[Evaluating the performance of Tunisian regional hospitals. Study Protocol of management delays of ST elevation myocardial infarction].

Research Problem: ST Elevation Myocardial Infarction (STEMI+) is an absolute emergency. The young age of patients and the difficulty of access to care remain the main characteristics of STEMI+ management in Tunisia. In the governorate of Béja, located in the Northwestern region of Tunisia, given the lack of a cardiology interventional room in the hospital and in the private establishments of the region and the distance from the specialized centers of at least 127 km, the patient is beyond 90 min of the transfer.

Predictive value of shock index ≥ 1 in severe trauma patients in emergency department.

Background: the shock index (SI) defined by the ratio of systolic blood pressure to heart rate was demonstrated as a simple tool in the triage and orientation of severe trauma patients to trauma centers.

Aim: To assess the prognostic value of the SI ≥ 1 in terms of mortality in severe trauma patients admitted to the emergency room.

Methods: We performed a prospective, observational and descriptive study with the inclusion of severe trauma patients over the age of 18 years admitted to the Vital Emergency Room over a 21-month period.

Prognostic value of scoring tools in severe trauma patients admitted to the emergency department.

Background: Severe Trauma is a misleading cause of death in young people. Early assessment of prognosis is the cornerstone in the management of such patients. Several prognostic scores have been proposed during the last decade.