Emergency (Tehran, Iran)
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Emergency (Tehran, Iran) · Jan 2014
Effects of Intravenous Fluid Therapy on Clinical and Biochemical Parameters of Trauma Patients.
The administration of crystalloid fluids is considered as the first line treatment in management of trauma patients. Infusion of intravenous fluids leads to various changes in hemodynamic, metabolic and coagulation profiles of these patients. The present study attempted to survey some of these changes in patients with mild severity trauma following normal saline infusion. ⋯ It seems that, the infusion of one liter normal saline during one hour will cause a statistically significant decrease in Hb, Hct, WBC, platelet, BUN, BE, HCO3, and PCO2 in trauma patients with mild severity of injury and stable condition. The changes in, coagulation profiles, pH, PvO2, and electrolytes were not statistically remarkable.
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Emergency (Tehran, Iran) · Jan 2014
Short-Term Outcome of Discharged Low-Risk Chest Pain without Provoke Ischemia Study.
Chest pain is a common problem in patients referring to emergency units. The present study was undertaken to evaluate the short-term outcome of patients presenting with a low risk chest pain and discharging without provoke ischemia study during emergency department admission. ⋯ Based on the results of the present study, prevalence of cardiac etiology in patients with low risk chest pain was 2.8% and one-month follow-up did not reveal any complications or serious problems in such cases.
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Emergency (Tehran, Iran) · Jan 2014
The Effect of Intravenous Ketamine in Suicidal Ideation of Emergency Department Patients.
Suicidal ideation is an emergent problem in the Emergency Department (ED) that often complicates patient disposition and discharge. It has been shown that ketamine possesses fast acting antidepressant and anti-suicidal effects. This study was conducted to examine the effects of a single intravenous bolus of ketamine on patients with suicidal ideations in ED. ⋯ It seems that Ketamine could not be a good choice for fast reduction of suicidal ideations in ED patients. Further studies are needed to determine the optimal dose of ketamine for different patients.
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Emergency (Tehran, Iran) · Jan 2014
Case ReportsA 55-Year Old Man with Acute Painful Flank Mass, a Case Report.
Lumbar hernias (LH) accounts for less than 1.5% of total hernia incidence. It can occur in two separate triangular areas of the flank. ⋯ The mass was appeared about three hours before admission and his pain was slight at first but became more severe gradually. He had stable vital sign and the only positive finding on his physical examination was the sphere shape, firm, mobile, and mild tender mass at his left flank.
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Emergency (Tehran, Iran) · Jan 2014
A Retrospective Analysis of the Burn Injury Patients Records in the Emergency Department, an Epidemiologic Study.
Burns can be very destructive, and severely endanger the health and lives of humans. It maybe cause disability and even psychological trauma in individuals. . Such an event can also lead to economic burden on victim's families and society. The aim of our study is to evaluate epidemiology and outcome of burn patients referring to emergency department. ⋯ This study revealed the most frequent burns are encountered in the age group of 0-6 years, percentage of <10%, second degree, upper extremities, indoor, and scalding from hot liquids. Increasing ESI severity, intentional burn, referring from other hospitals or clinics, and the percentage of burn were independent predictive factors for hospitalization.