Introduction: Trauma is a significant health problem today. Also, it is the foremost reason for death among people ages 1-45; for this reason, the economic and social effect is more articulated. The whole-body CT scans have become a standard procedure in managing trauma patients in many trauma centers. We think that whole body CT will be beneficial in patients with blunt trauma. Thus, we aimed to examine patients with blunt trauma who applied to the emergency department and had whole-body CT scans. Methods: Patient who applied to blunt trauma and had whole-body CT scans to the emergency department of a tertiary training and research hospital between Jan 1, 2021, and Jan 1, 2022, were examined in this single-center, retrospective study. The study population was established based on inclusion and exclusion criteria. ISS, GCS, and whole-body CT scans were compared for mortality. Results: Cranial bone fracture (p= 0.001), epidural hemorrhage (p= 0.001), traumatic subarachnoid hemorrhage (p= 0.001), cerebral edema (p= 0.003), and thoracic contusion (p= 0.046) were significant for mortality. Also, the number of pathological regions in whole-body CT scans was not associated with mortality (p= 0.587). ISS (p=0.001) and GCS (p= 0.001) predicted mortality in patients who experienced whole-body CT scans. Conclusion: Based on our findings, we can detect organ and tissue injuries quickly and in detail using whole-body CT scanning after major blunt trauma. In addition, various protocols are needed in multiple trauma patients to reduce the number of unnecessary WBCT scans. Therefore, whole-body CT scans may be helpful for selection, as ISS and GCS are markers of mortality. Keywords: Whole-body Tomography, Trauma, Trauma Imaging
OBJECTIVES: An acute respiratory disease caused by a novel coronavirus emerged in December 2019. This disease associated with the novel coronavirus quickly spread across the world, leading to significant fatalities. Reliable predictors of disease mortality and severity are therefore needed in order to decide on clinical follow-up or earlier clinical intervention. This study was performed around the hypothesis that the LDH/ALB ratio would yield more sensitive results in predicting the potential relationship between disease severity and mortality in patients with COVID-19 aged over 65. METHODS: COVID-19 patients aged over 65 presenting to a tertiary emergency department between August and October 2021, were investigated in this single-center, retrospective study. All patients over 65 presenting to the emergency department and diagnosed with COVID-19 were included. The study population was constituted following the application of the inclusion and exclusion criteria. Pulmonary involvement percentages and laboratory parameters were compared against patient mortality and thoracic tomography. RESULTS: The relationship between patients’ lactate dehydrogenase/albumin ratios and mortality status was evaluated. The optimal cut-off value for the lactate dehydrogenase/albumin ratio in predicting mortality was 9.6 (AUC:0.815, sensitivity 75.9%, specificity 76.3%, p=0.001). The relationship between patients’ lactate dehydrogenase/albumin ratios and severity of pulmonary involvement was also examined. The cut-off value for severe pulmonary involvement was 11.2 (AUC:0.946, sensitivity 93.6%, specificity 87.4%, p=0.001). CONCLUSION: In conclusion, LDH/ALB ratio could be used to predict mortality and severity of pulmonary involvement in elderly COVID-19 patients.
Carbon monoxide is a gas formed by partial combustion of carbon containing fuels and leads to intoxication with various non-specific clinical findings. Although hookah is a common way of tobacco consumption among people living in the Middle East, Asia and Africa, it has become popular in European countries and United States of America (USA). In our country, hookah smoking is especially common among young people and more common in cafes. In our case report, two cases with carbon monoxide (CO) poisoning findings after smoking hookah. In both cases, non-specific clinical findings were observed after hookah smoking and blood carboxyhemoglobin fraction (FCOHb) levels were higher than normal values in laboratory parameters.
Watershed infarction indicates ischemic lesions at the junction of two central artery regions. These lesions are the cause of 10% of all brain infarctions. In watershed infarctions, disrupted hemodynamics constitute the pathophysiology. A specific type of honey in the Black Sea region of Turkey, "mad honey," contains grayanotoxin and may cause intoxication. We herein report a case with watershed infarction after honey intoxication. The patient presented with dizziness and paresthesia in the left arm after eating "mad honey." Imaging revealed carotid stenosis and watershed infarction.
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