Background: Whether the pandemic caused an increase in the number of home accidents (HA) admitted to the pediatric emergency department (PED) was investigated. Applications in a similar quarter in 2019 and 2020 were compared. Methods: The study was retrospective. Their demographic data, the reason for admission to the hospital, the time of admission, the length of hospital stay, intensive care rate, and interventional procedures were recorded. The two groups were compared to find whether there was any difference. Results: There were 700 and 597 admissions for specified reasons during the specified period in 2019 and 2020, respectively. In 2019, 9.46% of all cases admitted to the PED were HA whereas the rate was 24.43% in 2020. The male/female ratios were similar (p=0.520). The median age in 2020 (36 months) was significantly higher than that in 2019 (33 months) (p=0.010). The main clinical presentations also differed significantly. The incidence of falls, the gastric/intestinal foreign bodies, and the penetrating stab injuries were significantly higher in those in 2020 (p<0.001). Significant differences were also found regarding diagnostic and therapeutic interventions. During the specified period in 2019, 623 patients (89.5%) were discharged from the PED. The rate of discharge in 2020 (84.9%) was significantly lower. Also, there were significantly more hospitalizations in other wards in 2020 than those in 2019 (3.7% vs. 1.0%) (p=0.004). Conclusion: The Covid-19 pandemic caused an increase in the number of HAs cases admitted to the PED relative to all hospital admissions. The most common type of accident was falls, as in the non-pandemic period. The pandemic caused delays in accessing healthcare services, especially for critically ill patients, more frequent hospitalizations, and a decrease in the rate of discharge from the PED.

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Background: Epistaxis is a mostly self-limiting condition common among children and is rarely severe. In this study, it was aimed to evaluate the incidence, demographic characteristics, causes of bleeding and treatment methods of patients who applied to the Pediatric Emergency Department (PED) with epistaxis, and to determine in which cases a laboratory test should be used. Method: Admitted to Gazi University Faculty of Medicine, PED which provides trauma care and is a tertiary hospital, between January 1, 2019 and December 31, 2019, 452 patients aged 0-18 years who presented with epistaxis to any reason or secondary to systemic disease were analyzed retrospectively. Results: The annual incidence was found 1.23%. The median age was 63 months, 258 of the cases (57.1%) were male. It was found that the cases most frequently applied to the hospital in the autumn months (37.6%). Sixty of the patients (13.3%) had a chronic disease and 54 (11.9%) had a history of drug use. Bleeding time was less than 5 minutes in 75.2% and 84.4% of the bleeding was unilateral. Nasal bleeding is local in 73.4%; 4.7% of them developed due to systemic reasons. The most common cause of epistaxis; while they were trauma at the first 10 years of age, they were idiopathic causes after the age of 10 years. In 434 (96%) of the patients, epistaxis spontaneously stopped and there was no need for additional treatment. Conclusion: As a result of this study, it was concluded that laboratory tests should be performed in cases with chronic disease history, bilateral bleeding, active bleeding and nontraumatic epistaxis. The situation that causes epistaxis in the childhood age group should be determined with a good history and physical examination, laboratory tests should not be used in every patient. Key Words: pediatric emergency, epistaxis, laboratory examinations, complete blood count

Button battery ingestion (BBI) is an increasingly common pediatric condition, both nationwide and worldwide. Management algorithms, including treatment with honey or sucralfate within the first 12 hours, should be prepared for use in the emergency care of patients with suspected BBI without initial complications. In this report, we present three pediatric patients who presented to the emergency department with different symptoms and complications and were diagnosed with BBI.

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Epistaxis is a mostly self-limiting condition that is common among children and rarely severe. 1 It occurs in 60% of the entire population.Its frequency shows a bimodal distribution; it is more common under 10 and over 50 years old. Thirty per cent of children under the age of five, 56% of children in the 6-10 age group, and 64% of those aged 11-15 had at least one epistaxis attack. 2 Since spontaneous epistaxis is rare in children under 2 years of age, underlying coagulation disorders or non-accidental injuries should be considered. 3,4 There are many studies in the literature evaluating the causes and treatments of epistaxis in children. Most of these include examinations of specialties where patients are referred for further evaluation. [5][6][7][8] In other words, most of these patients are referred to these departments because of the need for further evaluation in primary care or emergency services. However, most of these patients

GirişKawasaki hastalığı (KH) ilk olarak 1967 yılında Japon pediyatrist Tomisaku Kawasaki tarafından tanımlanmış daha sonra tüm etnik gruplarda ve farklı ırklarda bildirilmiştir. Çoğu seride olguların %85'i beş yaş altı çocuklardan oluşmaktadır. 1 KH tanısı klinik bulgular ile konulmakta, laboratuvar bulguları ile desteklenmektedir. İlk kez 1982 yılında Laxer ve Petty 2 KH tanısı alan olgularda hiponatreminin sık görüldüğünü bildirmişlerdir. Daha sonra bu ilişkinin değerlendirildiği birçok çalışma yapılmış ve KH'nin akut evresindeki çocukların %45-50'sinde hiponatremi bulunduğu bildirilmiştir. Bu olguların da yaklaşık %4,4-15'inde serum sodyum değeri 130 mEq/L'nin altındadır. 3 Kawasaki şok sendromu (KŞS) ise, 2009 yılında John Kanegaye tarafından ''sistolik kan basıncı değerinin yaşa göre alt sınırından %20 oranında düşük olması ya da yetersiz perfüzyon klinik bulgularının olması'' olarak tanımlanmış, KH tanısı alan olguların %5-7'sinde KŞS geliştiği bildirilmiştir. 4,5 Bu yazıda ateş, yürüme dengesizlik ve ishal yakınmaları ile başvuran, yapılan tetkiklerinde hiponatremi saptanan ve izlemde toplumda oldukça nadir görülen KŞS tanısı alan bir çocuk olgu sunulmuştur. Bu olgu ile atipik klinik bulgular ile gelen olgularda hasta izleminin önemi ve hiponatremi ile KH ve KŞS ilişkisine dikkat çekmek istenmiştir.

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