Online ISSN: 2515-8260

Keywords : Emergency


Profile of patients reported to emergency medicine department

Dr. Anjanappa T.H

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 4, Pages 1073-1076

Background: Health care is one of the basic needs of each community. Since considering
to healthcare and investing in this sector increases labor productivity and service
production, therefore, optimal resource allocation and use of resources is very important.
The present study was conducted for assessing the profile of patients reported to emergency
medicine department.
Materials & methods: A total of 500 patients were analysed who presented to emergency
department were included in the present study. Complete demographic and clinical details
of all the patients were obtained. Some patients requiring emergency intubation in the ER
were maintained on ventilator machine. Presenting complaints, personal details, and
medication history were recorded. These patients were followed until the tenth day of
hospitalization and outcome was determined. All the results were recorded in Microsoft
excel sheet and were analysed by SPSS software.
Results: Mean age of the patients reporting to the emergency department was 62.2 years.
Out of these 500 patients, 289 patients were males while the remaining 211 patients were
females. Mean pulse rate was less than 60 in 53 patients (16 percent of the patients).
Breathlessness and chest pain were most common presenting complaints found to be
present in 55 percent (275 patients) and 43 percent (215 patients) of the patients. Out of
500 patients, nature of disease was non-trauma in 483 patients (96.6 percent). Out of 500
patients, 439 patients (87.8 percent) were discharged while mortality occurred in 3 percent
of the patients (15 patients). The remaining patients were left against medical advice
(LAMA).
Conclusion: Medical emergencies are common emergencies and hence a well-equipped ED
and proper training of emergency physicians and paramedical team in are paramount in
saving the lives of these patients.

Role Of Mock Drills In Competency Based Post Graduate Medical Education In Managing Emergency Clinical Situation.

Dr. Neema Acharya; Dr Tripti Srivastava; Dr Sourya Acharya; Dr Samarth Shukla; Dr Deepika Dewani; Dr Neema Acharya

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 2, Pages 1436-1447

Abstract: Background- Access to a skilled health professional and quality emergency
obstetric care are important factors that improve maternal and perinatal mortality. In
Medical simulation (drills) of emergency cases can give ample opportunity for post
graduate students to learn, practice and finally can assess system weaknesses and
strengths, test policies and procedures for coping with higher levels of competencies and
thereby improve teamwork and management and communication skills of post
graduates/staff members.
Aim- We aimed to compare the effectiveness of traditional video demonstration vs.
performing mock drill as a T-L METHOD in terms of competencies of postgraduate
students regarding managing emergency clinical situations in OBGY and study perception
of postgraduate students of both methods.
Objectives-
1.To study and compare between change in WPBA SCORE of traditional video lecture
and Mock drills on competencies of post graduate medical students in managing
emergency clinical situation
2. To study perception of PG students about Mock drill as T-L tool in pg training.

Reasons For 1-17-Year-Old Children To Visit A Dentist During The Covid-19 Pandemic

M.K. Kamalova; I.V. Fomenko; D.S. Dmitrienko; N.V. Matvienko; E.N. Arjenovskaya .; A.G. Gevorkyan .; K.V. Nikitina; E.E. Maslak .

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 7, Pages 546-558

COVID-19 pandemic significantly affected dentistry due to high coronavirus infectivity and dangerous consequences. Special recommendations were developed for dentists to limit the infection of staff and patients. to study the reasons for children visiting dental clinics during COVID-19 pandemic and give the characteristics of the patients and provided dental treatment. The cross-sectional study was conducted in four dental clinics, which worked for dental emergency in the cities of Volgograd and Volzhky during the peak of COVID-19 pandemic. The data about 166 paediatric dental patients aged 1-17 years were collected. The reasons for children’s dental visits, age and behavior of the children, the tooth types, and the types of provided treatment were analyzed. The children’s behavior was assessed according to Frankl’s Behavior Rating Scale. Proportions (%), 95% Confidence Interval (CI), mean-value with standard error (M±m) were calculated. The differences were assessed by Pierson’s Chi-square test at p-value 0.05. Microsoft-office Excel-2019 programs were used for the statistic analysis. The majority (98.8%, 95% CI 95.7-99.7%) of the children visited dental clinics due to acute toothache. The primary teeth needed urgent treatment significantly more often than permanent teeth: 83.7% (95% CI 77.8-88.3%) and 16.3% (95% CI 11.7-22.2%) respectively, x2 = 172.171, p < 0.0001. Among the primary teeth the most affected ones were the first and second molars, among the permanent teeth – the first molar. The common reasons for urgent dental treatment in children were caries consequences: apical periodontitis (51.6%, 95% CI 44.5-58.6) or pulpitis (35.3%, 95% CI 28.8-42.3). The other reasons were dental trauma, caries, periostitis, physiological primary tooth mobility. Acute pain in the primary teeth was caused mainly by apical periodontitis, in the permanent teeth by pulpitis. The applied treatment methods were aimed at limiting the use of aerosol generating procedures, reducing the duration of the treatment and preventing the patients’ hospitalization. Almost all the primary teeth with apical periodontitis were extracted; the number of extracted and endodontically treated permanent teeth was approximately equal. The current methods of pulpitis treatment (pulp capping, pulpotomy and pulpectomy) were applied along with the pulp necrotizing agent use. Many (39.7%, 95% CI 32.6-47.4%) children demonstrated negative behavior. Behavior management techniques were used, including tell-show-do (54.5%, 95% CI 42.6-66.0%), sedation (3.0%, 95% CI – 0.8-10.4%), general anesthesia (3.0%, 95% CI – 0.8-10.4%), passive restraint (39.4%, 95% CI 28.5-51.4%). In the limitation of this study we can conclude that COVID-19 pandemic changed the profile of paediatric dental patients and dentist’s treatment options. In 1-17-year-old children the main reason for an emergency dental visit was acute dental pain due to caries consequences. The primary teeth needed urgent dental treatment significantly more often than the permanent teeth. The children often demonstrated negative behavior and required behavior management. The applied treatment methods were aimed at limiting the use of