Ulus Travma Acil Cer
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Ulus Travma Acil Cer · May 2013
The role of bedside ultrasonography for occult scaphoid fractures in the emergency department.
Our aim is to study the accuracy of emergency medicine (EM) physician-performed, bedside ultrasonography (BUS) in patients with clinical suspicion of scaphoid fracture and normal radiographs. ⋯ The diagnosis of scaphoid fractures is another BUS application in the ED. EM physicians should consider diagnosis of scaphoid fractures using BUS in the emergency department.
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Ulus Travma Acil Cer · May 2013
The management of mesenteric vein thrombosis: a single institution's experience.
Mesenteric vein thrombosis occurs rarely and is responsible for approximately 5-15% of all cases of acute mesenteric ischemia. The aim of this report was to discuss the management of mesenteric vein thrombosis based on our experience with 34 patients. ⋯ Early diagnosis with CT angiography, surgical and non-surgical blood flow restoration, proper anticoagulation, and supportive intensive care are the cornerstones of successful treatment of mesenteric vein thrombosis.
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Ulus Travma Acil Cer · May 2013
Soccer ball related posterior segment closed-globe injuries in outdoor amateur players.
The aim of this study is to report the characteristics, treatment, and anatomical and functional outcomes of outdoor amateur soccer players with soccer ball-related posterior segment ocular trauma. ⋯ A soccer ball can cause significant posterior segment trauma, and using eye protection equipment might be an appropriate solution.
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Ulus Travma Acil Cer · May 2013
A model of complaint based for overcrowding emergency department: Five-Level Hacettepe Emergency Triage System.
To compare ESI Five-Level Triage System with 5-Level Hacettepe Emergency Triage System (HETS), which was developed for Overcrowded EDs in our country. ⋯ Complaint-based HEST developed for overcrowded Eds is a triage system with a very good agreement between observations and observers. Low undertriage and overtriage ratios, and easy application by all staff from a non-medical secretary to the emergency physician.
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Abusive head trauma (AHT) is perpetrated when an infant or young child is shaken violently by an abuser, resulting in injuries to various intracranial structures, historically called "shaken baby syndrome" (SBS). Three cases of AHT with different constellations of clinical symptoms are presented here. Case 1- Three-month-old female infant was admitted with recurrent seizures, drowsiness, and low grade fever. ⋯ All cases were reported to Child Protective Services, who decided not to remove children from homes, but evaluated psychosocial risks and developed a safety plan, including home visits and family education. Physicians must be aware of possibility of AHT in infants presenting both subtle and overt neurologic symptoms. It is important to provide training on AHT to staff involved in the management of these cases.