J Coll Physicians Surg Pak
June 2022
A 13-year male patient with a history of tachycardia attacks was diagnosed to have left posterior fascicular ventricular tachycardia (VT) according to the electrocardiogram (ECG) obtained at the emergency service. This diagnosis was confirmed with advanced electrophysiological studies and the case was diagnosed by genetic evaluation, which was performed to reveal the underlying cause, to have Brugada type 2 syndrome that might be associated with sudden cardiac death. Underlying causes should be evaluated, although idiopathic VTs generally have a good prognosis.
View Article and Find Full Text PDFBackground: The Ottawa Ankle Rules (OARs) and Shetty test (ST), are assessment guidelines intended to minimize radiographs in patients with ankle trauma. The aim of this study is to determine and compare the effectiveness of OARs and ST in patients admitted to the emergency department (ED) with foot and ankle trauma.
Methods: This prospective cohort study was carried out in the ED of a tertiary care teaching hospital.
Disaster Med Public Health Prep
August 2022
Objective: Determining the parameters that can predict the requirement of intensive care unit (ICU) admissions among the coronavirus disease 2019 (COVID-19) patients presented to the emergency departments (EDs).
Methods: In adult consecutive patients admitted (March 15 - April 15, 2020) to the ED of a state hospital for COVID-19, we retrospectively analyzed demographic data, symptoms, laboratory tests, and chest computed tomography (CT) on arrival.
Results: We included 458 patients [213 (46.
Objective: Emergency departments (EDs) were the first application center for Covid-19 patients, as in almost all diseases. For this reason, a serious mental burden has arisen for ED workers. This study was conducted to determine the possible rate of Posttraumatic Stress Disorder (PTSD) and factors that may be associated with PTSD symptom severity in physicians and nurses working in EDs.
View Article and Find Full Text PDFDisaster Med Public Health Prep
August 2022
Objective: The aim of this study is to investigate the accuracy of shock index (SI) and modified shock index (mSI) in predicting the intensive care unit (ICU) requirement and in-hospital mortality among coronavirus disease (COVID-19) patients who are admitted to the emergency department (ED). Likewise, the effects of patients' conditions such as age, gender, and comorbidity on prognosis will be analyzed.
Methods: The files were retrospectively scanned for all COVID-19 patients over the age of 18 years who were admitted to the ED and hospitalized between January 1, 2021, and March 15, 2021.
Disaster Med Public Health Prep
August 2021
Objective: This study compared the prognostic performances of the Brescia-COVID Respiratory Severity Scale (BCRSS) and the Quick COVID-19 Severity Index (qCSI) scores in hospitalized patients diagnosed with COVID-19.
Methods: The data of all adult patients (over 18 y of age) who were admitted into a state hospital with confirmed COVID-19 between May 1, 2020, and October 31, 2020, were retrospectively examined. The area under the receiver operating characteristic (ROC) curve, known as the area under the curve (AUC), was used to assess the BCRSS prediction rule and the qCSI score to assess the discriminatory power in predicting in-hospital mortality and intensive care unit (ICU) admission.
Background/aim: Computed tomography (CT) is generally used for ureteral stone diagnosis. Unnecessary imaging use should be reduced to prevent increased radiation exposure and lower costs. For this reason, scoring systems that evaluate the risk of ureteral stones have been developed.
View Article and Find Full Text PDFPsychiatry Clin Psychopharmacol
March 2021
Objective: The current research during COVID-19 has not yet addressed burnout, job satisfaction (JS), and psychological outcomes among emergency physicians (EPs). The aims of this study are to investigate the burnout, JS, depression, anxiety, and stress levels of EPs who struggle against COVID-19 and to analyze the associated influencing factors.
Materials And Methods: This study used a cross-sectional survey design with 331 EPs working in Istanbul, Turkey.