Bidirectional Irrigation System to Treat a Difficult Wound: A Case Series.

Aims: To date, there is no distinct principle determining whether to use irrigation under negative-pressure wound therapy (NPWT). We developed a new economical device to manage difficult wounds, employing 1 of 2 techniques depending on the wound condition.

Methods: This case series study was conducted in 12 patients with difficult wound, from 2017 to 2018.

An unusual case of silent acute ST-elevation myocardial infarction following amphetamine use.

We report a case of silent acute ST-elevation myocardial infarction associated with amphetamine use in a 62 years old diabetic man. The patient was devoid of chest pain and had a normal cardiac enzyme analysis at the initial presentation. A routine electrocardiogram demonstrated acute inferior wall ST-elevation myocardial infarction.