Objective: In this study we studied the calls to 112 command and control center in 2012-2013 years in our province and we aimed the evaluation of use of the emergency ambulance service in our province. Methods: By evaluating emergency call forms that is taken 112 command and control center head physician’s office, a descriptive study was done retrospectively. SPSS 17 program is used for the statistical analysis in this study. Results: It is identified that 51.8% of 1176126 emergency service applicants was male in 2012, 52.3% of 1185019 emergency service applicants was female in 2013. Ambulance service utilization was highest in summer (27%) and the peak value was in august. It is detected that 94% of the calls was unnecessary. The ambulance service utilization by the patients age 65 and over was 30% in 2012 and 2013. It is also identified that the mean ambulance arrival time to the patients was 8.6 min. in 2012 and 9.1 min. in 2013. As we determined, most of the reasons of emergency calls were medical diseases (72%) and traffic accidents (12%). In the patient’s classification according to their pre-diagnosis, the biggest patient group was trauma cases. In 2012 the trauma cases have had 23,3% rate among the pre-diagnosis reasons and in 2013 the value was 22,2%. In our study, the highest rate of ambulance exists is hospital transfer (64.2% in 2012, 63.1% in 2013). Most of the cases which are transported with ambulance have been gone to Denizli State Hospital (32.4%). Conclusion: The high rate of unnecessary calls to command and control center (95,5%) is a serious problem for the quality of service. Because of the fact that these kind of calls make 112 KKM busy unnecessarily; patients, which must have a priority to access to emergency services because of their severe illnesses, don’t arrive on time. So education programs or public spotlights should be performed to improve the public’s knowledge.
{"title":"The calls to 112 command and control center and evaluation of use of the Emergency Ambulance Service in Denizli","authors":"Sema Ayten, E. Uyanık","doi":"10.55994/ejcc.1518133","DOIUrl":"https://doi.org/10.55994/ejcc.1518133","url":null,"abstract":"Objective: In this study we studied the calls to 112 command and control center in 2012-2013 years in our province and we aimed the evaluation of use of the emergency ambulance service in our province. \u0000Methods: By evaluating emergency call forms that is taken 112 command and control center head physician’s office, a descriptive study was done retrospectively. SPSS 17 program is used for the statistical analysis in this study. \u0000Results: It is identified that 51.8% of 1176126 emergency service applicants was male in 2012, 52.3% of 1185019 emergency service applicants was female in 2013. Ambulance service utilization was highest in summer (27%) and the peak value was in august. It is detected that 94% of the calls was unnecessary. The ambulance service utilization by the patients age 65 and over was 30% in 2012 and 2013. It is also identified that the mean ambulance arrival time to the patients was 8.6 min. in 2012 and 9.1 min. in 2013. As we determined, most of the reasons of emergency calls were medical diseases (72%) and traffic accidents (12%). In the patient’s classification according to their pre-diagnosis, the biggest patient group was trauma cases. In 2012 the trauma cases have had 23,3% rate among the pre-diagnosis reasons and in 2013 the value was 22,2%. In our study, the highest rate of ambulance exists is hospital transfer (64.2% in 2012, 63.1% in 2013). Most of the cases which are transported with ambulance have been gone to Denizli State Hospital (32.4%). \u0000Conclusion: The high rate of unnecessary calls to command and control center (95,5%) is a serious problem for the quality of service. Because of the fact that these kind of calls make 112 KKM busy unnecessarily; patients, which must have a priority to access to emergency services because of their severe illnesses, don’t arrive on time. So education programs or public spotlights should be performed to improve the public’s knowledge.","PeriodicalId":507244,"journal":{"name":"Eurasian Journal of Critical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141923949","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}
Hype, characterized by the exaggerated promotion of a subject or finding beyond its actual significance, is a pervasive issue in medical and scientific research. It can arise for various reasons, including media sensationalism, funding pressures, or misinterpretation of preliminary data. While hype may capture attention and generate interest, it also presents several potential problems. This paper explores the implications of hype in the context of emergency department research, where the need for accurate and reliable information is critical due to the high-stakes nature of emergency care.
{"title":"The Impact of Hype on Emergency Department Research","authors":"Serdar Özdemir","doi":"10.55994/ejcc.1511236","DOIUrl":"https://doi.org/10.55994/ejcc.1511236","url":null,"abstract":"Hype, characterized by the exaggerated promotion of a subject or finding beyond its actual significance, is a pervasive issue in medical and scientific research. It can arise for various reasons, including media sensationalism, funding pressures, or misinterpretation of preliminary data. While hype may capture attention and generate interest, it also presents several potential problems. This paper explores the implications of hype in the context of emergency department research, where the need for accurate and reliable information is critical due to the high-stakes nature of emergency care.","PeriodicalId":507244,"journal":{"name":"Eurasian Journal of Critical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141929187","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}
Objective: Omalizumab treatment has shown promise in managing Chronic spontaneous urticaria (CSU). This study focuses on evaluating its effect on improving the quality of life and reducing CSU activity and severity in patients of different age groups. Materials and Methods: Conducted at Derince Training and Research Hospital, this observational study involved 50 CSU patients, categorized into adolescents (≤18years, n=15) and adults (>18years, n=35). Data were collected through clinical and demographic assessments, including Urticaria Activity Score (UAS), Urticaria Control Test (UCT), and Chronic Urticaria Quality of Life Questionnaire (CU-Q2oL) questionnaires, at the beginning and the third month of Omalizumab treatment. Results: Significant improvements were observed in UAS, UCT, and CU-Q2oL scores post-Omalizumab treatment, indicating reduced symptom severity and enhanced quality of life. The median UAS at the start was 35 (28-35); at the third month, 7 (0-7); median UCT at the start was 2 (1.25-3), at the third month 16 (13-16); median CU-Q2oL at the start was 70.5 (66-74), at the third month 23 (23-28); (p
{"title":"Impact of Omalizumab Treatment on Quality of Life and Activity of Chronic Spontaneous Urticaria","authors":"Nurhan Kasap, C. Örçen","doi":"10.55994/ejcc.1467724","DOIUrl":"https://doi.org/10.55994/ejcc.1467724","url":null,"abstract":"Objective: Omalizumab treatment has shown promise in managing Chronic spontaneous urticaria (CSU). This study focuses on evaluating its effect on improving the quality of life and reducing CSU activity and severity in patients of different age groups. \u0000Materials and Methods: Conducted at Derince Training and Research Hospital, this observational study involved 50 CSU patients, categorized into adolescents (≤18years, n=15) and adults (>18years, n=35). Data were collected through clinical and demographic assessments, including Urticaria Activity Score (UAS), Urticaria Control Test (UCT), and Chronic Urticaria Quality of Life Questionnaire (CU-Q2oL) questionnaires, at the beginning and the third month of Omalizumab treatment. \u0000Results: Significant improvements were observed in UAS, UCT, and CU-Q2oL scores post-Omalizumab treatment, indicating reduced symptom severity and enhanced quality of life. The median UAS at the start was 35 (28-35); at the third month, 7 (0-7); median UCT at the start was 2 (1.25-3), at the third month 16 (13-16); median CU-Q2oL at the start was 70.5 (66-74), at the third month 23 (23-28); (p","PeriodicalId":507244,"journal":{"name":"Eurasian Journal of Critical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140685232","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}
Dilber Üçöz Kocaşaban, Sertaç Güler, Y. K. Günaydın, Mehmet Okumuş
As this is a letter to the editor, there is no abstract section.
由于这是一封致编辑的信，因此没有摘要部分。
{"title":"Intensive Care: Turkey's First Subspecialty for Emergency Medicine","authors":"Dilber Üçöz Kocaşaban, Sertaç Güler, Y. K. Günaydın, Mehmet Okumuş","doi":"10.55994/ejcc.1447630","DOIUrl":"https://doi.org/10.55994/ejcc.1447630","url":null,"abstract":"As this is a letter to the editor, there is no abstract section.","PeriodicalId":507244,"journal":{"name":"Eurasian Journal of Critical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140754204","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}
Gözde Yilmaz, Vahit Şener, İsmail Furkan Şi̇mşek, Necmi Baykan, Ömer Salt
Necrotizing fasciitis is an important disease caused by multiple bacteria resulting in necrosis of the skin and soft tissue. Swelling, discoloration and bullae formation may be observed in the affected area. The presence of crepitation under the skin on palpation is a warning sign for necrotizing fasciitis. In our case, necrotizing fasciitis was considered as a preliminary diagnosis after a comprehensive systemic examination in a patient admitted to the emergency department with hyperglycemia. The diagnosis was confirmed by imaging, but the patient died before treatment could be started. Since the mortality rate is quite high, rapid diagnosis and initiation of treatment is very important.
{"title":"CASE REPORT OF NECROTIZING FASCIITIS IN A PATIENT WITH HYPERGLYCEMIA","authors":"Gözde Yilmaz, Vahit Şener, İsmail Furkan Şi̇mşek, Necmi Baykan, Ömer Salt","doi":"10.55994/ejcc.1388619","DOIUrl":"https://doi.org/10.55994/ejcc.1388619","url":null,"abstract":"Necrotizing fasciitis is an important disease caused by multiple bacteria resulting in necrosis of the skin and soft tissue. Swelling, discoloration and bullae formation may be observed in the affected area. The presence of crepitation under the skin on palpation is a warning sign for necrotizing fasciitis. In our case, necrotizing fasciitis was considered as a preliminary diagnosis after a comprehensive systemic examination in a patient admitted to the emergency department with hyperglycemia. The diagnosis was confirmed by imaging, but the patient died before treatment could be started. Since the mortality rate is quite high, rapid diagnosis and initiation of treatment is very important.","PeriodicalId":507244,"journal":{"name":"Eurasian Journal of Critical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139212045","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}
Objective:To investigatetheutility of theumbilicalartery (UA) andmiddlecerebralartery (MCA) Doppler indicesandtheirratios in determiningintrauterinegrowthrestriction (IUGR) andunfavorablebirthoutcomes in preeclampticpregnancies. MaterialandMethod:Thisprospectivestudyincluded 59 preeclampticpregnantwomenand 63 healthypregnantwomen (controls) at a gestationalweek of 31-40 whowerefollowedup at thegynecologyandobstetricsclinic of a tertiaryhospitalover a 16-month period.Aftertheevaluation of normal andpreeclampticpregnanciesusing B-Modeultrasonography, the Doppler indexvalues of the UA and MCA weredeterminedusing Doppler ultrasonography. Bydeterminingthevelocity-time wavespectraforthe UA and MCA, thesystole/diastoleratio (S/D), resistiveindex (RI), andpulsatilityindex (PI) valueswerecalculatedfollowingtheautomaticalgorithm of thedevice. Results:The UAS/D (3.47±1.29) and UA RI (0.69±0.13) values of thepreeclampticgroupstatisticallysignificantlydifferedfromthose of thecontrols (2.50 ± 0.30 and 0.59 ± 0.06, respectively) (p
目的：探讨脐动脉（UA）和大脑中动脉（MCA）多普勒指数及其比值在确定先兆子痫孕妇宫内生长受限（IUGR）和不利分娩结局方面的效用。 材料与方法：这项前瞻性研究包括 59 名孕周在 31-40 孕周的先兆子痫孕妇和 63 名健康孕妇（对照组），她们在一家三甲医院的妇产科门诊接受了为期 16 个月的随访。在使用 B 型超声波对正常妊娠和先兆子痫妊娠进行评估后，使用多普勒超声波测定了 UA 和 MCA 的多普勒指数值。通过测定 UA 和 MCA 的速度-时间波谱，按照设备的自动数学算法计算出搏动/舒张比（S/D）、阻力指数（RI）和搏动指数（PI）值。 结果：先兆子痫组的 UAS/D 值（3.47±1.29）和 UA RI 值（0.69±0.13）与对照组的 UAS/D 值（2.50±0.30）和 UA RI 值（0.59±0.06）存在显著差异（P＜0.05）。
{"title":"ROLE OF FETAL UMBILICAL AND MIDDLE CEREBRAL ARTERY DOPPLER INDICES IN DETERMINING INTRAUTERINE GROWTH RESTRICTION IN PREECLAMPTIC PREGNANCIES","authors":"Filiz Taşçi, Özlem Bi̇li̇r","doi":"10.55994/ejcc.1345685","DOIUrl":"https://doi.org/10.55994/ejcc.1345685","url":null,"abstract":"Objective:To investigatetheutility of theumbilicalartery (UA) andmiddlecerebralartery (MCA) Doppler indicesandtheirratios in determiningintrauterinegrowthrestriction (IUGR) andunfavorablebirthoutcomes in preeclampticpregnancies. MaterialandMethod:Thisprospectivestudyincluded 59 preeclampticpregnantwomenand 63 healthypregnantwomen (controls) at a gestationalweek of 31-40 whowerefollowedup at thegynecologyandobstetricsclinic of a tertiaryhospitalover a 16-month period.Aftertheevaluation of normal andpreeclampticpregnanciesusing B-Modeultrasonography, the Doppler indexvalues of the UA and MCA weredeterminedusing Doppler ultrasonography. Bydeterminingthevelocity-time wavespectraforthe UA and MCA, thesystole/diastoleratio (S/D), resistiveindex (RI), andpulsatilityindex (PI) valueswerecalculatedfollowingtheautomaticalgorithm of thedevice. Results:The UAS/D (3.47±1.29) and UA RI (0.69±0.13) values of thepreeclampticgroupstatisticallysignificantlydifferedfromthose of thecontrols (2.50 ± 0.30 and 0.59 ± 0.06, respectively) (p","PeriodicalId":507244,"journal":{"name":"Eurasian Journal of Critical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139336710","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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