Prehospital tracheal intubation versus emergency department intubation for trauma patients

Background: Patients with severe traumatic brain injury [TBI] are at high risk for airway obstruction and hypoxia at the accident scene, and routine prehospital endotracheal intubation has been widely advocated. Aim of the Study: to evaluate and compare the outcome and mortality rates of trauma patients undergoing Prehospital Tracheal Intubationversus those undergoing Emergency Department Intubation

Methods: A literature search was carried out on MEDLINE [including MEDLINE in-process], CINAHL, Embase and the Cochrane Library [from 1990 to October 2017]. Databases using "Prehospital Tracheal Intubation", "Emergency Department Intubation ", "Adults? trauma", and "mortality" as a MeSH heading and as text word. High yield journals were also had searched

Results: Eleven studies enrolling 17317 patients were included, out of which 4545 underwent PTI while 12772 underwent EDI. Median mortality rate in patients undergoing pre-hospital intubation was 52.12% [7.8-90.16%], compared to 27.98% [6.25-41.56%] in patients undergoing intubation in the emergency department. The overall quality of evidence was very low. Six of the eleven studies found a significantly higher mortality rate after pre-hospital intubation whilst five found no significant differences

Conclusion: Study outcome suggests that EDI was superior to PHI. Nevertheless, prehospital intubation was a marker for more severely ill patients who would have had higher mortality thus, the suggestion of the association between pre-hospital intubation and a higher mortality rate does not essentially oppose the importance of the intervention, but rather a need for further investigation of the possible causes for this finding

Prevalence, predictors and triggers of migraine headache among medical students and interns in King Abdulaziz University, Jeddah, Saudi Arabia

Objectives: To determine the prevalence, predictors, triggers and educational outcome of migraine among medical students and interns in King Abdulaziz University, Jeddah, Saudi Arabia

Methods: A cross-sectional study was completed among 566 participants selected through a multistage stratified random sample method. A validated, confidential, self-administered data collection sheet was utilized. It contained ID Migraine test[TM], Numeric Pain Rating Scale [NPRS]. Questions about possible predictors, triggers and impact of migraine were asked. Descriptive, inferential statistics and multiple logistic regression analysis were conducted

Results: More than one-half [54.9%] of the participants had >/= 2 headache attacks during the three months preceded the study. The prevalence of migraine was 26.3%, and 41.6% of the cases suffered from severe pain. The main migraine predictors were Functional Gastrointestinal Disorders [FGIDs], family history of migraine, female gender, and enrollment in the second academic year. Exam stress and sleep disturbances were the commonest triggers. The majority of the participants reported that their educational performance and ability to attend sessions were affected during migraine attacks

Conclusion: A relatively high prevalence of migraine was seen among our participants. FGIDs, gender and academic year were the predictors. Screening and management of migraine among medical students are required. Conduction of relaxation programs and stress management courses are also recommended

Diabetic foot awareness among diabetic patients in Saudi Arabia

Aim of the work: diabetic foot disease[DFD] is diabetic patient's foot affection by ulcers which are accompanied by peripheral vascular disease and/or diabetic neuropathy of the lower limb. Prevalence of diabetic ulcer is ranging from 2%-10%. High rate of lower limb amputation in DFD [More than 15%] and survival rate for undertaken amputation patient are short. Ninety diabetic amputations are performed monthly in Saudi Arabia capital of Riyadh. Identification of DFD and diabetic patient's awareness of DFD and how to take care of it will reduce the incidence of more complications like amputation. This study aimed to evaluate knowledge, education, attitude and practice with diabetic foot among diabetic patients all over Saudi Arabia

Patients and Method: cross-sectional study directed among the diabetic clinic visitors in Primary Health Care Centers [PHCs s]. Selection of 55 PHCs was done by random sampling. Ten diabetic patients were randomly selected from each PHCs and collecting of data was done by interviews. Research questionnaire contains three parts; first part is asking about demographic data; second part is about data that are focusing on diabetes and its related questions and last part is the main part which asking about diabetic foot

Results: 519 diabetic patients were participated in this study. Only 180 participants were complaining of diabetic complications [34.7%]. Most of participants [55.1%] get high score 7-8 out of 8 questions in Knowledge. Although, there were 166 persons [32%] who couldn't reach full score in attitude evaluation. There was a large percentage of our participants [69%] had very low score 0-2 out of 6 in assessment of previous education of diabetic foot. More than half of participants [56.5%] had score 6-10 out of 15 in evaluation of practice with diabetic foot

Conclusion: diabetic foot in Saudi Arabia is existing, even amputations and other diabetic foot complications were also present. Diabetic patients have good knowledge and attitude toward diabetic foot. Education about diabetic foot and practice is still weak

Prevalence of type 2 diabetes mellitus and hypertension in overweight and obese people in Riyadh City, KSA 2017

Background: overweight and obesity are well known risk factors for high morbidity and mortality rates and are associated with chronic diseases including hypertension and diabetes

Objectives: evaluating the prevalence of hypertension [HTN] and diabetes mellitus type II [DMT2] in overweight and obese adult Saudi population

Methods: a cross sectional community based study was undertaken among 549 of overweight and obese Saudi subjects in Riyadh region, Kingdom of Saudi Arabia [KSA].All enrolled volunteers were subjected to the following clinical history taking, calculating BMI, diagnosis of HTN and measurement blood pressure

Results: the age of the subjects was 20-35 years old in 23.9%, 48.2% were 36-50 years old and 27.9% were older than 50 years old. About 55%of respondents were females and 45% were males. 60.8% of subjects were overweight and 39.2% were obese. The HTN and DM prevalence were found to be significantly higher among obese subjects than overweight group

Conclusion: the results indicated that obese subjects were at increased risk of hypertension and diabetes. Also, obese females were more susceptible to DM and HTN than men