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    Cardiac arrest due to a lethal dose of propafenone and first case to survive following treatment with intravenous fat emulsion [Letal doz propofenon alimina bağli kardiyak arrest ve intravenöz yağ emülsiyon tedavisiyle yaşatilan ilk vaka]
    (Nobelmedicus, 2015) Özçete E.; Uz İ.; Kıyan S.
    Propafenone poisoning is a rare and life-threatening condition with no specific treatment procedure or antidote. The survival rate is low in patients who require cardiovascular resuscitation due to cardiac arrest. This case report described a young female patient who was unresponsive following intake of high-dose oral propafenone in a suicide attempt. The patient developed cardiac arrest and was administered intravenous fat emulsion (IFE) after failure to respond to standard supportive treatment. Although IFE has been used in two previous cases of highdose propafenone intake, ours was the first to present with cardiac arrest and to survive and recover without deficit after IFE treatment. © Nobel İlaç AŞ.
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    First step toward a better trauma management: Initial results of the northern Izmir trauma registry system for children [Çocuklarda daha iyi travma yönetimi için ilk adım: Kuzey İzmir Travma Kayıt Sistemi’nin ilk sonuçları]
    (Turkish Association of Trauma and Emergency Surgery, 2019) Öztan M.O.; Anıl M.; Anıl A.B.; Yaldız D.; Uz İ.; Turgut A.; Köse I.; Acar K.; Sofuoğlu T.; Akbulut G.
    BACKGROUND: Trauma is an important health problem in children, and improvement in trauma care on the national level is possible only through the knowledge gathered from trauma registry systems. This information is not available in our country, because there is no current trauma registry system in the hospitals. Our aim in this paper is to explain the trauma registry system we have developed and to present the first year’s data. METHODS: The planned trauma registry system was integrated into the emergency department registry system of 14 hospitals in the Izmir province. The data of pediatric patients with multiple trauma have been recorded automatically through the registry system. Demographics, vital signs, mechanism, the type of trauma, anatomical region, Injury Severity Score (ISS), Pediatric Trauma Score (PTS), Glasgow Coma Scale (GCS) score, the length of hospital stay, and the need for blood transfusion/endotracheal intubation/surgery/ hospitalization were evaluated by the patient transfer status and outcome. RESULTS: At the end of one year, a total of 356 pediatric major trauma patients were included in the study. The most common type of trauma was blunt trauma (91.9%), and the most common mechanism was vehicle-related traffic accident (28.1%). In the group with the Glasgow Outcome Scale ?3; the age was greater, ISS was higher, and PTS was lower. Motorcycle accidents, sports injuries, and penetrating injuries were more frequent in this group. All scores were significantly different between direct and transferred patients. The referral time to the hospital of the transferred patients was longer than directly admitted patients, but the results were not different. CONCLUSION: Pediatric major trauma is an important cause of mortality and morbidity, and our trauma registry system, which is a successful example abroad, is insufficient in our country. We hope that the trauma registry system we planned and the pilot application we started will be expanded to include other hospitals throughout the country with the aim of developing a national registry system. © 2019 Turkish Association of Trauma and Emergency Surgery.
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    A pathology not be overlooked in blunt chest trauma: Analysis of 181 patients with bilateral pneumothorax [Künt göğüs travmasinda gözden kaçırılmaması gereken bir patoloji: Bilateral pnömotoraks saptanan 181 olgunun analizi]
    (Turkish Association of Trauma and Emergency Surgery, 2018) Özdil A.; Kavurmacı Ö.; Akçam T.İ.; Ergönül A.G.; Uz İ.; Şahutoğlu C.; Yüzkan S.; Çakan A.; Çağırıcı U.
    BACKGROUND: Bilateral pneumothorax (BPTx) can become tension PTx and a cause of mortality, especially in severe multi-trauma patients. The purpose of this study was to analyze the incidence, morbidity, mortality, and associated factors of BPTx in multi-trauma patients in order to highlight the importance of the management of these cases, as well as complications, morbidity, and mortality. METHODS: The data of 181 patients with BPTx, from a total of 3782 trauma patients, were reviewed retrospectively. The details recorded were age, gender, mechanism of trauma, radiological findings, co-existing thoracic and extra-thoracic injuries, incidence of intubation, mortality, and injury severity score (ISS). The association between laterality of rib fracture, hemothorax, subcutaneous emphysema, and BPTx, and the effect of age and gender on these injuries, mortality, and ISS were analyzed. RESULTS: The patient group included 144 males, and the mean age was 36.07}15.77 years. The primary cause of trauma was a motor vehicle accident, seen in 67 (37.0%) patients. Bilateral rib fractures were detected in 75 (41.4%) patients. Hemothorax accompanied PTx in 41 (22.6%) patients bilaterally. The laterality of the rib fracture and hemothorax demonstrated a significant difference in the patient group over 60 years of age (p=0.017, p=0.005). Co-existing bilateral thoracic injuries were detected more often in this group. Twelve (17.6%) patients with only blunt chest trauma and 56 (82.4%) patients with multi-trauma were intubated. The difference between the 2 groups was not significant (p=0.532). The overall mortality rate was 18.2%. A comparison of ISS and mortality between the groups revealed no significant difference (p=0.22). CONCLUSION: The incidence of BPTx after multi-trauma is approximately 5%, so it must be taken into consideration, especially in severe multi-trauma patients, to reduce mortality. Older age and the number of rib fractures were determined to be risk factors for morbidity and mortality in trauma with BPTx. © 2018 Turkish Association of Trauma and Emergency Surgery.