Despite the existence of antibiotic therapies against acute bacterial meningitis, patients with the disease continue to suffer significant morbidity and mortality in both high and low-income countries. Dilemmas exist for emergency medicine and primary-care providers who need to accurately diagnose patients with bacterial meningitis and then rapidly administer antibiotics and adjunctive therapie...

PURPOSE To explore psychosocial effects of rectiole emergency treatment. METHODS Children who had at some time been treated with Stesolid rectiole for seizure relief were questioned about feelings of shame in relation to this treatment and their expectation of bullying by peers who might be aware of it. In addition to parental shame, parental worries concerning their children's epilepsy were ...

Ruptured internal iliac artery aneurysms (IIAA) are extremely rare, and the repair can be challenging. This case reports described an 83-year-old patient who presented at our Emergency Department with acute abdominal pain based on a ruptured IIAA. He refused open repair and only wanted to be treated as minimally invasive as possible. Therefore endovascular embolization of the IIAA was performed...

background: vast majority of complaints and physical examination findings of hydatid disease are common in emergency room patients. different emergency presentations of hydatid cyst disease and their treatment are evaluated. we studied preoperative laboratory findings of these patients to identify any parameters to predict hydatid cyst-biliary system communication. methods: we reviewed the file...

AIM The aim of the study was to evaluate efficiency of hypertensive urgency treatment using inhibitors of α1-adrenergic receptors and angiotensin converting enzyme inhibitors-ACE inhibitors in the Emergency Room of Outpatient Hospital and Polyclinic "dr Mustafa Šehovic" Tuzla in relation to age, duration and severity of hypertension. METHODS The study was conducted from June 2011 to May 2012 ...

The Emergency Medical Treatment and Active Labor Act (EMTALA) is a U.S. Act of Congress passed in 1986 as part of the Consolidated Omnibus Budget Reconciliation Act (COBRA). It requires hospitals to provide care to anyone needing emergency healthcare treatment regardless of citizenship, legal status or ability to pay. There are no reimbursement provisions. Participating hospitals may only trans...

Epinephrine, first isolated around 1900, is the main sympathomimetic agent released by the adrenal gland. It plays an integral role in the treatment of several diseases in the emergency department. It effects on alpha and beta adrenergic receptors. In lower doses, it usually causes systemic and pulmonary vasodilatation, with some increase in heart rate and stroke volume. A high dose causes inte...

AIMS To describe dental treatment needs and demands of crew on a cruise ship during a world cruise. METHODS The routine dental documentation of a two months period at sea on a cruise ship carrying 999 crew was analysed. Age, gender, diagnosis, treatment performed, percentage of emergency and routine procedures, number of appointments, duration of appointment and time since last visit to the d...

introduction: emergency department performance index (epi) greatly influences the function of other hospital’s units and also patient satisfaction. recently, the iranian ministry of health has defined specific national epi containing five indexes. in the present study, the performance indexes of emergency department (ed) in one educational hospital has been assessed before and after establishme...