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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
Ataman Kose, Seyran Bozkurt, Sermin Tok Umay, Serkan Karakulak, Arda Yilmaz
Headache and double vision symptoms can be seen especially neurological and optical problems. We present Tolosa-Hunt syndrome in a 34-year-old female patient who presented to the emergency department (ED) with the complaints of unilateral severe headache, double vision and ptosis, presented asymmetric contrast enhancement in the right superior cavernous sinus on MR. This pain was reduced with steroid therapy. Pulse steroid therapy of 1 mg/kg/day was planned based on the patient's clinical manifestation, MRI findings and presumed diagnosis of THS...
September 2018: Turkish Journal of Emergency Medicine
Ali Elitok, Gökhan Aksan, Mehmet Rasih Sonsöz, Mehmet Tezcan, Özgür Çevrim
Atrioventricular nodal reentrant tachycardia (AVNRT) is the most common type of reentrant paroxysmal supraventricular tachycardia that occurs in the presence of dual AV nodal physiology. Wolff-Parkinson-White (WPW) syndrome is another type of supraventricular tachycardia characterized by short PR intervals, delta waves and wide QRS complexes on the surface electrocardiogram (ECG), reflecting atrioventricular pre-excitation. Uncommonly, AV nodal reentry and accessory pathways can coexist. In this case report, we present a patient who had frequent episodes of palpitation and syncope and recently presented to the emergency department (ED) with the complaint of dizziness...
September 2018: Turkish Journal of Emergency Medicine
Mucahit Gunaydin, Faruk Ozsahin
Background: The corpus callosum is the most important pathway enabling the exchange of information between the two cerebral hemispheres. Transient splenium lesions may develop in association with various pathologies and infections. We report a case presenting to the emergency department with transient visual loss and in which a transient lesion was determined in the splenium of the corpus callosum (SCC). Case report: A 24-year-old woman presented to the emergency department due to sudden onset visual loss...
September 2018: Turkish Journal of Emergency Medicine
Fikri M Abu-Zidan, Husni S Shalak, Mohammed A Alhaddad
Introduction: Ultrasound is an extension of the clinical examination and its findings should be correlated with the clinical picture as a whole to be useful. Hereby, we report a unique negative diagnostic ultrasound finding in blunt abdominal trauma which was not reported before. Clinical presentation: A 50-year-old obese man presented complaining of severe generalized abdominal pain and inability to pass urine of three days duration after he slipped on his abdomen...
September 2018: Turkish Journal of Emergency Medicine
Hasan Idil, Turgay Yılmaz Kilic, Murat Yesilaras
No abstract text is available yet for this article.
September 2018: Turkish Journal of Emergency Medicine
Umut Gulacti, Ugur Lok
No abstract text is available yet for this article.
September 2018: Turkish Journal of Emergency Medicine
Mehmet Ali Aslaner, Serkan Emre Eroğlu, Ali Batur, Volkan Arslan
Background: Subspecialty training (sST) is an accepted educational model for the branches that have completed the maturation period. At the end of a rapid growth and reaching its limits, we wanted to determine the emergency medicine (EM) physicians' thoughts about subspecialty training in EM in Turkey. Method: This is a national cross-sectional survey study conducted in November 2017. Participants were physicians who were receiving or who had completed emergency medicine education...
September 2018: Turkish Journal of Emergency Medicine
Ozgur Bozkurt, Murat Ersel, Funda Karbek Akarca, Sercan Yalcinli, Sadiye Midik, Levent Kucuk
Objective: We evaluated the sensitivity and specificity of bedside ultrasound (US) for determining the success of reduction of displaced distal radius fractures. In addition, we determined the ability of US to diagnose causes of unsuccessful reduction. Methods: In a prospective, double-blind fashion, patients over 18 of age whose acute distal radius fracture was to be reduced were approached for inclusion. The closed reductions were performed by orthopedics residents...
September 2018: Turkish Journal of Emergency Medicine
İbrahim Ulaş Özturan, Nurettin Özgür Doğan, Cansu Alyeşil, Murat Pekdemir, Serkan Yılmaz, Hüseyin Fatih Sezer
Objectives: Traumatic iatrogenic pneumothorax occurs most often after a transthoracic needle biopsy. Since this procedure has become a common outpatient intervention, emergency department admissions of post-biopsy pneumothorax patients have increased. The aim of this study was to determine the factors that predict the need for tube thoracostomy in patients with post-biopsy pneumothorax in the emergency department. Methods: A retrospective cross-sectional study was conducted on 191 patients with post-biopsy pneumothorax who were admitted to the emergency department between 2010 and 2017...
September 2018: Turkish Journal of Emergency Medicine
Arif Alper Cevik, Abdel Noureldin, Margret El Zubeir, Fikri M Abu-Zidan
Background: Extended Focused Assessment Sonography for Trauma (EFAST) is an important bedside tool for the management of multiple trauma patients. We aimed to evaluate the assessment of our EFAST education in the Emergency Medicine Clerkship (EMC) for final year medical students and the correlations of EFAST marks with other practical skill stations and the final multiple choice question (MCQ) exam marks. Methods: Fifty-four final year medical students were trained on performing EFAST on human models during their 4-week clerkship...
September 2018: Turkish Journal of Emergency Medicine
Richard Body
Chest pain accounts for approximately 6% of Emergency Department (ED) attendances and is the most common reason for emergency hospital admission. For many years, our approach to diagnosis has required patients to stay in hospital for at least 6-12 h to undergo serial biomarker testing. As less than one fifth of the patients undergoing investigation actually has an acute coronary syndrome (ACS), there is tremendous potential to reduce unnecessary hospital admissions. Recent advances in diagnostic technology have improved the efficiency of care pathways...
September 2018: Turkish Journal of Emergency Medicine
Haldun Akoglu
When writing a manuscript, we often use words such as perfect, strong, good or weak to name the strength of the relationship between variables. However, it is unclear where a good relationship turns into a strong one. The same strength of r is named differently by several researchers. Therefore, there is an absolute necessity to explicitly report the strength and direction of r while reporting correlation coefficients in manuscripts. This article aims to familiarize medical readers with several different correlation coefficients reported in medical manuscripts, clarify confounding aspects and summarize the naming practices for the strength of correlation coefficients...
September 2018: 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
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