Pub Date : 2022-09-14DOI: 10.4274/eajem.galenos.2021.94557
M. B. Macêdo, R. Pereira
The sternoclavicular joint (SCJ) is a rather uncommon site of septic arthritis (SA), which usually develops in patients with predisposing factors, such as intravenous drug use or diabetes mellitus. Up until now, there has been no description of SCJ SA associated with a pericardiostomy procedure. A young African Brazilian woman presented with a two-month history of shoulder pain and elevated inflammatory markers. She had been diagnosed with systemic lupus erythematosus (SLE) eight months earlier, at which time she required a pericardiostomy for a large pericardial effusion due to lupus pericarditis and nephrotic syndrome. Four months before the current presentation, she treated a soft tissue abscess on the previous site of the pericardiostomy caused by a Pseudomonas aeruginosa . After extensive evaluation, the cause of her shoulder pain was concluded to be due to septic arthritis of the SCJ with adjacent osteomyelitis. Computed tomography-guided bone biopsy and aspiration of synovial fluid yielded a Pseudomonas aeruginosa , which may have spread from the pericardiostomy orifice into the bloodstream, colonized the joint, and later developed a full-blown infection manifesting as referred pain to the shoulder. We present a highly unusual case of SCJ SA with adjacent osteomyelitis of the sternum manifesting as shoulder pain in an immunosuppressed patient with SLE.
{"title":"Shouldering the Pain: Septic Sternoclavicular Arthritis Following Pericardiostomy in a Systemic Lupus Erythematosus Patient","authors":"M. B. Macêdo, R. Pereira","doi":"10.4274/eajem.galenos.2021.94557","DOIUrl":"https://doi.org/10.4274/eajem.galenos.2021.94557","url":null,"abstract":"The sternoclavicular joint (SCJ) is a rather uncommon site of septic arthritis (SA), which usually develops in patients with predisposing factors, such as intravenous drug use or diabetes mellitus. Up until now, there has been no description of SCJ SA associated with a pericardiostomy procedure. A young African Brazilian woman presented with a two-month history of shoulder pain and elevated inflammatory markers. She had been diagnosed with systemic lupus erythematosus (SLE) eight months earlier, at which time she required a pericardiostomy for a large pericardial effusion due to lupus pericarditis and nephrotic syndrome. Four months before the current presentation, she treated a soft tissue abscess on the previous site of the pericardiostomy caused by a Pseudomonas aeruginosa . After extensive evaluation, the cause of her shoulder pain was concluded to be due to septic arthritis of the SCJ with adjacent osteomyelitis. Computed tomography-guided bone biopsy and aspiration of synovial fluid yielded a Pseudomonas aeruginosa , which may have spread from the pericardiostomy orifice into the bloodstream, colonized the joint, and later developed a full-blown infection manifesting as referred pain to the shoulder. We present a highly unusual case of SCJ SA with adjacent osteomyelitis of the sternum manifesting as shoulder pain in an immunosuppressed patient with SLE.","PeriodicalId":11814,"journal":{"name":"Eurasian Journal of Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45705366","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 : 2022-09-14DOI: 10.4274/eajem.galenos.2021.25633
Reza Azizkhani, Omid Ghayour Najafabadi, Farhad Heydari, M. Saber, Sarah Mousavi
{"title":"Topical Lidocaine-ibuprofen versus Lidocaine-prilocaine as a Local Anesthetic Agent in Reducing Central Venous Catheter Insertion Pain: A Randomized Controlled Trial","authors":"Reza Azizkhani, Omid Ghayour Najafabadi, Farhad Heydari, M. Saber, Sarah Mousavi","doi":"10.4274/eajem.galenos.2021.25633","DOIUrl":"https://doi.org/10.4274/eajem.galenos.2021.25633","url":null,"abstract":"","PeriodicalId":11814,"journal":{"name":"Eurasian Journal of Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45997231","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 : 2022-09-14DOI: 10.4274/eajem.galenos.2020.82787
S. Yalçınlı, S. Kıyan, Funda Karbek Akarca
Aim: We aimed first to investigate patients who received C1 inhibitor therapy in the ED. The patients’ complaints, examination findings, length of stay in the ED and whether the patients were treated with anything other than C1 inhibitor were investigated. Secondly, we aimed the response of patients who received C1 inhibitor therapy in the presence of Angiotensin Converting Enzyme Inhibitor (ACEI) -induced angioedema. Materials and Methods: A retrospective descriptive study was designed. Patients who received C1 inhibitor therapy between January 2011 and February 2018 were reviewed using the hospital’s records on file. Results: Data were evaluated for 62 admissions in 23 different patients. The diagnosis of hereditary angioedema (HAE) was present in 65.2% (n=15) of the patients, and 85.5% (n=53) of the admissions were related to acute HAE episodes. The main complaints of these patients were nausea, vomiting and abdominal pain and swelling of the face, lips, throat and extremities. It was determined that C1 inhibitor treatment was given to 8% (n=5) of admissions due to ACEI-induced angioedema. The complaints of these patients (5 admissions for 4 patients) were swelling of the tongue (n=3), lip (n=1) and face (n=1). Clinical improvement was observed in admission symptoms after treatment of C1 inhibitor in all patients with angioedema induced by HAE episodes or ACEIs. Conclusion: C1 inhibitor treatment is effective in treating acute HAE episodes. Although more evidence is needed for treatment of ACEI-induced angioedema attacks, C1 inhibitor therapy may be considered in patients who do not respond to classical treatment.
{"title":"Retrospective Evaluation of Patients with Angioedema Treated with C1 Inhibitors in an Emergency Department","authors":"S. Yalçınlı, S. Kıyan, Funda Karbek Akarca","doi":"10.4274/eajem.galenos.2020.82787","DOIUrl":"https://doi.org/10.4274/eajem.galenos.2020.82787","url":null,"abstract":"Aim: We aimed first to investigate patients who received C1 inhibitor therapy in the ED. The patients’ complaints, examination findings, length of stay in the ED and whether the patients were treated with anything other than C1 inhibitor were investigated. Secondly, we aimed the response of patients who received C1 inhibitor therapy in the presence of Angiotensin Converting Enzyme Inhibitor (ACEI) -induced angioedema. Materials and Methods: A retrospective descriptive study was designed. Patients who received C1 inhibitor therapy between January 2011 and February 2018 were reviewed using the hospital’s records on file. Results: Data were evaluated for 62 admissions in 23 different patients. The diagnosis of hereditary angioedema (HAE) was present in 65.2% (n=15) of the patients, and 85.5% (n=53) of the admissions were related to acute HAE episodes. The main complaints of these patients were nausea, vomiting and abdominal pain and swelling of the face, lips, throat and extremities. It was determined that C1 inhibitor treatment was given to 8% (n=5) of admissions due to ACEI-induced angioedema. The complaints of these patients (5 admissions for 4 patients) were swelling of the tongue (n=3), lip (n=1) and face (n=1). Clinical improvement was observed in admission symptoms after treatment of C1 inhibitor in all patients with angioedema induced by HAE episodes or ACEIs. Conclusion: C1 inhibitor treatment is effective in treating acute HAE episodes. Although more evidence is needed for treatment of ACEI-induced angioedema attacks, C1 inhibitor therapy may be considered in patients who do not respond to classical treatment.","PeriodicalId":11814,"journal":{"name":"Eurasian Journal of Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41697067","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 : 2022-07-05DOI: 10.4274/eajem.galenos.2021.93798
Ö. Akgül, Enise Akgül, Ekmel Geçer, Lütfiye Söğütlü, Hatice Kubra Kongar, M. K. Körez, Murat Yıldırım
Aim: Accumulated evidence shows that Coronavirus disease-2019 (COVID-19) pandemic related challenges have severely affected the mental well-being of many people around the globe including adolescents. This study examined the relationship between romantic relationship quality in parents and psychological resilience levels in adolescents during the COVID-19 pandemic. Materials and Methods: This cross-sectional online survey used self-reported measures of romantic relationship quality and resilience. Participants were 12.099 adults (99.2% female;mean age=35.27 +/- 5.37). Results: Results showed that romantic relationship quality was positively related to resilience. Those who reported increased marital satisfaction also reported higher levels of resilience, marital adjustment, and better relationship with adolescents. Conclusion: The study provided a new avenue for research that focuses on the link between romantic relationship quality, resilience and seeking emergency care within the context of the pandemic. Based on these results, prevention and intervention programs can be tailored and implemented to improve satisfaction in a romantic relationship.
{"title":"Investigating the Relationship Between Perceived Romantic Relationship Quality in Parents and Psychological Resilience Levels of Adolescent During COVID-19 Pandemic Process","authors":"Ö. Akgül, Enise Akgül, Ekmel Geçer, Lütfiye Söğütlü, Hatice Kubra Kongar, M. K. Körez, Murat Yıldırım","doi":"10.4274/eajem.galenos.2021.93798","DOIUrl":"https://doi.org/10.4274/eajem.galenos.2021.93798","url":null,"abstract":"Aim: Accumulated evidence shows that Coronavirus disease-2019 (COVID-19) pandemic related challenges have severely affected the mental well-being of many people around the globe including adolescents. This study examined the relationship between romantic relationship quality in parents and psychological resilience levels in adolescents during the COVID-19 pandemic. Materials and Methods: This cross-sectional online survey used self-reported measures of romantic relationship quality and resilience. Participants were 12.099 adults (99.2% female;mean age=35.27 +/- 5.37). Results: Results showed that romantic relationship quality was positively related to resilience. Those who reported increased marital satisfaction also reported higher levels of resilience, marital adjustment, and better relationship with adolescents. Conclusion: The study provided a new avenue for research that focuses on the link between romantic relationship quality, resilience and seeking emergency care within the context of the pandemic. Based on these results, prevention and intervention programs can be tailored and implemented to improve satisfaction in a romantic relationship.","PeriodicalId":11814,"journal":{"name":"Eurasian Journal of Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41578051","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 : 2022-07-05DOI: 10.4274/eajem.galenos.2022.47135
Ş. Atiş, Z. Koseoglu, B. Çekmen, Oner Bozan, O. Karcioglu
{"title":"The Role of Relative Troponin Change in Predicting Clinical Outcome and Critical Stenosis in Patients with Chest Pain","authors":"Ş. Atiş, Z. Koseoglu, B. Çekmen, Oner Bozan, O. Karcioglu","doi":"10.4274/eajem.galenos.2022.47135","DOIUrl":"https://doi.org/10.4274/eajem.galenos.2022.47135","url":null,"abstract":"","PeriodicalId":11814,"journal":{"name":"Eurasian Journal of Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42326680","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 : 2022-07-05DOI: 10.4274/eajem.galenos.2021.56588
Bahadır Karaca, B. Çelik
Aim: In our study, in Northwest Syria, where healthcare is provided with humanitarian support, with investigating the demographic and clinical characteristics of people who has been detected Coronavirus disease-2019 (COVID-19), we investigated their situation in the pandemic. Materials and Methods: The demographic and clinical characteristics of people whose COVID-19 polymerase chain reaction (PCR) tests were studied and found positive in the World Health Organization supported assistance coordination unit laboratories in Northwest Syria, were retrospectively investigated. All patients except healthcare workers were included in the study between 01/05-22/12/2020. Results: 17,070 non-healthcare workers who were positive for COVID-19 PCR were included in the study. 6.368 (37.3%) of the participants were female and 10,702 (62.7%) were male. The average age of the participants was 37.7 +/- 16.4 years. The data obtained that there were 1.090 (6.4%) people hospitalized or undergoing isolation. When comorbid diseases were investigated, hypertension was found in 435 (2.5%), diabetes in 426 (2.5%), and heart disease in 139 (0.8%) people. When evaluated in terms of prognosis, 56% (n=9584) of the patientsshowed complete recovery, 41.8% (n=7141) recovered and their symptoms persist, but 345 (2%) patients died of COVID-19, including 106 of them are women (female crude death rate: 1.6%) and 239 of them are men (crude death rate: 2.23%). Conclusion: In our study, we presented a cross-sectional analysis of almost all people with COVID-19 in the last half of the 2020 by investigating the demographic and clinical characteristics of people with COVID-19 in Northwest Syria. COVID-19 diagnoses were evaluated according to the PCR test result.
{"title":"Retrospective Evaluation of People with COVID-19 in the Northwest Syria","authors":"Bahadır Karaca, B. Çelik","doi":"10.4274/eajem.galenos.2021.56588","DOIUrl":"https://doi.org/10.4274/eajem.galenos.2021.56588","url":null,"abstract":"Aim: In our study, in Northwest Syria, where healthcare is provided with humanitarian support, with investigating the demographic and clinical characteristics of people who has been detected Coronavirus disease-2019 (COVID-19), we investigated their situation in the pandemic. Materials and Methods: The demographic and clinical characteristics of people whose COVID-19 polymerase chain reaction (PCR) tests were studied and found positive in the World Health Organization supported assistance coordination unit laboratories in Northwest Syria, were retrospectively investigated. All patients except healthcare workers were included in the study between 01/05-22/12/2020. Results: 17,070 non-healthcare workers who were positive for COVID-19 PCR were included in the study. 6.368 (37.3%) of the participants were female and 10,702 (62.7%) were male. The average age of the participants was 37.7 +/- 16.4 years. The data obtained that there were 1.090 (6.4%) people hospitalized or undergoing isolation. When comorbid diseases were investigated, hypertension was found in 435 (2.5%), diabetes in 426 (2.5%), and heart disease in 139 (0.8%) people. When evaluated in terms of prognosis, 56% (n=9584) of the patientsshowed complete recovery, 41.8% (n=7141) recovered and their symptoms persist, but 345 (2%) patients died of COVID-19, including 106 of them are women (female crude death rate: 1.6%) and 239 of them are men (crude death rate: 2.23%). Conclusion: In our study, we presented a cross-sectional analysis of almost all people with COVID-19 in the last half of the 2020 by investigating the demographic and clinical characteristics of people with COVID-19 in Northwest Syria. COVID-19 diagnoses were evaluated according to the PCR test result.","PeriodicalId":11814,"journal":{"name":"Eurasian Journal of Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43260243","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 : 2022-07-05DOI: 10.4274/eajem.galenos.2022.91069
Şükrü Yorulmaz, A. Gokce
{"title":"Transport of Trauma Patients by Airway: Turkish Experience","authors":"Şükrü Yorulmaz, A. Gokce","doi":"10.4274/eajem.galenos.2022.91069","DOIUrl":"https://doi.org/10.4274/eajem.galenos.2022.91069","url":null,"abstract":"","PeriodicalId":11814,"journal":{"name":"Eurasian Journal of Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46557141","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 : 2022-06-01DOI: 10.4274/eajem.galenos.2021.02350
Héctor Martínez Alonso, M. Holanda, Liébana Piedra, I. Del Moral, J. M. Maestre
Aim: We aim to describe and evaluate a new model for distance experiential learningin order to help reduce the transmission risk among professionals envolved in education activities. Materials and Methods: In April 2020, in partnership with our hospital's Emergency Department Educational Leadership, Valdecilla Virtual Hospital tested and introduced an experiential distance learning model. Professionals wanted to engage from their homes without having to travel to a simulation facility. Results: Between July 1 and 22, 2020 we ran seven courses following this new model of course. Each one consisted of a two-hour session on two consecutive days. There were 44 participants whose ages ranged from 26 to 53 years (average=40), 62% identified as female, and 68% reported working at the emergency department, 19% at the cardiology unit, 7% in primary care, and 5% in internal medicine. We evaluated the content validity, feasibility and acceptability of the model. The results of an anonymous survey filled in at the end of the course showed they considered the distance training model as realistic (92%), easy to use (95%), well-organized (94%), an engaging educational tool (94%), and desirable for practising in the future (94%). Conclusion: These results may encourage the educational community to develop more programs using this new approach of "taking care of patients from a distance" not only during a pandemic, but also on a regular basis. We think this model can achieve positive results using distance clinical simulation combining their traditional simulation technology to address the training needs of their healthcare organization.
{"title":"Implementing a Simulation-Based Distance Learning Model: How to Facilitate High-Engagement Experiential Training While Reducing the Risk of Infectious Disease Transmission Amongst Healthcare Professionals","authors":"Héctor Martínez Alonso, M. Holanda, Liébana Piedra, I. Del Moral, J. M. Maestre","doi":"10.4274/eajem.galenos.2021.02350","DOIUrl":"https://doi.org/10.4274/eajem.galenos.2021.02350","url":null,"abstract":"Aim: We aim to describe and evaluate a new model for distance experiential learningin order to help reduce the transmission risk among professionals envolved in education activities. Materials and Methods: In April 2020, in partnership with our hospital's Emergency Department Educational Leadership, Valdecilla Virtual Hospital tested and introduced an experiential distance learning model. Professionals wanted to engage from their homes without having to travel to a simulation facility. Results: Between July 1 and 22, 2020 we ran seven courses following this new model of course. Each one consisted of a two-hour session on two consecutive days. There were 44 participants whose ages ranged from 26 to 53 years (average=40), 62% identified as female, and 68% reported working at the emergency department, 19% at the cardiology unit, 7% in primary care, and 5% in internal medicine. We evaluated the content validity, feasibility and acceptability of the model. The results of an anonymous survey filled in at the end of the course showed they considered the distance training model as realistic (92%), easy to use (95%), well-organized (94%), an engaging educational tool (94%), and desirable for practising in the future (94%). Conclusion: These results may encourage the educational community to develop more programs using this new approach of \"taking care of patients from a distance\" not only during a pandemic, but also on a regular basis. We think this model can achieve positive results using distance clinical simulation combining their traditional simulation technology to address the training needs of their healthcare organization.","PeriodicalId":11814,"journal":{"name":"Eurasian Journal of Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44123253","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 : 2022-06-01DOI: 10.4274/eajem.galenos.2021.93270
Hasan Atalar, Mustafa Keşaplı, Ömer Faruk Karakoyun, Adeviyye Karaca
{"title":"Emergency Physicians’ Point of Care Ultrasonography (POCUS) Competency Assessment for the Diagnosis of Acute Appendicitis in Pediatric Cases","authors":"Hasan Atalar, Mustafa Keşaplı, Ömer Faruk Karakoyun, Adeviyye Karaca","doi":"10.4274/eajem.galenos.2021.93270","DOIUrl":"https://doi.org/10.4274/eajem.galenos.2021.93270","url":null,"abstract":"","PeriodicalId":11814,"journal":{"name":"Eurasian Journal of Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49080574","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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