introduction: diagnostic values reported for ultrasonographic screening of acute appendicitis vary widely and are dependent on the operator’s skill, patient’s gender, weight, etc. the present study aimed to evaluate the effect of operator skill on the diagnostic accuracy of ultrasonography in detection of appendicitis by comparing the results of ultrasonography done by radiologists and emergenc...

acute dyspnea is a common cause of hospitalization in emergency departments (ed).distinguishing the cardiac causes of acute dyspnea from pulmonary ones is a major challenge for responsible physicians in eds. this study compares the characteristics of bedside ultrasonography with serum level of blood natriuretic peptide (bnp) in this regard. methods: this diagnostic accuracy study compares bedsi...

objective: to examine the inter-rater reliability of triages performed by the electronic triage system (ets) which has recently developed and used in hospital emergency department (ed). methods: this cross-sectional study was conducted prospectively and studied 408 visitors of tabriz imam reza hospital’s ed. the variables of interest were age, sex, nurse-assigned triage category, physician-assi...

background sedation is a condition of reduced level of consciousness (loc) for a patient that is created to decrease irritability, anxiety, and restlessness. objectives in this study, we compared the sedative effect of oral administration of ketamine, midazolam, and atropine cocktail with diphenhydramine in the referent children to the emergency department. patients and methods based on the dou...

introduction: midazolam has turned into a common drug for pediatric procedural sedation and analgesia. however, there is not much data regarding its proper dose and potential side effects in the iranian children population. therefore, the present study was done to compare 2 doses of iv midazolam in this regard. methods:  the present clinical trial was performed to compare 0.1 and 0.3 mg/kg dose...

introduction: patient satisfaction is crucial to the long-run success in health care center. with regard to the highest patients’ referral to the emergency department and the existing challenges due to the patient’s need to urgent care, we aimed to evaluate health care services quality in this unit to find out whether the patients have different expectations from health care providers and if th...

introduction: since most studies on ankle sprain are medical and sports-related and not much epidemiologic and etiologic data from the general population exist in this field, the present study evaluates the relationship between q angle and anthropometric measures with ankle sprain in the general population. methods: in the present case-control study, all of the patients over 18 years age presen...

introduction:   renal transplantation are admitted to emergency department (ed) more than normal population. the present brief report aimed to determine the reasons of renal transplant patients’ ed visits. methods: this retrospective case series study analyzed the reasons of renal transplant recipients’ admission to one ed between 2011 and 2014. the patient data were collected via a checklist a...

conclusions the door-to-needle (dtn) time, in a standard setting, is recommended to be less than 30 minutes. according to the results of this study, the dtn time is comparatively two times longer in females and afternoon and night shifts. different variables including emergency staff, physicians, patients’ characteristics, and environmental/physical factors induced this difference. results in t...

objective: to validate the triage ratings performed by the electronic triage system (ets) using hospitalization, length of stay, resource use, in-hospital mortality and patient bills as outcome measures. methods: in this retrospective cross-sectional study the medical records of 387 patients were reviewed in a one-week period. the data included triage category and the outcome measures were hosp...