Pubovaginal sling, the godfather of midurethral slings that remained so
Publication date: June 2015 Source:Journal of Acute Disease, Volume 4, Issue 2 Author(s): Diaa-Eldin Taha , Bassem S. Wadie Forty years ago, autologous fascial slings became the gold standard in the treatment of genuine stress incontinence. In 1996, a synthetic material sling was introduced to the urogynecological literature known as tension-free vaginal tape. Some years later, another synthetic tape was introduced through a novel trajectory: transobturator. Due the conception of most polypropylene synthetic tapes, scores of devices, applicators and tape designs evolved. Now, with reports surfacing in the urologic li...
Source: Journal of Acute Disease - April 26, 2015 Category: Emergency Medicine Source Type: research
Prognostic indicators in acute burned patients–a review
Publication date: June 2015 Source:Journal of Acute Disease, Volume 4, Issue 2 Author(s): Sherif Emara Burn trauma is in need for prognostic indicators or admission scores. This aims for realistic documentation of the burn injury, expectation of the prognosis, and to facilitate a patient stratification to evaluate therapeutic strategies. A computer search through different medical websites was performed looking for articles correlating prognosis with different burn indices. These were carefully summarized and analyzed for this review. Variable studies were found related to that issue; the reliable indicators found had...
Source: Journal of Acute Disease - April 26, 2015 Category: Emergency Medicine Source Type: research
Hearing evaluation in patients with chronic renal failure
Conclusions DPOAE raised the percentages of detection of SNHL indicating that it is a better technique than the conventional PTA for evaluation of hearing acuity. (Source: Journal of Acute Disease)
Source: Journal of Acute Disease - April 23, 2015 Category: Emergency Medicine Source Type: research
Craniectomy size, mortality, outcome and complications: a short summary
Publication date: March 2015 Source:Journal of Acute Disease, Volume 4, Issue 1 Author(s): Somsri Wiwanitkit , Viroj Wiwanitkit The craniectomy is an important surgical management for the problem of acute neurological disorder. It is widely practiced by neurosurgeons around the world. The technique for craniectomy is various and there are many new reports concerning on the size of craniectomy. In this short article, the authors discuss on the important topics about neurosurgery “craniectomy size, mortality, outcome and complications.” (Source: Journal of Acute Disease)
Source: Journal of Acute Disease - April 22, 2015 Category: Emergency Medicine Source Type: research
Is the early percutaneous spine total care to treat the polytrauma patient a good way?
We reported a case control to discuss about the early spinal total care associated at orthopedic total care in patients with multiple trauma. (Source: Journal of Acute Disease)
Source: Journal of Acute Disease - April 22, 2015 Category: Emergency Medicine Source Type: research
Massive lower gastrointestinal bleeding after low anterior resection for middle rectal cancer – case report
Conclusions Angiography with angioembolization is an effective tool in emergency setting, avoiding the morbidity and associated mortality of a surgical reinervention. In early postoperative hemorrhages, only a rapid clinical recognition, a personalized diagnostic workup and an agressive intervention may offer the patient the best chances for cure. (Source: Journal of Acute Disease)
Source: Journal of Acute Disease - April 22, 2015 Category: Emergency Medicine Source Type: research
Factors predicting early outcome in patients admitted at emergency department with severe head trauma
Conclusions Improving pre-hospital care and ovoid futile resuscitation to given priority in resource allocation and urgent CT scan of the head to look for operable mass lesions as early detection should improve the prognosis of severe head injury at emergency department. (Source: Journal of Acute Disease)
Source: Journal of Acute Disease - April 22, 2015 Category: Emergency Medicine Source Type: research
The role of physician–staffed ambulances: the outcome of a pilot study
Conclusions Most of the missions neither required the interventional skills of a physician, nor could they be performed at distance. However, the added medical value of physicians was found to be in other prehospital situations, such as critical decision-making, staff education and research. (Source: Journal of Acute Disease)
Source: Journal of Acute Disease - April 22, 2015 Category: Emergency Medicine Source Type: research
Hypoglycemia in Emergency Department
Conclusions When hypoglycemic patients present in the emergency department, physicians should pay attention to the presence of infection, malignancy, liver diseases (liver cirrhosis and biliary tract infection), and acute renal failure. (Source: Journal of Acute Disease)
Source: Journal of Acute Disease - April 22, 2015 Category: Emergency Medicine Source Type: research
Diagnostic accuracy on the management of acute paediatric urinary tract infection in a general paediatric unit
Conclusions UTI can be difficult to accurately diagnosis in certain clinical cases. Decisions made should be individualized and tailored according to clinical suspicion and presentation of the patients. Improvement to ensure accurate diagnosis is vital to ensure correct data capture in the HIPE system thus giving valuable information and resource for future care. (Source: Journal of Acute Disease)
Source: Journal of Acute Disease - April 22, 2015 Category: Emergency Medicine Source Type: research
Developing risk factors for post traumatic empyema in patients with chest trauma
Conclusions The posttraumatic empyema is a complication that occurs in patients with thoracic trauma. One of the most important risk factors is coagulated hemothorax which could be identified and treated in time to avoid comorbidities during hospital stay. (Source: Journal of Acute Disease)
Source: Journal of Acute Disease - April 22, 2015 Category: Emergency Medicine Source Type: research
Factors leading to poor outcome of noninvasive positive pressure ventilation in acute exacerbation of chronic obstructive pulmonary disease
Conclusions In this study, NIPPV was successful in 77.4% cases and 22.6% cases were underwent endotracheal intubation. Pedal edema was the most common factor leading to poor outcomes while age >60 years was the least common factor, 66.2% and 24.2% respectively. (Source: Journal of Acute Disease)
Source: Journal of Acute Disease - April 22, 2015 Category: Emergency Medicine Source Type: research
STREET: Swedish Tool for Risk/Resource Estimation at EvenTs. Part one, risk assessment – face validity and inter–rater reliability
Conclusions The collaboration tool, “STREET”, showed acceptable reliability and validity to be used as a foundation for high reliability organization collaboration in a simulated environment. However, the lack of reliability in one of the cases highlights the challenges of creating measurable values from simulated cases. A study on real events can provide higher reliability but need, on the other hand, an already developed tool. (Source: Journal of Acute Disease)
Source: Journal of Acute Disease - April 22, 2015 Category: Emergency Medicine Source Type: research
The effect of an emergency department clinical “triggers” program based on abnormal vital signs
Conclusions In our model, the implementation of an ED triggers program resulted in a modest decreased time to physician evaluation and disposition decision but not time to intervention. (Source: Journal of Acute Disease)
Source: Journal of Acute Disease - April 22, 2015 Category: Emergency Medicine Source Type: research
Trypanocidal efficacy of two indigeneous ethanolic plant extracts (Mimosa pigra and Ipomoea asarifolia) against Trypanosoma evansi phospholipase A2 activity
Conclusions The low Ki values obtained for these extracts towards this enzyme are an indication of high affinity of the extract or the active components (present in the plants) are for these enzyme and therefore, could be explored to serve as a cheap source of T. evansi PLA2 antidote and as well help in designing a novel drug with high efficiency. (Source: Journal of Acute Disease)
Source: Journal of Acute Disease - April 22, 2015 Category: Emergency Medicine Source Type: research
