The effective relief of renal colic patients with low complications is one the important concerns emergency physicians. aim this study was to investigate use injectable ketamine as an alternative routine drugs in pain colic. This double-blind clinical trial conducted on who had suffered kidney due stones 2017, referred Ahvaz Imam Khomeini Hospital. Patients were divided into 2 groups: first group received intravenous (0.3 mg/kg) and second morphine (0.1 a form. Finally, mean evaluated before...

The present study seeks to find a way quickly and correctly differentiate myocardial infarction from unstable angina by measuring the creatine kinase-MB/creatine phosphokinase ratio comparing in non-ST elevation patients with at different time intervals, improve health quality of coronary artery disease.The is retrospective epidemiological analysis 260 angina, including age, sex, kinase-MB, biomarkers two-time referral (4-8 h onset pain) as first interval, 8 after sampling was extracted...

This study was designed to compare the analgesic efficacy of sublingual (SL) buprenorphine and intravenous (IV) ketorolac for renal colic pain relief.The present carried out as a double-blind, double-dummy randomized clinical trial in patients diagnosed with acute attending emergency department. The subjects were 63 confirmed stones. randomly divided into two groups. One group, which included 32 patients, received SL tablets (2 mg) an IV placebo, another including 31 tromethamine (30...

Vertigo is an illusion of rotation that caused by the asymmetry neurological function right and left vestibular nuclei. The aim this study was to compare efficacy side effects oral betahistine with injectable promethazine in treatment acute peripheral vertigo.In double-blind clinical trial study, patients vertigo were assigned two groups: receiving intramuscularly at a dose 25 mg (group A) 8 tablets B) severity their evaluated on visual analog scale (VAS) scoring system. In addition, adverse...

Fentanyl is a lipid soluble, highly potent opioid. The solubility of fentanyl makes it an ideal opioid to be administrated by inhalation. current study compared ketamine infusion and nebulized in bone fracture pain relief. In this double-blind, randomized clinical trial, patients aged 18 55 years who were admitted the emergency department (ED) with limb recruited. A total 127 included study, 51.1% (65) whom male 48.9% (62) female. divided equally into two groups: Group I received 100 cm3 IV...

Minor head trauma is due to the transfer of a mechanical energy brain caused by traumatic event. The present study was accomplished aiming investigate cleaved tau protein (CTP) as injury biomarker among patients with minor trauma.This observational performed on in 2017 who referred emergency department Imam Khomeini Hospital and Golestan Ahvaz, Iran. over age 16 years old trauma, had computed tomography (CT) scan at most 10 hrs after incident, consented participate study, were enrolled....

Introduction: Cryptococcosis is an opportunistic fungal infection mostly in immunocompromised patients. Here we present the immunocompetent case with crypotoccosis. Case Presentation: A 60-year-old man without any history of immunodeficiency or major risk factor infection, referred to emergency department systemic symptoms and low back pain. The patient’s condition gradually deteriorated within days by forming clinical picture a multi−system disease eventually leading fatal outcome....

Background: The present study was conducted to investigate the relationship between serum levels of enolase and pathological findings obtained from CT scans brain in children with mild blunt trauma help a more accurate diagnosis injuries.Methods: observational on presenting head traumas emergency department (ED) Golestan Hospital Ahvaz, Iran 2016.A venous blood sample immediately taken by ward nurse all eligible patients within 6 hrs incident after obtaining their information, performing...

Clinical Efficacy of Dexmedetomidine versus Ketamine in Shoulder Dislocation Reduction: A Randomized Trial Study

BACKGROUND: Pain relief, using opiates as a primary choice, is an important part of treating limb fractures.Yet, in order to reduce opiate consumption, other combinations have been introduced.This study aimed compare pain reduction by combination morphine-midazolam with morphine injection patients fractures. METHODS:A randomized double-blind upper or lower extremity fractures was conducted.Patients' response treatment either solution at 15, 30, 45, 60, 120, and 180 minutes were assessed.The...

Using alpha blockers such as intravenous (IV) lidocaine has been deemed effective in controlling acute pain. Therefore, the current study was designed with aim of evaluating efficiency IV comparison to fentanyl pain management patients renal colic emergency department (ED).In this double blind clinical trial, 18-65 year old that presented ED colicky flank and met inclusion criteria were allocated either or group using block randomization compared regarding severity 5, 10, 15, 30 minutes...

Objective: The main purpose in the treatment of renal colic patients emergency department is pain management. This study aimed to compare analgesic effects intravenous (IV) acetaminophen and morphine sulfate this regard. Methods: double blind clinical trial was conducted on >18 years old need management department. Pain severity recorded as 15, 30, 60 minutes before injection, 120 after injection. In addition, side were compared between IV groups using SPSS version 16. Results: A total 355...