journal
MENU ▼
Read by QxMD icon Read
search

Turkish Journal of Emergency Medicine

journal
https://www.readbyqxmd.com/read/29464223/determinants-of-inappropriate-acute-pain-management-in-old-people-unable-to-communicate-verbally-in-the-emergency-department
#1
REVIEW
Attilio Allione, Emanuele Pivetta, Elisa Pizzolato, Bartolomeo Lorenzati, Fulvio Pomero, Letizia Barutta, Giuseppe Lauria, Bruno Tartaglino
Objectives: Poor pain management is relevant among individuals unable to communicate verbally (UCV). Analgesia may be due to three determinants: patients' status, physician's characteristics and pain etiology. Our aim is to investigate the association between prescription of ED pain treatment and these determinants. Materials and Methods: An observational prospective study including UCV patients was conducted. Severity of pain was evaluated by ALGOPLUS Scale and a score P ≥ 2 out of 5 on the pain scale was retained as the threshold for the presence of acute pain in elderly UCV patients...
December 2017: Turkish Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29464222/nivolumab-a-new-immunomodulatory-drug-a-new-adverse-effect-adrenal-crisis
#2
Funda Karbek Akarca, Ozge Can, Sercan Yalcinli, Yusuf Ali Altunci
Owing to the advancements in medicine, new information is obtained regarding cancer, new antineoplastic agents are developed. Frequent use of these new pharmacological agents emergency physicians to be vigilant about their side effects. We present a case of adrenal crisis in a patient with non-small cell lung cancer (NSCLC), caused by an immunomodulatory drug; nivolumab. While adverse events are related to other immunomodulatory drugs have been reported in literature, our case is the first nivolumab-related adrenal failure to be reported...
December 2017: Turkish Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29464221/a-young-puerperal-woman-presenting-to-emergency-department-with-severe-dyspnea
#3
Adnan Yamanoglu, Nalan Gokce Celebi Yamanoglu, Sumeyye Cakmak, Ozgur Sogut
Peripartum cardiomyopathy (PPCM) is an idiopathic cardiomyopathy presenting with heart failure (HF) secondary to left ventricular systolic dysfunction towards the end of pregnancy or in the months following delivery, where no other cause of HF is found. The symptoms and signs of this rare disorder mimic those of the physiological changes of pregnancy or other cardiovascular diseases. Consequently, its diagnosis is frequently delayed, which worsens an already poor prognosis. Here, we report a young adult who was diagnosed with PPCM, early, with the help of focused cardiac ultrasonography, performed after presenting to the emergency department with nonspecific respiratory complaints, including dyspnea and hemoptysis, which suggested at first pulmonary embolism...
December 2017: Turkish Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29464220/a-rare-cause-of-acute-abdomen-in-the-ed-chemotherapy-induced-pneumatosis-intestinalis
#4
Mesut Ozturk, Ilkay Camlidag, Mehmet Selim Nural, Gokhan Selcuk Ozbalci, Tumay Bekci
Pneumatosis intestinalis (PI) and portomesenteric venous gas (PVG) refers to the presence of air within the intestinal wall and portomesenteric vessels. Most of the time, it is associated with mesenteric ischemia that requires immediate surgical intervention as it has high mortality rate. It may also be seen secondary to various conditions, including infections, surgeries, and some chemotherapeutic drugs. A 61-year old-male was admitted to our emergency department complaining of abdominal pain after chemotherapy...
December 2017: Turkish Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29464219/typical-pericarditis-ecg-findings-after-falling-from-height-the-pr-segment-depression-or-st-segment-elevation
#5
Murat Sucu, Gokhan Altunbas, Fatma Yilmaz Coskun
Acute pericarditis (AP) following blunt thoracic trauma is rare and difficult to diagnosis. A 43-year-old man with offered to the emergency department (ED) after falling from height before a week ago. The ECG performed in the ED was abnormal, ECG revealed PR segment depression in leads DII, DIII, aVF, and V3-6 and a preliminary diagnosis of acute inferolateral STEMI was presumed. Patients have evidence of systemic inflammation, including leukocytosis, elevated erythrocyte sedimentation rate. We are reporting a case of post-traumatic acute pericarditis presenting with PR-segment depression and normal cardiac enzymes mimicking acute STEMI...
December 2017: Turkish Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29464218/a-ventricular-septal-defect-restricted-by-the-tricuspid-septal-leaflet-and-discrete-subaortic-membrane-presenting-with-high-grade-atrioventricular-block-and-syncope
#6
Umut Kocabaş
No abstract text is available yet for this article.
December 2017: Turkish Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29464217/a-retrospective-analysis-of-cases-with-neuroleptic-malignant-syndrome-and-an-evaluation-of-risk-factors-for-mortality
#7
Aynur Sahin, Mustafa Cicek, Ozgen Gonenc Cekic, Mucahit Gunaydin, Demet Saglam Aykut, Ozgur Tatli, Yunus Karaca, Mualla Aylin Arici
Objective: Neuroleptic malignant syndrome (NMS) is a neurological emergency rarely encountered in clinical practice but with a high mortality rate. Cases associated with atypical antipsychotic use or termination of dopamine agonists have been seen in recent years. The purpose of this study was to assess the presence of risk factors for mortality by investigating all clinical and laboratory characteristics of cases with NMS. Material and methods: This descriptive, cross-sectional study retrospectively investigated all clinical and laboratory characteristics by scanning the ICD-10 codes of patients presenting to the XXXX Faculty of Medicine Emergency Department and diagnosed with NMS between 2006 and 2016...
December 2017: Turkish Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29464216/demographic-and-clinical-characteristics-among-turkish-homeless-patients-presenting-to-the-emergency-department
#8
Selman Yeniocak, Asım Kalkan, Ozgur Sogut, Gökce Akgül Karadana, Mehmet Toptas
Objective: Since the homeless are at greater risk of encountering health problems than the general population, the reasons for and incidence of their presentations to emergency departments also vary. The purpose of this study was to determine the sociodemographic and clinical characteristics of Turkish homeless patients who brought to the emergency department by ambulance. Materials and methods: The records of homeless adult patients brought to the ED by 112 emergency service ambulance teams over a 1-year period from January to December, 2014, were examined retrospectively...
December 2017: Turkish Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29464215/accuracy-of-point-of-care-ultrasound-using-low-frequency-curvilinear-transducer-in-the-diagnosis-of-shoulder-dislocation-and-confirmation-of-appropriate-reduction
#9
Javad Seyedhosseini, Jaleh Saiidian, Amirpejman Hashemi Taheri, Elnaz Vahidi
Background: Ultrasound (US) is an effective modality in the evaluation of shoulder dislocation and reduction. In most studies, high frequency US probes have been used. Objective: To determine the sensitivity and specificity of low frequency US in the diagnosis of shoulder dislocation and its proper reduction in the emergency department (ED). Methods: In a prospective observational study 84 patients, suspicious of shoulder dislocation, were enrolled in our study...
December 2017: Turkish Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29464214/the-diagnostic-value-of-complete-blood-count-parameters-in-patients-with-subarachnoid-hemorrhage
#10
Turgay Yılmaz Kilic, Ersin Aksay, Ozge Duman Atilla, Savas Sezik, Mahmut Camlar
Objectives: Diagnosis of subarachnoid hemorrhage (SAH) in patients presenting with headache is challenging and there has been any biomarker studied for excluding of SAH in those patients. We aim to determine the sensitivity of leukocytosis or left shift to exclude the diagnosis of SAH in ED patients presenting with headache. Method: Adult patients with headache who received a computed tomography (CT) with the diagnosis of SAH and had a complete blood count (CBC) represent the case group, headache patients with normal CT and had a CBC represent the control group...
December 2017: Turkish Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29464213/effect-of-initial-lactate-level-on-short-term-survival-in-patients-with-out-of-hospital-cardiac-arrest
#11
Tuba Sarıaydın, Şeref Kerem Çorbacıoğlu, Yunsur Çevik, Emine Emektar
Purpose: This study evaluated whether serum lactate levels (SLL) at admission in patients with cardiac arrest (CA) can predict successful return of spontaneous circulation (ROSC) or short-term survival, especially within the first 24 h. Materials and methods: This prospective, observational study was conducted in the emergency department (ED) of a training and research hospital from April 2015 through February 2016. It included all patients older than 18 years who presented to the ED during the study period with non-traumatic out-of-hospital cardiac arrest (OHCA)...
December 2017: Turkish Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28971162/phantom-tumor-of-the-lung-in-heart-failure-patient
#12
Onur Argan, Dilek Ural
In heart failure localized interlober pleural effusion is rare but well-known finding. But there is not enough case reports in the literature. This radiological finding seems like a mass and undergoes resolution quickly, It is also known as vanishing tumor, pseudotumor or phantom tumor. It is difficult to estimate the incidence due to the small number of reported cases. Determination of the mass appearance in chest X-ray should be reminded the phantom tumor especially in heart failure patient. This diagnosis would prevent unnecessary expensive diagnostic procedures, wrong diagnosis and treatment...
September 2017: Turkish Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28971161/controversies-in-the-differential-diagnosis-of-brown-sequard-syndrome-due-to-cervical-spinal-disease-from-stroke-a-case-series
#13
REVIEW
Vaner Koksal, Ozcan Yavasi
Stroke is generally considered to be the first preliminary diagnosis in patients presenting with acute hemiparesia in the emergency department. But rarely in unexpected spontaneous neurological pathologies that may lead to hemiparesis. The data from 8 non-traumatic patients who underwent surgical treatment for brown-sequard syndrome (BSS) were reviewed retrospectively. All patients were initially misdiagnosed with strokes. Two of the patients had spinal canal stenosis, two had spinal epidural hematomas, one had an ossified herniated disc and three had soft herniated discs...
September 2017: Turkish Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28971160/frontal-lobe-ischemic-stroke-presenting-with-peripheral-type-facial-palsy-a-crucial-diagnostic-challenge-in-emergency-practice
#14
Halil Onder, Levent Albayrak, Halil Polat
Here, we illustrate a 69-year old female admitting with weakness on left side of the face who firstly considered peripheral facial palsy in the forefront. However, detailed neurological examination and cranial MRI findings finally yielded the proper diagnosis of right hemisphere ischemic stroke. Via this remarkable presentation, we point out the clinical challenges in evaluation processes of patients with facial palsy in emergency practice and emphasize the importance of detailed examination for the proper diagnosis as well as initiation of appropriate treatment agents without delay...
September 2017: Turkish Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28971159/iliac-arteriovenous-fistulas-after-lumbar-spinal-surgery
#15
Osman Ocal, Bora Peynircioglu, Gonca Eldem, Erhan Akpinar, Mehmet Ruhi Onur, Giray Kabakci
Iatrogenic arteriovenous fistula (AVF) is an unusual and potentially fatal complication of lumbar spinal surgery. The presentation of these injuries is usually late, with symptoms such as leg swelling or cardiac failure. It is crucial to suspect AVF in the patient which presents to emergency with lumbar spinal surgery history. The diagnosis is often based on imaging studies such as computed tomography (CT) or magnetic resonance (MR) angiography. Surgery was the first choice of treatment, but with recent advances in stent technology endovascular approach has become widely popular...
September 2017: Turkish Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28971158/scorpion-related-cardiomyopathy-and-acute-pulmonary-edema-in-a-child-who-is-stung-by-leiurus-abdullahbayrami
#16
Mehmet Dokur, Mustafa Dogan, Ersen Aydin Yagmur
Venom of Leiurus abdullahbayrami (Scorpiones: Buthidae) is an extremely toxic one and it stimulates voltage-gated sodium and potassium channels. In case of a stung by this scorpion; excessive catecholamine release occur and it impairs left ventricle contractility and consequently a heart failure occurs (scorpion sting-related cardiomyopathy). In addition to this cardiac-induced acute pulmonary, edema may occur in severe cases too. An 11-year-old male child who was stung by a scorpion (species: Leiurus abdullahbayrami) consulted to the Emergency Room...
September 2017: Turkish Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28971157/comparing-the-analgesic-effect-of-intranasal-with-intravenous-ketamine-in-isolated-orthopedic-trauma-a-randomized-clinical-trial
#17
Ramin Parvizrad, Abdolghader Pakniyat, Bita Malekianzadeh, Amir Almasi-Hashiani
OBJECTIVES: Ketamine is commonly used in anesthetic and sedation before surgical procedures and acts as an analgesic in smaller doses. The aim of this study was to assess the effects of intranasal (IN) ketamine in patients with moderate to severe limb trauma (visual analog scale (VAS) > 60 mm). METHODS: In a triple-blind randomized controlled clinical trial; 154 patients with isolated orthopedic trauma and visual analog scale (VAS) ≥60 mm were included on the basis of inclusion and exclusion criteria...
September 2017: Turkish Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28971156/tetanus-immunity-status-among-adult-trauma-patients-in-an-ed
#18
Ibrahim Toker, Turgay Yılmaz Kılıc, Sukran Kose, Murat Yesilaras, Feriyde Calıskan, Ozge Duman Atilla, Orkun Unek, Serkan Hacar, Aysin Kılınc Toker
OBJECTIVES: Tetanus is a vaccine-preventable infectious disease. It is caused by the bacterium Clostridium tetani . The aim of this study was to investigate tetanus immunity among adult trauma patients. MATERIAL AND METHODS: This study was performed with 267 trauma patients who were admitted to the emergency department of Tepecik Training and Research Hospital in Izmir City, Turkey over a six month period. After obtaining a written informed consent from each patient, a questionnaire concerning demographic information and tetanus vaccination history was filled in by the physician...
September 2017: Turkish Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28971155/comparison-of-ketamine-propofol-ketofol-and-etomidate-fentanyl-etofen-combinations-for-procedural-sedation-and-analgesia-in-the-emergency-department-an-observational-study
#19
Erkman Sanri, Sinan Karacabey, Haldun Akoglu, Bora Kaya, Ozlem Guneysel
OBJECTIVES: The primary aim of this study was to report the vital signs, hemodynamic parameters and pain scores of the patients who have received procedural sedation and analgesia (PSA) with either ketofol (combination of ketamine and propofol) or etofen (combination of etomidate and fentanyl) and compare the proportion of patients with airway or respiratory adverse events (AEs) requiring an intervention and calculate the relative risk of AEs with each combination. METHODS: This study is a prospective observational study with survey analysis...
September 2017: Turkish Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28971154/value-of-plasma-neutrophil-gelatinase-associated-lipocalin-ngal-in-distinguishing-between-acute-kidney-injury-aki-and-chronic-kidney-disease-ckd
#20
Seref Kerem Corbacıoglu, Yunsur Cevik, Emine Akinci, Hüseyin Uzunosmanoglu, Seda Dagar, Tuba Safak, Veysel Oncul, Murat Guvendi
OBJECTIVE: In this study, we aimed to determine whether plasma NGAL levels could be used as a biomarker for distinguishing between AKI and CKD in emergency medicine. MATERIALS AND METHODS: This prospective study was conducted at the ED of a training and research hospital over a six-month period in 2015. Three groups were defined: an AKI group - defined as a new onset of at least a 1.5-fold or ≥0.3 mg increment increase of SCr values from the normal baseline, a stable CKD group - only included presence of stages 2 through 4 of CKD according to the National Kidney Foundation's KDIGO 2012, and a control group...
September 2017: Turkish Journal of Emergency Medicine
journal
journal
53307
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"