Ulus Travma Acil Cer
-
Ulus Travma Acil Cer · Mar 2020
Evaluation of the patients admitted to the pediatric emergency service: Cross-sectional analysis of the pediatric emergency and trauma clinic of a tertiary training hospital in Turkey.
This study aims to carry out a cross-sectional analysis of the applications during three months to the Pediatric Emergency Service of İzmir University of Health Sciences, Tepecik Training and Research Hospital and determination of demographical features and distribution of cases in line with provided data and planning the positive changes and innovations in the current service and functioning of the Pediatric Emergency Service. ⋯ Most of the patients admitted to pediatric emergency service for non-urgent reasons which can be managed in primary care services.
-
Ulus Travma Acil Cer · Mar 2020
Fournier's gangrene: Five years' experience from a single center in Turkey.
Is the present study aims to analyze demographic, clinical and surgical data of all patients with FG (Fournier's gangrene) admitted to a tertiary healthcare hospital in the largest city of Turkey. ⋯ Fournier's gangrene is a fulminant infection with a high mortality rate. Physical examination and anamnesis are quite important for the diagnosis of FG. DM is the most common comorbidity. Age, hematocrit level, FGSI and UFGSI scores affect the patients' length of stay in the ICU.
-
Ulus Travma Acil Cer · Mar 2020
Diagnostic accuracy of ultrasonography and scoring systems: The effects on the negative appendectomy rate and gender.
Despite the development of clinical, laboratory, and imaging methods, the diagnosis of acute appendicitis is not always easy, and negative appendectomy rates are still high. This study aims to reveal the effects of different scoring systems on the diagnostic accuracy of acute appendicitis and negative appendectomy rates, alone or when evaluated together with ultrasonography. ⋯ In addition to being a good diagnostic predictor of acute appendicitis in male and female patients, Ohmann score provides the best negative appendectomy rates. The combination of USG and scoring systems does not increase the diagnostic accuracy of acute appendicitis. However, negative appendectomy rates are significantly reduced when the USG and Ohmann scale are used together in females, while this reduction is minimal in men.
-
Ulus Travma Acil Cer · Mar 2020
Acetabular fractures treated surgically: Which of the parameters affect prognosis.
This study aims to evaluate the surgical approaches, complications, clinical and radiological findings in acetabular fractures treated with surgical methods and to determine the parameters affecting prognosis. ⋯ It was found that three major parameters affecting the prognosis of acetabular fractures are as follows: type of fracture, operational time and reduction quality. The duration between trauma and operation indirectly affects the outcomes. Avascular necrosis, heterotopic ossification and arthritis may cause negative effects only on long term outcomes.
-
Ulus Travma Acil Cer · Mar 2020
Case ReportsA rare case report: Cervical subcutaneous and mediastinal emphysema due to mastoid fracture.
Subcutaneous emphysema occurs when air enters the soft tissue, which usually appears in the soft tissues of the chest wall or neck. It may also arise from pneumothorax or skin lacerations after trauma or other reasons. ⋯ Usually, no severe neurological or clinical findings are observed except crepitation on palpation. We present a case report of a mastoid fracture as a rare cause of cervical subcutaneous and mediastinal emphysema.