Journal of Academic Emergency Medicine Case Reports最新文献_第6页

Thrombosis in Arterial and Venous System Simultaneously; What is the Reason? 动脉和静脉系统同时形成血栓;原因是什么?

Journal of Academic Emergency Medicine Case Reports Pub Date : 2014-11-01 DOI: 10.5152/jaemcr.2014.25348

I. Beydilli, N. Kozaci, F. Gungor, Asım Arı

引用次数: 0

Takotsubo Syndrome and Acute Coronary Syndrome: Case Report and Literature Review Takotsubo综合征与急性冠脉综合征:病例报告及文献复习

Journal of Academic Emergency Medicine Case Reports Pub Date : 2014-10-24 DOI: 10.5152/JAEM.2015.93446

S. Yaylaci, T. Ozturk, M. Serinken, C. Eken, O. Karcioglu

引用次数: 1

Prognostic Value of Red Cell Distribution Width in Patients with Organophosphate Poisoning 红细胞分布宽度在有机磷中毒患者中的预后价值

Journal of Academic Emergency Medicine Case Reports Pub Date : 2014-10-24 DOI: 10.5152/JAEM.2014.90692

Z. Dundar, M. Ergin, N. Erbakan

{"title":"Prognostic Value of Red Cell Distribution Width in Patients with Organophosphate Poisoning","authors":"Z. Dundar, M. Ergin, N. Erbakan","doi":"10.5152/JAEM.2014.90692","DOIUrl":"https://doi.org/10.5152/JAEM.2014.90692","url":null,"abstract":"Aim: The aim of this retrospective study was to investigate the prognostic value of red cell distribution width (RDW) and other hematological parameters measured on admission to the emergency department in patients with organophosphate poisoning. Materials and Methods: All patients aged ≥15 years who were admitted to the emergency department from 2008 to 2013 on account of organophosphate poisoning were included in the study. The written and electronic medical charts of the patients were reviewed. Hematological parameters were recorded. Mechanical ventilation requirement was used as the primary endpoint. Results: A total of 72 patients were included in the study for evaluation. Mechanically ventilated patients had significantly higher leukocyte counts and RDW levels than non-ventilated patients (p=0.004 and p<0.001, respectively). The area under the receiver-operating characteristic curve of RDW levels for predicting mechanical ventilation requirement was 0.716 (95% CI: 0.581-0.852, p=0.010). RDW had a sensitivity of 73%, specificity of 70%, and negative predictive value of 91% with a cut-off value of 14.5% in predicting mechanical ventilation requirement in patients with organophosphate poisoning. Conclusion: RDW can be a valuable and easy-to-use parameter in estimating prognosis in the follow-up of patients with organophosphate poisoning. (JAEM 2015; 14: 65-9)","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"5 1","pages":"65-69"},"PeriodicalIF":0.0,"publicationDate":"2014-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89278182","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: 15

Spontaneous Subclavian Artery Transection after Sneezing 打喷嚏后自发性锁骨下动脉横断

Journal of Academic Emergency Medicine Case Reports Pub Date : 2014-10-17 DOI: 10.5152/jaemcr.2014.646

S. Sezgin, G. Aksel, Hande Akbal, O. Guneysel, Ş. E. Çevik

{"title":"Spontaneous Subclavian Artery Transection after Sneezing","authors":"S. Sezgin, G. Aksel, Hande Akbal, O. Guneysel, Ş. E. Çevik","doi":"10.5152/jaemcr.2014.646","DOIUrl":"https://doi.org/10.5152/jaemcr.2014.646","url":null,"abstract":"Giris: Spontan subklavyen arter yaralanmalari nadir rastlanir. Hapsirma sonrasi spontan subklavyen arter transeksiyonunu gelisen bir olguyu sunmayi amacladik. Olgu Sunumu: 18 yasinda erkek hasta acil servise hapsirma sonrasi sag omuz agrisi sikayeti ile basvurdu. Hastanin vital bulgulari ve fizik muayenesi normaldi. Akciger grafisinde mediasten genisligi 7 cm idi. Hasta taburcu edildi. Hasta taburculugundan bes saat sonra acil servise nefes darligi ve gogus agrisi sikayeti ile basvurdu. Hipotansif ve tasikardik olan hastanin sag brakial ve radial nabizlar palpe edilemedi. Masif hemotoraks tespit edildi. Tup torakostomi yapildi, hemodimisinin hizla bozulmasi uzerine acil torakotomi yapilan hastada kanama kontrolu esnasinda kardiyak arrest gelisti. Postmortem yapilan eksplorasyonda sag subklavyen arterin arcus aorta birlesme noktasindan sirkuler olarak tam kat yirtilmaya bagli olarak tamamen ayrildigi (komplet transeksiyon) goruldu. Sonuc: Hapsirma, spontan arter diseksiyonunu tetikleyen minor travmalar arasinda yer almaktadir. 6 cm ve uzerindeki mediasten genisligi uc kat artmis mortalite ile iliskili bulunmustur. Acil servise ozellikle ani hareket sonrasi baslayan gogus, sirt, omuz ve kol agrisi gibi yakinmalarla basvuran ve akciger grafisinde ≥6 cm mediastinal genislik tespit edilen hastalarda ileri goruntuleme yapilmasinin bu olgudaki gibi nadir ancak mortalitesi yuksek hastaliklarin taninmasinda faydali olabilecegini dusunmekteyiz.","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"236 1","pages":"29-32"},"PeriodicalIF":0.0,"publicationDate":"2014-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73704089","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

latrogenic Pneumothorax after Liver Biopsy 肝活检后的腔源性气胸

Journal of Academic Emergency Medicine Case Reports Pub Date : 2014-10-01 DOI: 10.5152/jaemcr.2014.577

Müge Gülen, M. Ay, D. Kaplan, H. Dizen, F. Icme

引用次数: 0

Thalamic Infarct due to Electrical Injury 电损伤引起的丘脑梗死

Journal of Academic Emergency Medicine Case Reports Pub Date : 2014-10-01 DOI: 10.5152/jaemcr.2014.576

N. Akilli, R. Koylu, Bekir Opuş, M. Kızmaz, Y. Gunaydin, B. Cander

{"title":"Thalamic Infarct due to Electrical Injury","authors":"N. Akilli, R. Koylu, Bekir Opuş, M. Kızmaz, Y. Gunaydin, B. Cander","doi":"10.5152/jaemcr.2014.576","DOIUrl":"https://doi.org/10.5152/jaemcr.2014.576","url":null,"abstract":"Introduction: Electrical injuries are important environmental emergencies, ranging from simple skin burns to death. In this case, thalamic infarction, as a rare effect of electrical injury, will be discussed. Case Report: A 38-year-old male patient being multiplied 380 volt industrial electricity was admitted to the emergency department with complaints of numbness and loss of strength on the right side 1 day after the event. In the first examination, the vital signs were stable and the patient was conscious. The lung, heart, and abdominal examination was normal. Whole blood count and blood chemistry were normal. The ECG was normal sinus rhythm. An acute infarct in the left thalamic level was detected in the captured brain CT and diffusion MR. All tests conducted for the etiology were considered normal. The patient was followed and treated for 15 days in the neurology department and then discharged from there. Conclusion: Electrical injuries are common and major environmental emergencies that can be fatal. They can cause a lot of early and late neurologic syndromes. Cerebral infarction within this syndrome is a very rare statement. Although paresthesia due to electrical injuries is transient, imaging methods, such as CT and MR, should be used.","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"8 1","pages":"244-246"},"PeriodicalIF":0.0,"publicationDate":"2014-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84785428","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

A Rare Case: Spontaneous Uterine Rupture in First Pregnancy 首次妊娠自发性子宫破裂1例

Journal of Academic Emergency Medicine Case Reports Pub Date : 2014-10-01 DOI: 10.5152/JAEMCR.2014.502

G. Aksel, Asli Deniz, O. Guneysel

{"title":"A Rare Case: Spontaneous Uterine Rupture in First Pregnancy","authors":"G. Aksel, Asli Deniz, O. Guneysel","doi":"10.5152/JAEMCR.2014.502","DOIUrl":"https://doi.org/10.5152/JAEMCR.2014.502","url":null,"abstract":"Giris: Gebeligin cok nadir bir komplikasyonu olan spontan uterus rupturu hem fetus hem de anne icin oldukca katastrofiktir. Bu durum, uterus anomalileri, uterin skar dokusu varligi, makrozomik fetus, sefalopelvik uyusmazlik ve dogum esnasinda induksiyon ajanlari kullanilmasi gibi risk faktorleri ile iliskilidir. Bu yazida oldukca nadir gorulen, ilk gebelikte gelisen, travma oykusu olmayan skarsiz bir uterus rupturu vakasini tartismayi amacladik. Olgu Sunumu: 22 yasinda ve 22 haftalik ilk gebeligi olan hasta acil servise bayilma ve hafif dispne sikayetleri ile basvurdu. Hastanin travma oykusu yoktu. Fizik muayenesinde Glasgow koma skoru 15, arteriyel tansiyonu 60/30mmHg ve nabiz sayisi 110/dakika idi. Yapilan ilk abdominal ultrason sonucu normal olarak degerlendirildi. Kadin hastaliklari ve dogum uzmanina toplamda 2 defa konsulte edilen hastada fetal kalp atimlarinin normal oldugu ve obstetrik bir patoloji dusunulmedigi bilgisi alindi. 1000ml normal salin infuzyonuna ragmen hipotansiyonu devam eden hastanin yapilan kontrol ultrasonunda batin icerisinde serbest sivi tespit edildi. Bunun uzerine genel cerrahi tarafindan tanisal amacli acil laparotomy uygulanan hastada batin icerisinde onemli miktarda kanama oldugu ve fetusun peritoneal kavitede oldugu goruldu. Hasta operasyon sonrasinda iyilesip, post operatif 5. gunde taburcu edilirken fetus kaybedildi. Sonuc: Her ne kadar primigravidlerde cok nadir gorulse de, acil servis doktorlari hemodinamik olarak unstabil olan gebe hastalarda spontan uterus rupturunu akla getirmelidirler.","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"17 1","pages":"238-240"},"PeriodicalIF":0.0,"publicationDate":"2014-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78759834","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

Can an Article Be Worth $25 000? 一件物品能值2.5万美元吗?

Journal of Academic Emergency Medicine Case Reports Pub Date : 2014-09-02 DOI: 10.5152/JAEM.2014.358

H. Cebicci, Sukru Gurbuz

引用次数: 0

Clinical and Demographic Properties of the Acute Stroke Patients Admitted to Emergency Department of a Tertiary Referral Center 某三级转诊中心急诊科收治急性脑卒中患者的临床和人口统计学特征

Journal of Academic Emergency Medicine Case Reports Pub Date : 2014-09-02 DOI: 10.5152/JAEM.2014.233

D. Aksoy, M. Ayan, Tufan Alatlı, F. Şahin, M. Ozdemir, B. Çevik, S. Kurt

{"title":"Clinical and Demographic Properties of the Acute Stroke Patients Admitted to Emergency Department of a Tertiary Referral Center","authors":"D. Aksoy, M. Ayan, Tufan Alatlı, F. Şahin, M. Ozdemir, B. Çevik, S. Kurt","doi":"10.5152/JAEM.2014.233","DOIUrl":"https://doi.org/10.5152/JAEM.2014.233","url":null,"abstract":"Objective: Stroke is an important cause of morbidity and mortality and has an increasing trend in the emergency department. It has become crucial to treat ischemic stroke with thrombolytic therapy. We reviewed the findings of the initial examinations, arrival times, clinical and demographic characteristics of stroke patients in our emergency department. Material and Methods: One hundred forty-seven stroke patients who registered at the emergency department within the first 24 hours were included in this study. Parameters, such as stroke type, age, gender, medical history, arrival complaints, application time, hospitalization department, and time, were recorded. Results: Patients’ mean age was 66.01±13.07 years (ischemic stroke: 85.7%, hemorrhagic stroke: 14.3%). No significant difference was observed between the ages, arrival complaints, and stroke types. The main risk factor was hypertension. While ischemic stroke patients were typically brought in the morning time, the hemorrhagic stroke patients were brought in the afternoon. While the common complaint of ischemic stroke patients was hemiparesis/plegia, hemorrhagic stroke patients mostly complained of impairment/loss of consciousness. Conclusion: The majority of stroke patients came with numerous clinical hallmarks that help in the diagnosis. Since early medical intervention is life-saving, evaluation of these clinical clues of the patient in a short time is the key to lifesaving treatment. (JAEM 2014; 13: 135-8)","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"44 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2014-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76683013","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: 4

Bifurcation of Carotico-Subclavian Artery Injury due to Central Venous Catheterization 中心静脉置管所致颈锁骨下动脉损伤的分岔

Journal of Academic Emergency Medicine Case Reports Pub Date : 2014-09-02 DOI: 10.5152/JAEM.2014.179

Erhan Hafız, V. Sarıçiçek, A. Ozkur, H. Deniz

引用次数: 0