scholarly journals Lightning Injury with Multi-System Involvement

2020 ◽  
Vol 3 (2) ◽  
pp. 56-62
Author(s):  
Ashwini Ramesh Patankar ◽  
Smita Patil ◽  
Santwana Chandrakar
Keyword(s):  
Patient Outcome ◽  
Hearing Loss ◽  
Cardiac Arrest ◽  
Cardiac Arrhythmia ◽  
Kidney Injury ◽  
System Involvement ◽  
Good Patient ◽  
Good Patient Outcome ◽  
Lightning Injury

Lightning leads to trauma and disability such as burns, hearing loss, blindness, cardiac arrhythmia, cardiac arrest, stroke, kidney injury, and can also lead to death. Such cases are seldom reported, and hence their database is scanty. We present a case of a 40-year-old female with lightning injury with four such manifestations, which is not commonly encountered. We have elaborated on these complications of lightning injury and their timely management, which has led us to good patient outcome.

Complete resection of a massive mesenteric lymphangioma in an adult

2020 ◽  
Vol 13 (3) ◽  
pp. e233714 ◽  
Author(s):  
Dominic Robert Parker ◽  
Philip Kiely ◽  
Richard Smith
Keyword(s):  
Patient Outcome ◽  
Preoperative Diagnosis ◽  
Lymphatic Vessels ◽  
Complete Resection ◽  
Surgical Team ◽  
Cystic Tumour ◽  
Good Patient ◽  
Mesenteric Lymphangioma ◽  
Good Patient Outcome ◽  
Massive Resection

Mesenteric lymphangioma is a benign cystic tumour of the lymphatic vessels that occurs rarely in adults. Due to the infrequency of cases and the insidious presentation, these tumours can be diagnosed late and become massive. Resection of mesenteric lymphangioma in its entirety is the recommended management in order to prevent recurrence. This case report describes the finding of a massive mesenteric lymphangioma (dimensions 420×470×100 mm) in a young man, the investigations leading to diagnosis, and the subsequent surgical management. The substantial size of this tumour produced considerable challenges for the surgical team, including involvement of adjacent small bowel and mesenteric vasculature. Preoperative diagnosis and assessment of the anatomy was pivotal in achieving a complete resection and a good patient outcome.

Cultural research deconstructs the psychosocial construct ‘expressed emotion’

2020 ◽  
pp. 1-4
Author(s):  
Alison M. Heru
Keyword(s):  
Patient Outcome ◽  
Chronic Illness ◽  
Expressed Emotion ◽  
Important Predictor ◽  
Good Patient ◽  
Poor Outcome ◽  
Good Patient Outcome ◽  
Research Challenges ◽  
Cultural Research ◽  
Original Component

Summary Expressed emotion (EE) is a highly researched psychosocial construct. Cultural research challenges the assumption that high family criticism is a universal determinant of poor outcome, especially for chronic illness. The concept of warmth, an original component of EE, was dropped owing to the complexity of its measurement. Warmth has now been resurrected as an important predictor of good patient outcome. Cultural scrutiny and appropriate adaptation of any psychosocial construct is necessary before its acceptance into the medical lexicon of healthcare.

scholarly journals Management of COVID-19-Positive Patient with Bilateral Longitudinal Petrous Fractures: A Case Report

2020 ◽  
Author(s):  
Mohamed Ragab Nagy ◽  
Mohamed Abdelrahman Ibrahim
Keyword(s):  
Patient Outcome ◽  
Case Report ◽  
Head Injury ◽  
Temporal Bone ◽  
Bone Fractures ◽  
Positive Patient ◽  
Good Patient ◽  
Good Patient Outcome ◽  
Special Concern ◽  
High Index Of Suspicion

AbstractTemporal bone fractures are bilateral in 8 to 29% of cases. High index of suspicion of coronavirus disease 2019 (COVID-19) infection is important while dealing with any patient with special concern to the surgical and traumatized patients to reach a good patient outcome especially during the pandemic of COVID-19. We describe in this report the management of COVID-19-positive patient with bilateral longitudinal petrous fractures and moderate head injury.

Impact of acute kidney injury on patient outcome in out-of-hospital cardiac arrest: a prospective observational study

2016 ◽  
Vol 60 (8) ◽  
pp. 1170-1181 ◽  
Author(s):  
S. Beitland ◽  
E. R. Nakstad ◽  
H. Staer-Jensen ◽  
T. Draegni ◽  
G. Ø. Andersen ◽  
...  
Keyword(s):  
Patient Outcome ◽  
Acute Kidney Injury ◽  
Cardiac Arrest ◽  
Observational Study ◽  
Prospective Observational Study ◽  
Kidney Injury ◽  
Hospital Cardiac Arrest

Craniovertebral Junction

Neurosurgery ◽  
2010 ◽  
Vol 66 (suppl_3) ◽  
pp. A7-A12 ◽  
Author(s):  
Michael P. Steinmetz ◽  
Thomas E. Mroz ◽  
Edward C. Benzel
Keyword(s):  
Patient Outcome ◽  
Cervical Spine ◽  
Craniovertebral Junction ◽  
Normal Anatomy ◽  
Complex Region ◽  
Good Patient ◽  
Good Patient Outcome ◽  
Bony Fixation

Abstract THE CRANIOVERTEBRAL JUNCTION is a complex region that incorporates the occiput–C1–C2 portions of the spine. It is a transition between the cranium and the mobile cervical spine that permits significant motion. The motions afforded and the anatomy are vastly different at the occiput–C1 and C1–C2 articulations. These differences make treating pathology in this region very difficult. Problems include bony fixation of the cranium and the cervical spine (specifically C1 and C2), which limits complex motions, and limited bony sites available for arthrodesis. A thorough knowledge of the normal anatomy and biomechanics is required for fixation of this region. Moreover, an understanding of pathologic motions and the biomechanics of fixation is needed for successful construct design and good patient outcome.

scholarly journals Acute kidney injury after in-hospital cardiac arrest

Resuscitation ◽  
2021 ◽  
Vol 160 ◽  
pp. 49-58
Author(s):  
Kenneth E. Mah ◽  
Jeffrey A. Alten ◽  
Timothy T. Cornell ◽  
David T. Selewski ◽  
David Askenazi ◽  
...  
Keyword(s):  
Acute Kidney Injury ◽  
Cardiac Arrest ◽  
Kidney Injury ◽  
Hospital Cardiac Arrest

scholarly journals Unusual Presentation of Kratom Overdose With Rhabdomyolysis, Transient Hearing Loss, and Heart Failure

2021 ◽  
Vol 9 ◽  
pp. 232470962110050
Author(s):  
Vikram Sangani ◽  
Naseem Sunnoqrot ◽  
Kurdistan Gargis ◽  
Akshay Ranabhotu ◽  
Abbas Mubasher ◽  
...  
Keyword(s):  
Heart Failure ◽  
Hearing Loss ◽  
Cardiac Death ◽  
Multidisciplinary Approach ◽  
Kidney Injury ◽  
Lethal Effect ◽  
Limited Information ◽  
Emergency Physicians ◽  
Behavioral Impairment ◽  
Elevated Creatinine

Kratom mainly grows in Southeast Asia. It is widely used for pain management and opioid withdrawal, which is available online for cheaper prices. Alkaloids extracted from kratom such as mitragynine and 7-hydroxy mitragynine exhibit analgesic properties by acting through µ receptors. Commonly reported side effects of kratom include hypertension, tachycardia, agitation, dry mouth, hallucinations, cognitive and behavioral impairment, cardiotoxicity, renal failure, cholestasis, seizures, respiratory depression, coma, and sudden cardiac death from cardiac arrest. Rhabdomyolysis is a less commonly reported lethal effect of kratom. Limited information is available in the literature. In this article, we present a case of a 45-year-old female who is overdosed with kratom and presented with lethargy, confusion, transient hearing loss, and right lower extremity swelling and pain associated with weakness who was found to have elevated creatinine phosphokinase. She was diagnosed with rhabdomyolysis, compartment syndrome, multiorgan dysfunction including acute kidney injury, liver dysfunction, and cardiomyopathy. She underwent emergent fasciotomy and required hemodialysis. Her renal and liver function subsequently improved. We described the case and discussed pharmacology and adverse effects of kratom toxicity with a proposed mechanism and management. We conclude that it is essential for emergency physicians, internists, intensivists, cardiologists, and nephrologists to be aware of these rare manifestations of kratom and consider a multidisciplinary approach.

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