ObjectivesRecent developments in computer and video technology, multimedia resources enter quickest way possible into medical education and have started to gain popularity. The aim of this study is to evaluate the impact of video-supported lectures on leaning, with comparison to traditional lectures.MethodsAccording to lecture techniques, two separate groups; one is the traditional lectures group (TLG) and the other is video-supported lectures group (VSLG), are formed. While the TLG is offered a traditional lecture the VSLG is offered a video-supported lecture with imbedded videos which are related to the topics in the traditional lecture. Both study groups take pretest and posttest with MCQs (multiple choice questions) and OSCEs (objective structured clinical examination).ResultsThe study includes 30 volunteer residents in Dokuz Eylul University School of Medicine Department of Emergency Medicine. No difference is observed between TGL and VSLG in pretest and posttest scores (p = 0.949, p = 0.580). And additionally, comparing the scores of both groups, we cannot observe any difference between the pretest OSCE scores of each group (p = 0.300), however posttest OSCE scores shows a dramatic odd in-between (p = 0.010). When pretest MCQs and posttest MCQs mean scores are compared, both tests (TLG, VSLG) has not any significant difference (p=0.949, p = 0.580). Nevertheless, after comparing OSCEs pretest and posttest mean scores, we can see significant difference in mean scores of both (TLG, VSLG), (p = 0.011, p = 0.001).ConclusionsTaken into consideration, the findings of this study shows possibility of improving educational techniques to acquire clinical skills by using local resources and low-cost technology.

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BACKGROUND: Hip fractures (HF) are among the most common fractures present in the emergency department and are very painful. Pericapsular nerve group block (PENG) is a new regional anesthesia technique developed for analgesia in total hip arthroplasties. We aimed to determine the effectiveness of PENG block used to reduce pain in patients with HF in the emergency department. METHODS: This single-center, randomized, and prospective study was carried out in the emergency department. The patients included in the study were selected according to the suitability of the personnel who will perform the procedure. The sealed envelope system was used for randomization. RESULTS: Statistical analysis was performed with 39 patients (18 patients in the PENG group, 21 patients in the control group). Thirteen (33.3%) of the patients were female and 26 (66.7%) were male. The mean age was 75.3. At rest post-procedure, the mean Numeric Rating Scale (NRS) scores of the patients at the 30 th min, 2 nd , 6 th , and 24 th h were 1.78±1.83, 0.00±0.00, 0.00±0.00, and 1.28±1.41 in the PENG group. On the other hand, it was 3.38±1.86, 0.05±0.22, 2.86±2.37, and 4.95±1.47 in the control group, respectively. The mean NRS scores of the patients at 15° elevation of the leg at the 30 th min, 2 nd , 6 th , and 24 th h were 3.06±1.80, 0.06±0.24, 0.22±0.43, and 2.44±1.50 in the PENG group and it was 5.24±1.81, 1.05±0.92, 4.29±2.35, and 7.14±1.24 in the control group, respectively. CONCLUSION: PENG block can reduce pain and the need for systemic analgesics as a practical option in patients with HF.

ÖzetTrakeobronşiyal sisteme yabancı cisim aspirasyonu ciddi ve ölümle sonuçlanabilen ve acil girişim gerektiren solunumsal acildir. Trakeabronşiyal yabancı cisim aspirasyonu erişkinlerde çocuklara kıyasla nadirdir. Yabancı cisim aspirasyonlarında en sık bulgu öksürüktür. Akciğer grafilerinde, radyoopak yabancı cisimler tespit edilebilir. Tanı konduktan sonra, yabancı cismin mümkün olduğunca erken çıkarılma-sı gerekmektedir. Çıkarılma işlemi, fleksibl fiberoptik bronkoskopi veya rijid bronkoskop ile yapılmaktadır. Yazımızda, acil servisimize türban iğnesi yutma şikayeti ile başvuran hastada direkt grafilerle görüntülenemeyen son teknoloji 3D yöntem-le görüntülenen türban iğnesi aspirasyonu olgusunu sunduk. Anahtar Kelimeler3D Bilgisayarlı Tomografi; Acil Bronkoskopi; İğne Aspirasyonu; Türban İğnesi Abstract Foreign body aspiration to tracheobronchial system is a serious respiratory emergency which requires emergency intervention and may result in death. Tracheobronchial foreign body aspiration is rare in adults in comparison with children. The most frequent symptom of foreign body aspiration is cough. Radio-opaque foreign bodies may be detected in relevant chest radiography. After the diagnosis is established, foreign body is to be taken out as immediate as possible. Take-out operation is conducted by flexible fiberoptic bronchoscopy or rigid bronchoscopy. In this paper, we present the case of turban pin aspiration detected on a patient, who applied to our emergency room with the complaint of turban pin swallowing, which could only be visualized by state-of-the-art technology 3D method not by direct graphies.