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.

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.

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.

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.

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.

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.

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.

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.

Prehospital ultrasound: a commentary

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

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.

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.

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.

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%.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

Varenicline Seizure: Case Report and Literature Review

The Journal of Neurobehavioral Sciences · 10.5455/jnbs.1532600115

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

The Journal of Neurobehavioral Sciences · 10.5455/jnbs.1527282016

School closure during novel influenza: A systematic review

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

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

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.

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

Asian Spine Journal · 10.4184/asj.2011.5.4.258