Prevalence of Post Traumatic Stress Disorder among all Emergency Workers at Saudi Tertiary Care Center in Riyadh, Saudi Arabia

Aims: Our objective for this study is to assess post traumatic stress disorder and its severity point prevalence among all emergency department workers. Study Design: A cross-sectional model is most appropriate for this study’s aims, objectives and time frame. Place and Duration of Study: This study took place at the emergency department of King AbdulAziz Medical City (KAMC) in Riyadh, Saudi Arabia, between December 2021 and November 2022. Methodology: Our study concluded 202 emergency department workers (94 men, 108 women: age range 24-60). A self-administered questionnaire consisting of two parts was distributed. The first part was demographic variables. The second part was the PTSD Checklist for DSM-5 - Civilian Version (PCL-5). Results: From our 202 ER employees, 26.7% met the criteria for PSTD. Using logistic regression, we found a relation between PTSD and verbal or physical abuse with a P value of 0.004. we also observed a significant P value of 0.018 between the age groups, indicating the younger population of our study were more prone to develop PTSD. Conclusion: There is a concerning high prevalence of self-reported post-traumatic stress disorder among the emergency medicine department workers, including an increased number of employees having been a victim of physical assault or verbal abuse. It is crucial at the organizational level to prioritize prevention of workplace violence.

Suicide Attempts by Poisoning: An Experience From a High-Volume Emergency Department

Background

There has been a tremendous increase in self-poisoning behavior worldwide, with different trends depending on cultural and geographic aspects.

Objectives

Our study aims to assess the trends, outcomes, and predictors in patients of suicide attempts by poisoning at King Abdulaziz Medical City (KAMC) ED.

Materials and methods

A retrospective cohort study took place at KAMC. Frequencies and percentages were used to display categorical variables. Minimum, maximum, mean, and SD were used to display continuous variables. Chi-squared test and independent t-test were utilized to test for factors associated with suicidal intention.

Results

A total of 130 cases were identified. The participants were mostly females (73.8%, n = 96). Most of the participants were pediatric patients (57.7%, n = 75). The most consumed agents were acetaminophen in 59 (45.83%) and non-steroidal anti-inflammatory drugs (NSAIDs) in 22 (16.92%). The ICU admission rate was 8.5% (n = 11). The management for both populations was unspecific, involving observation, supportive measures, and symptomatic treatment. BMI (p < 0.001), gender (p < 0.001), age (p = 0.012), and a history of neuropsychiatric disorders (p < 0.001) were associated factors.

Conclusion

It is crucial that the trends and risk factors of self-poisoning suicide attempts are identified to provide support to those in need. Several variables of interest were noted since the two most observed agents share several key features, such as accessibility and availability. However, contradicting literature reports warrant further investigation to confirm or negate the evidence.

A Staghorn Calcium Phosphate Stone in a Child With Sanjad-Sakati Syndrome: An Iatrogenic Manifestation?

Sanjad-Sakati syndrome (SSS) is an autosomal recessive genetic condition, with the first report discussing this condition presented in Saudi Arabia. This case report describes an iatrogenic stone as a result of hypocalcemia overtreatment, along with its subsequent management procedure. The current literature concerning the iatrogenic stone occurrence and the operative outcome of percutaneous nephrolithotomy in individuals with SS is scarce, warranting further investigation.