Amaç: Araştırma acil servise başvuran yaşlı hastaların bireysel özellikleri ve başvuru nedenleri belirlenmesi amacıyla yapıldı. Gereç ve Yöntem: Araştırma, üçüncü basamak bir eğitim araştırma hastanesinin acil servise başvuran ve araştırmaya katılmayı kabul eden 65 yaş üstü 123 hasta ile araştırmacılar tarafından hazırlanan anket formu kullanılarak yüz yüze görüşme şeklinde yapılmıştır. Çalışmadan elde edilen veriler SPSS 22.0 programı ile değerlendirilmiştir. Bulgular: Araştırmaya katılan hastaların yaş ortalamalarının 75.2±6.53 olduğu; %97.6’sının kronik hastalığının olduğu; hastaların en çok genel durum bozukluğu nedeni ile acil servise başvurduğu, %38.2’sinin son bir yıl içerisinde acil servise başvuru sayılarının beş ve üzerinde olduğu belirlendi. Ayrıca eğitim düzeyi düşük olan ve kronik hastalığı bulunan yaşlıların acil servise başvuru sıklığının fazla olduğu ve ambulans ile acil servise başvuran yaşlıların hastanenin başka bir kliniğine yatış oranlarının yüksek olduğu belirlendi, sonuçların ise istatistiksel olarak anlamlı olduğu bulundu (p
Anaphylaxis term which has been previously defined as severe life threatening systemic reactions that are revealed with the mediators released by mast cells and basophils, is now defined as a serious systemic hypersensitivity reaction with sudden onset which may lead to death. Anaphylaxis is an allergic reaction which requires rapid diagnosis and treatment, progresses rapidly and threatens the life. The most common triggers of anaphylaxis are food allergens, insect stings and drugs. It is one of the vital emergencies which can be resolved with correct diagnosis and differential diagnosis carried out by physicians and a rapid and effective treatment. Herein, we aimed to underline that physicians should be aware about the mortality of anaphylaxis cases that are commonly encountered in emergency departments
ABSTRACT Purpose: This study aims to reveal the correlation between some biomarkers and chest computed tomography findings and the severity of patients with COVID-19. Materials and Methods: COVID-19 patients admitted to the emergency department and hospitalized between 20 March 2020 and 31 May 2020 were included in the study. Blood tests taken in the emergency room and chest computed tomography findings were examined. The risk factors for the severity and mortality of the chest computed tomography findings and biomarkers in terms of intensive care needs of COVID-19 patients were assessed. Results: Data from 113 COVID-19 patients were reviewed retrospectively. Of these patients, 40 did not have pulmonary involvement. The most common chest computed tomography finding was ground-glass opacity (n=47, 41.6%). In 16 patients with COVID-19 hospitalized in the intensive care unit and 7 patients with COVID-19 with the risk of mortality, it was found that severe pulmonary involvement and leukocyte, neutrophil, D-dimer, troponin I, urea, LDH, CRP, and procalcitonin values were significantly higher, and lymphocyte, thrombocyte, and albumin levels were significantly lower. Conclusion: It was observed that the need for intensive care and the mortality risk increased when there was an increase in leukocyte, neutrophil, D-dimer, CRP, procalcitonin, urea, and troponin values, and severe computed tomography findings, and a decrease in lymphocyte, thrombocyte, and albumin values.
Objective:The active use of ultrasound has become widespread in the pre-hospital setting for the last two decades. Because of its convenience, portability, and lack of radiation, ultrasound is extremely useful in the diagnosis of life-threatening conditions in trauma patients in the prehospital setting. For trauma patients, an ultrasound protocol, called Prehospital Focused Abdominal Sonography for Trauma, has been developed. The effective use of this protocol by paramedics has become the center of various studies in the literature. The purpose of this study is to determine whether paramedics can use an ultrasound device to successfully acquire the images of the Prehospital Focused Abdominal Sonography for Trauma protocol on a live model. Material and Methods:The initial application of theoretical and practical training on the Prehospital Focused Abdominal Sonography for Trauma protocol for paramedics was followed by a practical examination performed on live models. Thirty-eight paramedics working in land ambulances of 112 Emergency Health Services in Sivas were given 16 hours of theoretical and practical training on the P-FAST protocol. In practical training, images of the P-FAST protocol were acquired by a portable ultrasonic device with convex and linear probes on healthy live models. At the end of the training, the paramedics were given a practical exam on the live model with a portable ultrasound device.Results: All participants (38) were able to acquire all five images, but some were not at the desired angles or at the appropriate gain and depth. The number of paramedics who achieved complete success in the study was 26 (68.4%). Conclusion:Following the two-day training, 68.4 % of the participants correctly acquired and assessed the images.
This study aims to determine the problems experienced by the students of the first and emergency aid program related to distance education during the Covid-19 pandemic period. Materials and Methods: This descriptive study was conducted with first-and second-year students of the First and Emergency Aid Department of Vocational School of Health Services of a public university. The data in the study were collected using the online "The First and Emergency Aid Program Students' Opinions on Distance Education Evaluation Form". The data were analyzed through SPSS 22.0 software, and descriptive statistical analyzes were used in the analysis of the data.Results: It was found that the students participating in the study agreed with the statements "professional knowledge and skills cannot be gained in distance education environments," "distance education does not contribute to professional practice skills," "distance education is not so efficient as face-to-face education," with a considerably high average, respectively. Conclusions: It is of paramount importance to make regulations considering that distance education, which was suddenly implemented as an alternative to face-to-face education disrupted during the pandemic, may lead to deficiencies in professional skills, especially for applied departments.
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