Jacobs Journal of Emergency Medicine
Volume 2 Issue 2
Atlanto-Axial Dislocation with Bilateral Vertebral Artery Transection
Shaina M. Schaetzel*, Gerard J. Willey, James W. Davis
Traumatic atlanto-axial dislocation is an uncommon injury with high mortality. Blunt vertebral artery transection is also rare and is universally fatal. We report the clinical and radiographic findings of a case of traumatic atlanto-axial dislocation with bilateral vertebral artery transection, an injury rarely seen in the hospital. We also review the literature on the incidence and association of these injuries with emphasis on difficulty in diagnosis and need for a high index of suspicion to allow for attempts at intervention to prevent permanent neurologic damage.
New Biomarkers in the Management of Sepsis in the Emergency Department: Role of Galectin-3
Claudia Galluzzo*, Elisa Pizzolato, Marilena Rende, Manuela Lucchiari, Samuele Raso, Anna Rita Vitale, Monica Masoero, Marco Ulla, Letizia Barutta, Elena Maggio, Bruno Tartaglino, Enrico Lupia, Giulio Mengozzi, Stefania Battista
Sepsis is among the most frequent clinical condition handled in the Emergency Department (ED). Its incidence and mortality remains high despite the improvement in the antibiotic therapy associated with cardiovascular and respiratory supports. In the United States, there are about 750.000 cases of severe sepsis and septic shock each year and short term mortality is 20% or more.
Subluxation of the Head of the Radius (Nursemaid’s Elbow)
Basem Abbas Al Ulbaidi*
A child’s elbow can be easily injured by forcible traction to the pronated wrist, while the elbow is extended. It is characterized by slippage of the radial head through the annular ligament. The common names for the condition are descriptive the mechanisms types of damage (e.g., baby-sitter’s, nursemaid’s elbow, supermarket elbow, pulled elbow syndrome, temper tantrum elbow). A history is often enough to reach a diagnosis (child pulling away while being firmly held by the hand, or child being rolled or lifted by one arm).
Rh (C) Phenotype Among Pregnant Women in Sokoto, North Western Nigeria
Erhabor O *, Kabiru Salisu Adamu, Abdulrahaman Y, Isaac Z, Onuigue F, Kweifa I, Buhari H, Okwesili A, Yakubu A, Shehu CE, Hassan M, Singh S, Yeldu MH, Gwarzo S
Rhesus antigens play a significant role in blood transfusion and Haemolytic Disease of the Foetus and Newborn. This study investigated the prevalence of Rhesus C antigens among pregnant women in Sokoto, North Western, Nigeria. A total of 155 pregnant women aged 18 to 45 years and mean age 27.19 ± 4.70 years attending ANC in UDUTH Sokoto were tested for Rh(C) phenotype using Lorne Laboratories of UK Anti-C reagent. Out of 155 subjects phenotyped, 40 (25.8%) were positive, while 115(74.2%) were negative.
Effect of Plasmapheresis on Treatment of Acute Pancreatitis in Infant with Familial Chylomicronemia
Enayatollah.Nemat Khorasan*, Fariba.Mansouri
Familial chylomicronemia is a rare genetical disorder.(autosomal recessive)with incidence 1/ 1000,000 that there is difficulty in clearance serum content of triglyceride & cholesterol due to deficiency of Apo-B-lipoprotein lipase or lipoproteine lipase(LPL) or cofactor Apo-C II. Different between them is decrease level of serum TG after prescription FFP in Apo-CII and without response in LPL deficiency.
The Next Pandemic: Physician’s Ethical Duty to Treat During an Global Influenza Pandemic Based On Medical Specialty
Cameron Y. S. Lee*
In regards to infectious diseases, much of the discussion has recently focused on the ebola virus disease (EVD) that has killed over 10,000 individuals since December 2013. However, other new infectious viral diseases such as Severe Acute Respiratory Syndrome (SARS), avian influenza (H5N1), influenza A (H1N1) and Middle East Respiratory Syndrome (MERS) are capable of causing even greater mortality than EVD in a short period of time that will overwhelm many healthcare systems due to surge capacity.