Comparison of Observation Alone Versus Interventional Procedures in Hemodynamically Stable Patients With Pneumothorax: A Systematic Review and Meta-Analysis.

Several studies indicate that observation alone is sufficient for the management of stable pneumothorax. To compare clinical efficacy, tolerability, and safety outcomes for treating hemodynamically stable adult patients with pneumothorax, the present review compared observation alone versus interventional procedures. We searched PubMed and Google Scholar from inception until June 24, 2020, for randomized controlled trials (RCTs) comparing observational therapy with conventional therapy for the treatment of adult pneumothorax.

Atomized Intranasal Ketorolac Versus Intravenous Ketorolac for the Treatment of Severe Renal Colic in the Emergency Department: A Double-Blind, Randomized Controlled Trial.

Study Objective: Atomized intranasal (IN) drug administration offers an alternative to the intravenous (IV) route. We aimed to evaluate the analgesic efficacy of IN versus IV ketorolac in emergency department patients with acute renal colic.

Methods: We conducted a double-blind, randomized controlled trial on adult patients (aged 18 to 64 years) with severe renal colic and numerical rating scale pain ratings ≥7.

Comparison of Noninvasive Mechanical Ventilation With High-Flow Nasal Cannula, Face-Mask, and Helmet in Hypoxemic Respiratory Failure in Patients With COVID-19: A Randomized Controlled Trial.

Objectives: For COVID-19-related respiratory failure, noninvasive respiratory assistance via a high-flow nasal cannula (HFNC), helmet, and face-mask noninvasive ventilation is used. However, which of these options is most effective is yet to be determined. This study aimed to compare the three techniques of noninvasive respiratory support and to determine the superior technique.

The Accuracy of Point-of-Care Ultrasound Performed by Emergency Physicians in Detecting Hydronephrosis in Patients with Renal Colic.

Objectives: This study aimed to determine the accuracy of renal point-of-care ultrasound (POCUS) performed by emergency physicians in detecting hydronephrosis in patients with renal colic.

Methods: This prospective cross-sectional diagnostic study was conducted at the Emergency Department (ED) of Sultan Qaboos University Hospital from February 2017 to February 2018. All adult patients with suspected renal colic and who could give informed consent were included.

Cardiopulmonary Resuscitation Induced Consciousness: A Case Report.

Cardiopulmonary resuscitation induced consciousness is a very rare phenomenon where patients who are in cardiac arrest and undergoing cardio-pulmonary resuscitation (CPR) express signs of consciousness such as talking, making purposeful limb movements, and opening eyes. This phenomenon leads to frequent CPR interruptions and put the CPR team under psychological pressure, impacting the quality of the resuscitation proceedings. We report presents the case of a 49-year-old man who presented with ischemic chest pain, and then had a witnessed in-hospital cardiac arrest.

Epidemiology of Drowning Incidents among Children at Sultan Qaboos University Hospital Oman.

Objectives: We sought to study the epidemiology of drowning among children reported at Sultan Qaboos University Hospital in Oman.

Methods: We conducted a retrospective study of the patients who presented to the emergency department with a history of drowning over 10 years from January 2008 to December 2017. Patients with children aged one to 18 years old were included in the study.

Laparoscopic repair of traumatic intraperitoneal bladder rupture.

Intraperitoneal rupture of the bladder is an uncommon condition that is usually caused by pelvic fractures. This is a true surgical emergency managed conventionally by open laparotomy with single or double layer repair. We present a case of successful laparoscopic repair of an intraperitoneal bladder rupture secondary to blunt abdominal trauma and pelvic fracture in a 37 year-old man.

Comparison of CT head interpretation between emergency physicians and neuroradiologists.

Cranial computed tomography (CT) of the head is widely used in the emergency department 24 h a day. We compared the accuracy of CT head interpretation between staff emergency physicians (EPs) and neuroradiologists. We conducted a health records review of patients who required head CT in the emergency department.

Predictors of positive chest radiography in non-traumatic chest pain in the emergency department.

Objectives: To determine predictors associated with positive chest x-ray finding in patients presenting with non-traumatic chest pain in the Emergency Department (ED).

Methods: Health records, including the final radiology reports of all patients who presented with non-traumatic chest pain and had a chest x-ray performed in an urban Canadian tertiary care ED over four consecutive months were reviewed. Demographic and clinical variables were also extracted.

Do beta-blockers reduce short-term mortality following acute myocardial infarction? A systematic review and meta-analysis.

Objective: Acute myocardial infarction (AMI) remains a major cause of death and beta-blockers are known to reduce long-term mortality in post-AMI patients. We sought to determine whether patients receiving beta-blockers acutely (within 72 h) following AMI had a lower mortality rate at 6 weeks than patients receiving placebo.

Methods: We conducted a systematic review of randomized controlled clinical trials that assessed 6-week mortality and compared beta-blockers with placebo in patients randomized within the first 72 hours following AMI.