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Turkish Journal of Emergency Medicine

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https://www.readbyqxmd.com/read/27995212/is-this-a-simple-drug-eruption-to-be-discharged
#1
Mucahit Emet, Ilker Akbas, Esra Senturk, Omer Faruk Elmas, Sahin Aslan
'Erythema Multiforme associated with Phenytoin And Cranial radiation Therapy' (EMPACT) is a very rare clinic situation and classified in EM-like drug reactions. It can be easily misdiagnosed as acute urticaria or drug eruption in ED. Initial symptoms may resemble a simple skin problem, but diagnosing and early hospitalization of the patients can be lifesaving. Here, we present a man with renal cell cancer and brain metastases who admitted to ED due to fever and generalized rash. His skin lesions beginning from his head and spreading through the torso appeared four days after the end of radiotherapy (11 days after the initial dose of both radiation and oral phenytoin)...
December 2016: Turkish Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27995211/fungal-endocarditis-presenting-with-right-lumbar-pain-and-femoral-artery-ischemia-an-unusual-case-report
#2
Shahan Waheed, Muhammad Akbar Baig, Muhammad Waqas Khan, Fareed Ahmed Sheikh, Nadeem Ullah Khan
Fungal endocarditis is a rare entity which has a poor outcome. Our case reports an atypical presentation of similar pathology now presenting with femoral artery ischemia in an immune competent individual. A 62-year Asian male presented with sudden onset of right sided lumbar pain. Initial clinical exam was consistent with right sided renal colic. Intravenous analgesia did not relieve the pain. Repeat clinical examination revealed absent right femoral artery pulsation. The patient underwent a Computerized tomography angiography of right lower extremity...
December 2016: Turkish Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27995210/sudden-bilateral-hearing-loss-after-organophosphate-inhalation
#3
Mehmet Akif Dundar, Serhan Derin, Mitat Aricigil, Mehmet Akif Eryilmaz
Sudden bilateral hearing loss are seen rarely and the toxic substance exposure constitutes a small part of etiology. A Fifty-eight-year-old woman admitted to our clinic with sudden bilateral hearing loss shortly after chlorpyrifos-ethyl exposure. Otolaryngologic examination findings were normal. The patient had 40 dB sensorineural hearing loss (SNHL) on the right ear and 48 dB SNHL on the left ear. Additional diagnostic tests were normal. The conventional treatment for sudden hearing loss was performed. On the second week following organophosphate (OP) exposure the patient's hearing loss almost completely resolved...
December 2016: Turkish Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27995209/respiratuvar-depression-after-accidental-nasal-ingestion-of-brimonidine-eye-drops-in-infant
#4
Ali Gunes, Hasan Balik, Servet Yel, Halil Kocamaz, Mehmet Bosnak
OBJECTIVES: Brimonidine tartrate is an alpha-2 agonist used for glaucoma treatment. It can lead to serious poisoning symptoms when misused by children. CASE REPORT: In this case report, 3 months-old male patient with severe central nervous system depression and respiratory arrest as a result of accidentally nasal instillation of 1 cc brimonidine tartrate that benefited from mechanic ventilation and naloxone treatment was presented. CONCLUSION: This case report suggested, that misuse of nasal brimonidine eye drop could result in serious respiratory distress and central nervous system depression...
December 2016: Turkish Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27995208/a-systematic-and-technical-guide-on-how-to-reduce-a-shoulder-dislocation
#5
REVIEW
H Alkaduhimi, J A van der Linde, M Flipsen, D F P van Deurzen, M P J van den Bekerom
OBJECTIVES: Our objective is to provide a systematic and technical guide on how to reduce a shoulder dislocation, based on techniques that have been described in literature for patients with anterior and posterior shoulder instability. MATERIALS AND METHODS: A PubMed and EMBASE query was performed, screening all relevant literature on the closed reduction techniques. Studies regarding open reduction techniques and studies with fracture dislocations were excluded...
December 2016: Turkish Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27995207/electrocardiographic-changes-in-patients-with-tramadol-induced-idiosyncratic-seizures
#6
Peyman Hafezi Moghadam, Najmeh Zarei, Davood Farsi, Saeed Abbasi, Mani Mofidi, Mahdi Rezai, Babak Mahshidfar
OBJECTIVES: To assess ECG changes in patients with tramadol-induced seizure(s) and compare these changes in lower and higher than 500 mg tramadol doses as a main goal. MATERIAL AND METHODS: In an analytical-cross sectional manner over 1 year, 170 patients with idiosyncratic seizure(s) after using tramadol, were studied. Full data were recorded for each patient. ECGs were taken from all the patients on admission and 1 h later and were assessed for findings. RESULTS: 70 of 170 patients (41...
December 2016: Turkish Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27995206/accuracy-of-sofa-score-in-prediction-of-30-day-outcome-of-critically-ill-patients
#7
Saeed Safari, Majid Shojaee, Farhad Rahmati, Alireza Barartloo, Behrooz Hahshemi, Mohammad Mehdi Forouzanfar, Elham Mohammadi
OBJECTIVES: Researchers have attempted to design various scoring systems to determine the severity and predict the outcome of critically ill patients. The present study aimed to evaluate the accuracy of SOFA score in predicting 1-month outcome of these patients in emergency department. METHODS: The present study is a prospective cross-sectional study of >18 year old non-trauma critically ill patients presented to EDs of 3 hospitals, Tehran, Iran, during October 2014 to October 2015...
December 2016: Turkish Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27995205/the-ed-use-and-non-urgent-visits-of-elderly-patients
#8
Umut Gulacti, Ugur Lok, Murat Celik, Nurettin Aktas, Haci Polat
OBJECTIVE: To evaluate the use of the emergency department (ED) by elderly patients, their non-urgent visits and the prevalence of main disease for ED visits. METHODS: This cross-sectional study was conducted on patients aged 65 years and over who visited the ED of a tertiary care university hospital in Turkey between January 2015 and January 2016 retrospectively. RESULTS: A total of 36,369 elderly patients who visited the ED were included in the study...
December 2016: Turkish Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27995204/the-evaluation-of-the-audit-of-fresh-frozen-plasma-ffp-usage-in-emergency-department
#9
Emine Emektar, Seda Dagar, Seref Kerem Corbacioglu, Huseyin Uzunosmanoglu, Mehmet Veysel Oncul, Yunsur Cevik
OBJECTIVES: In our study, the aim is to evaluate the use of Fresh-Frozen Plasma (FFP) in our emergency department and to assess its audit for transfusion. METHODS: All the patients aged 18 and over who received FFP transfusion in the emergency department between March 1, 2013 and March 1, 2016 were included into the study. The audit of FFP use was evaluated by according to 'British Committee for Standards in Hematology Guideline-2004'. RESULTS: Total 141 patients were identified to receive FFP transfusion in our emergency department...
December 2016: Turkish Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27857996/co-existence-of-cecal-volvulus-with-situs-inversus-totalis-a-case-report
#10
Meric Emre Bostanci, Mustafa Atabey, Birkan Bozkurt, Ilker Ozel, Kursat Karadayi
Detorsion, cecopexy, cecostomy and tube cecostomy are the treatment options for acute cecal volvulus if there is no intestinal ischemia. Resection required if intestinal viability, necrosis, gangrene or perforation exists. After resection, primary anastomosis or ileostomy can be performed. First colonoscopic decompression testing may be appropriate in terms of saving time for elective surgery. The co-existance of situs inversus totalis with cecal volvulus may cause uncertainty of the definite diagnosis and delay of surgical procedure...
September 2016: Turkish Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27857995/anaphylaxis-after-intravenous-infusion-of-dexketoprofen-trometamol
#11
Sertac Guler, Ilyas Ertok, Nurdan Yilmaz Sahin, Hayri Ramadan, Yavuz Katirci
Dexketoprofen trometamol (DT), a nonsteroidal anti-inflammatory drug, is a highly water-soluble salt and active enantiomer of rac-ketoprofen. Its parenteral form is commonly used for acute pain management in emergency departments of our country. Side effects such as diarrhea, indigestion, nausea, stomach pain, and vomiting may be seen after the use of DT. Anaphylactic shock (AS) secondary to infusion of DT is very rare and, to our knowledge, it is the first case report describing this side effect. This case report was presented to emphasize that AS may be seen after the use of DT...
September 2016: Turkish Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27857994/triple-trouble-a-case-of-traumatic-cervical-spinal-cord-injury-in-a-patient-with-ossification-of-posterior-longitudinal-ligament-and-disc-prolapse
#12
Kosar Hussain, Sally Khalid Ahmed Abu-Khumra, Firas Jaafar Kareem Alnajjar, Motea Mohamad Abdo
We describe the case of a trauma patient who presented to our emergency department with signs and symptoms suggestive of cervical cord injury. The patient had an underlying ossification of the posterior longitudinal ligament with multiple cervical disc prolapses from C3 to C7. The presence of these two factors increased the impact of the traumatic cervical cord injury. The patient underwent spinal decompression via laminectomy. Unfortunately, his neurological status did not show any significant improvement after the surgery...
September 2016: Turkish Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27857993/acute-ischemic-stroke-and-severe-multiorgan-dysfunction-due-to-multiple-bee-stings
#13
Murat Guzel, Handan Akar, Ali Kemal Erenler, Ahmet Baydin, Abdulcelil Kayabas
Various manifestations after bee sting have been described. Local reactions, such as pain, wheal, flare, edema and swelling, are common and generally self-limiting. Uncommonly manifestations like vomiting, diarrhea, dyspnea, generalized edema, acute renal failure, anaphylactic shock, myocardial infarction, hypotension, collapse, pulmonary hemorrhage, acute hemorrhagic pancreatitis, and atrial fibrillation may occur. We report a 59 year-old man who sustained ischemic stroke and multi-organ dysfunction following multiple bee stings...
September 2016: Turkish Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27857992/a-case-of-reversible-cardiomyopathy-associated-with-acute-toluene-exposure
#14
Salim Yasar, Erkan Yildirim, Mustafa Koklu, Erol Gursoy, Murat Celik, Uygar Cagdas Yuksel
Inhalation of toluene-based products is popular among young adults. It has been shown to have a variety of adverse effects on several organs and systems. Although the heart seems to be a sensitive target organ to toluene, cardiotoxicity has often been ignored, especially in cases of acute toluene abuse, with relatively low concentrations. Thereby, routine cardiac examination and echocardiography for cardiotoxicity should be performed in cases of acute toluene exposure, even though there is no cardiovascular sign or symptoms...
September 2016: Turkish Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27857991/a-rare-cause-of-emergency-department-visit-euphorbia-helioscopia-contact-dermatitis
#15
Ibrahim Hakan Bucak, Habip Almis, Birgul Tepe, Mehmet Turgut
Emergency department visits due to dermatologic disease is quite rare. Euphorbia helioscopia is a widely distributed plant in rural areas. E. helioscopia related contact dermatitis (Irritant contact dermatitis or allergic contact dermatitis) are known however only a few case reported in literature. We are reporting on three patients with contact dermatitis from E. helioscopia. Irritant contact dermatitis was occurred only one of these cases. This case refused to wash face with water. We recommend washing the face with water after contact with E...
September 2016: Turkish Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27857990/role-of-ascorbic-acid-in-the-treatment-of-methemoglobinemia
#16
Kamal Kant Sahu, Deba Prasad Dhibar, Archana Gautam, Yogeesh Kumar, Subhash Chander Varma
No abstract text is available yet for this article.
September 2016: Turkish Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27857989/rabies-suspected-animal-contact-cases
#17
Viroj Wiwanitkit
No abstract text is available yet for this article.
September 2016: Turkish Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27857988/social-media-foamed-in-medical-education-and-knowledge-sharing-local-experiences-with-international-perspective
#18
REVIEW
Arif Alper Cevik, Gokhan Aksel, Haldun Akoglu, Serkan Emre Eroglu, Nurettin Ozgur Dogan, Yusuf Ali Altunci
Social media, through the Internet and other web-based technologies, have become a means of communication and knowledge-sharing. In this article, we provide details about the social media traffic of various scientific activities, the organizations of which we have played an active role in. We also provide information in our native language through our FOAMed website, which has been published for about 30 months, with us acting as editors. We are comparing these local and limited ventures with examples from the world and aim to remind that social media sources play a very important role in sharing knowledge in medical training and encouraging local initiatives, like ours, with limited resources...
September 2016: Turkish Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27857987/the-comparison-of-the-efficiency-of-traditional-lectures-to-video-supported-lectures-within-the-training-of-the-emergency-medicine-residents
#19
Aydın Sarıhan, Neşe Colak Oray, Birdal Güllüpınar, Sedat Yanturali, Ridvan Atilla, Berna Musal
OBJECTIVES: Recent developments in computer and video technology, multimedia resources enter quickest way possible into medical education and have started to gain popularity. The aim of this study is to evaluate the impact of video-supported lectures on leaning, with comparison to traditional lectures. METHODS: According to lecture techniques, two separate groups; one is the traditional lectures group (TLG) and the other is video-supported lectures group (VSLG), are formed...
September 2016: Turkish Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27857986/detection-of-the-awareness-rate-of-abuse-in-pediatric-patients-admitted-to-emergency-medicine-department-with-injury
#20
Selen Acehan, Akkan Avci, Muge Gulen, Mustafa Sencer Segmen, Haldun Akoglu, Nalan Kozaci, Ferhat Icme, Salim Satar
OBJECTIVE: It was aimed to investigate whether neglected and abused pediatric patients are properly recognized and reported by emergency physicians in the emergency department (ED). METHODS: This prospective study was conducted on patients between 0 and 6 years of age presenting with trauma to ED. Patients were examined again by an emergency medicine specialist independent from the physician who did the first intervention during clinical follow-up phase after notification of patients presenting with trauma to emergency physician...
September 2016: Turkish Journal of Emergency Medicine
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