Kamarul Aryffin Baharuddin, Nik Ahmad Shaiffudin Nik Him, Rashidi Ahmad
Pain is one of the most common presenting complaint in the Emergency Department. Pain assessment is of prime importance because it helps to determine the appropriate type of analgesia to administer and the urgency of the pain relief needed. Do we need to ask patients specifically about their pain scores, or does our observational scoring suffice? The objective of this study was to determine the inter-rater differences in pain scores between patients and emergency health-care providers. Pain scores upon discharge or prior to ward admission were also determined. A prospective study was...
Pain is one of the most common presenting complaint in the Emergency Department. Pain assessment is of prime importance because it helps to determine ...
In general, there are land snakes and sea snakes. Most of the land snakes are non poisonous. There are 3 families of poisonous land snakes - Colubridae, Elapidae and Viperidae.Snake bites by the Elapidae and Viperidae species are common in Malaysia. Envenomation leads to health catastrophe such as respitory arrest, cardiac arrest and continous blood loss. The mainstay of treatment is specific antivenom. In Malaysia, both monovalent and polyvalent antivenom are available. The use of polyvalent antivenom is common because if the difficulty to identify the snake species. The administration of...
In general, there are land snakes and sea snakes. Most of the land snakes are non poisonous. There are 3 families of poisonous land snakes - Colubrida...
Patients with pain contribute to 60-70% of Emergency Department attendance. Tramadol is analgesic of choice despite its weak opiod agonist properties.We conducted a prospective study to examine the effectiveness of intravenous Tramadol among severe traumatic pain patients. In the study, eligible patients received loading dose of intravenous Tramadol 2mg/kg. Intermittent intravenous Tramadol 20mg was administered every 10 minutes after the loading dose if visual analogue score (VAS) more than 30 mm. At 30 minutes study, those patients with persistent pain or VAS more than 30 mm received rescue...
Patients with pain contribute to 60-70% of Emergency Department attendance. Tramadol is analgesic of choice despite its weak opiod agonist properties....
We examined the pattern of anatomical injuries and the percentage of preventable death among motorcyclist. This retrospective study was conducted at the Penang Hospital Forensic Department from 1 January 2000 and 31 December 2001. Injured motorcyclists who died prior to hospital arrival were included. The Abbreviate Injury Scores and Injury Severity Scores were calculated. Seventy five victims fulfilled the study criteria. 92% of the victims sustained head injury, 72% had abdominal injury, 94.7% had chest injury and 82.7% had extremities or pelvic injuries. The minimum and ...
We examined the pattern of anatomical injuries and the percentage of preventable death among motorcyclist. This retrospective study was conducted a...
Rashidi Ahmad, Mohd Amin Mohidin, Nik Hisamudin Nik Abdul Rahman
Dizziness is the third most common presenting complaint in Emergency Department (ED). The objective of this study is to compare the effectiveness of prochlorperazine and promethazine for acute vertigo in ED. Patients who fulfilled the inclusion criteria were given above anti-vertigo drugs. Vertigo score using visual analogue score (VAS) and blood pressure while lying and standing were taken at baseline (0 hour), 1 hour and 2 hours. The researcher completed the questionnaire before patients left the ED. The mean vertigo score via visual analogue score while ambulating on arrival is 8.44 (SD...
Dizziness is the third most common presenting complaint in Emergency Department (ED). The objective of this study is to compare the effectiveness of p...
The practice of family presence (FP) during resuscitation is gaining a foothold in Western countries but still largely not encouraged by Asian health-care personnel (HCP). This study aims to provide a Malaysian data on HCPs opinions of FP. A non-probability survey was conducted in emergency departments (EDs) of four hospitals around Malaysia. A questionnaire was designed based on previous similar surveys conducted in Singapore. All HCPs in four hospitals were included in this study which ran from October until December 2009. A total of 273 replies were obtained of which one third...
The practice of family presence (FP) during resuscitation is gaining a foothold in Western countries but still largely not encouraged by Asian heal...
In hospital, junior doctors are often the first to initiate resuscitation attempts. Therefore it is important that they have adequate knowledge, positive attitude and good confidence level in managing cardiac arrests according to the current guidelines for cardiopulmonary resuscitation (CPR). There is currently lack of CPR research especially among junior doctors in Malaysia. The aims of this study were to determine the level of knowledge, attitude and confidence of junior doctors in Hospital Universiti Sains Malaysia and Hospital Kota Bharu (HRPZII) and also to describe the factors that...
In hospital, junior doctors are often the first to initiate resuscitation attempts. Therefore it is important that they have adequate knowledge, posit...
Non-traumatic Altered States of Consciousness (ASC) is a non-specific consequence of various etiologies. Awareness and understanding of the relative frequencies of the various etiologies of ASC can facilitate the development of effective diagnostic and therapeutic approaches to patient management and promote efficient use of our resources in managing these patients. The aim of this study was to collect and present data on the various etiologies of non-traumatic ASC in an ED population. Various risk factors were studied to determine association with 2-week outcome. Data on patient...
Non-traumatic Altered States of Consciousness (ASC) is a non-specific consequence of various etiologies. Awareness and understanding of the relative...
