Concurrent Hand and Penile Gangrene following Prolonged Warfarin Use; a Case Report
Journal Title: Archives of Academic Emergency Medicine - Year 2017, Vol 5, Issue 1
Abstract
Warfarin induced skin necrosis (WISN) is a rare but important side effect of warfarin. Early diagnosis may lessen the amount of permanent tissue damage and can prevent progression to full thickness skin necrosis. So, physicians should be aware of such a complication. Screening for protein C or S or anti-thrombin deficiencies, or presence of anti-phospholipid antibodies before beginning warfarin therapy, could be helpful to avoid high levels of international normalized ratio (INR). Here, we report a 54-year-old man who presented to the emergency department with acral and penile gangrene following prolonged use of warfarin.
Gastric Perforation and Phlegmon Formation by Foreign Body Ingestion
This is a case report of foreign body ingestion in a suicide attempt resulting in gastric perforation and phlegmon formation during a subsequent 6 month period that eventually required surgical intervention. The patient...
Applications of Machine Learning Approaches in Emergency Medicine; a Review Article
Using artificial intelligence and machine learning techniques in different medical fields, especially emergency medicine is rapidly growing. In this paper, studies conducted in the recent years on using artificial intell...
Evolution of Fagan's Nomogram; a Commentary Abdelrahman Ibrahim Abushouk
I read with interest your paper entitled "Pre and post-test probabilities and Fagan’s nomogram" (1). I would like to add a note concerning an update on Fagan’s Nomogram. Generally, the basic idea of most nomograms is hav...
Determinants of Prolonged Length of Stay in the Emergency Department; a Cross-sectional Study
Introduction: Timeliness has been considered as a key domain in quality of emergency department (ED) care and delay in care providing is influential determinants of patient’s outcomes. The present study, aimed to evaluat...
New Molecular Aspects of Cardiac Arrest; Promoting Cardiopulmonary Resuscitation Approaches
Introduction: Cardiopulmonary resuscitation (CPR) is a method to improve survival of patients with cardiac arrest. This study aimed to identify the key genes affected five minutes after cardiac arrest, hoping to elevate...