Ramadan: a different side of the emergencies?

摘要: Why fast? Ramadan is the fasting month of Muslim calendar. Fasting in Ramadan one five pillars Islam. During this holy month, healthy adult Muslims are required to abstain eating, drinking and from any sexual activity between dawn sunset, an effort achieve better self control. It well established that incidence some diseases requiring emergency visit, increases dramatically during sacred 1–5. Which increase Ramadan? Our service, can receive about 500 patients on a daily basis (in other admission range 250 600 patient/day). The most frequent emergencies ever seen gastro-duodenal ulcer its complications such as: hemorrhage perforation1. This due fasting, stress, variation circadian rhythm which worsen untreated or insufficiently treated ulcers1. In addition, several chronic pathologies be higher levels, especially diabetes mellitus complicated by acidocetosis hypoglycemia with insulin shots2. Despite using inhaled medications do not nullify severe asthma exacerbations intensive care admission, stopping these daylight3. Cardiac vascular problems also more hypertension, thromboarteriopathy obliterans acute ischemia. Such occurences explained many factors; amongst them, diet's change. Indeed, sweets fatty foods consummated Ramadan. people prone having health because they take their day fear break fast. Consequently, either them at daybreak could disease3. Why should patient fast? We note Islamic faith allows exemptions for those who sick, including drug treatment even travellers if healthy. However, accept prefer Moslems illness aware put themselves risk abstaining drugs long periods. Therefore, appropriate advice doctors may encourage continue treatments prevent major issues. Also, local religious authority figures play role convincing sick fast3. Which disease decrease Ramadan? The number aggressions reduced crime month. Accidents related alcohol intake (trauma, aggression, car accidents…) significantly Because, traumas we see ER intake; since all stores required, law, close Laverick et al. have proven decreasing consumption reduces maxillofacial trauma4. El-Maaytah demonstrated “24 hour licensing law” head neck injuries following associated assaults5 Accident Emergency department London. think recommendations combined regulations fact contributing reducing abuse Even, heavy smokers stop smoking first step quit addicting habit. our opinion, seems right time convince change alcoholic tobacco habits. Ramadan occasion educate patients: Educating suffer how good way ensure fasting. campaigns conducted inform dangers imbalanced diet. Last but least, informing habits helping concerns. Further studies measures being planned order deal issues mentioned above These serious usually occur