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Öğe Çocuk adli travma vakalarımızın değerlendirilmesi: retrospektif çalışma(2016) Altintop, İsmail; Kaynak, Mahmut Fırat; Altuntas, Mukerrem; Yılmaz, Mehmet; Vural, Abdussamed; Yurtseven, AynurÖz:Amaç: Çocuklarda görülen adli travmalar, acil servislerde sık karşılaşılan bir durum haline gelmiş olup önemli sekeller bırakabilmekte, hayatı tehdit edici boyutlara ulaşabilmekte, hatta ölümle sonuçlanabilmektedir. Bu çalışmada kliniğimize bir yılda başvuran pediatrik adli travma vakaları retrospektif olarak araştırılarak sıklığının belirlenmesi, konuyla ilgili epidemiyolojik verilerin ve bölgemizin durumunun ortaya konması, vakayla karşılaşacak hekimlere hastaya yaklaşım konusunda fikir verilebilmesi amaçlanmıştır. Gereç ve Yöntem: Kayseri Eğitim ve Araştırma Hastanesi Acil Tıp Kliniği'ne Ağustos 2013 ile Ağustos 2014 tarihleri arasında adli nedenlerden dolayı başvuran 18 yaş altı travma olguları retrospektif olarak araştırıldı. Bulgular: 18 yaş altında acil servisimize başvuran 951 olgu çalışmaya dahil edildi. Olguların 703'ü erkek (%73,9), 248'i (% 26,1) kız idi. Olayın niteliği incelendiğinde; 521'inin darp, 219'unun (%23,0) yüksekten düşme, 79' unun saldırı (% 8.3), 19'unun yanık (%2.0), 7'sinin kesici delici alet yaralanması (% 0.7), 4'ünün Aile İçi Şiddet (%0.4), 2'sinin cinsel suçlar ve istismar (%0.2), 2'si Uyuşturucu Kullanımı ile birlikte darp (%0.2), 2'si zehirlenme (%0.2), 3'ünün intihar (%0.3) olgusu olduğu tespit edildi. Sonuç: Çocukluk dönemi adli travmaların ek sık nedenlerinin darp ve düşmeler olduğu görülmektedir. Çocuklarımızı adli travmalardan korumak için alınması gereken önlemlere ve eğitime önem verilmelidir.Öğe Does Money Spent on Measuring Blood Levels of Acetaminophen Reduce the Cost of Treatment of Acetaminophen Poisoning?(2015) Çebiçci, Hüseyin; Kilci, Ali İhsan; Gürbüz, Şükrü; Vural, Abdussamed; Karaca, Bahadır; Çakır, IşılAbstract: Objective: Acetaminophen has been used as a safe analgesic and antipyretic. Acute ingestion of 10 g or more than 200 mg/kg as a single ingestion is accepted as toxic for adults. To show that money spent on measuring blood levels of acetaminophen reduces the cost of treatment of acetaminophen poisoning. Materials and Methods: The files of patients who were admitted to Kayseri Training and Research Hospital with pre-diagnosis of acetaminophen intoxication were examined over 6 months. One of the costs is based on the patients' own estimation of the toxic level of acetaminophen and the other is according to the measure of the toxic blood level of acetaminophen. The cost of the two groups was compared. Results: A total of 558 patients were diagnosed to have drug overdose during 6 months. Of these patients, 55 patients were evaluated as having acetaminophen overdose. According to the claims of 19 patients, acetaminophen level was calculated as toxic. However, only five patients' blood acetaminophen level was measured as toxic. Conclusion: Measuring blood acetaminophen level would be more accurate and advantageous in terms of both treatment planning and the cost of therapy in developing countries as in developed countries that have advanced healthcare system.Öğe Does Money Spent on Measuring Blood Levels of Acetaminophen Reduce the Cost of Treatment of Acetaminophen Poisoning?(Aves, 2015) Cebicci, Huseyin; Kilci, Ali Ihsan; Bol, Oguzhan; Gurbuz, Sukru; Vural, Abdussamed; Karaca, Bahadir; Cakir, IsilObjective: Acetaminophen has been used as a safe analgesic and antipyretic. Acute ingestion of 10 g or more than 200 mg/kg as a single ingestion is accepted as toxic for adults. To show that money spent on measuring blood levels of acetaminophen reduces the cost of treatment of acetaminophen poisoning. Materials and Methods: The files of patients who were admitted to Kayseri Training and Research Hospital with pre-diagnosis of acetaminophen intoxication were examined over 6 months. One of the costs is based on the patients' own estimation of the toxic level of acetaminophen and the other is according to the measure of the toxic blood level of acetaminophen. The cost of the two groups was compared. Results: A total of 558 patients were diagnosed to have drug overdose during 6 months. Of these patients, 55 patients were evaluated as having acetaminophen overdose. According to the claims of 19 patients, acetaminophen level was calculated as toxic. However, only five patients' blood acetaminophen level was measured as toxic. Conclusion: Measuring blood acetaminophen level would be more accurate and advantageous in terms of both treatment planning and the cost of therapy in developing countries as in developed countries that have advanced healthcare system.Öğe An evaluation of pediatric forensic trauma cases: a retrospective study(Turgut Özal Tıp Merkezi Dergisi, 2016) Altıntop, İsmail; Kaynak, Mahmut Fırat; Altuntaş, Mukerrem; Yılmaz, Mehmet; Vural, Abdussamed; Yurtseven, AynurAbstract Aim: Forensic trauma has become frequently seen in Emergency Departments and these injuries can leave significant sequelae reaching a life-threatening degree and may even result in death. Through retrospective examination, the aim of this study was to define the frequency of forensic trauma cases presenting at our clinic in one year, to reveal the outlook of our region with references to relevant epidemiological data, and to provide guidance on the approach to be taken by physicians encountering these cases. Materials and Methods: A retrospective examination was made among cases aged below 18 years who presented for forensic reasons at the Emergency Medicine Clinic of Kayseri Training and Research Hospital between August 2013 and August 2014. Results: The study included 951 patients aged under 18 years who presented at the Emergency Department. The patients were 703 (73.9%) males and 248 (26.1%) females. The reasons for presentation were determined as physical assault in 521 cases, fall from heights in 220 (23.0%), assault in 79 (8.3%), burn injury in 19 (2.0%), stabbing and penetrating injuries in 7 (0.7%), family violence in 4 (0.4%), sexual abuse in 2 (0.2%), assault and drug use in 2 (0.2%), attempted suicide in 3 (0.3%), intoxication in 2 (0.2%), and other causes in 92 (9.7%). Conclusion: Physical assault and fall heights were seen to be the most common causes of pediatric forensic traumas. The results of the current study showed significant differences in forensic trauma according to gender. In males, there was a significantly higher rate of stab wounds. Keywords: Forensic Trauma; Child; Non-Traffic Accident Trauma; Emergency Department.Öğe Is Yellow Phosphorus Dangerous Only Because It Looks Like Chocolate?(2014) Altintop, İsmail; Vural, Abdussamed
