Global Emergency and Critical Care最新文献

{"title":"The Relationship Between Mindfulness and Styles of Coping with Stress and Depression in Emergency Medicine Residents Working in İstanbul","authors":"Ahmet Faruk Orhan, Sarper Yılmaz, Ece Altındağ Orhan, Ö. Karcıoğlu","doi":"10.4274/globecc.galenos.2022.43531","DOIUrl":"https://doi.org/10.4274/globecc.galenos.2022.43531","url":null,"abstract":"Objective: This study aimed to examine the relationship between mindfulness and coping styles with stress and depression in emergency medicine residents (EMR)","PeriodicalId":309908,"journal":{"name":"Global Emergency and Critical Care","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115174247","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 Rare Cause of Orbital Compartment Syndrome: Gunshot Injury","authors":"Önder Yeşiloğlu","doi":"10.4274/globecc.galenos.2022.32042","DOIUrl":"https://doi.org/10.4274/globecc.galenos.2022.32042","url":null,"abstract":"To our knowledge, there are no reported orbital compartment syndrome (OCS) cases caused by a foreign body in the orbit accompanying retrobulbar bleeding after gunshot injury. A 44-year-old male patient presented to our emergency room with a gunshot injury, stating that a bullet hit his right eye approximately 20 min before the visit. A single bullet entry hole was visible on the lateral side of his right lower eyelid. Proptosis, ecchymosis, edema, conjunctival chemosis and lateral strabismus was present in the patient’s right eye. The tonicity of the right eye was slightly increased on palpation and the patient was considered to have OCS. Computed tomography (CT) was performed, which revealed retrobulbar hemorrhage and a bullet fragment stuck in the orbital posterior wall. Anti-edema treatment was initiated and lateral canthotomy/cantholysis was planned for the patient. Another orbital CT showed perforation in the injured eye. The patient was re-evaluated by ophthalmology and neurosurgery specialists, and the foreign body (bullet nucleus) in the retrobulbar region was removed by neurosurgery specialist. The patient was discharged with recommendations from the neurosurgery ward after 5 days. OCS can occur as a rare complication of a gunshot injury. Eye tonicity of patients with firearm injuries to the ocular area should be evaluated at frequent intervals and the need for cantatomy or cantolysis should be considered with a multidisciplinary approach in this setting.","PeriodicalId":309908,"journal":{"name":"Global Emergency and Critical Care","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130302037","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":"Left Paraduodenal Hernia: A Rare Case Report of Internal Herniation","authors":"Bekir Bulut, İ. Güler, Bahadır Karaca, B. Çelik","doi":"10.4274/globecc.galenos.2022.54264","DOIUrl":"https://doi.org/10.4274/globecc.galenos.2022.54264","url":null,"abstract":"Internal herniation is a rare cause of acute abdomen. If it is not diagnosed and treated in time, it can cause death. This case report discusses the clinical findings and surgical treatment of a case of left paraduodenal hernia, a rare cause of internal herniation. The diagnosis and treatment process of a 24-year-old female patient with ileus findings was retrospectively evaluated and presented in the literature. The patient was operated on with a preliminary diagnosis of internal herniation and the definitive diagnosis was made intraoperatively. At laparotomy, it was observed that almost all of the small intestines herniated posteriorly from the left paraduodenal region. Small intestinal loops were reduced and the hernia sac defect was primarily repaired. The patient was discharged on the fifth postoperative day with complete recovery. Left paraduodenal hernia is a type of internal herniation that should be considered in the differential diagnosis of patients with recurrent abdominal pain and intestinal obstruction. Surgical reduction and primary repair of the defect is an appropriate treatment.","PeriodicalId":309908,"journal":{"name":"Global Emergency and Critical Care","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131073346","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":"Demographic and Clinical Characteristics of COVID-19 Cases at the 112 Emergency Call Centers in İstanbul","authors":"Y. Aydın, Şakir Ömür Hıncal, İsmail Ödemiş, Gökhan Eyüpoğlu, Verda Tunalıgil, K. Türkdoğan","doi":"10.4274/globecc.galenos.2022.13008","DOIUrl":"https://doi.org/10.4274/globecc.galenos.2022.13008","url":null,"abstract":"Objective: The study aims to present calls received at the 112 Emergency Calls Centers in İstanbul. Algorithms were applied to analyze the demographic and clinical characteristics of coronavirus disease-2019 (COVID-19) cases. Materials and Methods: Incoming calls at the 112 Emergency Call Centers of the European and Anatolian regions of the metropolitan city of İstanbul were assessed. In the retrospective study, the period under investigation was from March 11 to May 1 of 2020. Results: Patients with suspected severe acute respiratory syndrome-coronavirus-2 pneumonia (n=35,443) were analyzed. The mean age of the patients was found to be 50.6±22.3. Of this total, 16,902 (47.7%) cases were female. Ambulance response times for these cases were reported as 10.2 (7.0-16.3) minutes. In terms of clinical symptoms, 18,958 (53.50%) of the cases had fever, 18,359 (51.86%) had a cough, and 21,121 (59.60%) had shortness of breath. The district with the highest number of cases was Gaziosmanpasa with 1,256 cases, 42.16 people per square meter. Conclusion: Prehospital health services are an important link in the chain of survival. Ambulance services act as a bridge between individuals in the community and hospital care services in cases of disasters such as earthquakes, floods, pandemics. The structural establishment of a robust system to meet the incoming demands, the construction of applicable algorithms, building the optimal infrastructure for ambulances in accordance with the population intensity, will both protect the system and help to improve the quality of health services delivery.","PeriodicalId":309908,"journal":{"name":"Global Emergency and Critical Care","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116353199","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":"Effect of SARS-CoV-2 Variants on the Progression of COVID-19 Disease: A Retrospective Analysis From a Pandemic Hospital","authors":"A. Çakır, K. Şener, N. Karabulut, Banu Arslan, E. Altuğ, Gökhan Eyüpoğlu, R. Güven","doi":"10.4274/globecc.galenos.2022.35229","DOIUrl":"https://doi.org/10.4274/globecc.galenos.2022.35229","url":null,"abstract":"Objective: Severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) is an agent of the pandemic coronavirus disease-2019 (COVID-19). New variants that have emerged throughout these pandemic presented new challenges and made the disease control process even more difficult. In our study, we aimed to investigate the effect of variants on the progression of COVID-19 and add value to the medical literature by providing valuable information. Materials and Methods: The current study was designed as a retrospective and single-center study. Three thousand and a hundred and ninety-three patients whose SARS-CoV-2 polymerase chain reaction tests came positive between June 1, 2020, and June 1, 2021, were included in the study. Demographic data and the medical history of patients were collected and recorded. The statistical significance level sought was p<0.05. Results: Fifty percent of the cases were male and the mean age was 39.5 years. Among the variant types, the lowest median age was observed in the beta variant. Alpha is the most contagious SARS-CoV-2 variant, and the highest mortality was seen in the delta variant. Considering all SARS-CoV-2 variants, the most common patient complaints were dyspnea and fever. In fatal cases, blood pressure and saturation levels were low, whereas pulse rate and body temperature was higher. Additionally, compared to the non-fatal cases, the median age was higher in fatal cases, 39 years to 55 years. Most of the fatalities occurred in patients who required intensive care unit (ICU) admission. The mortality was low in people with double-dose vaccination, regardless of the variant types. Conclusion: In this study, SARS-CoV-2 alpha variant was found to be more contagious, and the delta variant appeared more fatal. Patients with delta variant could be at a high risk of morbidity and mortality. Therefore, meticulous patient care should be delivered to patients with the delta variants, no history of the double-dose of vaccination, patients with unstable vital parameters, and patients who were admitted to the ICU.","PeriodicalId":309908,"journal":{"name":"Global Emergency and Critical Care","volume":"41 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131688330","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":"The Predictive Value of CURB-65 and Pneumonia Severity Index in Patient with COVID-19 Pneumonia and Correlation with Laboratory Parameters","authors":"Hüseyincan Ateşer, E. Altınbilek, Y. Arık","doi":"10.4274/globecc.galenos.2022.92408","DOIUrl":"https://doi.org/10.4274/globecc.galenos.2022.92408","url":null,"abstract":"Objective: Coronavirus disease-2019 (COVID-19) pneumonia is a disease with a high mortality rate caused by the severe acute respiratory syndrome-coronavirus-2 virus. Therefore, it is essential to identify patients at risk for mortality. This study aims to determine the ability of pneumonia scores to predict mortality and correlation with laboratory parameters. Materials and Methods: A total of 312 pneumonia patients with positive polymerase chain reaction results were included in this single-center retrospective study conducted between 10.03.2020 and 10.06.2020. All data obtained from the hospital database, confusion, urea, respiratory, blood pressure, 65 or older (CURB-65) and Pneumonia Severity Index (PSI), scores were calculated. Receiver operator characteristics (ROC) curve analysis was performed for the prognostic value. Results: The demographic data followed as; 175 (56.1%) of 312 patients were male and 137 (43.9%) were female; mean age was 58.2±16.1 years. The mortality rate was 16% (n=50). The length of hospital stay was 10.6±6.4 day. CURB-65, PSI, and PSI risk class was found to be higher in cases that resulted in mortality compared to those without mortality (p<0.001). CURB-65, PSI, PSI risk classification were positively correlated with, D-dimer, ferritin, and neutrophil lymphocyte ratio. The area under the ROC curve was 0.851 [95% confidence interval (CI): 0.803-0.899] for PSI, 0.833 (95% CI: 0.779-0.888) for PSI risk class score and 0.795 (95% CI: 0.725-0.865) for CURB-65. In determining mortality; optimal cut-off values were ≥1 for CURB-65 (sensitivity 86.0% specificity 61.1%), ≥86.5 for PSI (sensitivity 82%, specificity 70.6%), and ≥4 for PSI risk classification (sensitivity 76.0%, specificity 72.9%). Conclusion: CURB-65, PSI, and PSI risk classifications were found eligible for use in COVID-19 and combining these scores with laboratory parameters can be useful to determine the prognosis.","PeriodicalId":309908,"journal":{"name":"Global Emergency and Critical Care","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130663417","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":"Comparison of Gum Elastic Bougie and Macintosh Laryngoscope in Pre-hospital Pediatric Airway Management; A Randomized, Prospective Study","authors":"Yavuz Birinci, Hakan Özerol, Yavuz Selim Divriklioğlu, Asım Enes Özbek, E. Çelik, S. Yılmaz, H. C. Halhalli","doi":"10.4274/globecc.galenos..2022.65375","DOIUrl":"https://doi.org/10.4274/globecc.galenos..2022.65375","url":null,"abstract":"Objective: Endotracheal intubation (ETI) in children requires good techniques and experience. Gum elastic bougie (GEB) is a practical, inexpensive, easy-to-use airway method in the adult airway. Through GEB, ETI is a method that can be learned after a short training. We evaluated the effectiveness of this method, which has not yet been validated in pediatric patients in prehospital pediatric airway applications. Materials and Methods: This study was designed as a study simulating the prehospital period with a mankin. Practitioners were asked to perform intubation by conventional intubation or GEB. This study was conducted with 48 emergency medical technicians and paramedics. Four (8.3%) of the practitioners had experience using GEB. In terms of first-pass success, no difference was found between ETI via GEB and Macintosh blade conventional ETI [91.7% (44/48), 93.8% (45/48), respectively, p=1.000]. Use of GEB increased ETI time [28.6±6.0 sec vs. 17.1±4.0 sec, mean df: 11.3 sec (95% CI: 9.7-12.8), p<0.001]. While 87.6% of the practitioners evaluated the use of GEB as very easy and easy, 83.3% of the practitioners evaluated the traditional method as very easy and easy (p=0.914). Conclusion: GEB does not make any difference in pediatric airway management in terms of first-pass success. However, the use of GEB in terms of ETI durations increases the duration of ETI. Besides, the use of GEB is seen as a method that can be applied more efficiently, even in inexperienced groups.","PeriodicalId":309908,"journal":{"name":"Global Emergency and Critical Care","volume":"121 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131132061","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}