Satish Kumar Singh, Ankit K Sahu, Akshay Kumar, LR Murmu, Sanjeev Bhoi, Praveen Aggarwal, Meera Ekka, Nayer Jamshed, Bharath Gopinath, Ghanashyam Timilsina Journal of Emergencies, Trauma, and Shock 2022 15(3):124-127 Introduction: Triage is a crucial process not only to identify sick patients and prioritize prompt management but also to foster efficient resource utilization. In low-and middle-income countries (LMICs) most emergency departments (ED) still have an informal triage process. Although an important element of emergency care, triage research has not been a priority in LMICs, and hen ..read more

Madhukar Jaygopal, Sandeep Jain, Sameer Malhotra, Anoop Purkayastha, Shreya Singhal Journal of Emergencies, Trauma, and Shock 2022 15(3):116-123 Introduction: Staff in emergency departments work in an environment where they are continuously exposed to situations with aggressive patients and their caretakers. With increasing incidents of reported violence, the present study was conducted to identify factors associated with stress levels among patients' attendants. Methods: A prospective, cross-sectional, observational study was conducted among 256 attendants of patients presenting to ..read more

William Wilson, Murtuza Ghiya Journal of Emergencies, Trauma, and Shock 2022 15(3):115-115 ..read more

R Gunaseelan, M Sasikumar, B Nithya, K Aswin, G Ezhilkugan, SS Anuusha, N Balamurugan, M Vivekanandan Journal of Emergencies, Trauma, and Shock 2022 15(1):66-69 Chest pain is one of the most common presenting complaints in the emergency department. Interpreting a 12-lead electrocardiography (ECG) for evidence of ischemia is always challenging. Frank ECG changes such as ST-segment elevation and ST-segment depression can be easily identified by emergency physicians. However, identifying subtle or early features of ACS in the 12-lead ECG is essential in preventing significant mortality and morb ..read more

Youichi Yanagawa, Shinya Tada, Yasutaka Morita, Keiko Masunaga, Masami Shakagori, Takuya Muto, Kei Jitsuiki Journal of Emergencies, Trauma, and Shock 2022 15(1):70-71 ..read more

George Koenig, Mohamed Tantawi, Corinne E Wessner, John R Eisenbrey Journal of Emergencies, Trauma, and Shock 2022 15(1):60-62 Small bowel ischemia can lead to fatal complications such as necrosis, perforation, and sepsis. Clinical examinations and laboratory tests are usually inconclusive in critically ill patients. The need for surgical exploration is decided based on imaging, examination, and clinical judgment. The decision to operate is time-critical and can be lifesaving, but surgical intervention has the potential to cause additional morbidity, especially in unstable patients. Contrast ..read more

Charu Girotra, Damini Gupta, Gaurav Tomar, Aishwarya Nair, Komal Navalkha, Sweta Parida, Darshi Jain Journal of Emergencies, Trauma, and Shock 2022 15(1):63-65 An unusual complication associated with maxillofacial trauma is the superior orbital fissure syndrome (SOFS). Trauma-related SOFS often presents within 48 h of injury, but presentation can be delayed by several days. This article sums up the particulars of the syndrome and treatments done in the literature and discusses our experience of managing this complex case ..read more

Prashant Punia, Ashish Chugh, Sarang Gotecha Journal of Emergencies, Trauma, and Shock 2022 15(1):53-55 Extradural hematoma (EDH) is a fairly common entity in neurosurgical practice but EDHt at a contrecoup site and crossing a cranial suture is rare. The authors present a case of EDH due to contrecoup injury in whom sutural diastases was noted and hematoma was seen to be crossing the adjacent suture. This was accompanied with subdural hematoma (SDH) at the coup site. According to the best of our knowledge, it makes the case only the 13th such to be reported in adults. A 27-year-old male pati ..read more

Masaki Fujioka, Kiyoko Fukui, Miho Noguchi Journal of Emergencies, Trauma, and Shock 2022 15(1):56-59 Even if the vascular repair is successful, the frequency of limb loss is still high when popliteal artery injury is associated with postischemic syndrome due to blunt trauma or a prolonged ischemic time. Because prolonged ischemia interferes with an injured foot rescue, shortening of the ischemic time is a major aim of surgeons. We present two types of transient external arterial bypass and two cases of ischemic extremities due to main arterial injury. Even though the injured extremities had ..read more

Deo Mathew, S Vimal Krishnan, Siju V Abraham, Salish Varghese, Minu Rose Thomas, Babu Urumese Palatty Journal of Emergencies, Trauma, and Shock 2022 15(1):41-46 Introduction: Chest compression fraction (CCF) is the cumulative time spent providing chest compressions divided by the total time taken for the entire resuscitation. Targeting a CCF of at least 60% is intended to limit interruptions in compressions and maximize coronary perfusion during resuscitation. We aimed to identify the mean CCF and its relationship with various factors affecting it. Methods: Patients presenting to the ..read more