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March 2016

Volume 3  Issue 1 

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Case Report
Extracorporeal Cardiopulmonary Resuscitation for Intraoperative Massive Pulmonary Embolism Complicating Hip Surgery A Rescue Bridge to Recovery

Ingracia Parisius MD, Thijs S R Delnoij MD, Jan W J L J de Poel MD, René H M Ten Broeke MD, Phd, Emile C Cheriex MD, PhD, Patrick W Weerwind CCP, PhD

Fat embolism syndrome is a clinical complication commonly associated with traumatic bone fractures. The pathophysiology is not yet completely understood, but seems to be of multifactorial determination. The only intervention possible after detection of FES is supportive care of the involved organ systems. Here we report the case of successful intervention with a veno-arterial extracorporeal membrane oxygenation in a patient with peri-operative FES and circulatory arrest during surgery for an acetabulum fracture.

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Original Article

The Yield of Blood Cultures Drawing among Discharged Patients from Emergency Departments with Positive Blood Cultures

Bartal Carmi*, Braver Omri, Sagie Iftach, Scneider Ivgeny, Barski Leonid

Occult blood stream infection (OBSI) is unnoticed in adults. The clinical relevance of OBSI was examined in few studies while all of them showing no cost effectiveness in withdrawing blood cultures from patients discharged from emergency departments(ED’s).We investigated the characteristics and outcome of patients who were discharged from ED and have positive blood cultures.

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Research Article

Implementation and Challenges of Establishing a Multi-Disciplinary Heart and Vascular Emergency System

Chigozirim N Ekeke, Arman Kilic, Michael R. Go, Rita Johnson, Raymond Magorien, Ahmet Kilic*

We developed a regionalized protocol at The Ohio State University Wexner Medical Center (OSUWMC) in order to improve outcomes of acute cardiac and vascular conditions by streamlining diagnosis, transport, and treatment through a team of coordinated multidisciplinary providers. In this manuscript, we discuss the challenges to implementation of our system, early outcomes of our protocol driven triage system and insights into barriers of adopting this in other institutions.

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Case Report

Recurrent Shoulder Dislocation in the Elderly – what are the Potential Complications?

Chua Si Yong Ivan, Fatimah Lateef*

Shoulder dislocation is a common medical condition seen in the Accident and Emergency (A&E) Department. It is usually a result of trauma or associated with ligamentous laxity. Its occurrence in the elderly population is less common and as the elderly usually has multiple medical co-morbidities including osteoporosis, treatment with manipulation and reduction of a shoulder dislocation in the elderly has to be attempted with extreme care due to associated complications.

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Case Report

Alternating Bell’sPalsy Following Staged Dental Procedures

Fatimah Lateef*

Facial nerve palsy can be seen as a result of a specific disease process such as its association with cerebrovascular events, acoustic neuromas, viral infections, and trauma. When the lower motor neuron facial nerve paralysis has no specific causes identifiable, it is termed Bell’s Palsy. There have also been cases of Bell’s palsy with a temporal relation to some dental related procedures and local anaesthesia administered for dental treatment.

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