Journal of Academic Emergency Medicine Case Reports最新文献_第5页

Insidious Threat of Children: Esophageal Foreign Body Ingestion 儿童的潜在威胁:食道异物摄入

Journal of Academic Emergency Medicine Case Reports Pub Date : 2014-12-09 DOI: 10.5152/JAEM.2014.162

A. Sahin, F. Meteroğlu, A. Erbey, A. Sızlanan, Refik Ülkü

{"title":"Insidious Threat of Children: Esophageal Foreign Body Ingestion","authors":"A. Sahin, F. Meteroğlu, A. Erbey, A. Sızlanan, Refik Ülkü","doi":"10.5152/JAEM.2014.162","DOIUrl":"https://doi.org/10.5152/JAEM.2014.162","url":null,"abstract":"Objective: Foreign body ingestion commonly occurs in children. Objects that may not easily pass the esophagus cause severe complications, such as impaction, perforation, and obstruction. Different methods are used for their removal. We aimed retrospectively to analyze the cases in which we performed emergent esophagoscopy. Material and Methods: Between 2002 and 2013, 732 children with suspicion of foreign body ingestion were studied. Of them, 720 underwent emergency intervention. Objects located at the first narrowing of the esophagus were removed under sedation, and the remaining objects were taken out under general anesthesia with the aid of rigid esophagoscopy. Results: The mean age of the children was 3.9 years (range 1 month and 16 years). Coins in 648 cases and a variety of objects, opaque and non-opaque, were removed under direct vision. Urgent intervention was carried out in 6 cases with dyspnea, in 2 delayed cases, and in 3 patients with esophageal perforation. Successful removal was performed in 69 patients (95.8%). Perforation occurred in 3 cases. Removal was succeeded within surgery in 2 cases (2.7%). One patient died. Conclusion: A delay in esophageal body ingestion increases the complication rate. Round batteries and objects that are non-oval, long, large, and spiky should be dealt with great attention. (JAEM 2014; 13: 159-61)","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"261 1","pages":"159-161"},"PeriodicalIF":0.0,"publicationDate":"2014-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76702733","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}

引用次数: 6

MUSHROOM POISONING IN A METROPOLITAN HOSPITAL 首都医院的蘑菇中毒事件

Journal of Academic Emergency Medicine Case Reports Pub Date : 2014-12-09 DOI: 10.5152/JAEM.2014.167

M. Koyuncu, D. Ozturk

{"title":"MUSHROOM POISONING IN A METROPOLITAN HOSPITAL","authors":"M. Koyuncu, D. Ozturk","doi":"10.5152/JAEM.2014.167","DOIUrl":"https://doi.org/10.5152/JAEM.2014.167","url":null,"abstract":"Objective: We aimed to investigate suspected cases of mushroom poisoning that were admitted to the emergency department of a metropolitan education and research hospital. Material and Methods: Suspicious cases of mushroom poisoning and determined mushroom poisoning patients were investigated in the medical records of patients who were older than 18 years old in 1 year. We examined patient’s demographic information, admission date, complaints, time of complaint starting, and clinical and laboratory findings. Treatments and results were evaluated. Results: We analyzed 74 patients who were diagnosed with mushroom poisoning. The most common complaints of the patients were nausea and vomiting. Increases in the number of admission were observed in November and December. A total of 25 patients were externed from emergency medicine, and 39 patients were hospitalized. 5 patients treatment with hemodialysis and both of them died. Conclusion: Mushroom poisoning is known to vary according to seasonal distribution, type of mushroom, geographic shape, and climate of the region. Therefore, emergency physicians should investigate the characteristics and ecology of the region and the geographic shape, so that provision services can facility the emergency departments principles working and organizated. The importance of regional characteristics is lost in a metropolitan hospital. (JAEM 2014; 13: 162-5)","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"55 1","pages":"62-65"},"PeriodicalIF":0.0,"publicationDate":"2014-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90487306","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}

引用次数: 2

The Practice of Emergency Medicine Residents Regarding the Use of Personal Protective Equipment for Protection against Infectious Diseases 急诊医师使用个人防护用品预防传染病的实践

Journal of Academic Emergency Medicine Case Reports Pub Date : 2014-12-09 DOI: 10.5152/JAEM.2013.019

T. Ozturk, A. Tali, T. Topal, O. Guneysel

{"title":"The Practice of Emergency Medicine Residents Regarding the Use of Personal Protective Equipment for Protection against Infectious Diseases","authors":"T. Ozturk, A. Tali, T. Topal, O. Guneysel","doi":"10.5152/JAEM.2013.019","DOIUrl":"https://doi.org/10.5152/JAEM.2013.019","url":null,"abstract":"Objective: The aim of this study is to demonstrate the attitudes and practices regarding the use of personal protective equipment among emergency medicine residents. Material and Methods: In this cross-sectional survey study, emergency medicine residents who had attended the 6th Emergency Medicine Resident’s Symposium were included. In the first part of the survey, demographic characteristics, duration of residency and medical career and the institutions were investigated. In the second part, the attitudes of using personal protective equipment and also the physical status of the emergency rooms were assessed. Results: Sixty-seven emergency medicine residents were surveyed. 83.6% of them was working at education and research hospitals and 16.4% was working at university hospitals. The question about the existence of personal pro-tective equipment was affirmed by only 28.4% of the participants. 26.9% of the participants took lessons about protection from infectious diseases during their residency training. The statistical comparisons between the presence of isolation rooms and the type of the institution and being trained about personal protection against infectious diseases were not significant (p>0.05). Conclusion: Emergency medicine residents, who make the first medical intervention with most patients, do not use personal protective methods effectively. There are also some deficiencies in medical institutions with regard to preparing the physical conditions of the emergency rooms and resident education programs. (JAEM 2014; 13: 176-80)","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"47 1","pages":"176-180"},"PeriodicalIF":0.0,"publicationDate":"2014-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78390840","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}

引用次数: 3

The Knowledge Levels of Emergency Physicians: Whom to Care About? Physicians or Patients? 急诊医师的知识水平:该关心谁?医生还是病人?

Journal of Academic Emergency Medicine Case Reports Pub Date : 2014-12-09 DOI: 10.5152/JAEM.2014.80775

A. Hocagil, Hilal Hocagil, Bülent Ecevit

{"title":"The Knowledge Levels of Emergency Physicians: Whom to Care About? Physicians or Patients?","authors":"A. Hocagil, Hilal Hocagil, Bülent Ecevit","doi":"10.5152/JAEM.2014.80775","DOIUrl":"https://doi.org/10.5152/JAEM.2014.80775","url":null,"abstract":"Objective: Emergency physicians, with their life-saving roles in critical diseases’ initial evaluation, are essential for patient safety within the health system. The aim of the study is to evaluate whether the practitioners working in the ER and expert physicians (in disciplines other than emergency medicine) consider themselves competent regarding the frequent life-threatening diseases that are encountered and the accuracy of their notions. Material and Methods: A survey of 20 questions was given to ER physicians working in hospitals. Results: Of the physicians that took the survey, 82.7% considered their knowledge regarding the initial treatment of a patient admitted to the ER as sufficient or very sufficient; 65.3% of the physicians stated that four or less symptoms that would raise suspicion in an EKG of patients admitted to the ER with myocardial infarction, while 34.7% stated that there may be five or more symptoms. Additionally, 53.8% of the physicians consider themselves competent/very competent in recognizing bleeding and ischemia in brain tomography. Furthermore, 81.6% of the physicians considered their ability to apply initial treatment to a patient with diabetic ketoacidosis as sufficient or very sufficient, while the percentage of physicians who stated that the fluid deficit of a patient with diabetic ketoacidosis is 5 L or more was 55.4% Conclusion: With this study, we found evidence indicating a serious lack of knowledge among practitioners treating patients in the ER and expert physicians not related to emergency medicine regarding crucial matters related to patients admitted to the ER. (JAEM 2014; 13: 187-93)","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"47 1","pages":"187-193"},"PeriodicalIF":0.0,"publicationDate":"2014-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82363105","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}

引用次数: 1

Patient Management Symposium in Emergency Medicine at North Cyprus Emergency Medicine Days 北塞浦路斯急诊医学日急诊医学患者管理研讨会

Journal of Academic Emergency Medicine Case Reports Pub Date : 2014-12-09 DOI: 10.5152/JAEM.2014.262

M. Ergin, Daghan Aylanç, Semra Aslay, Sadiye Emircan, N. Bulakbaşı, B. Cander

{"title":"Patient Management Symposium in Emergency Medicine at North Cyprus Emergency Medicine Days","authors":"M. Ergin, Daghan Aylanç, Semra Aslay, Sadiye Emircan, N. Bulakbaşı, B. Cander","doi":"10.5152/JAEM.2014.262","DOIUrl":"https://doi.org/10.5152/JAEM.2014.262","url":null,"abstract":"The Patient Management Symposium in Emergency Medicine in North Cyprus Emergency Medicine Days was carried out between February 28 and March 1, 2014 at Lefkosa, TRNC. Fifteen academicians carried out the Emergency Medicine Patient Management Symposium with 17 presentations at 7 different panels. Besides physicians, nurses, paramedics working in the 112 emergency health care services, emergency services and in the other clinics of the Turkish Republic of North Cyprus Ministry (TRNC) of Health, health professionals working in the emergency services and intensive care units of Near East University (NEU) hospital and other private facilities and NEU School of Medicine, Nursing Department of Faculty of Health Sciences and students of the Paramedic Program of Vocational School of Health and students of the other universities attended the symposium. The number of participants was 440, and it caught more attention than expected. Holding the organization of Patient Management in Emergency Medicine Symposium under the umbrella of Northern Cyprus Emergency Medicine Days has added strength and desire to the NEU School of Medicine Emergency Medicine Department and EPAT for other planned organizations. (JAEM 2014; 13: 219-20)","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"31 1","pages":"219-220"},"PeriodicalIF":0.0,"publicationDate":"2014-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74404535","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}

引用次数: 1

Hypocalcemic Convulsion in a Six-Year-Old Child with Vitamin D Deficiency 6岁儿童维生素D缺乏症的低钙性惊厥

Journal of Academic Emergency Medicine Case Reports Pub Date : 2014-12-09 DOI: 10.5152/JAEM.2014.251

M. Tekin, Ç. Konca, Abdulgani Gülyüz

引用次数: 5

Foreign in Colon 外国人在科隆

Journal of Academic Emergency Medicine Case Reports Pub Date : 2014-12-09 DOI: 10.5152/JAEM.2014.174

Y. Kayadibi, D. Olgun, E. Ozmen, R. Özcan, A. Ipekci, I. Ikizceli

引用次数: 0

Spontaneous Diaphragmatic Hernia: A Case Report 自发性膈疝1例报告

Journal of Academic Emergency Medicine Case Reports Pub Date : 2014-12-09 DOI: 10.5152/JAEM.2013.024

F. Icme, S. Vural, F. Tanrıverdi, E. Balkan, N. Kozaci, G. Kurtoglu

引用次数: 6

What Do Guidelines Say We Should Do in Patients with ST Elevation Myocardial Infarction ST段抬高型心肌梗死的治疗指南说我们应该怎么做

Journal of Academic Emergency Medicine Case Reports Pub Date : 2014-12-09 DOI: 10.5152/JAEM.2014.46548

O. Akpınar, Ayça Açikalin, Nezihat Rana Dişel, Ç. Çağlıyan

引用次数: 0

A Diagnosis of Total Abdominal Aortic Occlusion in a Patient Who Entered the Emergency Department by Walking 1例步行进入急诊科的全腹主动脉阻塞患者的诊断

Journal of Academic Emergency Medicine Case Reports Pub Date : 2014-11-01 DOI: 10.5152/jaemcr.2014.569

Z. Dundar, Merve Guven, M. Ergin, B. Cander, Sadık Girişgin

{"title":"A Diagnosis of Total Abdominal Aortic Occlusion in a Patient Who Entered the Emergency Department by Walking","authors":"Z. Dundar, Merve Guven, M. Ergin, B. Cander, Sadık Girişgin","doi":"10.5152/jaemcr.2014.569","DOIUrl":"https://doi.org/10.5152/jaemcr.2014.569","url":null,"abstract":"Giris: Tromboz riski hiperkoagulabilite durumlarinda artar. Hiperkoagulabilite, kalitsal veya kazanilmis olabilir. Burada; acil servise yuruyerek giren, kalitsal hiperkoagulabilitesi olan ve acil serviste total abdominal aort okluzyonu ile akut renal arter trombozu tanisi konan bir olgu sunacagiz. Olgu Sunumu: 48 yasinda bayan hasta, 30 dakika once baslayan sag yan agrisi sikayetiyle acil servise basvurdu. Agri aniden baslamisti ve surekli karakterdeydi. Hasta acil servise acil servise yuruyerek girdi. Kontrastli batin bilgisayarli tomografisinde; sag renal enfarkt, sag renal arter trombusu ve iliak arter bifurkasyonu seviyesinde abdominal aortta trombus tespit edildi. Sonuc: Abdominal aort okluzyonu, hiperkoagulabilitenin nadir gorulen komplikasyonlarindan biridir. Abdominal aortanin total okluzyonu, genellikle alt ekstremitelerde iskeminin kardinal bulgulari ile kendini gosterir. Bizim vakamizda, gelismis kollateral akim sayesinde alt ekstremitelerde kan akiminin azalmasina bagli bulgu tespit edilmemistir. Acil servise yuruyerek giren bir hastanin, total aort okluzyonu tanisi almasi acil servis hekimleri acisindan ilginc bir durumdur.","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"123 1","pages":"235-255"},"PeriodicalIF":0.0,"publicationDate":"2014-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80195876","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}

引用次数: 0