Ulusal travma dergisi = Turkish journal of trauma & emergency surgery : TJTES
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Eight Trauma and resuscitation Courses (TRC): two instructor and 6 student courses have been organized in Turkey between December 1998 and November 2000. Questionnaire results of 121 students and 63 instructors were reviewed. We strongly believe that these results will be supportive for the courses in the future. ⋯ The course book was determined as insufficient in terms of drawings and pictures by 15%. The main target population of the course was selected as emergency service doctors and practitioners. As a result we determined that the main criticisms were insufficient practical and video sessions and the lack of drawings in the course book our main goal is to accomplish the required changes, and make new courses more yielding and profitable, thus introduce standardization in terms of trauma care nationwide.
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Since January 1998, non-operative management of blunt splenic trauma has become the preferred method for the selected paediatric and adult patients in our clinic. Of the 26 patients who were admitted to our clinic because of blunt splenic trauma between January 1998 and May 2000, 20 were elected for non-operative management according to our protocol which was primarily based on hemodynamic status regardless of the age and grading of the injury. Diagnostic computed tomography (CT) was obtained in the patients with non-operative management. ⋯ The mean duration of hospitalisation in the patients with operative and non-operative management groups were 7.6 and 8.6 days, respectively (p = 0.572). The mean unit of blood transfusion in the patients with operative and non-operative management groups were 1.1 and 0.6, respectively (p = 0.453). Our data revealed that hemodynamic stability is the most important factor which could effect the selection of patients for non-operative management outcome regardless of the patient age and computed tomography scan grading of the injury.
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We have evaluated retrospectively adult trauma patients admitted to the Dokuz Eylul University Hospital Emergency Department (ED) between 1.1.1997-30.6.1997 by the aim of contributing epidemiological data about trauma related injuries of Turkey. Among the 1063 study patients, 626 patients were male, 437 patients were female and mean age of the patients was 40.6 +/- 18. The most common causes of injury was fall. ⋯ It has been determined that 90.8% of the patients were brought to ED by the vehicles other than the ambulance. Among all patients, 872 patients (82%) were discharged from ED, 118 patients (11.1%) were admitted, 73 patients (6.9%) were referred to another hospitals and 13 patients (1.2%) were died. We have determined the significantly increased hospital admission rate in the subgroups of the penetrating trauma patients, patients older than 65 years old (p = 0.001 and 0.003, respectively) and the significantly increased operative intervention and death in penetrating trauma patients (p = 0.000 and 0.009, respectively).
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Traffic accidents, which influence to every age group people, are an important public health. This study to determine which condition it has happened more, which days, months and years it has happened, what things have caused to happen traffic accidents. The study was made in Erciyes University Medical School Emergency Department. 31,550 patients applied to emergency department in a period of twelve months in 1998. 7098 (22%) cases of these were traffic accidents. ⋯ As a result, some risk factors increase incidence of traffic accidents. Considering these risk factors in taking measures is of great importance in prevention of traffic accidents. Morbidity and mortality are affected by place where accidents occur, time of accident, properties of motor vehicles, and quality of medical care performed following the incident.
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21 patients with gunshot wounds were retrospectively evaluated. They were 19 male and 2 female, age range was 9-24. ⋯ All the patients with glasgow coma scale 3-5 at the admittance died. 15 patients underwent surgical treatment. 3 patients had cerebrospinal fluid fistula postoperatively and underwent reoperation. Extensivity of the lacerated brain, localization of the lesion and the glasgow coma scale at the admittance affect the outcome in gunshot wounds.