ShotBlocker ‫مجموعات‬ ‫في‬ ‫أقل‬ VAS ‫درجات‬ ‫كانت‬ ‫النتائج:‬ ‫التحكم‬ ‫مجموعة‬ ‫في‬ ‫عنها‬ ‫مم)‬ 10( ‫البارد‬ ‫والرذاذ‬ ‫مم)‬ 11( ‫كبير‬ ‫‪VAS‬بشكل‬ ‫درجات‬ ‫تختلف‬ ‫لم‬ .)p=0.001( ‫مم)‬ 31( ‫ردود‬ ‫كشفت‬ ‫البارد.‬ ‫الرذاذ‬ ‫ومجموعات‬ ShotBlocker ‫بني‬ ‫الرش‬ ‫من‬ ‫أكثر‬ ‫إدارته‬ ‫الصعب‬ ‫من‬ ‫كان‬ ShotBlocker ‫أن‬ ‫املشغلني‬ ‫البارد.‬ ‫من‬ ‫تقلل‬ ‫فعالة‬ ‫دوائية‬ ‫غير‬ ‫وسيلة‬ ‫هو‬ ShotBlocker ‫اخلالصة:‬ ‫الرذاذ‬ ‫فعالية‬ ‫فعاليته‬ ‫وتشبه‬ IM ‫العضلي‬ ‫باحلقن‬ ‫املرتبط‬ ‫األلم‬ ‫البارد.‬ Objectives: To compare the efficacy of ShotBlocker and cold spray in reducing intramuscular (IM) injection-related pain in adults.

No abstract

AMAÇTürk acil tıbbının kurulduğu günden bugüne uluslararası literatürde yayınlanmış bilimsel çalışmalarının genel karakteristik özelliklerini ortaya koymaktır. GEREÇ VE YÖNTEMPubMed veritabanı, Türkiye'deki acil servislerden gönde-rilen ve 1995-2010 tarihleri arasında yayınlanan makaleleri tespit etmek amacıyla tarandı. BULGULARÇalışmaya dahil edilen 514 makalenin %77'sinin (n=396) son 5 yılda yayınlandığı, artış oranının yılda 6,2 makale olduğu saptandı. Tüm makalelerin %58,7'lik (n=302) bir oranı acil tıp kategorisi dışındaki dergilerde yayınlanmıştır. Bu kategide en popüler dergi 27 makale ile Advances in Therapy olurken, acil tıp kategorisinde ilk sırayı 48 makale ile Ulusal Travma ve Acil Cerrahi Dergisi almıştır. En sık toksikoloji %26 (n=134) ve travma %16 (n=86) konularında makale gönderilmiştir. Tüm makalelerin %7,7'sinin (n=40) hayvan çalışması, %6'sının (n=31) randomize kontrollü ça-lışma olduğu saptanmıştır. SONUÇTürk acil tıbbındaki gelişmelere paralel olarak uluslararası bilimsel yayın üretimi de her geçen yıl katlanarak artmaktadır. Acil tıp kategorisi dışındaki dergilerin daha çok tercih edilmesi, toksikoloji konulu yayınların çokluğu, üniversite hastanelerinin katkısı dikkat çekicidir. Çok merkezli, randomize kontrollü ve etki faktörü yüksek dergilerde yayın-lanan çalışmaların azlığı yayın sayısı kadar yayın kalitesi konusuna da önem verilmesi gerektiğini düşündürmektedir.

Benzydamine hydrochloride is a locally acting nonsteroidal anti-inflammatory drug. Benzydamine hydrochloride overdose can cause stimulation of central nervous system, hallucinations, and psychosis. We presented a young man with psychotic symptoms due to benzydamine hydrochloride abuse. He received a total dose of 1000 mg benzydamine hydrochloride with alcohol for its hallucinative effects. Misuse of benzydamine hydrochloride must be considered in differential diagnosis of first-episode psychosis and physicians should consider possibility of abuse in prescribing.

SUMMARYObjectivesThe aim of this study is to systematically evaluate the theses in the field of emergency medicine in Turkey and to determine whether they were published as a scientific paper.MethodsThis is a retrospective observational study. Theses in the field of emergency medicine between 1998 and 2013 were browsed from the internet database of National Thesis Center (Council of Higher Education). Study type, both if it was in the field of emergency, or if it was published and the journal's scope of published studies were assessed and recorded in the study chart.Results579 theses were included in the study. 27.1% of them were published and 14.9% of them were published in SCI/SCI-E journals. Advisors of theses were emergency medicine specialists in 67.6% of theses and 493 (85.1%) of them were in the field of emergency medicine. 77.4% of theses were observational and 20.9% were experimental study. Most of the experimental studies (72.7%, n=88) were animal studies.ConclusionsIt was concluded that very few theses in the field of emergency medicine were published in journals that were indexed in SCI/SCI-E.

No abstract

Introduction:Hospital evacuations of patients with special needs are extremely challenging, and it is difficult to train hospital workers for this rare event.Hypothesis/Problem:Researchers developed an in-situ simulation study investigating the effect of standardized checklists on the evacuation of a patient under general anesthesia from the operating room (OR) and hypothesized that checklists would improve the completion rate of critical actions and decrease evacuation time.Methods:A vertical evacuation of the high-fidelity manikin (SimMan3G; Laerdal Inc.; Norway) was performed and participants were asked to lead the team and evacuate the manikin to the ground floor after a mock fire alarm. Participants were randomized to two groups: one was given an evacuation checklist (checklist group [CG]) and the other was not (non-checklist group [NCG]). A total of 19 scenarios were run with 28 participants.Results:Mean scenario time, preparation phase of evacuation, and time to transport the manikin down the stairs did not differ significantly between groups (P = .369, .462, and .935, respectively). The CG group showed significantly better performance of critical actions, including securing the airway, taking additional drug supplies, and taking additional equipment supplies (P = .047, .001, and .001, respectively). In the post-evacuation surveys, 27 out of 28 participants agreed that checklists would improve the evacuation process in a real event.Conclusion:Standardized checklists increase the completion rate of pre-defined critical actions in evacuations out of the OR, which likely improves patient safety. Checklist use did not have a significant effect on total evacuation time.

HOW TO OBTAIN CONTACT HOURS BY READING THIS ISSUE Instructions: 1.3 contact hours will be awarded by Villanova University College of Nursing upon successful completion of this activity. A contact hour is a unit of measurement that denotes 60 minutes of an organized learning activity. This is a learner-based activity. Villanova University College of Nursing does not require submission of your answers to the quiz. A contact hour certificate will be awarded after you register, pay the registration fee, and complete the evaluation form online at http://goo.gl/gMfXaf. In order to obtain contact hours you must: 1. Read the article, "Simulation Training in Early Emergency Response (STEER)," found on pages 255-263, carefully noting any tables and other illustrative materials that are included to enhance your knowledge and understanding of the content. Be sure to keep track of the amount of time (number of minutes) you spend reading the article and completing the quiz. 2. Read and answer each question on the quiz. After completing all of the questions, compare your answers to those provided within this issue. If you have incorrect answers, return to the article for further study. 3. Go to the Villanova website to register for contact hour credit. You will be asked to provide your name, contact information, and a VISA, MasterCard, or Discover card number for payment of the $20.00 fee. Once you complete the online evaluation, a certificate will be automatically generated. This activity is valid for continuing education credit until May 31, 2019. CONTACT HOURS This activity is co-provided by Villanova University College of Nursing and SLACK Incorporated. Villanova University College of Nursing is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation. OBJECTIVES Define the purpose of the Simulation Training in Early Emergency Response (STEER) study. Review the outcome of the STEER study. DISCLOSURE STATEMENT Neither the planners nor the author have any conflicts of interest to disclose. Little has been published about nurses' responses in the first 5 minutes of in-hospital emergencies. This study aimed to test a simulation curriculum based on institutional priorities using high-intensity, short-duration, frequent in situ content delivery based on deliberate practice. The study design was a prospective, single-center, mixed-methods quasi-experimental study. Scenarios used in this study were ventricular fibrillation, opiate-related respiratory depression, syncopal fall, and hemorrhagic stroke. The convenience sample included 41 teams (147 participants). Improvements were noted in initiating chest compressions (p = .018), time to check blood glucose (p = .046), and identification of heparin as a contributor to stroke (p = .043). Establishing in situ simulation-based teaching program is feasible and well received. This approach appears effective in increasing confidence, initiating life-saving measures, and empowering nurses to manage emergencies. Future...