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Turkish Journal of Emergency Medicine

Babak Choobi Anzali, Maryam Bahreini, Behnaz Habibi, Noorieh Sharifi Sistani
Introduction: Portal system ischemia may present insidiously which may aggravates the prognosis. Case presentation: A 26-year old man presented with watery diarrhea and generalized abdominal pain for 3 months. On physical examination, moderate splenomegaly was noticeable. Stool exam and culture was negative except for blood in stool. Colonoscopy was in favor of inflammatory bowel disease although the patient symptoms have worsened despite treatment. Abdominopelvic computed tomography (CT) showed thromboses in portal and superior mesenteric veins and as the ill patient evolved signs of peritonitis, he underwent laparotomy during which, total colectomy was performed due to significant bowel necrosis...
January 2019: Turkish Journal of Emergency Medicine
Vahit Demir, Yasar Turan, Hüseyin Ede, Siho Hidayet, Mustafa F Erkoç
Introduction: In patients with ST elevation myocardial infarction (STEMI), minimizing the reperfusion time is the goal of therapy worldwide. However, the differential diagnosis is critical and when a patient is encountered with chest pain and ST elevation, STEMI should not be the only diagnosis considered. By detailed history and focused physical examination, it is possible to avoid a mistaken diagnosis. Case presentation: In this report, we present a case of a male patient with tongue cancer and accompanying myocardial metastasis that causes electrocardiographic changes, who was initially misdiagnosed with ST elevation myocardial infarction...
January 2019: Turkish Journal of Emergency Medicine
Ceyhun Aksakal, Ilgıt Karaca
Introduction: Blunt laryngeal trauma is a rare causes of emergency applications. Early diagnosis and treatment are important. Case presentations: A 62-year-old woman applied to emergency department with pain over the larynx, hoarseness and dysphagia that starting after blunt laryngeal trauma. The patient had no respiratory distress. There was no ecchymosis and edema in the laryngeal area. Computed tomography showed no thyroid and cricoid cartilage fractures. Isolated hematoma was seen in the left vocal cord at the endoscopic view...
January 2019: Turkish Journal of Emergency Medicine
Melek Pehli van, Neşe Can Mercan, İbrahim Çi Nar, Ferhan Elmali, Mustafa Soyöz
Objectives: Basic Life Support (BLS) is the application of cardiopulmonary resuscitation (CPR) in order to save the lives of cardiac arrest victims by members of the public pending the arrival of the Emergency Medical Service (EMS). The aim of this study was to evaluate the effectiveness of training in order to ensure society understands the importance of early initiation of BLS, and to provide information concerning BLS and automated external defibrillators (AED). Methods: This study consisted of 150 participants, of whom none were healthcare professionals...
January 2019: Turkish Journal of Emergency Medicine
Sibel Coskun Cenk
Objective: Ambulance workers experiences some of the highest risks of job-related violence. This descriptive study was conducted to analyze the exposure to violence and burnout levels of ambulance workers in Turkey. Method: The research was conducted via web survey with the ambulance staff. The sampling size was 143 ambulance workers who participate in this study. A 30-item questionnaire and the Maslach Burnout Inventory (MBI) were used to collect data. Results: In study, 58...
January 2019: Turkish Journal of Emergency Medicine
Mehmet Tahir Gokdemir, Gul Sahika Gokdemir, Mahmut Taş
Objectives: We aimed to investigate the role of inflammation parameters and platelet activation in geriatric patients with hypertension. Therefore, we compared the levels of those parameters in patients with hypertensive urgency and emergency. We also investigated the potential relationship between those parameters. Methods: Ninety-six hypertensive (HT) patients (aged > 60) were included in the study in two groups: HT emergency (N = 48, group 1) and HT urgency (N = 48, group 2)...
January 2019: Turkish Journal of Emergency Medicine
Uğur Özkula, Ayhan Özhasenekler, Gülhan Kurtoğlu Çelik, Fatih Tanrıverdi, Gül Pamukçu Günaydın, Mehmet Ergin, Çağdaş Yıldırım, Şervan Gökhan
Introduction: Peripheral venous catheterization is one of the most used medical procedures in hospitals worldwide. Recent researches state that using intravascular devices is a risk factor for both local and systemic complications. In this study, we aimed to test that addition of tissue adhesive to the insertion site of peripheral intravenous catheters (PIVC) in the emergency department (ED) would reduce the device failure rate at 6 h and 24 h following insertion. Material and methods: We designed a single-site, two-arm, randomized, controlled trial...
January 2019: Turkish Journal of Emergency Medicine
David H Cisewski, Sergey M Motov
Pain is the root cause for the overwhelming majority of emergency department (ED) visits worldwide. However, pain is often undertreated due to inappropriate analgesic dosing and ineffective utilization of available analgesics. It is essential for emergency providers to understand the analgesic armamentarium at their disposal and how it can be used safely and effectively to treat pain of every proportion within the emergency setting. A 'balanced analgesia' regimen may be used to treat pain while reducing the overall pharmacologic side effect profile of the combined analgesics...
January 2019: Turkish Journal of Emergency Medicine
Ashraf F Hefny, Jagalpathy Jagdish, El Nazeer A Salim
The term handlebar hernia had been applied to describe the traumatic hernia that result from a handlebar-like blunt objects. The force of the blunt trauma is insufficient to breach the elastic skin, yet, it can cause abdominal wall musculature disruption. Serious intraabdominal injuries can result which may be evident at the time of trauma or may be delayed. Many physicians may misinterpret the irreducible hernia as a hematoma or soft tissues contusion following the trauma. Computed tomography (CT) scan remains the gold standard diagnostic tool for evaluation of those patients...
December 2018: Turkish Journal of Emergency Medicine
Ismail Altintop, Erkman Sanri, Mehmet Tatli, Mehmet Emin Akcin, Arzu Denizbasi
Methemoglobinemia is a rare but clinically important condition that should be considered among differential diagnosis' in cyanosis. The conventional treatments of methemoglobinemia are high flow oxygen and methylene blue therapies. We present a 52-year-old male patient who admitted to emergency room with severe cyanosis and dyspnea after he was exposed to paint thinner and zinc phosphate solution. The patient was diagnosed with methemoglobinemia with a MetHb level of 49.1mm/Hg in his arterial blood gas test...
December 2018: Turkish Journal of Emergency Medicine
Aynur Sahin, Vildan Ozer, Fatih Akkaya, Sahin Kaplan
We report a case of prolonged and successful resuscitation following cardiotoxicity-related arrest occurring after inhaling toluene and Skunk , which is an increasingly popular synthetic cannabinoid (SC). Following presentation to the emergency department because of lethargy, nausea and chest pain, a 28-year-old male user of Skunk and toluene suffered from cardiac arrest due to ventricular fibrillation (VF). Cardiogenic shock, severe metabolic acidosis and regular wide QRS tachycardia were observed in the patient, and he developed VF every 5-10 minutes over the course of 10 hours...
December 2018: Turkish Journal of Emergency Medicine
Mustafa Sungur, Murat Baykam, Selahattin Calışkan, Utku Lokman
Urinary retention is defined as the inability to void; frequently the patient is able to void partially, thus can not completely empty the bladder and diagnosed by increased post-void residual urine (PVR) volumes. It is usually seen in men, but a rare condition in women. The etiological factors may be neurological, anatomical, infectious or pharmacological. It can be encountered after gynecological or incontinence surgery. Urethral calculi associated with acute urinary retention in women is a very rare condition, because of the anatomic structure of female urethra...
December 2018: Turkish Journal of Emergency Medicine
Bedriye Müge Sönmez, Murat Doğan İşcanlı, Selçuk Parlak, Yasin Doğan, Hilmi Gökhan Ulubay, Emirhan Temel
Altered consciousness and accompanying neurological symptoms are both complex and challenging cases for emergency physicians. These are not specific and may be a sign of a variety of medical conditions including stroke and delayed neurological sequelae (DNS) is a recurrent transient neuropsychiatric consequence of CO intoxication. DNS produces a spectrum of varying symptoms and the diagnosis is primarily made on the basis of clinical features and radiological findings from CT and conventional MRI. In clinical practice, serious CO intoxication is treated only with oxygen therapy although no effective treatment exists...
December 2018: Turkish Journal of Emergency Medicine
Nazmiye Koyuncu, Ozgur Karcioglu
Objective: To evaluate clinical and demographic characteristics of the emergency department (ED) patients using Hospital Anxiety and Depression Scale (HADS) which includes anxiety (HAD-A) subscale. Materials and methods: In this cross-sectional study, all consecutive adult patients admitted to the community hospital-based ED in the study period were enrolled prospectively. HAD-A items were responded by the patients themselves. Demographic characteristics, history, and clinical findings were analyzed...
December 2018: Turkish Journal of Emergency Medicine
Hamza Sunman, Tolga Çimen, Mehmet Erat, Kadriye Gayretli Yayla, Tolga Han Efe, Seda Özkan, Engin Deniz Arslan, Sadık Açıkel
Objectives: Elevated red blood cell distribution width (RDW) is an independent prognostic factor for cardiovascular events that are major causes of mortality in patients with carbon monoxide (CO) poisoning. Due to the limited number of studies, we aimed to investigate the relationship between RDW levels and long-term mortality for these patients. Method: This retrospective study included patients with CO poisoning, who presented to the emergency department. Baseline characteristics, laboratory results and survival status were retrieved from patients' hospital records...
December 2018: Turkish Journal of Emergency Medicine
Egle Ragaisyte, Lina Bardauskiene, Egle Zelbiene, Linas Darginavicius, Elzbieta Zemaityte, Nedas Jasinskas, Kestutis Stasaitis
Objectives: The aim of this study was to evaluate the utility of ultrasonographic measurement of the diameter of the inferior vena cava (IVCD) and abdominal aorta (AAD) for assessing volume status. Material and methods: This was a prospective, observational study. A total of 23 volunteers participated in the study. Each participant was selected randomly. All participants completed the 2016 Kaunas Marathon. Participants filed out a brief survey about their fluid intake (in standardised glasses) in the 24 h before the race and during the race...
December 2018: Turkish Journal of Emergency Medicine
Muhammad Akbar Baig, Sadaf Sheikh, Erfaan Hussain, Samina Bakhtawar, Muhammad Subhan Khan, Syed Mujtaba, Shahan Waheed
Objective: We aimed to determine a comparison between the Quick Sequential Organ Failure Assessment (qSOFA) score and existing Sequential Organ Failure Assessment (SOFA) score when applied to severe sepsis & septic shock patients in the Emergency Department (ED) for prediction of in-hospital mortality in the setting of a tertiary care hospital ED in a low-middle income country. Method: We conducted a prospective observational cohort study on 760 subjects. The qSOFA, SOFA score and in-hospital mortality were assessed by area under the receiver operating curve (AUROC)...
December 2018: Turkish Journal of Emergency Medicine
Şeref Kerem Çorbacıoğlu, Gökhan Aksel
Many authors adopt the Selected Computed Tomography (SCT) approach of the Advanced Trauma Life Support (ATLS) for the management of multiple trauma patients. In the SCT approach, the initial physical examination is followed by conventional radiography (cervical X-ray, chest X-ray, pelvic X-ray and Focused Abdominal Sonography in Trauma (FAST)), and the computed tomography (CT) of the specific body regions if indicated. An alternative to this traditional approach is the Whole-body Computed Tomography (WBCT) protocol, which became widespread all over the world in the last two decades to minimize the rate of missed injuries and decrease the mortality rate...
December 2018: Turkish Journal of Emergency Medicine
Nurettin Özgür Doğan
The rapid increase in the number of new laboratory methods has led to the necessity of reliable verification methods. Validation of a new measurement method for application to medical practice requires comparison with gold standard techniques. The Bland-Altman analysis is a frequently applied technique in studies that investigate the agreement between two methods of the same medical measurement. In this review, potential areas of usage of Bland-Altman analysis is elaborated from a clinical viewpoint, and possible pitfalls in study designs are discussed in statistical perspective...
December 2018: Turkish Journal of Emergency Medicine
Senol Ardic, Ibrahim Altun, Gokhan Peker, Bestami Kose
Our purpose in this report, involving an unusual mechanism described for the first time in the literature, is to show that high-pressure water sprays used for washing cars can cause injury to the extensor hallucis longus (EHL). A 21-year-old man presented to our emergency department (ED) due to looseness in the hallux. His history revealed that while operating a pressurized water spray machine for car-washing one week before, he had inadvertently sprayed his foot, and despite wearing protective plastic boots this had resulted in a laceration at the level of the hallux, which had been sutured in a state hospital...
September 2018: Turkish Journal of Emergency Medicine
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