ÖZETAmaç: Vitamin B 12 eksikliği tanısı almış bireylerde eksikliğin şiddeti ile etiyolojik faktörler ve laboratuvar özellikleri arasın-daki ilişkinin değerlendirilmesidir. Sonuç: Vitamin B 12 eksikliği Şanlıurfa bölgesinde önemli bir sağlık sorunudur. Semptomatik hastalarda periferik kan sayımı incelemesi B 12 eksikliği tanısını dışlamada yetersizdir. Gereç ve
SUMMARY ObjectivesThe objective of this study is to ascertain the mechanical ventilation management skill perception levels of emergency physicians in Turkey as well as to determine the infrastructural condition of ED in Turkey with respect to mechanical ventilation. MethodsWe distributed a survey to all emergency physicians in Turkey. The contents of the survey consisted of 4 main areas that paralleled the objectives of the study. (1) Socio-demographic characteristics, (2) the situation of the personnel and the technical infra-structure in the ED (3) the Emergency Medicine Training Program (EMTP) and post graduate training, and (4) suggested solutions. Each physician's perception level was evaluated with a 10 cm Visual Analogue Scale. Results Four-hundred emergency physicians participated in the study (response rate = 70.5%). The means of the emergency physicians' perceptions as to whether or not the personnel and technical infrastructure for mechanical ventilation management are adequate in the institutions in which they work were 3.2±2.4 cm and 3.4±2.4 cm, respectively. It was determined that 75.5% of the participants did not receive any education regarding mechanical ventilation management during their emergency medicine education program. The means of the physicians' perception levels regarding the number of times they practiced mechanical ventilation during their emergency medicine education program was 4.6±2.2 cm, and the means of their perception levels regarding their own knowledge and skills on mechanical ventilation management was 5.4±2 cm. It was determined that during mechanical ventilation, 29.5% of emergency physicians had not used any sedative agents, and 30.2% of them had not used any paralyzing agents. It was also determined that midazolam (30.7%) was used most frequently for sedation, fentanyl (50.7%) was used most often for analgesia, and vecuronium (27%) was used most frequently as a neuromuscular blocker. The most frequently reported problem regarding formal mechanical ventilation management set forth by the participants was that theoretical and practical education was not standard. ConclusionsThe skill perception level of emergency physicians regarding mechanical ventilation management is low. Having an intensive care unit in the emergency department or having a clinic chief who is an emergency physician as director increased the perception level of physicians who participated in an emergency medicine education program about mechanical ventilation management. Both the mechanical ventilation management education in emergency medicine education programs and the infrastructural conditions of emergency departments with respect to mechanical ventilation were considered to be inadequate by emergency physicians.
Amaç: Yanık nedeniyle acil servisimize başvurup yatarak tedavi edilen hastaların epidemiyolojik özelliklerinin araştırılması amaçlandı. Yöntem: Şanlıurfa Eğitim ve Araştırma Hastanesi acil servisine 01.01.2012-31.12.2012 tarihleri arasında yanık nedeniyle başvurup yatırılarak tedavi verilen 636 hastanın bilgileri geriye dönük olarak tarandı. Hastaların yaşı, cinsiyeti, yanık nedenleri, anatomik olarak yanık lokalizasyonları, toplam yanan vücut yüzey alanları, akıbetleri, yattıkları servisler ve yatış süreleri ile ilgili veriler kaydedilerek analizi yapıldı. Bulgular: Çalışmaya dahil edilen hastaların 383 (%60.2)' ü erkek idi. Yaş ortalamaları 10.8 idi. Yanıkların 441 (%69.4)' i sıcak sıvılar ile gelişmişti. Hastaların 568 (%89,3)' unda 2-3. derece yanık mevcuttu. Hastaların ortalama yanan vücut yüzey alanı %14.72 idi. En sık yanığa maruz kalan vücut bölgesi üst ekstremitelerdi. Sonuç: Yanıklar daha çok erkeklerde ve çocuklarda görülmektedir. Ekstremiteler yanıktan diğer bölgelere göre daha fazla etkilenmektedir. Yanıkların çoğu sıcak sıvılara bağlı olup, yoğun bakıma yatış en sık elektrik yanıklarında görülmektedir. Objective: The aim of this study is to search the epidemiologic characteristics of burns in the patients that are admitted with burn to the emergency department and hospitalized. Method: The hospital records of 636 patients that are admitted with burn to the emergency department in 2012 and hospitalized in Sanlıurfa Education and Research Hospital, were investigated. Age, sex, burn causes, burn degree, anatomic localizations of burns, burn rate, and hospitalization duration were examined. Results: 383 (60,2%) of the patients were male. The mean age was 10,8. 441 (69,4%) of the burns were aroused from hot liquids. 568 of the patients had 2 to 3 degree burns. Mean burned body area was 14.72%. The most seen burn location was upper extremities. Conclusion: Burns are seen mostly in men and children. Extremities are effected more than other parts of the body. Burns are mostly caused by hot liquids and the most frequent cause of burn that should be followed in intensive care unit was electrical injuries.
Kalsiyum kanal blokeri; hipertansiyon, aritmi ve koroner kalp hastalıklarında kullanılan, hücre zarında bulunan L tipi kalsiyum kanallarını bloke eden ilaçlardır. Yüksek konsantrasyonlarda kalsiyum kanalları bloke olur ve L tipi kanallardan kalsiyum girişi tamamen engellenir. Yazımızda yüksek doz kalsiyum kanal blokeri alım sonrasında acil servise başvuran hastanın taburculuğuna kadar olan dönemdeki klinik durumundaki değişimler ve tedavi yaklaşımlarının sunulması amaçlanmıştır.Calcium channel blockers are drugs used in hypertension, arrhythmia and coronary heart diseases by blocking L type calcium channels. At high concentrations, calcium channels are blocked and calcium entry from L type channels is totally prevented.. In our study, we aimed to present the changes and the treatment approaches for the hospitalization period of a patient who applied to the emergency unit following the intake of high dose of calcium channel blocker, until the discharge.
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