Abstract: Sudden unexpected death in epilepsy (SUDEP) refers to the sudden and of an epileptic patient with no other health issues, during normal activity, for whom particular cause can be found. The exact SUDEP has not been established yet; however, it is assumed caused by multiple organ failure involving respiratory cardiovascular systems. Some known risk factors are generalized tonic-clonic seizure, frequent early onset epilepsy, long duration nocturnal combined therapy antiepileptics. A...

We examined the impact of COVID-19 pandemic on emergency department length stay (EDLOS) and clinical outcomes patients with severe pneumonia admitted to intensive care unit (ICU) through (ED). This single-center retrospective observational study included adult ICU ED between January December 2019 (pre-pandemic) March 2020 February 2021 (during-pandemic). compared analyzed EDLOS by dividing it into pre-, mid-, post-EDLOS in-hospital mortality according time visits before during pandemic. Risk...

Perampanel (PER) is expanding the therapeutic scope for pediatric epilepsy owing to its efficacy and favorable safety profile. However, concerns about psychiatric behavioral adverse events (PBAEs) in combination therapy with levetiracetam (LEV) continue contribute hesitation prescription. We investigated risk profiles PBAEs when adding PER treatment analyzed differences according presence of concomitant LEV.

BACKGROUND:Snakebite envenoming results from injection of a mixture different toxins following snakebite. Coagulopathy and life-threatening hemorrhage can occur, or venom-induced consumption coagulopathy (VICC). A rare case is presented spontaneous splenic due to VICC that was successfully treated by non-surgical artery embolization. CASE REPORT:A 62-year-old man admitted the emergency department after an episode dizziness loss consciousness He transferred our hospital with hypotension...

Renal vein pseudoaneurysm after blunt trauma is an extremely rare clinical disease. Different interventions, such as conservative, surgical, and endovascular treatments, can be considered. However, previous studies have not described the optimal treatment strategies for this condition. Furthermore, there a significant lack of prior case reports standardized guidelines trauma-induced renal patients who previously maintained antithrombotic agent.A 23-year-old female patient visited emergency...

BACKGROUNDExacerbations of chronic obstructive pulmonary disease (COPD) are common and can be fatal. However, it is difficult to predict the in-hospital mortality, severity prognosis patients. Prognostic tools needed assess exacerbations COPD in emergency department. Towards this end, we compared DECAF (dyspnea, eosinopenia, consolidation, acidemia, atrial fibrillation) score with other prognostic available department.METHODSConsecutive patients admitted department were recruited. We CAPS...

Objective Especially in emergency departments (EDs), a lack of internal medicine (IM) residents charge causes difficulties medical care and ED overcrowding. Thus, protocols without IM EDs is needed. This study aimed to investigate changes when replaced the roles residents. Methods was conducted at single-site university center. The group contained patients admitted department between September December 2015, during which were absent ED. control 2014, present Changes presence absence studied...

Recurrent simple febrile seizure (SFS) refers to (FS) that recurs within 24 hours. Patients with recurrent SFS often undergo unnecessary neurodiagnostic tests. To address this, we compared the clinical characteristics of those and investigated risk factors associated SFS.

Purpose This study examined emergency medical service (EMS) transportation patterns for adult trauma patients before and after establishing a level 1 regional center (RTC) to evaluate the approach prehospital severity screening. Methods was retrospective observational of aged ≥18 years admitted via EMS department or RTC, year 3 RTC establishment. Patients with an Injury Severity Score (ISS) in patient registration system were selected. Analyses performed determine pattern changes by...

Introduction: Although cardiopulmonary resuscitation is an emergency life‐saving procedure, the intervention itself can cause major and often fatal injuries, with diaphragmatic rupture being very rare. This report describes a patient who experienced bilateral pneumothoraces, left rupture, pneumoperitoneum after extended resuscitation. Case presentation: A 90‐year‐old woman cardiac arrest. Spontaneous circulation was restored 49 min of performed by bystander, medical service providers,...

Studies have previously reported misidentifying Caltha palustris (C. palustris) as Ligularia fischeri and its subsequent ingestion leading to abdominal pain gastrointestinal symptoms, which are alleviated immediately. Bradycardia hypotension may persist for several days, an infusion of dopamine can restore a healthy state without complications. We report case C. poisoning with protein-losing enteropathy that has not been previously. The patient died multiple organ failure, exhibited more...

Background: Blood pressure is clinically used for monitoring shock patients and as a therapeutic indicator them. Non-invasive blood measurement has weak points such the use of cuff it discontinuous measurement. A method measuring by using PWTT (pulse wave transit time) been studied to make up those points. If can be done difference between different in body, then this wil l quite useful monitor BP seriously ill patients. This study aimed verify whether or not significant correlation with who...

Background: Minor head trauma is frequently presented to the pediatric emergency department. Despite burden this injury poses on public health, evidence-based clinical guidelines assessment and management of minor remain unestablished, particularly in children below 2 years. We aimed assess diagnostic accuracy a decision rule (Pediatric Emergency Care Applied Research Network rule) physician discretion recognition practically important traumatic brain years age presenting with Methods: The...

Traumatic cardiac tamponade is rare after blunt chest trauma, but a life threatening condition.Echocardiography the primary imaging modality for diagnosis of tamponade.Cardiac treatment based on clinical presentation and may need pericardiocentesis or surgical drainage.Cardiac trauma trigger paradoxical right to left shunt in patient with patent foramen ovale.We present case ischemic stroke that developed during young trauma.

Even though Neptunea contricta appears similar to Batilus cornutus and Rapana venosa, they are different in tetramine content which inhibits the neuronal calcium channel. Therefore, mistaking for or can result occurrence of toxic symptoms. Three patients developed nausea, epigastric pain, chest dizziness, blurred vision, dyspnea, hypertension tachycardia after eating contricta. Moreover, consumption one only piece was sufficient cause symptoms because each has 17.3 mg tetramine. Accordingly,...