Pub Date : 2021-01-01DOI: 10.13188/2469-4045.1000022
S. Franjić
There are many possible patterns of pain. In some cases, the pain can be caused by a condition or injury that affects a completely different part of the body. These causes range from mild injuries that heal quickly with rest to aggressive illnesses that require urgent medical treatment. In order to determine the source of the pain, the causes need to be considered.
{"title":"Flank Pain in the Emergency Department","authors":"S. Franjić","doi":"10.13188/2469-4045.1000022","DOIUrl":"https://doi.org/10.13188/2469-4045.1000022","url":null,"abstract":"There are many possible patterns of pain. In some cases, the pain can be caused by a condition or injury that affects a completely different part of the body. These causes range from mild injuries that heal quickly with rest to aggressive illnesses that require urgent medical treatment. In order to determine the source of the pain, the causes need to be considered.","PeriodicalId":13960,"journal":{"name":"International Journal of Emergency and Critical Care Medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75812303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-06-30DOI: 10.13188/2469-4045.1000014
{"title":"Recovery in Mental Health-A Community Based Wellness Group Model","authors":"","doi":"10.13188/2469-4045.1000014","DOIUrl":"https://doi.org/10.13188/2469-4045.1000014","url":null,"abstract":"","PeriodicalId":13960,"journal":{"name":"International Journal of Emergency and Critical Care Medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88703813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-06-30DOI: 10.13188/2469-4045.1000015
Julia Grace McCammon, M. Trivedi, A. Branton, Dahryn Trivedi, G. Nayak, Sambhu Mondal, S. Jana
Author(s): McCammon, Julia Grace; Trivedi, Mahendra Kumar; Branton, Alice; Trivedi, Dahryn; Nayak, Gopal; Mondal, Sambhu Charan; Jana, Snehasis | Abstract: Study the impact of Biofield Treated vitamin D3 and DMEM on bone health in human bone osteosarcoma cells (MG-63) was investigated. The test items (TI), were distributed into two parts. One part of each sample was received the Consciousness Energy Healing Treatment by Julia Grace McCammon, and those samples were labeled as Biofield Treated (BT) samples, while other parts of each sample were denoted as untreated test items (UT), where did not provide any types of treatment. Cell viability showed test samples were found as safe in tested concentrations. ALP was significantly increased by 210.4% and 221.6% in UT-DMEM+BT-TI and BT-DMEM+BT-TI respectively at 0.1 µg/mL, while increased by 207.9% in BT-DMEM+UT-TI compared to UT-DMEM+UT-TI. Collagen was significantly increased by 158.46%, 129.23%, and 138.46% in UT-DMEM+BT-TI, BT-DMEM+UT-TI, and BT-DMEM+BT-TI respectively at 1 µg/mL compared to untreated. Moreover, level of collagen was significantly enhanced by 101.37%, 157.53%, and 176.71% in UT-DMEM+BT-TI, BT-DMEM+UT-TI, and BT-DMEM+BT-TI respectively at 10 µg/mL compared to untreated. Besides, the percent of bone mineralization was remarkably increased by 70.59% and 151.18% in the BT-DMEM+UT-TI and BT-DMEM+BT-TI respectively at 100 µg/mL, while increased by 117.17% in UT-DMEM+BT-TI at 1 µg/mL than untreated. Altogether, the Biofield Energy Treated vitamin D3 was significantly improved the bone cell growth-related parameters. It could be used as an alternative supplement for vitamin D3 deficiency on various bone-related disorders (osteoporosis, low bone density, Paget’s disease, rickets, osteomalacia), stress, aging, autoimmune, and inflammatory disorders.
{"title":"Role of Biofield Energy Treated Vitamin D3 in Human Bone Osteosarcoma Cells (MG-63): A Multidisciplinary Aspect on Bone Health","authors":"Julia Grace McCammon, M. Trivedi, A. Branton, Dahryn Trivedi, G. Nayak, Sambhu Mondal, S. Jana","doi":"10.13188/2469-4045.1000015","DOIUrl":"https://doi.org/10.13188/2469-4045.1000015","url":null,"abstract":"Author(s): McCammon, Julia Grace; Trivedi, Mahendra Kumar; Branton, Alice; Trivedi, Dahryn; Nayak, Gopal; Mondal, Sambhu Charan; Jana, Snehasis | Abstract: Study the impact of Biofield Treated vitamin D3 and DMEM on bone health in human bone osteosarcoma cells (MG-63) was investigated. The test items (TI), were distributed into two parts. One part of each sample was received the Consciousness Energy Healing Treatment by Julia Grace McCammon, and those samples were labeled as Biofield Treated (BT) samples, while other parts of each sample were denoted as untreated test items (UT), where did not provide any types of treatment. Cell viability showed test samples were found as safe in tested concentrations. ALP was significantly increased by 210.4% and 221.6% in UT-DMEM+BT-TI and BT-DMEM+BT-TI respectively at 0.1 µg/mL, while increased by 207.9% in BT-DMEM+UT-TI compared to UT-DMEM+UT-TI. Collagen was significantly increased by 158.46%, 129.23%, and 138.46% in UT-DMEM+BT-TI, BT-DMEM+UT-TI, and BT-DMEM+BT-TI respectively at 1 µg/mL compared to untreated. Moreover, level of collagen was significantly enhanced by 101.37%, 157.53%, and 176.71% in UT-DMEM+BT-TI, BT-DMEM+UT-TI, and BT-DMEM+BT-TI respectively at 10 µg/mL compared to untreated. Besides, the percent of bone mineralization was remarkably increased by 70.59% and 151.18% in the BT-DMEM+UT-TI and BT-DMEM+BT-TI respectively at 100 µg/mL, while increased by 117.17% in UT-DMEM+BT-TI at 1 µg/mL than untreated. Altogether, the Biofield Energy Treated vitamin D3 was significantly improved the bone cell growth-related parameters. It could be used as an alternative supplement for vitamin D3 deficiency on various bone-related disorders (osteoporosis, low bone density, Paget’s disease, rickets, osteomalacia), stress, aging, autoimmune, and inflammatory disorders.","PeriodicalId":13960,"journal":{"name":"International Journal of Emergency and Critical Care Medicine","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87017085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-06-30DOI: 10.13188/2469-4045.1000016
Introduction: Evaluation of chest pain in the Emergency Department is common. Significant resources are expended looking for dangerous etiologies. The D-dimer is frequently utilized but can be positive in a variety of pathologic and non-pathologic states, including pneumonia. We anticipated that patients who had pneumonia on chest x-ray and also a positive D-dimer would have a low likelihood of also having pulmonary embolism. We hoped to define this patient population as low risk of having PE in the setting of pneumonia with the purpose of limiting unnecessary CT angiographies. Methods: We performed a retrospective analysis to identify patients who had an elevated D-dimer, evidence of pneumonia by chest x-ray and who underwent subsequent CT angiography [CTA] or Ventilation/perfusion [V/Q] scanning. We correlated the results of the CTA or V/Q with patient demographics, vital signs, and laboratory values to evaluate our patient population. Results: We identified 151 patients who had an infiltrate on the chest x-ray and elevated d-dimer that subsequently went on to have CTA or V/Q to rule out pulmonary embolism. Of this group of patients 7/151 [4.6%] had a PE. We then performed statistical analysis using the vital signs, lab values, and patient demographics to look for differences between patients with pulmonary embolism and without. However, no statistically significant conclusions could be made. Conclusions: In patients with elevated D-dimer and pneumonia our series demonstrated a small but not uncommon rate of concurrent PE. A larger study group would be required to determine risk stratification of this group.
{"title":"Incidence of Pulmonary Embolism in Patients with Positive D-Dimers and Chest X-ray Evidence of Pneumonia: A Retrospective Study","authors":"","doi":"10.13188/2469-4045.1000016","DOIUrl":"https://doi.org/10.13188/2469-4045.1000016","url":null,"abstract":"Introduction: Evaluation of chest pain in the Emergency Department is common. Significant resources are expended looking for dangerous etiologies. The D-dimer is frequently utilized but can be positive in a variety of pathologic and non-pathologic states, including pneumonia. We anticipated that patients who had pneumonia on chest x-ray and also a positive D-dimer would have a low likelihood of also having pulmonary embolism. We hoped to define this patient population as low risk of having PE in the setting of pneumonia with the purpose of limiting unnecessary CT angiographies. Methods: We performed a retrospective analysis to identify patients who had an elevated D-dimer, evidence of pneumonia by chest x-ray and who underwent subsequent CT angiography [CTA] or Ventilation/perfusion [V/Q] scanning. We correlated the results of the CTA or V/Q with patient demographics, vital signs, and laboratory values to evaluate our patient population. Results: We identified 151 patients who had an infiltrate on the chest x-ray and elevated d-dimer that subsequently went on to have CTA or V/Q to rule out pulmonary embolism. Of this group of patients 7/151 [4.6%] had a PE. We then performed statistical analysis using the vital signs, lab values, and patient demographics to look for differences between patients with pulmonary embolism and without. However, no statistically significant conclusions could be made. Conclusions: In patients with elevated D-dimer and pneumonia our series demonstrated a small but not uncommon rate of concurrent PE. A larger study group would be required to determine risk stratification of this group.","PeriodicalId":13960,"journal":{"name":"International Journal of Emergency and Critical Care Medicine","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82768551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-06-30DOI: 10.13188/2469-4045.1000012
P. Satyanarayana, P. Naveen, Reddy, Rahul Vojjini
A 22 Year old obese woman presented to emergency medicine department in severe respiratory distress. It was sudden in onset, progressive & associated with cough with pinkish frothy sputum. Her vitals on arrival to ER were BP of 190/130 mmHg, HR of 136 bpm, RR of 34 cpm, SpO2 of 72% on room air. On examination, there were diffuse fine end inspiratory crepitations bilaterally with severe respiratory distress. Patient was immediately treated for hypertensive emergency with pulmonary odema with intravenous Furosemide, IV Nitroglycerin, Oxygen therapy with NIV CPAP. Upon further evaluation in the observation unit, it was found that the patient was also having hyperglycemia, hypocalcemia, hypokalemia, metabolic alkalosis, obesity, purple striae over the abdomen, with irregular menstrual cycles. A screening test of overnight dexamethasone suppression test was done and found serum cortisol to be significantly elevated (51.49 μg/dL), confirming the diagnosis of cushings syndrome presenting with hypertensive emergency and acute pulmonary odema. Background Hypertension (HTN) is an important but largely treatable risk factor for cardiovascular disease that affects almost one-third of Americans and approximately 1 billion people worldwide [1,2]. Hypertensive emergency a disease state defined by acute TOD (target organ damage), manifest by newly developed clinical sequelae or diagnostic test abnormalities. A hypertensive emergency can exist in patients with or without underlying chronic HTN [3]. This is a rare case of cushings syndrome presenting to emergency with hypertensive crisis and acute pulmonary odema requiring non invasive ventilator support and intravenous antihypertensives for stabilization.
{"title":"Case Report: Cushings SyndromePresenting as Hypertensive Emergency with Acute Pulmonary Odema","authors":"P. Satyanarayana, P. Naveen, Reddy, Rahul Vojjini","doi":"10.13188/2469-4045.1000012","DOIUrl":"https://doi.org/10.13188/2469-4045.1000012","url":null,"abstract":"A 22 Year old obese woman presented to emergency medicine department in severe respiratory distress. It was sudden in onset, progressive & associated with cough with pinkish frothy sputum. Her vitals on arrival to ER were BP of 190/130 mmHg, HR of 136 bpm, RR of 34 cpm, SpO2 of 72% on room air. On examination, there were diffuse fine end inspiratory crepitations bilaterally with severe respiratory distress. Patient was immediately treated for hypertensive emergency with pulmonary odema with intravenous Furosemide, IV Nitroglycerin, Oxygen therapy with NIV CPAP. Upon further evaluation in the observation unit, it was found that the patient was also having hyperglycemia, hypocalcemia, hypokalemia, metabolic alkalosis, obesity, purple striae over the abdomen, with irregular menstrual cycles. A screening test of overnight dexamethasone suppression test was done and found serum cortisol to be significantly elevated (51.49 μg/dL), confirming the diagnosis of cushings syndrome presenting with hypertensive emergency and acute pulmonary odema. Background Hypertension (HTN) is an important but largely treatable risk factor for cardiovascular disease that affects almost one-third of Americans and approximately 1 billion people worldwide [1,2]. Hypertensive emergency a disease state defined by acute TOD (target organ damage), manifest by newly developed clinical sequelae or diagnostic test abnormalities. A hypertensive emergency can exist in patients with or without underlying chronic HTN [3]. This is a rare case of cushings syndrome presenting to emergency with hypertensive crisis and acute pulmonary odema requiring non invasive ventilator support and intravenous antihypertensives for stabilization.","PeriodicalId":13960,"journal":{"name":"International Journal of Emergency and Critical Care Medicine","volume":"104 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87809549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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