Forensic Cases in Pediatric Emergency Department: A Single Center Experience

Feyza Hüsrevoğlu Esen, M. Dogan
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Abstract

Introduction: Forensic cases occurring in childhood are among the most preventable health problems worldwide. It is important to identify forensic cases in the region we live in, in order to take appropriate prevention. The aim of this study was to evaluate the demographic and epidemiologic non-traumatic major forensic cases admitted to the pediatric emergency department retrospectively and to determine the accurate and rapid management. Methods: Data of 1.270 children under the age of 18 years, who were admitted to Kayseri City Hospital, Pediatric Emergency Clinic from January 2019 to December 2019, were analyzed retrospectively. Results: Of the children who were admitted to pediatric emergency department as forensic cases, 50.9% were girls and 49.1% were boys. Their mean age was 7.45±6.15 years. The most common diagnosis was intoxication. This was followed by narcotic cases, foreign body aspiration cases, psychiatric cases, cardiopulmonary arrest cases, and other cases. Considering the seasonal distribution of these cases, the most frequent application was in the spring and the least application was in the autumn. Considering the age distribution of these cases, it is seen that the highest rate was between the ages of 11 and 18 years and the lowest rate was between the ages of 6 and 10 years. Conclusion: Accidents and intoxication cases are the leading causes of preventable death in our country and also all over the world. In order to reduce such incidents, necessary arrangements should be made for the safety of children and their homes, and appropriate safety tools should be used when necessary to ensure safety. Regular trainings should be provided to children and parents within the framework of injury prevention programs by educators and healthcare professionals. Abstract
儿科急诊科的法医案例:单一中心经验
导言:儿童时期发生的法医案件是全世界最可预防的健康问题之一。重要的是在我们居住的地区查明法医案件,以便采取适当的预防措施。本研究的目的是回顾性评估儿科急诊科收治的人口统计学和流行病学非创伤性重大法医病例,并确定准确和快速的处理方法。方法:回顾性分析2019年1月至2019年12月开塞利市医院儿科急诊科收治的1270例18岁以下儿童的资料。结果:在儿科急诊科作为法医病例就诊的患儿中,女童占50.9%,男童占49.1%。平均年龄7.45±6.15岁。最常见的诊断是中毒。其次是麻醉病例、异物吸入病例、精神病例、心肺骤停病例和其他病例。从病例的季节分布来看,春季使用频率最高,秋季最少。从这些病例的年龄分布来看,发病率最高的是11 - 18岁,发病率最低的是6 - 10岁。结论:事故和中毒是我国乃至世界范围内可预防死亡的主要原因。为了减少这类事件,应为儿童及其家庭的安全作出必要的安排,并在必要时使用适当的安全工具以确保安全。定期培训应提供给儿童和家长框架内的伤害预防方案由教育工作者和卫生保健专业人员。摘要
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