Browse Items (255 total)
- Collection: Volume 18 Issue 1 2025
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Resuscitation outcomes and associated factors among out-of-hospital cardiac arrest patients at the National Referral Hospital, Bhutan: a prospective cohort study
Abstract
Background Presentation to the Emergency Department (ED) following out-of-hospital cardiac arrest (OHCA) is not
uncommon, and resuscitation outcomes are generally poor. In a country like Bhutan, where emergency medicine is
still…
Background Presentation to the Emergency Department (ED) following out-of-hospital cardiac arrest (OHCA) is not
uncommon, and resuscitation outcomes are generally poor. In a country like Bhutan, where emergency medicine is
still…
Rebound warfarin toxicity presenting
with spontaneous hemopericardium
in cardiac tamponade: a case report
Abstract
Background The spontaneous hemopericardium due to warfarin toxicity is uncommon but can be fatal if it leads to
cardiac tamponade and timely interventions are not administered.
Case presentation An 80-year-old male with a medical history…
Background The spontaneous hemopericardium due to warfarin toxicity is uncommon but can be fatal if it leads to
cardiac tamponade and timely interventions are not administered.
Case presentation An 80-year-old male with a medical history…
Frequency of ED visits and mortality among the adults with ESRD on twice-weekly maintenance hemodialysis at tertiary care hospital in Bhutan
Abstract
Background The burden of end-stage renal disease (ESRD) is increasing in Bhutan but there is limited data on the
emergency department (ED) visits among ESRD patients. This study aims to study the frequency of ED visits and one-
year…
Background The burden of end-stage renal disease (ESRD) is increasing in Bhutan but there is limited data on the
emergency department (ED) visits among ESRD patients. This study aims to study the frequency of ED visits and one-
year…
Case of scombroid syndrome mimicking an
anaphylactic fish allergy
Abstract
Background Scombroid syndrome, a pseudo-allergic reaction caused by histamine-contaminated fish, is often
mistaken for type I hypersensitivity reactions due to overlapping clinical presentations. Unlike IgE-mediated
anaphylaxis, Scombroid…
Background Scombroid syndrome, a pseudo-allergic reaction caused by histamine-contaminated fish, is often
mistaken for type I hypersensitivity reactions due to overlapping clinical presentations. Unlike IgE-mediated
anaphylaxis, Scombroid…
Utility of core to peripheral temperature gradient using infrared thermography in the assessment of patients with sepsis and septic
shock in the emergency medicine department
Abstract
Objective Sepsis is a disease affecting microcirculation, reflected in temperature changes between the core and the
skin. This study explores correlation of this gradient using infrared thermography (IRT) with mortality and markers…
Objective Sepsis is a disease affecting microcirculation, reflected in temperature changes between the core and the
skin. This study explores correlation of this gradient using infrared thermography (IRT) with mortality and markers…
Minimally invasive management
of penetrating thoracic and abdominal
injuries: a case series
Abstract
Background Penetrating thoracic and abdominal trauma presents a diagnostic and therapeutic challenge in the
emergency department (ED). Traditionally managed with open laparotomy or thoracotomy, advances in minimally
invasive surgery (MIS)…
Background Penetrating thoracic and abdominal trauma presents a diagnostic and therapeutic challenge in the
emergency department (ED). Traditionally managed with open laparotomy or thoracotomy, advances in minimally
invasive surgery (MIS)…
An original closed reduction technique for acute shoulder dislocation: the wrist- clamping and shoulder-lifting
Abstract
Background Acute anterior shoulder dislocation is one of the most common injuries in emergency medicine
and orthopaedics. The aim of this study is to introduce a new closed reduction technique: the wrist-clamping and
shoulder-lifting, for…
Background Acute anterior shoulder dislocation is one of the most common injuries in emergency medicine
and orthopaedics. The aim of this study is to introduce a new closed reduction technique: the wrist-clamping and
shoulder-lifting, for…
Domain validation of the CRASH prognostic model for predicting 14-day mortality among patients with traumatic brain injury with intracranial hemorrhage in a Thai emergency department
Abstract
Background Traumatic brain injury (TBI) is a significant health concern, with intracranial haemorrhage (ICH) being
a common complication following injury. The CRASH prediction model plays a crucial role in clinical prognostication
and…
Background Traumatic brain injury (TBI) is a significant health concern, with intracranial haemorrhage (ICH) being
a common complication following injury. The CRASH prediction model plays a crucial role in clinical prognostication
and…
Mature NK-cell lymphoma presenting
with chylothorax and delirium: a rare
emergency case
Abstract
Background Extranodal natural killer (NK)/T-cell lymphomas constitute less than 1% of non-Hodgkin lymphomas,
with central nervous system involvement and chylothorax representing exceptionally rare presentations. This unique
combination…
Background Extranodal natural killer (NK)/T-cell lymphomas constitute less than 1% of non-Hodgkin lymphomas,
with central nervous system involvement and chylothorax representing exceptionally rare presentations. This unique
combination…
Precision education – a call to action to transform medical education
Abstract
Background Institutions, departments, and individuals are increasingly facing challenges to determine how to
enable their learners to acquire and curate rapidly changing knowledge and to foster the creation of lifelong learners
in this…
Background Institutions, departments, and individuals are increasingly facing challenges to determine how to
enable their learners to acquire and curate rapidly changing knowledge and to foster the creation of lifelong learners
in this…