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Permanent URI for this collectionhttps://hdl.handle.net/11443/932
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Item Ketamine With and Without Midazolam for Emergency Department Sedation in Adults: A Randomized Controlled Trial(MOSBY-ELSEVIER, 2011-01-01) Sener, Serkan; Eken, Cenker; Schultz, Carl H.; Serinken, Mustafa; Ozsarac, MuratStudy objective: We assess whether midazolam reduces recovery agitation after ketamine administration in adult emergency department (ED) patients and also compared the incidence of adverse events (recovery agitation, respiratory, and nausea/vomiting) by the intravenous (IV) versus intramuscular (IM) route. Methods: This prospective, double-blind, placebo-controlled, 2x2 factorial trial randomized consecutive ED patients aged 18 to 50 years to 4 groups: receiving either 0.03 mg/kg IV midazolam or placebo, and with ketamine administered either 1.5 mg/kg IV or 4 mg/kg IM. Adverse events and sedation characteristics were recorded. Results: Of the 182 subjects, recovery agitation was less common in the midazolam cohorts (8\% versus 25\%Item Effect of harmless acute pancreatitis score, red cell distribution width and neutrophil/lymphocyte ratio on the mortality of patients with nontraumatic acute pancreatitis at the emergency department(ZHEJIANG UNIV SCH MEDICINE, 2015-01-01) Gulen, Bedia; Sonmez, Ertan; Yaylaci, Serpil; Serinken, Mustafa; Eken, Cenker; Dur, Ali; Turkdogan, Figen Tunali; Sogut, OzgurBACKGROUND: Harmless acute pancreatitis score (HAPS), neutrophile/lymphocyte ratio and red blood cell distribution width (RDW) are used to determine the early prognosis of patients diagnosed with nontraumatic acute pancreatitis in the emergency department (ED). METHODS: Patients diagnosed with acute pancreatitis (K 85.9) in the ED according to the ICD10 coding during one year were included in the study. Patients with chronic pancreatitis and those who had missing data in their files were excluded from the study. Patients who did not have computed tomography (CT) in the ED were not included in the study. RESULTS: Ultimately, 322 patients were included in the study. The median age of the patients was 53.1 (IQR=36-64). Of the patients, 68.1\% (n=226) had etiological causes of the biliary tract. The mortality rate of these patients within the first 48 hours was 4.3\% (n=14). In the logistic regression analysis performed by using Balthazar classification, HAPS score, RDW, neutrophile/lymphocyte ratio, age, diabetes mellitus and systolic blood pressure, the only independent variable in determining mortality was assigned as Balthazar classification (OR: 15Item The Reliability of Turkish ``Basic Life Support'' and ``Cardiac Massage'' Videos Uploaded to Websites(AVES, 2016-01-01) Elicabuk, Hayri; Yaylaci, Serpil; Yilmaz, Atakan; Hatipoglu, Celile; Kaya, F. Gokhan; Serinken, MustafaObjective: In this study, the reliability of Turkish cardiac massage and Basic Life Support (BLS) videos, which have already been downloaded from three website such as YouTube, Google, Yahoo following the publication of 2010 cardiopulmonary resuscitation (CPR) guideline and their suitability to the same guideline were researched. Materials and Methods: The videos uploaded to the three website to search videos on internet were queried by using the keywords ``cardiac massage{''} and ``basic life support{''}. Videos that had been uploaded between January 2011 and July 2014 were analyzed and scored by two experienced emergency specialists. Results: A total of 1126 videos were obtained. 1029 of the videos (91.4\%) were excluded by researchers. 97 videos were detected to accord with study criteria. Despite most of the videos were found on Google website by keywords, the enormous part of videos proper to criteria were sourced from YouTube website (n=65, 67.0\%). One fourth of the videos (24.7\%) were observed to not be suitable for 2010 CPR guideline. AED usage was mentioned slightly in the videos (14.4\%). Median score of the videos is 5 (IQR: 4-6). The rate and scores of the videos uploaded by official institution or association were significantly higher than others (p=0.007 and 0.006, respectively). Moreover, scores of the videos compatible with guidelines uploaded by official institution or association and medical personal were also found higher (p=0.001). Conclusion: Eventually, all the data obtained in this study support that Turkish videos were not reliable on the subject of BLS and cardiac massage. It is promising that videos with high followup rates also have been scored higher.Item Self-Cannibalism: The Man Who Eats Himself(WESTJEM, 2014-01-01) Yilmaz, Atakan; Uyanik, Emrah; Sengul, Melike C. Balci; Yaylaci, Serpil; Karcioglu, Ozgur; Serinken, MustafaSelf-mutilation is a general term for a variety of forms of intentional self-harm without the wish to die. Although there have been many reports of self-mutilation injuries in the literature, none have reported self-cannibalism after self-mutilation. In this article we present a patient with self-cannibalism following self-mutilation. A 34-year-old male patient was brought to the emergency department from the prison with a laceration on the right leg. Physical examination revealed a well-demarcated rectangular soft tissue defect on his right thigh. The prison authorities stated that the prisoner had cut his thigh with a knife and had eaten the flesh.Item Handlebar Trauma Causing Small Bowel Hernia with Jejunal Perforation(WESTJEM, 2014-01-01) Yaylaci, Serpil; Ercelik, Hasan; Seyit, Murat; Kocyigit, Ali; Serinken, MustafaItem Acute mercury poisoning: a case report(BIOMED CENTRAL LTD, 2010-01-01) Sarikaya, Sezgin; Karcioglu, Ozgur; Ay, Didem; Cetin, Asli; Aktas, Can; Serinken, MustafaBackground: Mercury poisoning can occur as a result of occupational hazard or suicide attempt. This article presents a 36-year-old case admitted to emergency department (ED) due to exposure to metallic mercury. Case Presentation: A 36-year-old woman presented to the ED with a three-day history of abdominal pain, diarrhea and fever. One week ago her daughter had brought mercury in the liquid form from the school. She had put it on the heating stove. One day later, her 14-month old sister baby got fever and died before admission to the hospital. Her blood pressure was 134/87 mmHgItem Work-related injuries in textile industry workers in Turkey(TURKISH ASSOC TRAUMA EMERGENCY SURGERY, 2012-01-01) Serinken, Mustafa; Turkcuer, Ibrahim; Dagli, Bekir; Karcioglu, Ozgur; Zencir, Mehmet; Uyanik, EmrahBACKGROUND This study was conducted as a survey including work-related injuries (WRI) of workers in the textile and clothing industry admitted to the emergency department (ED). METHODS This prospective study included patients with WRI reportedly occurring in the textile and clothing industry over a two-year period. The study sample comprised only the casualties occurring at the workplace and while working de facto. RESULTS A total of 374 patients were eligible for the study. More than three-fourths of the study sample were females (76.2\%, n=285). A significant proportion of the patients were between 14 and 24 years of age (44.7\%, n=167). Approximately two-thirds reported that this was their first admission to a hospital related to WRI (65.8\%, n=246). WRIs occurred most frequently between 07:00-09:00 (27.3\%) and 23:00-01:00 (17.9\%). ``Carelessness{''} and ``rushing{''} were the most commonly reported causes of WRIs from the patients' perspective (40.6\% and 21.4\%, respectively). Three-fourths of the patients reported that they were using protective equipment (74.3\%, n=278). With respect to injury types, laceration/puncture/ amputation/avulsion injuries accounted for 55.6\% (n=208) of the sample. Trauma to the upper extremities was the main type of injury in 75.1\% (n=281) of the cases. CONCLUSION Broad population-based studies are needed to define the situation as a whole in WRIs in the textile and clothing industry in the country. Strict measures should be undertaken and revised accordingly to prevent WRIs in these growing sectors.Item 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, OzgurObjectives: 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.Item If There Is No Trauma History, What's Happened?(AVES, 2014-01-01) Yaylaci, Serpil; Serinken, MustafaIntroduction: Shaken baby syndrome (SBS) is probably an underestimated diagnosis. It is the leading cause of death from child abuse. Crying is thought to contribute to the act of shaking. Case Report: A4-month-old girl presented to the emergency room with convulsions. She was unconscious with dilated pupils. In the detailed physical examination, she did not have any head or body trauma signs. The eye fundus examination showed extended retinal hemorrhagic areas. Her brain computerized tomography examination revealed a subdural hematoma at the posterior fossa near the posterior cerebellum at the level of the cisterna magna. The girl was admitted to the extensive care unit, where she died after 5 days. Her mother confessed that she had shaken the baby. Conclusion: Shaken baby syndrome should be kept in mind with a baby with no trauma history and no trauma signs in the physical examination. An inconsistent history must alert for emergency physicians.