Journals Turkish Journal of Emergency M...

Turkish Journal of Emergency Medicine
Abdullah Algın, Serdar Özdemir, Mehmet Sarıaydın, Mehmet Özgür Erdoğan, Ibrahim Inan
Polycystic liver disease (PLD) develops due to embryonic ductal plate malformation of intrahepatic bile ducts. Cysts in the liver can range from a simple compression effect to severe liver failure. The most common complication is rupture and inflammation of cyst. It can sometimes progress to the extent of pushing the heart to the left or compressing the inferior vena cava, thereby reducing the venous return. Here, we present a case with giant liver cyst-related symptoms that caused external compression of the right ventricle and atrium...
April 2020: Turkish Journal of Emergency Medicine
Gorana Vukorepa, Sabina Deveđija, Miljenko Crnjaković, Mirna Karakaš, Željka Ćuk
Dabigatran is a direct oral anticoagulant that is widely used for stroke prevention in patients with atrial fibrillation. We report a case of an 80-year-old stroke patient on dabigatran for permanent atrial fibrillation, who presented with an initial National Institutes of Health Stroke Scale (NIHSS) of 8. Dabigatran was reversed with idarucizumab, and intravenous tissue-type plasminogen activator (IV-tPA) was administrated beginning 4 h and 28 min after the symptom onset. The patient was discharged with an NIHSS of 1...
April 2020: Turkish Journal of Emergency Medicine
Khairul Najmi Muhammad Nawawi, Azlan Helmy Abd Samat, Nik Farhan Nik Fuad, Lim Li Yi
Pneumatosis intestinalis (PI) is a rare radiological finding, characterized by the presence of gas in the bowel wall. It has a wide spectrum of possible underlying diagnosis ranging from benign to life-threatening conditions. We present a case of a previously healthy male who was initially presented with missed diagnosis of acute appendicitis which had led to perforated appendix. Failure to recognize the significance of PI and its correlation with other clinical information had caused the delay in his surgical intervention...
April 2020: Turkish Journal of Emergency Medicine
Fatemeh Rasooli, Mehran Sotoodehnia, Amir Nejati, Pooya Payandemehr
OBJECTIVES: Digital nerve block is a painful procedure. Several methods have been proposed to decrease the injection pain. Applying an ice pack is a pertinent choice due to its effectiveness on pain reduction, convenience, and low costs. In this study, the degree of injection pain reduction was assessed after applying an ice pack to the site of anesthetic injection. METHODS: One hundred participants with traumatic finger injury were assessed. Digital nerve block was performed in fifty patients in the intervention group after 6 min of ice application...
April 2020: Turkish Journal of Emergency Medicine
Fikret Bildik, Mehmet Ali Aslaner, İsa Kılıçaslan, Ayfer Keleş, Şakir Hakan Aksu, Merve Yazla, Mehmet Akif Karamercan, Ahmet Demircan
INTRODUCTION: The long-term trends of medical students' choice for emergency medicine (EM) in Turkey are unclear. With this background, we aimed to determine the change in the rate of EM preferences of students over the years. METHODS: This was a cross-sectional study originated from 6th -year medical students' feedback forms, to examine trends of EM carrier preferences between 2005 and 2018 in a tertiary care academic emergency department. There are two main questions containing "would you choose EM as a specialty?" and "why?" as open-ended questions in the form...
April 2020: Turkish Journal of Emergency Medicine
Sadik Hancerlioglu, Gülbin Konakci, Fisun Senuzun Aykar
OBJECTIVES: This study was carried out as a methodological study to adapt the stressor scale for emergency nurses to Turkish and to test its validity and reliability. MATERIALS AND METHODS: Data were collected between April 2019 and December 2019 from 250 emergency nurses working in the emergency department of two different universities and two state hospitals. The scale was reapplied to 40 emergency nurses from the sample group 3 weeks after the first application...
April 2020: Turkish Journal of Emergency Medicine
Mahin Amini-Parikhani, Amir Ghaffarazad, Hassan Soleimanpour, Haniyeh Ebrahimi-Bakhtavar, Farzad Rahmani
OBJECTIVES: This study aimed to determine the effect of adding intravenous midazolam to paracetamol in the treatment of patients with primary headache referring to the emergency department. METHODS: In a randomized clinical trial, 120 patients (18-65 years old) with primary headache referring to the emergency department were enrolled. Patients were divided into two groups (case: paracetamol + midazolam and control: paracetamol + placebo), and the treatment was administered based on the treatment group...
April 2020: Turkish Journal of Emergency Medicine
Gulfaraz Khan, Mohamud Sheek-Hussein, Ahmed R Al Suwaidi, Kamal Idris, Fikri M Abu-Zidan
The world is facing one of its worst public health crises in modern history. Coronavirus 2019 (COVID-19) has shown how fragile our global preparedness for infectious diseases is. The world is a small-connected globe with short travel time between its remote parts. COVID-19 has spread globally and swiftly with major impacts on health, economy, and quality of life of communities. At this point in the time, April 9, 2020, >1,500,000 patients have been infected and >88,000 patients have died worldwide within the last 3 months...
April 2020: Turkish Journal of Emergency Medicine
Amarjeet Kumar, Ajeet Kumar, Neeraj Kumar, Chandni Sinha, Jitendra Kumar Singh
Aspiration of barium sulfate is a well-known complication, occurring accidentally during contrast-enhanced examinations of the upper gastrointestinal system. Massive aspiration of contrast material causes mechanical obstruction that increases alveolar dead space leading to altered ventilation/perfusion (V/Q) ratio with secondary respiratory failure and death. The potential treatment strategies include early recognition of predisposing factors, pretreatment with antireflux medications, such as domperidone, correct choice of contrast media, and use of retroesophageal suction catheter during barium swallow study...
January 2020: Turkish Journal of Emergency Medicine
Sharafaldeen Bin Nafisah, Daliah Almatrafi, Khalid Al-Mulhim
Little is known about liraglutide overdose and in particular its association with hypoglycemia. The aim of this study was to report on an accidental case of liraglutide overdose and to review similar cases in the literature. Here, we report a case of a young female presented with an accidental injection of 18 mg of liraglutide subcutaneously. She presented with relative hypoglycemia with gastrointestinal symptoms that resembled pancreatitis. We concluded with several implications and policies targeting accidental injections from the use of such medication and similar subcutaneous medications in clinical practice...
January 2020: Turkish Journal of Emergency Medicine
Halil Yildirim, Serife Ozdinc
Ovarian torsion (OT) during pregnancy is a rare condition that can cause maternal and fetal morbidity. Although the etiology of the disease is not fully understood, predisposing factors include increased ovarian size, free mobility, and long pedicle. The incidence of the disease increases after ovarian stimulation for the treatment of fertility. Diagnostic imaging modalities include ultrasonography and magnetic resonance imaging (MRI). A 28-year-old woman with a 33-week pregnancy presented to our emergency department with acute, severe left groin pain...
January 2020: Turkish Journal of Emergency Medicine
Sema Karadadaş, Şeref Kerem Çorbacıoğlu, Yunsur Çevik, Seda Dağar, Emine Emektar
INTRODUCTION: Because of the subjectivity and ambiguity of the noninvasive measurements and limited use of invasive ones, there is an impending need for a real-time, fast, inexpensive, and reproducible noninvasive measurement method in acute upper gastrointestinal (GI) bleeding with active bleeding in emergency services. AIMS: In this study, we aimed to evaluate the effect of bedside carotid artery flow time (CFT) measurement before and after the passive leg raising (PLR) maneuver on the determination of active bleeding in patients admitted to the emergency department (ED) with upper GI bleeding...
January 2020: Turkish Journal of Emergency Medicine
Peyman Saberian, Nader Tavakoli, Parisa Hasani-Sharamin, Seyed Hashem Sezavar, Fatemeh Dadashi, Elnaz Vahidi
OBJECTIVES: The sooner the primary percutaneous coronary intervention (PPCI) is performed, the better prognosis is expected in patients with acute myocardial infarction. The objective is to evaluate the effect of prehospital triage based on electrocardiogram (ECG) and telecardiology on the mortality and morbidity of ST-segment elevated myocardial infarction (STEMI) patients undergoing PPCI. METHODS: This cross-sectional study was conducted based on the data extracted from the hospital information system (HIS) of one general hospital, which had the capability of performing PPCI 24 h a day, 7 days a week...
January 2020: Turkish Journal of Emergency Medicine
Tanvi Mallick, Ankur Verma, Sanjay Jaiswal, Meghna Haldar, Wasil Rasool Sheikh, Amit Vishen, Abhishek Snehy, Rinkey Ahuja
OBJECTIVE: Intubation is a skill that must be mastered by the emergency physician (EP). Today, we have a host of video laryngoscopes which have been developed to make intubations easier and faster. It may seem that in a busy emergency department (ED), a video laryngoscope (VL) in the hands of an EP would help him intubate patients faster compared to the traditional direct laryngoscope (DL). Our goal was to compare the time taken to successfully intubate patients coming in ED using King Vision VL (KVVL) and DL...
January 2020: Turkish Journal of Emergency Medicine
Chaiyaporn Yuksen, Phatthranit Phattharapornjaroen, Woranee Kreethep, Chonnakarn Suwanmano, Chestsadakon Jenpanitpong, Rawin Nonnongku, Yuwares Sittichanbuncha, Kittisak Sawanyawisuth
OBJECTIVE: This study aimed to determine additional predictors of cardiopulmonary resuscitation success using a national emergency medical services (EMS) database. METHODS: This retrospective study was conducted by retrieving data from the Information Technology of Emergency Medical Service, a national EMS database. The inclusion criteria were adult patients (18 years old or over) who suffered from out-of-hospital cardiac arrest and received emergency life support...
January 2020: Turkish Journal of Emergency Medicine
Min Hui Lyria Hoa, Yong-Kwang Gene Ong, Jen Heng Pek
OBJECTIVES: Pediatric trauma patients presenting to general emergency departments (EDs) may be transferred to pediatric EDs for further management. Unnecessary transfers increase health-care costs, add to workload, and decrease satisfaction. We, therefore, aimed to evaluate the proportion of unnecessary pediatric trauma transfers and describe patient characteristics of these transfers at the pediatric ED. METHODS: A retrospective chart review of cases with trauma-related diagnoses was carried out from January to April 2017...
January 2020: Turkish Journal of Emergency Medicine
Moien A B Khan, Fikri M Abu-Zidan
Point-of-care ultrasound (POCUS) is a focused examination, which is performed and interpreted at the bedside by the treating physician answering a specific clinical question. It is currently utilized as an essential adjunct to physical examination in many medical specialties. Recent advances in technology have made POCUS machines portable, affordable, and could be used with minimal training even by nonradiologists. This review aims to cover the fundamental physics of POCUS and its applications for diagnosing the acute abdomen in the primary health care including the most common causes encountered by family physicians...
January 2020: Turkish Journal of Emergency Medicine
Emin Uysal, Nagihan Alkan, Betul Cam
Introduction: Air embolism is a very rare condition which occurs when air or gas enter into the vascular system in either the venous or arterial route. It can occur following a variety of circumstances ranging from invasive procedures to either blunt or penetrating trauma conditions. Case presentation: We present a case of a 39-year-old male who had an air embolism in the pulmonary artery as a consequence of the injection of a contrast agent. He had dyspnea and chest pain following a contrast-enhanced chest computed tomography imaging...
October 2019: Turkish Journal of Emergency Medicine
Leila Alizadeh, Zahra Mostafavi, Amirreza Jahanshahi, Mehdi Khani, Masoud Nouri-Vaskeh
Introduction: Non-alcoholic Wernicke encephalopathy (WE) is a life-threatening condition, which is caused due to thiamine deficiency. We reported a case of non-alcoholic WE following gastrojejunostomy. Case presentation: A 31-year-old woman was admitted to our tertiary care center complaining about intractable nausea and vomiting following her gastrojejunostomy. She had undergone gastrojejunostomy because of gastric outlet obstruction after a suicide attempt with scale-remover...
October 2019: Turkish Journal of Emergency Medicine
Julian Yaxley, Tahira Scott
Introduction: Baroreceptor damage and hypersensitivity can produce labile autonomic blood pressure control. Neck irradiation for malignancy is a well-known but under-recognised cause of baroreceptor failure. Case presentation: We describe a dramatic delayed complication of neck irradiation treatment. Our patient developed recurrent unexplained hypotension and pulseless electrical activity cardiac arrest upon connection to intermittent haemodialysis, which he had previously tolerated uneventfully until exposure to radiotherapy...
October 2019: Turkish Journal of Emergency Medicine
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