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- Department of Emergency Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran [2]
- Craniofacial and Cleft Research Center, Isfahan University of Medical Sciences, Isfahan, Iran. *Email: [email protected] [1]
- Department of Health in Disaster and Emergencies, School of Management and Medical Information Sciences, Isfahan University of Medical Sciences, Isfahan, Iran [1]
- Department of Statistics, Yazd University, Yazd, Iran [1]
- School of Medicine, Department of Emergency Medicine, Isfahan University of Medical Sciences, Isfahan, Iran E-mail: [email protected] [1]
- Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran*Correspondence: Mehdi Nasr Isfahani [email protected] [1]
- Trauma Data Registration Center, Al-Zahra University Hospital, Isfahan University of Medical Sciences, Isfahan, Iran [1]
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Ultrasound-guided supracondylar radial nerve block to manage distal radius fractures in the emergency department
Background: Distal radius fractures the most prevalent of all fracture types are often associated with severe pain and discomfort and treated with closed reduction and splinting. This study aimed to compare ultrasound-guided supracondylar radial nerve block with procedural sedation for the treatment of distal radius fractures in the emergency department. Methods: Patients with isolated distal radius fractures and limited displacement who met the inclusion criteria were randomly divided into two groups an ultrasound-guided nerve block group and a procedural sedation group which were compared in terms of managing patients with distal radius fractures. The number of patients in each group was 27. Results: The duration of the procedure was significantly shorter in the nerve block group than in the ketamine group (p < 0.001). Physician and patient satisfaction were determined according to the unipolar Likert scale and unlike for patients (p = 0.001) no significant difference was noted between the two groups for the physicians (p = 0.619). Unlike nerve block emergence reactions (p = 0.038) and vomiting (p = 0.009) occurred in the ketamine intervention. Conclusion: Ultrasound-guided supracondylar radial nerve block can be prescribed as an alternative method in minimal or non-displaced distal radius fractures instead of IV sedation due to fewer side effects and a shorter procedural duration.
The impact of nature sounds on job stress, satisfaction, and productivity among Emergency Department staff
Background: Healthcare workers often contend with elevated levels of job stress impacting their well-being and performance. Aim: This study investigated the short-term effects of listening to nature sounds on job stress and productivity among healthcare workers within a hospital setting. Methods: The research was a pretest-posttest study involving a university hospital's emergency department (ED) staff. A sample size formula was employed to establish inclusion and exclusion criteria. Three questionnaires—assessing job stress (Philip L. Rice) job satisfaction (Herzberg) and productivity (ACHIEVE)—were utilized for data collection. Nature sound was played for an hour at the commencement and conclusion of each work shift for two months. Subsequently participants completed the three questionnaires. The collected data underwent analysis using SPSS-20 software. Shapiro-Wilk's test assessed variable normality and the paired t-test compared variables pre and post-intervention with significance set at p < 0.05. Results: Introducing nature sounds in the emergency department reduced job stress and increased staff productivity. However job satisfaction levels did not change significantly. Music therapy notably influenced the three dimensions of job stress physical conditions and job interest. Moreover all productivity dimensions except one showed significant changes under the influence of music therapy. Conclusion: Nature sounds exhibit preventive and therapeutic benefits for people's psychological and physical well-being. As a non-invasive and safe treatment modality it can be employed as a complementary therapy in emergency departments (EDs) and busy medical wards to help uplift people's spirits particularly during periods of stress or anxiety.
The epidemiology of spinal fractures: A nationwide data-based study in Iran
Background: Blunt trauma is a physical injury to a part of the body mainly caused by road accidents direct blows attacks sports injuries and falls in elderly people. Spinal fractures are observed only in a small percentage of injured patients. Accordingly the present study was conducted on collected data between 2018 and 2022 to determine the frequency of spinal fractures in blunt trauma in Iran while also considering the mechanism of injury as a secondary outcome of interest.
Methods: In this retrospective study blunt trauma patients with spinal fractures regardless of age were included by the census sampling method. Data were obtained from the National Trauma Registry of Iran. Means and standard deviations were used for continuous variables and the chi-square test was used to assess the relationship between the variables.
Results: Among 25986 cases of all-cause trauma patients 1167 cases (4.5%) of blunt trauma and spinal fracture were included in the study. Gender the severity of injury and the cause of trauma showed a significant difference among different age groups (p < 0.05). Significant differences were found in the injury mechanisms across various spine regions (p < 0.05). The majority of patients (68.2%) had lumbar spinal fractures. Road traffic collisions were the most common cause of spinal cord injuries accounting for 58.3% of cases followed by falls (36.1%). The injury severity score was higher in younger patients (under 18 years old) with a mean of 4.4 ± 3.5 and in patients with cervical injuries. The majority of injuries occurred in the lumbar area (68.2%) followed by the thoracic area. Furthermore notable variations existed in Emergency Room (ER) stay duration overall hospitalization Intensive Care Unit (ICU) stay duration and injury severity levels all influenced by the spinal regions (p < 0.05). Distinctively ICU stay durations and ER stay duration showed significant differences particularly in relation to injuries in the lumbar and thoracic regions (p < 0.05).
Conclusion: According to the results of the present study trauma is more severe and cervical injuries are more common in young people which is a critical finding that underscores the need for targeted interventions to mitigate the severity of trauma in this age group. Additionally the majority of cervical injuries occurred in young people which is a particularly concerning finding given the potential for long-term disability and impact on quality of life. Our findings suggest that strategies to reduce cervical injuries such as speed control seat belt use and phone-free driving are crucial interventions for mitigating the severity of trauma and promoting patient outcomes in young people.