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Turkish Journal of Emergency Medicine

Umut Kocabaş, Ferhat Özyurtlu
No abstract text is available yet for this article.
June 2018: Turkish Journal of Emergency Medicine
Tolga Çakmak, İbrahim Çaltekin, Emre Gökçen, Atakan Savrun, Erdoğan Yaşar
Kounis Syndrome is the development of acute coronary syndrome (ACS) because of allergic reactions; allergens, such as foods, insect venom, iodine contrast agent or drugs can cause this syndrome. Hirudotherapy (leech therapy) is increasingly used as a useful therapeutic option in a variety of medical and surgical procedures, and potential complications related to this therapy include Aeromonas species infections, bleeding, anemia and allergic reactions. Here, we present a patient diagnosed as Type 1 Kounis Syndrome after using hirudotherapy for her knee aches...
June 2018: Turkish Journal of Emergency Medicine
Ying-Tai Shih, Chai-Hock Chua, Sheng-Wen Hou, Li-Wei Lin, Chee-Fah Chong
A 74-year-old male with chronic kidney disease presented to the emergency department with asystole. Mechanical chest compression was started immediately using a piston-type thumper device. The initial potassium level was 7.7 mEq/L and bedside point-of-care ultrasound (POCUS) revealed no pericardial fluid. With standard resuscitation and anti-hyperkalemia treatment, return of spontaneous circulation (ROSC) was achieved within 10 minutes of compressions. At 15 minutes post-ROSC, the patient went into pulseless electrical activity...
June 2018: Turkish Journal of Emergency Medicine
Subramanian Senthilkumaran, Narendra Nath Jena, Srinivasan Jayaraman, Florence Benita, Ponniah Thirumalaikolundusubramanian
Acute abdominal pain in women of reproductive age is common and frequent cause for visit to emergency department which warrants emergent evaluation. We present the case of a 23-year-old nulliparous women presenting with post-coital haemoperitoneum secondary to a ruptured corpus luteum cyst. This is a rare case demonstrating the need to elicit sexual history in patients presenting with an acute abdomen in emergency department.
June 2018: Turkish Journal of Emergency Medicine
Kosar Hussain, Sara Hussain, Jawed Abubaker, Raees Ahmed
An elderly, bed ridden patient with a history of stroke was admitted for management of aspiration pneumonia. Two days after insertion of a nasopharyngeal airway, sudden respiratory distress prompted further investigations which led to the eventual diagnosis and removal of the nasopharyngeal airway that had been aspirated. The device was removed under conscious sedation with fiber optic bronchoscopy.
June 2018: Turkish Journal of Emergency Medicine
Young Gi Min, Seung Ho Ham, Yoon Seok Jung, Sangchun Choi
In recent years, various kinds of non-indigenous snakes have become popular as domestic pets globally. If the snake is highly venomous, this would be a potentially life-threatening emergency for breeders. In such a case, the specific antidote should be administered immediately for saving the life. "Salmusa" genus (e.g. Gloydius genus) is a representative indigenous venomous snake in South Korea. Therefore, only one antidote for the "Salmusa" genus is commercially available in South Korea...
June 2018: Turkish Journal of Emergency Medicine
Hasan Idil, Turgay Yılmaz Kilic, İbrahim Toker, Kadriye Dura Turan, Murat Yesilaras
Objective: Non-urgent patients are one of the important causes of emergency department (ED) overcrowding. In this study, it is aimed to identify the characteristics of these patients and the reasons why they prefer the ED. Method: This study was conducted during regular office hours. The characteristics of non-urgent patients, their complaints, the frequency of visits to family physicians (FPs), the frequency of using the Central Hospital Appointment System (CHAS) and reasons for preferring the ED were questioned by a questionnaire...
June 2018: Turkish Journal of Emergency Medicine
Ali Ekber Karabulut, Yunsur Çevik, Emine Emektar, Şeref Kerem Çorbacioğlu, Seda Dağar, Oğuz Yardim
Objectives: Recurrent epistaxis is one of the most common causes of emergency department visits. Although several localized and systemic conditions has been described, the exact cause is unknown in the majority of cases. In our study, we aimed to determine the effect of mean platelet volume (MPV) and red blood cell distribution width (RDW) levels on recurrent epistaxis. Method: One hundred and thirty six patients with recurrent epistaxis and 170 healthy cases as control group were included in the study...
June 2018: Turkish Journal of Emergency Medicine
Çağrı Kokkoz, Adnan Bilge, Mehmet Irik, Halil I Dayangaç, Mustafa Hayran, Funda Karbek Akarca, Nimet Bilal Erdem, Musa Çavuş
Objective: The aim of this study is to detect plasma ST2 levels in patients who were admitted to emergency department with chest pain and diagnosed with non st segment elevation myocardial infarction (NSTEMI) and to research the relationship between 28-day mortality and ST2 levels. Methods: The present study was conducted at Emergency Department of Celal Bayar University Hafsa Sultan Hospital between September 2015 and January 2016 as a prospective, single-center, cross-sectional study...
June 2018: Turkish Journal of Emergency Medicine
Kyung Wan Lee, Yoon Hee Choi, Jae Hee Lee
Purpose: To reduce problems caused by alcohol drinking, it is necessary to identify those with 'at-risk drinking' behavior to maximize therapeutic access or intervention. To this end, we sought to determine the cut-off point for screening of at-risk drinking by the Korean version of the AUDIT-C (Alcohol Use Disorder Identification Test-Consumption). Materials and methods: We obtained data from the scientific research project of "the supervision of the Korea Center for Disease Control and Prevention (KCDCP)" in 2010...
June 2018: Turkish Journal of Emergency Medicine
Erkan Göksu, Deniz Kılıç, Süleyman İbze
As emergency physicians, we encounter patients suffering from either hypoxemic and/or hypercarbic respiratory problems on a daily basis. A stepwise approach to solving this problem seems logical from an emergency medicine perspective. Current literature supports the notion that NIV decreases endotracheal intubation rates and, mortality in select patient populations. The key to the success of NIV is patient cooperation and support for the care givers. In this narrative review, non-invasive ventilation (NIV) is discussed in terms of modes of delivery, interface and patient selection, as well as practical considerations...
June 2018: Turkish Journal of Emergency Medicine
William Brady, Katya de Souza
Chest pain is one of the most common, potentially serious presenting complaints for adult emergency department (ED) visits. The challenge of acute coronary syndrome (ACS) identification with appropriate disposition is quite significant. Many of these patients are low risk and can be managed non-urgently in the outpatient environment; other patients, however, are intermediate to high risk for ACS and should be managed more aggressively, likely with inpatient admission and cardiology consultation. The HEART score, a recently derived clinical decision rule aimed at the identification of risk in the undifferentiated chest pain patient, is potentially quite useful as an adjunct to physician medical decision-making...
June 2018: Turkish Journal of Emergency Medicine
Ozkan Kose, Baver Acar
No abstract text is available yet for this article.
March 2018: Turkish Journal of Emergency Medicine
Adnan Yamanoglu, Sumeyye Cakmak, Nalan Gokce Celebi Yamanoglu, Ozgur Sogut
The use and content of synthetic canibinden (SCs) has been rapidly increased in the last decades. The complex content of these substances bring along a wide spectrum of side effects. In addition to the expected neuropsychological side effects of pleasure-inducing substances such as agitation, anxiety, panic attack and hallucinations, rare cases of cerebrovascular diseases, seizures, acute renal injury, myocardial infarction and chronic lung injury have also been previously reported. Here we report a 19-year -old male who was presented with acute respiratory distress syndrome (ARDS) within hours of inhaled SC use with the rarely preferred bucket method...
March 2018: Turkish Journal of Emergency Medicine
Nese Colak Oray, Basak Bayram, Emel Altintas, Semra Sivrikaya, Yusuf Savran
Diabetic ketoacidosis (DKA) is an acute and major life-threatening complication of diabetes mellitus. Fluid resuscitation, insulin therapy, and electrolyte replacement are essential for DKA treatment. Rarely, life threatening allergic reactions might develop in a patient treated with insulin. If anaphylaxis develops after insulin, the DKA treatment options are restricted. A limited number of case reports have been reported in patients with severe anaphylactic reactions to human insulin who were then treated with synthetic insulin analogues...
March 2018: Turkish Journal of Emergency Medicine
Spencer Corey Greene, Thiago Halmer, John Morgan Carey, Brian John Rissmiller, Matthew Allen Musick
A healthy 4-year-old female presented to the emergency department for vomiting and diarrhea. She was diagnosed with a urinary tract infection, treated with antibiotics and anti-emetics and discharged. Within four hours, her symptoms recurred, followed by decreasing responsiveness and seizures. She had significant hypokalemia, hyperglycemia, and a combined respiratory and metabolic acidosis. A sibling then mentioned that the patient ingested their father's 200 mg sustained-release theophylline tablets the previous morning...
March 2018: Turkish Journal of Emergency Medicine
Yi-Ting Hsieh, Tai-Ying Lee, Jui-Shih Kao, Hsin-Lin Hsu, Chee-Fah Chong
Acute pulmonary edema due to sympathetic surge and increased peripheral vascular resistance often present to the emergency department (ED) with markedly elevated blood pressure, severe dyspnea, and desaturation. This condition is known as "SCAPE" (sympathetic crashing acute pulmonary edema). We present three SCAPE patients who were successfully treated with high-dose nitroglycerin (NTG) and bilevel positive airway pressure (BiPAP) ventilation. All three patients presented with respiratory failure on arrival but rapidly improved after treatment and did not require endotracheal intubation or admission to the intensive care unit (ICU)...
March 2018: Turkish Journal of Emergency Medicine
Ali Aygun, Aynur Sahin, Yunus Karaca, Suha Turkmen, Suleyman Turedi, Su Youn Ahn, Suncheun Kim, Abdulkadir Gunduz
Objectives: The purpose of this study was to investigate whether there is an association between grayanotoxin levels in urine and blood of patients with mad honey intoxication and in the honey consumed, and the resulting clinical picture. The pilot data acquired from this study was analysed in National Forensic Service, Daejeon Institute, South Korea and first results were published as a preliminary study. Patients and methods: This descriptive study was conducted at a university hospital emergency department in Turkey...
March 2018: Turkish Journal of Emergency Medicine
Brandon Close, Peter Richman, Barnet Eskin, John R Allegra
Background: Early goal directed therapy for sepsis patients requires placement of central lines (CVPL) to measure central pressure. Objective: We hypothesized that the percentage of CVPL placed for sepsis has increased over time, whereas the frequency of lines placed for other conditions has not changed. Methods: This was a retrospective cohort study. Investigators analyzed records from consecutive ED patients in nine hospitals over a 10-year period...
March 2018: Turkish Journal of Emergency Medicine
Javad Seyedhosseini, Arash Fadavi, Elnaz Vahidi, Morteza Saeedi, Mehdi Momeni
Background: Point-of-care venous compression ultrasound (VCU) is highly accurate in deep vein thrombosis (DVT) diagnosis; however, waiting to perform this exam by radiologists, may cause delay in patients' disposition. Objective: To compare the effect of point-of-care VCU on patients' disposition time, done by emergency physician versus radiologists. Methods: A total of 50 patients suspected of having lower extremity DVT, were randomized into 2 equal groups and they underwent a point-of-care VCU performed either by an emergency physician (emergency medicine (EM) group) or a radiologist (radiology group)...
March 2018: Turkish Journal of Emergency Medicine
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