More than a Persistent Urinary Tract Infection: The Usefulness of Ultrasound in the Emergency Department in a Clinical Case
Joaquín Asensio Sánchez and Cristina Asensio Sánchez
Article Type: Clinical Case | First Published: April 13, 2023
A 65-year-old male, hypertensive and non-insulin-dependent type 2 diabetes mellitus as the only personal history of interest, who came to the Emergency Department of our hospital with micturition symptoms consisting of dysuria and pollakiuria associated with mild hematuria and hypogastric pain of 14 days of evolution. The patient did not report fever or any other associated symptoms. In addition, he told us that, at first, he had gone to his Health Center and consulted his Primary Care Physician...
Constrictive Cardiomyopathy Secondary to Calcified Pericardium
Vinaya Sermadevi, MD and Connor S Shaw, DO
Article Type: Case Report | First Published: January 20, 2023
Calcification of the pericardium due to recurrent inflammation is a rare condition which can lead to severe restrictive cardiomyopathy. This case demonstrates severe circumferential pericardial calcification leading to cardiogenic shock and death. It is proposed that the patient’s history of repeat cardiac interventions, including cardiac ablation, and open valve repair procedures precipitated this....
Association of the Meteorological Parameters and Epileptic Seizures
Levent Sahin and Ali Gur
Article Type: Research Article | First Published: January 11, 2023
Climate changes may be among the triggering factors in predicting epileptic seizures. In this study, we aimed to investigate the effects of changes in weather conditions and phases of the moon on epileptic seizures in epilepsy patients. This is a dual-center, cross- sectional, observational study. The patients’ age, sex, medications, and the hours of seizures were recorded. Meteorological data such as daily average temperature, atmospheric pressure, relative humidity, wind speed, and moon cyc...
Factors Affecting Mortality in Patients with Acute Pancreatitis and Serum Calcipressin-1 (RCAN-1) Levels
Emrah Savaş, Mustafa Burak Sayhan, Ömer Salt and İlker Dibirdik
Article Type: Original Article | First Published: November 30, 2022
Acute pancreatitis (AP) is one of the most common diseases of the gastrointestinal tract. AP is a pancreatic disease with high mortality and morbidity, which can cause local and systemic complications This study aimed to determine factors that effect mortality in this patient group and whether serum RCAN-1 level can be used as a novel marker for predicting diagnosis and mortality in patients with AP and to investigate the factors affecting mortality in this patient group....
An Evaluation of Pediatric Airway Management Training for Suspected/Confirmed COVID-19 Patients Utilizing Medical Simulation at King Fahad Medical City, Riyadh, Saudi Arabia
Sawsan Alyousef, MD, CAPB, FCCP, Raed Khafajeh, Ali Alharbi, Aseel Alayed, Najd Fawaz Alnojaidi and Abdulaziz Alsoqati
Article Type: Brief Report | First Published: November 07, 2022
The novel coronavirus disease 2019 (COVID-19) can be transmitted to clinicians involved in their care, particularly during aerosol-generating procedures. In spite centers for disease control and prevention (CDC) had put clear standards for precaution when dealing with such patients but unfortunately several health care providers had lost their lives around the world....
Euglycemic Diabetic Keto Acidosis Presentation in Association with SGLT-2 Inhibitor- Dapagliflozin
Lajeesh Jabbar Vettikkat MBBS, MRCEM, FRCEM, FEBEM, DCH and Yoosuf Viju Cheriyalingal Paramba MBBS, MRCEM, FRCEM
Article Type: Case Report | First Published: August 24, 2022
Euglycemic Diabetic Keto Acidosis is a rare form of DKA seen in patients who are taking SGLT-2 inhibitor medication for the treatment of diabetes mellitus. It is a life-threatening condition and should be diagnosed early. The absence of hyperglycemia poses challenges to the treating Emergency physicians in diagnosing this entity at an early stage....
Anaerobic Lung Abscess with Complex Empyema
Joseph Shiber, MD, FACEP, FCNS, FCCM
Article Type: Clinical Image | First Published: August 11, 2022
A 51-year-old man with advanced ALS and home mechanical ventilator dependence presented with fever, tachycardia, hypotension and leukocytosis. Chest radiograph showed a large left pleural effusion (Figure 1) and an unenhanced chest CT confirmed a loculated effusion with gas bubbles (Figure 2) and large air-fluid level (Figure 3)....
Comparison of High-Dose, Short-Term Steroid and Low-Dose Long Term Steroid Use in ARDS Caused by COVID-19
Suna KOC, MD and Ilke KUPELI, MD
Article Type: Original Article | First Published: March 19, 2022
We aimed to compare the 15-day continuous hemodynamic, laboratory and clinical course of patients with ARDS due to COVID-19 who received short-term highdose and long-term low-dose systemic methylprednisolone. Two hundred and two patients were recorded to be diagnosed with ARDS due to COVID 19 in the intensive care unit between June 1, 2020 and February 1, 2021. Patients were received systemic methylprednisolone for the short or long term and high or low doses were applied. Age, gender, APACHE II...
Chest X-Ray Findings in Asthma Exacerbation and the Association with Acute Asthma Management among Children
Gul Sher, Fernanda E Kupferman and Mohamed Gaffoor
Article Type: Original Article | First Published: March 19, 2022
The National Heart and Lung Institute’s guidelines advise against routine use of chest X-ray (CXR) for acute asthma exacerbation. Despite this recommendation, unnecessary CXR are still being performed. The objective of this study is to assess the association between abnormal CXR findings and the severity of asthma exacerbation and its impact on acute asthma management. A retrospective chart review was performed of all pediatric patients 2-17 years of age who presented to the emergency departme...
Cardiovascular Collapse, Progressive Lactic Acidosis, Pulmonary Hypertension and Polyuria: Think Thiamine Deficiency!
Gul Sher, MBBS, Mona Nourani, DO, Kristen Beebe, PA-C, Peggy Fullenkamp Oomens, MS, RDN, CNSC, Megan Land, MD and Alexander Ngwube, MD
Article Type: Original Article | First Published: March 13, 2022
Shock is a pathological condition characterized by imbalance between oxygen demand and supply. Irrespective of the cause, shock leads to a state of energy failure due to a decrease in adenosine triphosphate (ATP) production, creation of lactic acidosis, and as a consequence, multiple organ dysfunction. Lactic acidosis is an ominous finding in critically ill patients. The severity and increased duration of lactic acidosis are associated with increased mortality. Lactic acidosis can result from hy...