Journal of Academic Emergency Medicine Case Reports最新文献

{"title":"Panhypopituitarism Following Hemorrhagic Fever with Renal Syndrome Due to Hantavirus","authors":"Abdulcelil Kayabas, A. Akgün, A. Atilla, M. Güzel, A. K. Erenler, G. Gürses","doi":"10.5152/JAEMCR.2015.799","DOIUrl":"https://doi.org/10.5152/JAEMCR.2015.799","url":null,"abstract":"Giris: Renal Sendromlu Hemorajik Ates (RSHA), Hantavirus cinsine bagli viruslerce olusan akut bir viral hastaliktir. Hantavirusler; ates, dolasim bozuklugu, kanama ve renal yetmezlik ile karekterize bir hastalik spektrumuna neden olurlar. Hipopitutiarizmin bilinen nedenleri pituiter iskemi/infarkt ve nekroz olup klinik ozelliklerinin belirsiz olmasindan dolayi genellikle farkedilemezler. Bu yazida, acil servise (AS) aciklanamayan hipoglisemi nedeni ile sevkedilen RSHA sonrasi panhipopituitarizm gelisen 60 yasina erkek olgusunu sunduk. Olgu Sunumu: Biz acil servise RSHA sonrasi gelisen panhipopitutuarizm beraber AS’ye aciklanamayan hipoglisemi ile basvuran 60 yasinda bir erkek hasta sunduk. Hastanin kan tetkiklerinde panhipopituitarizm ve anti-Hantavirus IgG ve IgM pozitifligi tespit edildi. Hormon replasman tedavisi baslandi ve hasta ayaktan takibe alinarak tam iyilesme ile taburcu edildi. Sonuc: Panhipopituitarizm RSHA sonrasi cok nadir gorulen bir komplikasyondur. Morbidite ve mortaliteyi azaltmak icin; acil tip, dahili tip ve enfeksiyon hastaliklari uzmanlari bu komplikasyona karsi uyanik olmalidirlar","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"18 1","pages":"23-25"},"PeriodicalIF":0.0,"publicationDate":"2015-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90640827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of Prothrombin Complex Concentrates for Oral Anticoagulant Therapy-related Major Hemorrhage","authors":"U. Çavuş, S. Yildirim, Aynur Yurtseven, Ertan Sonmez","doi":"10.5152/JAEM.2015.37928","DOIUrl":"https://doi.org/10.5152/JAEM.2015.37928","url":null,"abstract":"In patients admitted to accident and emergency departments for anticoagulant use-related major hemorrhage and requiring urgent surgery or life-saving invasive intervention, the international normalized ration (INR) value should be rapidly corrected and bleeding should be controlled. With prothrombin complex concentrate (PCC), when used at optimal dose levels, target INR values are achieved within 15 min. In this study, we aimed to discuss the efficacy of the used four-factor PCC in 10 patients who were admitted to the accident and emergency department because of oral anticoagulant use-related major bleeding. Of all the patients to whom PCC treatment was administered, targeted INR levels could not be attained in 2 patients (20%). For our cases with gastrointestinal bleeding, the average baseline INR value was 7.3, while the average INR value after PCC administration was 1.9. For our subdural hematoma cases, the median baseline INR value was 2.5, while the median INR value after PCC administration was 1.3. We believe that PCCs used in eligible patient groups, as in this case series, may provide the desired results at lower doses and that they may be safer with regard to complications. (JAEM 2015; 14: 37-40)","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"46 1","pages":"37-40"},"PeriodicalIF":0.0,"publicationDate":"2015-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86418194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Five-Day Simulated Boot Camp Helps Prepare Medical Students for Transition to Internship Emergency Medicine Rotation","authors":"S. Yaylaci, D. Kitapcioglu","doi":"10.5152/JAEM.2015.68736","DOIUrl":"https://doi.org/10.5152/JAEM.2015.68736","url":null,"abstract":"Medical simulation-based training offers a risk-free clinical environment and also promotes learner investment in active participation and allows for structured feedback for individual performance improvement. Adult learning needs specific methodologies for knowledge acquisition and skill improvement, which can be met by simulation sessions. Nowadays, integration of medical simulation into curriculum is the main concern of faculties. Patient safety, malpractice, and increased mortality rates caused by human errors increases the importance of medical simulation sessions for both undergraduate and postgraduate training programs (1). Many patient profiles that can be encountered in the emergency department (ED) can be simulated. High-fidelity patient simulators allow medical students to gain experience in contemporary educational practices before practicing on patients. For internship programs before they meet with real patients, boot camp courses in medical simulation centers are widely organized by universities. In Turkey, our university is pioneering this kind of educational programs. After preclinical conditions, interns feel fear and anxiety to take part in the real ED and work with the staff and equipment. Also, it is diffucult to manage that kind of situations for the instructors. This type of learner presents a challenge to the ED staff and physicians in teaching setings while still maintaining ED flow and the same level of patient care (1, 2). Center of Advanced Simulation and Education (CASE) is a multidisciplinary medical simulation center under the supervision of the university. The center has been running since 21 October 2013. CASE aims to give high-quality education with new training methodologies by using state-of-art simulation modalities and medical equipment. The center consists of two departments, medical simulation training center and advanced endoscopic/robotic surgery training center. CASE offers three types of simulation-based experiential learning via standardized patients, virtual reality task trainers, and high-fidelity manikins in a real hospital environment (Figure 1).","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"41 1","pages":"49-50"},"PeriodicalIF":0.0,"publicationDate":"2015-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91297775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A “But the Patient was Good with a Full ROM and She Could Walk” Case","authors":"Betul Akbuga Ozel","doi":"10.5152/JAEM.2015.27048","DOIUrl":"https://doi.org/10.5152/JAEM.2015.27048","url":null,"abstract":"","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"7 1","pages":"1-1"},"PeriodicalIF":0.0,"publicationDate":"2015-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74371017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"History of Intubation","authors":"S. Goksu, E. Şen","doi":"10.5152/JAEM.2015.96720","DOIUrl":"https://doi.org/10.5152/JAEM.2015.96720","url":null,"abstract":"The history of airway management has become an issue of concern for clinicians because of the remarkable advances that have occurred in airway management in recent years. Endotracheal intubation became a routine medical practice in the second half of the 20 th century. Thereafter, progress was made in modern anesthesia and thoracic surgery. As the number of intubated patients increased, the need for a more effective placement of the tube also increased. (JAEM 2015; 14: 35-6)","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"28 1","pages":"35-36"},"PeriodicalIF":0.0,"publicationDate":"2015-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88161823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Back Pain and Inability to Walk in a Young Girl","authors":"Roya Ghiami, S. Vahdati, Roshan Fahimi, Farid Eftekhari Milani","doi":"10.5152/JAEM.2015.29052","DOIUrl":"https://doi.org/10.5152/JAEM.2015.29052","url":null,"abstract":"A 20-year-old woman presented to the emergency department (ED) with progressive weakness, paresthesia, and back pain lasting for 8 days. She was conscious and her vital signs were normal. Her past medical history was unremarkable. No abnormality was found on radiography and computed tomography (CT). However, magnetic resonance imaging (MRI) showed an intramedullary mass at the dorsal cord at approximately the T8-T9 level, accompanied by mild perilesional edema. Consequently, the patient was diagnosed with hemangioma. The patient underwent preoperative embolization, with minimal bleeding during surgery. (JAEM 2015; 14: 47-8)","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"11 1","pages":"47-48"},"PeriodicalIF":0.0,"publicationDate":"2015-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79671980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Unusual Manner Is Up to Allopurinol: DRESS Syndrome","authors":"E. Karaman, M. G. Turtay, S. Gurbuz, H. Oguzturk, M. Sarihan, Serkan Bican","doi":"10.5152/JAEMCR.2014.624","DOIUrl":"https://doi.org/10.5152/JAEMCR.2014.624","url":null,"abstract":"Giris: Alerjik reaksiyonlar, acil serviste cok cesitli sekillerde gorulebilir. Olgu Sunumu: Altmis alti yasinda bayan hasta ozellikle yuzunde ve govdesinde olan kasintili dokuntuler nedeni ile acil servise basvurdu. Hastanin hikâyesinde 15 gun once rutin tetkiklerinde urik asit yuksekligi saptanmasi nedeniyle allopurinol baslandigi ogrenildi. Fizik muayenede vital bulgular stabildi. Konjonktivalar hiperemikti. Hastanin dudaklarinda erozyonlar ve hemorajik krutlar, oral mukoza, yuz, govde ve sirtta yaygin eritemli basmakla solan makulopapuler lezyonlar mevcuttu. Hastaya eozinofili ve sistemik semptomlar ile Ilac dokuntusu (DRESS) sendromu on tanisi ile Dermatoloji konsultasyonu istendi. Daha sonra hastaneye yatisi yapilan hastanin ilaclari kesildi, anti histaminik ve sistemik steroid tedavisi uygulandi. Hasta sifa ile taburcu edildi. Sonuc: Allopurinol kullanim oykusu ile acil servise basvuran cilt lezyonlari olan, karaciger fonksiyon testlerinde bozulma yani ic organ tutulumu tespit edilen hastalarda DRESS sendromu akla getirilmelidir.","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"49 1","pages":"265-267"},"PeriodicalIF":0.0,"publicationDate":"2015-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86073377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Interesting Methanol Poisoning: Case Report","authors":"R. Koylu, E. Akıncı, O. Koylu, Z. Dundar, Y. Gunaydin, N. Akilli, Y. Sakarya, B. Cander","doi":"10.5152/JAEMCR.2014.578","DOIUrl":"https://doi.org/10.5152/JAEMCR.2014.578","url":null,"abstract":"Giris: Biz bu calismamizda gercekten cok ilginc ve nadir gorulen fakat ozellikle ulkemizde gorulme potansiyeli olabilecek bir metanol zehirlenme vakasini sunmayi amacladik. Metanol oral, inhalasyon ve dermal yolla cok az miktarda alimlarda dahi ciddi zehirlenmeye yol acabilen oldukca toksik bir alkoldur. Olgu Sunumu: Bu vakada da 48 yasinda erkek hasta bacaklarinda agri sikayeti nedeniyle son 3 gundur bacaklarini ispirto ile ovdugunu ifade ediyor. Ucuncu gun ani gelisen gorme kaybi sikayetinin olmasi uzerine acil servise basvuran hastanin yapilan norolojik muayenesi ve goruntuleme yontemleri sonucu gorme kaybini aciklayacak organik bir patoloji saptanmadi. Yapilan kan gazi tetkiklerinde yuksek anyon gapli metabolik asidoz mevcuttu ve kan metanol duzeyi 38 mg/dL olarak olculdu. Yapilan goz muayenesinde %99’luk gorme kaybi tespit edildi. Derin asidoz ve gorme sikayetlerinin olmasi uzerine eliminasyon amaciyla hemodiyaliz uygulandi. Ayrica antidot olarak uygulanan etil alkol ve fomepizol tedavisi baslandi.Bunlara ek olarak goz konsultaninin onerileriyle 1 mg/kg dozunda, 1 ay sureyle prednol tedavisi de eklendi. Tedavi ile 2.ayin sonunda gorme keskinligi sag goz icin 1, sol goz icin 0.4’e yukselmistir. Sonuc: Metanol zehirlenmesi uygun sekilde tedavi edilmedigi zaman olumcul olabilen bir zehirlenme turudur. Acil hekimleri iyi anamnez alinamayan, bilinc degisikligi olan, artmis anyon acigi olan hastalarda metanol zehirlenmesi olasiligini dusunmeli ve uygun tedaviye baslamalidir","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"59 1","pages":"262-264"},"PeriodicalIF":0.0,"publicationDate":"2015-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84187009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acute Myocardial Infarction with Normal Coronary Angiography after Butane Inhalation","authors":"Ş. K. Çorbacıoğlu, Ş. Akkuş, Y. Çevik, E. Emektar, Ibrahim Kember, Tuba Sarıaydın","doi":"10.5152/JAEMCR.2015.778","DOIUrl":"https://doi.org/10.5152/JAEMCR.2015.778","url":null,"abstract":"Giris: Cakmak gazi olarakta bilinen butan gazi genellikle gencler arasinda keyif yapici bir madde olarak kullanilmaktadir. Bu gazlar eglence ve keyif alma amacli soluma veya koklama yoluyla kullanildiginda akut myokard infarktusu (MI), ventrikuler fibrilasyon veya ani olum gibi ciddi kardiyak yan etkilere neden olabilmektedir. Olgu Sunumu: 19 yasinda erkek hasta 112 tarafindan cakmak gazi koklama sonrasinda kardiyak arrest olarak acil servise getirildi. Basarili bir resusitasyon sonrasi cekilen elektrokardiyografisinde yuksek lateral MI tanisi alan hastanin yapilan koroner anjiyografisinde normal koroner damarlar saptandi. Bizim vakamiz butan gazi inhalasyonu sonrasi MI tanisi alan ve koroner anjiyografisi yapilabilen nadir vakalardan birisidir. Sonuc: Butan gazi inhalasyonu ST segment elevasyonlu MI nedeni olabilmektedir. Bu butan gazi iliskili MI nedeni ise mekanik obstruksiyondan daha cok koroner vazospazma baglidir","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"47 1","pages":"16-18"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78375737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Melena Associated with Ganoderma lucidum: A Case Report","authors":"Demet Acar, Mustafa Gulpembe, N. Akilli, S. Calik, R. Koylu, Y. Gunaydin, B. Cander","doi":"10.5152/JAEMCR.2015.741","DOIUrl":"https://doi.org/10.5152/JAEMCR.2015.741","url":null,"abstract":"Giris: Melena acil servis hastalari arasinda gorulen hayati tehdit edebilecek bir bulgudur. Olgu Sunumu: Biz burada, onceden bilinen herhangi bir mide sikayeti olmayan genc bir erkek hastada Ganoderma Lucidum kullanimi ile induklenen bir melena olgusu sunacagiz. Sonuc: G. lucidum'un bazi toksik etkileri bildirilmistir ancak bildigimiz kadariyla, bu vaka bildirilen G. lucidum ile iliskili ilk ust gastrointestinal sistem kanamasidir.","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"190 ","pages":"7-9"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91466176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}