Ulus Travma Acil Cer
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Ulus Travma Acil Cer · May 2009
Review Case ReportsManagement algorithm for intestinal obstruction due to ascariasis: a case report and review of the literature.
Ascaris lumbricoides is the largest and most prevalent of the human helminths. Ascariasis causes a unique type of intestinal obstruction with specific problems, having high morbidity and mortality. There is no management algorithm available in the literature to treat such cases. ⋯ The management of intestinal obstruction due to ascariasis was challenging and required difficult decisions. We think that this algorithm will be of great assistance in facilitating a rapid and successful treatment. This algorithm may prove to be of a great value for physicians treating such cases.
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Ulus Travma Acil Cer · May 2009
[Role of anatomic and physiologic trauma scoring systems in forensic cases].
The Turkish Penalty Law has recently been changed. The novel law asks the practitioner to report if there is any 'Situation Placing a Life in Danger '. Herein, we evaluate the anatomic (ISS, TRISS) and physiologic (RTS) trauma scores assessing mortality. ⋯ We assume that there is no difference between physiologic and anatomic scoring systems to predict mortality for deciding a life-threatening condition.
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Ulus Travma Acil Cer · May 2009
[Evaluation of the process and effectiveness of consultation system in the Department of Emergency Medicine].
Triage, consultations, and radiological and laboratory test processes have different effects on the total waiting time in the emergency department (ED). Under these circumstances, the importance of the consultation system process and effectiveness of consultation becomes very clear. Our aim in this study was to verify the process of the consultation system. ⋯ In our study, we determined that the most important factor for the effectiveness of consultation was the definition of the urgency of the patients by the residents in the ED. Since the number of patients admitting to the ED will continue to increase in the future, more detailed prospective studies are needed about the efficiency of consultation in the ED.
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Esophageal foreign bodies (EFBs) represent an urgent clinical condition that can be seen in all ages, especially in children, and sometimes cause important morbidity and mortality. Rigid endoscopy is the most important diagnostic and treatment tool in EFBs, although there are some risks. ⋯ Complications may be prevented with early diagnosis and accurate treatment. Rigid endoscopy is an effective and safe procedure for foreign body removal.
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Ulus Travma Acil Cer · Mar 2009
The impact of admission hyperglycemia or hypoalbuminemia on need ventilator, time ventilated, mortality, and morbidity in critically ill trauma patients.
The aim of this study was to evaluate the value of hypoalbuminemia or hyperglycemia as predictors for need ventilator and for weaning success in critically ill trauma patients. ⋯ These results suggest that albumin and blood glucose are possible indexes of the metabolic status of the trauma patient, which could be essential in deciding the need ventilator and weanable status of the patients who are mechanically ventilated for extended periods of time.