SUMMARYSalbutamol-induced cardiac complications are well-established. Herein, we describe a case of a 24-year female who was admitted to the emergency department because of a suicide attempt with salbutamol (76 mg). Salbutamol abuse induced the development of supraventricular tachycardia and ventricular fibrillation. Regular sinus rhythm was restored with defibrillation. The hypokalemic patient who stayed in the intensive care unit was discharged after 48 hours of hospitalization.
Objective: Identification of the patients applying to the emergency medicine clinic with carbon monoxide (CO) poisoning and determination of treatment modalities.
Material and Method:The adult patients, that applied to Emergency Clinic with different reasons and diagnosed as CO poisoning, on February 2014 are included in this study. Patients are analized according to their age, complaints at the time of application, the type and time of their application, the source of their poisoning, lab test results and treatment types. Results: Our study included 32 CO intoxicated patients. The mean age of the patients was 37.5 ± 17.8 years. 50 % of them were male. 93.75% (n: 30) of the patients applied to the emergency service between 08:00 pm and 08:00 am. The most frequent application type was with ambulance and 62.5% of patients` most common reason of poisoning was the heater (n: 20). The most common complaints were nausea, dizziness and headache. Mean COHb (Carboxyhemoglobin) values at the time of admission were 23.7 ± 9.2 (10-48.2). Two patients did not complete the study and all the remaining patients were discharged with healthy Conclusion: CO poisoning is one of the most important reasons of application to the emergency clinics, especially in winter.It is an emergency situation that should be diagnosed at an earlier stage and given the lifesaving treatment immediately. ÖZET Amaç: Acil tıp kliniğine karbonmonoksit (CO) zehirlenmesi ile gelen hastaların tanımlanması ve tedavi şekillerinin belirlenmesidir.
Bu çalışmanın amacı künt toraks travmalı hasta sebebiyle travmatik asfiksi yönetimini gözden geçirmektir. Kırk yedi yaşında erkek hasta acil servise çalışırken maruz kaldığı kaza sonrası göğüs ve karın ağrısı şikayeti ile getirildi. Fizik muayenede hastanın yüz, boyun ve gövdenin meme başı hizasının üst tarafı ile üst ekstremite 1/3 proksimali siyanotikti ve her iki gözde subkonjonktival hemoraji mevcuttu. Yatak başı ekokardiyografide perikardiyal efüzyon yoktu. Akciğer tomografisinde pnömomediastinum, sternum kırığı ve pulmoner kontüzyon mevcuttu. Hasta entübe edilerek yoğunbakımda takip edildi. Travmatik asfiksi künt torakoabdominal travma ile oluşan klinik bir durumdur ve hastalar iyi travma yönetimi ile daha düşük mortalite ve morbidite ile taburcu edilebilirler.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.