Abstract Background Superior vena cava (SVC) syndrome is an urgent condition arising from restricted blood flow through the SVC, often linked to factors like malignancy, thrombosis, or infections. Typically, confirmation of diagnosis involves computed tomography. However, many patients experience respiratory distress and cannot lie supine. Given increasing integration point-of-care ultrasound in emergency medicine, it important be familiar with findings that are suggestive this condition....

Electroencephalogram and neuroimaging in pediatric patients with new-onset afebrile seizures are performed to detect any underlying pathological severe condition that may require emergent neuro-intervention guide prognosis. This study aims determine the predictors of abnormal EEG children presenting emergency department seizures.This single-center cross-sectional was conducted at a tertiary care hospital Karachi, Pakistan, from July 01, 2019, June 30, 2021. All aged one month 18 years who...

Background: Sepsis is life-threatening organ dysfunction, and a global issue, with incidence mortality are around 49 M cases in 2017. Annual sepsis from Pakistan 1600-2500 per 100, 000 high of approx. 30%. This huge among septic shock low-income settings it necessary to implement focused effective triage tool prioritize categorize the sick patients bulk who attend ED identify those need be seen manage accordingly. Emergency severity index (ESI), widely acceptable that was developed assess...

The burden of time-sensitive illnesses that require emergency care, such as heart diseases, respiratory tract infections, and road traffic injuries, is the leading cause premature deaths. healthcare providers care system lack essential knowledge skills across different levels in our country. In this paper, we aim to describe development initial implementation a blended learning curriculum for teaching training non-EM-trained physicians working departments We used previously articulated...

Acute Severe Hypertension (ASH), presenting as a Hypertensive Emergency (HE) or Urgency (HU), is frequent reason for emergency department (ED) admissions. This study sought to assess the prevalence of ASH among adult ED patients in Pakistan and investigate all-cause mortality hospitalization rates over six months. We conducted prospective single-center cohort Karachi, Pakistan, from June 3, 2019, September 22, 2020. enrolled all male non-pregnant female with systolic blood pressure ≥180 mm...

Point of care ultrasound (POCUS) is “an ultrasonography performed at the bedside in real-time by treating physician.” It a powerful imaging modality used as an adjunct to physical examination and has gained momentum become future stethoscope. By using POCUS, physician performs all image acquisition interpretation uses information immediately address specific hypotheses guide ongoing therapy. There shred solid evidence that POCUS improves diagnosis management acutely unwell patients expanding...

Abstract Background Many physicians use point-of-care ultrasound (PoCUS) in their clinical practice to improve diagnostic capabilities, accuracy, and timeliness. Over the last two decades, of PoCUS emergency room has dramatically increased. This study aimed determine physicians’ retention knowledge skills after a brief training workshop on focused ultrasound-guided approach patient presenting with undifferentiated shock, shortness breath, cardiac arrest department tertiary care hospital. The...

Abstract Background Point-of-care ultrasound (POCUS) is becoming more prevalent in recent years for evaluating patients presenting with musculoskeletal injuries the emergency department (ED). This imaging modality has been utilized to diagnose soft tissue and bony accurately, obtain appropriate consultation, perform timely interventional procedures ED. Case presentation We present case of a 55-year-old man who presented ED significant left ankle pain following ground-level fall. His physical...

Abstract: Background: Healthcare sector of Pakistan is complex and changing rapidly. This transforming phase create more hurdles for employees especially healthcare managers. During this transition phase, managers are burdened with ncertainties adversities. Managing under these circumstances not an easy task as requires frequent adaptations. One the most important traits that can aid in adaptations resilience, which ignored management. Objectives: The first main objective study to assess...

Appointment of an intensivist to the nursing staff for better patient outcome with low level care has not been challenged before in studies. An only gives plan management but also can educate outcome.

Background: Low and middle-income countries, including Pakistan, encounter many acute, undifferentiated fevers in their emergency departments (EDs), especially the summer. There is a need to understand prevalence etiologies of fever create sustainable risk stratification systems better identification processes for more efficient treatments. This study aims determine patterns, causes, outcomes patients presenting ED with summer months Karachi, Pakistan. Patients methods: was cross-sectional...

POCUS is the acquisition, interpretation, and rapid clinical integration of ultrasonographic imaging performed by treating physician at patient’s bedside. It used in field Emergency Medicine to assist diagnosing managing various conditions ranging from undifferentiated shock, respiratory failure, cardiac arrest, which have shown a positive impact on decision-making, resulting decreased emergency department hospital length stay. also valuable diagnostic tool pediatric patients for whom...

Chemical disasters are common worldwide and result from technological failure, war, terrorism activities. Pakistan imports huge quantities of hazardous chemicals to meet its industrial energy needs. Hence there is a risk chemical disaster at the ports, during transportation such material processing in industry. This study aimed review challenges health outcomes cases soybean dust exposure Kemari district (harbor neighborhood) Karachi, Pakistan.A cross-sectional survey was conducted with all...

High-quality cardiopulmonary resuscitation (CPR) is the foundation of cardiac arrest resuscitation. Pneumoperitoneum due to gastric perforation a rare surgical complication CPR that, if left untreated, can result in significant morbidity and mortality.We present 51-year-old male patient with sealed who received an urgent but non-diagnostic exploratory laparotomy after initial esophageal intubation arrest, despite evidence pneumoperitoneum.It unusual experience spontaneous pneumoperitoneum We...