Review Article
Self-immolation in Iran: Systematic Review and Meta-analysis

Mohammad Saadati; Saber Azami-aghdash; Mahdiyeh Heydari; Naser Derakhshani; Ramin Rezapour

Volume 7, Issue 1 , January 2019, Pages 1-8

  Objective: To perform a systematic review and meta-analysis of self-immolation epidemiology and characteristics in Iran.Methods: This was a systematic review and meta-analysis study. PubMed, Scopus, Web of science and Science Direct were searched for English literature and SID and Magiran for Persian ...  Read More

Review Article
Features and Results of Conducted Studies Using a Lean Management Approach in Emergency Department in Hospital: A Systematic Review

Haleh Mousavi Isfahani; Sogand Tourani; Hesam Seyedin

Volume 7, Issue 1 , January 2019, Pages 9-20

  Objective: To perform a systematic review of the properties and results of the studies that their approaches are lean management in emergency departments and the factors which influence on their performance.          Method: The necessary information in the ...  Read More

Review Article
Shock Index as a Predictor of Post-Intubation Hypotension and Cardiac Arrest; A Review of the Current Evidence

Saqer M Althunayyan

Volume 7, Issue 1 , January 2019, Pages 21-27

  Endotracheal intubation is a lifesaving procedure that is performed in various settings within the hospital or even in the pre-hospital field. However, it can result in serious hemodynamic complications, such as post-intubation hypotension (PIH) and cardiac arrest. The most promising predictor of such ...  Read More

Original Article
Effect of Local Administration of Verapamil Combined with Chitosan Based Hybrid Nanofiber Conduit on Transected Sciatic Nerve in Rat

Mahan Alizadeh- Mohajer; Abbas Raisi; Ghasem Farjanikish; Rahim Mohammadi

Volume 7, Issue 1 , January 2019, Pages 28-34

  Objective: To assess the effect of locally administered verapamil on transected peripheral nerve regeneration and functional recovery.Methods: Sixty male healthy white Wistar rats were divided into four experimental groups (n=15), randomly: In transected group (TC), left sciatic nerve was transected ...  Read More

Original Article
Effects of Pyrroloquinoline Quinone (PQQ) on Ischemia-Reperfusion Injury in Rat Ovaries: Histological and Biochemical Assessments

Pegah Parhizkar; Rahim Mohammadi; Rasoul Shahrouz; Vahid Mohammadi

Volume 7, Issue 1 , January 2019, Pages 35-40

  Objective: To evaluate effects of pyrroloquinoline quinone (PQQ) on ischemia-reperfusion injury using a rat ovary model.Method: Thirty healthy female Wistar rats with 250g were randomized into five experimental groups (n = 6): Group SHAM: The rats underwent only laparotomy. Group Ischemia: A 3- hour ...  Read More

Original Article
Stereological Comparison of Imbibed Fibrinogen Gauze versus Simple Gauze in External Packing of Grade IV Liver Injury in Rats

Shahram Paydar; Golnoush Sadat Mahmoudi Nezhad; Mohammad Yasin Karami; Hossein Abdolrahimzadeh; Mojtaba Samadi; Alireza Makarem; Ali Noorafshan

Volume 7, Issue 1 , January 2019, Pages 41-48

  Objective: To evaluate the effect of imbibed fibrinogen gauze on survival, bleeding and healing in liver trauma.Methods: This animal experimental study was conducted on 20 adult male Sprague-Dawley rats; with a mean weight of 300±50 gram; divided into two groups. Grade IV injury was induced ...  Read More

Original Article
Non-Operative Management of Blunt Liver Trauma: Safety, Efficacy and Complications of a Standardized Treatment Protocol

Antonio Brillantino; Francesca Iacobellis; Patrizio Festa; Arianna Mottola; Ciro Acampora; Fabio Corvino; Santolo Del Giudice; Michele Lanza; Mariano Armellino; Raffaella Niola; Luigia Romano; Maurizio Castriconi; Maurizio De Palma; Giuseppe Noschese

Volume 7, Issue 1 , January 2019, Pages 49-54

  Objective: To evaluate the safety and effectiveness of NOM (nonoperative management) in the treatment of blunt liver trauma, following a standardized treatment protocol.Methods: All the hemodynamically stable patients with computed tomography (CT) diagnosis of blunt liver trauma underwent NOM. It included ...  Read More

The Value of Red Cell Distribution Width (RDW) and Trauma-Associated Severe Hemorrhage (TASH) in Predicting Hospital Mortality in Multiple Trauma Patients

Hamidreza Habibpour; Mehdi Torabi; Moghaddameh Mirzaee

Volume 7, Issue 1 , January 2019, Pages 55-59

  Objective: To investigate the role of red cell distribution width (RDW) in comparison with Trauma-Associated Severe Hemorrhage (TASH) system in predicting the mortality of multiple trauma patients, referred to the hospital emergency department.Methods: This follow-up study was conducted on multiple trauma ...  Read More

Prevalence and Socio-Economic Determinants of Disabilities Caused by Road Traffic Accidents in Iran; A National Survey

Payam Roshanfekr; Mohammad-Reza Khodaie-Ardakani; Hossein Malek Afzali Ardakani; Homeira Sajjadi

Volume 7, Issue 1 , January 2019, Pages 60-66

  Objective: To determine the prevalence and socio-economic disparity among victims with disabilities caused by RTAs in Iran as country with a high rate of accidents.Method: The source of data was the Iranian Multiple Indicator Demographic and Health Survey, a nationwide cross-sectional study. The ...  Read More

Case Report
Protocols for Point-of-Care-Ultrasound (POCUS) in a Patient with Sepsis; An Algorithmic Approach

Joaquin Valle Alonso; John Turpie; Islam Farhad; Gabrielle Ruffino

Volume 7, Issue 1 , January 2019, Pages 67-71

   Sepsis and septic shock remain a major cause of morbidity and mortality globally. In septic patient’s bedside physical examination can often be unhelpful in helping to identify the source of infection and, therefore, decide upon appropriate management. Protocols for point-of-care-ultrasound ...  Read More

Case Report
An Extremely Rare Complication of Widespread Retroperitoneal Abscess Originating from Anorectal Horseshoe Abscess

Faruk Pehlivanlı; Oktay Aydin; Gökhan Karaca; Gülçin Aydın; Çağatay Erden Daphan

Volume 7, Issue 1 , January 2019, Pages 72-75

  Retroperitoneal and horseshoe abscesses are particularly important because of the anatomic characteristics and the clinical differences between treatment approaches. There are several challenges in treating perirectal and retroperitoneal abscess, the most important of which are partial recovery, high ...  Read More

Case Report
Macular Branch Retinal Vein Occlusion as a Rare Complication of Periocular Scorpion Bite: A Case Report and Literature Review

Adel Hamid; Mohammad Shirvani; Mehrnoosh Maalhagh; Ali Rasti

Volume 7, Issue 1 , January 2019, Pages 76-79

  Scorpion bite has different manifestations in vital organs and may cause blindness secondary to involvement in the circulation of these vital organs. We report a case of abrupt vision loss and periorbital edema and redness due to scorpion bite in the eyebrow in an endemic region of southern Iran. A 45-year-old ...  Read More

Case Report
Talocalcaneal Coalition Including Open Comminuted Calcaneal Fracture; A Case Report and Literature Review

Uldis Berzins; Gloria Maria Hohenberger; Ines Vielgut; Renate Krassnig; Bore Bakota; Franz Josef Seibert

Volume 7, Issue 1 , January 2019, Pages 80-83

  Tarsal coalition is an often unrecognised cause of foot and ankle pain and represents a congenital osseous, cartilaginous or fibrous connection between two or more tarsal bones. Fractures in combination with tarsal coalitions are rarely described in the literature. We report the case of a 43-year-old ...  Read More

Case Report
Ultrasonography Application for Detection and Management of Pneumothorax following Pleural Catheter Insertion; A Case Report

Golnar Sabetian; Fatemeh Aalinezhad; Mansoor Masjedi; Shahram Paydar

Volume 7, Issue 1 , January 2019, Pages 84-87

  Pneumothorax as a complication of pleural catheter insertion could be very dangerous in patients under mechanical ventilation. In ICU patients, physical examination and supine chest x-ray (CXR) are poorly sensitive in diagnosis of pneumothorax. Moreover, CT scan has also disadvantages, such as radiation, ...  Read More

Clinical Images
Rhino-orbital Mucormycosis

Satvinder Singh Bakshi

Volume 7, Issue 1 , January 2019, Pages 88-89

  A 52-year-old male with type I diabetes since 16 years and chronic kidney disease since 10 years presented with pain and swelling of his right eye since 5 days associated with loss of vision since 3 days. On examination there was a blackish eschar in the right nasal cavity. Ophthalmologic examination ...  Read More

Letter to the Editor
High Risk Criteria in Level 2 May Provide a Source of Disagreement in Emergency Severity Index

Amir Mirhaghi; Mohsen Ebrahimi

Volume 7, Issue 1 , January 2019, Pages 90-91

  Dear Editor, With great interest we have read the outstanding publication in the recent Bulletin of Emergency and Trauma issue by Ghafarypour-Jahrom et al. entitled "Validity and Reliability of the Emergency Severity Index and Australasian Triage System in Pediatric Emergency Care of Mofid Children's ...  Read More