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    Demographic Properties of Civilians with Blast Injuries in Southeastern Anatolia Region
    (2015) Akdağ, Mehmet; Kaçmaz, Ömer; Dursun, Recep; Üstündağ, Mehmet; Durgun, Hasan Mansur; Gulloglu, Cahfer; Orak, Murat
    ObjectivesThe present study conducted demographic analysis of blast injuries, with the authors aiming to guide the determination of groups and regions at risk, helping hospitals take preventive measures and providing information for accurate triage, rapid intervention, multidisciplinary approach, and lowering workforce losses.MethodsThis study retrospectively examined the demographic properties of civilians who presented to the Emergency Department of Dicle University after being injured in explosions of various origins between January 2005 and September 2013 in the Southeastern Anatolia Region of Turkey.ResultsOf the study population, 85.50% were male and 14.50% were female. The explosive responsible for injury was a mine in 20.51% of the cases, a bomb in 29.06%, a squib in 14.53%, dynamite in 7.69%, and some other explosive in the remaining 28.31%. Of those injured, 35.90% were students, 21.36% were farmers, 11.10% were shepherds or drivers, and 31.62% were from other occupational groups.ConclusionsIn conclusion, injuries resulting from explosions are associated with higher morbidity and mortality rates, making it necessary to increase the number of trauma centers and emergency action teams in that region, as well as demining the region and educating the native population about explosives
  • Küçük Resim
    Öğe
    Demographic properties of civilians with blast injuries in Southeastern Anatolia Region
    (Türkiye Acil Tıp Derneği, 2015) Kaçmaz, Ömer; Dursun, Recep; Durgun, Hasan Mansur; Akdağ, Mehmet; Orak, Murat; Üstündağ, Mehmet; Güloğlu, Cahfer
    Objectives The present study conducted demographic analysis of blast injuries, with the authors aiming to guide the determination of groups and regions at risk, helping hospitals take preventive measures and providing information for accurate triage, rapid intervention, multidisciplinary approach, and lowering workforce losses. Methods This study retrospectively examined the demographic properties of civilians who presented to the Emergency Department of Dicle University after being injured in explosions of various origins between January 2005 and September 2013 in the Southeastern Anatolia Region of Turkey. Results Of the study population, 85.50% were male and 14.50% were female. The explosive responsible for injury was a mine in 20.51% of the cases, a bomb in 29.06%, a squib in 14.53%, dynamite in 7.69%, and some other explosive in the remaining 28.31%. Of those injured, 35.90% were students, 21.36% were farmers, 11.10% were shepherds or drivers, and 31.62% were from other occupational groups. Conclusions In conclusion, injuries resulting from explosions are associated with higher morbidity and mortality rates, making it necessary to increase the number of trauma centers and emergency action teams in that region, as well as demining the region and educating the native population about explosives.
  • Küçük Resim
    Öğe
    Evaluation of consultations requested from patients admitted to the emergency department
    (Galenos Yayınevi, 2015) Özçete, Enver; Kaçmaz, Ömer; Damar, Ömer; Üstündağ, Mehmet; Orak, Murat; Güloğlu, Cahfer
    Aim: This study was aimed to conduct an investigation towards evaluation of the efficiency of the consultation system that is in place in the emergency service of our hospital and identification and correction of deficiencies in this system. Materials and Methods: Patients who were admitted to the emergency department and for whom requesting a consultation were required for any reason were included in the study. Forms were filled out by the emergency research assistants. Patients whose data was incomplete and consents could not be obtained were excluded from the study. Results: A total of 213 patients were included in the study, and a total of 315 consultations were requested. The total number of consultations requested by the internal medicine departments was 126, and the total number of consultations requested by the trauma (surgery) departments was 189. Of the 213 patients, 104 (48.8%) were hospitalized and 109 (51.2%) were discharged. The average number of consultations of 213 patients was 1.5±0.7, the average length of stay of the patients in the emergency service was 366.7±312.9 min. and the mean age of the patients was 41±24 years. The average seniority of the consultant physicians in a total of 315 consultations performed was 26.8±10.6 months, and the average consultation response time of the consultant physicians was 62.2±67.8 min. Conclusion: Because of the changing healthcare system in our country, the consultation services, particularly in university hospitals, should be re-structured.
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    Öğe
    Güneydoğu Anadolu Bölgesi'nde patlayıcı madde yaralanmalarında sivil yaralıların demografik özellikleri
    (2015) Kaçmaz, Ömer
    Patlamalar, savaş dışı nadiren görülen mekanizması net belirlenemeyen yaralanma vakalarına neden olabilmektedir. Ülkemizde çeşitli iş kazaları, evde kullanılan bazı araç gereçlerin ve terör olayları için kullanılan bazı patlayıcıların yarattığı yaralanmalar için herhangi bir klinik skorlama ve triyaj tekniği yaygın olarak kullanılmamaktadır. Ayrıca patlayıcı maddelerin sıkı denetimler altında olmaması ve illegal kullanımı sonucu yaralanma ve ölüm oranlarını artırmaktadır. Bu çalışmamızda amacımız Türkiye Cumhuriyeti’nin Güneydoğu Anadolu bölgesinde Ocak 2005- Eylül 2013 yılları arasında çeşitli nedenlerle meydana gelen patlamalar sonucunda Dicle Üniversitesi Tıp Fakültesi Eğitim Araştırma Hastanesi Acil Servis birimine başvuran 117 sivil yaralanmaların demografik özelliklerini geriye dönük olarak analiz edildi. Hastalar acil serviste görüldü. Hastalar ATLS (Advanced Trauma Life Support) programına göre resüsite edildi ve var olan protokollere göre teşhis ve tedavi işlemlerinden geçtiler. Hastalarımızın %85.50’si erkek ve %14.50’si kadındı. Patlayıcı türüne göre hastalarımızın %20.51’i mayın, %29.06’sı bomba, %14.53’ü maytap, %7.69’u dinamit ve %28.31’i diğer patlayıcı türlerinden biriyle yaralanmıştı. Hastalarımızın özellikle yaz aylarında patlamaya maruz kaldığı ve etkilenenlerin de genç ve erkek hastalar olduğu görüldü. Sonuç olarak patlama kaynaklı yaralanmaların önlenmesi, doğru triyaj, hızlı müdahale ve multidisipliner yaklaşım ile sağlanacaktır. Ayrıca patlama sonrası iş gücü kaybının önüne geçecektir. Daha kapsamlı ve fazla sayıda çalışma yapılması bu önlemlerin detaylanması için yol gösterici olacaktır. Anahtar Kelimeler: Patlama yaralanması, patlayıcı madde, demografik özellik
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    Öğe
    Sadece Başım Ağrıyor... İzole Transvers Sinüs Ven Trombozu
    (Acil Tıp Uzmanları Derneği, 2013) Özhasenekler, Ayhan; Durgun, Hasan Mansur; Kaçmaz, Ömer; Tunç, İbrahim; Akıl, Eşref; Önder, Hakan
    Serebral ven trombozu beynin arteryel tıkayıcı hastalıklarına oranla daha nadir görülen bir durumdur. Sagittal ve kavernöz sinüs trombozu sık görülürken transvers sinüs trombozu daha nadirdir. Klinik olarak baş ağrısı, en yaygın ve başlangıç semptomudur. Serebral ven trombozlarının ilk tanı aracı, kontrastsız beyin bilgisayarlı tomografisidir. Acilde, baş ağrısı ile başvuran hastaların, sık kullanılan görüntüleme yöntemlerinden kontrastsız beyin tomografilerinin iyi değerlendirilmesi gerekir