59-year-old woman was admitted to the emergency department with complaints of redness and swelling in both eyes and face. She had a long history of headache, therefore applied leech treatment occasionally. Swelling began on the face after the treatment of leech therapy. Vital signs were as follows; fever: 36.5°C, BP: 126/81 mmHg, heart rate: 84/min and sO2: 98%; respiratory rate: 12/min. In physical examination, GCS was 15, conscious, oriented cooperative. There was no lymphadenopathy in the palpation of the head and neck examination.
Best Reviewers
Volume 6, Issue 4 , October 2018, , Pages 381-382
MohammadBagher Shamsi; Morteza Arab-Zozani; Maryam Mirzaei
Volume 7, Issue 3 , July 2019, , Pages 337-338
Abstract
DearEditor,
We were interested to read a systematic review article that was recently published in the Bulletin of Emergency and Trauma journal (volume 6, issue 2) [1]. The aim of authors was to review the evidences to evaluate the effectiveness of the RUSH protocol in determining the ...
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DearEditor,
We were interested to read a systematic review article that was recently published in the Bulletin of Emergency and Trauma journal (volume 6, issue 2) [1]. The aim of authors was to review the evidences to evaluate the effectiveness of the RUSH protocol in determining the exact types of shock in patients referred to the emergency department. We recognize that there are some incorrect approaches to reporting of this precious work. In our overview, authors presented data through literature search using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) flowchart in the methods section. Data from literature search must be addressed to the result section. This data are not the subsections under the methods section.
Behrouz Samei; Javad Babaie; Jafar Sadegh Tabrizi; Homayoun Sadeghi-bazargani; Saber Azami-Aghdash; Naser Derakhshani; Ramin Rezapour
Volume 11, Issue 3 , July 2023, , Pages 109-118
Abstract
Objective: This study aimed to comprehensively determine the factors that affect the hospitals’ functionalpreparedness in response to disasters.Methods: A systematic review of studies published in English and Persian up to the end of 2022 was performedby searching PubMed Central, Web of Science, ...
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Objective: This study aimed to comprehensively determine the factors that affect the hospitals’ functionalpreparedness in response to disasters.Methods: A systematic review of studies published in English and Persian up to the end of 2022 was performedby searching PubMed Central, Web of Science, Scopus, ProQuest, SID, and Elmnet databases. Articles thatassessed hospitals’ functional preparedness were searched by using a combination of medical subject headingterms and keywords including disaster, emergency, preparedness, hospital preparedness, health care facilitiespreparedness, hospital functional preparedness, health care facilities functional preparedness, readiness, andeffective factors. Additionally, journals and gray literature were manually searched. Two independent reviewersscreened the eligible papers. The inclusion criteria were the full text should be published up to the end of 2022,in both Persian and English, and focus on hospital preparedness. The extracted data were manually analyzed,summarized, and reported using the content analysis method.Results: Of the 3465 articles, 105 studies were eventually included in the final analysis. Eighty-two influentialfactors were identified and classified into seven categories: government, coordination, control, and commanding(7 factors), existing guidelines and preparedness plans (12 factors), regulations (6 factors), supplying of resources(37 factors), education and training (8 factors), multi-layered information management and communicationsystems (8 factors), and contextual factors (4 factors).Conclusion: There are different dimensions of hospital preparedness for disasters, each of which is influencedby several independent factors. Addressing these factors will enhance the actual functional preparedness ofhospitals encountering disasters.
Seyed Mohammad Hosseininejad; Farzad Bozorgi; Seyyed Hosein Montazar; Reza Ali Mohammadpour; Gholamhossein Hajiaghaei
Volume 11, Issue 3 , July 2023, , Pages 119-124
Abstract
Objective: To investigate the use of prognostic markers such as C-reactive protein (CRP) and D-dimer forclinical outcomes in patients with mild traumatic brain injury (TBI).Methods: This cross-sectional study was conducted on patients with mild head trauma who were admittedto the Emergency Department ...
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Objective: To investigate the use of prognostic markers such as C-reactive protein (CRP) and D-dimer forclinical outcomes in patients with mild traumatic brain injury (TBI).Methods: This cross-sectional study was conducted on patients with mild head trauma who were admittedto the Emergency Department of Imam Khomeini Hospital (Sari, Iran). Data were collected from 2018 to2019. Age, sex, the time of injury hospitalization, length of hospitalization, length of unconsciousness, bloodpressure, heart rate, respiratory rate, and concomitant symptoms were all recorded using a pre-designedchecklist. The patient’s Glasgow Coma Scale (GCS), CRP, and D-dimer were also measured. Moreover, allpatients underwent CT scan.Results: This study included 74 patients with TBI. The mean age of the participants was 36.92±3.54. Themean CRP and D-dimer values were 5.69±0.77 and 0.58±0.11 in these patients, respectively. At the cut-offpoint of 11.50 for CRP, the sensitivity and specificity to detect the pathological lesions in CT scan was 75%and 95.50%, respectively (p<0.001). Additionally, with a D-dimer cut-off point of 0.90, the sensitivity andspecificity for diagnosing pathological lesions in CT scan were 100% and 98.50%, respectively (p<0.001).Conclusion: In general, the CRP and D-dimer levels of patients with mild TBI (GCS≥13) can be assessed toprotect against CT-induced radiation exposure and subsequent disorders; if they do not exhibit clinical signs toincrease the risk of adverse brain damage, such as reduced level of consciousness, drowsiness, and prolongedperiods of unconsciousness.
Fatemeh Jahanjoo; Homayoun Sadeghi-Bazargani; Seyyed Teymoor Hosseini; Mina Goletsani; Mahdi Rezaei; Kavous Shahsavari; Hamid Soori; Mohammad asghari Jafarabadi
Volume 11, Issue 3 , July 2023, , Pages 125-131
Abstract
Objective: To determine the causal relationship between aging and nighttime driving and the odds of injuryamong elderly drivers.Methods: In this cross-sectional study, 5460 car accidents were investigated from 2015 to 2016. The data wereextracted from the Iranian Integrated Road Traffic Injury Registry ...
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Objective: To determine the causal relationship between aging and nighttime driving and the odds of injuryamong elderly drivers.Methods: In this cross-sectional study, 5460 car accidents were investigated from 2015 to 2016. The data wereextracted from the Iranian Integrated Road Traffic Injury Registry System. Pedestrian accidents, motorcyclecrashes, and fatalities were excluded from the study. To account for major confounders, Bayesian-LASSO, andtreatment-effect cutting-edge approaches were used.Results: Overall, 801 injuries (14.67%) were evaluated. The results of the univariable analysis indicated thataging and nighttime had adverse effects on the odds of road traffic injuries (RTIs), even after adjusting forthe effect of other variables, these effects remained statistically significant. According to a newly developedapproach, the overall effects of aging and nighttime were significantly and directly correlated with the odds ofbeing injured for older adults (both p<0.001). Our findings indicated that drivers over 75 years old experienced23% higher injury odds (OR=1.23, 95% CI:1.11 to 1.39; p<0.001), while driving at night increased the odds by1.78 times (OR=1.78, 95% CI:1.51 to 1.83; p<0.001).Conclusion: Aging and nighttime driving are significant risk factors for RTIs among elderly drivers. Thishighlights the importance of implementing targeted interventions to enhance road safety for this vulnerablepopulation. Furthermore, the use of advanced Bayesian-LASSO and treatment-effect statistical methodshighlights the importance of utilizing sophisticated methodologies in epidemiological research to effectivelycapture and adjust for potential confounding factors.
Maryam Hosseini; Leila Shayan; Mahnaz Yadollahi; Mehrdad Karajizadeh
Volume 11, Issue 3 , July 2023, , Pages 132-137
Abstract
Objective: To identify the distinctive features of acutely injured patients who were presented to the emergency department (ED) and their association with mortality and surgical intervention outcomes.Methods: This cross-sectional study was conducted on all trauma patients resuscitated in the ED of ShahidRajaee ...
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Objective: To identify the distinctive features of acutely injured patients who were presented to the emergency department (ED) and their association with mortality and surgical intervention outcomes.Methods: This cross-sectional study was conducted on all trauma patients resuscitated in the ED of ShahidRajaee (Emtiaz) Trauma Hospital (Shiraz, Iran) from May 2018 to June 2019. Demographic information, themechanism of trauma, trauma type, injured body regions, criteria of abbreviated injury scale (AIS) score,injury severity score (ISS), and surgical intervention was all taken into consideration. The items related to themortality and surgical performance outcomes among the patients were analyzed.Results: Of all 1281 cases, 82.9% were men, and the mean age of the patients was 37.9±19.1 years. The mostcommon mechanism of injury was a car accident, and the thorax was the most prevalent injured area of thebody. The majority of the patients had moderate blunt trauma. The mechanism of trauma, ISS, and the severityof head trauma were all significantly correlated with operation interventions. Moreover, age, the mechanismand type of trauma, ISS, and the necessity for the surgery were significantly associated with death occurrence.Additionally, head, thorax, and abdomen trauma were significantly related to a high mortality rate.Conclusion: Age, trauma mechanism and type, ISS, and the necessity for surgery were significantly associatedwith the mortality rate of injured patients. The severity of the trauma, particularly head injuries and themechanism of damage were important determinants in concern for surgery the necessity.
Maryam Asadi Aghajari; Elnaz Hashemzadeh; Sevda Fazlizade; Mansour Ojaghloo; Leila Ghanbari-Afra; Zeinab Ghahremani; Mohammad Abdi
Volume 11, Issue 3 , July 2023, , Pages 138-145
Abstract
Objective: Emergency medical technicians (EMTs) are at risk of developing post-traumatic stress disorder(PTSD) as a result of seeing painful events involving suspected COVID-19 patients and being concerned aboutpotentially infecting themselves and their families. Therefore, screening for these disorders ...
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Objective: Emergency medical technicians (EMTs) are at risk of developing post-traumatic stress disorder(PTSD) as a result of seeing painful events involving suspected COVID-19 patients and being concerned aboutpotentially infecting themselves and their families. Therefore, screening for these disorders is essential in thepost-Corona era. This study aimed to investigate the prevalence of PTSD among EMTs and its relationship withoccupational stress and depression when dealing with patients with suspected COVID-19.Methods: This cross-sectional study was conducted on EMTs at Zanjan University of Medical Sciences usinga convenience sampling method. Data were collected using a demographic information questionnaire, PTSDchecklist, occupational stress questionnaire, and the Goldberg depression scale. The data were analyzed using SPSSsoftware. Statistical tests such as Pearson correlation and logistic regression analysis were used to evaluate the data.Result: 205 EMTs participated in this cross-sectional study. The mean and standard deviation of PTSD was37.13±12.93 (17-85), and according to the cut-off (45), the prevalence of PTSD was 30.7%. There was a direct andsignificant association between the total PTSD and depression scores (r=0.435, p=0.001). Some occupational stressdomains, such as demand (r=0.306, p=0.001), colleague support (r=0.149, p=0.033), and communication (r=0.293,p=0.001) had a significant association with PTSD. The domains of sadness in depression (OR=1.074, p=0.027)and demands in occupational stress (OR=1.872, p=0.029) were the most important predictors of PTSD. Amongdemographic variables, employment status was the most important protective factor for PTSD (OR=0.378, p=0.038).Conclusion: PTSD affected one-third of EMTs, and it had a significant relationship with various dimensionsof depression and occupational stress. Due to the chronic nature of these diseases, policymakers are advised toprioritize psychological screening of EMTs as part of the post-Corona policy.
Mohammad Gholami; sina valiee; naser kamyari; salam vatandost
Volume 11, Issue 3 , July 2023, , Pages 146-153
Abstract
Objective: Breaking bad news (BBN) is a critical aspect of healthcare delivery that can have significantimplications for patients’ outcomes. Inadequate and inappropriate delivery of bad news can result in detrimentalpsychological and emotional effects. This study aimed to compare the performance ...
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Objective: Breaking bad news (BBN) is a critical aspect of healthcare delivery that can have significantimplications for patients’ outcomes. Inadequate and inappropriate delivery of bad news can result in detrimentalpsychological and emotional effects. This study aimed to compare the performance of emergency department(ED) personnel and patients’ preferences in BBN.Methods: This descriptive-analytical study was conducted in 2022, and 135 patients who were admitted to theED were included using quota sampling. Data were collected using a demographic questionnaire, a researchermadequestionnaire, and a standard questionnaire on attitudes toward the methods of BBN in the ED. The datawere analyzed using SPSS software (version 16), and a p-value<0.05 was considered statistically significant.Results: The results showed that the majority of patients (69.6%) received bad news from nurses. Based on theconditions mentioned in the standard questionnaire, the overall performance of personnel was 6.08±4.22 out of19, while the overall attitude score (59.66±7.66 out of 76) revealed patients’ high tendency to receive bad news.There was a statistically significant difference between the total score of personnel performances and the totalscore of patients’ attitudes (p=0.001).Conclusion: The performance of ED personnel concerning patients’ attitudes toward the method of BBN inthe emergency department was not optimal. Therefore, it is recommended to implement appropriate trainingprograms for medical professionals, especially physicians, and nurses, to enhance their communication skillsand reduce the detrimental effects of inappropriate delivery of bad news in medical settings.
Peyman Saberian; Arman Shafiee; Parisa Hasani-Sharamin; Hosein Rafiemanesh; Alireza Baratloo
Volume 11, Issue 3 , July 2023, , Pages 154-161
Abstract
Objective: Considering the growing use of emergency medical services (EMS), we evaluated the level ofpublic awareness of emergency situations in Iran.Methods: This cross-sectional study was conducted from August 2021 to January 2023 on Iranian residentsin Tehran, who were older than 18 years old. The ...
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Objective: Considering the growing use of emergency medical services (EMS), we evaluated the level ofpublic awareness of emergency situations in Iran.Methods: This cross-sectional study was conducted from August 2021 to January 2023 on Iranian residentsin Tehran, who were older than 18 years old. The participants were directed to a URL for an online surveylink and asked to select their preferred options for the predetermined scenarios. We divided the participantsinto three groups: abuse, misuse, and non-use. At least 12 correct answers were required to qualify asacceptable knowledge and practice responses (KP score). Then, the relationship between participants’ baselinecharacteristics and their level of awareness was investigated.Results: Totally, 3864 people participated in the study, of whom 50.5% were men. The participants’ agesranged from 18 to 90 years old, with a mean age of 40.01±11.30 years. In general, the rate of abuse, misuse,and not-use in at least one scenario was 74.5%, 64%, and 70.4%, respectively. The results of the multivariableregression analysis indicated that female sex (OR=1.29), a higher education level (OR=3.36), a higher incomelevel (OR=1.64), and Turkish ethnicity (OR=1.20) were significantly associated with the correct KP score.Conclusion: The degree of inappropriate utilization of EMS services in Iran was significant. We found thatthe proper knowledge regarding the appropriate use of EMS was significantly associated with the participant’slevel of education, academic field, job, and income.
hossein abdolrahimzadeh fard; soheil bolandi; zahra mohammadi
Volume 11, Issue 3 , July 2023, , Pages 162-165
Abstract
Due to the specific features of the adrenal glands, traumatic adrenal injury is a rare phenomenon. Themajority of these rare types of traumas are caused by blunt force injuries and rarely by penetratingmechanisms. In such cases, a whole-body computed tomography scan is essential for early diagnosis.This ...
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Due to the specific features of the adrenal glands, traumatic adrenal injury is a rare phenomenon. Themajority of these rare types of traumas are caused by blunt force injuries and rarely by penetratingmechanisms. In such cases, a whole-body computed tomography scan is essential for early diagnosis.This paper describes an uncommon case of adrenal hematoma and contusion followed by blunt abdominaltrauma. A 35-year-old woman was admitted to the emergency department after a high-speed vehicle-pedestriancollision. She presented with decreasing level of consciousness. Additionally, a thoracoabdominal CT scanrevealed a left flank hematoma. Blunt adrenal injury, often accompanied by multiorgan damage, is a rareoccurrence resulting from severe accidents. Accurate diagnosis based on clinical symptoms requires highclinical suspicion, particularly in isolated cases, and treatment depends on the patient’s condition.
MohammadBagher Shamsi; Zeinab Rahimzadeh Sani; Maryam Mirzaei
Volume 8, Issue 4 , October 2020, , Pages 253-254
