Isam Nasr

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STUDY OBJECTIVE We describe cases referred for physician review because of concern about quality of patient care and identify factors that contributed to patient care management problems. METHODS We performed a retrospective review of 636 cases investigated by an emergency department physician review committee at an urban public teaching hospital over a(More)
BACKGROUND AND METHODS Inhaled adrenergics and steroids are the main agents used in acute asthma. Dosing recommendations for adrenergics, while generally becoming more aggressive, lack prospective validation. A double blind, randomized trial of two regimens of nebulized metaproterenol was conducted in patients presenting to an Emergency Department with an(More)
Ovarian vein thrombosis (OVT) is a rare but potentially serious condition that affects mostly postpartum women. It has also been associated with other conditions, such as pelvic inflammatory disease, malignancy, sepsis, inflammatory bowel disease, and recent pelvic or abdominal surgery. It is critical to recognize and treat this condition as early as(More)
BACKGROUND Victims of abusive head trauma have poor outcomes compared with other injured children. There is often a delay in diagnosis because these young patients are unable to communicate with health care providers. These critically injured patients would benefit from early identification and therapy. METHODS We performed a retrospective review of our(More)
Social networking sites (SNS), the modern mainstay of adolescent expression, may provide vital information to physicians. The emergency department (ED) is a setting where SNS may be helpful. A reticent 19-year-old in the ED prompted a search for pertinent information on the Internet, where a profile on www.myspace.com relayed a troubled post. The patient(More)
This article is a report of the fourth meeting of the Harmonising Outcome Measures for Eczema (HOME) initiative held in Malmö, Sweden on 23-24 April 2015 (HOME IV). The aim of the meeting was to achieve consensus over the preferred outcome instruments for measuring patient-reported symptoms and quality of life for the HOME core outcome set for atopic eczema(More)
STUDY OBJECTIVE To demonstrate that a complete and rapid clinical history can be obtained using a self-administered, bilingual questionnaire. DESIGN A post-test experimental design was used to evaluate time spent obtaining the history and information completeness for the two groups. SETTING Urban county emergency department. PARTICIPANTS All patients(More)
BACKGROUND While our understanding of acute traumatic coagulopathy (ATC) in adults is advancing, the pediatric literature on ATC is limited. Children have a unique injury profile and physiologic response to trauma; however, the impact of this phenomenon on ATC has not been fully elucidated. METHODS We performed a retrospective review of our trauma(More)
INTRODUCTION Many cases of hydrocarbon toxicity occur annually due to oral or inhalational exposure. Rarely are hydrocarbons injected subcutaneously or intravenously. These parenteral routes of exposure, however, can have a wide range of consequences ranging from mild skin irritation to tissue necrosis, pulmonary injury, neurologic consequences,(More)
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