Salim Satar

• Professor
• Head of Department at Adana City Training and Research Hospital

Objective: The aim of this study was to analyze the factors predicting the progression to status epilepticus (SE) in patients who presented with generalized convulsive epileptic (GCE) seizures. Materials and methods: Patients included in the study were grouped as SE (+) and (-) patients. In addition to hemogram, biochemistry and blood gas parame...

Critically ill patients often exhibit low ionized calcium levels. This study aimed to investigate the potential of ionized calcium levels in distinguishing between acute and chronic anemia in emergency department patients receiving red blood cell transfusions. A prospective cross-sectional case series involving 472 patients was conducted. Patient d...

Objective This study evaluates the Emergency Medical Service system and overall emergency preparedness by analyzing ambulance-transported patients during the February 6, 2023 earthquakes, focusing on those without earthquake-related injuries (medical emergencies and traumas not caused by earthquakes). Methods A retrospective, observational case se...

Objective The aim of this study was to compare the predictive power of optic nerve sheath diameter (ONSD) measured by brain computed tomography (CT) in patients diagnosed with hepatic encephalopathy (HE) in the emergency department, with other factors for mortality and disease severity. Materials and methods A total of 217 patients aged 18 years a...

Objective Weather conditions such as low air temperatures, low barometric pressure, and low wind speed have been linked to more cases of carbon monoxide (CO) poisoning. However, limited literature exists regarding the impact of air pollution. This study aims to investigate the relationship between outdoor air pollution and CO poisoning in 2 distinc...

Abstract: OBJECTIVES: There is no sufficient data to provide a clear picture of out-of-hospital cardiac arrest (OHCA) across Türkiye. This study is the first to present the prognostic outcomes of OHCA cases and the factors associated with these outcomes. MATERIALS AND METHODS: The study was conducted in a prospective, observational, multicenter des...

OBJECTIVES There is no sufficient data to provide a clear picture of out-of-hospital cardiac arrest (OHCA) across Türkiye. This study is the first to present the prognostic outcomes of OHCA cases and the factors associated with these outcomes. MATERIALS AND METHODS The study was conducted in a prospective, observational, multicenter design under t...

Perfusion index (PI) is a promising indicator for monitoring peripheral perfusion. The present study aimed to compare the efficiency of PI and PESI score in estimating the 30-day mortality and treatment needs of patients diagnosed with pulmonary embolism in the emergency department. This study was prospective and observational. The demographic feat...

Aim: The aim of the study is to investigate the relationship between negative acute-phase reactants and positive acute-phase reactants with in-hospital mortality in patients diagnosed with acute ischemic stroke (AIS) in the emergency department (ED). Methods and materials: Patients aged 18 and older who presented to the ED of a tertiary hospital...

To determine the factors affecting mortality as a result of the analysis of the demographic and clinical characteristics and laboratory parameters of patients whose serum Na value was determined to be 125 mEq/L or below at the time of admission to the emergency department (ED). Patients over 18 years of age who admitted to the ED of a tertiary hosp...

Background: The aim of this study is to compare the laboratory findings and disease severity scores of patients diagnosed with hepatic encephalopathy (HE) in the emergency department (ED) to predict 30-day mortality. Method: The patients over 18 years old and diagnosed HE in the ED of a tertiary hospital were included in the study. Demographic a...

Background: Various scores have been derived for the assessment of syncope patients in the emergency department (ED). Aim: We aimed to compare the effectiveness of Canadian Syncope Risk Scores (CSRS), San Francisco Syncope Rules (SFSR), and Osservatorio Epidemiologico sulla Sincope nel Lazio (OESIL) risk scores in predicting the risk of major ad...

Objective: The aim of the study is to compare the prognostic power of the BUN/albumin ratio (BAR) calculated on admission to the emergency department and the SYNergy between Percutaneous Coronary Intervention with TAXus (SYNTAX) score calculated after coronary angiography (CAG) in predicting 30-day mortality in patients with ST-segment elevation m...

Objective: Hypertriglyceridemia (HTG) is the third-most common cause of acute pancreatitis. Plasmapheresis is an extracorporeal treatment method used for treatment. This study aimed to investigate the efficacy of medical treatment and plasmapheresis in patients with acute pancreatitis due to HTG. Methods: This was a retrospective cross-sectional...

Introduction: We aimed to evaluate the hemodialysis (HD) use in adult patients after acute poisoning in the emergency department. Methods: The study was performed as a retrospective observational cohort study. We analyzed hospital electronic data system and patient files. Results: A total of 55 patients were included in the study. Among the te...

ABSTRACT The aim of this study is to reveal the predictive power of biomarkers and SYNTAX (SX) score for short term mortality in patients diagnosed with non-ST-segment elevation myocardial infarction (NSTEMI) in the emergency department. This is prospective observational cohort study. Demographic characteris�tics of the patients, laboratory paramet...

Background and aimPain after soft tissue injuries in and around the ankle is a troublesome process in terms of patient comfort and mobilization. The aim of this study was to compare the analgesic efficacy of intravenous ibuprofen and intravenous tenoxicam in patients with acute musculoskeletal pain due to ankle injury.Methods We conducted a prospec...

Kounis syndrome (KS) is an acute coronary syndrome including coronary spasm, acute myocardial infarction, and stent thrombosis preceded by an anaphylactic, anaphylactoid, allergic, or hypersensitivity injury. In this case presentation, we discussed Type I and Type II KS. Case 1 was a 72-y-old man who presented to the emergency department with aller...

Background Perfusion index (PI) has use to monitor sympathetic response changes to pain. In this study, we aimed to evaluate the utility of using perfusion index as an objective marker of pain relief and of the need for rescue analgesia in ED patients with documented renal colic. Methods We conducted a prospective observational study between Janua...

Purpose: The aim of this study is to investigate the power of disease severity scores to predict the development of Severe Acute Pancreatitis (SAP) and mortality in the early period over 65 years old diagnosed with acute pancreatitis in the emergency department. Materials and Methods: We calculated RANSON (on admission) and Computed Tomography Sev...

Abstract Background Subarachnoid haemorrhage (SAH) clinical decision rules can provide successful results in the diferential diagnosis of non-traumatic headache. Aim The aim of this study is to investigate whether a laboratory parameter that can be added to clinical decision-making rules can better predict subarachnoid haemorrhages in patients pr...

z Amaç: Bu çalışmada acil servise iş kazaları nedeniyle başvuran hastaların; demografik özelliklerini ve yaralanma mekanizmalarını belirleyip, iş kazası sonucunda gelişen iş görmezlik süresini, ortalama maliyet değerini ve acilde sonlanım durumunu açığa çıkarmayı amaçladık. Gereç ve Yöntemler: Çalışma retrospektif gözlemsel vaka serisi olarak yapıl...

Acetamiprid is a member of neonicotinoid insecticides with a low risk of toxicity in humans. However, ingestion of large amounts may cause severe poisoning. This is the first case reported in the literature in which severe toxicity and death occurred after acetamiprid ingestion. A 57-year-old male patient consumed 50g/250mL of an insecticide formul...

Objectives: This study aimed to investigate the ability of the biomarkers to predict the surgery treatment and mortality in patients above 18 years of age who were hospitalized with the diagnosis of bowel obstruction from the emergency department. Methods: This is a 2-year retrospective study. The patients' demographic data, laboratory parameter...

Introduction Since December 2019, emergency services and Emergency Medical Service (EMS) systems have been at the forefront of the fight against the coronavirus disease 2019 (COVID-19) pandemic world-wide. Objective The objective of this study was to examine the reasons and the necessity of transportation to the emergency department (ED) by ambula...

Purpose: The aim of this retrospective observational study is to compare C-reactive protein to albumin ratio and CURB-65 score in the emergency department in terms of predicting mortality in patients over the age of 18 who were hospitalized for COVID-19 pneumonia. Materials and Methods: The study includes 613 patients hospitalized between March 15...

Background: Many scoring systems for predicting mortality, rebleeding and transfusion needs among patients with upper gastrointestinal bleeding (UGIB) have been developed. However, no scoring system can predict all these outcomes. Objective: To show whether the perfusion index (PI), compared with the Rockall score (RS), helps predict transfusion...

Objective This retrospective observational study aims to evaluate the prognostic accuracy of Modified Nutrition Risk in Critically ill (mNUTRIC) compared to Nutrition Risk Score-2002 (NRS-2002) in patients hospitalized in the intensive care unit due to severe pneumonia during the pandemic period. Methods RT-PCR test and Chest CT was performed in a...

Background: This study aims to compare the poisoned patients who could not be administered activated charcoal because of its unavailability with the poisoned patients who were administered charcoal in the later period and to reveal the results about its effectiveness. Study question: Is the use of activated charcoal effective against poisoning c...

ABSTRACT BACKGROUND: To investigate the efficacy of WBC, PLR and NLR for use in the differential diagnosis of acute appendicitis and renal colic in the emergency department. METHODS: This study was conducted after consent was received from the Cukurova University Medicine Faculty Noninvasive Clinical Research Ethics Committee. In this study, 440 pa...

In this article, we discuss the successful treatment of acute respiratory distress syndrome (ARDS), a rare complication of opioid overdose, through high-flow nasal cannula oxygen therapy (HFNCOT). A 32-year-old male patient was referred to the emergency department with an ambulance due to a state of confusion following intravenous opioid intake. On...

Objectives: We aimed to evaluate the patients who were isolated and hospitalized for coronavirus disease (COVID-19) due to the typical clinical symptoms and chest computed tomography (CT) findings, although the real-time reverse transcriptase-polymerase chain reaction (RT-PCR) test was negative in the swab sample taken on admission emergency depart...

Objectives: We aimed to evaluate the patients who were isolated and hospitalized for coronavirus disease (COVID-19) due to the typical clinical symptoms and chest computed tomography (CT) findings, although the real-time reverse transcriptase-polymerase chain reaction (RT-PCR) test was negative in the swab sample taken on admission emergency depart...

z Giriş: Bu çalışmada erişkin acil servise başvuran hastaların demografik verilerinin ve acil servisten hasta sonlanımlarının analizinin yapılması amaçlandı. Materyal ve metod: Hastanemiz erişkin acil tıp kliniği'ne 01.01.2013-31.12.2013 tarihleri arasında başvuran 18 yaşından büyük, her iki cinsiyette hastalar geriye dönük olarak incelendi. Hastan...

Background: The treatment of benign paroxysmal positional vertigo (BPPV) has not been well studied. Many clinicians are indifferent about canalith reposition maneuvers and frequently prefer medical treatments. Objectives: We aimed to detect efficacy of Epley maneuver in relieving symptoms of benign paroxysmal positional vertigo patients diagnosed i...

SUMMARY OBJECTIVE: This study aims to determine the demographic characteristics of cancer patients admitted to an emergency department and determine the relationship between the frequency of admission to the emergency department and oncological emergencies and their effect on mortality. METHODS: This observational, prospective, diagnostic accuracy...

ÖZET Zehirlenme hastalarında standart destek tedavi ve antidot tedaviye yanıt alınmayan ve klinik olarak kötüye giden hastalarda ekstrakorporal tedaviler giderek önem kazanmaktadır. Hangi hastaya hangi yöntemin uygulanacağına hastanın klinik durumuna, maruz kaldığı zehrin toksikokinetiğine ve mevcut kaynaklara göre karar verilmelidir. Bu derlemede...

Amaç: Bu çalışma ile yaralanmalar sonucu acil servise başvuran hastaların epidemiyolojik özelliklerini araştırmak ve Türkiye’de ilk kez yaralanmaların niyetsellik (kasıtlı, kasıtsız) açısından dağılımı değerlendirmek amaçlandı. Gereç ve Yöntem: Acil servise iki yıllık sürede yaralanma nedeniyle başvuran 18 yaş üstü tüm adli olgular prospektif olara...

z Purpose: In this study; we aimed to compare the effectiveness of the two types of polyvalent snake antivenom and to determine the possible local and systemic reactions in patients who admitted to the emergency department with snake bite. Materials and Methods: We performed this retrospective study on 30 patients who complained of snakebite. We gr...

Objective: In this study, the aim was to compare the rate of decrease in carboxyhemoglobin (COHb) values at consecutive time points and calculate the half-life of COHb (COHb t½) in patients admitted to the emergency department (ED) with carbon monoxide (CO) poisoning and treated with either high flow nasal cannula oxygen therapy (HFNC) or non-rebr...

Background The objective of this study is to investigate the power of CRP/Albumin ratio, NRS‐2002, mNUTRIC scores to predict nutritional needs and mortality in patients over 65 years of age diagnosed with acute abdominal syndrome in the emergency department and then transferred to the surgical intensive care unit. Material and Method CRP/Albumin r...

In this article, subarachnoidal hemorrhage developing in a case with Covid-19-related pneumonia was evaluated. In the presence of respiratory system infection signs such as cough and weakness in patient who present with sudden loss of consciousness, performing lung imaging as well as performing brain computerized tomography scan can allow the detec...

Introduction: Purpose of this study was to investigate the changes in Tp-e/QTc rates and Tp-e intervals in patients poisoned with tricyclic antidepressants. Methods: 187 patients who were poisoned with tricyclic antidepressants and admitted to our emergency department were included in this study. Control group consisted of 187 healthy individuals w...

Introduction: Purpose of this study was to investigate the changes in Tp-e/QTc rates and Tp-e intervals in patients poisoned with tricyclic antidepressants. Methods: 187 patients who were poisoned with tricyclic antidepressants and admitted to our emergency department were included in this study. Control group consisted of 187 healthy individuals w...

Abstract Objective: We aimed to examine whether there is a change in Tp-e interval, Tpe/QT and Tp-e/QTc ratios in patients with hypercalcemia. Method: Twenty-four patients with hypercalcemia determined in the emergency room were retrospectively enrolled. Twenty-four patients with similar age and sex distribution were enrolled as a control group. In...

Purpose Aim of this study is to investigate effectiveness of the monocyte to HDL cholesterol ratio in patients diagnosed with pulmonary embolism for predicting intra-hospital mortality. Method A total of 269 patients diagnosed with pulmonary embolism in the emergency clinic were included in the study. Study was conducted retrospectively. Pulmonary...

Objectives Methanol poisoning is still one of the major causes of mortality due to intoxication because of the challenging diagnosis and late hospital admissions. We aimed to evaluate epidemiological data, clinical characteristics, laboratory findings, treatment protocols, and prognosis of patients in a tertiary hospital in two different methanol o...

Amaç: Yılan zehirlenmeleri ciddi mortalite ve morbiditeye neden olabilir. Bu çalışmada Acil Tıp Kliniğine yılan ısırması tanısı ile başvuran hastaların hastaneye ulaşma süreleri, ısırılan bölgeleri, klinik evreleri, antivenom ihtiyacı ve dozları, hastanede kalış süreleri arasındaki ilişki ve kan biyokimyasındaki değişikliklerinin değerlendirilmesi...

Background: Myocardial infarction is the most common cause of death all over the world. There are many studies in predicting mortality. The aim of this study was to determine the effectiveness of hematologic parameters measured at the moment of admission to the emergency room in predicting in-hospital mortality and to determine cutoff values of st...

Amaç: Bu üç yıllık çalışmamızda acil servisimize başvuran kuduz riskli temas olgularının demografik özelliklerini değerlendirmeyi amaçladık.Gereç ve Yöntem: 2012-2014 yılları arasında kuduz riskli temas nedeniyle acil servisimize başvuran hastaların demografik özellikleri hastane otomasyon sistemi, acil hasta bakı kartları ve kuduz bildirim defteri...

In this study, we aimed to investigate the changes in QT, QTc, the Tpe interval and the Tp-e/QT and Tp-e/QTc ratios in patients with nontraumatic subarachnoid hemorrhage in the emergency department

Objective: To evaluate the demographic characteristics, endoscopy results, emerging complications and the final status of caustic intake cases admitted to our emergency department. Method: This study is a retrospective one concerning patients admitted to our emergency department due to caustic ingestion. Demographic characteristics of the patien...

Objective: To investigate whether high-flow nasal cannula oxygen therapy could reduce the rate of endotracheal intubation and improve arterial blood gas values, vital signs, and clinical outcomes of patients with hypoxemic acute respiratory failure as compared with conventional oxygen therapy alone. Methods: This retrospective, observational study...

Objective To investigate whether high-flow nasal cannula oxygen therapy could reduce the rate of endotracheal intubation and improve arterial blood gas values, vital signs, and clinical outcomes of patients with hypoxemic acute respiratory failure as compared with conventional oxygen therapy alone. Methods This retrospective, observational study w...

Amaç: Gastrointestinal sistem kanamalarında mortalite ve cerrahiye gidecek hastaların belirlenmesinde birçok skorlama sistemi kullanılmaktadır. Bu çalışmanın amacı acil servise başvuran akut nonvarisiyel üst gastrointestinal sistem kanamalı hastaların preendoskopik Rockall skoru (PreRS) ile klinik seyri arasındaki ilişkinin değerlendirmektir. Mater...

Amaç: Çalışmamızda Kronik Obstrüktif Akciğer Hastalığına bağlı Sekonder Spontan Pnömotoraks tanısı konulmuş hastaların klinik özellikleri, sigara kullanım alışkanlıkları, tedavi protokollerinin ve sonlanımlarının değerlendirilmesi amaçlandı. Gereç ve Yöntem: Bu çalışma retrospektif olarak 01-12-2012/ 01-01-2016 tarihleri arasında 3. Basamak eğitim...

Background and objectives: The aim of this study was to show whether the level of lactate in venous blood compared with the Glasgow-Blatchford Bleeding Score (GBS), in patients diagnosed with upper gastrointestinal system (UGI) bleeding in the emergency department, will help to predict the need for transfusion and prognosis. Materials and methods...

Introduction: We aimed to investigate the effect of stress (acute) hyperglycemia in patients with acute coronary syndrome who had not been previously diagnosed with diabetes mellitus (DM) on the prognosis of the disease in terms of mortality. Material and methods: Patients who were admitted to the Adana Numune Training and Research Hospital Emer...

Amaç: Bu çalışmanın amacı, acil servise baş dönmesi olan hastaların demografik özelliklerini, şikayete neden olan etyolojik nedenleri, laboratuvar bulgularını ve prognozu değerlendirmektir.Gereç ve yöntem: Adana Numune Eğitim ve Araştırma Hastanesi Acil Tıp Kliniğine Ocak 2013-Ocak 2015 tarihleri arasında başvuran toplam 5.056 hastanın dosya verile...

Amaç: Çalışmamızda acil servise başvuran hastalarda ne sıklıkla amilaz testi istendiğini ve bu testin etkinliğini göstermeyi amaçladık.Gereç ve Yöntem: Amilaz tetkiki istenilen 32.922 hastadan amilaz yüksekliği (>100 IU/L) saptanan 4318’nin dosya bilgileri incelendi. Geriye kalan 1543 hasta çalışmaya dahil edildi. Hastaların demografik verileri ile...

Arsenic is among the heavy metals metallic elements most commonly associated with disease states in primary care medicine. Arsenic trioxide, sodium arsenite, and arsenic trichloride are among the forms most easily found in the environment. There is a strong link between exposure to inorganic Arsenic (iAs) in drinking water and the prevalence of can...

Objective: The aim of this study was to determine the effectiveness of hematological parameters measured at the moment of admission to the emergency room in predicting in-hospital mortality and to determine cut-off values of strongly predictive values. Subjects and methods: The study began with approval of the ethics committee. In total, 1,929 p...

Purpose: Patients with ischemic stroke who attends emergency departments frequently and have high mortality and morbidity. Purpose of this study is to determine risk groups of ischemic stroke patients by using TOAST and Banford classifications and search whether is there a relationship between red cell distribution width (RDW), mean platelet volume...

Abstract Introduction and Purpose: This study aims to determine the diagnosticrelated complaints of the patients diagnosed with pneumothorax in the emergency service and to discuss the factors that may affect it. Material and Method: This study was carried out retrospectively between the dates of 01.08.2014 and 31.08.2015. A total of 201 pneumothor...

Aim: The aim of this study was to determine whether the addition of the lactate level to the SOFA score (SOFA-Laktat) and qSOFA Score (qSOFA-Laktat) improves the performance of the SOFA score and qSOFA score alone in predicting the hospital mortality of critically ill older patients. Material and method: A total of 799 patients over 65 years of...

z Amaç: Bu çalışmanın amacı; Acil Tıp Kliniğine baş-vuran aort disseksiyonlu (AD) hastaların demografik özelliklerini, klinik bulgularını ve tanısal parametrele-rini değerlendirmektir. Materyal-Metod: Çalışmamız Ocak 2012-Aralık 2014 tarihleri arasında Acil Tıp Kliniği'nde AD tanısı alan ve verilerine tam olarak ulaşılan hastaların arşiv kayıtla-rı...

Alpha lipoic acid (ALA), which is an anti-oxidant acting as a scavenger for reactive oxygen species, is especially used to improve glycemic control and prevent polyneuropathies associated with diabetes mellitus. ALA is considered to be a safe drug and intoxication with ALA is extremely rare. However, this paper reports a 38-year-old young woman who...

Aim: The aim of this study is evaluating demographic characteristics of patients who applied emergency medicine clinic and followed in critical care unit and compare the tests intended the critical care unit and patient outcomes with literature data, finally evaluate the effectiveness of use of the critical care unit. Methods and materials: Our stu...

Introduction The present study aims to investigate whether values of venous blood gas sampling can be used instead of arterial blood gas values in the evaluation of blood gas for the emergency service patients with acute exacerbation of chronic obstructive pulmonary disease (COPD). Methods Patients diagnosed COPD and identified to have acute exace...

Rhabdomyolysis is a serious clinical state which may lead to electrolyte imbalance, compartment syndrome, disseminated intravasculer coagulation and peripheral neuropathy in addition to acute renal failure and hyperpotasemia due to joining intracelluler materials to systemic circulation as a result of muscle destruction. The purpose in emergency de...

Rhabdomyolysis is a serious clinical state which may lead to electrolyte imbalance, compartment syndrome, disseminated intravasculer coagulation and peripheral neuropathy in addition to acute renal failure and hyperpotasemia due to joining intracelluler materials to systemic circulation as a result of muscle destruction. The purpose in emergency de...

Purpose: The aim of this study was to determine the admission complaints, demographic characteristics, etiology, diagnosis, and outcome of patients who admitted to emergency department with eye-related complaints. Material and Methods: All patients, over the age of 18, who admitted to emergency department with eye-related complaints between June 20...

Objective It was aimed to investigate whether neglected and abused pediatric patients are properly recognized and reported by emergency physicians in the emergency department (ED). Methods This prospective study was conducted on patients between 0 and 6 years of age presenting with trauma to ED. Patients were examined again by an emergency medicin...

Purpose: Trauma is one of the most common reason of admissions to emergency departments. In this study, it was aimed to determine the demographic characteristics, etiology, morbidity and mortality rates and prognosis of adult trauma patients admitted to our emergency department (ED). Materials and Methods: Patients over the age of 18 years, who adm...

Objective: What we know about the relationship between oxidative stress parameters and ischemic stroke is still limited and controversial. Our study aimed to investigate the relationships among ischemic lesion volume, National Institutes of Health Stroke Scale (NIHSS) values, and oxidant and antioxidant levels to determine whether oxidative stress...