Emergency operation indications in emergency medicine clinic (model of emergency medicine in Turkey)

Abstract

Although patients who present for emergency medical care have a broad spectrum of symptoms, such events can generally be categorized as internal medicine, surgical, and pediatric emergency cases. Indications for emergency surgery are estimated to be infrequent compared with the overall number of patients admitted for emergency care. This study investigated the indications for emergency surgery in patients (612 of 8422 patients who sought emergency care) admitted to the surgical division of the emergency department at Konya City Hospital between January and July of 2002. This retrospective study, which investigated reasons for surgical procedures and relevant branch distribution, comprised 405 men (65%) and 207 women (35%). Ages of enrolled patients ranged from 6 months to 70 years. Most of the patients (n=280, 46%) who underwent surgery at the emergency clinic were treated for acute abdomen. Emergency indications for neurosurgery (n=71, 12%) were the second most common reason for emergency procedures. Epidural hematoma and depressed fracture were the most apparent indications for neurosurgery. Surgery of the thorax was the third most common emergency surgery performed (n=44, 7%). Patients who had emergency surgery indications and who underwent surgery account for approximately 7% of the total number of patients who presented for emergency care. Acute abdomen and trauma were the most frequently reported precipitating events.

Exception from informed consent for biomedical research in emergency settings: A study from Jordan

“…Pertinent regional studies, related to ED research, originated from Jordan (Abbadi et al, 1997;Ahmad M Abdallat and Abbadi 2007;A. M. Abdallat et al, 2000;Halasa 2013;Jerius et al, 2010;Hani Shakhatreh and Al-Issa 2009;H Shakhatreh et al, 2003;Sabbagh et al, 2015), Turkey (Topacoglu et al, 2004;Yildirim et al, 2005;Pekdemir et al, 2010;Oktay et al, 2003;Karabocuoglu et al, 1995;Eroglu et al, 2012;Cevik et al, 2001;Cander et al, 2006;Bresnahan and Fowler 1995), Yemen (Naser and Saleem 2018), Egypt (Montaser 2013;Abou-ElWafa et al, 2015;Saleh et al, 2018;Abdo et al, 2015;El-Shafei et al, 2018), Iran (Jafari-Rouhi et al, 2013Jalili et al, 2013;Soleimanpour et al, 2011), Lebanon (Moucharafieh andBu-Haka 1996;El-Khatib et al, 2014;El Sayed and Bayram 2013;El Zahran et al, 2018;El Majzoub et al, 2018), Saudi Arabia (Alhajjaj and Aldamigh 2017;Mehmood et al, 2017;Alamri 2017;Alquraini et al, 2015;Alghamdi et al, 2014;Rhine 2000), and United Arab Emirates (Partridge et al, 2009;Fares et al, 2014). Surprisingly, emergency research and related ethical issues were mar...…”

“…Considering the wealth of literature on emergency research and related ethical issues in many developed countries ( Feldman et al., 2019 ), there was an evident lack of emergency research in the MENA region along with some sporadic information in such aspect. Pertinent regional studies, related to ED research, originated from Jordan ( Abbadi et al., 1997 ; Ahmad M Abdallat and Abbadi 2007 ; A. M. Abdallat et al., 2000 ; Halasa 2013 ; Jerius et al., 2010 ; Hani Shakhatreh and Al-Issa 2009 ; H Shakhatreh et al., 2003 ; Sabbagh et al., 2015 ), Turkey ( Topacoglu et al., 2004 ; Yildirim et al., 2005 ; Pekdemir et al., 2010 ; Oktay et al., 2003 ; Karabocuoglu et al., 1995 ; Eroglu et al., 2012 ; Cevik et al., 2001 ; Cander et al., 2006 ; Bresnahan and Fowler 1995 ), Yemen ( Naser and Saleem 2018 ), Egypt ( Montaser 2013 ; Abou-ElWafa et al., 2015 ; Saleh et al., 2018 ; Abdo et al., 2015 ; El-Shafei et al., 2018 ), Iran ( Jafari-Rouhi et al., 2013 ; Jalili et al., 2013 ; Soleimanpour et al., 2011 ), Lebanon ( Moucharafieh and Bu-Haka 1996 ; El-Khatib et al., 2014 ; El Sayed and Bayram 2013 ; El Zahran et al., 2018 ; El Majzoub et al., 2018 ), Saudi Arabia ( Alhajjaj and Aldamigh 2017 ; Mehmood et al., 2017 ; Alamri 2017 ; Alquraini et al., 2015 ; Alghamdi et al., 2014 ; Rhine 2000 ), and United Arab Emirates ( Partridge et al., 2009 ; Fares et al., 2014 ). Surprisingly, emergency research and related ethical issues were marginalized among all of those regional studies; all studies were not designed to investigate emergency research at any depth, but to describe some aspects of available emergency interventions and offered practices and/or services.…”

Initial Treatment of Isolated Thoracic Injuries

“…The length of hospitalization in relation to the type of injury simple procedures (the most important pleural drainage), which in the majority of thoracic injuries is an active therapeutic procedure and also the defi nitive treatment. (1,2,3,8,9,10,11). Th e primary wound surgical treatment has defi nitely confi rmed (diagnostic value) that, in all of the injured it was the case of not penetrated chest trauma.…”

“…(7,9,10,11,12). Th e opinions of the majority of the authors, based upon the available literature data, highlights the necessity of the careful and continuous monitoring of injured because of the presence of the realistic possibility of the occurrence of numerous and various complications that require appropriate additional therapeutic treatment (1,4,7,8,11,14,17,18,19,20,21,22).…”

Emergency Research Status in the Middle Eastern Region

“…Combining these terms resulted in a total of 41 papers; after reviewing the titles and abstracts two were deemed to be totally unrelated for this review. Among the located studies eight were from Jordan [22][23][24][25][26][27][28][29] , nine from Turkey [30][31][32][33][34][35][36][37][38] , one from Yemen [39], five from Egypt [40][41][42][43][44] ,…”