acute chest pain is an important and frequently occurring symptom in patients. chest pain is often a sign of ischemic heart disease. chest pain due to suspected acute coronary syndrome (acs) is responsible for a large and increasing number of hospital attendances and admissions. current practice for suspected acs involves troponin testing 10–12 hours after symptom onset to diagnose myocardial i...

Objective: Emergency department is the most important part of a hospital and it seems that 24-hour presence of emergency medicine specialist can be effective in improving the performance of this ward. Therefore, the present study was performed with the aim of studying the effect of 24-hour presence of emergency medicine specialists in the emergency department of Shahid Bahonar ...

introduction: erythrocyte sedimentation rate (esr) remains as one of the most reliable tests in clinical practices. yet its use is time consuming and requires a large blood sample. the aim of this study was assessing a faster and reliable method of esr estimation. methods: an esr estimation method was described and performed on 108 patients using capillary tube (micro esr) and capillary periphe...

on the last wednesday of every year iranians celebrate the sanctity of fire in the annual festival of chaharshanbeh soori. each year many cases of firecracker-related injuries (fri) are reported during this festival. the aim of this study was to assess the pattern of injuries and the frequency of disabilities during this period. in 2011, a cross-sectional study was conducted at the emergency de...

hemodynamic monitoring is needed in up to 58% of patients presented to the emergency department. central venous pressure (cvp) monitoring is generally useful to assess general volume status. there are several methods of cvp measurement, which can be categorized as invasive and non-invasive. cvp manometer and electronic transducer are among the invasive methods and direct observation, ultrasonog...

MEDICINE & HEALTH/RHODE ISLAND Lawrence Proano, MD, DTMH, is Clinical Associate Professor of Emergency Medicine, Department of Emergency Medicine, Division of International Emergency Medicine. Robert Partridge, MD, MPH, is Adjunct Associate Professor of Emergency Medicine ,Department of Emergency Medicine, Division of International Emergency Medicine. Both are at the Warren Alpert Medical Schoo...