Statins are currently widely used in the prevention of coronary artery disease (CAD) primarily for lipid-lowering with a potential anti-inflammatory effect. However, it is not clear if their effects mediated through interleukin 6 (IL-6) signaling pathway.

Aims: Minor head injury (MHI) is a common seen in Emergency Departments (ED). Computed tomography (CT) scan of the brain good method investigation to diagnose intracranial lesions, but there disagreement about indications MHI patients. We surveyed post-traumatic symptoms, signs or past historical matters that can be used for indication CT scan. Materials and Methods: All patients with who were older than 2 years, had Glasgow Coma Scale (GCS) score ≥13 referred ED, underwent Data on age,...

<h3>OBJECTIVE:</h3> To examine the effect of nebulized furosemide as an adjunct to conventional treatment patients with COPD exacerbation in emergency department. <h3>METHODS:</h3> In this randomized double-blinded clinical trial, were receive 40 mg or placebo treatments. We recorded changes dyspnea severity (measured a visual analog scale), FEV₁, arterial blood gas measurements, pressure, heart rate, and breathing frequency at baseline 1 hour after treatment. <h3>RESULTS:</h3>...

Abstract Study objective We sought to determine the ability of lung point‐of‐care ultrasound (POCUS) predict mechanical ventilation and in‐hospital mortality in patients with coronavirus disease 2019 (COVID‐19). Methods This was a prospective observational study convenience sample confirmed COVID‐19 presenting 2 tertiary hospital emergency departments (EDs) Iran between March April 2020. An physician attending sonographer performed 12‐zone bilateral all patients. Research associates followed...

To evaluate validity of TRISS (Trauma score and injury severity score) method in trauma outcome analysis compare care at a university hospital, with the standards reported Major Trauma Outcome Study (MTOS).Analytical descriptive study.Khatam-ol-anbia University Hospital Zahedan, Iran, from March 22, 1997 to 21, 1998.Seven hundred sixty eight consecutive patients multiple were included study. Survival was completed for all patients.The majority men (82%), average age 23 years. Seven one (91%)...

Knowledge of intravascular volume (IV) status a hypotensive patient is utmost importance. Clinical evaluation and central venous pressure (CVP) measurement are routinely used as guide for IV in these patients. However, clinical assessment may be inaccurate, CVP invasive. Moreover, changes slowly with saline therapy, which unfavorable fluid resuscitation.Our aim to find the correlation sensitivity inferior vena cava (IVC) diameter measured by ultrasound provide noninvasive method among...

Trauma is the leading health concern among young adults. Blunt abdominal trauma (BAT) most common type of blunt traumas. BAT patients may prove normal in initial clinical assessments, but since time required for an intra-abdominal injury to be clinically apparent not predictable, deciding when safely discharge these could a dilemma. The purpose this study determine whether follow-up early discharged or further diagnostic assessment later with findings reveals any abnormal findings.Totally,...

Background . The ABCD2 score is now identified as a useful clinical prediction rule to determine the risk for stroke in days following brain ischemic attacks. Aim present study aimed introduce new scoring system named “ABCD2F” and compare its value with previous predict recurrent within 90 of initial cerebrovascular accident (CVA). Methods 138 consecutive patients final diagnosis CVA or TIAs who referred emergency ward Rasoul-e-Akram general hospital Tehran from September 2012 December 2013...

We report the case of a man who sustained craniofacial injury after spontaneous lateral airbag deployment resulting in his face being struck by car sunshade. This highlights potential damage that can be caused any object placed between and occupant.We 33-year-old Caucasian was driver frontal collision. He had opened sunshade turned it 90° towards left. As he driving, bus, causing driver's to spontaneously deploy. The pushed against injured him.Car sunshades cause significant injury. suggest...

Objective: The aim of this study was to determine the extent agreement on measured echographic ejection fraction by emergency medicine (EM) residents compared with a cardiologist. Materials and Methods: This conducted cardiac patients admitted hospital department in Tehran, Iran. A total 156 patient cases were reviewed. group trained EM evaluated (EF) these utilizing three different methods: Simpson’s method (N = 50), E-Point Septal Separation (EPSS, N 56), visual technique 50). final...

Background and Objective: As a significant number of patients diagnosed with transient ischemic attack (TIA) at emergency department are risk to develop TIA or cerebral vascular accident (CVA), several attempts have been made figure out predictive method detect those higher such attacks. Therefore, the present study was aimed evaluate role ABCD2 scoring including age, blood pressure, clinical features, duration, diabetes mellitus (DM), in predicting short term outcome presenting TIA.Methods:...

Objective: This study investigates the possible magnetic resonance imaging (MRI) findings in patients with cervical trauma having a normal level of consciousness and CT reports. These have tenderness or an uncomfortable feeling traumatized area as well. Methods: In this cross-sectional anterograde study, cases were selected among referred to emergency department Hafte Tir, Iran University Medical Sciences from 2012 2014. Inclusion criteria select were: age above 15, blunt neck trauma,...

Background: One of the main parts early treatment Acute Ischemic Stroke (AIS) is attitude and knowledge Emergency Medicine (EM) specialists. This study aimed to investigate emergency physicians working in Iran about prescription tissue Plasminogen Activator (tPA) AIS. Methods: was a cross-sectional questionnaire-based including EM different cities 2020. A previously used English questionnaire translated into Persian. After face validity reliability assessment, final designed as Google form...

Diffuse glioma is a primary brain tumor that originates from glial supportive cells and the most common type of intra-axial tumor. Open resection first step in treatment diffuse gliomas. The extent (EOR) directly influences clinical outcomes surgery. However, encountered with problem macroscopic even microscopic similarity normal Furthermore, maximizing EOR requires attention because mistake identifying preserving regions complete can lead to catastrophic complications.