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    Factors affecting drowning-related mortality of elderly foreigners according to autopsy results
    (Geriatrics Society, 2016) Beydilli, İnan; Cin, Özgür; Kozaci, Nalan; Yilmaz, Fevzi; Sönmez, Bedriye Müge; Tepe, Güler; Korkmaz, İlhan
    Introduction: We aimed to determine age-related factors associated with fatal drowning by analyzing the demographic data of drowning victims. In addition, we discuss possible measures to reduce drowning-associated deaths. Materials and Method: We retrospectively reviewed autopsy reports of foreign tourists, who died due to drowning, and then, whose autopsy and pathological sampling were carried out in Antalya Forensic Medicine Institution. The included cases were divided into two groups; Group I comprised cases who were a65 years at the time of death, and Group II comprised cases ?65 years. The groups were compared with respect to demographic data, water source from which they were taken out, season, narcotics, alcohol level and presence of coronary artery diseases. Results: 48 of 89 cases that we included in the study account for Group I while the rest, 41 cases, account for Group II. Statistically significant difference was determined between the groups with respect to nationality, season, water source from which they were taken out, alcohol levels and coronary artery diseases (p<0.05). No statistically significant difference was determined between the groups with respect to gender, narcotics and BMI (p>0.05). Conclusion: We therefore recommend that people, particularly those with CAD, choose mornings and afternoons for swimming, thereby avoiding the midday hours in which temperature and humidity are high. Furthermore, they should not strain their effort capacity and should avoid imbibing alcoholic drinks before swimming. © 2016, Geriatrics Society. All rights reserved.
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    Pre-hospital airway management preferences of paramedics
    (Bayrakol Medical Publisher, 2020) Beydilli, Inan; Korkmaz, Ilhan; Yilmaz, Fevzi; Gungor, Faruk; Kirpat, Vedat; Kozaci, Nalan; Avci, Mustafa
    Aim: The success of paramedics in the pre-hospital airway management in traumatic and non-traumatic critically ill patients, especially in cardiac arrest, is very important in terms of mortality and morbidity. Materials and Methods: Patients who were admitted to the Emergency Department by pre-hospital emergency ambulance service were included in the study. The standard data registration form was created for the study. Demographic data, pre-hospital and in-hospital vital signs, GCS scores, cardiac rhythms, applied airway method, transport time and 48-hour mortality rates were recorded in the study form. Results: While the initial approach to airway management was a bag-valve mask in 80 patients (82%), advanced airway management was performed in 18 (18%) patients. The mean time period for the ambulance arriving at the patient was 6.52 +/- 3.06 min and the mean time period of transport to the hospital was 11.42 +/- 9.53 min in all patients. Although there was no difference between patients managed with BVM and patients managed with advanced airway interventions in terms of a time period needed to access patient (p=0.957), there were significant differences in terms of a time period needed to access emergency service (p=0.001) and total time period (p=0.001) Among patients with CPA, there was a significant difference between patients managed with and without advanced airway interventions in terms of 48-hour mortality (p=0.035). Discussion: Although the pre-hospital airway management still remains its mystery, we think that providing ventilation with BVM without losing time and transportation to the hospital would be more appropriate for patients in short distances and for patients with less risk of aspiration in terms of mortality and transportation time.