objective: to evaluate the current scientific evidence for the applicability, safety and effectiveness of pathways of enhanced recovery after emergency surgery (eras). methods: we undertook a search using pubmed and cochrane databases for eras protocols in emergency cases. the search generated 65 titles; after eliminating the papers not meeting search criteria, we selected 4 cohort studies and ...

introduction: tube thoracostomy complications depend on the operator’s skill, patients’ general condition and the place in which the procedure is done. the present study aimed to compare the quality and complications of tube thoracostomy carried out by emergency medicine residents (emrs) and surgery residents (srs). methods: this cohort study was conducted on 18-60 years old trauma patients in ...

conclusions the results indicated that suitable facilities and equipment, human resources, and infrastructure were available in the district hospitals in iran. these findings showed that there is potential for the district hospitals to provide care in a wider spectrum. results in this study, 100% of the studied hospitals had oxygen cylinders, running water, electricity, anesthesia machines, eme...

a 48-year-old male patient presented to the emergency department with the complaints of epigastric pain and melena for the past 3 days. the pain was started suddenly and has progressed and after a while, he passed melena stool. he also mentioned some episodes of vomiting that was not bloody. the pain score was about 8/10 (based on verbal quantitative scale) and slightly radiated to back. he loo...

background & aim: ovarian torsion is one of the most common causes of emergency surgery in gynecology, with a tendency to occur in postmenopausal women. the aim of this study was to provide information concerning the clinical presentations, surgical management, pathological findings and risk of malignancy in postmenopausal women with ovarian torsion. methods:in this cross-sectional study, the r...

Background: In order to analyze the cecum-colon ecosystem and the treatment of the cecal impaction and hindgut acidosis, cecal cannulation is needed. It is essential to select a simple, fast and inexpensive cecal cannulation method. Because of different complications in general anesthesia, the standing surgery is known as a better option for the horse emergency surgery. Objective: The objective...

Adhesive small bowel obstruction (ASBO) is one of the most frequently encountered disorders in Emergency Surgery Departments worldwide without negligible hospital admission rates and social costs (1,2). Notwithstanding significant improvements in techniques and materials, intra-abdominal adhesions following abdominal surgery still represent a major unsolved and debated issue harbouring challeng...