Browse Items (43 total)
- Collection: Volume 19 Issue 1 2026
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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…
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…
Accuracy of ultrasound for intussusception
in pediatric emergency presentations:
a systematic review and diagnostic meta-
analysis
Abstract
Introduction Intussusception is a common cause of acute abdominal emergencies in children. This systematic
review and diagnostic meta-analysis aimed to determine the diagnostic accuracy of ultrasound for intussusception
in pediatric…
Introduction Intussusception is a common cause of acute abdominal emergencies in children. This systematic
review and diagnostic meta-analysis aimed to determine the diagnostic accuracy of ultrasound for intussusception
in pediatric…
Resuscitative endovascular balloon occlusion
of the aorta in abdominal trauma: zone-
specific outcomes and predictors of mortality
Abstract
Background Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) is increasingly utilized for
hemorrhage control in trauma; however, zone-specific outcomes in abdominal trauma remain inadequately
characterized.
Methods We…
Background Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) is increasingly utilized for
hemorrhage control in trauma; however, zone-specific outcomes in abdominal trauma remain inadequately
characterized.
Methods We…
Severe anaphylaxis following off-label rectal
use of injectable diazepam in a febrile seizure:
a case report and clinical implications
Abstract
Background Off-label rectal administration of intravenous diazepam is commonly practiced for acute seizure
management in children when FDA-approved rectal gels (e.g., Diastat® AcuDial) are inaccessible—particularly in
low-resource…
Background Off-label rectal administration of intravenous diazepam is commonly practiced for acute seizure
management in children when FDA-approved rectal gels (e.g., Diastat® AcuDial) are inaccessible—particularly in
low-resource…
Exertional heat stroke with multiorgan
dysfunction in a community sports event: case
report and one-month follow-up
Abstract
Background Exertional heat stroke (EHS) is a life-threatening emergency characterized by central nervous system
(CNS) dysfunction with hyperthermia and frequent multiorgan injury. Although outcomes have improved with rapid
on-site cooling…
Background Exertional heat stroke (EHS) is a life-threatening emergency characterized by central nervous system
(CNS) dysfunction with hyperthermia and frequent multiorgan injury. Although outcomes have improved with rapid
on-site cooling…
Effectiveness of a flipped classroom model
for enhancing emergency physicians’ skills
in diagnosing high-risk pulmonary embolism
with point-of-care ultrasound: a randomized
controlled study
Abstract
Background High-risk pulmonary embolism is a significant cause of morbidity and mortality in the emergency
department. Point-of-care ultrasonography is a valuable tool for identifying high-risk pulmonary embolism at the
bedside, but many…
Background High-risk pulmonary embolism is a significant cause of morbidity and mortality in the emergency
department. Point-of-care ultrasonography is a valuable tool for identifying high-risk pulmonary embolism at the
bedside, but many…
Evaluation of immunochromatography-
based urine drug screening and blood drug
concentrations in suspected acute poisoning:
insights into negative urine drug screening
results
Abstract
Background Immunochromatography-based urine drug screening (UDS) can have false-positive or false-negative
results; thus, interpretation of results requires careful evaluation. A UDS-negative result simply indicates that target
drugs were…
Background Immunochromatography-based urine drug screening (UDS) can have false-positive or false-negative
results; thus, interpretation of results requires careful evaluation. A UDS-negative result simply indicates that target
drugs were…
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…
Abdominal computed tomography use in the
emergency department among children
with abdominal pain: a retrospective analysis
Abstract
Background Acute abdominal pain is a common cause of visits to the pediatric emergency departments (ED). In
recent years, abdominal computed tomography (CT) has emerged as an increasingly used imaging modality due
to its diagnostic value…
Background Acute abdominal pain is a common cause of visits to the pediatric emergency departments (ED). In
recent years, abdominal computed tomography (CT) has emerged as an increasingly used imaging modality due
to its diagnostic value…