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Survey study of the etiology of non-traumatic altered consciousness in the Emergency Department at Suez Canal University Hospital in Egypt

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World Journal of Clinical Cases 2023年第6期11卷 1310-1317页

作者： Bassant S Moussa Zeinab M Abd Elatiff ghada M kamal Eldin elhadary Emergency Medicine Department Suez Canal UniversityFaculty of MedicineIsmailia 41522Egypt

BACKGROUND Disorders of consciousness including coma in non-trauma patients can be caused by a wide variety of pathologies affecting the central nervous *** represent a frequent challenge in emergency medicine and are combined with a very high in-hospital ***,early treatment of these patients is vital and increases the likelihood of a good *** To identify the causes of altered consciousness presentation to the Emergency Department at Suez Canal University *** This was a descriptive cross-sectional study conducted on 87 patients with acute non-traumatic disturbed level of consciousness(DLOC)at the Emergency *** The mean age of the studied patients was 60.5±13.6 *** them,60%were males and 40%were *** most common cause of acute non-traumatic DLOC was systemic infection,such as sepsis and septic shock(25.3%),followed by respiratory causes(24.1%)and neurological causes(18.4%).CONCLUSION The most common cause of acute non-traumatic DLOC was systemic infections followed by respiratory and neurological causes.

关键词： Disturbed level of consciousness Non-traumatic Emergency department

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Assessment of the patients’outcomes after implementation of South African triage scale in emergency department,Egypt

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Chinese Journal of Traumatology 2022年第2期25卷 95-101页

作者： Adel Hamed Elbaih ghada kamal elhadary Magda Ramdan Elbahrawy Samar Sami Saleh Emergency Medicine Department Faculty of MedicineSuez Canal UniversityIsmailiaEgypt

Purpose:Overcrowding in emergency department(ED)is a concerning global problem and has been identified as a national crisis in some *** emergency sorting systems designed successfully in the *** in 2004,a group of branches in South African triage scale(SATS)*** effectiveness of the case sorting system of SATS was evaluated to reduce the patient's length of stay(LOS)and mortality rate within the ED at Suez Canal University ***:The study was designed as an intervention study that included a systematic random sample of patients who presented to the ED in Suez Canal University *** study was implemented in three phases:pre-intervention phase,115 patients were assessed by the traditional protocols;intervention phase,a structured training program was provided to the ED staff,including a workshop and lectures;and post-intervention phase,230 patients were assessed by *** the patients were retriaged 2 h later,calculating the LOS per patient and the *** was collected and entered using Microsoft Excel *** data from the triage sheet were analyzed using the SPSS software program version ***:The LOS in the ED was about 183.78 min before the intervention;while after the training program and the application of SATS,it was reduced to 51.39 *** 15.7%of the patients died before the intervention;however,after the intervention the ratio decreased to 10.7%***:SATS is better at assessing patients without missing important ***,it resulted in a decrease in the LOS and reduction in the mortality rate compared to the traditional protocol.

关键词： Emergency service Triage Length of stay Mortality South African triage score

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Patterns of brain injuries associated with maxillofacial fractures and its fate in emergency Egyptian polytrauma patients

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Chinese Journal of Traumatology 2018年第5期21卷 287-292页

作者： Adel Hamed Elbaih Doaa A. El-sayed Ahmed E. Abou-Zeid ghada K. elhadary Department of Emergency Medicine Faculty of Medicine Suez Canal University Ismailia Egypt

Purpose： Maxillofacial injuries are commonly encountered in the practice of emergency medicine. More than 50% of patients with these injuries have multisystem trauma that requires coordinated manage- ment between emergency physicians and surgical specialists in oral and maxillofacial surgery, otolar- yngology, plastic surgery, ophthalmology, and trauma surgery. The aim of this study is to identify the patterns of brain injuries associated with maxillofacial trauma and its outcome. Methods： This descriptive study （cross-sectional） was carried out among 90 polytrauma patients with maxillofacial fractures attending the Emergency Department at Suez Canal university Hospital and fulfilling our inclusion and exclusion criteria. Results： This study demonstrates the relation between type of maxillofacial fracture and type of trau- matic brain injuries in which the majority of patients with epidural hemorrhage presented with mid face fractures （60%）, while the minority of them presented with upper and lower face fractures （20% for each of them）. The majority of patients with subdural hemorrhage were associated with mid face fractures （75%）, the majority of patients with brain contusions associated with mid face fractures （75%）, and all of the patients presented by pneumocephalus were associated with mid face fractures （100%）. Conclusion： The results of this study confirm the value of quick diagnosis and early intervention, which is fundamental to prevent morbidity as well as mortality especially with regards to prevention of traumatic brain injury as even a short duration of hvpoxia and edema will lead to significant permanent neurological deficits.

关键词： Maxillofacial fractures Brain injuries Outcome

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