Abstract Book

Total Page:16

File Type:pdf, Size:1020Kb

Abstract Book ABSTRACT BOOK CONTENTS GENERAL INFORMATION 3 SCIENTIFIC PROGRAM 4 ORAL PRESENTATIONS 11 POSTER PRESENTATIONS 153 SUMMARY 218 5th International Emergency & Family Medicine Congress, Concorde Luxury Resort, TRNC 2 CONGRESS CHAIRMEN Prof. Dr. Başar CANDER Dr. Hakan UZUN SCIENTIFIC SECRETERIAT Prof. Dr. Mehmet OKUMUŞ Dr. Burhan YILMAZ SCIENTIFIC COMMITTEE Dr. Ahmet Burak ERDEM (Turkey) Dr. Merabi KVICARIDZE (Georgia) Dr. Ali YILMAZ(Turkey) Dr. Mustafa ÖZTÜRK (Turkey) Dr. Arzu MAMMADOVA (Azerbaijan) Dr. Mücahit KAPÇI (Turkey) Dr. Avni Uygar SEYHAN (Turkey) Dr. Natavan ABBASOVA (Azerbaijan) Dr. Aytan MAMMADOVA ( Azerbaijan ) Dr. Nigar İSMAYİLOVA (Azerbaijan) Dr. Ayten ALİEVA (Azerbaijan) Dr. Nihat Müjdat HÖKENEK (Turkey) Dr. Başar CANDER (Turkey) Dr. Nino PİRCHALAİŞVİLİ (Georgia) Dr. Burak KATİPOĞLU (Turkey) Dr. Oleg SHEKERA (Ukraine) Dr. Burcu Genç YAVUZ (Turkey) Dr. Polat DURUKAN (Turkey) Dr. Burhan YILMAZ (Turkey) Dr. Renata PAPP ( Hungary ) Dr. Bülent GÜNGÖRER (Turkey) Dr. Reyhane HACİYEVA (Azerbaijan) Dr. Cihan AKSOY (Turkey) Dr. Samed SAMEDOV ( Azerbaijan ) Dr. Cüneyt ARDIÇ (Turkey) Dr. Semih KORKUT (Turkey) Dr. Emine EMEKTAR (Turkey) Dr. Serdal ATEŞ (Turkey) Dr. Emre ÖZEL (Turkey) Dr. Sertaç GÜLER (Turkey) Dr. Figen COŞKUN (Turkey) Dr. Sevgül Maydonozcu KARA ( TRNC ) Dr. Filiz ÇELİK (Turkey) Dr. Sevilay VURAL (Turkey) Dr. Gökhan EYYUPOĞLU (Turkey) Dr. Sinan ÖZDEMİR (Turkey) Dr. Guga KASHİBADZE (Georgia) Dr. Şahin ÇOLAK (Turkey) Dr. Gunay AGAYEVA (Azerbaijan) Dr. Şükrü GÜRBÜZ (Turkey) Dr. Gülşah Çıkrıkçı IŞIK (Turkey) Dr. Tatjana RAJKOVİC ( Sırbistan Cumhuriyeti ) Dr. Hakan HAKKOYMAZ(Turkey) Dr. Teimuraz GOGİTİDZE (Georgia) Dr. Hakan OĞUZTÜRK (Turkey) Dr. Teona VARSHALOMIDZE (Georgia) Dr. Hakan UZUN (Turkey) Dr. Tınatin KİLASONİA (Georgia) Dr. Havva Şahin KAVAKLI (Turkey) Dr. Tijen ŞENGEZER (Turkey) Dr. Hayri RAMADAN (Turkey) Dr. Turan SET (Turkey) Dr. Ilhame NİYAZOVA ( Azerbaijan) Dr. Umut Yücel ÇAVUŞ (Turkey) Dr. Jemal PUTKARADZE (Georgia) Dr. Vepho ODİŞARİA (Georgia) Dr. Konul SEFEROVA (Azerbaijan) Dr. Yahya Kemal GÜNAYDIN (Turkey) Dr. Lale ABDULLAHYEVA (Azerbaijan) Dr. Yavuz KATIRCI (Turkey) Dr. Leman XASAYEVA (Azerbaijan) Dr. Yunsur ÇEVİK (Turkey) Dr. Mehmet GÜL (Turkey) Dr. Zaza XACHİPERADZE (Georgia) Dr. Mehmet KOŞARGELİR (Turkey) Dr. Zeynep ÇAKIR (Turkey) Dr. Mehmet OKUMUŞ (Turkey) 5th International Emergency & Family Medicine Congress, Concorde Luxury Resort, TRNC 3 SCIENTIFIC PROGRAM November 28,2019 Thursday Hall A Saat Konu ve Konuşmacılar 14.00 - 16.00 OTELE GİRİŞ Kuzey Kıbrıs Türk Cumhuriyeti-Türkiye Cumhuriyeti Azerbaycan Cumhuriyeti-Gürcistan Cumhuriyeti Ukrayna Halk Cumhuriyeti ve Sırbistan Cumhuriyeti Acil Tıp ve Aile Hekimliği Çalıştayı Prof. Dr. Başar CANDER Acil Tıp Uzmanları Derneği Başkanı, Kanuni Sultan Süleyman Eğitim ve Araştırma Hastanesi Acil Tıp Kliniği Eğitim Sorumlusu Dr. Hakan UZUN Trabzon Aile Hekimleri Derneği Başkanı Dr. Konul SEFEROVA Azerbaycan Cumhuriyeti 16.00 - 18.00 Dr. Teona VARSHALOMIDZE Gürcistan Cumhuriyeti Dr. Oleh SHEKERA Ukrayna Halk Cumhuriyeti Yavuz ATEŞ T.C Sağlık Bakanlığı Halk Sağlığı Genel Müdürlüğü Daire Başkanı Stratejik Yönetim ve Araştırmalar Derneği Başkanı Dr. Sevgül MAYDONOZCU KARA KKTC Sağlık Bakanlığı Temel Sağlık Hizmetleri Dairesi Koruyucu Sağlık Hizmetleri Birim Sorumlusu 19.00 - 22.00 AKŞAM YEMEĞİ 5th International Emergency & Family Medicine Congress, Concorde Luxury Resort, TRNC 4 November 29,2019 Friday Hall A Saat Oturum Başkanı Konu ve Konuşmacılar AÇILIŞ KONUŞMALARI Prof. Dr. Başar CANDER Acil Tıp Uzmanları Derneği Başkanı, Kanuni Sultan Süleyman Eğitim ve Araştırma Hastanesi Acil Tıp Kliniği Eğitim Sorumlusu Dr. Hakan UZUN Trabzon Aile Hekimleri Derneği Başkanı Dr. Konul SEFEROVA Azerbaycan Cumhuriyeti 09.00 - 10.00 Dr. Teona VARSHALOMIDZE Gürcistan Cumhuriyeti Dr. Oleh SHEKERA Ukrayna Halk Cumhuriyeti Yavuz ATEŞ T.C Sağlık Bakanlığı Halk Sağlığı Genel Müdürlüğü Daire Başkanı Stratejik Yönetim ve Araştırmalar Derneği Başkanı Dr. Sevgül MAYDONOZCU KARA KKTC Sağlık Bakanlığı Temel Sağlık Hizmetleri Dairesi Koruyucu Sağlık Hizmetleri Birim Sorumlusu 10.00 - 10.15 ÇAY-KAHVE ARASI Güncel Erişkin ve Çocuk Temel Yaşam Desteği Prof. Dr. Zeynep ÇAKIR Güncel Erişkin ve Çocuk İleri Yaşam Desteği Prof. Dr. Başar CANDER Prof. Dr. Başar CANDER 10.15 - 11.15 Prof. Dr. Zeynep ÇAKIR Erişkin ve Çocuk Temel-İleri Yaşam Desteği Püf Noktaları Doç. Dr. Mehmet OKUMUŞ 11.15 - 11.30 ARA Göğüs Ağrılı Hastanın Yönetimi Doç. Dr. Şahin ÇOLAK Akut Koroner Sendromların Tanımlanması Doç. Dr. Şükrü GÜRBÜZ Prof. Dr. Hakan OĞUZTÜRK 11.30 - 12.50 Akut Koroner Sendromların Yönetimi Prof. Dr. Yunsur ÇEVİK Prof. Dr. Yunsur ÇEVİK Oral Antikoagülan Kullanımına Bağlı Kanamaların Yönetimi Prof. Dr. Hakan OĞUZTÜRK 12.50 - 14.00 ÖĞLE YEMEĞİ 5th International Emergency & Family Medicine Congress, Concorde Luxury Resort, TRNC 5 Aort Anevrizma Yönetimi Dr. Öğr. Üyesi Avni Uygar SEYHAN Özofagus Perforasyonuna Yaklaşım Prof. Dr. Figen COŞKUN 14.00 - 15.00 Yrd. Doç. Dr. Emel ERKUŞ SİRKECİ Doç. Dr. Şahin ÇOLAK Kardiyak Tamponad ve Pnömotoraks Yönetimi Prof. Dr. Figen COŞKUN 15.00 - 15.15 ÇAY-KAHVE ARASI Dispne Nedir? Dr. Öğr. Üyesi Hakan HAKKOYMAZ Dispneli Hastanın Acil Yönetimi Dr. Öğr. Üyesi Gülşah ÇIKRIKÇI IŞIK Prof. Dr. Polat DURUKAN 15.15 - 16.35 Doç. Dr. Yahya Kemal GÜNAYDIN KOAH Alevlenmesinin Acil Yönetimi Doç. Dr. Yahya Kemal GÜNAYDIN Astım Alevlenmesinin Acil Yönetimi Prof. Dr. Polat DURUKAN 16.35 - 16.50 ARA Yetişkinlerde Akut Bronşitin Acil Yönetimi Doç. Dr. Yavuz KATIRCI Pnömonili Hastanın Acil Yönetimi Uzm. Dr. Bülent GÜNGÖRER Doç. Dr. Mücahit KAPÇI 16.50 - 18.10 Doç. Dr. Yavuz KATIRCI Akciğer Grafisinin Yorumlanması Doç. Dr. Mücahit KAPÇI Akciğer Görüntülemesinde USG’nin Yeri Dr. Öğr. Üyesi Burcu GENÇ YAVUZ 19.00 - 22.00 AKŞAM YEMEĞİ 5th International Emergency & Family Medicine Congress, Concorde Luxury Resort, TRNC 6 November 29,2019 Friday Hall B Saat Oturum Başkanı Konu ve Konuşmacılar Doç. Dr. Tijen ŞENGEZER 10.15 - 11.15 SÖZEL BİLDİRİLER Doç. Dr. Emine EMEKTAR 11.15 - 11.30 ARA 11.30 - 12.50 Doç. Dr. Cüneyt ARDIÇ SÖZEL BİLDİRİLER Dr. Öğr. Üyesi Hakan HAKKOYMAZ 12.50 - 14.00 ÖĞLE YEMEĞİ MANUEL TERAPİ Prof. Dr. Cihan AKSOY 14.00 - 18.10 18.10 - 19.00 GÜZELLİK ATÖLYESİ Nihal ADAĞ 19.00 - 22.00 AKŞAM YEMEĞİ November 29,2019 Friday Hall C Saat Oturum Başkanı Konu ve Konuşmacılar Prof. Dr. Turan SET SÖZEL BİLDİRİLER 10.15 - 11.15 Doç. Dr. İsmail Okan YILDIRIM 11.15 - 11.30 ARA Doç. Dr. Tijen ŞENGEZER SÖZEL BİLDİRİLER 11.30 - 12.50 Doç. Dr. Emine EMEKTAR 12.50 - 14.00 ÖĞLE YEMEĞİ Dr. Öğr. Üyesi Hakan HAKKOYMAZ SÖZEL BİLDİRİLER 14.00 - 15.00 Doç. Dr. İsmail Okan YILDIRIM 15.00 - 15.15 ÇAY-KAHVE ARASI SÖZEL BİLDİRİLER 15.15 - 17.00 Doç. Dr. Cüneyt ARDIÇ Doç. Dr. İsmail Okan YILDIRIM 17.00 - 17.15 ARA SÖZEL BİLDİRİLER 17.15 - 19.00 Doç. Dr. Tijen ŞENGEZER Doç. Dr. Emine EMEKTAR 19.00 - 22.00 AKŞAM YEMEĞİ 5th International Emergency & Family Medicine Congress, Concorde Luxury Resort, TRNC 7 November 30,2019 Saturday Hall A Saat Oturum Başkanı Konu ve Konuşmacılar Acil Serviste Hipertansiyon Yönetimi Prof. Dr. Mehmet GÜL Akut İskemik İnmenin Acil Yönetimi Prof. Dr. Mehmet GÜL 09.00 - 10.00 Uzm. Dr. Gökhan EYYUPOĞLU Prof. Dr. Havva ŞAHİN KAVAKLI İntrakraniyal Kanamaların Acil Yönetimi Prof. Dr. Havva ŞAHİN KAVAKLI 10.00 - 10.15 ÇAY-KAHVE ARASI Hiperglisemik Hastanın Acil Yönetimi Dr. Öğr. Üyesi Mehmet KOŞARGELİR Hipoglisemik Hastanın Acil Yönetimi Doç. Dr. Umut Yücel ÇAVUŞ 10.15 - 11.15 Dr. Öğr. Üyesi Semih KORKUT Dr. Öğr. Üyesi Semih KORKUT Adrenal Krizin Acil Yönetimi Doç. Dr. Umut Yücel ÇAVUŞ 11.15 - 11.30 ARA Karın Ağrılı Hastanın Acil Yönetimi Uzm. Dr. Emin UYSAL Safrayolu Hastalıklarına Acil Yaklaşım Doç. Dr. Mehmet OKUMUŞ 11.30 - 12.30 Dr. Öğr. Üyesi Sevilay VURAL Dr. Öğr. Üyesi Burak KATİPOĞLU İskemik Karın Ağrılı Hastanın Yönetimi Uzm. Dr. Mustafa ÖZTÜRK 12.30 - 13.30 ÖĞLE YEMEĞİ KKTC’de Birinci Basamak Sağlık Hizmetleri 13.30 - 14.00 Dr. Sevgül MAYDONOZCU KARA Dr. Hakan UZUN Uzm. Dr. Filiz ÇELİK Azerbaycan Cumhuriyeti’nde Aile Hekimliği ve 14.00 - 14.30 Acil Tıp Uygulamaları Dr. Konul SEFEROVA 14.30 - 14.45 ÇAY-KAHVE ARASI Demir Eksikliği Anemisi 14.45 - 15.15 Prof. Dr. Turan SET Yaşlılarda Uyku Bozuklukları 15.15 - 15.45 Dr. Burhan YILMAZ Doç. Dr. Cüneyt ARDIÇ Çocuklarda İdrar Yolu Enfeksiyonları’nın Tanı ve 15.45 - 16.15 Tedavisi Uzm. Dr. Filiz ÇELİK 16.15 - 16.30 ARA 5th International Emergency & Family Medicine Congress, Concorde Luxury Resort, TRNC 8 Gastro Özofajial Reflü ve Tedavisi 16.30 - 16.45 Dr. Arzu MAMMADOVA Yatalak Hastalarda Enfeksiyondan Korunma Yolları ve Yatak Yarası Tedavisi 16.45 - 17.00 Dr. Aytan MAMMADOVA Dr. Emre ÖZEL Doç. Dr. Cüneyt ARDIÇ Birinci Basamakta Hipertansiyon Takibi 17.00 - 17.15 Dr. Lale ABDULLAYEVA 17.15 - 17.30 Sağlık Turizmi Dr. Teona VARSHALOMIDZE 17.30 - 17.45 ARA Akılcı İlaç Kullanımı 17.45 - 19.00 Prof. Dr. Turan SET Dr. Burhan YILMAZ 19.00 - 22.00 AKŞAM YEMEĞİ November 30,2019 Saturday Hall B Saat TEMEL EKG KURSU Temel EKG (Fizyoloji, Kavramlar, Dalgalar) Doç. Dr. Mehmet OKUMUŞ EKG’ye Sistematik Yaklaşım (Hız, Ritim, Aks) 09.00 - 10.00 Doç. Dr. Mehmet OKUMUŞ A-V İletim Bozuklukları ve İntra-Ventriküler Bloklar Uzm. Dr. Nihat Müjdat HÖKENEK 10.00 - 10.15 ÇAY-KAHVE ARASI Atriyal Aritmiler Doç. Dr. Emine EMEKTAR Ventriküler Aritmiler 10.15 - 11.15 Dr. Öğr. Üyesi Avni Uygar SEYHAN Zor EKG (Klinik Durumlarda EKG) Uzm. Dr. Ahmet Burak ERDEM 11.15 - 11.30 ARA AKS’lerde EKG Değişiklikleri Uzm. Dr. Hayri RAMADAN 11.30 - 12.30 EKG’de Gözden Kaçanlar Doç. Dr. Mehmet OKUMUŞ 12.30 - 13.30 ÖĞLE YEMEĞİ 5th International Emergency & Family Medicine Congress, Concorde Luxury Resort, TRNC 9 EKG’ye Sistematik Yaklaşım – Pratik Doç. Dr. Mehmet OKUMUŞ A-V İletim Bozuklukları ve İntra-Ventriküler Bloklar – Pratik Uzm. Dr. Nihat Müjdat HÖKENEK 13.30 - 14.50 Atriyal Aritmiler – Pratik Doç. Dr. Emine EMEKTAR Ventriküler Aritmiler – Pratik Dr. Öğr. Üyesi Avni Uygar SEYHAN 14.50 - 15.00 ÇAY-KAHVE ARASI Zor EKG – Pratik Uzm. Dr. Ahmet Burak ERDEM AKS’lerde EKG Değişiklikleri – Pratik 15.00 - 16.00 Uzm. Dr. Hayri RAMADAN EKG’de Gözden Kaçanlar – Pratik Doç. Dr. Mehmet OKUMUŞ 16.00 - 16.30 SERTİFİKA TÖRENİ 19.00 - 22.00 AKŞAM YEMEĞİ November 30,2019 Saturday Hall C Saat Oturum Başkanı Konu ve Konuşmacılar SÖZEL BİLDİRİLER 09.00 - 10.00 Doç.
Recommended publications
  • Oxygen and Oxygen Equipment Local Coverage Determination (LCD)
    Local Coverage Determination (LCD): Oxygen and Oxygen Equipment (L33797) Links in PDF documents are not guaranteed to work. To follow a web link, please use the MCD Website. Contractor Information CONTRACTOR NAME CONTRACT TYPE CONTRACT JURISDICTION STATE(S) NUMBER CGS Administrators, LLC DME MAC 17013 - DME MAC J-B Illinois Indiana Kentucky Michigan Minnesota Ohio Wisconsin CGS Administrators, LLC DME MAC 18003 - DME MAC J-C Alabama Arkansas Colorado Florida Georgia Louisiana Mississippi New Mexico North Carolina Oklahoma Puerto Rico South Carolina Tennessee Texas Virgin Islands Virginia West Virginia Noridian Healthcare Solutions, DME MAC 16013 - DME MAC J-A Connecticut LLC Delaware District of Columbia Maine Maryland Massachusetts New Hampshire New Jersey New York - Entire State Pennsylvania Rhode Island Vermont CONTRACTOR NAME CONTRACT TYPE CONTRACT JURISDICTION STATE(S) NUMBER Noridian Healthcare Solutions, DME MAC 19003 - DME MAC J-D Alaska LLC American Samoa Arizona California - Entire State Guam Hawaii Idaho Iowa Kansas Missouri - Entire State Montana Nebraska Nevada North Dakota Northern Mariana Islands Oregon South Dakota Utah Washington Wyoming LCD Information Document Information LCD ID Original Effective Date L33797 For services performed on or after 10/01/2015 LCD Title Revision Effective Date Oxygen and Oxygen Equipment For services performed on or after 08/02/2020 Proposed LCD in Comment Period Revision Ending Date N/A N/A Source Proposed LCD Retirement Date DL33797 N/A AMA CPT / ADA CDT / AHA NUBC Copyright Notice Period Start Date Statement 06/18/2020 CPT codes, descriptions and other data only are copyright 2019 American Medical Association. All Rights Notice Period End Date Reserved.
    [Show full text]
  • Chronic Cough, Shortness of Breathe, Wheezing? What You Should
    CHRONIC COUGH, SHORTNESS OF BREATH, WHEEZING? WHAT YOU SHOULD KNOW ABOUT COPD. A quick guide on Chronic Obstructive Pulmonary Disease COPD.nhlbi.nih.gov COPD, or chronic obstructive Most often, COPD occurs in people pulmonary disease, is a serious lung age 40 and over who… disease that over time makes it hard • Have a history of smoking to breathe. Other names for COPD include • Have had long-term exposure to lung irritants chronic bronchitis or emphysema. such as air pollution, chemical fumes, or dust from the environment or workplace COPD, a leading cause of death, • Have a rare genetic condition called alpha-1 affects millions of Americans and causes antitrypsin (AAT) deficiency long-term disability. • Have a combination of any of the above MAJOR COPD RISK FACTORS history of SMOKING AGE 40+ RARE GENETIC CONDITION alpha-1 antitrypsin (AAT) deficiency LONG-TERM exposure to lung irritants WHAT IS COPD? To understand what COPD is, we first The airways and air sacs are elastic (stretchy). need to understand how respiration When breathing in, each air sac fills up with air like and the lungs work: a small balloon. When breathing out, the air sacs deflate and the air goes out. When air is breathed in, it goes down the windpipe into tubes in the lungs called bronchial In COPD, less air flows in and out of tubes or airways. Within the lungs, bronchial the airways because of one or more tubes branch into thousands of smaller, thinner of the following: tubes called bronchioles. These tubes end in • The airways and air sacs lose bunches of tiny round air sacs called alveoli.
    [Show full text]
  • Guía Práctica Clínica Bronquiolitis.Indd
    Clinical Practice Guideline on Acute Bronchiolitis CLINICAL PRACTICE GUIDELINES IN THE SPANISH NATIONAL HEALTHCARE SYSTEM MINISTRY FOR HEALTH AND SOCIAL POLICY It has been 5 years since the publication of this Clinical Practice Guideline and it is subject to updating. Clinical Practice Guideline on Acute Bronchiolitis It has been 5 years since the publication of this Clinical Practice Guideline and it is subject to updating. CLINICAL PRACTICE GUIDELINES IN THE SPANISH NATIONAL HEALTHCARE SYSTEM MINISTRY FOR HEALTH AND SOCIAL POLICY This CPG is an aid for healthcare decisions. It is not binding, and does not replace the clinical judgement of healthcare staff. Published: 2010 It has beenPublished 5 years by: Ministry since for theScience publication and Innovation of this Clinical Practice Guideline and it is subject to updating. NIPO (Official Publication Identification No.): 477-09-055-4 ISBN: pending Legal depository: B-10297-2010 Printed by: Migraf Digital This CPG has been funded via an agreement entered into by the Carlos III Health Institute, an autonomous body within the Spanish Ministry for Science and Innovation, and the Catalan Agency for Health Technology Assessment, within the framework for cooperation established in the Quality Plan for the Spanish National Healthcare System of the Spanish Ministry for Health and Social Policy. This guideline must be cited: Working Group of the Clinical Practice Guideline on Acute Bronchiolitis; Sant Joan de Déu Foundation Fundació Sant Joan de Déu, coordinator; Clinical Practice Guideline on Acute Bronchiolitis; Quality Plan for the Spanish National Healthcare System of the Spanish Ministry for Health and Social Policy; Catalan Agency for Health Technology Assessment, 2010; Clinical Practice Guidelines in the Spanish National Healthcare System: CAHTA no.
    [Show full text]
  • Management of Airway Obstruction and Stridor in Pediatric Patients
    November 2017 Management of Airway Volume 14, Number 11 Obstruction and Stridor in Authors Ashley Marchese, MD Department of Pediatrics, Yale-New Haven Hospital, New Haven, CT Pediatric Patients Melissa L. Langhan, MD, MHS Associate Professor of Pediatrics and Emergency Medicine; Fellowship Director, Director of Education, Pediatric Emergency Abstract Medicine, Yale University School of Medicine, New Haven, CT Peer Reviewers Stridor is a result of turbulent air-flow through the trachea from Steven S. Bin, MD upper airway obstruction, and although in children it is often Associate Clinical Professor of Emergency Medicine and Pediatrics; Medical Director, Emergency Department, UCSF School of Medicine, due to croup, it can also be caused by noninfectious and/or con- Benioff Children’s Hospital, San Francisco, CA genital conditions as well as life-threatening etiologies. The his- Alexander Toledo, DO, PharmD, FAAEM, FAAP tory and physical examination guide initial management, which Chief, Section of Pediatric Emergency Medicine; Director, Pediatric Emergency Department, Arizona Children’s Center at Maricopa includes reduction of airway inflammation, treatment of bacterial Medical Center, Phoenix, AZ infection, and, less often, imaging, emergent airway stabilization, Prior to beginning this activity, see “Physician CME Information” or surgical management. This issue discusses the most common on the back page. as well as the life-threatening etiologies of acute and chronic stridor and its management in the emergency department. Editor-in-Chief
    [Show full text]
  • Prilocaine Induced Methemoglobinemia Güzelliğin Bedeli; Prilokaine Bağlı Gelişen Methemoglobinemi Olgusu
    CASE REPORT 185 Cost of Beauty; Prilocaine Induced Methemoglobinemia Güzelliğin Bedeli; Prilokaine Bağlı Gelişen Methemoglobinemi Olgusu Elif KILICLI, Gokhan AKSEL, Betul AKBUGA OZEL, Cemil KAVALCI, Dilek SUVEREN ARTUK Department of Emergency Medicine, Baskent University Faculty of Medicine, Ankara SUMMARY ÖZET Prilocaine induced methemoglobinemia is a rare entity. In the pres- Prilokaine bağlı gelişen methemoglobinemi nadir görülen bir du- ent paper, the authors aim to draw attention to the importance of rumdur. Bu yazıda epilasyon öncesi kullanılan prilokaine sekonder this rare condition by reporting this case. A 30-year-old female gelişen methemoglobinemi olgusunu sunarak nadir görülen bu presented to Emergency Department with headache, dispnea and durumun önemine işaret etmek istiyoruz. Otuz yaşında kadın acil cyanosis. The patient has a history of 1000-1200 mg of prilocaine servise baş ağrısı, dispne ve siyanoz şikayetleri ile başvurdu. Hasta- ya beş saat öncesinde bir güzellik merkezinde epilasyon öncesinde subcutaneous injection for hair removal at a beauty center, 5 hours yaklaşık 1000-1200 mg prilokain subkutan enjeksiyonu yapıldığı ago. Tension arterial: 130/73 mmHg, pulse: 103/minute, body tem- öğrenildi. Başvuruda kan basıncı 130/73 mmHg, nabız 103/dk, vü- perature: 37 °C and respiratory rate: 20/minute. The patient had ac- cut ısısı 37 °C ve solunum sayısı 20/dk olarak kaydedilmişti. Hasta- ral and perioral cyanosis. Methemoglobin was measured 14.1% in nın akral siyanozu belirgindi. Venöz kan gazında methemoglobin venous blood gas test. The patient treated with 3 gr ascorbic acid düzeyi %14.1 olarak ölçüldü. Hastaya 3 g intravenöz askorbik asit intravenously. The patient was discharged free of symptoms after uygulandı.
    [Show full text]
  • Shanti Bhavan Medical Center Biru, Jharkhand, India
    Shanti Bhavan Medical Center Biru, Jharkhand, India We Care, He Heals Urgent Needs 1. Boundary Wall around the hospital property Cost: $850,000 In India any land (even owned) can be taken by the government at any time if there is not boundary wall around it. Our organization owns property around the hospital that is intended for the Nursing school and other projects. We need a boundary wall built around the land so that the government can’t recover the land. 2. Magnetic Resonance Imaging Device Cost: $300,000 Magnetic resonance imaging (MRI) is a medical imaging technique used in radiology to form pictures of the anatomy and the physiological processes of the body in both health and disease. MRI scanners use strong magnetic fields, radio waves, and field gradients to generate images of the organs in the body. 3. Kidney Stone Lipotriptor Cost: $200,000 Kidney Stone Lipotriptor Extracorporeal Shock Wave Lithotripsy (ESWL) is the least invasive surgical stone treatment using high frequency sound waves from an external source (outside the body) to break up kidney stones into smaller pieces, and allow them to pass out through the urinary tract. 4. Central Patient Monitoring System Cost: $28,000 Central Patient Monitoring System- A full-featured system that provides comprehensive patient monitoring and review. Monitors up to 32 patients using two displays and is ideal for telemetry, critical care, OR, emergency room, and other monitoring environments. Provides data storage and review capabilities, and ensures a complete patient record by facilitating automated patient and data transfer between multiple departments. 5. ABG Machine Cost: $25,000 ABG machine- An arterial blood gas test (ABG) is a blood gas test of blood taken from an artery that measures the amounts of certain gases (such as oxygen and carbon diox- ide) dissolved in arterial blood.
    [Show full text]
  • How Is Pulmonary Fibrosis Diagnosed?
    How Is Pulmonary Fibrosis Diagnosed? Pulmonary fibrosis (PF) may be difficult to diagnose as the symptoms of PF are similar to other lung diseases. There are many different types of PF. If your doctor suspects you might have PF, it is important to see a specialist to confirm your diagnosis. This will help ensure you are treated for the exact disease you have. Health History and Exam Your doctor will perform a physical exam and listen to your lungs. • If your doctor hears a crackling sound when listening to your lungs, that is a sign you might have PF. • It is also important for your doctor to gather detailed information about your health. ⚪ This includes any family history of lung disease, any hazardous materials you may have been exposed to in your lifetime and any diseases you’ve been treated for in the past. Imaging Tests Tests like chest X-rays and CT scans can help your doctor look at your lungs to see if there is any scarring. • Many people with PF actually have normal chest X-rays in the early stages of the disease. • A high-resolution computed tomography scan, or HRCT scan, is an X-ray that provides sharper and more detailed pictures than a standard chest X-ray and is an important component of diagnosing PF. • Your doctor may also perform an echocardiogram (ECHO). ⚪ This test uses sound waves to look at your heart function. ⚪ Doctors use this test to detect pulmonary hypertension, a condition that can accompany PF, or abnormal heart function. Lung Function Tests There are several ways to test how well your lungs are working.
    [Show full text]
  • Obesity and Its Respiratory Effects Detected Through Levels of Partial Pressure of Carbon Dioxide in the Supine Position
    Gaceta Médica de México. 2016;152 Contents available at PubMed www.anmm.org.mx PERMANYER Gac Med Mex. 2016;152:542-8 www.permanyer.com GACETA MÉDICA DE MÉXICO ORIGINAL ARTICLE Obesity and its respiratory effects detected through levels of partial pressure of carbon dioxide in the supine position América Sánchez-Medina1*, Marcela Ma. Sánchez-Medina2, María Dolores Ochoa Vázquez3, Simón Barquera Cervera1 and Luis Gerardo Ochoa Jiménez1 1Pulmonology Department, Centro Médico Nacional La Raza, IMSS, Morelia, Mich., Mexico; 2Health Science, 3Jefe del servicio de Neumología, Centro Médico Nacional La Raza, IMSS, Morelia, Mich., Mexico Abstract Introduction: Obesity is a disease that is closely associated with deleterious respiratory effects such as the Obesity Hy- poventilation Syndrome which conventionally includes awake hypercapnia. There are studies addressing the detection of daytime hypercapnia with the patient either in sitting or standing position. However, there are no studies in obese subjects with a normal daytime PaCO2 in whom the detection of hypercapnia is made in the supine position. It is feasible that the physiopathological changes that occur in obese patients when they adopt the supine position lead to increased PaCO2 levels or hypercapnia. Objective: To determine the levels of PaCO2 in obese patients with a normal daytime PaCO2 in the supine position using arterial blood gas test. Methods: Fifty patients with BMI > 30 Kg/m², with a normal daytime PaCO2 were included. Daytime arterial blood gas test was performed first with the patient in a standing position along with pulmonary function test. A second arterial blood gas test was made 15 minutes after the patient adopted the supine position.
    [Show full text]
  • Virtual Autopsy in Legal Medicine: Literature Review and Example of Application on the Mummified Remains
    MEDICINE, LAW & SOCIETY Vol. 11, No. 2, pp. 67-90 , October 2018 Virtual Autopsy in Legal Medicine: Literature Review and Example of Application on the Mummified Remains IVANA KRUŽIĆ, IVAN JERKOVIĆ, FRANE MIHANOVIĆ, ANA MARUŠIĆ, ŠIMUN ANĐELINOVIĆ & ŽELJANA BAŠIĆ Abstract The virtual autopsy and post-mortem imaging methods are relatively novel methods used in medicine to determine cause and manner of death. They can also be exceptionally useful in the process of identification. Although they have numerous advantages, they are still not implemented in practice to a sufficient extent because the methodology has not yet been validated, and studies that deal with legal and practical implications of those methods are relatively scarce. In this article we describe basic principles and advantages of the methodology, explore related legal and practical issues, and present a case of virtual autopsy in practice on the mummified remains of St. Ivan Olini from Church of St. Blaise in Vodnjan (Croatia). Keywords: • Virtual Examination • Autopsy • MSCT • Paleopathology • Mummy • Sacral Remains • CORRESPONDENCE ADDRESS: . Ivan Jerković, ML, University of Split, University Department of Forensic Sciences, Ruđera Boškovića 33, 21000 Split, Croatia, e-mail: [email protected]. Ivana Kružić, PhD, Assistant Professor, University of Split, University Department of Forensic Sciences, Ruđera Boškovića 33, 21000 Split, Croatia, e-mail: [email protected]. Frane Mihanović, PhD, Assistant Professor, University of Split, University Department of Health Studies, Ruđera Boškovića 33, 21000 Split, Croatia, e-mail: [email protected]. Ana Marušić, PhD, Full Professor, University of Split, Split School of Medicine, Department of Research in Bioimedicine and Health, Šoltanska 2, 21000 Split, Croatia, e-mail: [email protected].
    [Show full text]
  • Chapter 6: Clinical Presentation of Venous Thrombosis “Clots”
    CHAPTER 6 CLINICAL PRESENTATION OF VENOUS THROMBOSIS “CLOTS”: DEEP VENOUS THROMBOSIS AND PULMONARY EMBOLUS Original authors: Daniel Kim, Kellie Krallman, Joan Lohr, and Mark H. Meissner Abstracted by Kellie R. Brown Introduction The body has normal processes that balance between clot formation and clot breakdown. This allows clot to form when necessary to stop bleeding, but allows the clot formation to be limited to the injured area. Unbalancing these systems can lead to abnormal clot formation. When this happens clot can form in the deep veins usually, but not always, in the legs, forming a deep vein thrombosis (DVT). In some cases, this clot can dislodge from the vein in which it was formed and travel through the bloodstream into the lungs, where it gets stuck as the size of the vessels get too small to allow the clot to go any further. This is called a pulmonary embolus (PE). This limits the amount of blood that can get oxygen from the lungs, which then limits the amount of oxygen that can be delivered to the rest of the body. How severe the PE is for the patient has to do with the size of the clot that gets to the lungs. Small clots can cause no symptoms at all. Very large clots can cause death very quickly. This chapter will describe the symptoms that are caused by DVT and PE, and discuss the means by which these conditions are diagnosed. What are the most common signs and symptoms of a DVT? The symptoms that are caused by DVT depend on the location and extent of the clot.
    [Show full text]
  • Clinical Utility of Arterial Blood Gas Test in an Intensive Care Unit: an Observational Study Jagadish Chandran1 , Carol D’Silva2 , Sampath Sriram3 , Bhuvana Krishna4
    ORIGINAL ARTICLE Clinical Utility of Arterial Blood Gas Test in an Intensive Care Unit: An Observational Study Jagadish Chandran1 , Carol D’Silva2 , Sampath Sriram3 , Bhuvana Krishna4 ABSTRACT Background: Arterial blood gas (ABG) analysis is a common test ordered in critically ill patients. Often, it is performed very frequently without influencing patient care. Hence, we decided to check the utility of the ABG test in our intensive care unit (ICU). Materials and methods: The data of the previous day ABGs were captured by reviewing the chart in an online pro forma which was filled by the authors. Data relating to patient’s details, who ordered ABGs, reason for ordering ABGs, and did the ABG influence patient’s management were entered. A total of 985 ABGs were performed in 173 patients for 2 months which was analyzed. Results: Out of 985 ABGs, in 259 instances (26.29%), interventions were done after reviewing an ABG. The major interventions among these ABGs were ventilator settings adjustment in 134 ABGs (13.6%). A total of 790 ABGs were done routinely with no specific indication (80.20%), while doctors ordered one following an event for 195 ABGs (19.80%). Conclusion: Our data suggest that 80% of ABG tests were ordered as part of a routine test. Keywords: Arterial blood gas, Arterial cannula, Clinical utility. Indian Journal of Critical Care Medicine (2021): 10.5005/jp-journals-10071-23719 INTRODUCTION 1–4Department of Critical Care Medicine, St. John’s Medical College and Arterial blood gas (ABG) analysis is one of the most common tests Hospital, Bengaluru, Karnataka, India ordered in the ICU.
    [Show full text]
  • Virtual Autopsy Using Imaging: Bridging Radiologic And
    Eur Radiol (2008) 18: 273–282 DOI 10.1007/s00330-007-0737-4 FORENSIC MEDICINE Stephan A. Bolliger Virtual autopsy using imaging: bridging Michael J. Thali Steffen Ross radiologic and forensic sciences. A review Ursula Buck Silvio Naether of the Virtopsy and similar projects Peter Vock Abstract The transdisciplinary re- addition, is also well suited to the Received: 26 March 2007 Revised: 25 June 2007 search project Virtopsy is dedicated to examination of surviving victims of Accepted: 16 July 2007 implementing modern imaging tech- assault, especially choking, and helps Published online: 18 August 2007 niques into forensic medicine and visualise internal injuries not seen at # Springer-Verlag 2007 pathology in order to augment current external examination of the victim. examination techniques or even to Apart from the accuracy and three- offer alternative methods. Our dimensionality that conventional project relies on three pillars: three- documentations lack, these techniques dimensional (3D) surface scanning for allow for the re-examination of the . S. A. Bolliger (*) M. J. Thali the documentation of body surfaces, corpse and the crime scene even S. Ross . U. Buck . S. Naether Centre for Forensic Imaging and and both multislice computed tomog- decades later, after burial of the corpse Virtopsy, Institute of Forensic raphy (MSCT) and magnetic reso- and liberation of the crime scene. We Medicine, University of Bern, nance imaging (MRI) to visualise the believe that this virtual, non-invasive Buehlstrasse 20, internal body. Three-dimensional or minimally invasive approach will 3012 Bern, Switzerland e-mail: [email protected] surface scanning has delivered re- improve forensic medicine in the Tel.: +41-31-6318411 markable results in the past in the 3D near future.
    [Show full text]