Pub Date : 2022-12-09DOI: 10.4274/eajem.galenos.2022.29052
H. Çaksen
{"title":"Religious Coping in the Parents of Critically Ill Children","authors":"H. Çaksen","doi":"10.4274/eajem.galenos.2022.29052","DOIUrl":"https://doi.org/10.4274/eajem.galenos.2022.29052","url":null,"abstract":"","PeriodicalId":11814,"journal":{"name":"Eurasian Journal of Emergency Medicine","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2022-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44058875","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 : 2022-12-09DOI: 10.4274/eajem.galenos.2021.03016
Burak Katipoğlu, M. Jaguszewski, M. Pruc, Dorota Sagan, L. Szarpak
{"title":"COVID-19 Pandemic-are the Biggest Challenge Yet?","authors":"Burak Katipoğlu, M. Jaguszewski, M. Pruc, Dorota Sagan, L. Szarpak","doi":"10.4274/eajem.galenos.2021.03016","DOIUrl":"https://doi.org/10.4274/eajem.galenos.2021.03016","url":null,"abstract":"","PeriodicalId":11814,"journal":{"name":"Eurasian Journal of Emergency Medicine","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2022-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41871084","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.2021.26504
Volkan Çelebi, Adeviyye Karaca, R. Güven, M. N. Bozdemir, Mustafa Keşaplı, B. Kulaksızoğlu
{"title":"Is the Hospital Anxiety and Depression Scale a Useful Tool for Evaluating Suicide Patients in Emergency Department? A Crosssectional Study","authors":"Volkan Çelebi, Adeviyye Karaca, R. Güven, M. N. Bozdemir, Mustafa Keşaplı, B. Kulaksızoğlu","doi":"10.4274/eajem.galenos.2021.26504","DOIUrl":"https://doi.org/10.4274/eajem.galenos.2021.26504","url":null,"abstract":"","PeriodicalId":11814,"journal":{"name":"Eurasian Journal of Emergency Medicine","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2022-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41370755","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.2022.09734
Yong Hup Teh, Mohd Zahir Amin Mohd Nazri, Abdul Muhaimin Noor Azhar, Rabiha Mohd Alip
Aim: To compare the diagnostic accuracy of HACOR score in predicting non-invasive ventilation (NIV) failure among acute exacerbation of chronic obstructive airway disease and acute decompensated heart failure patients, and study the correlation of HACOR score with a length of stay and hospital mortality rate. Materials and Methods: A prospective observational study was conducted in the Emergency Department of Hospital Melaka. We enrolled patients who presented with acute respiratory distress and started them with NIV. The efficacy of the HACOR score is evaluated at several interval time points, before NIV initiation, 1 h, 2 h post NIV initiation. Results: HACOR score is much lower in NIV success subgroups and 100% NIV failure rate for the HACOR score more than 7 at 1 h and 2 h of NIV. With a cut-off value of more than 5 in 1 h of NIV, the diagnostic power is 86.27% with a sensitivity of 62.50% and specificity of 90.70%. While at 2 h of NIV the HACOR score of more than 5, its diagnostic power is 87.50% a sensitivity of 50% and specificity of 95%. In 0-2 hours of NIV, area under the curve for predicting NIV failure was 0.788, 0.868 and 0.925, respectively. Conclusion: The HACOR has good diagnostic accuracy when it is assessed at 1-2 h of NIV. It is convenient to use it to assess the efficacy of NIV especially for heart failure patients. However, HACOR score was a weak predictor of mortality in our study. The length of hospital stay was also found to be longer for those who failed to respond to NIV in our study.
{"title":"HACOR Score in Predicting Non-invasive Ventilation Failure in Acute Decompensated Heart Failure and AECOAD Patients","authors":"Yong Hup Teh, Mohd Zahir Amin Mohd Nazri, Abdul Muhaimin Noor Azhar, Rabiha Mohd Alip","doi":"10.4274/eajem.galenos.2022.09734","DOIUrl":"https://doi.org/10.4274/eajem.galenos.2022.09734","url":null,"abstract":"Aim: To compare the diagnostic accuracy of HACOR score in predicting non-invasive ventilation (NIV) failure among acute exacerbation of chronic obstructive airway disease and acute decompensated heart failure patients, and study the correlation of HACOR score with a length of stay and hospital mortality rate. Materials and Methods: A prospective observational study was conducted in the Emergency Department of Hospital Melaka. We enrolled patients who presented with acute respiratory distress and started them with NIV. The efficacy of the HACOR score is evaluated at several interval time points, before NIV initiation, 1 h, 2 h post NIV initiation. Results: HACOR score is much lower in NIV success subgroups and 100% NIV failure rate for the HACOR score more than 7 at 1 h and 2 h of NIV. With a cut-off value of more than 5 in 1 h of NIV, the diagnostic power is 86.27% with a sensitivity of 62.50% and specificity of 90.70%. While at 2 h of NIV the HACOR score of more than 5, its diagnostic power is 87.50% a sensitivity of 50% and specificity of 95%. In 0-2 hours of NIV, area under the curve for predicting NIV failure was 0.788, 0.868 and 0.925, respectively. Conclusion: The HACOR has good diagnostic accuracy when it is assessed at 1-2 h of NIV. It is convenient to use it to assess the efficacy of NIV especially for heart failure patients. However, HACOR score was a weak predictor of mortality in our study. The length of hospital stay was also found to be longer for those who failed to respond to NIV in our study.","PeriodicalId":11814,"journal":{"name":"Eurasian Journal of Emergency Medicine","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2022-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47633583","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.2021.68725
M. Haberal, E. Akar, Özlem Şengören Dikiş, Muharrem Özkaya, M. Ay, H. Kaya, Melih Yüksel
Aim: Inconsistent results were reported in studies on the relationship between pneumothorax and meteorological condition. We investigated whether meteorological variables increase the incidence of pneumothorax application in a region of Turkey with intense southwestern winds. Materials and Methods: The study was conducted retrospectively using the hospital records of patients diagnosed with spontaneous pneumothorax (SP) at the emergency department or thoracic surgery outpatient clinics between January 2016 and December 2018. The admissions were grouped according to the month and seasons. Meteorological data, including daily mean temperatures (°C), atmospheric pressure (millibars), moisture (%), and wind (m/s), were obtained from the local meteorological directorate. The meteorological data on the days with and without SP were compared. Results: Total 264 patients diagnosed as pneumothorax included to this study. Of the patients, 27 (10.2%) were female, and 237 (89.8%) were male. The mean age was 36.71±17.95 years (between 18-92). Of these patients, 185 (70.0%) had primary SP, while 79 (29.9%) had secondary SP (SSP). During the study period, lower atmospheric pressure, humidity and higher °C were detected in July, August and September (<0.05). SSP was significantly higher in August and September (p<0.05). While southwestern winds were recorded on 703 days (74.5%), there were 214 days (22.7%) without such winds. Regarding the daily number of pneumothorax patient admissions, there was no statistically significant relationship between southwestern winds and SP. Conclusion: SSP was significantly higher in August and September because of lower atmospheric pressure, humidity and higher °C.
{"title":"Effects of Atmospheric Changes on Spontaneous Pneumothorax","authors":"M. Haberal, E. Akar, Özlem Şengören Dikiş, Muharrem Özkaya, M. Ay, H. Kaya, Melih Yüksel","doi":"10.4274/eajem.galenos.2021.68725","DOIUrl":"https://doi.org/10.4274/eajem.galenos.2021.68725","url":null,"abstract":"Aim: Inconsistent results were reported in studies on the relationship between pneumothorax and meteorological condition. We investigated whether meteorological variables increase the incidence of pneumothorax application in a region of Turkey with intense southwestern winds. Materials and Methods: The study was conducted retrospectively using the hospital records of patients diagnosed with spontaneous pneumothorax (SP) at the emergency department or thoracic surgery outpatient clinics between January 2016 and December 2018. The admissions were grouped according to the month and seasons. Meteorological data, including daily mean temperatures (°C), atmospheric pressure (millibars), moisture (%), and wind (m/s), were obtained from the local meteorological directorate. The meteorological data on the days with and without SP were compared. Results: Total 264 patients diagnosed as pneumothorax included to this study. Of the patients, 27 (10.2%) were female, and 237 (89.8%) were male. The mean age was 36.71±17.95 years (between 18-92). Of these patients, 185 (70.0%) had primary SP, while 79 (29.9%) had secondary SP (SSP). During the study period, lower atmospheric pressure, humidity and higher °C were detected in July, August and September (<0.05). SSP was significantly higher in August and September (p<0.05). While southwestern winds were recorded on 703 days (74.5%), there were 214 days (22.7%) without such winds. Regarding the daily number of pneumothorax patient admissions, there was no statistically significant relationship between southwestern winds and SP. Conclusion: SSP was significantly higher in August and September because of lower atmospheric pressure, humidity and higher °C.","PeriodicalId":11814,"journal":{"name":"Eurasian Journal of Emergency Medicine","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2022-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42508362","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.2020.42275
M. Tandoğan, E. Emektar, Seda Dağar, Yücel Yüzbaşıoğlu, Handan Özen Olcay, Tuba Şafak, Y. Katırcı, Y. Çevik
{"title":"The Effect of Severe Pain on Transmyocardial Repolarization Parameters in Renal Colic Patients","authors":"M. Tandoğan, E. Emektar, Seda Dağar, Yücel Yüzbaşıoğlu, Handan Özen Olcay, Tuba Şafak, Y. Katırcı, Y. Çevik","doi":"10.4274/eajem.galenos.2020.42275","DOIUrl":"https://doi.org/10.4274/eajem.galenos.2020.42275","url":null,"abstract":"","PeriodicalId":11814,"journal":{"name":"Eurasian Journal of Emergency Medicine","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2022-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47261930","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.2021.94557
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":null,"pages":null},"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":null,"pages":null},"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":null,"pages":null},"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}
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