Local anesthetics are drugs that are commonly used by physicians in simple interventional procedures. O-toluidine, a degradation product of the local anesthetic agent prilocaine, oxidizes hemoglobin and may cause methemoglobinemia. Normally, hemoglobin is comprised of 1% to 2% methemoglobin in the human body [1]. In this study, we presented a case of methemoglobinemia after local anesthesia with prilocaine, including clinical findings of respiratory distress in the early period.American Journal of Emergency Medicine xxx (2014) xxx-xxx 0735-6757/
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.
We analyzed the data on the seasonal variation, demographic characteristics and symptoms of the cases. Results: Six hundred and forty-eight patients were reported to emergency department, where 60% of them were female. Mean age of female and male were 39.7 ± 18.7 and 41.3 ± 19.4 years, respectively. Most of the poisonings occurred in autumn (51.4%). Abdominal pain was the most common sign (44.4%) followed by diarrhea (30.6%), nausea (9.3%), anorexia (9.3%), vomiting (5.6%) and weakness (0.9%). Conclusion: Mushroom poisoning still remains as an important public health problem. Mushroom poisoning in Bolu and around were mostly diagnosed in patients younger than 40 years and in autumn. Most of the patients recovered without any problems. Anahtar Kelimeler: Acil servis, mantar zehirlenmesi, demografik.
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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