Medicine and Health Sciences Commons^™

Methanol Poisoning: 27 Years Experience At A Tertiary Care Hospital, Fareed Ahmed, Nadeem Ullah Khan, Noman Ali, Asher Feroze

Department of Emergency Medicine

Methanol toxicity can result in serious morbidity and mortality without timely diagnosis and treatment. Many cases of methanol poisoning outbreaks have been noted in our population but no study has been performed to estimate methanol exposure and its outcomes and complications. A retrospective study was conducted to review all the cases of methanol poisoning admitted from January 1988 to December 2015 at the Aga Khan University Hospital. A total of 35 methanol poisoning cases were reported. All the patients were male, and the mean age was 36.2±8.6 years. The mean Glasgow Coma Scale score on presentation in the emergency was …

A Resident's Note, Syed Muhammad Mustahsan

Department of Emergency Medicine

No abstract provided.

Sex Differences In Adverse Drug Reactions And Adverse Drug Events In Older Adults: A Retrospective Review Of National Poison Data System Cases 2007-2016., Gillian A. Beauchamp Md, B Zane Horowitz Md, Esther K. Choo Md, Mph, Marna R. Greenberg Do, Mph, Facep, Daniel A. Spyker Md, Phd

Department of Emergency Medicine

No abstract provided.

Sex Differences In Pediatric Exploratory Exposures: A Retrospective Review Of National Poison Data System (Npds) Exposures 2007-2016, Gillian A. Beauchamp Md, B Zane Horowitz Md, Esther K. Choo Md, Mph, Marna R. Greenberg Do, Mph, Facep, Daniel A. Spyker Md, Phd

Department of Emergency Medicine

No abstract provided.

Sex Differences In Intentional Exposures Among Adolescents And Adults: A Retrospective Review Of National Poison Data System (Npds) Pharmaceutical Exposures 2007-2016, Gillian A. Beauchamp Md, B Zane Horowitz Md, Esther K. Choo Md, Mph, Marna R. Greenberg Do, Mph, Facep, Daniel A. Spyker Md, Phd

Department of Emergency Medicine

No abstract provided.

Abruptio Placentae With Type Ii Respiratory Failure Secondary To Acute Interstitial Pneumonia Responsive To Steroids., Muhammad Umer Salim, Syed Muhammad Mustahsan, Anum Fatima

Department of Emergency Medicine

Acute Interstitial Pneumonia (AIP) is categorized as Idiopathic Interstitial Pneumonia (IIP), in which the cause is unknown. Ayoung female of 22 years presented in 34 weeks gestation with abruptio placentae (AP) and underwent Lower Segment Caesarian Section (LSCS) for AP. It progressed to type II respiratory failure secondary to AIPon 4th day post-surgery. It remained unresponsive when treated with noninvasive ventilation (NIV-BiPAP) along with antibiotics. Later, a trial treatment of pulse therapy of Methylprednisolone was executed on 7th day post-surgery which resulted in dramatic improvement in symptoms. It is uncommon to have type II respiratory failure secondary to AIP, and …

Gender Differences In Emergency Medicine Resident Self-Assessment Of Clinical Teaching, Alan R. Cherney Md, Amy B. Smith Phd, Charles C. Worrilow Md, Kevin Weaver D.O.,Facoep, Dawn M. Yenser, Jennifer E. Macfarlan Mph, Marna R. Greenberg Do, Mph, Facep, Bryan G. Kane Md

Department of Emergency Medicine

No abstract provided.

Sex Specific Analysis Of The Vulnerable Elders Survey As A Predictor Of Falls., Rebecca Brown Md, Marna R. Greenberg Do, Mph, Facep, Bryan G. Kane Md, Robert D. Barraco Md, Mph, Jeanne L. Jacoby Md

Department of Emergency Medicine

No abstract provided.

Gender Differences In Effectiveness Of The "Timed Up And Go" (Tug) Test As A Screening Tool For Geriatric Fall Risk Assessment., Richard Chow Do, Marna R. Greenberg Do, Mph, Facep, Jeanne L. Jacoby Md, Robert D. Barraco Md, Mph, Bryan G. Kane Md

Department of Emergency Medicine

No abstract provided.

No Sex-Specific Differences In Preference Of Management Options To Prevent Elderly Falls, Marna R. Greenberg Do, Mph, Facep, Jeanne L. Jacoby Md, Robert D. Barraco Md, Mph, Bernadette Glenn-Porter Bs, Kyle Durics Bs, Ryan Day Md, Victoria Goodheart Do, Danielle Mills Md, Alexander Youngdahl Do, Bryan G. Kane Md

Department of Emergency Medicine

No abstract provided.

Sex And Gender In Emergency Medicine: An Innovative Elective And Toolkit For Incorporation Into Trainee Education., Lauren Walter Md, Gillian A. Beauchamp Md, Rebecca Barron Md, Mph, Tracy E. Madsen Md, Scm, Marna R. Greenberg Do, Mph, Facep, Alyson J. Mcgregor Md, Ma

Department of Emergency Medicine

No abstract provided.

Incorporating Sex And Gender Into Culturally Competent Simulation In Medical Education (Poster)., Gillian A. Beauchamp Md, Alyson J. Mcgregor Md, Ma, Esther K. Choo Md, Mph, Basmah Safdar Md, Alexander M. Rosenau Do, Marna R. Greenberg Do, Mph, Facep

Department of Emergency Medicine

No abstract provided.

A Retrospective Review Of Paediatric Head Injuries In Asia - A Pan Asian Trauma Outcomes Study (Patos) Collaboration, Shu-Ling Chong, Uzma R. Khan, Indumathy Santhanam, Jun Seok Seo, Quan Wang, Sabariah Faizah Jamaluddin,, Quoc Ai Hoang Quoc, Su Yah Chew, Marcus Eng Hock Ong

Department of Emergency Medicine

Objective: We aim to examine the mechanisms of head-injured children presenting to participating centres in the Pan Asian Trauma Outcomes Study (PATOS) and to evaluate the association between mechanism of injury and severe outcomes.
Design and Setting: We performed a retrospective review of medical records among emergency departments (EDs) of eight PATOS centres, from September 2014 - August 2015.
Participants: We included children <16 years old who presented within 24 hours of head injury and were admitted for observation or required a computed tomography (CT) of the brain from the ED. We excluded children with known coagulopathies, neurological co-morbidities or prior neurosurgery. We reviewed the mechanism, intent, location and object involved in each injury, and the patients' physical findings on presentation.
Outcomes: Primary outcomes were death, endotracheal intubation or neurosurgical intervention. Secondary outcomes included hospital and ED length of stay.
Results: 1438 children were analysed. 953 children (66.3%) were male and the median age was 5.0 years (IQR …

Hydrogen Sulfide Gas Poisoning In Fish Garbage Room: A Report Of A Fisherman, Sadaf Sheikh, Muhammad Akbar Baig, Noman Ali, Nadeemullah Khan

Department of Emergency Medicine

We report the case of a fisherman who was exposed to high concentrations of hydrogen sulfide (H2S) gas from the fish garbage room. The patient survived and was discharged with full recovery from the hospital. H2S is a colourless, foul smelling and highly toxic gas next to carbon monoxide, which causes inhalation death. It is a by-product of various industrial processes particularly involves exposure from agriculture, petrochemical industry and organic matter decomposition from sewage processing. It is a by-product of H2S has been referred as the "knock down gas" because inhalation of high concentrations can cause immediate loss of consciousness …

A Unique Cause Of Anion Gap Metabolic Acidosis: Euglycemia Dka., Ross Cohen Do, Pgy-4, Kevin Weaver D.O.,Facoep

Department of Emergency Medicine

No abstract provided.

Mental Illness And Injuries: Emerging Health Challenges Of Urbanisation In South Asia, Devaki Nambiar, Junaid Razzak, Kaosar Afsana, Alayne M. Adams, Arif Hasan, Dinesh Mohan, Vikram Patel

Department of Emergency Medicine

No abstract provided.

Does A Brief Educational Intervention Allow For Greater Prehospital Recognition Of Acute Stroke By Paramedics?., Tara K. Henry-Morrow Emt-P, Bryan D. Nelson Mba, Nr-P, Erin M. Conahan Rn, Cnrn, Claranne Mathiesen Rn, Msn, Cnrn, Bernadette Glenn-Porter Bs, Matthew Niehaus Do, Lauren M. Porter, Mitchell Gesell Do, Gregory Monaghan Md, Jeanne L. Jacoby Md

Department of Emergency Medicine

No abstract provided.

Loperamide-Induced Torsades De Pointes: A Case Series, Kenneth D. Katz Md, Robert D. Cannon Do, Matthew D. Cook Do, Alexandra Amaducci, Ryan Day, Joshua Enyart Do, Glenn Burket, Jennifer Janssen Ms, Karl E. Williams Md, Mph

Department of Emergency Medicine

Background: Loperamide (Imodium™) is an antidiarrheal opioid acting at the μ receptor agonist in high concentrations. Due to the US opioid epidemic, loperamide abuse and ensuing life-threatening toxicity have surfaced.

Hypothesis: The timing and duration of Torsades de Pointes (TdP) from loperamide toxicity is unpredictable and should be heeded with caution, even in asymptomatic patients and drug discontinuance.

Methods: Two patients presenting with life-threatening TdP requiring lengthy hospital admissions for confirmed loperamide toxicity are discussed. Patient data were retrieved from the hospital’s EMR system.

Loperamide-Induced Torsades De Pointes: A Case Series (Poster)., Kenneth D. Katz Md, Robert D. Cannon Do, Matthew D. Cook Do, Alexandra Amaducci, Ryan Day, Joshua Enyart Do, Glenn Burket, Jennifer Janssen Ms, Karl E. Williams Md, Mph

Department of Emergency Medicine

No abstract provided.

Gender Disparity In Clinical Trials: Research Professionals’ Perspective Regarding Their Own Female Patient's Barriers, V1, 2015, Anita Kurt Phd, Rn, Lauren Semler Ms, Matthew Meyers Bs, Samantha Myles Rn, Bernadette Glenn-Porter Bs, Tyler Adams Bs, Micaela Wilson Ba, Jeanne L. Jacoby Md, John C. Smulian Md, Mph

Department of Emergency Medicine

No abstract provided.

Development Of A Health Care Systems Curriculum., Zachary Pruitt, Rahul Mhaskar, Bryan G. Kane Md, Robert D. Barraco Md, Mph, Deborah J Dewaay, Alexander M. Rosenau Do, Kristin A. Bresnan Md, Marna R. Greenberg Do, Mph, Facep

Department of Emergency Medicine

Background: There is currently no gold standard for delivery of systems-based practice in medical education, and it is challenging to incorporate into medical education. Health systems competence requires physicians to understand patient care within the broader health care system and is vital to improving the quality of care clinicians provide. We describe a health systems curriculum that utilizes problem-based learning across 4 years of systems-based practice medical education at a single institution.

Methods: This case study describes the application of a problem-based learning approach to system-based practice medical education. A series of behavioral statements, called entrustable professional activities, was created …