The first three cases of spotted fever group rickettsiosis from Thailand are reported. The patients presented with fever, headache, lymphadenopathy, and petechial maculopapular rash. One patient also had an eschar and overt evidence of confusion. An indirect fluorescent antibody test, an indirect immunoperoxidase test, and an enzyme-linked immunosorbent assay demonstrated a broad, strong reacti...

talented individuals, who are bleeding from the nose, usually do not go to the doctor, except in case of sever and unusual bleeding. because traditional method of treatment is not effective in nasopharanx bleeding, so malcolm harvey explain brighton epistaxis balloon as a new method  for controlling nasopharanx bleeding through the paper. epistaxia usually happen in the anterior part of the nas...

introduction placenta accreta is an increasingly common complication of pregnancy that can result in massive hemorrhage. case presentation we describe two cases of placenta accreta, with successful conservative management in a referral hospital in tehran, iran. in both cases, two procedures were performed: compression suture (b-lynch) and a perfusion-decreasing procedure (bilateral uterine arte...

background: post partum hemorrhage is one of the common causes in maternal morbidity and mortality and its outcome depends on accurate estimation of blood loss which needs acquiring skills. in this study, we decided to evaluate the effect of education on visual blood volume estimation by using simulation. method: this prospective study was done in mashhad university of medical sciences and 40 o...

results hemoglobin level was 9.9 ± 5.1 in the control group six hours after hemorrhage while it was 8.10 ± 2.1 in the treatment group (p = 0.004). hemoglobin level was 5.8 ± 4.1 in the control who did not receive transfusion of blood products during the first 24 hours after hemorrhage, while this level was 7.9 ± 4.1 in the treatment group (p = 0.001). the amount of bleeding significantly declin...

metabolic acidosis and severe hypotension are the main causes of irreversibility during hemorrhagic shock. the influence of these two factors on durations of shock period and survival time were studied in four groups of anesthetized cats. in group i the animals were made hypotensive by reducing mean arterial blood pressure (pa) to 45 mmhg with concurrent metabolic acidosis. [n group ii the same...

conclusions hs in total thyroidectomy, reduces operating time, blood loss, postoperative pain, drainage volume, voice changes, and postoperative hypocalcemia, compared to conventional techniques. background traditional haemostatic techniques in total thyroidectomy may cause some damages to surrounding tissues. it is believed that these damages can be reduced using ultrasonic dissector devices l...

angiosarcomas are endothelial cell neoplasms in the lining of the blood vessel wall and account for about 0.04% of all breast malignancies with a high rate of error in primary diagnosis. the breast angiosarcoma is a rare and uncommon pathology and has been described mostly as case reports. indeed, only a limited number of cases have been published. accordingly, the natural history of this tumor...

during the primary survey life-threatening or limb-threatening conditions are identified and management is instituted simultaneously. priorities for the care of adult, pediatrics & pregnancy women are all the same. you should do rapid sequential way to assess the patients in 10 seconds treat as you find life threatening condition and repeat if at any time unstable vital signs should be repeated...