Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Mar 2018
Mortality in Code Blue; can APACHE II and PRISM scores be used as markers for prognostication?
Code blue (CB) is an emergency call system developed to respond to cardiac and respiratory arrest in hospitals. However, in literature, no scoring system has been reported that can predict mortality in CB procedures. In this study, we aimed to investigate the effectiveness of estimated APACHE II and PRISM scores in the prediction of mortality in patients assessed using CB to retrospectively analyze CB calls. ⋯ APACHE and PRISM scores with the available parameters will not help predict mortality in CB procedures. Therefore, novels scoring systems using different parameters are needed.
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Ulus Travma Acil Cer · Mar 2018
Case ReportsTraumatic evisceration after blunt trauma in a 20-month-old boy.
Blunt traumatic evisceration is extremely rare. We describe the case of a 20-month-old boy with stomach and small and large intestine evisceration after blunt trauma. ⋯ The bowels were drained into the abdominal cavity, and the skin was closed. The patient recovered well.
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Ulus Travma Acil Cer · Mar 2018
Importance of knowledge of the management of traumatic dental injuries in emergency departments.
Hospital emergency departments (EDs) are confronted with managing dental emergencies of both traumatic and non-traumatic origin. However, the literature suggests inadequate knowledge of the management of traumatic dental injuries (TDIs) among medical professionals. The aim of this study was to investigate the knowledge and attitudes regarding management of TDIs among Istanbul ED physicians. ⋯ Education, monitoring, improved availability of resources, and disciplinary measures in cases of poor compliance are necessary to improve TDI management in hospitals, especially among physicians.
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Ulus Travma Acil Cer · Mar 2018
Fixation of rotationally unstable extracapsular proximal femoral fractures.
It was thought that the AO types A1.2 and A1.3 fractures are rotationally stable; however, it revealed instability when fixed using the dynamic hip screw. Therefore, we hypothesized that these fractures should be treated as rotationally unstable. ⋯ Using the DHS/DRS composite, anatomical features of the proximal femoral end were restored and maintained during the follow-up period. Insignificant differences between outcomes of IGU and PGU render the addition of the AO types A1.2 and A1.3 to the rotationally unstable fractures reasonable.
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Ulus Travma Acil Cer · Mar 2018
The success of endotracheal intubation with a modified laryngoscope using night vision goggles.
Endotracheal intubation (ETI) procedure in the combat area differs from prehospital trauma life support procedures because of the danger of gunfire and the dark environment. We aimed to determine the success, difficulty degree, and duration of ETI procedures with a classical laryngoscope (CL) in a bright room and with a modified laryngoscope (ML) model in a dark room. ⋯ The ETI procedure is applicable using NVGs in dark conditions on the battlefield. Medical interventions performed using NVGs in the dark should be a part of the basic training provided in tactical emergency medicine.