One year evaluation of trauma patients’ death

Abstract

Worldwide trauma is currently the sixth leading cause of death, according to 10% of mortalities (1,2). Injury impact and the death from trauma are more common in males than females. People aged between 15 and 45 years include about half of the trauma deaths (3). Citizens of low-and middle-income countries (LMICs) account for 89% of all deaths from trauma worldwide. This is particularly because of hospitals' lack of facilities, equipments, and peripheral care systems (4,5). During last year since the 20th of March 2013 until the 20th of March 2014, 27 740 traumatic patients were admitted to Iran's North West Trauma Center (Emam Reza hospital) in which 105 patients were expired in emergency, surgery, and neurosurgery departments. This included 11 female patients (10%) and 94 male patients (90%) (Figure 1). According to previous studies, motor vehicle accidents are the most common reason of multitrauma. Researchers highlight that in developing countries, trauma is the leading cause of death for young people (6). In our study, the reports show that the causes of injury that led to death in 71 patients were motor vehicle crash, in 25 patients falling from a high altitude, one patient because of pedestrian motor vehicle accident, and 8 patients because of fighting (Figure 2). Seventy-five patients in morning shifts (8 am to 8 pm) and 30 patients in night shifts (8 pm to 8 am) were admitted. Approximately about 30 patients in spring, 34 patients in summer, 25 patients in fall and 18 patients in winter experienced traumatic injury leading to death.

Outcomes of cardiopulmonary resuscitation in the emergency department

“…Unfortunately, the success rate of CPR has remained constant over 30 years (6). Another grim fact is that the standard procedure of CPR is not implemented in many cases (because of technical deficits or uneducated work force) (7), and this leads to lower survival rates among patients. Studies have shown the effects of the trained people on the resuscitation process.…”

Epidemiology of Suicide in the Relief Missions in the Pre-Hospital Emergency System of Mazandaran University of Medical Sciences During 2019-2021

“…Intentional drug poisoning is one of the most common methods of committing suicide in many parts of the world [23]. In many investigations inside the country, including in Golestan [24], Semnan [25], Kermanshah [26], Ahvaz [27], Gilan [28], northwest Iran [29] and also some countries, including India [30], Turkey [31], and Romania [32] this trend has been observed. These results emphasize that the drug is considered one of the critical means of suicide in Iran and many parts of the world due to its easy access and ease of use.…”

Dose and Time Dependent Protective Effects of Apocyanin and Curcumin Against Diclofenac-Induced Cardiotoxicity in Male Rats

“…The evaluation of serum activity of CK-MB, LDH, and cTnT is an important tool in the clinical analysis as it helps to determine the extent of cardiac damage. CK-MB and cTnT are specific and sensitive cardiac damage markers while LDH is regarded as secondary because of a lack of specificity for the heart [16]. These enzymes together are considered reliable markers of cardiotoxicity and are as such used in monitoring drug induced-cardiotoxicities including diclofenac and their increase in the serum is a marker of cellular outflow and lack of the functional integrity of cell membranes of cardiomyocytes [17,18].…”