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Öğe Acute aortic dissection: unusual presentations(Elsevier Science Bv, 2009) Guven, Fatma Mutlu Kukul; Korkmaz, Ilhan; Dogan, Zeki; Doles, Kenan Ahmet; Eren, Sevki HakanMortality 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.Öğe Analysis of 264 Patients with Stab and Gunshot Wounds in Abdominal and Thoracic Regions(DRUNPP-SARAJEVO, 2010) Korkmaz, Ilhan; Karadayi, Sule; Guven, Fatma Mutlu Kukul; Eren, Sevki Hakan; Sahin, Ekber; Nadir, Aydin; Beydilli, Inan; Kaptanoglu, MelihIntroduction: Penetrating traumas are life-threatening situations which can be encountered in emergency services. In this study, epidemiological data, treatment approaches and the results pertaining to penetrant abdominal and/or thoracic injuries, which occured due to gunshot or stab wounds, are evalauted retrospectively. Material-method: Two hundred and sixty four patients who admitted to emergency department with penetrating thoracic and/or abdominal trauma between 2002 and2009 were retrospectively analyzed. Patients were divided into 3 groups according to their shock indexes including Low risk (<= 0.5), medium risk (> 0.5-<= 1) and high risk (> 1) groups. Results: The study group included 244 male (92.4%) and 20(7.6%) female participants. Age distribution of the groups was as follows; 58 (22.0%) patients were in the 0-19 years group, 139 patients (52.6%) were in the 20-40 years group and 67 patients (25.4%) were over 40 years. Two hundred and fifteen injuries (81.4%) were caused by stab wounds and 49 (18.6%) were due to gunshots. When the patients were evaluated considering the injury site, isolated thoracic trauma was seen in 93 patients (35.3%) and isolated abdominal injuries were found in 74 patients (28.0%). The most common organ injuries among the patients who underwent laparotomy (n=73) were as follows; bowel injury in 28 patients (38.3%), stomach injuries in 20 patients (27.4%) and liver-spleen injuries in 17 patients (23.28 %). Of 189 patients with thoracic trauma, 17 patients (8.9 %) had hemothorax, 44 (23.28 %) had pneumothorax, 46 (24.33 %) had hemopneumothorax and 2 patients (1.05 %) had pulmonary contusion. Seven patients (2.65 %) died. Two patients were considered as exitus in the initial examination. Two of the 5 exitus cases had shock index ranging within the medium risk group and 3 were in the high-risk group. Conclusion: It must be considered that penetrating trauma patients with medium or high shock index have a higher mortality rate. Therefore, those patients must be closely monitored and the health services should be improved for immediately and appropriately transferring them.Öğe Analysis of patients with upper gastrointestinal bleeding: a study from Anatolian, Turkey Seasonal Distribution of Gastrointestinal Bleeding(DRUNPP-SARAJEVO, 2012) Korkmaz, Ilhan; Eren, Sevki Hakan; Guven, Fatma Mutlu Kukul; Beydilli, Inan; Yildirim, Birdal; Oguzturk, HakanThe aim of our study was to analyze if we have a seasonal or circadian distribution of acute upper gastrointestinal bleeding (AUGIB) patients, and to evaluate the laboratory and demographic risk factors on mortality rates. We scanned all of the files of the patients who had been diagnosed with AUGIB, for a ten year period. Datas' about seasonal distribution, circadian rhythm, admission hemoglobin, blood urea nitrogen and demographic variables were extracted from the charts. We didn't observed a seasonal distribution for AUGIB inspite of we excluded the drug effect by analyzing its seasonal distribution. Also our patients were admitted mostly nights which was compatible with the literature. Whereas our admission rate between 24 and 06 hour period was low. Admission low hemoglobin level, impaired blood urea nitrogen and creatinine level, and patients with advanced age has a higher mortality rate (p=0.03, p=0.003, p=0.02, p=0.001 respectively). Climatic factors effect on the seasonal distribution among AUGIB patients is not observed. Other risk factors (mental-physical) should also be evaluated. Low hemoglobin level, impaired renal functions and advanced age are bad risk factors for prognosis.Öğe Anaphylaxis Due to Sublingual Captopril in Emergency Service(Aves, 2010) Eren, Sevki Hakan; Korkmaz, Ilhan; Guven, Fatma Mutlu Kukul; Doles, Kenan AhmetAnaphylaxis 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 seenÖğe Apoptosis biomarkers (Apaf-1, sFa s, sFa s-L, and caspase-9), albumin, and fetuin-a levels in pulmonary thromboembolic patients(Via Medica, 2020) Aydin, Hüseyin; Tekin, Yusuf Kenan; Korkmaz, Ilhan; Eker, Zeynep; Demirtaş, ErdalINTRODUCTION: Pulmonary thromboembolism (PE) is the third most common medical emergency with mortality due to ischemia and reperfusion lung injury. Lung ischaemia-reperfusion injury. Lung reperfusion damage is believed to cause cellular damage and apoptosis. The aim of the present study was to evaluate the levels of fetuin-A, albumin, and apoptosis biomarkers (Apaf-1, sFas, and sFasL) among pulmonary thromboembolic patients. MATERIAL AND METHODS: Blood samples were collected from 45 volunteer patients and 40 healthy control volunteers. Human apoptosis biomarkers (Apaf-1, sFas, sFasL, and caspase-9) and fetuin-A values were measured by ELISA device. Student's t-test or Mann-Whitney U test were used for continuous variables, and categorical variables were compared with the chi-square test to assess the significance of intergroup differences. The mean values of apoptosis biomarkers and acute phase reactants between dead and survival patients were also compared. RESULTS: While the apoptosis mean values of Apaf-1, sFas, sFasL, and caspase-9 for the control group were 0.12 ± 0.01, 332.1 ± 28.0, 130.4 ± 34.6, and 74.3 ± 2.6, for the patient group they were 0.14 ± 0.02, 509.1 ± 67.6, 139.9 ± 23.7, and 79.4 ± 2.8, respectively. The group differences were significant for all the biomarkers (p = 0.01, p = 0.001, p = 0.19, and p = 0.01, respectively). The negative acute phase fetuin-A and albumin levels decreased significantly in the patient groups (p = 0.01 and p = 0.01, respectively). CONCLUSIONS: Intrinsic and extrinsic apoptosis pathways are stimulated during pulmonary embolism, and negative acute phase reactants are decreased. There was a correlation with the mortality and Apaf-1, sFas, caspase-9, fetuin, and albumin levels. Copyright © 2020 Via Medica.Öğe Association between anticardiolipin antibodies, serum protein C levels and acute myocardial infarction(DRUNPP-SARAJEVO, 2012) Yildirim, Birdal; Topal, Fatih Esad; Topal, Firdevs; Korkmaz, IlhanObjective: Anticardiolipin antibodies and protein C deficiency and/or resistance are among the well-known hypercoagulability syndromes. We wanted to investigate whether serum levels and activity of Protein C and/or anticardiolipin antibodies were different in patients who admitted with acute ST elevation myocardial infarction from healthy controls. Patients and methods: Fifty patients who admitted to the emergency department within 6 hours of onset of chest pain and diagnosed as acute ST elevation myocardial infarction was included. Complete blood count, biochemistry, CK, CKMB and Troponin T levels were measured after a complete physical examination. Control group consisted of age and sex matched healthy individuals with no symptoms or signs of coronary artery disease or history of coronary artery disease. Protein C activity and anticardiolipin IgM, IgG and IgA were measured in the core laboratory of the hospital. Results: Protein C activity of the AMI group and the control group did not reveal significant difference although mean Protein C activity was higher compared to control group (148.16 +/- 7.51 vs 135.64 +/- 4.8; p>0.05). Anticardiolipin IgG levels were higher in AMI patients than the controls (10.09 +/- 0.62 vs 5.5 +/- 0.36 p<0.01) as well as anticardiolipin IgM levels (10.27 +/-.13 vs 7.8 +/- 0.37 p<0.01). Conclusion: It is important to detect high-risk groups in terms of recurrent thrombosis. Larger studies with standardized measurement of anticardiolipins may clarify whether hypercoagulability should be investigated in at least some high-risk acute myocardial infarction survivors.Öğe Baseline characteristics and the association between hyponatraemia and pulmonary embolism prognosis(PAKISTAN MEDICAL ASSOC, 2013) Korkmaz, Ilhan; Guven, Fatma Mutlu Kukul; Eren, Sevki Hakan; Beydilli, Inan; Yildirim, Birdal; Aktas, Can; Alagozlu, HakanObjective: To evaluate the effect of hyponatraemia on pulmonary thromboembolism mortality rates. Methods: The retrospective study was conducted at the Cumhuriyet University Medicine Faculty's Emergency Department, and involved the analysis of records related to all patients who were diagnosed with acute pulmonary thromboembolism between January 2005 and June 2011. Diagnoses were confirmed by pulmonary angiography, multi-slice computed tomography or high-probablity ventilation/perfusion scintigraphy. All patients (n=260) were over 16 years of age. SPSS 14 was used for statistical analysis. Results: Plasma sodium level, platelet count and hospitalisation time were significiantly lower among those who died (n=16; 6.29) (p<0.005, p<0.035, p<0.035). Pearson correlation analysis found a negative correlation between plasma sodium level and C-reactive protein, white blood cells and pulmonary artery pressure (r=-0.238, p<0.001; r=-0.222, p<0.001; r=-0.444, p<0.018 respectively). A positive correlation was found between plasma sodium level and hospitalisation time (r=0.130; p<0.039). Conclusion: While mortality rates in hyponatraemic pulmonary thromboembolism patients increases, low plasma sodium is an easy parameter that should be kept in mind for the prognosis of pulmonary thromboembolism disease.Öğe Carbon Monoxide Intoxication Induced Atrial Fibrillation(Galenos Yayincilik, 2012) Korkmaz, Ilhan; Eren, Sevki Hakan; Guven, Fatma Mutlu Kukul; Turkdogan, Ahmet; Beydilli, Inan; Yildirim, BirdalCarbon monoxide (CO) is a colorless, odorless gas which is a leading cause of accidental deaths during winter months. Its toxic effect occurs by binding to hemoglobin or directly at cellular level. Electrocardiographic findings due to CO intoxication are STsegment changes, premature contractions, sinus tachycardia, bundle blocks and atrial fibrillation (AF). We report a 33-year-old man who presented with AF due to CO poisoning. The patient was treated with anti-ischemic drugs and oxygen therapy.Öğe Carbon monoxide intoxication induced atrial fibrillation(Galenos, 2012) Korkmaz, Ilhan; Eren, Şevki Hakan; Güven, Fatma Mutlu Kukul; Türkdo?an, Ahmet; Beydilli, Inan; Yildirm, BirdalCarbon monoxide (CO) is a colorless, odorless gas which is a leading cause of accidental deaths during winter months. Its toxic effect occurs by binding to hemoglobin or directly at cellular level. Electrocardiographic findings due to CO intoxication are STsegment changes, premature contractions, sinus tachycardia, bundle blocks and atrial fibrillation (AF). We report a 33-year-old man who presented with AF due to CO poisoning. The patient was treated with anti-ischemic drugs and oxygen therapy.Öğe The Clinical Significiance of Multimarker Index for Early Diagnosis Among the Patients Admitted to the Emergency Department with Suspected Stroke(AVES YAYINCILIK, 2011) Korkmaz, Ilhan; Eren, Sevki Hakan; Guven, Fatma Mutlu Kukul; Segmen, HaticeObjective: Cerebrovascular diseases have a high rate in emergency services. We investigated the value of MMX in plasma for early diagnosis among the patients with suspected cerebrovascular disease and the correlation between the emergency, triage and neurology physician diagnoses. Material and Methods: It is a prospective study carried out with 83 patients. Pre-prepared forms were filled with the data about the patients. Samples of 1cc venous blood were measured for MMX and the results classified as normal or pathologic. The correlation between the results and physician diagnosis was investigated. Results: 44 (53%) of 83 patients were male, 39 (47%) were female. The average age was 69.1 (37-90) years. Neurology physician diagnosis, accepted as the gold standard, was compared with the triage, emergency physician diagnosis and MMX results by ROC curve analysis, and the difference was not significiant (p>0.05). When the diagnoses of the emergency physician were compared with the MMX results, the compatiblity for definite and probable strokes were 100% and 92.1%. The rates for triage physician were 100% and 96.4%. Conclusion: As a result of this study we can say that the stroke probablity is high if MMX is high in patients with suspected cerebrovascular disease, but more studies with large population groups are needed for specifity assessment.Öğe Comparison of trauma scores for predicting mortality and morbidity on trauma patients(TURKISH ASSOC TRAUMA EMERGENCY SURGERY, 2014) Orhon, Reyhan; Eren, Sevki Hakan; Karadayi, Sule; Korkmaz, Ilhan; Coskun, Abuzer; Eren, Mehmet; Katrancioglu, NurkayBACKGROUND: In this study, we compared the anatomical, and physiological scoring systems trauma revised injury severity score (TRISS), revised trauma score (RTS), injury severity score (ISS), new injury severity score (NISS) to each other, to find out the most accurate and reliable trauma score for the risk classification of morbidity and mortality among the trauma patients. METHODS: This is a cross-sectional study, which included 633 patients who admitted to our University Hospital Emergency Department during an 8-month period due to trauma. All blunt and penetrating traumas (traffic accident, assault, etc.) patients above 16 years were included. RESULTS: Arrival time trauma scores (ISS, NISS, RTS, and TRISS) of the patients was calculated. Mean trauma score for the mortality prediction was calculated, and the p value was equal for all (p=0.001). Trauma scores were also analyzed for the hospitalization time in intensive care unit (ICU). While NISS, RTS, and TRISS values were significant (p=0.048, p=0.048, and p=0.017, respectively), ISS value was not significant (p=0.257) for predicting the ICU hospitalization time. Only TRISS was a good predictor for the mechanically ventilation time in ICU patients (p=0.01). CONCLUSION: In conclusion, we determined that the anatomical trauma scores (NISS, ISS) predicted the hospitalization and ICU necessities better, whereas TRISS, an anatomo-physiological trauma score, defined the ICU hospitalization and mechanically ventilation time better.Öğe Cost analysis of different venues for treating suicide cases presented to the Emergency Department(SCIENTIFIC PUBLISHERS INDIA, 2014) Guven, Fatma Mutlu Kukul; Turkdogan, Kenan Ahmet; Duman, Ali; Akpinar, Orhan; Kapci, Mucahit; Sonmez, Ertan; Coskun, Abuzer; Akpinar, Hatice; Sogut, Ozgur; Korkmaz, IlhanPatients presented with poisoning-related suicide attempts is one of the most problematic cases of the emergency services. The most important reason for this being the failure to decide the department of the hospital in which these patients should be admitted to, following consultation. The objective of this study is to emphasize the cost-lowering effect of treatment and follow-up of such suicide cases in Emergency Departments (ED) instead of intensive care units. A total of 791 adult patients with suicidal attempts were retrospectively examined and their clinical and demographic data were included. In addition, the costs of their treatment in the ED, Intensive Care Unit (ICU) and Psychiatric Clinic between 01/01/2007 and 31/12/2011were compared. When patients were classified by their month of birth it was found that patients who born in January had the maximum tendency to commit suicide (n:227, 28.7%), while those born in December were the least to do so (n: 30, 3.8%). Of all the patients, 122 (15.4%) were followed-up in Anesthesia Intensive Care (AIC), 639 (80.8%) in the Emergency Department Observation Unit and 30 (3.8%) in the Psychiatric Clinic. When costs of the patients who could receive the same medical treatment in case of necessity were compared; mean cost of the patients were found to be $ 665.44 for the patients treated in AIC, $ 204.09 for patients treated in EDs and $ 186.85 for those received treatments in the psychiatric clinic. We defined that it would be profitable if the intoxication cases were followed-up in the ED observation units and that ED's could be used more effectively than ICUs.Öğe Covid-19 Pandemisinin Acil Servis Yüküne Etkisi(2022) Çelik, Şimşek; Yurtbay, Sefa; Tekin, Yusuf Kenan; Korkmaz, Ilhan; Çelık, PelinGiriş: Pandemi döneminde acil servislere başvuran hasta sayısı ve profilinde değişiklikler olduğu görülmektedir. Bu araştırma, pandemi öncesi ve pandemi dönemindeki acil servise başvuran hasta yükünü incelemek, hastaların demografik özelliklerini ve başvuru şikayetlerini belirlemek amacıyla yapılmıştır. Gereç ve Yöntem: Acil Servise 1 Nisan 2019- 30 Nisan 2019 tarihleri arasında ve 1 Nisan- 30 Nisan 2020 tarihleri arasındaki hasta başvuruları geriye dönük olarak incelenmiştir. Hastaların demografik özellikleri ve acil servise başvuru şikayetleri değerlendirilmiştir. Bulgular: Acil servise başvuran hasta sayısı pandemi öncesi dönemde 36617 iken, pandemi döneminde ise 10907 olmuştur. Pandemi dönemi ve pandemi öncesi dönem karşılaştırıldığında; yeşil alanda takip edilen hasta, travma hastası, toplam yatan hasta, kardiyoloji servisine yatan hasta, nöroloji servisine yatan hasta, göğüs hastalıkları servisine yatan hasta ve ambulans ile acil servise başvuran hasta sayılarında pandemi döneminde önemli düzeyde azalma olduğu belirlenmiştir. Sonuç: Pandemi döneminde, pandemi öncesi döneme göre acil servisdeki toplam hasta sayısı ve alan hasta sayıları (yeşil, sarı) anlamlı oranda düşüş göstermiştir. Bu durum mortalite ve morbiditenin artmasına neden olabilir. Bu nedenle halkın hastaneye yatış gerektiren acil hastalıklar hakkında detaylı bir şekilde bilgilendirilmesi çok önemlidir.Öğe Depression in the elderly patients admitted to the emergency department: A multicenter study(2013) Aktaş, Can; Eren, Şevki Hakan; Korkmaz, Ilhan; Çalişkan, Haci Mehmet; Karcio?lu, Özgür; Sarikaya, SezginIntroduction: To investigate the prevalence and characteristics of depression in geriatric patients admitted to the emergency department (ED), and to determine the factors concerning depression. Materials and Method: This prospective study was carried out on 512 consecutive elderly patients over or equal to 65 years of age referred to EDs of three different centers during the six-month study period. The Geriatric Depression Scale (GDS) was used for the recognition of depression. Sociodemographic data and information needed to highlight depression status were collected via datasheets prepared for the study. Results: Scores obtained from GDS were assigned into groups regarding severity of illness: 35.3% of the patients (n=181) were found normal, 48.4% of the patients (n=248) were interpreted as mildly depressed and severe depression was considered in 16.2% of the patients (n=81). Mean GDS score determined in the normal patient group is 5.6±2.4 (range: 0 and 9). Mean scores of the mildly depressive patients were found to be 14.7±2.4 (range:10 and 26) while those of the severely depressed patients were found as 23.5±2.2 (range: 20 and 28). A significant relationship was determined between depression, and chronic disease, frequency of ED visit and psychiatric treatments. Conclusion: Depression in the elderly with underlying comorbid illnesses becomes more complex to recognize and treat. Depressive symptoms of patients are attributed to patients' current diseases and depression is often unnoticed.Öğe Eosinophil Cell Count Predicts Mortality in the Intensive Care Unit after Return of Spontaneous Circulation(Rambam Health Care Campus, 2022) Korkmaz, Ilhan; Tekin, Yusuf Kenan; Tekin, Gulacan; Demirtas, Erdal; Yurtbay, Sefa; Nur, NaimBackground: Eosinophils constitute 1%-5% of peripheral blood leukocytes, less in the presence of acute infections (referred to as eosinopenia). Studies indicate that eosinopenia can be used as a prognostic predictor for chronic obstructive pulmonary disease exacerbation, sepsis, or acute myocardial infarction disease. There are only a few studies about predicting mortality in emergency departments and intensive care units (ICUs). Prognostic studies about patients in ICUs are generally carried out using different scoring systems. We aimed to analyze if the eosinophil count can estimate the prognosis among non-traumatic patients who underwent cardiopulmonary resuscitation and were hospitalized in ICU thereafter. Methods: The data were evaluated of 865 non-traumatic adult patients (>18 years of age) who were admitted with cardiopulmonary arrest or developed cardiopulmonary arrest during clinical follow-ups. Admission venous blood sample tests, complete blood count, and biochemical laboratory results were recorded. Arterial blood gas results were also evaluated. The mean results of the recorded laboratory results were compared between the surviving and non-surviving patients groups. Results: There was a significant difference between the two groups in regard to platelet, eosinophil count, pH, PaO2, SaO(2), and HCO3- (P<0.001 for all). In the multiple linear regression analysis, eosinophil counts were found to be an independent factor (odds ratio=0.03, 95% confidence interval 0.33-0.56, P<0.001) associated with the mortality after cardiopulmonary resuscitation. Conclusion: Because admission eosinophil counts can be measured easily, they are inexpensive biomarkers that can be used for predicting the prognosis among the patients who have return of spontaneous circulation and are treated in ICUs.Öğe The epidemiological and prognostic importance of the aVR lead among patients with and without ST segment elevation(BAYCINAR MEDICAL PUBL-BAYCINAR TIBBI YAYINCILIK, 2011) Coskun, Abuzer; Eren, Sevki Hakan; Korkmaz, Ilhan; Guven, Fatma Mutlu KukulBackground: Patients with ST segment elevation in the aVR lead were divided into major and minor groups and compared with respect to blood lipid levels, admission glucose levels, angiography results and prognosis. Methods: The clinical data of the study was obtained by a retrospective review of the charts of 887 patients (550 males, 337 females) with aVR elevation, who were admitted to our emergency department between January 2004 and December 2008 with chest pain and hospitalized in the cardiology ward. The patients were divided into minor (group 1; 0.5-1 mm) and major (group 2; >1 mm) groups according to the ST segment elevation in aVR and compared with respect to age, gender, emergency room arrival time, blood glucose level, lipid profile, ejection fraction (EF), angiography results, Gensini score, and mortality rates. Results: Group 2 had a significant correlation with male gender, increased Gensini score, low EF, high blood glucose level, number of myocardial infarction patients with ST segment elevation, three-vessel disease and high mortality (p<0.05). Group 2 patients also had a worse prognosis. Conclusion: Early revascularization and/or medical treatment may be effective in the prognosis of patients with acute coronary syndrome diagnosis and a 1-mm or higher ST segment elevation in the aVR lead.Öğe Etiologies of patients admitted to emergency department with hypoglycemia(ACADEMIC JOURNALS, 2010) Eren, Sevki Hakan; Caliskan, Haci Mehmet; Kilicli, Fatih; Korkmaz, Ilhan; Acibucu, Fettah; Dokmetas, Hatice SebilaHypoglycemia is the most common endocrinologic problem seen in emergency departments. To explore its causes in patients who admitted to the emergency department with symptoms resembling hypoglycemia, 225 hypoglycemia cases were evaluated from January 2000 to May 2008. Of 225 hypoglycemia cases, 158 (70.2%) were receiving treatment for diabetes mellitus, which was the most common group (94 patients were using insulin, 55 were receiving oral anti-diabetics (OAD) and 9 patients both OAD and insulin). The other causes for hypoglycemia were as follows: reactive hypoglycemia cases (11.6%), insulinoma (2.7%), malignancies (2.2%), Sheehan syndrome (0.9%), chronic liver disease (0.9%), gestational diabetes mellitus (0.4%), OAD use by mistake (3.6%), and use of OAD for suicidal purposes (13%). In eight of the cases, the reason could not be identified. The study revealed that diabetes mellitus constitute the most common reason for hypoglycemia among the patients seen in emergency departments. Efforts should be made to prevent hypoglycemia by giving the patients better education.Öğe Evaluation of Patients Presenting to the Emergency Service with Shoulder Dislocation(AVES, 2018) Coskun, Abuzer; Eren, Mehmet; Korkmaz, Ilhan; Al, Behcet; Zengin, Suat; Eren, Sevki HakanObjective: Glenohumeral joint dislocation is the most common major joint dislocation in the entire body. This study is an epidemiologic and demographic investigation of dislocated shoulder cases presenting to the emergency room of a public hospital. Methods: This study includes patients that presented to the emergency room of Sivas public hospital with a dislocated shoulder between the dates 01/02/2015-01/01/2018. Patients that were admitted to the emergency room and diagnosed with shoulder dislocation were informed about the study. Results: Five hundred and eighty one patients presenting to Sivas public hospital and diagnosed with shoulder dislocation were included in the study. The average age of patients was 43 +/- 18.59, with the youngest patient 19 years old and the oldest 88 years old. 537 (92.4%) patients had anterior, 32 (5.5%) patients had posterior and 12 (2.1%) patients had inferior dislocations. Conclusion: Shoulder dislocation cases are commonly seen in emergency rooms. It is more commonly seen in males and the most frequently seen type is anterior dislocation. This condition concerning individuals of all age groups develops mainly due to trauma. Despite the fact that shoulder dislocations can be diagnosed and treated easily in emergency rooms, prevention of shoulder dislocations can only be achieved by means of preventive measures and informative meetings.Öğe Evaluation of Pre-School (0-6) Age Group Trauma Patients Etiology(Aves, 2014) Atli, Bahri; Eren, Sevki Hakan; Coskun, Abuzer; Korkmaz, Ilhan; Eren, MehmetObjective: Trauma is one of the most important reasons of death in the pediatric age group. The aim of this study is to analyze the relation between the trauma type, trauma time, and the way of arrival to the hospital and to examine the causes of traumatic etiology and outcomes in the 0-6 age group (pre-primary) of trauma cases in our state. Material and Methods: Trauma cases in the 0-6 age group (pre-primary) who were admitted to the Cumhuriyet University Medical School Emergency Department between May 2009-May 2011 were evaluated. Results: In our study period, 799 children aged 0-6 were admitted to our emergency service; 55.8% of these patients were male. Most patients were mainly referred to the ER in July, August, and September, and the highest value was detected in July. Falls were first and motor vehicle accidents were second in frequency among the causes of injury. Conclusion: Consequently, traumas are showing an increase, especially in summer time, and it is observed that children are disregarded during farm works, and because of this, trauma numbers are being increased between the ages of 0-6 years.Öğe Evaluation of respiratory function in healthcare workers wearing face masks during the COVID-19 pandemic(W B Saunders Co-Elsevier Inc, 2023) Cebecioglu, Ismail Kivanc; Demirtas, Erdal; Tekin, Yusuf Kenan; Korkmaz, IlhanBackground: The COVID pandemic, which has caused high mortality rates worldwide, has mainly affected the working environment of healthcare workers. Metabolic and respiratory changes occur in healthcare workers working with surgical masks. Objective: Our aim is to identify the metabolic and respiratory problems faced by healthcare personnel working with surgical masks and to produce solutions to minimize them. Methods: The study was conducted among emergency service workers who used surgical masks for at least 8 h in the emergency room between June 2020 and July 2020. Venous blood gas samples were taken from the health personnel participating in the study and their vital signs were checked. Result: A total of 60 healthcare professionals with a mean age of 28.20 +/- 6.30 years were included in the study. The distribution of men and women in the study was balanced with 30 ( 50.0%) men and 30 (50.0%) women. When the first and last vital signs (blood pressure, pulse, saturation) of the health workers participating in the study were examined, no statistically significant differences were found (p > 0.05). While there was no statistically significant difference in the Na, Chlorine, Ca values of meta-bolic indicators (p > 0.05), the first measurements of K (0.017) and Lactate (0.037) values were found to be higher than the last measurements (p > 0.05). The first measurements of the respiratory parameters pH (0.002), pCO2 (0.028), sO2 (0.045) and pO2 (0.048) were lower than the last measurements (p > 0.05). The first measurement value of pCO2 (0.028) was found to be higher than the last (p > 0.05). Conclusions: Regular and long-term use of surgical masks does not harm the body metabolically and respiratorily.(c) 2022 Elsevier Inc. All rights reserved.
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