Pub Date : 2021-12-01DOI: 10.4274/eajem.galenos.2020.47704
R. Ahmad, Amelia Binti Amir, Nur Fithriyaani Rashidi
{"title":"Violence Towards Emergency Residents in Malaysia: The Unforeseen Perpetrators Among Us","authors":"R. Ahmad, Amelia Binti Amir, Nur Fithriyaani Rashidi","doi":"10.4274/eajem.galenos.2020.47704","DOIUrl":"https://doi.org/10.4274/eajem.galenos.2020.47704","url":null,"abstract":"","PeriodicalId":11814,"journal":{"name":"Eurasian Journal of Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43528173","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}
Pub Date : 2021-12-01DOI: 10.4274/eajem.galenos.2021.58224
H. Çetinkaya, Hikmet Çoban
Aim: In this study, we evaluated the predictability of lung parenchymal involvement on computed tomography (CT) with laboratory parameters in patients with confirmed coronavirus disease-2019 (COVID-19) with and without lung parenchymal involvement at the first admission to the emergency department. Materials and Methods: The study included one hundred and nine patients diagnosed with COVID-19 in the emergency COVID-19 department between April and September 2020. Laboratory parameters and thorax CT images were evaluated to evaluate the severity of the disease in all patients. The relationship between laboratory parameters was analysed in the patient groups with and without CT involvement. Results: CT involvement was detected in 58 of 109 patients included in the study. There was a significant difference in lymphocyte, monocyte, eosinophil, ferritin, fibrinogen, C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), platelet (PLT) and urea values in the group with CT involvement. Receiver operator characteristics analysis was performed to evaluate the diagnostic performance of laboratory parameters in CT involvement. Significant diagnostic predictability values were determined for age, lymphocyte, monocyte, eosinophil, ferritin, fibrinogen, CRP, ESR, PLT and urea. The highest area under the curve values was obtained in CRP, ESR and eosinophil parameters. Discussion: Lymphocyte, monocyte, eosinophil, ferritin, fibrinogen, CRP, ESR, PLT and urea parameters can be used to predict lung involvement in the emergency department in patients with COVID-19 disease. According to these values, thorax CT can be decided for the patients. CRP, ESR and eosinophil parameters provided the highest specificity and sensitivity values in predicting lung involvement.
{"title":"Thorax Computed Tomography Involvement Can Be Predicted by Evaluating the Laboratory Parameters of Patients Admitted to the Emergency Department During the COVID-19 Pandemic Period","authors":"H. Çetinkaya, Hikmet Çoban","doi":"10.4274/eajem.galenos.2021.58224","DOIUrl":"https://doi.org/10.4274/eajem.galenos.2021.58224","url":null,"abstract":"Aim: In this study, we evaluated the predictability of lung parenchymal involvement on computed tomography (CT) with laboratory parameters in patients with confirmed coronavirus disease-2019 (COVID-19) with and without lung parenchymal involvement at the first admission to the emergency department. Materials and Methods: The study included one hundred and nine patients diagnosed with COVID-19 in the emergency COVID-19 department between April and September 2020. Laboratory parameters and thorax CT images were evaluated to evaluate the severity of the disease in all patients. The relationship between laboratory parameters was analysed in the patient groups with and without CT involvement. Results: CT involvement was detected in 58 of 109 patients included in the study. There was a significant difference in lymphocyte, monocyte, eosinophil, ferritin, fibrinogen, C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), platelet (PLT) and urea values in the group with CT involvement. Receiver operator characteristics analysis was performed to evaluate the diagnostic performance of laboratory parameters in CT involvement. Significant diagnostic predictability values were determined for age, lymphocyte, monocyte, eosinophil, ferritin, fibrinogen, CRP, ESR, PLT and urea. The highest area under the curve values was obtained in CRP, ESR and eosinophil parameters. Discussion: Lymphocyte, monocyte, eosinophil, ferritin, fibrinogen, CRP, ESR, PLT and urea parameters can be used to predict lung involvement in the emergency department in patients with COVID-19 disease. According to these values, thorax CT can be decided for the patients. CRP, ESR and eosinophil parameters provided the highest specificity and sensitivity values in predicting lung involvement.","PeriodicalId":11814,"journal":{"name":"Eurasian Journal of Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47540423","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}
Pub Date : 2021-12-01DOI: 10.4274/eajem.galenos.2020.63644
Y. K. Günaydın, Fuat Koray Çelik, S. Güler, D. Ucoz Kocasaban
{"title":"Comparison of the Modified Valsalva Maneuver and the Standard Valsalva Maneuver for Treatment of Supraventricular Tachycardia in Emergency Department","authors":"Y. K. Günaydın, Fuat Koray Çelik, S. Güler, D. Ucoz Kocasaban","doi":"10.4274/eajem.galenos.2020.63644","DOIUrl":"https://doi.org/10.4274/eajem.galenos.2020.63644","url":null,"abstract":"","PeriodicalId":11814,"journal":{"name":"Eurasian Journal of Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48561684","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}
Pub Date : 2021-12-01DOI: 10.4274/eajem.galenos.2021.04880
S. Au, S. Ko
{"title":"Craniofacial Trauma and Intraocular Surgical Implants","authors":"S. Au, S. Ko","doi":"10.4274/eajem.galenos.2021.04880","DOIUrl":"https://doi.org/10.4274/eajem.galenos.2021.04880","url":null,"abstract":"","PeriodicalId":11814,"journal":{"name":"Eurasian Journal of Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44311153","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}
Pub Date : 2021-12-01DOI: 10.4274/eajem.galenos.2021.57338
Mehtap Gürger, Fethi Ahmet Atılgan, Mustafa Yılmaz, M. Ateşçelik
{"title":"Prognostic Performance of qSOFA in Pulmonary Embolism","authors":"Mehtap Gürger, Fethi Ahmet Atılgan, Mustafa Yılmaz, M. Ateşçelik","doi":"10.4274/eajem.galenos.2021.57338","DOIUrl":"https://doi.org/10.4274/eajem.galenos.2021.57338","url":null,"abstract":"","PeriodicalId":11814,"journal":{"name":"Eurasian Journal of Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48113021","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}
Pub Date : 2021-12-01DOI: 10.4274/eajem.galenos.2020.42103
Suleyman Ersoy, Turgut Tursem Tokmak, Y. Dadalı, H. Çalışkan, M. Avcu
{"title":"Use of Bedside Ultrasonography for Diagnosis of Nasal Fractures in Emergency Service","authors":"Suleyman Ersoy, Turgut Tursem Tokmak, Y. Dadalı, H. Çalışkan, M. Avcu","doi":"10.4274/eajem.galenos.2020.42103","DOIUrl":"https://doi.org/10.4274/eajem.galenos.2020.42103","url":null,"abstract":"","PeriodicalId":11814,"journal":{"name":"Eurasian Journal of Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46061665","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}
Pub Date : 2021-12-01DOI: 10.4274/eajem.galenos.2020.86094
M. Demir, A. Ataman
Aim: This study aimed to investigate the stress experienced by emergency medicine physicians working in emergency departments during the coronavirus disease-2019 (COVID-19) pandemic, the factors they stated to be effective against stress, and their coping approaches to stressful situations. Materials and Methods: The study was designed in a general screening model, and 200 emergency medicine physicians participated via e-mail who work in emergency departments in Turkey. The sources of stress related to the pandemic, the factors that they find effective in combating stress, and their strategies to cope with stress were investigated with relation to their gender, marital status, after-shift accommodation, manner of working in a shift, smoking behavior, having a chronic disease, having children, and spouse's job as a healthcare professional. Results: While the primary source of stress of emergency medicine physicians during the pandemic was the risk of transmitting the virus to their families, the most influential factor in combating stress was leisure activities. Emergency physicians' approaches to coping with stress were significantly predicted by the variables of using full personal protective equipment while working, having an adequate sleep and resting opportunities, obtaining additional economic income, and not knowing the pandemic's end date. Conclusion: Emergency medicine physicians used active problem-oriented approaches, and among these, they used the social support seeking approach the most during the pandemic. It is necessary to provide social support, take precautions to care for healthcare workers' families and arrange emergency physicians' shifts to allocate their time to their leisure activities appropriately to reduce stress.
{"title":"Emergency Medicine Physicians’ Approaches to Coping with Stress in COVID-19 Pandemic","authors":"M. Demir, A. Ataman","doi":"10.4274/eajem.galenos.2020.86094","DOIUrl":"https://doi.org/10.4274/eajem.galenos.2020.86094","url":null,"abstract":"Aim: This study aimed to investigate the stress experienced by emergency medicine physicians working in emergency departments during the coronavirus disease-2019 (COVID-19) pandemic, the factors they stated to be effective against stress, and their coping approaches to stressful situations. Materials and Methods: The study was designed in a general screening model, and 200 emergency medicine physicians participated via e-mail who work in emergency departments in Turkey. The sources of stress related to the pandemic, the factors that they find effective in combating stress, and their strategies to cope with stress were investigated with relation to their gender, marital status, after-shift accommodation, manner of working in a shift, smoking behavior, having a chronic disease, having children, and spouse's job as a healthcare professional. Results: While the primary source of stress of emergency medicine physicians during the pandemic was the risk of transmitting the virus to their families, the most influential factor in combating stress was leisure activities. Emergency physicians' approaches to coping with stress were significantly predicted by the variables of using full personal protective equipment while working, having an adequate sleep and resting opportunities, obtaining additional economic income, and not knowing the pandemic's end date. Conclusion: Emergency medicine physicians used active problem-oriented approaches, and among these, they used the social support seeking approach the most during the pandemic. It is necessary to provide social support, take precautions to care for healthcare workers' families and arrange emergency physicians' shifts to allocate their time to their leisure activities appropriately to reduce stress.","PeriodicalId":11814,"journal":{"name":"Eurasian Journal of Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44570104","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}
Pub Date : 2021-12-01DOI: 10.4274/eajem.galenos.2021.20092
Y. Isler, H. Kaya, Melih Yüksel, M. Ay, Şükrü İşler, M. Bulut
Aim: We aimed to investigate the relationship between increased lactate values and mortality in COVID-19 patients. Materials and Methods: This study was conducted in a tertiary training and research hospital. According to the order of application, a total of 316 patients over the age of 18 who were admitted to the emergency department (ED) with symptoms of COVID-19 during the two months and whose data could be completely accessed were included in the study retrospectively. Plasma lactate values and mortality within 28 days were determined. Results: The median age of the patients was 69 years. Of the patients, 53.5% were male, 72.2% had comorbidities, and the most common comorbidity was COPD (13.0%). Of the patients, 83.5% were hospitalized. The mean lactate value of the patients was 2.05 +/- 1.45mmol / L. Mortality developed in 14.2% of the patients during the first 28 days. The 28-day mortality was significantly higher in patients with a positive Polymerase Chain Reaction (PCR) (23.8%) than that of negative PCR (8.2%) (p < 0.001). The lactate level was found to be significantly different in both PCR positive and negative groups in which mortality developed within 28 days (p < 0.001;p < 0.001). If the cut-off value of lactate in terms of mortality was 2.45, the sensitivity and specificity were determined as 80.0% and 81.2%, respectively. Conclusion: In patients with COVID-19 infection, the blood lactate level examined at the first admission to ED can be used as a practical screening test to predict mortality.
{"title":"The Effect of Blood Lactate Level on Mortality in COVID-19 Positive Patients","authors":"Y. Isler, H. Kaya, Melih Yüksel, M. Ay, Şükrü İşler, M. Bulut","doi":"10.4274/eajem.galenos.2021.20092","DOIUrl":"https://doi.org/10.4274/eajem.galenos.2021.20092","url":null,"abstract":"Aim: We aimed to investigate the relationship between increased lactate values and mortality in COVID-19 patients. Materials and Methods: This study was conducted in a tertiary training and research hospital. According to the order of application, a total of 316 patients over the age of 18 who were admitted to the emergency department (ED) with symptoms of COVID-19 during the two months and whose data could be completely accessed were included in the study retrospectively. Plasma lactate values and mortality within 28 days were determined. Results: The median age of the patients was 69 years. Of the patients, 53.5% were male, 72.2% had comorbidities, and the most common comorbidity was COPD (13.0%). Of the patients, 83.5% were hospitalized. The mean lactate value of the patients was 2.05 +/- 1.45mmol / L. Mortality developed in 14.2% of the patients during the first 28 days. The 28-day mortality was significantly higher in patients with a positive Polymerase Chain Reaction (PCR) (23.8%) than that of negative PCR (8.2%) (p < 0.001). The lactate level was found to be significantly different in both PCR positive and negative groups in which mortality developed within 28 days (p < 0.001;p < 0.001). If the cut-off value of lactate in terms of mortality was 2.45, the sensitivity and specificity were determined as 80.0% and 81.2%, respectively. Conclusion: In patients with COVID-19 infection, the blood lactate level examined at the first admission to ED can be used as a practical screening test to predict mortality.","PeriodicalId":11814,"journal":{"name":"Eurasian Journal of Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42290584","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}
Pub Date : 2021-11-10DOI: 10.4274/eajem.galenos.2021.65477
A. Pourahmad, S. Karimi, M. Elfil, S. Babaniamansour, Ehsan Aliniagerdroudbari, Alireza Baratloo
{"title":"The Accuracy of CPSS, LAPSS and MASS in Terms of Early Acute Ischemic Stroke Diagnosis","authors":"A. Pourahmad, S. Karimi, M. Elfil, S. Babaniamansour, Ehsan Aliniagerdroudbari, Alireza Baratloo","doi":"10.4274/eajem.galenos.2021.65477","DOIUrl":"https://doi.org/10.4274/eajem.galenos.2021.65477","url":null,"abstract":"","PeriodicalId":11814,"journal":{"name":"Eurasian Journal of Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48346027","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}
Pub Date : 2021-09-20DOI: 10.4274/eajem.galenos.2021.03779
S. Farahmand, Fariba Yazdanbakhsh, Shahram Bagheri-Hariri, Ehsan Aliniagerdroudbari, A. Abdollahi, S. Babaniamansour
{"title":"Comparing Two Different Concentrations of Diphenhydramine Versus Lidocaine for Median Nerve Block in Emergency Department: A Double-Blind Randomized Clinical Trial","authors":"S. Farahmand, Fariba Yazdanbakhsh, Shahram Bagheri-Hariri, Ehsan Aliniagerdroudbari, A. Abdollahi, S. Babaniamansour","doi":"10.4274/eajem.galenos.2021.03779","DOIUrl":"https://doi.org/10.4274/eajem.galenos.2021.03779","url":null,"abstract":"","PeriodicalId":11814,"journal":{"name":"Eurasian Journal of Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48466987","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}
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