Browse Items (43 total)
- Collection: Volume 19 Issue 1 2026
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Vital signs as biomarkers of early clinical
deterioration in pediatric emergency
departments: physiology, interpretation,
and innovations: a narrative review
Abstract
Background Early recognition of pediatric deterioration is difficult because age-dependent physiology and
compensation mask early shock and safety risks. This narrative review compares vital-sign (VS) biomarkers (heart rate,
respiratory…
Background Early recognition of pediatric deterioration is difficult because age-dependent physiology and
compensation mask early shock and safety risks. This narrative review compares vital-sign (VS) biomarkers (heart rate,
respiratory…
When subarachnoid hemorrhage mimics
acute coronary syndrome in out-of-hospital
cardiac arrest: a diagnostic challenge
Abstract
Background Out-of-hospital cardiac arrest (OHCA) is most often due to acute coronary syndrome (ACS), but
less frequent causes like subarachnoid hemorrhage (SAH) may mimic cardiac disease through ECG changes and
biomarker elevation,…
Background Out-of-hospital cardiac arrest (OHCA) is most often due to acute coronary syndrome (ACS), but
less frequent causes like subarachnoid hemorrhage (SAH) may mimic cardiac disease through ECG changes and
biomarker elevation,…
Conservative management of spontaneous
thoracolumbar epidural hematoma: a case
report
Abstract
Background Spontaneous spinal epidural hematoma (SSEH) is an exceedingly rare clinical entity often associated
with neurological deficits, for which surgical intervention remains the mainstay of treatment. We report a case
successfully…
Background Spontaneous spinal epidural hematoma (SSEH) is an exceedingly rare clinical entity often associated
with neurological deficits, for which surgical intervention remains the mainstay of treatment. We report a case
successfully…
A case report: reflections on the formation
of acute thrombotic events after PCI
in patients with acute ST-Segment elevation
myocardial infarction
Abstract
Platelet gene resistance may result in acute thrombosis, although clinical reports are scarce.This article presents
a classic case of acute in-stent thrombosis and discusses its diagnostic and therapeutic strategies.The patient,
a…
Platelet gene resistance may result in acute thrombosis, although clinical reports are scarce.This article presents
a classic case of acute in-stent thrombosis and discusses its diagnostic and therapeutic strategies.The patient,
a…
Anaphylactic shock following intravenous
ranitidine in rural Nepal: a case report
Abstract
Background Ranitidine, a histamine-2 (H2) receptor antagonist, is widely used for acid-peptic disorders. Although
generally safe, it is a rare but recognized cause of drug-induced anaphylaxis, with an estimated incidence of 0.2–0.7%
for…
Background Ranitidine, a histamine-2 (H2) receptor antagonist, is widely used for acid-peptic disorders. Although
generally safe, it is a rare but recognized cause of drug-induced anaphylaxis, with an estimated incidence of 0.2–0.7%
for…
Injury epidemiology of inflatable amusement
devices: a level I trauma center experience
Abstract
Objectives The incidence of pediatric injuries involving inflatable amusement devices (IADs) has increased. This
study aimed to evaluate the epidemiology of these injuries treated at a level 1 trauma center. We hypothesized that
there…
Objectives The incidence of pediatric injuries involving inflatable amusement devices (IADs) has increased. This
study aimed to evaluate the epidemiology of these injuries treated at a level 1 trauma center. We hypothesized that
there…
Building medical toxicology capacity in Africa:
a review and strategic perspective on the
need for fellowship training programs
Abstract
Introduction Toxic exposures and poisoning constitute a substantial but underestimated public health hazard
throughout Africa, for which pesticides, drugs, traditional medicine, snake venom, and industrial chemicals are a
disproportionate…
Introduction Toxic exposures and poisoning constitute a substantial but underestimated public health hazard
throughout Africa, for which pesticides, drugs, traditional medicine, snake venom, and industrial chemicals are a
disproportionate…
Ileo-ileal knotting causing gangrenous small
bowel obstruction; a rare case report
Abstract
Background Ileo-ileal knotting was first described by Riverius in the 16th century and by Rokitansky in 1836. It is one
of the rare causes of acute abdominal pain which mandates urgent surgical treatment. Preoperative investigations…
Background Ileo-ileal knotting was first described by Riverius in the 16th century and by Rokitansky in 1836. It is one
of the rare causes of acute abdominal pain which mandates urgent surgical treatment. Preoperative investigations…
Piperacillin-tazobactam caused post-
trauma patient’s postoperative leukopenia,
hypokalemia, and periodic fever: a case report
Abstract
Background Piperacillin-tazobactam (PT), a broad-spectrum β-lactam/β-lactamase inhibitor combination, is
clinically used to treat infections caused by Gram-positive and Gram-negative aerobic and anaerobic bacteria.
While gastrointestinal…
Background Piperacillin-tazobactam (PT), a broad-spectrum β-lactam/β-lactamase inhibitor combination, is
clinically used to treat infections caused by Gram-positive and Gram-negative aerobic and anaerobic bacteria.
While gastrointestinal…
Anti-NMDA receptor encephalitis
with coexisting autoimmune GFAP
astrocytopathy presenting with psychiatric
symptoms leading to a suicide attempt: a case
report
Abstract
Background Distinguishing altered consciousness owing to an underlying organic disorder from a psychiatric
etiology can be challenging in patients presenting at the emergency department after a suicide attempt.
Case presentation The…
Background Distinguishing altered consciousness owing to an underlying organic disorder from a psychiatric
etiology can be challenging in patients presenting at the emergency department after a suicide attempt.
Case presentation The…