O. Balcı, M. Kılınç, I. Ucuz, Ali Yıldırım, M. Y. Sarı
Giris: Noroleptik malign sendrom, antipsikotik ilac kullanimina bagli gelisen nadir fakat hayati tehdit eden bir klinik tablodur. Yuksek ates, kas rijiditesi ve bilinc kaybi ile acil servise basvuran bir hastada dikkatli bir oyku alinmali ve antipsikotik ilac kullanim oykusu varsa noroleptik malign sendrom oncelikle akla getirilmelidir. Olgu Sunumu: 14 yasinda erkek hasta, konusamama, yutma guclugu, kendinden gecme ve idrarini kacirma sikayetleri ile hastanemiz cocuk acil servisine basvurdu. Oykude 100 mg etken madde olan risperidon sisesini 10 gunde bitirdigi ogrenildi. Muayenesinde genel durumu orta, bilinc konfuydu. Laboratuvar testleri normale yakindi. Hasta noroleptik malign sendrom tanisiyla yogunbakim unitesine cikartildi. Sonuc: Noroleptik malign sendrom, acil tani konmasi ve hizli mudahale edilmesi gereken fatal seyirli bir durumdur. Yuksek ates, kas sertligi ve bilinc kaybiyla acil servise basvuran hastalarda dikkatli bir anamnez alinmali ve hastanin antipsikotik kullanim oykusu varsa mutlaka on siralarda akla getirilmesi gereken klinik bir tablodur.
{"title":"A Neuroleptic Malignant Syndrome Case Presented to the Pediatric Emergency Service","authors":"O. Balcı, M. Kılınç, I. Ucuz, Ali Yıldırım, M. Y. Sarı","doi":"10.5152/JAEMCR.2015.777","DOIUrl":"https://doi.org/10.5152/JAEMCR.2015.777","url":null,"abstract":"Giris: Noroleptik malign sendrom, antipsikotik ilac kullanimina bagli gelisen nadir fakat hayati tehdit eden bir klinik tablodur. Yuksek ates, kas rijiditesi ve bilinc kaybi ile acil servise basvuran bir hastada dikkatli bir oyku alinmali ve antipsikotik ilac kullanim oykusu varsa noroleptik malign sendrom oncelikle akla getirilmelidir. Olgu Sunumu: 14 yasinda erkek hasta, konusamama, yutma guclugu, kendinden gecme ve idrarini kacirma sikayetleri ile hastanemiz cocuk acil servisine basvurdu. Oykude 100 mg etken madde olan risperidon sisesini 10 gunde bitirdigi ogrenildi. Muayenesinde genel durumu orta, bilinc konfuydu. Laboratuvar testleri normale yakindi. Hasta noroleptik malign sendrom tanisiyla yogunbakim unitesine cikartildi. Sonuc: Noroleptik malign sendrom, acil tani konmasi ve hizli mudahale edilmesi gereken fatal seyirli bir durumdur. Yuksek ates, kas sertligi ve bilinc kaybiyla acil servise basvuran hastalarda dikkatli bir anamnez alinmali ve hastanin antipsikotik kullanim oykusu varsa mutlaka on siralarda akla getirilmesi gereken klinik bir tablodur.","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"8 1","pages":"19-22"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74381256","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}
Demet Acar, Mustafa Gulpembe, N. Akilli, S. Calik, R. Koylu, Y. Gunaydin, T. Acar
Giris: Adrenal kanama oldukca nadir gorulmekle birlikte travma, stres, sepsis, adrenal tumor, antikoaulan ilaclar, kanama bozukluklari ve gebelik gibi durumlara sekonder gelisebilir. Akut adrenal kanama adrenal yetmezlige ve sivi-elektrolit dengesizligine yol acabileceginden acil tani ve tedavi hayat kurtaricidir. Olgu Sunumu: Burada sag omuz agrisi sikayeti ile acil servise basvuran yasli bir hastada bir kac saat icinde tanisi konan ve tedavisi gerceklestirilen bir adrenal kanma sunulacaktir. Sonuc: Akut adrenal kanama cok nadirdir ve tanisi da oldukca zordur. Klinisyenler, hizli tani ve tedavi icin bu nadir hastaligi akilda tutmalidir.
{"title":"Acute Adrenal Hemorrhage in an Elderly Patient","authors":"Demet Acar, Mustafa Gulpembe, N. Akilli, S. Calik, R. Koylu, Y. Gunaydin, T. Acar","doi":"10.5152/JAEMCR.2015.742","DOIUrl":"https://doi.org/10.5152/JAEMCR.2015.742","url":null,"abstract":"Giris: Adrenal kanama oldukca nadir gorulmekle birlikte travma, stres, sepsis, adrenal tumor, antikoaulan ilaclar, kanama bozukluklari ve gebelik gibi durumlara sekonder gelisebilir. Akut adrenal kanama adrenal yetmezlige ve sivi-elektrolit dengesizligine yol acabileceginden acil tani ve tedavi hayat kurtaricidir. Olgu Sunumu: Burada sag omuz agrisi sikayeti ile acil servise basvuran yasli bir hastada bir kac saat icinde tanisi konan ve tedavisi gerceklestirilen bir adrenal kanma sunulacaktir. Sonuc: Akut adrenal kanama cok nadirdir ve tanisi da oldukca zordur. Klinisyenler, hizli tani ve tedavi icin bu nadir hastaligi akilda tutmalidir.","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"42 1","pages":"10-12"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73558977","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}
Müge Gülen, Selen Acehan, D. Kaplan, F. Icme, M. Segmen, Akkan Avcı
Giris: Yasli istismari ve ihmali, yasli nufusun hizla artmasi, sosyal guvenlik ve destek sistemlerinin yetersizligi ve kotulesen ekonomik nedenlere bagli olarak daha sik gorulmektedir. Olgu Sunumu: 80 yasinda bayan hasta analjezik alimi sonrasi vucutta sislik ve nefes darligi nedeniyle getirildi. Hastanin travma oykusu olmadigi soylendi. Fizik muayenede cilt alti amfizemi fark edilen hastaya bilgisayarli toraks tomografisi cekildi. Hastanin pnomotoraksi, pnomomediastinumu, kot frakturu ve parankim yaralanmasi tespit edildi. Hastaya bilateral tup torakostomi uygulandi ve mekanik ventilatore baglandi. Oyku derinlestirilince, hastanin kaldigi bakimevinde yataktan dustugu kurum calisanlarindan ogrenildi. Hasta yasli istismari olarak degerlendirilip hastane polisine bildirildi. Sonuc: Yasli bireyin istismar ve ihmale ugramasi yasamini tehdit eden olumcul sonuclara neden olabilir. Acil servis hekimlerinin suistimalin belirtileri konusunda anamnez alirken ve fizik baki sirasinda daha dikkatli olmalari gerekmektedir.
{"title":"Is It Anaphylaxis or Elder Abuse","authors":"Müge Gülen, Selen Acehan, D. Kaplan, F. Icme, M. Segmen, Akkan Avcı","doi":"10.5152/JAEMCR.2015.702","DOIUrl":"https://doi.org/10.5152/JAEMCR.2015.702","url":null,"abstract":"Giris: Yasli istismari ve ihmali, yasli nufusun hizla artmasi, sosyal guvenlik ve destek sistemlerinin yetersizligi ve kotulesen ekonomik nedenlere bagli olarak daha sik gorulmektedir. Olgu Sunumu: 80 yasinda bayan hasta analjezik alimi sonrasi vucutta sislik ve nefes darligi nedeniyle getirildi. Hastanin travma oykusu olmadigi soylendi. Fizik muayenede cilt alti amfizemi fark edilen hastaya bilgisayarli toraks tomografisi cekildi. Hastanin pnomotoraksi, pnomomediastinumu, kot frakturu ve parankim yaralanmasi tespit edildi. Hastaya bilateral tup torakostomi uygulandi ve mekanik ventilatore baglandi. Oyku derinlestirilince, hastanin kaldigi bakimevinde yataktan dustugu kurum calisanlarindan ogrenildi. Hasta yasli istismari olarak degerlendirilip hastane polisine bildirildi. Sonuc: Yasli bireyin istismar ve ihmale ugramasi yasamini tehdit eden olumcul sonuclara neden olabilir. Acil servis hekimlerinin suistimalin belirtileri konusunda anamnez alirken ve fizik baki sirasinda daha dikkatli olmalari gerekmektedir.","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"23 1","pages":"4-6"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83240853","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}
Gökçe Akgül Karadana, O. Dikme, S. Yeniocak, H. Topacoglu
Giris: Acil servise bilinc bulanikligi ile basvuran hastalarda ayirici tanida bircok hastalik gozden gecirilmelidir. Bir sitma komplikasyonu olan serebral sitma somnolans, koma, deliryum ve nobetle seyreden, mortalitesi %20’leri bulan ciddi klinik bir tablodur. Olgu Sunumu: Acil servise ambulansla ani baslayan bilinc bulanikligi ile getirilen ve serebral sitma tanisi alan bir olgu sunulmustur. Sonuc: Bilinc bulanikligi ile basvuran hastalarda ayrintili ve tekrarlayan hikaye almak hayat kurtarici olabilmektedir
{"title":"A Rare Presentation to the Emergency Department with Confusion: Cerebral Malaria","authors":"Gökçe Akgül Karadana, O. Dikme, S. Yeniocak, H. Topacoglu","doi":"10.5152/JAEMCR.2015.616","DOIUrl":"https://doi.org/10.5152/JAEMCR.2015.616","url":null,"abstract":"Giris: Acil servise bilinc bulanikligi ile basvuran hastalarda ayirici tanida bircok hastalik gozden gecirilmelidir. Bir sitma komplikasyonu olan serebral sitma somnolans, koma, deliryum ve nobetle seyreden, mortalitesi %20’leri bulan ciddi klinik bir tablodur. Olgu Sunumu: Acil servise ambulansla ani baslayan bilinc bulanikligi ile getirilen ve serebral sitma tanisi alan bir olgu sunulmustur. Sonuc: Bilinc bulanikligi ile basvuran hastalarda ayrintili ve tekrarlayan hikaye almak hayat kurtarici olabilmektedir","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"36 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75348314","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}
Mustafa Gulpembe, Demet Acar, N. Akilli, S. Calik, Y. Gunaydin, R. Koylu, B. Cander
Giris: Opioid kotuye kullanimi ile iliskili pek cok komplikasyon bildirilmistir. Bunlarin arasinda solunum depresyonu, bilinc bulanikligi, aspirasyon gnomonisi, pulmoner odem, miyokardit, rabdomiyoliz ve kompartman sendromu sayilabilir. Bu komplikasyonlarin bazilari hayati tehdit eder. Olgu Sunumu: Burada genc bir erkek hastada opioid kotuye kullanimina bagli gelisen rabdomiyoliz vakasi sunacagiz. Sonuc: Rabdomiyoliz intravenoz opioid kotuye kullanimina bagli nadir gorulen bir komplikasyondur. Rabdomiyoliz hayati tehdit edebilecek sonuclar dogurabilecegi icin erken tani ve tedavisi cok onemlidir. Bu nedenle klinisyenler opioid kullanicilarinda bu komplikasyona karsi uyanik olmalilardir.
{"title":"Rhabdomyolysis Associated with Opiate Abuse: A Case Report","authors":"Mustafa Gulpembe, Demet Acar, N. Akilli, S. Calik, Y. Gunaydin, R. Koylu, B. Cander","doi":"10.5152/JAEMCR.2015.746","DOIUrl":"https://doi.org/10.5152/JAEMCR.2015.746","url":null,"abstract":"Giris: Opioid kotuye kullanimi ile iliskili pek cok komplikasyon bildirilmistir. Bunlarin arasinda solunum depresyonu, bilinc bulanikligi, aspirasyon gnomonisi, pulmoner odem, miyokardit, rabdomiyoliz ve kompartman sendromu sayilabilir. Bu komplikasyonlarin bazilari hayati tehdit eder. Olgu Sunumu: Burada genc bir erkek hastada opioid kotuye kullanimina bagli gelisen rabdomiyoliz vakasi sunacagiz. Sonuc: Rabdomiyoliz intravenoz opioid kotuye kullanimina bagli nadir gorulen bir komplikasyondur. Rabdomiyoliz hayati tehdit edebilecek sonuclar dogurabilecegi icin erken tani ve tedavisi cok onemlidir. Bu nedenle klinisyenler opioid kullanicilarinda bu komplikasyona karsi uyanik olmalilardir.","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"26 1","pages":"13-15"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84223063","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 : 2014-12-23DOI: 10.5152/jaemcr.2014.72325
Y. Aksoy, Y. Eyi
Derginizin 2012 yılı 3.cilt,3.sayısında yayımlanan “Herpes Zoster Oftalmikus” başlıklı Sayın Sayhan, Sezenler, Nalbur, Yağcı ve Gezer (1) tarafından yazılan olgu sunumunu ilgiyle okuduk. Bu ilginç olguyu bizlerle paylaştıkları için teşekkür ederiz. Yazarlar, 71 yaşında, başının sağ yarısında yeni başlayan ağrı, alında siyah lekelenmeler sonrasında başlamış kaşıntı ve döküntü şikayeti ile aile hekimine başvuran, takip eden günler içinde bir çok ilaç kullanmış, 3. günde göz kapaklarındaki şişlik nedeniyle anjioödem ön tanısı ile acil servise yönlendirilen bir kadın olguyu sunmuştur. Olgunun 10 yıllık diabetus mellitus (DM) hastası olduğu bildirilmiş ve yapılan muayene ve alınan konsultasyonlar neticesinde ‘’Herpes Zoster Oftalmikus’’ (HZO) tanısı konularak tedavi başlandığı belirtilmiştir. Yazarların DM varlığını yeterince vurgulamadığını ve antiviral tedavi başlama zamanı ile ilgili olarak sehven hata yaptıklarını düşünmekteyiz.
{"title":"The Timing of Antiviral Drugs in the Treatment of Herpes Zoster Ophthalmicus","authors":"Y. Aksoy, Y. Eyi","doi":"10.5152/jaemcr.2014.72325","DOIUrl":"https://doi.org/10.5152/jaemcr.2014.72325","url":null,"abstract":"Derginizin 2012 yılı 3.cilt,3.sayısında yayımlanan “Herpes Zoster Oftalmikus” başlıklı Sayın Sayhan, Sezenler, Nalbur, Yağcı ve Gezer (1) tarafından yazılan olgu sunumunu ilgiyle okuduk. Bu ilginç olguyu bizlerle paylaştıkları için teşekkür ederiz. Yazarlar, 71 yaşında, başının sağ yarısında yeni başlayan ağrı, alında siyah lekelenmeler sonrasında başlamış kaşıntı ve döküntü şikayeti ile aile hekimine başvuran, takip eden günler içinde bir çok ilaç kullanmış, 3. günde göz kapaklarındaki şişlik nedeniyle anjioödem ön tanısı ile acil servise yönlendirilen bir kadın olguyu sunmuştur. Olgunun 10 yıllık diabetus mellitus (DM) hastası olduğu bildirilmiş ve yapılan muayene ve alınan konsultasyonlar neticesinde ‘’Herpes Zoster Oftalmikus’’ (HZO) tanısı konularak tedavi başlandığı belirtilmiştir. Yazarların DM varlığını yeterince vurgulamadığını ve antiviral tedavi başlama zamanı ile ilgili olarak sehven hata yaptıklarını düşünmekteyiz.","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"10 1","pages":"260-261"},"PeriodicalIF":0.0,"publicationDate":"2014-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88588164","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}
A. Vahdati, Changiz Gholipour, M. Talebian, S. Vahdati, Taranoom Mahmoudieh
The aim of the present article is to analyze the current state of Saravan city after the earthquake in 1392 and to examine the potential of the city against crises. The city is on the Saravan fault, the beginning of which is the western border of Pakistan that connects to the Zahedan fault. The city was hit with a 7.5-magnitude earthquake on Tuesday, April 16, 2013 at 3:14 PM. The number of injuries was low, and most of the earthquake victims needed quick treatments; therefore, there was no need for establishing a transportation corridor in order to evacuate the injured. What appears to be important is that the earthquake discussed in the present article may be misleading; Saravan is located in a lowly populated area of the south-east part of Iran, and unlike Varzaghan, Ahar, and Haris, most construction buildings in Saravan are one-story, worn-out, brick buildings of destructible, light structure. It is important to be wary that a similar incident in another part of the country will inflict more damage and casualties. (JAEM 2014; 13: 216-8)
{"title":"Disaster in South-East of Iran: Saravan Earthquake with Minimum Mortality","authors":"A. Vahdati, Changiz Gholipour, M. Talebian, S. Vahdati, Taranoom Mahmoudieh","doi":"10.5152/JAEM.2014.02418","DOIUrl":"https://doi.org/10.5152/JAEM.2014.02418","url":null,"abstract":"The aim of the present article is to analyze the current state of Saravan city after the earthquake in 1392 and to examine the potential of the city against crises. The city is on the Saravan fault, the beginning of which is the western border of Pakistan that connects to the Zahedan fault. The city was hit with a 7.5-magnitude earthquake on Tuesday, April 16, 2013 at 3:14 PM. The number of injuries was low, and most of the earthquake victims needed quick treatments; therefore, there was no need for establishing a transportation corridor in order to evacuate the injured. What appears to be important is that the earthquake discussed in the present article may be misleading; Saravan is located in a lowly populated area of the south-east part of Iran, and unlike Varzaghan, Ahar, and Haris, most construction buildings in Saravan are one-story, worn-out, brick buildings of destructible, light structure. It is important to be wary that a similar incident in another part of the country will inflict more damage and casualties. (JAEM 2014; 13: 216-8)","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"15 1","pages":"216-218"},"PeriodicalIF":0.0,"publicationDate":"2014-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84838572","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}
A 61-year-old man was admitted with right flank pain for 3 weeks. Physical examination revealed mild costovertebral angle tenderness in the right flank. Laboratory tests, including serum creatinine level, inflammatory markers (erythrocyte sedimentation rate, C-reactive protein), and urine analysis, were normal. Ultrasonography revealed significant right hydronephrosis with an abdominal aortic aneurysm. Computed tomography (CT) scan demonstrated a 12x7-cm ruptured fusiform abdominal aortic aneurysm (AAA) continuing from the aortic bifurcation to infrenally and causing right hydroureteronephrosis (Figure 1). After informed consent was obtained, the aortic aneurysm was treated endovascularly (endovascular aneurysm repair (EVAR)) with a “Y” stent. Double J catheter insertion for right hydronephrosis due to ureteral obstruction was performed (Figure 2, 3). A follow-up CT in the first month showed an aggravated aortic hematoma with completely resolved right hydronephrosis (Figure 4). A subgroup of aortic aneurysms is inflammatory type AAAs, representing about 10%. Genitourinary symptoms are more common Ruptured Aortic Aneurysm Causing Right Hydronephrosis
{"title":"Ruptured Aortic Aneurysm Causing Right Hydronephrosis","authors":"Alper Eken, M. K. Batur, M. Açıl","doi":"10.5152/JAEM.2014.228","DOIUrl":"https://doi.org/10.5152/JAEM.2014.228","url":null,"abstract":"A 61-year-old man was admitted with right flank pain for 3 weeks. Physical examination revealed mild costovertebral angle tenderness in the right flank. Laboratory tests, including serum creatinine level, inflammatory markers (erythrocyte sedimentation rate, C-reactive protein), and urine analysis, were normal. Ultrasonography revealed significant right hydronephrosis with an abdominal aortic aneurysm. Computed tomography (CT) scan demonstrated a 12x7-cm ruptured fusiform abdominal aortic aneurysm (AAA) continuing from the aortic bifurcation to infrenally and causing right hydroureteronephrosis (Figure 1). After informed consent was obtained, the aortic aneurysm was treated endovascularly (endovascular aneurysm repair (EVAR)) with a “Y” stent. Double J catheter insertion for right hydronephrosis due to ureteral obstruction was performed (Figure 2, 3). A follow-up CT in the first month showed an aggravated aortic hematoma with completely resolved right hydronephrosis (Figure 4). A subgroup of aortic aneurysms is inflammatory type AAAs, representing about 10%. Genitourinary symptoms are more common Ruptured Aortic Aneurysm Causing Right Hydronephrosis","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"43 1","pages":"221-222"},"PeriodicalIF":0.0,"publicationDate":"2014-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84626895","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}
flood, and earthquake, happen all over the world and leave casualties and fatalities in human societies. Earthquake is one of the common cataclysms, especially in Iran (1). When blokes of the earth’s crust slip or move relative to each other parallel to the fracture, the sudden release of energy results in seismic waves that are known as an earthquake (2). It has been believed that there is a chance of a reduction in losses and destruction in the emergency situation by performing simulation practices and training the community to mitigate the consequences of earthquakes (3). To gain this purpose, there should be evidence-based and modulus practices. Also, the target audience must be selected properly. In recent studies, researchers focused on the preparedness of health care workers by using simulation technology to evaluate their responses while facing the inherent challenges. It has been also recommended that these experimental exercises and training can be performed for students at schools. So far, the effectiveness of these plans is a matter of question (4-6). Iran is crossed by several major fault lines, and it has historical evidence of catastrophic earthquakes in some areas. In 2012, a formidable earthquake hit the north and northwest areas of Iran and resulted in deaths of hundreds of people at Varzeghan city and most related rural areas. On March 9, 2014, an earthquake with a magnitude of 3.5 on the Richter scale shook around the megacity of Tabriz. Since the north and northeast parts of the city lie within an active earthquake belt, this earthquake resulted in fear of the inhabitants, and 9 students were crushed under the crowd in the mass movements while getting away from school. All of these injured people were transferred to Tabriz Imam Reza Hospital. One of them had a crush injury, and fifth of them suffered from tibial and fibular fractures. It seems that in spite of performing earthquake simulations in ordinary times, these instructions do not possess enough efficiency, and more comprehensive management has to be done.
{"title":"Performing Earthquake Simulators in School, is It Beneficial?","authors":"S. Vahdati, A. Vahdati, Elmira Ghaffarzade","doi":"10.5152/JAEM.2014.376","DOIUrl":"https://doi.org/10.5152/JAEM.2014.376","url":null,"abstract":"flood, and earthquake, happen all over the world and leave casualties and fatalities in human societies. Earthquake is one of the common cataclysms, especially in Iran (1). When blokes of the earth’s crust slip or move relative to each other parallel to the fracture, the sudden release of energy results in seismic waves that are known as an earthquake (2). It has been believed that there is a chance of a reduction in losses and destruction in the emergency situation by performing simulation practices and training the community to mitigate the consequences of earthquakes (3). To gain this purpose, there should be evidence-based and modulus practices. Also, the target audience must be selected properly. In recent studies, researchers focused on the preparedness of health care workers by using simulation technology to evaluate their responses while facing the inherent challenges. It has been also recommended that these experimental exercises and training can be performed for students at schools. So far, the effectiveness of these plans is a matter of question (4-6). Iran is crossed by several major fault lines, and it has historical evidence of catastrophic earthquakes in some areas. In 2012, a formidable earthquake hit the north and northwest areas of Iran and resulted in deaths of hundreds of people at Varzeghan city and most related rural areas. On March 9, 2014, an earthquake with a magnitude of 3.5 on the Richter scale shook around the megacity of Tabriz. Since the north and northeast parts of the city lie within an active earthquake belt, this earthquake resulted in fear of the inhabitants, and 9 students were crushed under the crowd in the mass movements while getting away from school. All of these injured people were transferred to Tabriz Imam Reza Hospital. One of them had a crush injury, and fifth of them suffered from tibial and fibular fractures. It seems that in spite of performing earthquake simulations in ordinary times, these instructions do not possess enough efficiency, and more comprehensive management has to be done.","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"76 1","pages":"214-214"},"PeriodicalIF":0.0,"publicationDate":"2014-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88539143","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}
Bahri Atli, Ş. Eren, A. Coşkun, İ. Korkmaz, M. Eren
Objective: Trauma is one of the most important reasons of death in the pediatric age group. The aim of this study is to analyze the relation between the trauma type, trauma time, and the way of arrival to the hospital and to examine the causes of traumatic etiology and outcomes in the 0-6 age group (pre-primary) of trauma cases in our state. Material and Methods: Trauma cases in the 0-6 age group (pre-primary) who were admitted to the Cumhuriyet University Medical School Emergency Department between May 2009-May 2011 were evaluated. Results: In our study period, 799 children aged 0-6 were admitted to our emergency service; 55.8% of these patients were male. Most patients were mainly referred to the ER in July, August, and September, and the highest value was detected in July. Falls were first and motor vehicle accidents were second in frequency among the causes of injury. Conclusion: Consequently, traumas are showing an increase, especially in summer time, and it is observed that children are disregarded during farm works, and because of this, trauma numbers are being increased between the ages of 0-6 years. (JAEM 2014; 13: 172-5)
{"title":"Evaluation of Pre-School (0-6) Age Group Trauma Patients Etiology","authors":"Bahri Atli, Ş. Eren, A. Coşkun, İ. Korkmaz, M. Eren","doi":"10.5152/JAEM.2014.37029","DOIUrl":"https://doi.org/10.5152/JAEM.2014.37029","url":null,"abstract":"Objective: Trauma is one of the most important reasons of death in the pediatric age group. The aim of this study is to analyze the relation between the trauma type, trauma time, and the way of arrival to the hospital and to examine the causes of traumatic etiology and outcomes in the 0-6 age group (pre-primary) of trauma cases in our state. Material and Methods: Trauma cases in the 0-6 age group (pre-primary) who were admitted to the Cumhuriyet University Medical School Emergency Department between May 2009-May 2011 were evaluated. Results: In our study period, 799 children aged 0-6 were admitted to our emergency service; 55.8% of these patients were male. Most patients were mainly referred to the ER in July, August, and September, and the highest value was detected in July. Falls were first and motor vehicle accidents were second in frequency among the causes of injury. Conclusion: Consequently, traumas are showing an increase, especially in summer time, and it is observed that children are disregarded during farm works, and because of this, trauma numbers are being increased between the ages of 0-6 years. (JAEM 2014; 13: 172-5)","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"140 1","pages":"172-175"},"PeriodicalIF":0.0,"publicationDate":"2014-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82265254","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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