Position

In brief. Sharafaldeen Bin Nafisah is a Saudi emergency-medicine consultant and disaster-management leader whose work builds preparedness, business-continuity and operational-resilience capability for health services. He chairs Business Continuity for Riyadh Second Health Cluster, leads emergency and disaster services at SEHA Virtual Hospital, and is Chief Executive Officer of Arkan Alray (ARETION). He has built five hospital and cluster departments and services, created the virtual rapid-response team piloted during Hajj 1445 (2024), and served on the SEHA Virtual Hospital taskforce supporting relief after the 2023 Turkey and Syria earthquake.

Dr Sharafaldeen Bin Nafisah builds the systems health services rely on when things fail. Over the past decade he has built five hospital and cluster departments and services — business continuity, disaster preparedness, clinical research, research education, and the disaster service of Saudi Arabia's national virtual hospital — and has taken each from mandate to operating capability.

His work sits where crisis, governance and regulation meet: an ISO 22301 continuity framework spanning a multi-hospital cluster; a tele-emergency team deployed at Hajj; an AI-enabled preparedness programme across twelve hospitals; and the SCFHS subspecialty fellowship curriculum for the physicians who will lead the next response. He is qualified across medicine, law, public health, business and disaster medicine, and has held clinical, command and advisory roles in five countries.

  • Disaster management & risk reduction
  • Emergency preparedness
  • Business continuity (ISO 22301)
  • Operational resilience
  • Critical-infrastructure resilience
  • Crisis leadership & governance
  • Mass-casualty management
  • CBRNE & HazMat
  • Tele-emergency care
  • Health policy & legislative drafting

What he solves

The four problems institutions bring him.

No continuity capability

Organisations with a plan on paper and nothing underneath it. He builds the governance, BIAs, risk appetite, KRIs and recovery objectives, then tests them to failure.

No preparedness for the real event

Mass-casualty, CBRNE, HazMat, utility failure, IT collapse. He designs the protocols, runs the drills, and has led responses to real events.

No leadership pipeline

Capability that leaves with the individual. He builds fellowships, curricula and certification pathways so it stays in the institution.

Regulatory exposure

Accreditation, ICH-GCP, SFDA, NCBE, PDPL. He has supported CBAHI and JCI accreditation cycles and builds the controls auditors look for.

Appointments

Dec 2024 — present

Chairperson, Business Continuity Department

Riyadh Second Health Cluster

Built the enterprise business continuity framework across the cluster from inception, aligned with ISO 22301: risk registers, Business Impact Analyses, risk appetite statements and Key Risk Indicators feeding live executive dashboards, with Recovery Time and Recovery Point Objectives for critical services. Its protocols have supported continuity of care through ICT downtime and medical gas supply incidents.

2025 — present

Chairperson, HazMat and Radiation Emergencies

King Fahad Medical City
2024 — 2026

Chairperson, Clinical Research Department

King Fahad Medical City

Founded the department and its governance architecture — SOPs aligned to ICH-GCP, NCBE, SFDA and PDPL, joint-controller data governance, breach notification, and vendor risk assessment. Executed a research-centre turnaround that recovered approximately SAR 4.9 million and raised departmental profit by 108% within nine months, through revenue renegotiation, contract restructuring and KPI-driven performance management. In 2025 the department generated SAR 2.6 million from clinical studies and SAR 2.4 million in funding contracts, a 108.64% increase year on year, with company-sponsored clinical studies up 450%.

2023 — present

Emergency and Disaster Service Lead

SEHA Virtual Hospital

Established the Disaster Lead Service at the national virtual hospital from inception, founding the Virtual Disaster Department and Virtual Emergency Department and the tele-emergency risk governance framework covering clinical, cyber and operational risk. Created the Emergency Medicine and Rapid Response Virtual Team (EM-RRVT), piloted during Hajj 1445 (June 2024).

Dec 2025 — present

Chief Executive Officer

Arkan Alray (ARETION)

Leads development of AI-enabled simulation and resilience systems that replicate power shutdowns, water-pressure failures, radiological dirty-bomb scenarios and mass-casualty incidents, so organisations can test preparedness against realistic conditions. Sectors served include smart cities, municipalities, military institutions and healthcare.

2019 — present

Emergency Medicine Sub-Specialty Consultant

King Fahad Medical City
2024 — present

Founder and Chair

Disaster Management Experts Club

A registered Saudi non-profit convening disaster-management and business-continuity specialists across sectors, publishing position statements on public-health threats.

National and institutional bodies

Committee and advisory appointments.

2026 — present

Member, Scientific Committee for EMS and Disaster

Saudi Commission for Health Specialties
current

Scientific Training Committee

Saudi Red Crescent Authority
2024 — 2025

Advisor, Mass Gathering

Ministry of Health
2024

Programme Director, Disaster Officer Programme

Saudi Commission for Health Specialties
2020 — 2021

Advisory Consultant, Global Centre for Mass Gathering Medicine

Ministry of Health

Surveillance of MERS-CoV and COVID-19 — protocol generation and data analysis feeding national public-health decisions.

current

Member, Research Scientific Committees

King Fahad Medical City · King Faisal Specialist Hospital and Research Centre · Al-Qassim University

Operations and programmes led

Named events and deployments, not categories.

2024

Hajj 1445 — EM-RRVT pilot

SEHA Virtual Hospital

Virtual emergency team piloted from 13 June to 6 July 2024, beginning in Makkah, for surge, access and escalation management.

2023 — present

AI for Disaster Preparedness and Response — 12 hospitals

Riyadh Health Cluster R2

Decision support and readiness analytics deployed across twelve hospitals.

2023

Turkey and Syria earthquake relief taskforce

SEHA Virtual Hospital
2023

Medical gas disaster event — response lead

King Fahad Medical City

Directed the response programme, performed root cause analysis and implemented corrective controls.

2023

Hospital IT failure and rebuild

King Fahad Medical City
2023

Director, Disaster and Operations Centre

Riyadh Health Cluster R2
2022

National Drill of Italy — explosion simulation, refugee camp

Italian Military
2022

EMS Medical Director — mission-specific protocols

Hamilton General Hospital, Ontario, Canada
2020 — 2021

Riyadh City Field Hospital — mass COVID-19 vaccination

Ministry of Health

Policy and plan governance

Representative examples only — further documents are not listed. He is named in each formal document register as author or reviewing authority; titles and contents are internal Ministry of Health material and are not published here.

2025

Author — inspection and performance-evaluation framework

King Fahad Medical City · Riyadh Second Health Cluster · 1446 AH / 2025

Sole author of the checkpoints and criteria used to inspect and evaluate business-continuity performance.

2024

Reviewing authority — cluster-wide continuity planning

Riyadh Second Health Cluster · first controlled issue 2024

Named reviewer of record on continuity planning covering the whole cluster.

2023 — 2024

Reviewing authority — disaster and emergency-communications planning

King Fahad Medical City · six controlled revisions, 2023 to 2024

Named reviewer of record across every revision in the change register.

Recognition

2025

Certificate of Thanks and Appreciation — Republic of Yemen

Ministry of Public Health and Population · Aden, 30 October 2025

Issued for distinguished efforts in training participants and contribution to the national volunteer training programme in disaster response and first aid, aimed at raising emergency-response capability and strengthening community capacity to face disasters.

2025

Excellence Certificate — Programme Director of the Year

Riyadh Second Health Cluster

For contribution to the Fellowship Training Programme across the cluster.

2025

Three CEO Awards

Riyadh Second Health Cluster

For leading a multi-hospital disaster drill including design and response coordination; for cluster-wide accreditation in disaster management and business continuity; and for direction of the EMS and Disaster subspecialty fellowship.

2025

CBAHI Accreditation Achievement Recognition

King Fahad Medical City
2024

Best Physician Consultant Trainer

King Fahad Medical City
2022

Best Physician Consultant Mentor

King Fahad Medical City
2014

Emergency Department Gold Medal

Joint Commission International Accreditation, King Fahad Medical City

Questions

Answers written to stand alone, for readers and answer engines alike.

What does Sharafaldeen Bin Nafisah do?

Dr Sharafaldeen Bin Nafisah builds disaster-management, business-continuity and operational-resilience capability for health systems in Saudi Arabia. He chairs Business Continuity for Riyadh Second Health Cluster, leads emergency and disaster services at SEHA Virtual Hospital, directed the EMS and Disaster subspecialty fellowship of the Saudi Commission for Health Specialties until August 2026, and is CEO of Arkan Alray (ARETION).

What is his core expertise?

Dr Bin Nafisah's core expertise is disaster medicine and mass-casualty management; business continuity to ISO 22301; enterprise risk management; incident command (ICS/NIMS/FEMA); CBRNE, HazMat and radiation emergencies; tele-emergency and virtual care governance; and health-sector regulatory compliance including SFDA, NCBE, ICH-GCP and PDPL.

What has he built?

Dr Bin Nafisah has built five hospital and cluster departments and services: Business Continuity for Riyadh Cluster 2, Clinical Research at King Fahd Medical City, Clinical Research Training and Education, Disaster Preparedness and Planning, and the Disaster Service at SEHA Virtual Hospital — including the Virtual Disaster Department and Virtual Emergency Department.

What is the EM-RRVT?

The Emergency Medicine and Rapid Response Virtual Team, which Dr Bin Nafisah created at SEHA Virtual Hospital to manage surge, access and escalation risk during mass-gathering events. It was piloted during Hajj 1445 (June 2024), and the evaluation is published in The Journal of Medicine, Law & Public Health.

What is his accreditation record?

Dr Bin Nafisah has supported multiple CBAHI and JCI accreditation cycles. He served as Emergency Department representative in Joint Commission International accreditation at King Fahd Medical City and was awarded the Emergency Department Gold Medal for that role in 2014, and received formal recognition for CBAHI accreditation achievement in 2025.

What national bodies does he serve on?

Dr Bin Nafisah serves on the Scientific Committee for EMS and Disaster at the Saudi Commission for Health Specialties, the Scientific Training Committee at the Saudi Red Crescent Authority, and research scientific committees at King Fahd Medical City, King Faisal Specialist Hospital and Research Centre, and Al-Qassim University. He advised the Ministry of Health's Global Centre for Mass Gathering Medicine on MERS-CoV and COVID-19 surveillance.

Has he worked internationally?

Yes — Dr Bin Nafisah has trained and worked in five countries across four continents. He held a clinical fellowship in prehospital care and EMS at McMaster University in Canada and served as EMS Medical Director at Hamilton General Hospital; completed the European Master of Disaster Medicine in Italy including the Italian Military's national explosion-simulation drill; and holds degrees from Scotland and Australia.

What disasters and emergencies has he responded to?

Dr Bin Nafisah's response work includes the EM-RRVT pilot during Hajj 1445 (2024), the Turkey and Syria earthquake relief taskforce in 2023, a medical gas disaster event at King Fahd Medical City, a hospital-wide IT failure and rebuild, and the Riyadh City Field Hospital mass COVID-19 vaccination programme.

What is his AI work in disaster management?

Dr Bin Nafisah spearheaded the AI for Disaster Preparedness and Response programme across 12 hospitals in Riyadh Health Cluster R2, applying decision support and readiness analytics to preparedness. As CEO of Arkan Alray he develops AI-enabled simulation systems that replicate power failures, water-pressure incidents, radiological dirty-bomb scenarios and mass-casualty events.

What are his qualifications?

Dr Bin Nafisah holds an MBBS from King Saud bin Abdulaziz University for Health Sciences; MPH in biostatistics from the University of New South Wales; MBA in quantitative analysis from Alfaisal University; LLM in dispute resolution from the University of Aberdeen; and the Advanced European Master of Disaster Medicine from Università del Piemonte Orientale. He is SCFHS board certified in emergency medicine and registered with the College of Physicians and Surgeons of Ontario.

Does he have legal and policy training?

Yes. Dr Bin Nafisah holds an LLM in dispute resolution and completed the Legislative Drafting Programme with the Saudi Judicial Scientific Association, covering legislative impact assessment, drafting standards, and explanatory memoranda. He has authored Clinical Practice Policies and Standard Operating Procedures for King Fahd Medical City and Riyadh Cluster 2, and contributed to a Ministry of Finance policy enabling direct patient and volunteer research payments.

What has he published?

Dr Bin Nafisah has published peer-reviewed research since 2011, including systematic reviews and meta-analyses on emergency pharmacotherapy, disaster response models and pandemic policy. His 2018 systematic review on school closure during novel influenza was republished in Arabic, Chinese, French, Portuguese and Spanish as a COVID-19 resource. He authored The Art of Emergency Medicine (2021) and has a further title accepted by Springer Nature.

What awards has he received?

Dr Bin Nafisah received a Certificate of Thanks and Appreciation from the Ministry of Public Health and Population of the Republic of Yemen, issued in Aden on 30 October 2025 for his role in the national volunteer training programme in disaster response and first aid. An Excellence Certificate from Riyadh Second Health Cluster naming him Programme Director of the Year 2025. Three CEO Awards from Riyadh Second Health Cluster in 2025, CBAHI accreditation recognition, Best Physician Consultant Trainer 2024, Best Physician Consultant Mentor 2022, and the Emergency Department Gold Medal for JCIA representation.

Is he available for advisory or board work?

Dr Bin Nafisah holds advisory and board-level appointments across national bodies and serves as CEO of Arkan Alray (ARETION), advising government agencies, critical-infrastructure organisations and corporations on disaster preparedness, business continuity and AI-enabled resilience. Enquiries may be directed to sharafaldeen.binnafisah@medportal.ca.

What languages does he work in?

Dr Bin Nafisah works in Arabic as a native speaker and English fluently — IELTS 7, TOEFL ITP 577, MCCEE 289.

Where has he spoken?

Dr Bin Nafisah's recent platforms include the 6th Virtual International Pediatric Conference in November 2025, where he represented SEHA Virtual Hospital on AI-driven and tele-triage models; the 5th MENA Telehealth & Virtual Care Expo in Riyadh in May 2024, where he presented SEHA Virtual Hospital’s tele-disaster model as its Disaster Lead; Lab Research Day 2025 at King Fahd Medical City on translating research to market; the «Alhamna» programme at SEHA Virtual Hospital on tele-emergency medicine during internal and external disasters; and symposia at King Fahd Medical City on tactical emergency medicine and disaster management for emerging diseases.

What is his experience with crisis communication and media?

Dr Bin Nafisah completed Social Media Crisis Management at the Al Jazeera Media Institute in Doha in December 2025, a 15-hour programme on managing crises across digital platforms — complementing his operational crisis-command experience with the communications side of incident response.

What policies and plans has he approved?

In his disaster preparedness and business continuity roles, Dr Bin Nafisah has written and formally reviewed controlled emergency-planning documents for King Fahad Medical City and the Riyadh Second Health Cluster. He is the sole author of the framework used to inspect and evaluate business-continuity performance for 1446 AH / 2025, the named reviewing authority on cluster-wide continuity planning first issued in 2024, and the named reviewer of record on disaster and emergency-communications planning across six controlled revisions between 2023 and 2024. These documents are internal Ministry of Health material; their titles and contents are not published here.

Teaching and programme direction

Jan 2025 — Aug 2026

Programme Director, EMS and Disaster Subspecialty Fellowship

Saudi Commission for Health Specialties

Curriculum architect for the subspecialty fellowship that trains future EMS and disaster leaders: Incident Command Systems (ICS/NIMS/FEMA), scenario planning, mass-casualty management, CBRNE and HazMat, aligned to Vision 2030 health-sector resilience priorities.

courses

Programme Director

HazMat · CBRNE · Saudi Tactical Medicine · Disaster Triage for EMS · Prehospital Intubation

King Fahad Medical City and Riyadh Cluster R2.

2025

Speaker — 6th Virtual International Pediatric Conference

Virtual Medical Academy · 26–29 November 2025 · SCFHS-accredited

Represented SEHA Virtual Hospital on reimagining paediatric emergency triage — intelligent triage and tele-triage using recurrent neural networks, gradient boosting and IoT integration for real-time patient data.

2025

Speaker — “From Research to Market”, Lab Research Day 2025

King Fahad Medical City · 23 December 2025
media

Guest — «Alhamna» programme

SEHA Virtual Hospital

On tele-emergency medicine in internal and external disaster situations.

2024

Speaker — 5th MENA Telehealth & Virtual Care Expo

JW Marriott, Riyadh · 7–8 May 2024 · under the patronage of the Ministry of Health and SEHA Virtual Hospital

Represented SEHA Virtual Hospital as Disaster Lead and presented its tele-disaster model.

2023

Speaker — “Tactical Emergency Medicine”

Emergency Medicine Sub-Specialty Symposium, King Fahad Medical City · 14 June 2023
2023

Speaker — “Disaster Management Related to Emerging Diseases”

Infection Control Symposium, King Fahad Medical City · 6 June 2023
2022

Course Instructor

Trauma in the Bush, Six Nations Paramedic Services · Difficult Airway Course, Niagara College — Ontario, Canada
2022

MBA Thesis Supervisor

Frankfurt School of Finance and Management, with Prof. Oliver Rentzsch
ongoing

Peer reviewer

BMJ, BMC Public Health and other peer-reviewed journals

Qualifications

2022 — 2023

Advanced European Master of Disaster Medicine

Università degli Studi del Piemonte Orientale, Novara, Italy
2022 — 2023

Clinical Fellowship, Prehospital Care and EMS

McMaster University, Hamilton, Canada
2020 — 2021

LLM, Dispute Resolution

University of Aberdeen, Scotland
2012 — 2014

MBA, Quantitative Analysis

Alfaisal University, Riyadh
2011 — 2012

MPH, Biostatistics

University of New South Wales, Sydney
2005 — 2010

MBBS

King Saud bin Abdulaziz University for Health Sciences · GPA 3.94

Further certification: Legislative Drafting Programme (Saudi Judicial Scientific Association) · Negotiation & Dispute Resolution (Harvard Law School) · Scenario Planning (University of Oxford) · Digital Transformation (University of Cambridge) · Principles & Practice of Clinical Research (Harvard T.H. Chan School of Public Health) · FEMA ICS-100/200/700/800 · NFPA 1072 HazMat Operations · Radiation Safety Officer (Radiation Safety Institute of Canada) · Social Media Crisis Management (Al Jazeera Media Institute, Doha, December 2025)

Publications

Works from 2011 to 2026, each verified against Crossref, PubMed, OpenAlex or ORCID. Books: The Art of Emergency Medicine (2021, ISBN 978-1-7377485-0-2); Clinical Rounds in Emergency Medicine accepted by Springer Nature.

2026
Case series

Button Battery Code: A Case Series of Button Battery Ingestions in Children at a Tertiary Referral Center and Proposed Management Protocol

The Journal of Medicine, Law & Public Health · 10.52609/jmlph.v6i2.285

This case series proposes a hospital-wide “Button Battery Code” to standardise rapid response, expedite referral and coordinate multidisciplinary management, because delayed recognition and failed initial removal attempts produced higher-grade oesophageal injury. Five children with a mean age of 22.6 months and confirmed button battery ingestion were managed at a tertiary referral centre, and all required endoscopic removal.

2025
Field report

Emergency Medicine and Rapid Response Virtual Team (EM-RRVT): Insights from the Hajj 1445/2024 Experience

The Journal of Medicine, Law & Public Health · 10.52609/jmlph.v5i2.160

This pilot study found that a virtual emergency team is feasible and scalable for acute care during mass gatherings. The Emergency Medicine and Rapid Response Virtual Team managed 324 patients from 20 countries over 24 days around Hajj 1445 (2024), beginning in Mecca, most often acute coronary syndrome and trauma, releasing over half back to their contingents.

SR / MA

Methylene blue use in adult and pediatric patients with vasodilatory shock, a systematic review and meta-analysis

International Journal of Medicine in Developing Countries · 10.24911/ijmdc.51-1752093448

This review concludes that adjunctive methylene blue significantly reduces mortality (OR 0.48, 95% CI 0.31-0.73) and vasopressor requirements in vasodilatory shock, without improving mean arterial pressure or heart rate. The systematic review and meta-analysis pooled 570 adult and pediatric patients, 283 receiving methylene blue and 287 controls, from randomized trials published between 1963 and November 2024.

Study

Optimizing Paediatric Paracetamol Dosing: Transitioning from Age-Based to Automated Weight-Based Calculations in Saudi Arabia

The Journal of Medicine, Law & Public Health · 10.52609/jmlph.v5i2.187

This study found that age-based paracetamol dosing misdoses almost all children: 71.59% would be underdosed, 27.56% overdosed, and only 0.85% dosed accurately. The retrospective study compared 15 mg/kg weight-based dosing with age-based dosing in 352 patients aged 0-13 years in Saudi Arabia, and proposes an automated weight-based calculator.

Trial

To Evaluate Quality of Cardiopulmonary Resuscitation (CPR) Performed At Scene and During Transport After Out-of-Hospital Cardiac Arrest: A Crossover Trial

The Journal of Medicine, Law & Public Health · 10.52609/jmlph.v5i2.132

This trial found that CPR quality is comparable at the scene and during ambulance transport, with no statistically significant difference in overall score (52.94% in the ambulance versus 53.25% at the scene, p = 0.97). It was a randomised controlled crossover manikin study of 18 emergency providers, measured with a QCPR system in a moving ambulance.

2024
Position statement

Mpox Preparedness and Response 2024: Position Statement of The Disaster Management Experts Club

The Journal of Medicine, Law & Public Health · 10.52609/jmlph.v5i1.163

This position statement concludes that mpox demands augmented surveillance, resilient patient flow through primary, prehospital and triage care, strict PPE and environmental infection control, and targeted mass vaccination of high-risk groups. Authored by six Saudi emergency medicine, infection control and disaster management specialists for the Disaster Management Experts Club, it reviews the 2022 outbreak and its health-system implications.

2023
Commentary

Evacuating Patients with Ongoing Dialysis

The Journal of Medicine, Law & Public Health · 10.52609/jmlph.v3i3.90

This study identified three procedures for rapidly releasing a patient from a dialysis machine during an evacuation: the clamp and cut method, the clamp and cap method, and the hand crank method. Evidence came from a literature search, an expert focus group of nephrology, biomedical engineering and safety engineering specialists with senior dialysis nurses, and a dialysis-centre site visit.

Case

Ketamine For Sickle Cell Priapism: A Case Report & Literature Review

The Journal of Medicine, Law & Public Health · 10.52609/jmlph.v3i3.84

This case report and literature review concludes that ketamine effectively induces detumescence in priapism and recommends its use in acute care settings. It presents one adult patient with priapism secondary to sickle cell disease, then reviews ketamine's efficacy for priapism of other causes and in paediatric populations, assessing its safety profile.

Commentary

Prehospital ultrasound: a commentary

Canadian Journal of Emergency Medicine · 10.1007/s43678-023-00551-w

Study

The Cluster Approach: A Study of a New Model of Disaster Response

The Journal of Medicine, Law & Public Health · 10.52609/jmlph.v3i3.85

This study found that Saudi Arabia's health cluster disaster response model grades emergencies by bed capacity, number of patients affected and escalation risk, running five activation levels from a single hospital disaster unit to national leadership. The descriptive review examined pre-planning data and disaster contacts, then tested the model in an actual code brown electricity failure and hospital evacuation.

SR / MA

The Effect of Butyrophenones for the Management of Primary Headache in the Emergency Department: A Systematic Review and Meta-Analysis

The Journal of Medicine, Law & Public Health · 10.52609/jmlph.v3i2.78

This review concludes that intravenous haloperidol reduces acute primary headache pain by 2.46 VAS points (95% CI -4.11 to -0.81), while droperidol shows no significant benefit (-0.35; 95% CI -1.24 to 0.54). The systematic review and meta-analysis pooled seven randomised controlled trials of adult emergency department patients, screened from 49 articles published between 1963 and October 2022.

Commentary

Vendor Attraction to Improve the PTM System: A Commentary

The Journal of Medicine, Law & Public Health · 10.52609/jmlph.v3i1.70

This commentary concludes that openness to critique and a proactive approach to advanced technology are essential to improving the PTM system, since vendor profit depends on product awareness and acceptability. It is a non-empirical, single-author commentary in The Journal of Medicine, Law & Public Health, written from an emergency medicine perspective in Saudi Arabia.

2022
Review

A Systematic Review of The Systematic Review of Post COVID-19 Syndrome

The Journal of Medicine, Law & Public Health · 10.52609/jmlph.v2i1.33

This review concludes that post-COVID-19 syndrome affects multiple organ systems and requires multidisciplinary care. Screening 8,167 records across PubMed, Google Scholar, Cochrane and PROSPERO through July 2021, the 13 included studies reported fatigue and sleep disturbance in over two-thirds of patients, reduced quality of life in up to 69%, and ground-glass opacity in up to 52%.

SR / MA

Ketamine for Adults with Severe Asthma Exacerbation: A Systematic Review and Meta-analysis

The Journal of Medicine, Law & Public Health · 10.52609/jmlph.v2i1.37

This review concludes that ketamine produces only a small, statistically non-significant improvement in peak expiratory flow rate during acute severe asthma exacerbation (pooled effect size 0.30, 95% CI -0.04 to 0.63, p=0.08). The systematic review and meta-analysis pooled two placebo-controlled trials covering 136 adults treated in the emergency department.

SR / MA

Use of Diphenhydramine for Pain Management in the Emergency Department: A Systematic Review and Meta-analysis

The Journal of Medicine, Law & Public Health · 10.52609/jmlph.v2i3.55

This review concludes that intravenous diphenhydramine has a measurable analgesic effect and merits consideration as an adjunct for acute pain in the emergency department. The systematic review and random-effects meta-analysis pooled four randomised controlled trials screened from 128,902 records, covering 438 emergency department patients, 218 of whom received diphenhydramine.

2021
Study

Improving the patient's experience in the emergency department during COVID-19 pandemic: a community-based analysis from Western Saudi Arabia.

The Journal of Medicine, Law & Public Health · 10.52609/jmlph.v1i1.9

This study found that 43.66% of emergency department patients reported high satisfaction during the COVID-19 pandemic, while 19.29% were dissatisfied, with older age, higher education and chronic disease predicting dissatisfaction. It was a cross-sectional electronic survey of 513 community respondents using the EQS-H instrument in western Saudi Arabia, January to February 2021.

Study

Leaving The Emergency Department Without Being Seen or Without Complete Treatment; A Study From Saudi Arabia

The Journal of Medicine, Law & Public Health · 10.52609/jmlph.v1i1.8

This study found that no patient died within seven days of leaving the emergency department without being seen or without completing treatment, and 69.3% intended to return. A retrospective observational study of 286 adult patients over three months at a tertiary hospital emergency department in Riyadh, Saudi Arabia.

Policy

Lethal Over-the-Counter Cardioselective Drugs: An Urgent Call to Policy Makers

The Journal of Medicine, Law & Public Health · 10.52609/jmlph.v1i3.21

This case report concludes that cardioselective agents sold over the counter in Saudi Arabia carry a lethal overdose risk and warrant urgent policy restriction. It presents a single case of cardioselective drug overdose with suicidal intent managed in a Saudi emergency department, then examines public health interventions that could reduce misuse.

Field report

MERS-CoV in the COVID-19 era: update from Saudi Arabia, 2019–2020

Eastern Mediterranean Health Journal · 10.26719/emhj.21.049

This study found that MERS-CoV remained a lethal public health threat during COVID-19, killing 83 of 299 confirmed cases (27.7%), with older age and comorbidities predicting death. The retrospective surveillance analysis covered all laboratory-confirmed MERS-CoV cases in Saudi Arabia from January 2019 to October 2020, drawn from the Ministry of Health's Health Electronic Surveillance Network.

SR / MA

Magnesium Administration For COPD Exacerbation: A Systematic Review and Meta-analysis

The Journal of Medicine, Law & Public Health · 10.52609/jmlph.v1i3.22

This review concludes that intravenous magnesium sulphate improves pulmonary function tests in patients with acute COPD exacerbation and may reduce hospital admission (RR 0.85, 95% CI 0.62-1.17). It is a systematic review and meta-analysis of trials of IV and nebulised magnesium in emergency department patients, searching PubMed, Google Scholar, Cochrane and grey literature from 1963 to May 2021.

Survey

Patient Satisfaction with the Emergency Department Experience in the Era of COVID-19: A National Survey

The Journal of Medicine, Law & Public Health · 10.52609/jmlph.v1i2.11

This study found that emergency department patients in Saudi Arabia reported high satisfaction during COVID-19, with information clarity, treatment-plan explanation, discharge instructions, follow-up calls, age, marital status and education acting as determinants. It was a national cross-sectional survey of 508 patients across Saudi Arabia between January and February 2021.

Study

Prevalence of COVID-19 in Al Qassim Province, Saudi Arabia: A Sociodemographic Analysis

The Journal of Medicine, Law & Public Health · 10.52609/jmlph.v1i2.16

This study found a COVID-19 prevalence of 1.46% in Al Qassim Province, Saudi Arabia, alongside 52.1% self-reported exposure and 72.6% vaccination acceptance, with self-isolation lowest among older and married residents. The cross-sectional analysis paired 15,497 Weqaya surveillance cases recorded to 9 May 2021 with a survey of 511 provincial residents.

Policy

Scenario Planning in Disaster Management: A Call to Change the Current Practice

The Journal of Medicine, Law & Public Health · 10.52609/jmlph.v1i3.28

This commentary concludes that disaster doctrine should adopt scenario planning, a standardised way of thinking about uncertain futures that exposes hidden assumptions and deficiencies and informs best practice. It is a single-author perspective piece from an emergency medicine standpoint in Saudi Arabia, published in The Journal of Medicine, Law & Public Health in 2021 after COVID-19 exposed weak disaster plans.

Study

Sleep Disturbance During Quarantine in the Era of the SARS-CoV-2 (COVID-19) Pandemic

The Journal of Medicine, Law & Public Health · 10.52609/jmlph.v1i1.5

This study found that people quarantined during the COVID-19 pandemic had significantly poorer sleep quality than those who were not, a difference that persisted after controlling for anxiety. The cross-sectional survey assessed 327 adults in the Jazan region of Saudi Arabia in September 2020 using the PSQI and GAD-7 instruments.

Study

The Prevalence of COVID-19 in Jizan Region-Saudi Arabia: A Demographic Analysis

The Journal of Medicine, Law & Public Health · 10.52609/jmlph.v1i2.4

This study found a COVID-19 prevalence of 0.84% and a mortality rate of 1.73% in the Jizan region of Saudi Arabia, with female gender and being married emerging as predictors of infection. The cross-sectional analysis combined Ministry of Health regional case data with a survey of 328 residents conducted during September 2020.

Article

The risk of coronavirus to healthcare providers during aerosol-generating procedures

Annals of Thoracic Medicine · 10.4103/atm.atm_497_20

This systematic review and meta-analysis found that performing aerosol-generating procedures raises healthcare providers' odds of coronavirus infection 1.85-fold (95% CI 1.33-2.57), rising to 1.89 when adequate personal protective equipment was not used. Six of 880 screened studies were pooled in RevMan, covering SARS, MERS-CoV and COVID-19 exposure among hospital health-care personnel.

Trial

Virtual Versus In-Personal Teaching of Infection Control Essentials: A Quasi-Experimental Nonequivalent Groups Design

The Journal of Medicine, Law & Public Health · 10.52609/jmlph.v1i3.25

This study found infection control competencies are better acquired through in-person teaching than virtual training, with in-person learners scoring 27.16% higher (t(60)=-4.12, p=0.0001). The quasi-experimental nonequivalent groups design delivered a brief three-to-five-minute infection control session to emergency department staff at two Saudi hospitals during the COVID-19 pandemic.

Study

Wrist and Forehead Temperature Measurement as Screening Methods During the COVID-19 Pandemic

The Journal of Medicine, Law & Public Health · 10.52609/jmlph.v1i2.12

This study found that wrist and forehead thermometry does not reliably detect fever during COVID-19 screening: wrist measurement gave an area under the curve of 0.49 (sensitivity 46.2%, specificity 53.3%) versus 0.70 for forehead (sensitivity 23.1%, specificity 76.9%). Participants were randomly assigned to one of two contactless devices, with readings compared against axillary or sublingual standards.

2020
Case

Liraglutide overdose: A case report and an updated review

Turkish Journal of Emergency Medicine · 10.4103/2452-2473.276386

This case report concludes that an accidental 18 mg subcutaneous liraglutide overdose caused only relative hypoglycemia, with gastrointestinal symptoms resembling pancreatitis. It describes a single young female patient who presented after an accidental injection, reported by emergency physicians at King Fahd Medical City, Riyadh, alongside an updated review of previously published liraglutide overdose cases.

2019
Case

Varenicline Seizure: Case Report and Literature Review

The Journal of Neurobehavioral Sciences · 10.5455/jnbs.1532600115

2018
Case

Psychosis and iddle cranial fossa arachnoid cyst: Case report and literature review

The Journal of Neurobehavioral Sciences · 10.5455/jnbs.1527282016

Systematic review

School closure during novel influenza: A systematic review

Journal of Infection and Public Health · 10.1016/j.jiph.2018.01.003

2017
Policy study

Over-the-counter antibiotics in Saudi Arabia, an urgent call for policy makers

Journal of Infection and Public Health · 10.1016/j.jiph.2016.09.016

2014
Cohort

Ommaya reservoir infection rate: a 6-year retrospective cohort study of Ommaya reservoir in pediatrics

Child's Nervous System · 10.1007/s00381-014-2561-x

This study found that Ommaya reservoirs carry a low infection rate of 6.6%, and that tapping failed to demonstrate the expected reduction in cerebrospinal fluid protein. The design was a 6-year retrospective cohort of 45 neonates (mean age 2.9 days, mean weight 0.98 kg) at a tertiary hospital in Saudi Arabia, covering 2,523 reservoir-days.

2011
Case

Guidewire Breakage: An Unusual Complication of Anterior Odontoid Cannulated Screw Fixation

Asian Spine Journal · 10.4184/asj.2011.5.4.258