Little is known about biomarkers which are used to classification of patients in order diagnosis severity sepsis among clients emergency units. It seems that Lactate's clearance can be this regard. This study aimed determine the relationship between clearance, mortality and organ's dysfunction with severe sepsis.In 90 sepsis, were visited examined exactly. Para clinical tests, serum venous lactate, scores, Acute Physiology Chronic Health Evaluation II (APACHE-II) Sequential Organ Failure...

Objectives: To the best of knowledge, this was first study scapular manipulation technique (SMT) in Asia. We conducted prospective to report our experiences reducing anterior shoulder dislocation by SMT without analgesia a large group Iran. Methods: Scapular applied 111 patients presenting with ED largest teaching hospital north-east Iran between January 2009 and 2010. Reduction performed medication if unsuccessful, second attempt carried out i.v. injection midazolam. also evaluated pain...

Brucellosis is an endemic zoonotic disease, especially in the Middle East and Mediterranean regions can involve many organs tissue. Osteoarticular involvement most common complication. Spondylitis its prevalent clinical form adults, there may be difficult diagnosis treatment. In present study, we aimed to assess these diagnostic value of MRI, patients with spondylitis due brucella, comparing laboratory findings.Patients low back pain who were admitted Sheikhol-raees MRI center included this...

To accurately assess the mechanism, type and severity of injury in Iranian multiple trauma patients a center.Patients with traumas referring to emergency department Hasheminejad University Hospital Mashhad, Iran, entered this cross sectional study from March 2013 December 2013. All score (ISS) > 9 were included study. Data analysis was performed by SPSS software (Version 11.5) P values less than 0.05 considered as significant differences.Among 6306 hospitalized during period, 148 had ISS>9....

Article type Review article history The severe sepsis and septic shock are as common lethal that emergency physicians routinely confront. Actually, more than two thirds of patients present initially to the ED. Only a few laboratory tests for markers currently available. serum lactate level can help in determining prognosis risk-stratify with sepsis. This independent review literature includes 83 studies published all electronic-based database such Elsevier, PubMed, SID during last 18 years...

Cardiopulmonary arrest is the final result of many diseases and therefore, need for a careful implementation cardiopulmonary resuscitation (CPR) protocols in these cases undeniably important. The introduction ultrasound into emergency department has potentially allowed addition an extra data point decision about when to cease (CPR). aim this study evaluate ability cardiac ultrasonography performed by physicians predict outcome adult patients. Ultrasonographic examination subxiphoid area was...

Spontaneous pneumomediastinum is an unusual and benign condition in which air present mediastinum. A 20-year-old male patient presented to ED with complaint of hoarseness odynophagia from the day before, after weightlifting. The was nonsmoker denied history other diseases. On physical examination he had no dyspnea normal vital signs. Throat pulmonary auscultation were crepitation palpable. We could not find subcutaneous emphysema neck chest examination. In X-ray we found that around trachea....

Background: One of the main problems in treatment cases P. aeruginosa especially orthopedic infections is occurrence high antibiotic resistance.The present study was carried out order to investigate prevalence vancomycin-resistant trauma Iran.Methods: Two hundred and fifty swab samples were collected from site patients who referred wards Iranian health centers.Samples cultured immediately those that aeruginosa-positive analyzed by disk diffusion method.Results: Of 250 collected, 43 positive...

Introduction Cardio-pulmonary resuscitation or CPR includes a series of organized actions conducted on patients suffering from cardio-pulmonary arrest. It is an attempt to artificially preserve the respiratory and circulatory systems so that enough oxygen can be provided vital organs th

To evaluate the accuracy of five-level triage system using emergency severity index (ESI) and to determine compliance level with patient outcomes. This was a cross-sectional study which performed in department Imam Reza Hospital Mashhad during 2017. We included all adult patients (≥15 years age) referring department. The data were recorded questionnaire containing three sections including demographic information, results by ESI final outcome patient. Patients referred unit simultaneously...

The aim of this study was to evaluate the significance clinicopathological characteristics colorectal cancer patients undergoing emergency and elective surgery.In total, 116 tumors from treated surgically for at four hospitals in Tehran between 2008 2013 were analyzed current study.Our findings revealed that cases significantly more likely have an advanced TNM stage (p = 0.027) histologic grade 0.01) compared with patients. Furthermore, nature surgery associated vascular perineural invasion...

Abstract Anemia is a major global disease burden factor linked to an adverse impact on overall prognosis and negatively affects the quality of life. There are some suggested findings for anemia non-contrast chest CT, like relatively dense interventricular septum (septal sign) or fairly aortic wall (aortic ring sign). The measured attenuation value reproducible physical density measurement, readily obtainable from standard CT examination. no reliable cut-off blood suggest CT. In current...

Chest pain is one of the most common reasons for admitting patients to emergency room.The focus diagnostic process in chest at department identify both low and high risk an acute coronary syndrome (ACS).Numerous prediction scores have been developed fast accurate stratification ED, like HEART score that a new ED Pain score.In this prospective cohort study, we aimed evaluate efficacy 30 days major advanced cardiac events (MACE) patients.A total 100 unselected presented with Emam Reza Hospital...

The aim of the present study was to establish, having adjusted for case mix, size differences in postoperative mortality and 5-year survival between patients presenting as an emergency with evidence obstruction perforation association clinicopathological factors (bivariate analyses).The included 67 who presented colorectal cancer (CRC) 2009 2013 Iran. mean age 59.7 years. Of patients, 37 (55.22%) were male 30 (44.77%) female. Certain parameters that correlated CRC surgical treatment...

Background: Pseudomonas aeruginosa, a ubiquitous opportunistic pathogen, is one of the main causative agents human superficial infections. Infections due to these bacteria are difficult heal and cause serious economic issues. Objectives: The present study was carried out investigate antibiotic resistance pattern P. aeruginosa isolated from cases infections referred emergency health care units Iranian Hospitals. Materials Methods: Three hundred swab samples were collected patients with...

Introduction: Autoimmune progesterone dermatitis (APD) is an uncommon immunologic condition accompanied with dermatologic manifestations and caused by immune response to endogenous or exogenous in women during their reproductive years. We report a case of APD pregnant woman who received prevent preterm delivery. Case Presentation: A 28-year-old female was 17 weeks referred the emergency department complaint progressive edema dorsal side her right hand dyspnea. Intradermal skin test using 50...

Introduction Spread of the anesthesia area to places above site injection local anesthetics in cerebrospinal fluid will result unpleasnt sense breathing inability, heavy breath, hypoventilation, apnea, hypoxia, a sharp drop arterial blood pressure, heart b

Background: Methanol poisoning has increased in some countries after the recent coronavirus pandemic. This study aimed to investigate clinical and paraclinical findings of patients with methanol during COVID-19 pandemic.Methods: cross-sectional was conducted on diagnosed Imam Reza Hasheminezhad hospitals who were hospitalized from beginning March 2019 end April 2020. Clinical data extracted patients’ files subsequently categorized into three groups: deceased patients, living without...

BackgroundEasing renal colic (RC) pain is of the most important issues in emergency departments. This study was conducted to investigate analgesic effects intravenous paracetamol comparison acupressure and intramuscular diclofenac patients with RC.MethodsThis randomized clinical trial on 96 eligible RC, visiting Emergency Department Imam Reza Hospital Mashhad, Iran. The participants were selected by consecutive non-random sampling method, three groups, each comprising 32 participants. first...