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    Acute aortic dissection: unusual presentations
    (Elsevier Science Bv, 2009) Guven, Fatma Mutlu Kukul; Korkmaz, Ilhan; Dogan, Zeki; Doles, Kenan Ahmet; Eren, Sevki Hakan
    Mortality rate in aortic dissection increases to 50% in the first 48 hours due to delayed diagnosis and treatment. These patients generally admit to emergency department with acute onset sharp pain on sternum or interscapular region. They also can admit with syncope, cerebrovascular disease, myocardial infarction, hemiparesis-hemiplegy, disphagy and flank pain. Hypertension, connective tissue diseases, congenital aortic stenosis or bicuspid aortic valve and positive family history generally present in the etiologies of aortic dissections. Laboratory results without radiological data are inreliable and controversial in diagnosing of aortic dissections among the patients with atypical symptoms. In this study; we aimed to review and discuss literature information about the aortic dissections with three cases that admitted to Cumhuriyet University Medicine Faculty Emergency Department with atypical complaints.
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    Anaphylaxis Due to Sublingual Captopril in Emergency Service
    (Aves, 2010) Eren, Sevki Hakan; Korkmaz, Ilhan; Guven, Fatma Mutlu Kukul; Doles, Kenan Ahmet
    Anaphylaxis is a severe systemic hypersensitivity reaction characterized by multisystem involvement, which may include hypotension and airway compromise. Histamine especially, a mediator which is released from basophil or mast cells, has a great importance in the clinical state. As the condition can be fatal within a few minutes, it must be kept in mind and all clinicians must be aware of it. Especially in emergency departments, where many drugs are used, anaphlaxis can be frequently seen and all emergency department doctors must familiar with the treatment. We present a case of anaphylaxis that occurred following sublingual captopril for treatment of hypertension. We felt that it would be benefi cial to remind clinicians of sublingual captopril anaphlaxis although it is rarely seen
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    Evaluation of the child trauma cases applied to our university hospital department of emergency
    (AVES, 2011) Dogan, Zeki; Guven, Fatma Mutlu Kukul; Cankorkmaz, Levent; Korkmaz, Ilhan; Coskun, Abuzer; Doles, Kenan Ahmet
    Aim: Trauma is the major mortality cause in pediatric patients living in developed countries. The aim of this study was to evaluate the child trauma cases who were admitted to our emergency unit. Material and Method: Study data was obtained as a result of a retrospective review of the files of child trauma cases admitted to our emergency department between January 2006-December 2007. The child trauma cases were evaluated in terms of age, sex, application time, type of trauma, injury type, radiological findings and hospitalization rates. Results: Within age range 0-16 years, accessed records of 1293 trauma cases that admitted to the emergency deparment were 69% male, 31% female. Most of the applications were in August. Among the causes of injury, at the primary ordinal were falling down/crash into the flat. Out of vehicle traffic accidents were the fastest group who admitted to the emergency department. Within overall trauma types, rate of trauma exposure with 43.8% was the highest in 2-6 ages. In the exposed areas of injury, head zone with 42% took part in the first ordinal. Conclusions: In this study; we wanted to draw attention to the problem of trauma highlighting some features of pediatric injuries in our country. (Turk Arch Ped 2011; 46: 164-7)