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    Analgesic Treatment in Patients With Acute Extremity Trauma and Effect of Training
    (ELSEVIER SCIENCE BV, 2012-01-01) Akarca, Funda Karbek; Karcioglu, Ozgur; Korkmaz, Tanzer; Erbil, Bulent; Demir, Omer Faruk
    Objectives Studies indicate that emergency physicians (EP) under-evaluate and undertreat the pain experienced by their patients. The objective of this study was to investigate how EPs treat pain in adult patients with limb trauma and to determine if their behavior could be affected by training in the short-term. Methods All consecutive adult patients admitted to the university-based emergency department (ED) within two months were enrolled in the study. The patients were asked to rate their level of pain on the NRS in triage. NRS scores were noted again after 30 minutes and 60 minutes, and on discharge. Patient prescriptions were also tracked to identify any analgesics. After completion of the pre-education phase, four hours of training on pain evaluation and treatment were undertaken under the leadership of experienced staff faculty. The aforementioned outcomes were gathered again in a 30-day period after training and we compared the pre and post training periods. Results A hundred and forty-three patients (81 female) were enrolled in the pre-education phase, and 130 patients (58 female) were eligible for the post-education phase. The mean NRS scores of the females noted on admission were significantly higher than those of the males (7.4 +/- 2.3 vs. 6.7 +/- 2.5, respectively
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    Causes and characteristics of work-related eye injuries in western Turkey
    (WOLTERS KLUWER MEDKNOW PUBLICATIONS, 2013-01-01) Serinken, Mustafa; Turkcuer, Ibrahim; Cetin, Ebru Nevin; Yilmaz, Atakan; Elicabuk, Hayri; Karcioglu, Ozgur
    Objectives: To analyze descriptive data and characteristics of work-related eye injuries (WREI) admitted into the emergency department (ED) and obtain information to utilize in planning measures to prevent WREI. Materials and Methods: This prospective study recruited patients with WREI admitted to the center in the two-year study period. Only the casualties occurred at the workplace and while working constituted the sample. The data were collected via face-to-face contact in the ED. Results: Males comprised the majority of the sample (95.3\%, n = 778) and mean age of the patients was 28.1 +/- 6.5 (range: 15-54) with the biggest percentage in between 25 and 34 years of age (46.2\%, n = 377). Most patients were working in the metal and machinery sectors (66.4\%, n = 542). Nearly half of the patients had less than 1 year of experience (50.4\%, n = 411). The most common mechanism of WREI was noted to be exposures to welding light (26.9\%, n = 219), followed by drilling/cutting injuries (21.1\%, n = 172). ``Carelessness{''} and ``hurrying up{''} were the most commonly reported causes of WREIs among `worker-related causes' (21.4\% and 16.1\%, respectively). Lack of protective measures ranked the highest among workplace-related causes (18.7\%, n = 207). Conclusions: Programs to increase awareness on workplace safety and sound preventive strategies for both parties-employers and employees are to be pursued. Occupational safety efforts should include training on workplace eye safety and campaigns to raise knowledgeability on this disease among workers.