Browsing by Author "Bilge, Sedat"

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    Comparison of the efficacy of ShotBlocker and cold spray in reducing intramuscular injection-related pain in adults A prospective, randomized, controlled trial
    (SAUDI MED J, 2019-01-01) Bilge, Sedat; Aydin, Attila; Gun, Cem; Aldinc, Hasan; Acar, Yahya A.; Yaylaci, Serpil; Cinar, Orhan; Balci, Veysel
    Objectives: To compare the efficacy of ShotBlocker and cold spray in reducing intramuscular (IM) injection-related pain in adults. Methos: A prospective, randomized, controlled study carried out between January 2018 and March 2018 at the Department of Emergency Medicine, Acibadem Mehmet Ali Aydinlar University, School of Medicine, Istanbul, Turkey. Adult patients receiving IM injection of diclofenac sodium (75 mg/3 ml) were included. The patients were randomized into 3 groups: ShotBlocker, cold spray, and control. Each group comprised 40 patients. Patients were instructed to rate the intensity of IM injection-related pain using a 100-mm visual analog scale (VAS). Visual analog scale scores of the patients were statistically analyzed. Results: Visual analog scale scores were lower in the ShotBlocker (11 mm) and cold spray (10 mm) groups than in the control group (31 mm) (p=0.001). There were no significant differences in VAS scores between the ShotBlocker and cold spray groups. The operators' responses revealed that ShotBlocker was more difficult to administer than cold spray. Conclusion: ShotBlocker is an effective nonpharmacological method that reduces IM injectionrelated pain and is similar in efficacy, to cold spray.
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    Spontaneous Pneumomediastinum Presenting with Neck Swelling
    (Acıbadem Mehmet Ali Aydınlar Üniversitesi, 2019-10-01) Aydın, Attila; Kaya, Murtaza; Bilge, Sedat; Çevik, Erdem; Balcı, Veysel; Aydın, Cemile
    ABSTRACT Spontaneous Pneumomediastinum (SPM) is a very rare condition with an incidence of 1/30.000 and 1/44.500, and mostly seen in young men. The present article reports a case of SPM with neck swelling in the Emergency Department (ED). A 24-year-old male patient with fever and swelling on both sides of his neck presented at the ED. Physical examination revealed swelling on both parotid glands, neck and facial area. The pulmonary examination revealed a swelling starting from the upper side of the chest and extending toward the neck region and palpation revealed crepitation from the upper wall of the chest to both temporal fossae. Linear air radiolucency was seen in the posteroanterior chest x-ray. A Cervico-Thoracic CT scan revealed “showed” diffuse bilateral and symmetrical emphysema. SPM was diagnosed. He was admitted to the Thoracic Surgery Department for treatment and follow up. Emergency physicians should consider SPM in the differential diagnosis of patients presenting with neck swelling. It should not be forgotten that close patient follow-up is required due to the possibility of severe complications.