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Turkish Journal of Emergency Medicine

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https://www.readbyqxmd.com/read/30533565/a-rare-case-of-an-adult-traumatic-bicycle-handlebar-hernia-a-case-report-and-review-of-the-literature
#1
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
https://www.readbyqxmd.com/read/30533564/methemoglobinemia-treated-with-hyperbaric-oxygen-therapy-a-case-report
#2
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
https://www.readbyqxmd.com/read/30533563/successful-resuscitation-of-prolonged-cardiac-arrest-occurring-in-association-with-skunk-and-toluene-toxicity
#3
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
https://www.readbyqxmd.com/read/30533562/urethral-calculi-a-rare-cause-of-acute-urinary-retention-in-women
#4
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
https://www.readbyqxmd.com/read/30533561/delayed-neurologic-sequelae-of-carbon-monoxide-intoxication
#5
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
https://www.readbyqxmd.com/read/30533560/emergency-department-patients-clinical-and-demographic-characteristics-regarding-hospital-anxiety-subscale
#6
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
https://www.readbyqxmd.com/read/30533559/red-blood-cell-distribution-width-as-a-predictor-of-long-term-mortality-in-patients-with-carbon-monoxide-poisoning
#7
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
https://www.readbyqxmd.com/read/30533558/evaluation-of-volume-status-in-a-prehospital-setting-by-ultrasonographic-measurement-of-inferior-vena-cava-and-aorta-diameters
#8
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
https://www.readbyqxmd.com/read/30533557/comparison-of-qsofa-and-sofa-score-for-predicting-mortality-in-severe-sepsis-and-septic-shock-patients-in-the-emergency-department-of-a-low-middle-income-country
#9
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
https://www.readbyqxmd.com/read/30533556/whole-body-computed-tomography-in-multi-trauma-patients-review-of-the-current-literature
#10
REVIEW
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
https://www.readbyqxmd.com/read/30533555/bland-altman-analysis-a-paradigm-to-understand-correlation-and-agreement
#11
REVIEW
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
https://www.readbyqxmd.com/read/30191198/can-water-lacerate-a-tendon-a-car-wash-accident-a-lacerated-extensor-hallucis-longus-tendon
#12
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
https://www.readbyqxmd.com/read/30191197/a-case-of-headache-double-vision-and-ptosis-in-emergency-department-tolosa-hunt-syndrome
#13
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
https://www.readbyqxmd.com/read/30191196/the-coexistence-of-wolff-parkinson-white-syndrome-wpw-and-atrioventricular-nodal-reentrant-tachycardia-avnrt
#14
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
https://www.readbyqxmd.com/read/30191195/transient-visual-loss-transient-lesion-in-the-splenium-of-the-corpus-callosum
#15
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
https://www.readbyqxmd.com/read/30191194/a-diagnostic-negative-ultrasound-finding-in-blunt-abdominal-trauma
#16
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
https://www.readbyqxmd.com/read/30191193/description-of-non-urgent-patients-in-the-emergency-department
#17
Hasan Idil, Turgay Yılmaz Kilic, Murat Yesilaras
No abstract text is available yet for this article.
September 2018: Turkish Journal of Emergency Medicine
https://www.readbyqxmd.com/read/30191192/non-urgent-adult-patients-in-the-emergency-department
#18
Umut Gulacti, Ugur Lok
No abstract text is available yet for this article.
September 2018: Turkish Journal of Emergency Medicine
https://www.readbyqxmd.com/read/30191191/emergency-medicine-physicians-perspectives-on-subspecialty-training-a-national-survey
#19
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
https://www.readbyqxmd.com/read/30191190/the-diagnostic-accuracy-of-ultrasonography-in-determining-the-reduction-success-of-distal-radius-fractures
#20
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
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