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Background:We generally keep relatives out of the area while a critical intervention so they cannot observe the management. Recent studies recommend witnessing of the resuscitation by arguing that it supports the patient’s relatives’ beliefs that everything that could be done had been done.Objective:We investigated the influence of family witness on the anxiety of patients’ relatives and on the healthcare team.Methods:This study was planned as a prospective observational study. The critical patients who were managed in the resuscitation room with or without intubation were included in the study. The State-Trait Anxiety Inventory survey form was given to patients’ relatives. Healthcare providers were given a survey, including a visual analog scale of anxiety.Results:The mean visual analog scale score of healthcare providers was 4.37 ± 2.5. The mean visual analog scale score of allied health personnel was similar to resident doctors but lower than consultant doctors. The anxiety of healthcare providers was higher during witnessed management. In the witnessed management group, the anxiety of healthcare providers was higher in patients who received cardiopulmonary resuscitation. The mean State-Trait Anxiety Inventory anxiety score of patients’ relatives was 50.2 ± 10.3. In witnessed management, the mean anxiety score was 49.5 ± 11.3; in non-witnessed management, the score was 51.0 ± 9.3. The anxiety of patients’ relatives was not higher, but rather slightly lower during witnessed management of patients.Conclusion:In our study, the anxiety of healthcare providers was higher in family-witnessed management. It was argued that consultant physicians were more anxious because they have more responsibility about the patients. With witnessed management, the anxiety of patients’ relatives could be reduced, but it is more ominous for healthcare professionals.

Hypocalcemia with stridor is a well-known condition in the pediatric age group but has rarely been reported in the elderly. We report an elderly patient who presented with dyspnea and laryngeal stridor attack caused by hypocalcemia. The patient had been suffering from stridor and dyspnea episodes for 2 years, and the etiology had not been determined until the evaluation in our department. The cause of stridor was hypocalcemia secondary to thyroidectomy. Complete resolution of stridor was achieved by calcium replacement therapy.

AMAÇBu çalışmada, ürogenital bölgeyle ilişkili travma nedeniyle acil servise başvuran hastaların özellikleri, morbidite ve mortalite ile ilişkili durumların belirlenmesi amaç-landı. GEREÇ VE YÖNTEMBu prospektif, kesitsel tanımlayıcı çalışmada, ürogenital bölgeyle ilişkili travması olan hastaların demografik özel-likleri, travma şekilleri, inceleme sonuçları, yatış işlemle-ri ve sonuçları değerlendirildi. Çalışmaya toplam 153 majör travması olan hasta [108 erkek (%70,6); 45 (%29,4) kadın] alındı. BULGULAROlguların 23'ü (%15,03) penetran, 130'u (%84,96) künt travmalı idi. Oluş nedeni hastaların 79'unda trafik kazası, 42'sinde yüksekten düşme, 12'sinde ateşli silah yaralanması ve 10'unda delici-kesici alet yaralanması idi. Hastaların 60'ında pelvis kırığı, 35'inde böbrek, 4'ünde mesane yaralanması saptandı. Hastaların 21'i herhangi bir nedenle ameliyat edildi. Hastaların 17'si öldü. Hematüri varlığı ile böbrek yaralanması arasında anlamlı ilişki saptandı. SONUÇÜrogenital yaralanmalar sıklıkla diğer organ yaralanmalarıyla birliktedir ve kaybedilen hastaların ölüm nedenleri genellikle diğer organ yaralanmalarına bağlıdır. Ayrıntılı klinik değerlendirme ile zamanında tanı konulup girişimde bulunulması ürogenital bölge yaralanmalarına bağlı ölüm olaylarını önlemede önemlidir.