Gul Pamukcu Gunaydın

• MD
• Medical Doctor at Ankara Atatürk Training and Research Hospital

Amaç: Bu çalışmada, acil servise başvuran febril nötropeni hastalarında tiyol / disülfid homeostaz parametreleri ile prokalsitonin (PCT), C-reaktif protein (CRP) ve Kanserde Destekleyici Bakım için Çok Uluslu Derneği (MASCC) risk skorlama sisteminin birlikte prognoz ve mortalitenin öngörülmesi için birlikte kullanımını belirlemeyi amaçlanmaktadır....

Background/aim Hyoscine-N-butylbromide (HBB) is an anticholinergic agent widely used to treat pain caused by spasms in the gastrointestinal and urogenital systems. The aim of this study was to compare the efficacy of HBB with a placebo in treating abdominal cramping pain caused by acute gastroenteritis in the emergency department (ED). Materials a...

Aim: Prone cardiopulmonary resuscitation (CPR) (CPR performed in the prone position) is an important intervention for managing cardiopulmonary arrest in patients that experience cardiopulmonary arrest in the prone position. It is important for pre-hospital healthcare personnel to learn and practice this technique when necessary. This study aims to...

Aim: Anemia limits oxygen delivery to tissues, potentially leading to increased oxidative stress. This study examined the impact of erythrocyte transfusion on thiol/disulfide homeostasis, a marker of oxidative stress, in anemic patients. Material and Methods: Sixty anemic patients receiving transfusions were included. Blood samples collected before...

BACKGROUND Numerous measurement techniques for intra-abdominal pressure have been explored, with the Kron Technique established as the gold standard. Despite its prominence, the search for alternative methods persists due to its lengthy application time, the requirement for additional equipment, and overall impracticality. This study investigated a...

OBJECTIVE In our study, we aimed to compare the effect of standard rapid sequence intubation protocol and the application of rocuronium priming technique on the procedure time and hemodynamic profile. METHODS Patients who applied to the emergency department and needed rapid sequence intubation were included in our study, which we conducted with a...

Aim: Since the shoulder joint is the most active, mobile, and dislocated joint in the body, shoulder dislocations are one of the common admitting diagnoses in emergency departments. Our study aimed to determine the level of knowledge of emergency physicians about recognizing shoulder dislocation, shoulder reduction, the technique of choice, and the...

Background. Prone CPR has gained popularity recently during the COVID-19 pandemic. Prone CPR can be used to manage cardiopulmonary arrest in patients who are being treated in a prone position with an advanced airway in place or in patients who are being operated on in the prone position. It is important that physicians who work in the emergency dep...

Acil Sağlık Hizmetleri, dünyada ve ülkemizde önemini giderek arttıran ve uzmanlık alanı olarak sağlık hizmet sunumunda önemli bir rol oynamaktadır. Gelişmiş ve gelişmekte olan ülkelerde sanayileşme ve teknolojik gelişmelerin artması, beklenen yaşam sürelerinin uzaması, acil sağlık hizmetlerine ulaşımın kolaylaşması gibi nedenlerle acil sağlık hizme...

Objective: It has been determined that self-esteem and assertiveness level of the individual significantly affect his/her environment. In this study, our goal is to determine the self-esteem and assertiveness levels of healthcare personnel in Emergency Department.Methods: Our study is a prospective analytical observational study. The study populati...

Objective: In cardiac arrest cases, high quality cardiopulmonary resuscitation and effective chest compression are vital issues in improving survival with good neurological outcomes. In this study, we investigated the effect of mechanical chest compression devices on 30- day survival in out-of-hospital cardiac arrest. Materials and Methods: This re...

INTRODUCTION: Oxidative stress refers to formation of more reactive oxygen species (ROS) than that are eliminated by cellular defense mechanisms (antioxidants). The aim of this study is to determine oxidative stress developed in CO poisoning, to measure oxidant and antioxidant parameters and to study the effects of the NBO and HBO treatments on the...

Introduction: Simultaneous bilateral quadriceps tendon rupture is a very rare injury that may be associated with systemic illnesses or drugs. We present a case of bilateral quadriceps tendon rupture in a patient with no identifiable risk factors. Case: Sixty seven year old male patient presented to emergency room with bilateral knee pain after trip...

Objective To evaluate the presence of SARS-CoV-2 virus in the cerumen of patients with COVID-19. Methods A prospective study was conducted in a tertiary care pandemic hospital. Sixty COVID-19 patients with cerumen in their external auditory canals were included in the study. Swabs were taken from the external auditory canal of the patients by an e...

INTRODUCTION: This study aims to investigate the dynamic thiol-disulfide balance in the early period of patients diagnosed with acute pulmonary thromboembolism in the emergency department. METHODS: Serum thiol-disulfide levels in venous blood samples drawn from 58 patients diagnosed with acute pulmonary embolism in the emergency department were ana...

INTRODUCTION: In the geriatric population, body response to trauma changes with age-varying physiology. Scoring systems are studied in many patient groups and diseases in terms of hospitalization requirement and prognosis prediction. In this study, we aimed to determine the demographic characteristics of patients over 65 years of age who applied to...

ABSTRACT BACKGROUND: Acute pancreatitis is a common disease seen in emergency departments because of abdominal pain. The present study aims to evaluate the relation between measurements of thiol-disulfide parameters in patients diagnosed with acute pancreatitis and other blood parameters. METHODS: A total of 56 (56%) patients, who were admitted to...

Amaç: Bu çalışmada 112’ de çalışan personelin çalışma süresine ve şartlarına göre spontan dikkat düzeylerinin belirlenmesi ve çalışma koşullarıyla ilişkili değişkenlerin dikkat düzeyine etkisinin analizi amaçlanmıştır.Gereç ve Yöntem: Bu çalışmada d2 dikkat testi parametrelerinin nöbet öncesi ve nöbet sonundaki değerleri arasındaki ilişkinin değerl...

BACKGROUND: Acute pancreatitis is a common disease seen in emergency departments because of abdominal pain. The present study aims to evaluate the relation between measurements of thiol-disulfide parameters in patients diagnosed with acute pancreatitis and other blood parameters.

Amaç: Bu çalışmanın amacı acil servise basit düşme nedeniyle başvuran 65 yaş ve üstü hastalarda serumsodyum değeri ile düşme ilişkisini belirlemektir.Materyal ve Metot: Hastaların yaşları, cinsiyetleri, gelişteki sodyum değerleri, yaralanma bölgeleri,radyolojik inceleme sonuçları (düz grafi ve tomografi), yaralanmanın sınıflaması, eşlik eden kırık...

Amaç: Bu çalışmanın amacı acil servise renal kolik nedeniyle başvuran hastalarda oksidatif stresmarkerlarından olan tiyol/disülfid homeostazı parametreleri ile Nötrofil‐Lenfosit ve Platelet‐Lenfositoranlarının (NLO, PLO) beraber kullanımının tanı açısından yararlı olup olmadığını araştırmaktır.Materyal ve Metot: Çalışma 15.05.2018 ile 01.10.2018 ta...

Amaç: Bu çalışmada amaç hekimlerin terminal dönemde olan bir hastalıkları olması halinde kendilerineuygulanmasını istedikleri ya da istemedikleri tedavileri saptamak ve yaptıkları bu tercihlerinin yaş vehekimlik yılı ya da branş gibi parametrelerden etkilenip etkilenmediğini gözlemlemektir.Materyal ve Metot: Hekimlere açık ve kapalı uçlu 22 sorudan...

The objective of this study was to verify the nasogastric tube position with neck ultrasound and subxiphoid ultrasound, by giving air-water mixture and auscultation and to compare the effectiveness of these methods with chest radiography. This is a single-center, prospective, single-blind study. Patients who were admitted to our emergency departmen...

Aim: Violence against healthcare workers is most commonly experienced in emergency rooms. The present study aimed to assess the extent of increasing violence toward emergency physicians in Turkey and to define their opinions about reasons of violence.Materials and Methods: This descriptive cross-sectional study was carried out in 2013 in Ankara, Tu...

Amaç: Akut koroner sendromlar, dünyada ve ülkemizde tüm ölüm sebepleri içerisinde en üst sırada yer almaktadır. Bu çalışmada tam kan sayımı parametrelerinin akut koroner sendromların klinik seyrinde prediktif açıdan değerli olup olmadığını araştırmak amaçlanmıştır.Materyal ve Metot: Çalışma, yıllık hasta sayısı 150.000 olan bir Eğitim ve Araştırma...

Introduction Peripheral venous catheterization is one of the most used medical procedures in hospitals worldwide. Recent researches state that using intravascular devices is a risk factor for both local and systemic complications. In this study, we aimed to test that addition of tissue adhesive to the insertion site of peripheral intravenous cathet...

Aim: The aim of our study was to investigate the importance of oxidative stress levels in the diagnosis and prognosis of acute pancreatitis.Materials and Methods: In total, 55 patients with acute pancreatitis and 47 healthy volunteers were included in the study. The study group was divided into three subgroups according to the computed tomography (...

Aim: In patients with suspected acute hemorrhage in the emergency department, the first-line of treatment is intravenous fluid therapy. The most frequently used parameters to estimate the amount of hemorrhage and to plan the management are the vital signs, hemoglobin (Hb), and hematocrit (Hct) values. In this study, we aimed to define possible chan...

Aim: The objective of the present study was to define the expectations of the residents and faculty members from each other in the process of emergency medicine (EM) residency training.Materials and Methods: This is a descriptive and cross-sectional study of residents and faculty members who were affiliated with emergency departments throughout Tur...

Purpose: We aimed to compare two digital nerve block techniques in patients due to traumatic digital lacerations. Methods: This was a randomized-controlled study designed prospectively in the emergency department of a university-based training and research hospital. Randomization was achieved by sealed envelopes. Half of the patients were random...

Recently scientists have been targets of pseudo journals (fake, hijacked or predatory journals). These journals provide a low barrier to publication and quick publication times compared to high quality journals and exploit the pay-to-publish system in order to charge publication fees but they provide no formal peer-review. We aim to increase awaren...

In this article, we present a case of recurrent laryngeal nerve palsy not caused by nerve injury but due to local anesthetic infiltration that was applied prior to central venous catheterization. A 47-year-old female patient was admitted to emergency room with fatigue and nausea and was diagnosed with acute renal failure. Right jugular venous cathe...

Introduction: Most of the time hyperammonemia is seen in hepatic encephalopathy, but it can coexist with various other conditions. In this study, we investigated the causes of hyperammonemia in noncirrhotic patients with encephalopathy. The aims of this study were identifying risk groups of patients who can present with hyperammonemic metabolic enc...

Introduction: The aim of this study was to evaluate the efficiency of ultrasonography (USG) in identifying metacarpal bone fractures in patients admitted to the emergency department (ED) with hand injury. Materials and methods: Patients who were admitted to a training and research hospital's ED during the study period with hand trauma and had su...

Damage to lung parenchyma due to blunt thoracic trauma often appears as contusion or hematoma. Cavitary lung lesions or pseudocyst formation due to trauma is a rare phenomenon. In the literature traumatic pseudocysts are also known as pseudocystic hematomas, traumatic lung cavity and traumatic pneumotocel. Traumatic pseudocysts usually have good cl...

Foreign body aspiration is seen frequently in pediatric and geriatric patients, but it can also be seen in adults. Needle aspiration is a common problem in our country. Foreign body aspiration can lead to complete airway obstruction, asphyxia and death but sometimes symptoms may not be evident during the early period of aspiration and patients may...

. We present a case of concurrent spontaneous sublingual and intramural small bowel hematoma due to warfarin anticoagulation. Case . A 71-year-old man presented to the emergency department complaining of a swollen, painful tongue. He was on warfarin therapy. Physical examination revealed sublingual hematoma. His international normalized ratio was 1...

Introduction. The most prominent complications of cocaine use are adverse effects in the cardiovascular and central nervous systems. Free air in the mediastinum and subcutaneous tissue may be observed less frequently, whereas free air in the spinal canal (pneumorrhachis) is a very rare complication of cocaine abuse. In this report we present a case...

Objective(s). The aim of this study was to evaluate the status of electrocardiography (ECG) training in emergency medicine residency programs in Turkey, and the attitude of the program representatives towards standardization of such training. Methods. This investigation was planned as a cross-sectional study. An 18-item questionnaire was distribute...

Supposedly herbal weight loss pills are sold online and are widely used in the world. Some of these products are found to contain sibutramine by FDA and their sale is prohibited. We report a case of a female patient who presented to the emergency department after taking slimming pills. 17-year-old female patient presented to the emergency room with...

Introduction: Accidental carbon monoxide (CO) intoxication is a major cause of unintentional poisoning. This study aimed to determine the value of initial lactate levels in patients with CO poisoning and to evaluate its utilization in the emergency department (ED). Methods: A retrospective cross-sectional study was carried out among patients wit...

Objective: To investigated oxidative stress changes in renal colic patients, and to determine its role in differential diagnosis of renal colic. Methods: The cross-sectional study was conducted at Ankara Ataturk Training and Research Hospital, Turkey, from June 2012 to December 2012 and comprised patients with complaints suggesting of renal colic a...

Objective: tests to detect intracranial lesions-mine the risk factors associated GKS of 15. Methods: that presented to a training and re-to pedestrian, motor vehicle crash,-that affect the decision to order a-Results:-head CT are: vomiting, head ache,-cle, ISS score 15 or higher, the pa-Conclusion:-in head CT. In the presence of these a head CT.

Objective: To determine whether endogenous carbon monoxide levels in exacerbations of Chronic Obstructive Pulmonary Disease patients were higher compared to healthy individuals and to investigate alteration of carbon monoxide levels across the three different severity stages of Global Initiative for Chronic Obstructive Lung Disease criteria related...

Gögüs travmalarının yaklaşık %30"unu penetran travmalar oluşturur. Penetran göğüs travmalarının ise yaklaşık %10-15"inde diyafram rüptürü görülmektedir. Diyafram rüptürleri göğüs yaralanmalarının iyi bilinen fakat nadir görüldüğü için çok sık düşünülmeyen ve kolaylıkla gözden kaçabilen önemli bir komplikasyonudur. Biz çalıştığı fabrikada kaza sonra...

Introduction: Warfarin is a frequently used anticoagula-tion drug that is metabolized by cytochrome P450 enzymes. There are publications that show that pomegranate juice inhibits the activity of these enzymes, but there are only a few case reports about the possible interaction of pomegranate juice with warfarin. A patient with high INR after simul...

Objective: To assess behaviours and attitudes of residents toward giving news of death in emergency department and other departments. Methods: The study was conducted between 1st and 7th December, 2012, in an urban hospital in Ankara, Turkey. It used a questionnarie that was filled by 100 residents from different disciplines of medicine. Categor...

Introduction The end-tidal carbon dioxide (ETCO2) measurement was considered as an essential tool for the assessment of several conditions in emergency medicine. However, the diagnostic role of capnography in dyspneic patients still remains unclear. We aimed to analyze the alteration of the ETCO2 levels in COPD exacerbations and its role in the dec...

Penetrating trauma generates about 30% of chest trauma. Rupture of diapragm has seen approximately 10-15% of penetrating chest trauma. Rupture of diapragm is a well-known but rarely seen and so not often considered and can easily be overlooked major complication of chest injuries. We aimed to present the patient who developed rupture of diapragm af...

Objective: In this study, our goal was to assess the theoretical levels of knowledge of emergency medicine residents, to determine the subjects that they are more successful and less successful in, and to compare the levels of knowledge of residents in university and training/research hospitals; by evaluating the results of a general examination th...

Hemorrhagic complications due to warfarin use are frequently seen in emergency departments. However, nontraumatic massive hemothorax is an unexpected complication. We report a 59-year-old woman with warfarin overdose, who had massive hemothorax in right lung without any history of trauma. Her main complaint was significant dyspnea, which has gradua...

Yarrow (Achillea millefolium) is a widely used plant in folk medicine due to its anti-inflammatory, anti-ulcer and estrogen-related effects. Some side effects including dermal allergic reactions have been reported owing to this herbal remedy. However, the literature about Achillea species do not include any side effects indicating anticholinergic t...

Heterotopic pregnancy is the simultaneous existence of intrauterine and ectopic gestations. Heterotopic pregnancy is an extremely rare entity in natural cycle; however, it is increasing due to widespread use of assisted reproductive techniques. Early diagnosis and intervention are crucial in avoiding short- and long-term morbidity and mortality. Un...