ABSTRACT
Propafenone is a class 1C antiarrhythmic with sodium channel and beta blocking properties. At toxic doses it causes wide range of arrhythmias including cardiac conduction abnormalities, AV block and prolongation of QRS complexes that may be fatal. In this paper we report a young female patient who had unstable hemodynamic condition due to propafenone ingestion estimated to be 6000 mgr and successfully treated with bicarbonate therapy. Bicarbonate therapy seems to be effective in propafenone intoxication and emergency physicians might be familiar to sodium channel blocking agent toxidromes and potential benefits of bicarbonate administration.
ABSTRACT
Temporomandibular joint (TMJ) dislocation is defined as excessive forward movement of the mandibular condyle beyond the articular eminence with complete separation of the articular surfaces and fixation in that position. A 54 years old man attended our Emergency Department (ED) with complaints of slurred speech and inability to close his mouth after upper gastroendoscopic procedures. Lateral craniography was obtained and illustrated bilateral anterior dislocation of the patient's mandibular condyles. To confirm the diagnosis urgent radiographic imaging is required without delay as the risk of complications occurring increases as time elapses.
ABSTRACT
Isolated pancreatic trauma is extremely rare because of pancreas’ anatomic localization. Also, diagnosis of pancreatic injury may be difficult due to lack of sensitivity of initial clinical findings, laboratory and imaging examinations in emergency department. Morbidity and mortality is much higher in delayed presentation or if the trauma is unrecognized. In this paper we report a 20-year-old female with isolated pancreas fracture after a blunt abdominal trauma due to a go-kart accident. Repeated evaluation of patient by taking into account of mechanism of trauma and suspicion of pancreatic injury is essential for early diagnosis.