Journal of Academic Emergency Medicine Case Reports最新文献

{"title":"Mediterranean Spotted Fever in the Emergency Department","authors":"O. Dikme, Ozgur Dikme, H. Topacoglu","doi":"10.5152/jaemcr.2015.1014","DOIUrl":"https://doi.org/10.5152/jaemcr.2015.1014","url":null,"abstract":"Giris: Akdeniz benekli atesi (ABA) Rickettsia conorii neden oldugu kene kaynakli riketsiyal enfeksiyonlardan biridir. Bu yazida, direncli devam eden ates nedeni ile acil servise basvuran ve sonrasinda ABA tanisi alan bir hasta sunuldu. Olgu Sunumu: Otuz alti yasinda erkek hasta dusmeyen ates sebebiyle acil servise basvurdu. Alti gun oncesinde aile hekimi tarafindan antibakteriyel tedavi baslatilmis ancak hastanin ates yuksekligi devam etmistir. Atesin yedinci gununde acil servise basvurusunda kisi hasta gorunumde eslik eden halsizlik, kas agrisi ve bulanti/kusma sikayetleri mevcuttu. Atesi 38,6°C ve diger vital bulgulari normal idi. Fizik muayenesinde sag bacak uzerinde sigara yanigi benzeri, kirmizi bir hale ile cevrelenmis kabuklu, ulsere papuler tek bir lezyon saptandi. Hastada ABA tani kriterlerine gore skor 33 olarak hesaplandi ve ABA on tanisi ile enfeksiyon hastaliklari servisine yatirildi. Hastanin serum orneginde indirekt immunfloresan assay (IFA) ile riketsiyalara karsi olusan antikorlar pozitif bulundu. Ates dustukten sonraki 24. saate kadar devam edilecek sekilde doksisiklin tedavisi 200mg/gun dozunda baslandi. Yatisin ikinci gununde ates dustu ve dokuntuler geriledi ve ucuncu gunde hasta sekelsiz olarak taburcu edildi. Sonuc: Bu olguyu sunmamizdaki amac, acil servise inatci ates, makulopapuler dokuntu, bas agrisi, kas agrisi, eklem agrilari basvuran hastalarda kene isirigi oykusu sorgulanmali, fizik muayenede Eskar aranmali ve ayirici tanida ABA dusunulmelidir.","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"32 1","pages":"69-71"},"PeriodicalIF":0.0,"publicationDate":"2015-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75537996","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 Case of Decompensated Heart Failure Due to Prosthetic Valve Dysfunction: Quick Diagnosis with Fluoroscopy","authors":"A. Çinçin, B. Ozben, H. Ataş, K. Tigen","doi":"10.5152/JAEMCR.2015.1114","DOIUrl":"https://doi.org/10.5152/JAEMCR.2015.1114","url":null,"abstract":"Giris: Protez kapagi olup dekompanse kalp yetersizligi klinigi ile basvuran olgular, acil servislerde hem tani hem de tedavi acisindan zorlu bir grubu olusturmaktadirlar. Bu hasta grubunda kapak fonksiyonlarinin gosterilmesinde transtorasik ekokardiyografinin onemli rolu olsa da, yetersiz kaldigi durumlar siktir. Olgu Sunumu: Dekompanse kalp yetersizligi ile basvuran atmisbes yasindaki bayan hastanin 6 yil once mitral ve aortik kapak replasmani hikayesi oldugu ogrenilmistir. Kapak fonksiyonlarinin degerlendirilmesinde transtorasik ekokardiyogafinin yeterli sonuc vermedigi olgumuzda, floro-skopi cihazi kullanilarak kapak disfonksiyonuna basarili bir sekilde tani koyulabilmistir. Sonuc: Transtorasik ekokardiyografiye erisim saglanamadigi veya yetersiz oldugu durumlarda, kapak disfonksiyonu ayirici tanisinda ilk goruntuleme yontemi olarak floro-skopi kullanilmasi pratik ve kesin bir yontemdir.","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"10 1","pages":"63-65"},"PeriodicalIF":0.0,"publicationDate":"2015-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84187977","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":"Isolated Dissection of the Superior Mesenteric Artery: Case Report","authors":"Erdem Aksay, Müge Gülen, Akkan Avcı, M. Gedik, Duygu Cengiz","doi":"10.5152/JAEMCR.2015.1104","DOIUrl":"https://doi.org/10.5152/JAEMCR.2015.1104","url":null,"abstract":"Giris: Superior mezenter arter diseksiyonu (SMA) aort diseksiyonunun bir parcasi olarak ortaya cikabildigi gibi nadiren izolede olabilir. Hastalar ozellikle yemeklerden sonra baslayan muphem bir karin agrisi sikayetiyle basvururlar. Olgu Sunumu: Biz bu yazida fizik muayene ile uyumsuz inatci karin agrisi sikayetiyle acil servise basvuran, izole spontan SMA diseksiyonu tanisi konulan ve konservatif olarak tedavi edilen bir olguyu son literatur bilgileri isiginda sunmak istedik. Sonuc: SMA diseksiyonlarinda klinik seyir birbirinden farkli olabilir ve sonucunu tahmin etmek zordur. Bu klinik cesitlilikten oturu konservatif tedaviden, endovaskuler tedaviye ve cerrahi revaskularizasyona kadar degisen farkli tedavi yaklasimlari mumkundur.","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"25 1","pages":"52-55"},"PeriodicalIF":0.0,"publicationDate":"2015-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83265270","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":"ST-Segment Elevation Myocardial Infarction Due to Carbon Monoxide Poisoning","authors":"Ş. K. Çorbacıoğlu, Gulsah Cikrikci, Y. Çevik","doi":"10.5152/JAEMCR.2015.1013","DOIUrl":"https://doi.org/10.5152/JAEMCR.2015.1013","url":null,"abstract":"Giris: Karbon monoksit (CO) zehirlenmeleri siklikla norolojik ve solunumsal semptomlarla seyreden yaygin olarak karsilasilan ciddi zehirlenmelerdir. Ancak literaturde nadiren de olsa ciddi aritmiler, myokard enfarktusu gibi zehirlenmeye bagli mortal olabilecek kardiyak komplikasyonlar da bildirilmistir. CO zehirlenmelerinde kardiyak degerlendirme ve takip mortalitenin azaltilmasi acisindan oldukca onemlidir. Olgu Sunumu: Bu yazida, ozgecmisinde ozellik olmayan ve CO zehirlenmesi sebebiyle acil servise basvuran ve gogus agrisi olan 48 yasindaki erkek hastada saptanan, CO zehirlenmesinin tetikledigini dusundugumuz ST segment elevasyonlu myokard infarktusu (STEMI) vakasi sunulmustur. Sonuc: Karbon monoksit zehirlenmelerinde myokardiyal iskemi beklenen bir klinik bir durum olmakla birlikte STEMI nadir gorulen bir durumdur. Genellikle karbon monoksit zehirlenmesine bagli STEMI hastalarinin anjiyografilerinde altta yatan bir koroner arter hastaligi saptansa da daha nadir durumlarda koroner anatomi tamamen normal olabilmektedir.","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"2 1","pages":"46-48"},"PeriodicalIF":0.0,"publicationDate":"2015-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84259164","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":"Isolated Blunt Submandibular Gland Injury after a Fall from a Bicycle","authors":"Salih Ekinci, C. Aktaş, Y. Demirtaş, A. Erten","doi":"10.5152/JAEMCR.2015.1028","DOIUrl":"https://doi.org/10.5152/JAEMCR.2015.1028","url":null,"abstract":"Giris: Acil servise boyunda sislik ile basvuran hastalarda, ozellikle travma anamnezi varsa, boyun bolgesi yapilarinin yaralanmasi dusunulmelidir. Hayati tehdit edebilecek durumlar hizla gozden gecirilmeli ve uygun goruntuleme yontemleri ile taniya ulasilarak tedavi planlanmalidir. Olgu Sunumu: Acil servise basvurmadan 2 saat once bisikletten dusme sonucu boynunda sislik gelisen, ultrasonografi ve bilgisayarli tomografi goruntulemeleri sonucunda da izole submandibular bez yaralanmasi tanisi konan bir hasta sunulmustur. Sonuc: Kunt travma sonucu gelisen izole submandibular bez yaralanmasi oldukca nadirdir. Tanida radyolojik goruntuleme yontemleri yardimci olur. Hastalar ek yaralanmalar acisindan dikkatle degerlendirilmelidir.","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"2017 1","pages":"56-59"},"PeriodicalIF":0.0,"publicationDate":"2015-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86721154","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":"Phytocontact Dermatitis: A Case Study","authors":"E. Değirmenci, Neşe Duman, A. Mat, I. Bavunoğlu, I. Ikizceli, C. Aktaş","doi":"10.5152/JAEMCR.2015.961","DOIUrl":"https://doi.org/10.5152/JAEMCR.2015.961","url":null,"abstract":"Giris: Bitkisel ilaclar dogrudan cilde uygulanarak farkli amaclarla kullanilamaktadir. Olgu Sunumu: 57 yasinda bayan hasta sol dizine kizariklik ve sislik nedeniyle basvurdu. Muayenesinde eritamatoz ve bulloz lezyonlar goruldu. Hikayesinde ‘Ranunculus Scleratus’ isimli bitkiyi 12 saat dizine kapali olarak temas ettigi ogrenildi. Tanisi; Fitokontakt Dermatit olarak dusunulen hastaya islak pansuman onerildi. 1ay sonra hiperemi disinda bir klinik bulgu kalmadi. Bitkilerle tedavi toplumuzda sik olarak kullanilmakta olup yanlis kullanim zararli etkilere yol acmaktadir. Sonuc: Bitkilerle tedavi toplumumuzda sik olarak kullanilmakta olup yanlis kullanim zararli etkilere yol acmaktadir.","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"33 1","pages":"66-68"},"PeriodicalIF":0.0,"publicationDate":"2015-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76200674","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":"Thoughts of Emergency Physicians about Palliative Care: Evaluation of Awareness","authors":"Nursah Basol, Y. Çelenk, İ. Okan","doi":"10.5152/JAEM.2015.32767","DOIUrl":"https://doi.org/10.5152/JAEM.2015.32767","url":null,"abstract":"Aim: Palliative care is an increasingly important issue in emergency departments worldwide. The present study aimed to evaluate the perspectives and experienced problems of emergency physicians about palliative care. Materials and Methods: A questionnaire that includes main topics of palliative care was prepared, and it was sent through internet access to all emergency physicians who work in Turkey. The whole data were statistically analyzed by Predictive Analytics Software (PASW) 18 and Statistical Package for the Social Sciences (SPSS) software 15.0 for Windows. Results: Ninety-five emergency physicians participated in the study. Most respondents reported reported getting no training about palliative care (77%). Most agreed that special training is required to acquire palliative care skills (91%), and 69% of emergency physicians want to get training on palliative care. Conclusion: Increasing awareness about palliative care is important in emergency departments and makes it possible for an early recognition and appropriate management of palliative care patients. The present study not only indicates the importance of education about palliative care but also contributes to increasing awareness on this issue. (JAEM 2015; 14: 75-8)","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"110 1","pages":"75-78"},"PeriodicalIF":0.0,"publicationDate":"2015-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80547934","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":"Optimal Timing for Measuring Serum S100B Levels in Patients with Syncope","authors":"Y. Eyi, Y. Aksoy, S. Tuncer, U. Kaldırım, A. Yıldırım, I. Arzıman","doi":"10.5152/JAEM.2015.41274","DOIUrl":"https://doi.org/10.5152/JAEM.2015.41274","url":null,"abstract":"collected blood samples of patients with syncope within 48 h, which were taken at a time range of 15 min to 6 h after the index event, were evaluated. Serum S100B levels of patients with syncope within 48 h will be lower than expected because of the short half-life of S100B. We appreciate the authors’ valuable presentation and offer our respects.","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"2 1","pages":"98-98"},"PeriodicalIF":0.0,"publicationDate":"2015-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87794461","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":"Benefits of Using A Smartphone in Patient Referral","authors":"A. Kalkan, Y. Yigit","doi":"10.5152/jaem.2015.49404","DOIUrl":"https://doi.org/10.5152/jaem.2015.49404","url":null,"abstract":"We would like to discuss the benefits to patient referral using Whatsapp, an application for smart phones that is much used in recent times. Whatsapp is a program for sharing photographs, text, sound, and video that can be downloaded to mobile phones free of charge. Whatsapp can be downloaded to all types of smart phones, and unlimited texts can be exchanged (1). Therefore, we believe that this program can be easily used during referrals between hospitals. We work in the Recep Tayyip Erdoğan University Faculty of Medicine, Department of Emergency Medicine, in the province of Rize in Turkey. Our hospital admits patients from the city center and surrounding provinces and districts. The mean annual number of patients visiting our hospital is approximately 180,000. Because ours is a university hospital, we have physicians from all branches of medicine. However, many specialists are unavailable in the surrounding provinces and districts, or if they are available, there is only one individual and lack of shift coverage means that intensive referrals are made to our hospital. The number of specialists in the field of orthopedic and plastic surgery is particularly very low (2). General practitioners and specialists other than emergency medicine specialists work night shifts in outlying centers. Moreover, management of extremity traumas is highly problematic. For example, when an eye disease specialist is on duty in the emergency department, the physician will wish to refer all cases of extremity trauma to our hospital. This imposes workforce and time losses on our hospital. We have started using the Whatsapp application to prevent this. The referring physician sends the patient images as a message. We have been able to guide physicians in case of simple fractures and have thus prevented the need for many referrals. We have been able to arrange splints for non-displaced closed fractures not requiring surgery and with normal motor and sensory examination and had them referred to our clinic the following day. Tests of patients scheduled for referral from hospitals with no fax machine in their emergency departments have been assessed in advance using this program. We were able to start one patient on fluid therapy needed during transportation, such as in hypo/hyperglycemia, before referral. We also wanted one patient with muscle and nerve laceration in the forearm to be referred immediately (Figure 1). Although specialist opinion and physical examination are always essential, we believe that assessment of patients through the Whatsapp program, with the benefit of the opinion of the emergency physician, will reduce the number of referrals decided in the emergency department","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"44 1","pages":"97-97"},"PeriodicalIF":0.0,"publicationDate":"2015-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75838211","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":"Metallic Foreign Body Ingestion During Childhood; the Experience of a University Hospital in Turkey","authors":"Özlem Yüce, M. Acikgoz, A. Güzel, A. Comba, Mithat Günaydın, G. Çaltepe, A. Kalaycı","doi":"10.5152/JAEM.2015.10692","DOIUrl":"https://doi.org/10.5152/JAEM.2015.10692","url":null,"abstract":"Aim: Metallic foreign body (MFB) ingestion is a common problem in the pediatric population. Morbidity and mortality rates are low in foreign body ingestion during childhood, but it may lead to anxiety in parents. Materials and Methods: We aimed to analyze the clinical presentation, etiology, and management of MFB ingestion. The records of children admitted with a history of MFB ingestion were retrospectively reviewed. Data regarding gender, age, type of foreign body, management, and outcome (outcomes) were recorded. Results: Of the 151 children included, 67 (44.4%) were male and 84 (55.6%) female. The mean age was 49.3±39.2 months. Coins, in 108 patients (71.5%), were the most commonly ingested foreign bodies, followed by batteries in 19 patients (12.6%), and other metallic objects. The foreign bodies were located in the esophagus in 70 (46.4%) patients, the stomach in 29 (19.2%), and the small intestine in 52 (34.4%). Endoscopic interventions were performed in 69 patients (45.6%). One patient who swallowed a battery was operated because of acute abdomen. Conclusion: MFB ingestion may appear as an emergency condition of a preventable cause in domestic accidents. It must not be forgotten that in addition to protective measures, early intervention in the emergency department is a significant factor in reducing mortality associated with this condition. (JAEM 2015; 14: 79-82)","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"9 1","pages":"79-82"},"PeriodicalIF":0.0,"publicationDate":"2015-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87620361","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}