Umut Gulacti

Adıyaman University · Department of Emergency Medicine

Journal of Medical Systems. SCI-expanded journal_The aim of this study was to evaluate WhatsApp messenger usage for communication between consulting and emergency physicians. A retrospective, observational study was conducted in the emergency department (ED) of a tertiary care university hospital between January 2014 and June 2014. A total of 614 c...

Sildenafil citrate is a phosphodiesterase (PDE) 5 inhibitor. This paper presents a case resulting in death due to ventricular tachycardia (VT) after taking 100 mg of Sildenafil citrate.

Objectives The aim of the study is to determine factors affecting the return of spontaneous circulation (ROSC) ratios, neurological outcomes at discharge, the ratio of living patients discharged from the hospital and due to Do not attempt resuscitation (DNAR) prohibition. Material and methods This is a retrospective observational study conducted o...

Objective: Many countries set up clinical emergency response systems such as medical emergency team, rapid response team. But there are still some problems regarding the benefit, design, and advisability of implementing a clinical emergency response system. The present study evaluated the outcomes of in-hospital cardiopulmonary resuscitation after...

Aim: To analyze the distribution of patients who presented to the emergency department (ED) because of anxiety according to the lunar cycleand seasons.Materials and Methods: Patients who presented to the ED because of anxiety over 1 year were identified. Patients’ age and sex, date andtime of emergency presentation, presence of psychiatric history,...

Background and objectives: Various factors facilitate seizures in patients with epilepsy. The relationship between the phases of the moon and neuropsychiatric conditions has been a matter of curiosity. The present study investigated whether patient presentations to the emergency department with epileptic seizures vary according to the phases of the...

Herlyn-Werner-Wunderlich (HWW) syndrome is a congenital urogenital syndrome. Typical features are unilateral blind-ending hemivagina with uterine didelphy and ipsilateral renal agenesis. Patients usually progress asymptomatically until menarche, and they are diagnosed with radiological imaging by applying to the hospital with these conditions such...

Background and Objectives Teleradiology involves the transmission of all radiological images to a radiologist in a remote location to ensure an accurate diagnosis. Although various teleradiology systems exist, there is not a fully accepted real-time interactive teleradiology system yet. In this study, we analyzed “the teleradiology consultation sys...

Background: COVID-19 infection can occur as a mild, moderate, or severe illness. How patients will be more serious has not been fully revealed so far. To investigate the role of systemic infl ammation index (SII), platelet-to-lymphocyte ratio (PLR), mean platelet volume (MPV), mean platelet volume to platelet ratio (MPR), and neutrophil-to-lymphocy...

Aim: To investigate the prognostic significance of the C-reactive protein-to-albumin ratio (CAR) in coronavirus disease 2019 (COVID-19) patients admitted for the first time to a hospital emergency department (ED). Materials and methods: The study we report herein was a single-center, prospective observational study. A total of 745 participants (385...

Introduction: After a scorpion sting, patients commonly present to hospitals with pain. Our study sought to compare the analgesic efficacy of IV paracetamol, IV dexketoprofen trometamol, topical lidocaine, and placebo in patients reporting pain after presenting with a history of scorpion sting. Methods: This double-blind, randomized, placebo-con...

Background Currently, the most effective method in the fight against coronavirus disease 2019 (COVID-19) is vaccination against the disease. However, there are hesitations among society concerning the safety and side effects of COVID-19 vaccines. We aimed to determine the observed side effects that require an emergency room visit after taking the B...

INTRODUCTION: To investigate how the COVID-19 pandemic has affected violence against healthcare professionals (HCPs). Background: Violence poses a severe threat to healthcare providers. MATER IAL AND METHODS : All violence cases against HCPs reported in Adiyaman Training and Research Hospital were retrospectively examined in two different periods:...

Occupational crash injuries of the foot present a significant reconstructive challenge due to the superficial location of structures such as tendon, joint and neurovascular network essential for proper acceptance of weight bearing and shear forces associated with bipedal gait. We discussed here a rare case in which an extensive degloving injury of...

Introduction: The frequency of drowning increases with the warming of the weather, especially in summer months. In this paper, the clinical features, radiological imaging and laboratory values of three patients who presented to the emergency department due to near-drowning are discussed comparatively. Case Report: In Case 1 and 3, advanced life sup...

Study objective: To determine the analgesic efficacy of TENS treatment in patients with renal colic in the emergency department (ED). Methods: This double-blind, randomized controlled trial was conducted in a tertiary care ED. Patients with a definitive diagnosis of renal colic were assigned (1:1) as randomized to receive the real TENS with freq...

Introduction and Objectives: Myocardial performance may be impaired in cytokine-mediated immune reactions. The myocardial performance index (MPI) is a practical parameter that reflects systolic and diastolic cardiac function. We aimed to assess the MPI in patients with COVID-19. Methods: The study population consisted of 40 healthy controls and 40...

This study aims to make a comparative evaluation of the change in the incidence of intracranial hemorrhage [intracerebral hemorrhage (ICH) and subarachnoid hemorrhage (SAH)] cases that attended our hospital in the Covid-19 pandemic period with that of the same term one year ago. This study included 80 patients diagnosed with ICH and/or SAH in the p...

Aim: To determine the characteristics of emergency department (ED) presentations during the Ramadan Feast and Feast of Sacrifice. Materials and Methods: We compared the patients that presented to the ED during the public holiday for the Feast of Sacrifice and the Ramadan Feast in 2018 and 2019. Results: During the study periods, 37737 people presen...

Subclavian artery injury is an extremely rare and life-threatening condition. In this case, we discussed the diagnosis and treatment of the subclavian artery branch injury due to chronic blunt trauma caused by inappropriate traditional physical therapy. A 72-year-old male patient was admitted to the emergency department with sudden onset of pain an...

Editörler: Doç. Dr. Arif SÜNER – Doç. Dr. Umut GÜLAÇTI Basım Yılı: Ekim 2021 Basım Bilgisi: 1.Basım Sayfa Sayısı: 206

Background: Changes in hematological parameters play a role in the pathogenesis of coronavirus disease 2019 (COVID-19). We aimed to investigate the significance of neutrophil-lymphocyte ratio (NLR) and hematologic parameters in determining the severity of COVID-19. Methods: This retrospective cross-sectional study was conducted on adult patients d...

Aim: It was aimed to evaluate pathological findings in imaging and the effectiveness of radiological imaging examinations ordered from the emergency department. Materials and Methods: The results of the patients who applied to the Emergency Service of our hospital between 01, July 2019 and 01, August 2019 and who requested diagnostic computerized t...

Background/Aim: COVID-19 disease occurs in close contact due to its highly contagious nature. Healthcare workers (HCWs) are in the frontline of struggling with the COVID-19 pandemic. The thoughts, behaviors, attitudes, and psychosocial statuses of healthcare professionals working in this problematic condition have not yet been fully investigated in...

Funding Acknowledgements Type of funding sources: None. Introduction The epidemic of pneumonia caused by a new coronavirus rapidly spread all over the world. World Health Organization called the condition as coronavirus disease 2019 (COVID-19). COVID-19 has become a life-threatening public health emergency internationally. COVID-19 mostly presents...

Objective To determine the characteristics and risk factors of drug dependence among patients who were administered drugs with addictive potential (DAP) in an emergency department (ED). Methods This retrospective cross-sectional study included patients who were administered DAP 3 or more times in the emergency room between September 1, 2019 and Ma...

Background/Aim: COVID-19 disease occurs in close contact due to its highly contagious nature. Healthcare workers (HCWs) are in the frontline of struggling with the COVID-19 pandemic. The thoughts, behaviors, attitudes, and psychosocial statuses of healthcare professionals working in this problematic condition have not yet been fully investigated in...

Background/Aim: COVID-19 disease occurs in close contact due to its highly contagious nature. Healthcare workers (HCWs) are in the frontline of struggling with the COVID-19 pandemic. The thoughts, behaviors, attitudes, and psychosocial statuses of healthcare professionals working in this problematic condition have not yet been fully investigated in...

Study objective The objective of this study was to determine the analgesic efficacy and safety of intravenous, single-dose metoclopramide versus dexketoprofen trometamol versus metoclopramide+ dexketoprofen trometamol in patients presenting with acute migraine attack to the emergency department (ED). Methods This single-center, randomized, double-...

Study objective: The objective of this study was to determine the analgesic efficacy and safety of intravenous, single-dose metoclopramide versus dexketoprofen trometamol versus metoclopramide+ dexketoprofen trometamol in patients presenting with acute migraine attack to the emergency department (ED). Methods: This single-center, randomized, doubl...

The sensitivity of a test is to correctly predict those patients with the disease theoretically. But, it can be described in variety of ways, typically such as sensitivity being the ability of a screening test to detect a true positive, being based on the true positive rate, reflecting a test’s ability to correctly identify all people who have a co...

Background: Escalator-related injuries (ERI) have emerged as a new injury type due to the frequent use of escalators in Metro stations. Objectives: Investigate ERI in the stations on the Marmaray metro line. Design: Retrospective, observational study. Setting: Patients admitted to the emergency department of a training and research hospital....

BACKGROUND: Escalator-related injuries (ERI) have emerged as a new injury type due to the frequent use of escalators in Metro stations. OBJECTIVES: Investigate ERI in the stations on the Marmaray metro line. DESIGN: Retrospective, observational study. SETTING: Patients admitted to the emergency department of a training and research hospital. PATIEN...

Background: Gunshot injuries result in serious traumatic tissue damage due to high velocity of the bullet, deep penetration, and ballistic effect. Trauma is known to be related with oxidative stress. Serum thiol levels and disulphide/thiol homeostasis are novel oxidative stress biomarkers. In this study, we aimed to investigate serum thiol levels...

Objectives The perforation of the gallbladder (GP) is one of the most significant complications of acute cholecystitis. A biochemical marker indicating the GP has not been determined fully to date. Pentraxin 3 and pro-adrenomedullin (Pro-ADM) proteins are novel acute phase reactants. We aimed to investigate the relationship between serum Pentraxin...

Tobacco use causes significant health problems. The aim of this study was to compare the following factors among factory-made cigarette (FMC) smokers, hand-rolled cigarette (HRC) smokers and non-smokers (NS): demographic characteristics, pulmonary function testing (PFT) and carboxyhemoglobin (COHb) levels. PFT included checking: forced vital capaci...

A RARE MECHANISM OF SKIN BURN DUE TO THE AIRBAG

GIRIŞ: Pankreasın travmatik yaralanması yetişkinlerde çok nadir görülen bir durumdur. Bu bildiride künt batın travması sonrası başvuran bir hastamızda gelişen travmatik pankreatit olgusunu sunmayı amaçladık. OLGU: 24 yaşında erkek hasta araç içi trafik kazası sonrası acile başvurdu. Hastanın üst karın bölgesine arabanın direksiyon simidi çarpmıştı....

Objective: To identify errors in forensic reports and to describe the characteristics of traumatic medico-legal cases presenting to the emergency department (ED) at a tertiary care hospital. Methods: This study is a retrospective cross-sectional study. The study includes cases resulting in a forensic report among all traumatic patients presentin...

Objective: The aim of this study was to investigate the adequacy of colored Doppler ultrasonography (CDUS) and the capability of emergency department (ED) doctors in managing testicular torsion (TT), which is a urologic emergency. Design: The study was conducted retrospectively between January 2012 and December 2015. Setting: The study group consis...

A 20-year-old man presented to the emergency department with a 2-day history of left lower quadrant abdominal pain and nausea. Physical examination revealed localized left lower quadrant rebound tenderness.

Bu kaynak kitap, Acil Tıp ile ilgili birimlerdeki sağlık çalışanları, Tıp Fakültesi öğrencileri ve hekimlik andı içen tum hekimlerin bilmesi gerekli olan temel acil hasta bakımı ve tedavisini içeren bilgiler içermektedir.

Objectives: The characteristics of patients who die within the Emergency Department (ED) are important in describing its demographics. This study aimed to investigate the demographic and clinical characteristics of patients who died in one particular ED. Method: This retrospective cross-sectional study was conducted between 01 January 2013 and 31 D...

Objective: Consultation, the process of an Emergency Physician seeking an opinion from other specialties, occurs frequently in the Emergency Department (ED). The aim of this study was to determine the effect of secure messaging application (WhatsApp) usage for medical consultations on Emergency Department Length of Stay (ED LOS) and consult time....

Pathogens and Global Health SCI journal_Objectives: To evaluate the demographic and clinical characteristics of Emergency Department (ED) visits made by Syrian refugees and to assess the cost of their healthcare. Method: This retrospective study was conducted in adult Syrians who visited the ED of Adiyaman University Training and Research Hospital,...

Objective To investigate any possible effects of mean platelet volume (MPV) on short-term stroke prognosis and functional outcome in patients with first-ever acute ischemic stroke (FEAIS). Methods This retrospective cross-sectional study included 798 FEAIS patients admitted to the emergency department of a tertiary care hospital in Adiyaman, Turke...

Background: Double-J stents (DJSs) are widely used in urology practice, and removal of these stents can sometimes be forgotten. Aims: We aimed in this study to investigate whether indwelling time of DJS can predict which treatment modality is required for removal of the stent from the body. Study design: A multicenter, retrospective observatio...

Objective: Consultation, the process of an Emergency Physician seeking an opinion from other specialties, occurs frequently in the Emergency Department (ED). The aim of this study was to determine the effect of secure messaging application (WhatsApp) usage for medical consultations on Emergency Department Length of Stay (ED LOS) and consult time. M...

The aim of this study was to evaluate the demographic and clinical characteristics of Emergency Department (ED) visits made by Syrian refugees and to assess the cost of their healthcare. This retrospective study was conducted in adult Syrians who visited the ED of Adiyaman University Training and Research Hospital, Adiyaman Province, Turkey, betwee...

Hair toe tourniquet syndrome (HTS) is an emergency constrictive injury. It is commonly diagnosed in children under one year of age, but infants under six months are particularly at risk, in which a hair or thread encircles a digit and results in acute digital necrosis.Case: A 3-month old male infant was referred to Adiyaman University research and...

Purpose: To find answers to some catheter-related questions in hypospadias repair such as which type of catheter should be used, with which catheter balloon inflation volume, and when should the catheter be removed from the urethra? As catheter use and post-op retention time varies among surgeons in hypospadias repair. Material and methods: Fift...

Objective: To evaluate the use of the emergency department (ED) by elderly patients, their non-urgent visits and the prevalence of main disease for ED visits. Methods: This cross-sectional study was conducted on patients aged 65 years and over who visited the ED of a tertiary care university hospital in Turkey between January 2015 and January 20...

Background: Etiology of acute appendicitis (AA) rarely involves parasitic infections of gastrointestinal (GI) tract. Preoperative diagnosis of parasitic infections in appendix remains difficult, although parasites can sometimes be observed inside the lumen during histopathological examination. The aim of the present study was to prospectively scre...

Introduction: Renal colic is one of the most frequent reasons for admission to emergency department. The aim of this study is to evaluate the epidemiology, results of urinalysis used in the diagnostic process and treatment of patients admitted to Emergency Department with renal colic due to urinary tract stone disease (UTSRC). Materials and Methods...

Aim:In this study, we aimed to evaluate the association between the neutrophil-to-lymphocyte ratio (NLR) and short-term mortality in cases of acute ischemic stroke (AIS) and its subtypes in emergency departments (EDs).Materials and Methods: This retrospective cross-sectional investigation included 164 patients presenting to the ED with AIS. The dem...

Objective: Penile fracture and “false penile fracture” are two emergent cases with similar clinical features. The differ­ential diagnosis is important to avoid unnecessary surgery. In this study, we focused on understanding to distinguish between penile fracture and “false penile fracture”. Methods: We retrospectively examined the clinicopathologic...

Purpose: Hypospadias repair is rarely performed in adults. It is believed that the success rate is lower in adulthood. We aimed to compare the success rate of primary hypospadias repair with tubularized-incised plate (TIP) urethroplasty in adults and children. Patients and methods: The databases of consecutive boys and adults who were treated wi...

Travma sonrası acil servise başvuran hastalarda ortopedik bir yaralanma söz konusu ise tanıda radyolojik görüntüleme önemli bir yer tutar. Rontgen tarafından 1895 yılında ilk defa X ray ışınlarının bulunması ile ortopedik travmaların özellikle de ekstremite kırıklarının değerlendirilmesinde en önemli görüntüleme yöntemi X ray ışınları kullanılarak...

Introduction: A pulmonary embolism is a blood clot in the lung. The clot usually forms in smaller vessels in the leg, pelvis, arms, or heart, but occasionally the clot can be large. In this study, there are findings suggesting that when blood viscosity decreases due to low hemoglobin and total protein level, secretion of antithrombotic mediators fr...

Objective: Hypospadias is the most common congenital penile anomaly occurring in 1/300 live births. Various surgery techniques are used in repair of hypospadias. Infant and children with hypospadias are usually admitted to emergency services by worried their parents for the first time. TIP urethroplasty is widely used in the repair of hypospadias,...

Amaç: Hastanemiz acil servisine başvuran toraks travması olan hastaların demografik özellikleri, travmanın oluş şekli, yaralanma nedeni, eşlik eden travmalar, yaş gruplarına göre dağılım, travma skorlama sistemleri ve sonuçlarını analiz etmeyi amaçladık. Yöntem ve Gereçler: Çalışmamızda bir yıl süreyle üniversite acil servisine toraks travması ile...

Posterior reversible encephalopathy syndrome (PRES) is a cliniconeuroradiologic disorder affecting the brain's occipital and parietal lobes characterized by altered mental status, seizures, headache and blurred vision. Eclampsia is one of the main causes of posterior reversible encephalopathy. We aimed to discuss here literature guided clinical and...

Tibial tüberkülün avulsiyon fraktürü çok ender görülür. Genellikle adelosan erkek-lerde spor aktiviteleri sırasında meydana gelir. Oluş mekanizması sıklıkla quadri-ceps kasının ani ve kuvvetli kasılmasıdır. Nadir olarak Osgood-Sclatter Hastalı-ğı (OSH) zemininde ve basit bir travma sonucunda oluşabilir. Bu olgu sunumunda diz ağrısı nedeniyle acil s...

The avulsion fractures of tibial tubercle are seen very rare and usually occur during sports activities in adolescence boys. The injury mechanism often is sudden and strong contraction of the quadriceps muscle. Rarely, it can be seen in Osgood-Schlatter disease (OSH) with a simple trauma. In this case report, a 16 year-old male patient who admitted...

Ghrelin is a novel brain-gut peptide hormone consisted of 28 amino-acid. In the plasma, it exists in two major molecular forms, acylated and des-acyled ghrelin, filtered in glomeruli or secreted by nephrons. Primary biological effects of hormones are regulating appetite, foods intake and energy metabolism. We investigated the changing and relations...

Penile Mondor's disease is a thrombophlebitis of the superficial dorsal vein of the penis. It is a rare clinical diagnosis and generally resolves spontaneously. A simple physical examination is sufficient for diagnosis but color Doppler ultrasonography is often carried out as a further investigation. We describe two patients who developed priapism...

Yapılan başvurudaki ana şikayet ile altta yatan hastalık her zaman uyumlu olmayabilir. Bu olgu sunumunda göğüs ağrısı ile acil servise başvuran erkek hastada yapılan dikkatli genital muayene ve özgün laboratuvar testleri ile ana şikayetten farklı önemli tanıların ortaya çıkarılabileceğini göstermek istedik. Rutinde erkek hastadan istenmeyen idrar β...

Aims: Primary subcutaneous hydatid cyst (pSHC) in the abdominal wall is very seldom clinical presentation, even in endemic area including Turkey. Herein we present a new case of pSHC on incision scar of abdominal wall following cholecystectomy, which is the first in the literature. Materials and methods: We conducted a case presentation and a liter...