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Öğe Carbon monoxide poisoning cases presenting with non-specific symptoms(Sage Publications Inc, 2017) Deniz, Turgut; Kandis, Hayati; Eroglu, Oguz; Gunes, Harun; Saygun, Meral; Kara, Ismail HamdiCarbon monoxide (CO) is a colourless and odourless gas appearing as a result of incomplete combustion of carbon-containing fuels. Many domestic or occupational poisonings are caused by CO exposure. Malfunctioning heating systems, improperly ventilated motor vehicles, generators, grills, stoves and residential fires may be listed in the common sources of CO exposure. The aim of this study was to emphasize the significance of early diagnosis of CO poisoning with non-invasive measurement of CO levels of the patients with nonspecific symptoms using a pulse oximeter device in the triage. Our study was a cross-sectional study. Patients who presented to the emergency department (ED)due to non-specific symptoms and had a Canadian Triage and Acuity scale level of 4 or 5 were included in the study; 106 (5.9%) of 1788 patients admitted during the study period were diagnosed with CO poisoning. Patients with CO poisoning and the other patients had statistically significant differences in terms of presenting symptoms, namely, headache, dizziness, nausea, and vomiting. More CO poisoning cases were admitted in the fall and winter compared to the spring and summer. The number of CO poisoning victims can be decreased if preventive measures like CO monitoring systems and well-designed ventilation systems are generalized at homes and workplaces. Measurement of carboxyhaemoglobin levels of patients presenting to ED due to non-specific symptoms like headache and dizziness during cold seasons and winter months using a pulse CO-oximeter should be a part of the routine of emergency medicine triage.Öğe Demographic features of chest trauma patients(Elsevier Science Bv, 2009) Kandis, Hayati; Deniz, Hayati; Gungor, Ahmet; Katirci, Yavuz; Deniz, TurgutObjectives: The aim of this study was to define the demographic features of patients presented with chest trauma. Materials and Methods: This study was conducted in the emergency department of Kirikkale Yuksek ihtisas Hospital between 01.01.2003 and 31.12.2007. In the present study, patients were evaluated according to their age, gender, cause of trauma, thoracic injuries and accompanied system pathologies, time of accomplishing a therapy, the therapy modality and mortality. Results: A total of 382 patients were included into the study, 248 (65%) were male and 134 (35%) patients were female. The mean age of the study patients was 39.20 +/- 14 years (min-max: 1-85). Two hundred fifteen patients (56%) were presented with penetrating thoracic trauma and 167 patients (44%) with blunt thoracic trauma. Whereas implementation of conservative treatment ratio was 43%, and tube thoracostomy 37% and thoracotomy were implemented in 20% of the patients. Mortality rate was 6.2% (n=24). Conclusion: The thoracic trauma patients have usually multisystem injuries requires an experienced and multidisciplinary team with immediate therapeutic interventions.Öğe Emergency Department Visits Secondary to Amusement Park Injury(Emergency Medicine Physicians Assoc Turkey, 2010) Deniz, Turgut; Kandis, Hayati; Ulger, Huseyin; Agalar, FatihFunfairs are entertainment centers which draws mostly children's and also all other age groups' attention both in our country and in the world. Fun center equipments should be controlled regularly. Equipments that are not renewed in proper intervals and don't have appropriate security measures should be banned. Otherwise, funfair accidents that can cause really serious results can ocur. It is aimed in this study to present three cases who came to emergency room after a fall accident from the fun equipment that is called 'octopus'.Öğe Explosion at gunpowder factory Kirikkale Chemical Industry Machinery after emergency service management(Elsevier Science Bv, 2010) Karakus, Ali; Kandis, Hayati; Deniz, Turgut; Sahan, MustafaObjective: Industrial accidents as a form of disaster, can result in numerous injuries and deaths. Appropriate management of this type of mass injuries in emergency room can prevent deaths and injuries. In this study, we aimed to investigate the patient profiles and clinical management provided at Kirikkale Yuksek Ihtisas Hospital ED, following the violent explosion in the nearby gunpowder plant of the Industry of Machinery-Chemistry (MKE) in Kirikkale on August 29, 2008. Methods: Medical records of injured employees that visited Kirikkale Yuksek Ihtisas Hospital ED after the explosion in gunpowder plant of Mechanical and Chemical Industry on August 29, 2008 were retrospectively reviewed. Results: Total of 23 patients admitted to our emergency room. Nine out of 23 patients were transferred with ambulance, while the remaining 14 patients arrived ED by other means. Only one patient had a Glasgow Coma Scale of 3, while all others scored 15. Skin laceration, fractures, swelling, scalp incision and soft tissue injuries were among the observed findings in physical examination. The mean length of stay in emergency room was 2.89 hour. Nineteen of the patients examined in emergency room were discharged after observation for 24 hours. One patient died of intracranial bleeding. Three patients were admitted to the orthopedic service and plastic surgery, and were discharged following their treatment. Conclusions: Although management and organization seemed to be not so difficult in this incident, EDs should always be prepared for more difficult situations. The elimination or reduction of losses in the event of disasters can be accomplished by effective management of disasters both inside and outside the EDs. For disaster management systems to be successful, all response actions should be conducted in a coordinated manner.Öğe Injuries related to the feast of holy sacrifice(2013) Deniz, Turgut; Ulger, Hüseyin ; Kandis, Hayati; Agalar, Fatih ; Aydinuraz, Kuzey ; Karakuş, Ali; Saygun, MeralObjective: The aim of this study is to evaluate and draw attention to sacrification injuries that occurred during the Feast of Holy Sacrifice. Methods: Two hundred and sixty-two patients who were admitted to the emergency services in the city of Kirikkale with sacrification injuries during four consecutive Feast of Holy Sacrifice holidays between 2008 and 2011 were evaluated according to age, sex, admission day and time, experience level, type and mechanism of injury and treatment type. Results: Average age was 43 ± 14 and 83 % of were male. Only 7 patients (2.7 %) were professional butchers, while 155 patients had sacrificed previously. Eighty-three patients had not sacrificed previously and 24 patients had only witnessed sacrification. Penetrating injuries were 81 % (206 cases from knives and 6 cases from animals' horns) and 19 % were blunt. The admittance to the EDs was highest on the first day. Upper extremity trauma constituted for 80 % of cases (n = 209) and 197 (94 %) were hand injuries, whereas 39 patients (15 %) had lower extremity injury. While 174 patients (67 %) injuries were self-inflicted with a knife, 32 (12 %) were injured by the knife of another and 50 (21 %) were injured by animal aggression. Primary suture (155 patients), splint and tendon repairing were undertaken. No deaths occurred. Conclusions: Sacrification injuries can sometimes be serious with the injuries consisting mainly of tendon cuts and bone fractures. Preliminary arrangements with medical staff and equipment support should be provided during the Feast of Holy Sacrifice, especially on the first day. The butchering jobs during this period should be given to professionals. © 2013 Springer-Verlag Berlin Heidelberg.
