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Öğe Electric injuries(2007) Orak M.; Üstündağ M.; Güloğlu C.; Uysal E.; Sayhan M.B.The electricity injury is the one of the major trauma causing mortality, and morbidity. We report 3 cases, admitted our emergiency department with electric injury caused by naked electric cable touching. All cases had compartment syndrome and undergone fasiotomy operations. They were transported to advanced intensive care units of burning. In this study, we would like to report that without any precaution and information, emergency depatment personals would be faced with interesting electric injuries that effect more than one people cases which havent been reported in medical literatures.Öğe Haemopneumothorax due to blank cartridges gun injury(2007) Orak M.; Üstündağ M.; Sayhan M.B.; Taş M.; Güloğlu C.Blank cartridge guns, which are considered harmless, can be easily purchased by adults due to lack of legal regulations. We present this case because injuries caused by gunshot from modify blank cartridges may be fatal and are rarely encountered in emergency departments. A 20-year-old boy was brought to the emergency department since he had a wound on his left thorax by modify gunshot from blank cartridges. He had a moderate general condition, respiratory distress and pale appearance. There was an irregular edged, defective wound at left hemithorax localization with a dimension of 3×4 cm. Computed tomography of the thorax revealed contusion in the basal of the left lung. A mass education on danger and harm of these guns as well as legal regulations for restricted use seem to he necessary. Also, physicians should keep in mind that blank cartridge guns can cause fatal injuries.Öğe A local cold injury case in emergency department and literature review(2010) Gökdemir M.T.; Gülo?lu C.; Sayhan M.B.; Üstünda? M.; Orak M.Cold injuries are caused by exposure to cold weather, water, fluid or gas. Cold injuries are classified as hipothermia and local cold injuries. Mortality and morbidity in these patients are worthy to note due to lack and inadequacy of treatment. 46 years old patient who walked for 6 hours on snowy road was admitted to emergency department with loss of feeling, pain, motor deficiency, and skin discoloration. In this case report we review the epidemiology, pathophysiology, clinical presentation, and different treatment methods of accidental hypothermia.Öğe Penetran thoracic wall traumas due to sharp devices(2007) Avci A.; Sayhan M.B.; Eren T.Ş.Penetran thoracic wall traumas due to sharp devices are important injuries because of the intrathoracic vital organs and blood vessels anatomic locations. Because of these, these types of traumas should be examinated carefully, and might be needed surgical operations. Cases of intrathoracic organ injury, thoracic wall injury, been of foreign body are the many causes of the surgery. Delayed diagnosing or misdiagnosing increase the mortality and morbidity in such traumas. We would like to report our delayed diagnosed, transthoracic and extrapleural penetran trauma due to large sized broken glass.Öğe Plasma D-Dimer levels in acute ischemic stroke: Association with mortality, stroke type and prognosis(2010) Üstündağ M.; Orak M.; Güloglu C.; Tamam Y.; Sayhan M.B.• Objective: The purpose of this study is to examine the correlation between mortality, stroke sub-types, neurological disability and D-Dimer values measured before a specific treatment is given to patients in the emergency department. • Material and Method: In the first 24 hours after stroke symptoms started and before anticoagulant treatment started, the serum D-Dimer levels of every patient were examined. The stroke sub-type of every patient was determined according to TOAST criteria and clinical classification was made according to the Oxfordshire Community Stroke Project (OCSP). The Rankin scale was used to determine the neurological disability of the surviving patients. • Results: Ninety one patients were included in the study. There was a significant difference between the D-Dimer levels of patients who died and who survived (4.50+2.80 and 1.39+1.36 ng/ml respectively, p=0.003). According to the TOAST criteria, average D-dimer levels of cardioembolic and atherothrombotic stroke patients were higher than the control group. (4.35±3.03/ 3.11±1.69 and 0.43±0.26 respectively, p=0.000). According to OCSP classification, average D-dimer levels of patients with total anterior circulation infract (TOCI) and partial anterior circulation infract (PACI) were higher than the control group. (3.67±2.14, 4±3.03 and 0.43±0.26, respectively, p=0.000). The evaluation of surviving stroke patients in terms of neurological disability revealed that average D-dimer levels of patients with serious neurological disability Rankin score=3-5) were higher than patients with slight neurological disability (Rankin score=0 and Rankin score=1-2), (2.85±1.69; 0.79±0.56; 0.81±0.44 respectively, p=0.000). • Conclusion: We reached the conclusion that D-dimer levels in the acute period can be a leading factor for clinicians in predicting the direct results of cerebral infarct and deciding the type of treatment.Öğe A poll study about emergency department stuff's job satisfaction(2009) Orak M.; Üstündağ M.; Güloğlu C.; Sayhan M.B.; Gökhan Ş.Job satisfaction means that employee's content or discontented about their job. It is important to learn about emergency department stuff's job satisfaction for problems and new positive suggestions. In this study; our aim is to determine Dicle University Medical faculty Emergency Department stuff's job satisfactions according to their social and demographic characteristics or conditions of employment, and effective factors on this satisfaction or unsatisfaction. We prepared an eighteen questions survey sheet and administered to Dicle University Medical Faculty Emergency department stuff that constituted with doctors, nurses, nurse's aides, security guards, cleaning workers and medical secretaries totally 54 workers, between November2006 and December 2006. Age, gender, job, status, service life, duty times and frequency, work load, supervisor pleasure, monetary and morale satisfaction, attending to social activity in free times are the factors that effects job satisfaction.Öğe A rare case of Chilaiditi syndrome presenting "free air under diaphragm" and mimicking a perforated viscus(2009) Sogut O.; Orak M.; Sayhan M.B.; Ustundag M.; Ozgonul A.Background: Chilaiditi syndrome (CS) is the interposition of the right colon between the liver and the right hemidiaphragm. The incidence of CS in the general population is very low and it is seen more frequently in adults than in children. Here a case is presented of Chilaiditi syndrome presenting with abdominal pain and vomiting; its initial diagnosis was perforated viscus. Case Report: A 36-year-old man was admitted to a state hospital with abdominal pain and vomiting which began three days before without any history of prior trauma. On chest x-ray, free air under the right hemidiaphragm was diagnosed as a perforated viscus. Upon physical examination in the authors' hospital, his abdomen was distended, with normal bowel sounds, but no rebound tenderness were detected on palpation. CS was subsequently confirmed by a chest x-ray and abdominal ultrasound. The patient was managed conservatively and his symptoms resolved over the next 24 hours. Conclusions: CS may be mistaken for more serious abnormalities, which may lead to unneeded exploratory abdominal surgery. This case emphasizes the importance of considering CS by emergency physicians or surgeons in the differential diagnosis of free air under the right hemidiaphragm on a chest x-ray. © The American Journal of Case Reports.Öğe Severe metabolic acidosis secondary to zinc phosphide poisoning(2008) Orak M.; Ustundag M.; Sayhan M.B.[No abstract available]Öğe Thoracic ectopia cordis(2007) Orak M.; Üstündağ M.; Güloğlu C.; Sayhan M.B.; Taş M.Heart positioned outside the chest wall is known as ectopia cordis. Thoracic ectopia cordis (TEC) is extremely rare with a reported incidence of 5.5-7.9/million live births. It is classified as cervical, cervico-thoracic, thoracic and more commonly the thoraco-abdominal or abdominal types. TEC is classified as complete and incomplete. In complete thoracic ectopia cordis the naked heart is displaced outside thoracic cavity without pericardial coverage. In partial thoracic ectopia cordis the heart can often be seen to pulsate through the skin. In this study, we present one case of TEC and review the literature on this subject.Öğe Traumatic sternal fracture: Three years experience of thoracic surgery department(2008) Ülkü R.; Avci A.; Onat S.; Sayhan M.B.; Özçelik C.Traumatic sternal fractures are becoming common injuries in developed and developing countries. We would like to report our three years experience with sternal fracture. Emergency room management and clinical examinations are reviewed in this study.
