Objective: In this study, we aimed to analyze the demographic features of the victims of workplace accidents admitted to a teaching and research hospital. The life-threatening content of the forensic reports, the use of simple medical interventions and outcomes in the emergency department were evaluated. Material and Methods: This study retrospectively evaluated patients admitted to the emergency department who had been in a workplace accident from All workplace accidents were included in this study. Categorical measurements obtained were summarized as a number and numerical measurements were summarized as the mean and standard deviation. Data were statistically analyzed using SPSS version 16.0. Results: Of the 406 patients, 96.55% were male and 3.45% were female. The mean age of the patients was 32.80 years. Most of the workplace accidents occurred in December 2010. The most frequent injuries were limb injuries (62%). 73.65% of patients were discharged after evaluation in the emergency department. The forensic reports indicated that 14.53% of patients had lifethreatening injuries and 28.57% were not resolved with simple medical intervention. Conclusion: Work-related accidents occur mostly in younger men. Most frequently, patients were discharged from the emergency department after evaluation. Clinicians often decide abolishing with simple medical intervention according to staying in hospital. Cases of injury to more than one organ system were often life-threatening. (JAEM 2013; 12: 19-23)
Objective: In this study we evaluated the convenience of the transports and the prehospital interventions of the cases admitted to a third level hospital with the 112 ambulance service together with their demographic features. Material and Methods: All of the adult patients admitted to the hospital with the 112 ambulance service between January 2009, 1 and January 2010, 31 were included in the study. Patients were evaluated with the 112 ambulance patient register form data collected from the archives of the hospital and the computer recordings. Variables were sex, transport duration, admission time, place of event, reason of the transport, prehospital interventions of the ambulance team, initial diagnosis, disposition of the patint recorded in the emergency department. Results: The ambulance use rate of the patients admitted to our hospital was 0.54%. Of the patients 53.5% were male and 46.5% were female. The admission time from the scene of event was 20-29 minutes. 49% ofpatients were transported enrolled from the home in 49.3%. Of the 75.1% patients transported for diagnosis and treatment, 17.6% had been sent for consultation and 7.3% dispatched from an other hospital. 82.6% of the dispatched patients were admitted without approval. Forty precentage of the dead patients admitted to the hospital by ambulance were not intubated. Thirty-eight percentage of the intubated patients were reintubated in the emergency department after admission. Of the patients transported by the 112 ambulance service, 74% were discharged and 24.1% were hospitalised. Conclusion: The interventions carried out on the patients admitted to the emergency department by ambulance are not sufficient. It is thought that the education programmes are concentrated on inservice and the emergency medical services organisation should be developed.
With the industrial revolution, mechanization has affected nearly all aspects of working life, and mass production is associated with a number of problems. One major problem is occupational accidents. Emergency services are the first point of care for occupational accidents, and these cases have special status in terms of the social and legal impact of medical care in the emergency department. In this review, we tried to examine the special status of occupational accidents in the organization of emergency services. (JAEM 2012; 11: 227-37)
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