Objective: In this study, we compared the coronavirus disease-2019 (COVID-19)+/suspected patients who presented to the pandemia area (outpatient enterance/ambulance enterance) of our emergency department (ED) and to determine whether the ambulance system is used appropriately or not during this pandemia process. Materials and Methods:Patients were divided into two groups as outpatients and ambulance patients. Demographic data, sampling ratio of polymerase chain reaction (PCR) swab, PCR positivity, thorax computed tomography (CT), CT positivity, hospitalization ratio and hospitalization day, length of stay in the ED, and the outcome of the groups were compared. Results:The mean age of ambulance patients was 53.8±20.2 (min: 18, max: 93), and the ambulance patients were 41.4±16.04 (min: 18, max: 96) and this value was significantly higher in ambulance patients. Length of stay in the ED of the ambulance patients was 6.1 h and this value was 2.9 h for the other group. Hospitalization length of discharged patients from the intensive care unit (ICU) was 20.6 days for ambulance patients and 16.9 days for outpatients. Three of the outpatients and 22 of the ambulance patients died during hospitalization and 18 of these were males. Conclusion:The mean age, CT positivity, and PCR test positivity were significantly higher in ambulance patients. Similarly, ambulance patients' length of stay in the ED was higher who were discharged from the ED. ICU hospitalization, hospitalization length, and mortality ratio were higher in ambulance patients. Considering these results, it is important to develop appropriate strategies for ambulance and outpatients, to prevent already crowded EDs squeezing under the COVID-19 burden.

Objective: This study aimed to discuss the demographic, biochemical data, treatment and outcome status of patienedts we follow with acute pancreatitis in the light of current literature data.Material and Methods: Two hundred and sixty patients were included in the study. Age, sex, additional disease information, etiological cause, endoscopic retrograde cholangiopancreatography (ERCP) results, patients' service, intensive care and total hospitalization times, Ranson scores and outcomes were recorded from the file data. Hemogram and biochemical parameter levels of the patients were recorded. All analyzes were done using SPSS 22.0 statistical software package. Continuous variables in group data were indicated with mean ± standard deviation. Categorical variables were stated with numbers and percentages. While Student's t test was used in the analysis of continuous variables with normal distribution, Mann-Whitney U test was used for independent intergroup comparison of continuous or ordinal dependent variables of non-normally distributed or different groups. According to the etiology, hospitalization times and Ranson scores were compared using the Kruskal Wallis test. Whether there is a relationship between the countable parameters or not was evaluated by the "Pearson's and Spearman's" correlation analysis. Statistical significance was accepted if p< 0.05.Results: Mean age of the patients was 62.99 ± 17.8. It was determined that the group with the longest intensive care unit hospitalization period was in the group connected to gallstones. The longest hospitalization period was in the group of patients with alcohol-induced acute pancreatitis. Ward, intensive care and total hospital stay were found to be significantly higher in the ERCP group. Conclusion:Acute pancreatitis is a disease that has a regionally different etiology, and differences in preferred scoring system and treatment modality. Being one of the most common gastrointestinal diseases in the world and increasing in frequency necessitate the evaluation of this disease with new data and different perspectives.

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