An Outbreak of Pseudobacteremia Due to Burkholderia Cepacia in the Emergency Room of a Tertiary Hospital in Trinidad & Tobago

OBJECTIVE: To describe the type and determine the number of motorcycle related cranio-maxillofacial injuries that were seen by the ORL service in the emergency room of a tertiary hospital from January 2013 to December 2013 METHODS Study Design: Cross sectional retrospective chart review Setting: Tertiary National University Hospital Subjects: One hundred nine charts of patients seen at the emergency room from January 2013 to December 2013 were reviewed RESULTS: Of the 109 charts of patients involved in vehicular accidents, there were 76 documented cases of motorcycle related accidents. Of these, 91% involved males and 9% involved females. Seventy one percent did not wear helmets, of whom 36% were young adult males between the ages of 18-30 years. Those that wore helmets had a total of 27 different facial fracture sites: 19% zygomatic tripod fractures, 15% temporal bone fractures and 11% with no fractures noted. Among those who did not wear helmets 75 fractures were noted. Twenty four percent were tripod fractures, 15% temporal bone fractures and 12% maxillary fractures. Only one did not incur any fractures. CONCLUSION: Most cranio-maxillofacial fractures seen at the emergency room were from motorcycle related injuries (70%). Despite implementation of Republic Act 10054 (The Motorcycle Helmet Act of 2009) majority of motorcycle-related accidents are still incurred by riders without helmets. Keywords: cranio-maxillofacial fractures, motorcycle accidents, helmet, tripod fracture, temporal bone fracture

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Accidental Hijab Pin Ingestion: 10 Years Experience from a Tertiary Care Centre

Integrative Gastroenterology and Hepatology ◽

10.18314/igh.v1i1.1178 ◽

2018 ◽

Vol 1 (1) ◽

pp. 54-59

Author(s):

Naim Abu Freha ◽

Muhammad Abu Tailakh ◽

Doron Schwartz ◽

Ohad Etzion ◽

Alex Rosenthal ◽

...

Keyword(s):

Emergency Room ◽

Hospital Stay ◽

Clinical Observation ◽

Tertiary Care ◽

Muslim Women ◽

Tertiary Hospital ◽

Care Centre ◽

Tertiary Care Centre ◽

Duration Of Hospitalization ◽

Time Of Admission

Background and Aim: Hijab pins ingestion is increasing. Some women hold the pin between their teeth while arranging the Hijab and the inadvertent ingestion of the pin can be the result of any careless movements. The aims of our study were to investigate the clinical outcomes of patients who underwent endoscopic pin removal via gastroscopy as opposed to patients who were treated conservatively with clinical observation, and to compare clinical and endoscopic data pertaining to patients who underwent early versus late gastroscopy.Methods: Muslim women hospitalized in a tertiary hospital from 2005-2015 due to ingestion of Hijab pin ingestion were included. Patients who underwent gastroscopy during 12 hours from the time of admission to Emergency Room (ER) were included in the “early” gastroscopy group, while endoscopy performed at a later time defined the “late” gastroscopy group.Results: During the study period 37 women were included. Twenty four patients (65%, mean age 20 ± 8.9) underwent gastroscopy; and thirteen (35%, mean age 19.9 ± 1.6) were hospitalized for observation. Six patients (25%) had normal gastroscopy; by 8 patients (33%) the pin was located in the antrum, 6 (25%) body, 2 (8.3%) and 1 (4.1%) in the duodenum. Fifteen patients underwent early gastroscopy and nine underwent late gastroscopy. The Duration of hospitalization was significantly shorter among patients who underwent early gastroscopy 1-day (1, 1) median, (IQR) compared with 2 days (1, 3) p < 0.02. Severe complications were found in one patient (2.7%) with stomach perforation which required surgery.Conclusion: Most pins will pass spontaneously, however severe complication may arise inadvertent Hijab pin ingestion. Early gastroscopy shortens the hospital stay.

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