introduction: pain is the most common complaint of patients referring to emergency department (ed). considering the importance of pain management in ed, this study aimed to investigate the efficacy and feasibility of ultrasound-guided nerve blocks in this setting. methods: 46 patients who came to the ed with injured extremities were enrolled in the study and received either femoral, axillary or...

introduction : confirmation of proper endotracheal tube placement is one of the most important and lifesaving issues of tracheal intubation. the present study was aimed to evaluate the accuracy of tracheal ultrasonography by emergency residents in this regard.   method : this was a prospective, cross sectional study for evaluating the diagnostic accuracy of ultrasonography in endotracheal tube ...

background trauma still stands atop of the list of emergencies. transfer of these patients via emergency medical services (ems) dispatch is critical with regard to importance of timing. this aspect has achieved greater importance due to population increase and telephone triage. objectives we aimed to decrease unnecessary emergency medical services (ems) missions via a computer program designed ...

over the past decade, clinical governance approach with aims to improve the quality of health services has been proposed in iran. considering the obvious problems especially patients' length of stay (los) in the emergency departments (eds); the present study has been carried out with the purpose of investigating the effect of clinical governess approach on patients' los in the one of the larges...

background advanced ambulance service (emergency medical services/ems) is considered to be an integral part of emergency medical care as the first assets responding to emergencies and disasters in the prehospital setting in most developed countries. objectives the aim of this study was to evaluate the current situation of shiraz’s ems by comparing data obtained during two different time periods...

conclusions the delay time from symptom onset to hospital admission was high in patients with ami. it is necessary to create emergency medical system (ems) stations in suburbs and train the public on the importance of quick contact with the ems when the symptoms of an ami are observed. results the median delay was 129 minutes (mean ± sd, 240.44 ± 295.30). overall, 32.5% of patients were admitte...

introduction: acute coronary syndrome accounts for more than 15% of the chest pains. recently, hess et al. developed north american chest pain rule (nacpr) to identify very low-risk patients who can be safely discharged from emergency department (ed). the present study aimed to validate this rule in eds of two academic hospitals. methods: a prospective diagnostic accuracy study was conducted on...

introduction: despite radiography being the gold standard in evaluation of orthopedic injuries, using bedside ultrasonography has several potential supremacies such as avoiding exposure to ionizing radiation, availability in pre-hospital settings, being extensively accessible, and ability to be used on the bedside. the aim of the present study is to evaluate the diagnostic accuracy of ultrasono...

introduction : pre-hospital emergency systems provide service by franco-german and anglo american models. this study was carried out to compare the iranian emergency medical service (ems) with the two models regarding timing and equipment. methods : in this cross sectional study, response time, scene time, and transport time to hospital as well as ambulance equipment of five hundred thousand te...

aims: the revised geneva score (rgs), a standardized clinical prediction rule for pulmonary embolism (pe), was recently developed. we have measured its predictive accuracy, performing an external retrospective validation in a cohort of emergency department (ed) patients, filtered by symptomatology and not by clinical suspicion, to allow its use in nursing practice.   methods: the clinical proba...