A case of acute trans-scaphoid volar dislocation of the lunate into the distal forearm
We report the case of a patient with this injury. Open reduction, internal fixation and ligament repair were done. The patient had a good functional outcome. (Source: Journal of Acute Disease)
Source: Journal of Acute Disease - April 1, 2016 Category: Emergency Medicine Source Type: research
A rare case of isolated trapezium fracture in motorcycle polytrauma patient in emergency department
Publication date: Available online 2 April 2016 Source:Journal of Acute Disease Author(s): Giancarlo De Nigris, Gabriele Falzarano, Antonio Medici, Steven James Mccabe, Grubor Predrag, Maria Liberata Meccariello, Luigi Meccariello Medical staff hardly recognize fractures of trapezium due to the small size and the complex anatomy of the wrist and the hand. Seventy percent of all carpal fractures are scaphoid’s fractures. Only 0.4% of all carpal injuries are trapezial fractures. In this paper, we presented a case of a high speed trauma where there were only trapezial fractures. Origin, diagnosis, differen...
Source: Journal of Acute Disease - April 1, 2016 Category: Emergency Medicine Source Type: research
Study on acute burn injury survivors and the associated issues
Conclusions Surviving burn injury is associated with varied physical, social and psychological factors and survivors may need professional assistance to fully adjust after discharge. (Source: Journal of Acute Disease)
Source: Journal of Acute Disease - April 1, 2016 Category: Emergency Medicine Source Type: research
A case of stroke during cardiac catheterisation: It's not common, but it is a double whammy!
We report a case of a 57-year-old lady with acute myocardial infarction who developed stroke on the cardiac catheterisation table. The case illustrates the need for a protocol of care, vigilant cardiologist and staff who can recognise the symptoms and signs as well as good collaborative efforts between the cardiology, neurology and, at times, the interventional radiology teams. (Source: Journal of Acute Disease)
Source: Journal of Acute Disease - April 1, 2016 Category: Emergency Medicine Source Type: research
Acute patho-toxicological indicators of methaemoglobinemia
Publication date: Available online 2 April 2016 Source:Journal of Acute Disease Author(s): Paul Chidoka Chikezie, Charles Uche Ekechukwu Methaemoglobin is formed when the haem iron of deoxyhaemoglobin is oxidized from its ferrous (Fe2+) to the ferric state (Fe3+) resulting in a haemoglobin molecule that is structurally and functionally altered, which leads to tissue hypoxia and metabolic acidosis. Classifications of methaemoglobinemia are based on clinical history, causative agents, pattern of transmission and optical spectrum presentation of blood specimen and level of erythrocyte NADH-methaemoglobin reductase act...
Source: Journal of Acute Disease - April 1, 2016 Category: Emergency Medicine Source Type: research
The newest progress of research on acute trauma-induced coagulopathy
This article aims to focus on our updated acknowledges on the principal mechanisms and causes of the TIC. (Source: Journal of Acute Disease)
Source: Journal of Acute Disease - April 1, 2016 Category: Emergency Medicine Source Type: research
Carotid artery blowout producing massive hematemesis in the emergency department
Publication date: 1 March 2016 Source:Journal of Acute Disease, Volume 5, Issue 2 Author(s): Harrison K. Borno, Richard J. Menendez, John C. Chaloupka, Michael T. Dalley, David A. Farcy Carotid blowout syndrome (CBS) is a rare and fatal complication which arises from patients who have been treated for head and neck cancer. The incidence of CBS is rare and not commonly seen by emergency physicians. We review a case of a 68-year-old woman with a history of laryngectomy and chemo-radiation therapy presenting with massive oral bleeding and hypotension. Her course and treatments are highlighted, literature referr...
Source: Journal of Acute Disease - March 2, 2016 Category: Emergency Medicine Source Type: research
Pathological research on acute hepatic and renal tissue damage in Wistar rats induced by cocoa
Conclusions The pattern of alanine aminotransferase activity being more active than aspartate aminotransferase one in serum appeared to correlate with the extent of disarrangement of hepatic tissue architecture. The experimental rat groups exhibited no hyperbilirubinemia. Also, diets containing processed cocoa bean and raw cocoa bean products did not substantially interfere with the capacity of the hepatocytes to biosynthesize plasma proteins and the functionality of renal tissues. (Source: Journal of Acute Disease)
Source: Journal of Acute Disease - January 29, 2016 Category: Emergency Medicine Source Type: research
Evolving brain lesions in the follow-up CT scans 12 h after traumatic brain injury
Conclusions In case where the initial CT scan performed within 4 h of significant head injury was not correlated with the patient's neurology, it should be repeated within 12 h. (Source: Journal of Acute Disease)
Source: Journal of Acute Disease - January 20, 2016 Category: Emergency Medicine Source Type: research
Ventriculostomy related infection in intensive care unit: Diagnostic criteria and related conditions
Conclusions CSF routine cultures and biochemical studies are not recommended to diagnose VRI. Clinical signs, external ventricular drain manipulation and a drainage insertion over a week justify the routine measurement of proteinorrachia, glycorrhachia and the ratio of glycorrachia/glycemia. (Source: Journal of Acute Disease)
Source: Journal of Acute Disease - January 20, 2016 Category: Emergency Medicine Source Type: research
Displaced 3- and 4-part proximal humeral fractures: Evaluation and management with an intramedullary nail within 48 h, in the emergency department
Conclusions The nail utilized is provided with locking and multiplanar proximal screws and could be applied through a mini-invasive anterolateral approach. This enablesthe reduction of the fracture fragments, while preserving vascularization of the scapulo-humeral joint. Our results confirm that the indication of endomedullary nail could be extended to the treatment of complex proximal humeral fractures with 3 and 4 fragments (level of evidence IV). (Source: Journal of Acute Disease)
Source: Journal of Acute Disease - January 16, 2016 Category: Emergency Medicine Source Type: research
Time: the key element of the management of testicular torsion
Publication date: Available online 8 January 2016 Source:Journal of Acute Disease Author(s): Amin Zarghami, Hamid Shafi, Mostafa Mostafazadeh-Bora (Source: Journal of Acute Disease)
Source: Journal of Acute Disease - January 9, 2016 Category: Emergency Medicine Source Type: research
Resuscitation of sudden cardiac death caused by acute epileptic seizures: A case report
Publication date: Available online 8 January 2016 Source:Journal of Acute Disease Author(s): Dana-Oliviana Geavlete, Oana Ionita, Leonard Mandes, Iulia Kulcsar, Emanuel Stoica, Radu Ciudin, Cezar Macarie, Ovidiu Chioncel Symptomatic long QT syndrome in pediatric patients is a life-threatening condition. Sometimes, this pathology can be misdiagnosed and erroneously managed as generalized epilepsy due to similar clinical manifestations. The presented case discusses a 13-year-old female patient with generalized epilepsy since the age of 4, admitted for two episodes of resuscitated cardiac arrest due to tor...
Source: Journal of Acute Disease - January 9, 2016 Category: Emergency Medicine Source Type: research
Carotid artery blowout producing massive hematemesis in emergency department
Publication date: Available online 8 January 2016 Source:Journal of Acute Disease Author(s): Harrison K. Borno, Richard Menendez, John C. Chaloupka, Michael T. Dalley, David A. Farcy Carotid blowout syndrome (CBS) is a rare and fatal complication which arises from patients who have been treated for head and neck cancer. The incidence of CBS is rare and not commonly seen by emergency physicians. We review a case of a 68-year-old woman with a history of laryngectomy and chemo-radiation therapy presenting with massive oral bleeding and hypotension. Her course and treatments are highlighted, literatures referring...
Source: Journal of Acute Disease - January 9, 2016 Category: Emergency Medicine Source Type: research
Research on relation of mortality and hemodynamics in patients with an acute pelvic ring fracture
Conclusions Mortality in patients with a pelvic fracture is most often caused by hemorrhage or sequalae from hemorrhage. A standardized treatment protocol reduces mortality. (Source: Journal of Acute Disease)
Source: Journal of Acute Disease - January 9, 2016 Category: Emergency Medicine Source Type: research
