Saudi Journal of Emergency Medicine

Background: Sternal osteomyelitis following median sternotomy is an extremely uncommon type of deep sternal wound infection. It is considered a life-threatening complication that may develop after cardiothoracic surgery (2). Its occurrence is relatively low, ranging from 0.2% to 8%, with an associated mortality rate ranging from 8% to 45% (2).... Continue Reading

Introduction: Patients with Chronic Obstructive Pulmonary Disease (COPD) frequently require non-invasive ventilation (NIV) strategies to manage both acute exacerbations and chronic respiratory failure. The progression of COPD often leads to respiratory muscle fatigue and hypercapnia, necessitating timely intervention to prevent further clinical deterioration. NIV has become a cornerstone in the... Continue Reading

Introduction: Emergency medicine requires quick decision-making, effective communication, and strong clinical skills. Training must prepare practitioners to provide optimal care in emergencies. Simulation training has been shown to improve processes and patient outcomes, as highlighted by Ajmi et al. This quality improvement project (QIP) aimed to evaluate the impact of... Continue Reading

Introduction: Acute ischemia of the bowel is associated with mortality rates of up to 80%. While early detection is key to appropriate management, the utility of investigative modalities is limited by poor sensitivity and specificity. Objectives: This report outlines the case of a patient with investigation results unremarkable for underlying... Continue Reading

Background: Acute right lower quadrant (RLQ) abdominal pain is commonly associated with appendicitis; however, alternative diagnoses, such as right-sided diverticulitis, should be considered to avoid misdiagnosis and unnecessary surgical interventions. Right-sided diverticulitis, though more prevalent in Asian populations and older adults, can occur in young individuals and mimic acute appendicitis.... Continue Reading