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Journals Turkish Journal of Emergency M...

Turkish Journal of Emergency Medicine

https://read.qxmd.com/read/33575515/perindopril-amlodipine-induced-thrombotic-microangiopathy
#1
Vlatka Periša, Dorian Laslo, Lana Maričić, Lada Zibar
This is the first report on a case of perindopril/amlodipine-induced thrombotic microangiopathy (TMA) syndrome. A 48-year-old female was admitted complaining of nettle rash all over the body, bloody urine, and weakness shortly after starting antihypertensive therapy with perindopril/amlodipine. Shortly thereafter, she developed pronounced hemiparesis, somnolence, and sensorimotor aphasia. Laboratory findings were compatible with microangiopathic hemolytic anemia and thrombocytopenia. She was diagnosed with TMA...
January 2021: Turkish Journal of Emergency Medicine
https://read.qxmd.com/read/33575514/a-rare-complication-of-extracorporeal-membrane-oxygenation-and-thrombolytic-treatment-in-a-patient-with-massive-pulmonary-embolism-intraperitoneal-hemorrhage
#2
Sefer Ozgur, Ersin Aksay, Aysen Aydın Kacar
Massive pulmonary embolism (PE) is one of the important emergencies that needs aggressive treatment for decreasing the risk of death. Extracorporeal membrane oxygenation (ECMO) and fibrinolysis should be considered in patients with failure in oxygenation and perfusion despite invasive mechanical ventilation and vasopressor treatment. We present the case of a 22-year-old male who underwent ECMO, systemic fibrinolysis, and cardiopulmonary resuscitation because of massive PE and subsequently developed intraperitoneal bleeding...
January 2021: Turkish Journal of Emergency Medicine
https://read.qxmd.com/read/33575513/high-flow-nasal-cannula-oxygen-therapy-in-the-management-of-acute-respiratory-distress-syndrome-secondary-to-opioid-overdose
#3
Muge Gulen, Salim Satar, Onder Yesiloglu, Akkan Avci, Selen Acehan
In this article, we discuss the successful treatment of acute respiratory distress syndrome (ARDS), a rare complication of opioid overdose, through high-flow nasal cannula oxygen therapy (HFNCOT). A 32-year-old male patient was referred to the emergency department with an ambulance due to a state of confusion following intravenous opioid intake. On arrival, the patient had an arterial blood pressure of 100/60 mmHg, pulse of 112 beats/min, respiratory rate of 8 breaths/min, and oxygen saturation (SpO2 ) of 75%...
January 2021: Turkish Journal of Emergency Medicine
https://read.qxmd.com/read/33575512/efficacy-of-bicarbonate-therapy-for-adults-with-cardiac-arrest-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#4
Wachira Wongtanasarasin, Karan Srisurapanont
OBJECTIVES: Because the benefits of bicarbonate therapy remain unclear, it is not routinely recommended for the cardiopulmonary resuscitation (CPR) given to individuals with cardiac arrest (CA). This study aims to evaluate the clinical benefits of bicarbonate therapy in adults with CA. METHODS: Without any language restriction, we searched PubMed/MEDLINE, Scopus, Web of Science, and Cochrane CENTRAL from the inception until April 30, 2020. We performed hand-search to identify the relevant trials included in previous meta-analyses...
January 2021: Turkish Journal of Emergency Medicine
https://read.qxmd.com/read/33575511/retrospective-analysis-of-patients-with-sternal-fracture
#5
Sule Yakar, Necmi Baykan, Ömer Önal, Polat Durukan
OBJECTIVES: Sternal fractures (SFs) are rare pathologies that mainly occur as a result of traffic accidents, which can cause mortality due to concomitant complications. In this study, we aimed to evaluate clinical processes and termination status of patients diagnosed with a SF in the emergency department. METHODOLOGY: Patients diagnosed with a SF in the emergency department during 8 years were retrospectively reviewed. The demographic and clinical characteristics of the patients were recorded, and standard data forms were created...
January 2021: Turkish Journal of Emergency Medicine
https://read.qxmd.com/read/33575510/evaluation-of-the-blue-code-system-established-in-the-health-campus-of-a-university-hospital
#6
Arzu Topeli, Banu Cakir
OBJECTIVE: We report the hospital outcomes after implementing the blue code system in our hospital and health campus. We also aimed to determine factors related to mortality. METHODS: This is a retrospective observational study of the patients who received cardiopulmonary resuscitation (CPR). All blue code calls for all age groups between March 15, 2013, and April 30, 2015 were analyzed. Logistic regression analysis was performed to find independent predictors of in-hospital mortality...
January 2021: Turkish Journal of Emergency Medicine
https://read.qxmd.com/read/33575509/establishing-a-written-advice-sheet-to-patients-consulting-for-wound-to-emergency-ward-improves-postemergency-care
#7
Richard Chocron, Thomas Tamisier, Anne-Laure Feral-Pierssens, Philippe Juvin
OBJECTIVES: Sutures require follow-up visits for favorable evolution. To improve postemergency wound care, we decided to include a standardized advice sheet for patients based on current recommendations. The objective is to assess its effectiveness on outpatients' compliance after being discharged from the emergency department (ED). METHODS: We performed a prospective, pre-post design trial in an ED of a teaching hospital. We included for two consecutive months all patients aged ≥16 years old and consulting for wounds that needed suturing, and we excluded chronic wounds, burns, and hand wounds since they all need special care...
January 2021: Turkish Journal of Emergency Medicine
https://read.qxmd.com/read/33575508/the-validity-of-recognition-of-stroke-in-the-emergency-room-rosier-scale-in-the-diagnosis-of-iranian-patients-with-acute-ischemic-stroke-in-the-emergency-department
#8
Mahdi Zangi, Somayeh Karimi, Sahar Mirbaha, Mehran Sotoodehnia, Fatemeh Rasooli, Alireza Baratloo
OBJECTIVES: In this study, we aimed to investigate the accuracy of recognition of stroke in the Emergency Room (ROSIER) Scale in the diagnosis of patients with acute ischemic stroke (AIS) transferred to the emergency department (ED). METHODS: The present study was a multicenter study. Records from patients suspected of stroke, who referred to the ED were reviewed. Demographic, clinical, and diagnostic data were extracted and then entered in checklists. ROSIER Scale was used to evaluate the possible diagnosis in this study...
January 2021: Turkish Journal of Emergency Medicine
https://read.qxmd.com/read/33089032/erratum-hepatic-hydatid-cyst-presenting-as-a-cutaneous-fistula
#9
(no author information available yet)
[This corrects the article on p. 146 in vol. 20, PMID: 32832734.].
October 2020: Turkish Journal of Emergency Medicine
https://read.qxmd.com/read/33089031/peripartum-cardiomyopathy-with-preeclampsia-in-a-parturient-a-case-report-with-literature-review
#10
Divya Sethi, Naveen Kumar
Peripartum cardiomyopathy (PPCM) is a rare disease of unknown cause that affects women of childbearing age. A high index of suspicion should be maintained in the pregnant and peripartum woman who presents with sudden cardiac decompensation without any prior history of cardiac disease. The diagnosis can be confirmed with echocardiographic evidence of global left ventricular dysfunction. Timely diagnosis and institution of therapy for heart failure can avoid adverse outcomes in a parturient with PPCM. In this case report, we describe the management of primigravida presenting to the hospital's emergency department with acute cardiac failure and respiratory distress due to PPCM...
October 2020: Turkish Journal of Emergency Medicine
https://read.qxmd.com/read/33089030/a-rare-cause-of-pediatric-acute-pancreatitis-perindopril-intoxication
#11
Merve Misirlioglu, Dincer Yildizdas, Faruk Ekinci, Ozden Ozgur Horoz, Ahmet Yontem
Acute pancreatitis is a reversible inflammatory condition of the pancreas. It usually develops on the basis of trauma, structural abnormalities, and chronic systemic diseases. A definitive causal correlation between a drug and acute pancreatitis is quite difficult for clinicians. Drugs play a vital role in the etiology in approximately 10% of children with pancreatitis. More than 50 drugs including angiotensin-converting enzyme inhibitors have been reported to cause pancreatic damage. There was no pediatric case report developed pancreatitis following perindopril use...
October 2020: Turkish Journal of Emergency Medicine
https://read.qxmd.com/read/33089029/reexpansion-pulmonary-edema-a-rare-complication-of-pneumothorax-drainage
#12
Shivani Sarda, Ankur Verma, Sanjay Jaiswal, Wasil Rasool Sheikh
Among all the noncardiac causes of pulmonary edema, unilateral reexpansion pulmonary edema is one of the rarest complication of expansion of a collapsed lung. It is largely unknown and a potentially fatal complication. We present the case of a 51-year-old gentleman who presented to our emergency department with shortness of breath. X-ray revealed significant right-sided pneumothorax with associated collapse of the right lung. An intercostal tube was inserted into the right 5th intercostal space and a repeat X-ray revealed well-expanded lung field...
October 2020: Turkish Journal of Emergency Medicine
https://read.qxmd.com/read/33089028/survival-following-intentional-succinylcholine-injection-for-self-harm
#13
Meenhas Oravil Kunhahamed, Vimal Koshy Thomas, Siju Varghese Abraham, Babu Urumese Palatty, Shibu C Kallivalappil
Succinylcholine is a short-acting depolarizing neuromuscular blocking agent. We describe a case where the above drug was employed for self-harm by a health-care worker. The patient, a 28-year-old female, was brought to the emergency department (ED) in impending respiratory arrest and altered mental status. On arrival, she had hypoxia, bradycardia, and hypotension. Although the cause for rapid deterioration in this patient was unknown, the ED physician still went ahead by resuscitating the patient's airway, breathing, and circulation...
October 2020: Turkish Journal of Emergency Medicine
https://read.qxmd.com/read/33089027/hands-only-cardiopulmonary-resuscitation-training-for-schoolchildren-a-comparison-study-among-different-class-groups
#14
Roshan Mathew, Ankit Kumar Sahu, Nirmal Thakur, Aaditya Katyal, Sanjeev Bhoi, Praveen Aggarwal
BACKGROUND AND AIM: Up to 70% of out-of-hospital cardiac arrests are witnessed by family members, friends, and other bystanders. These bystanders can play a vital role in delivering help, before professional help arrives. Mandatory nationwide training of schoolchildren has shown the highest impact in improving the bystander cardiopulmonary resuscitation (CPR) rate. In our study, we compared the competency of different classes of schoolchildren from middle school onward in learning hands-only CPR...
October 2020: Turkish Journal of Emergency Medicine
https://read.qxmd.com/read/33089026/assessment-of-factors-affecting-mortality-in-geriatric-patients-with-warfarin-overdose
#15
Seda Dagar, Emine Emektar, Hüseyin Uzunosmanoglu, Yunsur Cevik
OBJECTIVES: The aim of the present study was to perform a demographic analysis of complications and to determine the factors affecting in-hospital mortality in geriatric patients with warfarin overdose. MATERIALS AND METHODS: All patients aged 65 years or older using warfarin with an international normalized ratio (INR) level above 3.5 IU between 01.01.2014 and 01.01.2018 were included in the study. Characteristics of patients with in-hospital mortality and surviving patients were compared...
October 2020: Turkish Journal of Emergency Medicine
https://read.qxmd.com/read/33089025/comparison-of-the-effectiveness-of-endotracheal-tube-holder-with-the-conventional-method-in-a-manikin-model
#16
Karn Suttapanit, Chaiyaporn Yuksen, Kasamon Aramvanitch, Thitapohn Meemongkol, Arnon Chandech, Benjamat Songkathee, Promphet Nuanprom
OBJECTIVES: Endotracheal tube (ETT) displacement occurs by improper fixation. To fix an ETT, many types of fixation tools are employed. Thomas tube holder is one of the fixation tools widely used in many countries. This study aims to compare the ETT fixation using the Thomas tube holder with the conventional method (adhesive tape) in a mannequin model. METHODS: The fixation tools were random, using the box of six randomizes to Thomas tube holder and conventional method...
October 2020: Turkish Journal of Emergency Medicine
https://read.qxmd.com/read/33089024/intranasal-midazolam-sedation-as-an-effective-sedation-route-in-pediatric-patients-for-radiologic-imaging-in-the-emergency-ward-a-single-blind-randomized-trial
#17
Masoud Mayel, Mehdi Ahmadi Nejad, Mehdi Sadeghi Khabaz, Maliheh Sadat Bazrafshani, Ehsan Mohajeri
OBJECTIVES: Prevention and reduction of pain, anxiety, and fear during medical procedures is one of the most important factors that should be considered in pediatric emergencies. The aim of this study was to compare the efficacy of oral versus intranasal midazolam in sedation during radiologic imaging in the largest province of Iran, Kerman. MATERIALS AND METHODS: Eighty children were enrolled in this single-blind clinical trial based on convenience sampling and were divided into two groups receiving 0...
October 2020: Turkish Journal of Emergency Medicine
https://read.qxmd.com/read/33089023/factors-affecting-the-accuracy-of-nurse-triage-in-tertiary-care-emergency-departments
#18
Songül Biskin Cetin, Oktay Eray, Fatma Cebeci, Mustafa Coskun, Meral Gozkaya
OBJECTIVES: The accuracy and duration of triage is vital in emergency departments. However, patient density, diversity of cases, and time pressure make triage difficult. Triage performed properly and at the right time prevents patients from experiencing any untoward incidents that may occur because of waiting. Therefore, the study aimed to share the data obtained from the Hospital Information Management System (HIMS) regarding the accuracy and duration of nurse triage in an adult emergency department...
October 2020: Turkish Journal of Emergency Medicine
https://read.qxmd.com/read/33089022/practical-considerations-for-postarrest-targeted-temperature-management
#19
REVIEW
Isabelle Mullen, Benjamin S Abella
Out-of-hospital cardiac arrest remains a major challenge worldwide, with survival to discharge rates of <20% in the great majority of countries. Advancements in prehospital care, including increasing deployment of automated external defibrillators and improvements in bystander cardiopulmonary resuscitation, have led to more victims achieving return of spontaneous circulation (ROSC), yet the majority of patients with ROSC suffer in-hospital mortality or significant neurologic injuries that persist after discharge...
October 2020: Turkish Journal of Emergency Medicine
https://read.qxmd.com/read/32832737/erratum-novel-coronavirus-pandemic-a-global-health-threat
#20
(no author information available yet)
[This corrects the article on p. 55 in vol. 20, PMID: 32587923.].
July 2020: Turkish Journal of Emergency Medicine
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