Background: Burnout syndrome is a psychological situation induced with working, especially in high-risk parts of the hospitals that affects the physical and mental conditions of the staff. The aim is to identify the characteristics of the staff related to Burnout Syndrome in the Emergency Department (ED).

Acute pancreatitis due to pancreatic exocrine over-secretion induced by organophosphate poisoning has been previously reported but parotid gland involvement has not. This paper describes a case of acute organophosphate-induced parotitis in a patient with pre-existing sialolithiasis. The patient developed bilateral facial swelling in the pre-auricular area extending to the angle of the jaw and also developed elevated serum amylase on the second day of the poisoning. Serum lipase remained normal. Autopsy confirmed parotid gland inflammation and pre-existing ductal lithiasis. This case illustrates that organophosphate-induced parotitis can occur and should be considered in patients with organophosphate poisoning who have hyperamylasemia without elevation in serum lipase.

Amaç: Acil servisler adli olgularin ilk ba §vurdugu, tetkik, tam ve tedavilerinin yapildigi yerlerdir. Bu çaliçmanin amaci bir egitim ara §tirma hastanesi acil servisine ba §vuran çocuk adli olgularm demografik epidemiyolojik özelliklerini ortaya koymak, ba §vuru nedenlerini, ba §vuru zamanlarmi ve yati § ve ölüm oranlarini belirlemektir Gereç ve Yöntem: Bir egitim ara §tirma hastanesinde acil servise bir yil içinde ba §vuruda bulunan 16 ya § alti olan çocuk adli oigular geriye dönük olarak degerlendirildi. Çocuk adli oigular; travmatik olan (trafik kazalari, darp, i § kazasi, kesici-delici alet yaralanmasi, yüksekten dü §me, ate §ii silah yaralanmasi ve diger) ve travmatik olmayan çocuk adli oigular (intihar giriçimi, karbonmonoksit entoksikasyonu) olarak iki grupta incelendi. Bulgular: Bu çali §mada degerlendirilen 1494 çocuk adli olgularin ya § ortalamasi 8,8+4,37 yil olup bu çocuk adli olgularin %66'si erkekti (n=986). Çali §mada en fazia ba §vuru 7-10 ya § grubunda idi (%29,5). En sik ba §vuru nedeni trafik kazasi (%76,4) olarak saptandi, bunu %12,7 ile yüksekten dü §me ve %6,1 ile darp izledi. Çocuk adli olgularin en fazia yaz aylarmda ve ak §am saatlerinde ba §vurdugu gözlendi. Olgularm %9,2'sinin yatirilarak tedavi edildigi ve %1,9'una yogun bakim yati §i gerektigi ve ölüm oranmm %0,4 oldugu saptandi. Çikarimlar: Çocukiuk çagmdaki adli olgulann büyük çogunlugu önlenebilir saglik sorunlaridir. Yeni yöntemlerin geli §tirilmesi, koruyucu önlemlerin aimmasi ve acil servislerde uygun tibbi yakla §im saglanabilmesi için her bölgenin adli olgu tutumlannin belirlenmesi önemlidir. (Turk Ped Ar § 2013; 48; 235-40) Anahtar sözcükler: Acil servis, çocuk istismari, çocuk adli olgu, trafik kazasi Summary Aim: Forensic cases are primarily admitted in emergency services and examination, diagnosis and treatment is performed here. This study aimed to evaluate demographic and epidemiologic characteristics, reasons for presentation, admission time and hospitalization and mortality rates in pédiatrie forensic cases presented to an emergency department.Material and Method: Pédiatrie forensic cases below the age of 16 years who were admitted to the emergency department of a training research hospital within a 1-year period were evaluated retrospectively. The cases were evaluated in two groups as traumatic (traffic accidents, assault, occupational accident, sharp object injury, falling down from height, gunshot injuries) and non-traumatic (suicide attempt, carbon monoxide intoxication) admissions.Results: 1494 cases were included. The mean age was 8.8±4.37 years and 66% (n=986) of the cases were male. The majority of the cases (29.5%) were in the 7-10-year age group. The most common reason for presentation was traffic accident (76.4%), followed by falling down from height (12.7%) and assault (6.1%). The patients were mostly admitted in the evenings and summer months. 9.2% of the patients were hospitalized and 1.9% required hospitalization in the intensive care unit; the mortality rate was 0.4%. Conclusions:Most forensic cases...

Our findings suggest that sending the ECG images via a multimedia message service may be a practical and inexpensive telecardiology procedure.

Objective: Reports to legal authorities must be made for a variety of patients who present to emergency departments (EDs). This study summarises paediatric cases reported with a temporary legal form from our ED and reviews the literature on this topic with reasons and possibilities. Material and Methods: Charts were reviewed of all patients presenting to the university ED up to 18 years of age who were declared to hospital police as a legal case between January 1, 2008 and December 31, 2009. Demographic and clinical details were recorded. SPSS version 12 was used for statistical analysis. Results: During the study period, 889 paediatric cases (mean age 8±5 years, 58% male) were referred to the hospital police as cases requiring legal action. The categories of injuries/events to patients due to the chief complaint were as follows: poisonings in 28% (n=255), falls in 23% (n=208), and traffic accidents in 16% (n=144). Over half (55%) of patients were discharged home while 45% were admitted: 13% to paediatric surgery, 8% to neurosurgery, and 7% to paediatrics. Conclusion: Patients who were admitted to the emergency service due to falls could be reported to the legal authorities by doctors as a result of a suspicion of child abuse, neglect or any kind of physical violence instead of simple reasons due to the findings of the patients. It was observed that patients who had no significant physical findings or a history could not be reported.