Articles

Unusual presentation of complicated relapsing fever with spontaneous hemoperitoneum mimicking surgical acute abdomen: a case report

Louse-borne relapsing fever (LBRF) is a prevalent disease in Ethiopia, affecting malnourished and impoverished populations. Historically fatal, mortality has decreased to less than 5% with antibiotics. Symptom...

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Rebound warfarin toxicity presenting with spontaneous hemopericardium in cardiac tamponade: a case report

The spontaneous hemopericardium due to warfarin toxicity is uncommon but can be fatal if it leads to cardiac tamponade and timely interventions are not administered.

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Special care services delivery at disaster scenes: a systematic review

Disasters create strain on health systems and require significant preparedness to reduce mortality and morbidity. Special care services; e.g. Advanced Life Support, critical care interventions (intubation; vas...

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Emergency department point of care ultrasound utility in diagnosing infective endocarditis presenting as abdominal pain with bilateral iliac occlusion

Infective Endocarditis (IE) is a life threatening disease which is relatively rare especially in young healthy adults, and patients can rapidly deteriorate due to valvular insufficiency; however diagnosis can ...

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Novice point-of-care ultrasound for the assessment of acute dyspnea in the emergency department

Dyspnea is one of the most common presentations to the ED. The goal of this study was to determine the diagnostic accuracy of POCUS examination completed by a medical student for several causes of dyspnea.

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Strengthening hospital resilience to earthquakes: a public health review of seismic risk reduction programs in the Middle East

Maintaining hospital functionality during and after earthquakes is essential for effective disaster response in seismically active regions. In the Middle East, hospital resilience is challenged by limited infr...

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Domain validation of the CRASH prognostic model for predicting 14-day mortality among patients and traumatic brain injury and intracranial hemorrhage in a Thai emergency department

Traumatic brain injury (TBI) is a significant health concern, with intracranial haemorrhage (ICH) being a common complication following injury. The CRASH prediction model plays a crucial role in clinical progn...

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AI-enhanced crowdsourcing for disaster management: strengthening community resilience through social media

As disasters become more frequent and complex, the integration of artificial intelligence (AI) with crowdsourced data from social media is emerging as a powerful approach to enhance disaster management and com...

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Factors contributing to bleeding and perforated peptic ulcers in Syria: findings from a multicenter cohort study

Peptic ulcer disease (PUD) is a common gastrointestinal disorder characterized by the formation of open lesions in the stomach or duodenum, leading to potentially life-threatening complications such as bleedin...

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Abrupt formation and spontaneous resolution of a mobile right atrial thrombus following intraoperative cardiopulmonary resuscitation during da Vinci robotic-assisted surgery: a case report

Right atrial thrombus is rare yet potentially life-threatening, carrying a substantial risk of pulmonary embolism and death. Management generally includes anticoagulation, thrombolysis, surgical thrombectomy, ...

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Correction: Intestinal fistula following concentrated hydrochloric acid ingestion: a rare case report

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Outcomes and guideline adherence for emergency department thoracotomy: a single-center experience in Saudi Arabia

Emergency department thoracotomy (EDT) is a high-risk, salvage procedure performed during the resuscitation of critically injured patients who are in extremis or experience cardiac arrest immediately before or...

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IFEM model framework for the accreditation of training sites for emergency medicine specialists

The International Federation for Emergency Medicine (IFEM) has developed model curricula for undergraduate education, graduate education and continuing professional development in Emergency Medicine. Graduate ...

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Visualizing the landscape of ocular melanoma research: a bibliometric analysis

Ocular melanoma is a type of malignancy affecting the eye. Symptoms can include dark spots near or around the iris or the mucous membrane of the eyes. Treatments include radiation, laser therapy, and enucleati...

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Clinical presentation and management outcome of abdominal stab wounds in a low-resource setting: experience of a central hospital in Sudan

Abdominal stab injuries are a major public health concern worldwide, especially in African countries. This study aimed to examine the presentation patterns and management outcomes of abdominal stab wounds.

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Exploring the pentraxin-3 as a prognostic biomarker in paraquat poisoning: a systematic-narrative hybrid review

Paraquat is a commonly used pesticide that is highly toxic to humans and leads to fatal lung fibrosis upon consumption. Due to its rapid clearance from the bloodstream, there are no reliable biomarkers for the...

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Clinical characteristics and mortality risk factors in polytrauma patients with pelvic fractures: a retrospective study based on an integrated multidisciplinary treatment approach

Pelvic fractures in polytrauma patients represent complex injuries associated with substantial mortality rates. This study examined clinical characteristics, multidisciplinary collaborative management approach...

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Genital burns caused by cell phone combustion following a motorcycle accident: a case report

Thermal injuries are common in emergency departments, but rarely involve isolated genital burns. However, burns caused by electronic devices, particularly cell phones, represent an emerging concern.

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Effectiveness of a structured triage system in improving timeliness of emergency care in a resource-limited rural hospital in Uganda

Triage is essential for optimising resource allocation in emergency care, particularly in low- and middle-income countries. Some triage tools, such as the Interagency Integrated Triage Tool (IITT), have been d...

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Successful management with hemoperfusion and antidotal therapy of severe combined dichlorvos and rodenticide poisoning: a case report

This case report presents a rare instance of combined dichlorvos (organophosphate) and brodifacoum (rodenticide) poisoning. By analyzing the clinical presentation and therapeutic course, we aim to provide insi...

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Isolated oculomotor nerve palsy in Neisseria meningitidis meningitis: a case report and literature review

Bacterial meningitis remains a significant cause of morbidity and mortality worldwide, despite advances in prevention and treatment. Prompt diagnosis and appropriate management are crucial for optimal patient ...

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Vascular access for initial treatment of adult emergency patients in the resuscitation room: short summary of recommendations from the German national S1 guideline

The initial treatment in the resuscitation room involves vital procedures, including the placement of peripheral intravenous lines, central venous catheters, and arterial lines. As most vascular access guideli...

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Skill progression models in emergency medicine training: a narrative review and the development of the OASIS framework

Emergency medicine (EM) requires mastery of diverse procedural skills in unpredictable, high-acuity settings. While established educational models—Dreyfus, Miller’s pyramid, Peyton’s four-step approach, and En...

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Tattoo-associated toxic shock syndrome: a case report

Toxic shock syndrome (TSS) is a rare but life-threatening complication occasionally reported after tattooing.

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Serial electrical cardioversion for refractory atrial fibrillation with rapid ventricular response post ablation

The authors present the case of a man in his 50s who arrived at the ED with palpitations and persistent tachycardia a month after undergoing catheter ablation (CA) for atrial fibrillation with rapid ventricula...

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Right ventricular dysfunction: a key predictor of post-intubation hypotension in the emergency department

Post-intubation hypotension (PIh) is a frequent complication following drug-assisted intubation, leading to increased morbidity, mortality, and healthcare costs. Pre-intubation hemodynamic factors, acid-base i...

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Case report : pyridaben poisoning induced acute respiratory and circulating failure

Pyridaben, a commonly employed pyridazinone insecticide, is extensively utilized in safeguarding crops against insects and mites. Pyridaben is known to impede mitochondrial complex I activity, inducing mitocho...

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A real pain in the back…or maybe not- a case series of urosepsis due to obstructing calculi identified on ultrasound

Urosepsis, due to obstructing urinary calculi, is a urologic emergency requiring surgical decompression to reduce mortality. Presenting symptoms include fevers, pain, and dysuria, however, symptoms may be diff...

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A case of blunt liver injury with rare hemodynamics: traumatic outflow block

Non-operative management (NOM) has become the standard of care for blunt solid organ injury, with angioembolization (AE) playing a key role in achieving hemostasis, particularly in liver trauma. Although the d...

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Does TXA reduce total volume of 24-hour blood products transfused in post-traumatic hemorrhage in a resource-constrained setting:Secondary analysis of a prospective cohort trauma study in South Africa.

Low- and middle-income countries bear a disproportionately large share of the global burden of trauma, with hemorrhage as a leading cause of preventable mortality. Tranexamic acid has been shown to reduce mort...

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Emergency field amputation in a resource‑limited setting: a case report

Emergency field amputation is an exceptionally sporadic but potentially life-saving intervention in extreme trauma scenarios, particularly in resource-limited environments.

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Unveiling gas in the bowel wall: the role of point-of-care ultrasound in diagnosing pneumatosis intestinalis

Pneumatosis intestinalis (PI) is an infrequent but clinically significant finding that can be a surrogate indicator of underlying severe gastrointestinal conditions, particularly in pediatrics. Despite its typ...

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A unique case of atraumatic splenic haematoma likely caused by increased intra-abdominal pressure: a case report

The spleen is a highly vascular organ, and splenic haematoma is a complication most commonly due to abdominal trauma. Atraumatic splenic haematoma is much rarer and is often associated with underlying patholog...

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A rare coincidence of presentation of TIA like illness immediately followed by acute myocardial infarction and cardiac arrest: a case report

A 64-year-old man presented with acute left-sided limb weakness and no abnormalities on brain CT perfusion imaging. The patient soon experienced cardiac arrest, and coronary angiography after successful cardio...

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Trends in dermatological presentations at the emergency department of a tertiary hospital in Singapore: a 4-year analysis pre- and during COVID-19

Skin disorders comprise a significant portion of emergency department (ED) visits. Limited dermatology training among junior ED doctors poses challenges, especially during crises like COVID-19, which introduce...

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Epidemiology of poisoning in elderly Iranians: a narrative review with global context

Acute poisoning among elderly populations is a serious health concern with particularly hazardous consequences. This review synthesizes findings from multiple studies investigating acute poisoning among the el...

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Diagnostic performance of artificial intelligence for dermatological conditions: a systematic review focused on low- and middle-income countries to address resource constraints and improve access to specialist care

Artificial Intelligence (AI) has emerged as a transformative tool in dermatology, particularly in Low- and Middle-Income Countries (LMICs), where healthcare systems face challenges such as a shortage of dermat...

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S-100B in acute ischemic stroke: a visualization of global hotspots

A bibliometric analysis was performed on academic research from 1965 to 2025 with a focus on S-100B protein and acute ischemic stroke (AIS). In total 15,792 academic papers about S-100B protein and AIS were re...

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Segmental spleen and left kidney infarction induced by vasoconstriction in a methamphetamine abuser patient: a case report

Methamphetamine is one of the most used illicit drugs worldwide that affects different systems of the body by an immediate and sustained increase of monoamines. Its effect on the central nervous system (CNS) a...

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Review of current knowledge regarding usage of pre-hospital heart rate variability and complexity in triage and added value for predicting the need for life-saving interventions

Analysis of heart rate variability metrics has shown added accuracy in pre-hospital trauma triage. These metrics include heart rate variability (HRV), meaning oscillations in the time interval between heartbea...

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Neuroimaging in traumatic brain injury: a bibliometric analysis

Mild traumatic brain injury (mTBI), commonly referred to as concussion, accounts for the vast majority of TBI cases globally, yet remains challenging to define and manage due to its heterogeneous presentation ...

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Grayanotoxin poisoning following fresh rhododendron flower ingestion: a rare case report from rural Nepal

Rhododendron, the national flower of Nepal, is widely used for culinary and traditional medicinal purposes. However, certain species, including Rhododendron decorum, contain grayanotoxins known to cause potential...

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Characteristics of emergency department visits in Jordanian public hospitals

Emergency Department (ED) provides the initial point of care for many patients. Healthcare management systems globally and locally are now racing to utilize information systems to gain insights into the charac...

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Acute necrotizing encephalopathy in a young adult triggered by adenovirus: a rare etiology of a devastating neurological syndrome

Acute necrotizing encephalopathy is a rare but severe neurological disorder characterized by rapid onset of fever, altered mental status, seizures, and multifocal brain lesions, particularly involving the thal...

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A Guillain Barre Syndrome (GBS): a case report

Guillain-Barré Syndrome (GBS) is an acute, immune-mediated polyradiculoneuropathy, with several clinical variants including the acute motor axonal neuropathy (AMAN) subtype. AMAN often presents with rapid moto...

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Characteristics of patients with ruptured abdominal aortic aneurysm who contacted out-of-hours primary care: a case-control study

Ruptured abdominal aortic aneurysm (rAAA) is rare but it is the second most frequently missed diagnosis reported as sentinel adverse event (‘calamity’) at out-of-hours services in primary care (OHS-PC).

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Knowledge and experience of local emergency care staff on stroke recognition and acute care in the United Arab Emirates

Cerebrovascular diseases are among the top three causes of death in the United Arab Emirates. The acute stroke care survey among emergency care personnel in Alain City aims to assess the experience, knowledge ...

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Frequency of ED visits and mortality among the adults with ESRD on twice-weekly maintenance hemodialysis at tertiary care hospital in Bhutan

The burden of end-stage renal disease (ESRD) is increasing in Bhutan but there is limited data on the emergency department (ED) visits among ESRD patients. This study aims to study the frequency of ED visits a...

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Impact of telemedicine on mortality, hospital admissions, and length of stay in pediatric emergencies: a systematic review and meta-analysis

Pediatric emergencies pose significant challenges in healthcare. Telemedicine offers a promising solution by enabling remote assessments, improving specialist access, reducing unnecessary ER visits and admissi...

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