Journal of Emergencies, Trauma, and Shock最新文献

英文中文

What's New in Emergencies Trauma and Shock: Cerebral Vein Thrombosis in Pregnancy and Postpartum Period: An Enigma in Emergency. 创伤和休克急诊新进展：妊娠期和产后脑静脉血栓形成：急诊之谜

IF 1.4 Q2 Medicine

Journal of Emergencies, Trauma, and Shock

Pub Date : 2024-01-01 Epub Date: 2024-03-30 DOI: 10.4103/jets.jets_38_24

Tarun Sharma, Dhanashree Kelkar, Steve Kamm

引用次数: 0

Cerebral Venous Thrombosis in Pregnant and Postpartum Women Presenting to the Emergency Department with Headaches. 因头痛到急诊科就诊的孕妇和产后妇女中的脑静脉血栓。

IF 1.4 Q2 Medicine

Journal of Emergencies, Trauma, and Shock

Pub Date : 2024-01-01 Epub Date: 2024-03-30 DOI: 10.4103/jets.jets_92_23

Aaron Jacob Grossberg, Sagar C Galwankar

Introduction: Cerebral venous thrombosis (CVT) is a thromboembolic disease of the intracranial venous systems. The disease can be difficult to diagnose as it often requires a high index of suspicion. Risk factors for the disease include pregnancy, oral contraceptive pills, congenital thrombophilia, infection, cancer, polycythemia, head trauma, and recent surgery. However, there have been no studies in the United States that have examined whether pregnancy and the postpartum stage are truly a risk factor for CVT. The aim of this study is to determine whether pregnant and postpartum women presenting to the emergency department with headaches have a higher incidence of CVT to better risk stratify which patients need to have advanced imaging pursued.

Methods: A retrospective, observational case-control study was performing by querying the electronic medical record at a large county hospital for patients presenting with a headache to the emergency department. Patients were stratified into groups based on whether they were diagnosed with CVT, pregnancy status, and comorbid conditions to determine the risk associated between pregnancy, the puerperium stage, and CVT.

Results: A total of 20,955 males and females presented to the emergency department between January 1, 2016 and April 13, 2023, with a chief complaint of headache. There were 19,474 female patients and 9581 male patients. In the case group, there were 793 pregnant women and 53 postpartum women. In the control group, there were 18,628 women who were not pregnant. Of the 22 patients diagnosed with CVT, 1 was in the puerperium stage and no patients were pregnant. Pregnant and postpartum patients were 1.05 (0.14-7.80) times more likely to develop CVT. Pregnant and postpartum patients were 1.73 (0.23-13.52) times more likely to develop CVT when controlled for comorbidities. Patients in the puerperium stage were 26.48 (3.33-210.87) times more likely to develop CVT when controlled for comorbidities.

Conclusion: Pregnant patients presenting to the emergency department with headaches do not have a significantly higher risk of CVT; however, puerperium patients have a significantly higher risk of CVT compared to the general population.

简介脑静脉血栓（CVT）是一种颅内静脉系统血栓栓塞性疾病。这种疾病很难诊断，因为通常需要高度怀疑。该病的危险因素包括怀孕、口服避孕药、先天性血栓性疾病、感染、癌症、多血症、头部外伤和近期手术。然而，在美国还没有研究表明怀孕和产后阶段是否真的是 CVT 的危险因素。本研究的目的是确定因头痛到急诊科就诊的孕妇和产后妇女是否有更高的 CVT 发生率，以便更好地对哪些患者进行风险分层，使其需要接受高级影像学检查：方法：通过查询一家大型县级医院急诊科头痛患者的电子病历，进行了一项回顾性、观察性病例对照研究。根据患者是否被诊断出患有先天性头痛症、妊娠状况和合并症将患者分为不同组别，以确定妊娠、产褥期和先天性头痛症之间的相关风险：2016年1月1日至2023年4月13日期间，共有20955名男性和女性患者以头痛为主诉到急诊科就诊。其中女性患者19474人，男性患者9581人。病例组中有 793 名孕妇和 53 名产后妇女。对照组中有 18628 名未怀孕妇女。在 22 名确诊为 CVT 的患者中，1 人处于产褥期，没有人怀孕。孕妇和产后患者发生 CVT 的几率是对照组的 1.05（0.14-7.80）倍。在控制合并症的情况下，孕妇和产后患者发生 CVT 的几率是普通人的 1.73（0.23-13.52）倍。在控制合并症的情况下，产褥期患者发生 CVT 的几率是普通人的 26.48 (3.33-210.87) 倍：结论：因头痛而到急诊科就诊的孕妇罹患 CVT 的风险并没有明显升高；但与普通人群相比，产褥期患者罹患 CVT 的风险明显升高。

{"title":"Cerebral Venous Thrombosis in Pregnant and Postpartum Women Presenting to the Emergency Department with Headaches.","authors":"Aaron Jacob Grossberg, Sagar C Galwankar","doi":"10.4103/jets.jets_92_23","DOIUrl":"https://doi.org/10.4103/jets.jets_92_23","url":null,"abstract":"Introduction: Cerebral venous thrombosis (CVT) is a thromboembolic disease of the intracranial venous systems. The disease can be difficult to diagnose as it often requires a high index of suspicion. Risk factors for the disease include pregnancy, oral contraceptive pills, congenital thrombophilia, infection, cancer, polycythemia, head trauma, and recent surgery. However, there have been no studies in the United States that have examined whether pregnancy and the postpartum stage are truly a risk factor for CVT. The aim of this study is to determine whether pregnant and postpartum women presenting to the emergency department with headaches have a higher incidence of CVT to better risk stratify which patients need to have advanced imaging pursued.Methods: A retrospective, observational case-control study was performing by querying the electronic medical record at a large county hospital for patients presenting with a headache to the emergency department. Patients were stratified into groups based on whether they were diagnosed with CVT, pregnancy status, and comorbid conditions to determine the risk associated between pregnancy, the puerperium stage, and CVT.Results: A total of 20,955 males and females presented to the emergency department between January 1, 2016 and April 13, 2023, with a chief complaint of headache. There were 19,474 female patients and 9581 male patients. In the case group, there were 793 pregnant women and 53 postpartum women. In the control group, there were 18,628 women who were not pregnant. Of the 22 patients diagnosed with CVT, 1 was in the puerperium stage and no patients were pregnant. Pregnant and postpartum patients were 1.05 (0.14-7.80) times more likely to develop CVT. Pregnant and postpartum patients were 1.73 (0.23-13.52) times more likely to develop CVT when controlled for comorbidities. Patients in the puerperium stage were 26.48 (3.33-210.87) times more likely to develop CVT when controlled for comorbidities.Conclusion: Pregnant patients presenting to the emergency department with headaches do not have a significantly higher risk of CVT; however, puerperium patients have a significantly higher risk of CVT compared to the general population.","PeriodicalId":15692,"journal":{"name":"Journal of Emergencies, Trauma, and Shock","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11044997/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140850898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Head-and-neck Cancer in the Emergency Department: A Contemporary Review of Common Presentations and Management. 急诊科头颈癌：头颈癌在急诊科的常见表现和处理的当代回顾。

IF 1.4 Q2 Medicine

Journal of Emergencies, Trauma, and Shock

Pub Date : 2024-01-01 Epub Date: 2024-02-28 DOI: 10.4103/jets.jets_40_23

Ee Lyn Chan, Aleix Rovira

Head-and-neck cancer (HNC) can present with life.threatening symptoms in the emergency department. Patients can sometimes be misdiagnosed with pulmonary disease due to similar signs and symptoms, ultimately leading to delayed diagnosis and potentially devastating consequences. Reasons for this include lack of awareness of patient risk factors and knowledge of the myriad of presenting complaints in the disease process among physicians working in primary care and in the emergency department. This article explores the contemporary risk factors and common presenting symptoms and discusses initial management for a patient with potential head-and-neck malignancy. Emergency presentations of HNC are wide ranging and can overlap with common respiratory pathologies. Clinician awareness of this can assist the team in deciding what appropriate examination and investigations are required to reduce the risk of delaying diagnosis and further treatment.

头颈癌（HNC）可在急诊科出现危及生命的症状。由于症状和体征相似，患者有时会被误诊为肺部疾病，最终导致诊断延误，并可能造成严重后果。造成这种情况的原因包括基层医疗机构和急诊科的医生对患者的风险因素缺乏认识，对疾病过程中出现的各种主诉缺乏了解。本文探讨了当代风险因素和常见症状，并讨论了对潜在头颈部恶性肿瘤患者的初步处理方法。HNC 的急诊表现多种多样，并可能与常见的呼吸系统疾病重叠。临床医生了解这一点有助于团队决定需要进行哪些适当的检查和化验，以降低延误诊断和进一步治疗的风险。

引用次数: 0

The Efficiency of Focused Assessment with Sonography for Trauma in Pediatric Patients with Blunt Torso Trauma 对钝性躯干创伤的儿科患者进行创伤超声重点评估的效率

IF 1.4 Q2 Medicine

Journal of Emergencies, Trauma, and Shock

Pub Date : 2023-12-04 DOI: 10.4103/jets.jets_137_22

Ozlem Inci, Y. Altuncı, Ozge Can, F. K. Akarca, Murat Ersel

Focused Assessment with Sonography for Trauma (FAST) has attracted attention for its use in the detection of intra-abdominal pathology for pediatric patients. However, computed tomography (CT) remains the gold standard for the assessment of blunt torso trauma. The study examines the effectiveness of FAST both in the detection of intra-abdominal pathology in pediatric patients (<19 years) with blunt torso trauma and in the determination of the need for CT for further examination. The study was designed as a retrospective observational investigation of diagnostic value. The pediatric patients who were admitted to the Emergency Department with blunt torso trauma between January 2013 and October 2016 were included in the study. The sample of the study comprised 255 patients who met the inclusion criteria. The primary outcome was the effectiveness of FAST in the detection of intra-abdominal pathology and the determination of the need for CT. The secondary outcome was to identify the agreement between CT and FAST for intra-abdominal injuries. The Chi-square test and Fisher’s exact test were used for comparisons. A logistic regression model was developed to determine the variables that independently affect the agreement between FAST and CT. FAST was determined to have low sensitivity (20.3%) despite its high specificity (87%). However; FAST had a good negative likelihood ratio. There was a poor agreement between CT and FAST in terms of the presence of both intra-abdominal and intrathoracic injuries in pediatric patients with blunt trunk trauma. The error rate of FAST increased by five-fold, especially in the presence of concomitant thorax trauma. However, FAST had a good negative likelihood ratio. FAST should not be regarded as an equivalent tool to CT for pediatric patients with blunt torso trauma. It is, instead, a noteworthy complementary tool that is a negative predictor.

创伤超声聚焦评估(FAST)因其在儿科患者腹部病理检测中的应用而受到关注。然而，计算机断层扫描(CT)仍然是评估钝性躯干创伤的金标准。该研究探讨了FAST在钝性躯干创伤儿童患者(<19岁)腹部病理检测和确定是否需要CT进一步检查方面的有效性。本研究旨在对诊断价值进行回顾性观察性调查。2013年1月至2016年10月期间因钝性躯干创伤入住急诊科的儿科患者被纳入研究。该研究的样本包括255名符合纳入标准的患者。主要结果是FAST在检测腹腔内病理和确定是否需要CT检查方面的有效性。次要结果是确定CT和FAST对腹内损伤的一致性。采用卡方检验和费雪精确检验进行比较。建立了一个逻辑回归模型，以确定独立影响FAST和CT之间一致性的变量。FAST具有高特异性(87%)，但灵敏度较低(20.3%)。然而;FAST具有良好的负似然比。在钝性躯干创伤的儿童患者中，CT和FAST在腹内和胸内损伤的存在方面的一致性很差。FAST的错误率增加了5倍，特别是在伴有胸部外伤的情况下。然而，FAST具有良好的负似然比。对于患有钝性躯干创伤的儿童患者，FAST不应被视为等同于CT的工具。相反，它是一个值得注意的互补工具，是一个负面预测器。

{"title":"The Efficiency of Focused Assessment with Sonography for Trauma in Pediatric Patients with Blunt Torso Trauma","authors":"Ozlem Inci, Y. Altuncı, Ozge Can, F. K. Akarca, Murat Ersel","doi":"10.4103/jets.jets_137_22","DOIUrl":"https://doi.org/10.4103/jets.jets_137_22","url":null,"abstract":"\u0000 \u0000 \u0000 Focused Assessment with Sonography for Trauma (FAST) has attracted attention for its use in the detection of intra-abdominal pathology for pediatric patients. However, computed tomography (CT) remains the gold standard for the assessment of blunt torso trauma. The study examines the effectiveness of FAST both in the detection of intra-abdominal pathology in pediatric patients (<19 years) with blunt torso trauma and in the determination of the need for CT for further examination.\u0000 \u0000 \u0000 \u0000 The study was designed as a retrospective observational investigation of diagnostic value. The pediatric patients who were admitted to the Emergency Department with blunt torso trauma between January 2013 and October 2016 were included in the study. The sample of the study comprised 255 patients who met the inclusion criteria. The primary outcome was the effectiveness of FAST in the detection of intra-abdominal pathology and the determination of the need for CT. The secondary outcome was to identify the agreement between CT and FAST for intra-abdominal injuries. The Chi-square test and Fisher’s exact test were used for comparisons. A logistic regression model was developed to determine the variables that independently affect the agreement between FAST and CT.\u0000 \u0000 \u0000 \u0000 FAST was determined to have low sensitivity (20.3%) despite its high specificity (87%). However; FAST had a good negative likelihood ratio. There was a poor agreement between CT and FAST in terms of the presence of both intra-abdominal and intrathoracic injuries in pediatric patients with blunt trunk trauma. The error rate of FAST increased by five-fold, especially in the presence of concomitant thorax trauma. However, FAST had a good negative likelihood ratio.\u0000 \u0000 \u0000 \u0000 FAST should not be regarded as an equivalent tool to CT for pediatric patients with blunt torso trauma. It is, instead, a noteworthy complementary tool that is a negative predictor.\u0000","PeriodicalId":15692,"journal":{"name":"Journal of Emergencies, Trauma, and Shock","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138602482","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}

引用次数: 0

Enhancing Primary Health-care Worker Training through High-fidelity Simulation for Snake Bite Management 通过高仿真模拟蛇咬伤处理加强初级卫生保健人员培训

IF 1.4 Q2 Medicine

Journal of Emergencies, Trauma, and Shock

Pub Date : 2023-12-04 DOI: 10.4103/jets.jets_107_23

Hritika Sharma, Ajit Baviskar, Anant D. Patil

引用次数: 0

Status Epilepticus Complicated by Pneumatosis Intestinalis 肠道肺炎并发的癫痫状态

IF 1.4 Q2 Medicine

Journal of Emergencies, Trauma, and Shock

Pub Date : 2023-12-04 DOI: 10.4103/jets.jets_98_23

Y. Yanagawa, H. Nagasawa, Marika Nunotani, I. Takeuchi

引用次数: 0

Colonic Mucormycosis in Fistulizing Crohn’s Disease 瘘性克罗恩病中的结肠粘液瘤病

IF 1.4 Q2 Medicine

Journal of Emergencies, Trauma, and Shock

Pub Date : 2023-12-04 DOI: 10.4103/jets.jets_69_23

A. Mathur, Piyush Mishra, Ankur Yadav, Neha Nigam, U. Ghoshal

Gastrointestinal mucormycosis, a rare fatal fungal infection in an immunocompromised host, affects mainly the stomach. Colonic mucormycosis is infrequent and is associated with high mortality. Perianal involvement is seen in almost one-third of patients with Crohn’s disease. Perianal Crohn’s disease is a particularly debilitating form of the disease, which requires multidisciplinary care. It may also require profound immunosuppression with biological agents to control disease activity. Opportunistic infections can complicate the disease course in these patients. We present a case of a middle-aged female with perianal Crohn’s disease on adalimumab who developed colonic mucormycosis causing a flare in her disease activity. This patient highlights the need to increase awareness about fungal infections as a cause of disease flare in inflammatory bowel disease.

胃肠道毛霉病是一种罕见的致死性真菌感染，发生在免疫功能低下的宿主身上，主要影响胃部。结肠毛霉病是罕见的，与高死亡率有关。近三分之一的克罗恩病患者出现肛周受累。肛周克罗恩病是一种特别使人衰弱的疾病，需要多学科治疗。它也可能需要用生物制剂进行深度免疫抑制来控制疾病活动。机会性感染可使这些患者的病程复杂化。我们提出一个病例的中年女性肛周克罗恩病的阿达木单抗谁发展结肠毛霉病引起她的疾病活动的耀斑。该患者强调需要提高真菌感染作为炎症性肠病疾病爆发的原因的认识。

引用次数: 0

Influence of the Coronavirus Disease 2019 Pandemic and Bystander-victim Relationship on the Willingness of Laypeople and Health-care Providers to Perform Cardiopulmonary Resuscitation 2019年冠状病毒疾病大流行和旁观者与受害者的关系对普通人和医护人员实施心肺复苏意愿的影响

IF 1.4 Q2 Medicine

Journal of Emergencies, Trauma, and Shock

Pub Date : 2023-12-04 DOI: 10.4103/jets.jets_3_23

S. Boonmak, T. Mitsungnern, Pimmada Boonmak, P. Boonmak

Bystander cardiopulmonary resuscitation (CPR) reduces mortality from out-of-hospital cardiac arrest. The willingness to perform CPR (W-CPR) is also critical. Uncertain effects of the coronavirus disease 2019 (COVID-19) pandemic on W-CPR were reported. Our objectives aim to examine W-CPR during the COVID-19 pandemic, including the influence of the bystander-victim relationship, bystander characteristics, and CPR background on the W-CPR of laypeople and healthcare providers (HCPs). A cross-sectional online survey was conducted between August 2020 and November 2020 among Thai laypeople and HCPs. A structured questionnaire was given to volunteers as an online survey. We recorded W-conventional CPR (W-C-CPR), W-compression-only CPR (W-CO-CPR), chest compression, automated external defibrillator (AED), mouth-to-mouth, face shield, and pocket mask ventilation on family members (FMs), acquaintances, and strangers during the study (pandemic) and in nonpandemic situation and analyzed. We included 419 laypeople and 716 HCPs. During the pandemic, laypeople expressed less willingness in all interventions (P < 0.05) except W-CO-CPR in FMs and AED in FMs and acquaintances. HCPs were less willing to any interventions (P < 0.05). Laypeople showed comparable W-C-CPR and W-CO-CPR between FMs and acquaintances but less among strangers (P < 0.05). HCPs’ W-CPR differed significantly depending on their relationship (P < 0.05), except W-CO-CPR between FMs and acquaintances. CPR self-efficacy, single marital status, CPR experience, and HCPs reported higher W-CO-CPR in FMs. Participants were less W-CPR during the COVID-19 pandemic on all recipients (laypeople: 2.8%–21.0%, HCPs: 7.6%–31.2%), except for laypeople with FMs. The recipient’s relationship was more critical in W-C-CPR than in W-CO-CPR, especially in HCPs.

旁观者心肺复苏术(CPR)降低院外心脏骤停的死亡率。实施心肺复苏术(W-CPR)的意愿也很关键。报告了2019冠状病毒病(COVID-19)大流行对W-CPR的不确定影响。我们的目标是研究COVID-19大流行期间的W-CPR，包括旁观者-受害者关系、旁观者特征和CPR背景对非专业人员和医疗保健提供者(HCPs)的W-CPR的影响。在2020年8月至2020年11月期间，对泰国非专业人员和医护人员进行了一项横断面在线调查。一份结构化的问卷作为在线调查发给志愿者。在研究期间(大流行)和非大流行情况下，我们记录了家庭成员、熟人和陌生人的常规CPR (W-C-CPR)、单纯按压CPR (W-CO-CPR)、胸部按压、自动体外除颤器(AED)、口对口、面罩和口袋口罩通气，并进行了分析。我们纳入了419名非专业人员和716名HCPs。大流行期间，外行人对所有干预措施的意愿都较低(P < 0.05)，但在FMs中W-CO-CPR，在FMs和熟人中AED。HCPs不愿意采取任何干预措施(P < 0.05)。外行人的W-C-CPR和W-CO-CPR在FMs和熟人之间具有可比性，但在陌生人之间差异较小(P < 0.05)。医务人员的W-CPR差异显著(P < 0.05)，但医务人员与熟人之间的W-CO-CPR差异显著(P < 0.05)。男性患者的心肺复苏术自我效能、单身婚姻状况、心肺复苏术经验和医护人员报告了较高的W-CO-CPR。在COVID-19大流行期间，所有接受者(非专业人员:2.8%-21.0%，HCPs: 7.6%-31.2%)的参与者的W-CPR都较低，但患有FMs的非专业人员除外。受者关系在W-C-CPR中比在W-CO-CPR中更为关键，特别是在HCPs中。

{"title":"Influence of the Coronavirus Disease 2019 Pandemic and Bystander-victim Relationship on the Willingness of Laypeople and Health-care Providers to Perform Cardiopulmonary Resuscitation","authors":"S. Boonmak, T. Mitsungnern, Pimmada Boonmak, P. Boonmak","doi":"10.4103/jets.jets_3_23","DOIUrl":"https://doi.org/10.4103/jets.jets_3_23","url":null,"abstract":"\u0000 \u0000 \u0000 Bystander cardiopulmonary resuscitation (CPR) reduces mortality from out-of-hospital cardiac arrest. The willingness to perform CPR (W-CPR) is also critical. Uncertain effects of the coronavirus disease 2019 (COVID-19) pandemic on W-CPR were reported. Our objectives aim to examine W-CPR during the COVID-19 pandemic, including the influence of the bystander-victim relationship, bystander characteristics, and CPR background on the W-CPR of laypeople and healthcare providers (HCPs).\u0000 \u0000 \u0000 \u0000 A cross-sectional online survey was conducted between August 2020 and November 2020 among Thai laypeople and HCPs. A structured questionnaire was given to volunteers as an online survey. We recorded W-conventional CPR (W-C-CPR), W-compression-only CPR (W-CO-CPR), chest compression, automated external defibrillator (AED), mouth-to-mouth, face shield, and pocket mask ventilation on family members (FMs), acquaintances, and strangers during the study (pandemic) and in nonpandemic situation and analyzed.\u0000 \u0000 \u0000 \u0000 We included 419 laypeople and 716 HCPs. During the pandemic, laypeople expressed less willingness in all interventions (P < 0.05) except W-CO-CPR in FMs and AED in FMs and acquaintances. HCPs were less willing to any interventions (P < 0.05). Laypeople showed comparable W-C-CPR and W-CO-CPR between FMs and acquaintances but less among strangers (P < 0.05). HCPs’ W-CPR differed significantly depending on their relationship (P < 0.05), except W-CO-CPR between FMs and acquaintances. CPR self-efficacy, single marital status, CPR experience, and HCPs reported higher W-CO-CPR in FMs.\u0000 \u0000 \u0000 \u0000 Participants were less W-CPR during the COVID-19 pandemic on all recipients (laypeople: 2.8%–21.0%, HCPs: 7.6%–31.2%), except for laypeople with FMs. The recipient’s relationship was more critical in W-C-CPR than in W-CO-CPR, especially in HCPs.\u0000","PeriodicalId":15692,"journal":{"name":"Journal of Emergencies, Trauma, and Shock","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138602400","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}

引用次数: 0

Health Drink Poisoning – An Unusual Case of Bottle Gourd Toxicity 保健饮料中毒--一例不同寻常的瓶瓠中毒事件

IF 1.4 Q2 Medicine

Journal of Emergencies, Trauma, and Shock

Pub Date : 2023-11-21 DOI: 10.4103/jets.jets_41_23

H. S. Varun, Kushal Pandya, M. Muniraju

Bottle gourd, popularly known as “Lauki,” is a commonly used vegetable throughout the world including India. Its juice is considered a “health tonic” for chronic ailments by practitioners of alternate therapy and nutritionist. It is essential for emergency physicians to be aware of this toxicity, especially in tropical countries like India, where alternate therapy practices are prevalent. We present the case of a 35-year-old man who consumed concentrated bottle gourd juice and subsequently experienced multiple episodes of vomiting, bloody diarrhea, and giddiness. The patient was resuscitated and stabilized with crystalloid fluids, proton-pump inhibitors, and antiemetics, and admitted to the critical care unit. The patient was discharged in stable condition after 4 days of hospitalization. Bottle gourd toxicity treatment is symptomatic, and there is no specific antidote for this toxicity. It is important to early diagnose bottle gourd toxicity, especially in countries where it is commonly used as a health tonic.

瓶葫芦俗称 "Lauki"，是包括印度在内的世界各地常用的蔬菜。它的汁液被替代疗法从业者和营养学家视为治疗慢性疾病的 "健康补品"。急诊医生必须认识到这种毒性，尤其是在印度等替代疗法盛行的热带国家。我们介绍了一例 35 岁男子的病例，他饮用了浓缩匏瓜汁，随后出现多次呕吐、血性腹泻和眩晕。患者经过抢救，使用晶体液、质子泵抑制剂和止吐药后病情稳定，被送入重症监护室。住院 4 天后，患者病情稳定出院。瓶瓠中毒的治疗是对症治疗，目前还没有针对这种中毒的特效解毒剂。早期诊断匏瓜中毒非常重要，尤其是在那些常用匏瓜作为保健滋补品的国家。

引用次数: 0

A Case of Traumatic Minor Hepatic Injury with Delayed Hemorrhaging 一例外伤性轻微肝损伤并延迟出血的病例

IF 1.4 Q2 Medicine

Journal of Emergencies, Trauma, and Shock

Pub Date : 2023-11-20 DOI: 10.4103/jets.jets_110_23

Chihiro Maekawa, H. Nagasawa, I. Takeuchi, K. Ishikawa, Y. Yanagawa

引用次数: 0

首页上一页

下一页尾页

类型

全部化学•材料生命科学医学物理工程技术环境•农林材料科学地球科学法学管理学化学环境科学与生态学计算机科学教育学经济学农林科学人文科学生物学数学物理与天体物理心理学综合性期刊其他工业工程理学历史学农学文学信息工程

数据库

全部 ACS Publications Elsevier ieeexplore Springer The Royal Society of Chemistry Wiley

期刊

Journal of Emergencies, Trauma, and Shock

全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.

﹀