ObjectivesIn our study, we aimed to reveal the frequency and determinants of adverse events in patients with diabetes mellitus, who presented to the emergency department for any reason, had uncomplicated hyperglycemia, but were decided to be treated as an outpatient. ResultsAs the patient group with a plasma glucose level of 200 mg/dl and above and normoglycemic diabetic patients were evaluated, no signi cant difference was found in terms of re-admission to the emergency department and the frequency of hospitalization. (Respectively, within seven days p=0.738, 0.805, within thirty days p=0.130, 0.697). In the patient group with plasma glucose level of 200 mg/dl and above, waiting times in the emergency department (p= 0.012) and average uid replacement were higher (p=0.002). As the factors affecting re-admission were evaluated, it was found signi cant that the patient had insulin-dependent diabetes. (Within in seven days OR:2.20, %95 GA 1,.26-3.84, p = 0.005; within thirty days OR:2.48, %95 GA 1.39-4.41, p = 0.002). Other factors such as gender, age, admission glucose level and diabetes type were not found to be effective. ConclusionsThe high blood glucose level of diabetic non-complicated hyperglycemia cases admitted to the emergency department was not found to have an effect on recurrent admissions and hospitalizations for any reason in the rst seven and thirty days. Treatment and follow-up planning should be done carefully in insulin-dependent diabetic patients with a high probability of re-admission and hospitalization in this group

OBJECTIVES: Although the reliability of e-point septal separation (EPSS) and caval index (CI) is proven in the diagnosis of acute heart failure (AHF), how much they contribute to the initial clinical impression is unclear. This study aimed to determine the diagnostic contribution of EPSS and CI to the initial clinical impression of AHF. METHODS: This is a prospective observational study conducted in an academic emergency department (ED). The patients admitted to the ED with acute undifferentiated dyspnea were included. Primary diagnosis was made after an initial clinical evaluation, and a secondary diagnosis was made after EPSS and CI measurements. Independent cardiologists made the final diagnosis. The primary outcome was the diagnostic contribution of EPSS and CI to the primary diagnosis. RESULTS: A total of 182 patients were included in the study. The primary diagnosis was found with a sensitivity of 0.55 and specificity of 0.84 and the secondary diagnosis was determined with a sensitivity of 0.78 and specificity of 0.83 in predicting the final diagnosis. The agreement coefficient between the primary and final diagnosis was 0.44 and between the secondary diagnosis and the final diagnosis was 0.61. When the primary diagnosis was coherent with secondary diagnosis, sensitivity and specificity were found to be 0.74 and 0.90, respectively. CONCLUSION: Although a detailed history and physical examination are the essential factors in shaping clinical perception, CI and EPSS combined significantly contribute to the initial clinical impression.

This research was carried out to determine the knowledge of pre-hospital emergency health care personnel about periarrest and arrest rhythms. Material and Methods:The present research is designed as a descriptive study. The sample of the research was formed by 80 health personnel working in the Sivas 112 Emergency Health Services unit. In collecting research data "Individual Information Form" and "Pre-Hospital Emergency Health Services Personnel's Information on Peri-arrest and Arrest Rhythms Evaluation Form" were used. Number, percentage, mean and independent samples t-test were used in the statistical evaluation of the data. Results: It was determined that 63.75% of the emergency health services personnel participating in the study were male, their average age was 24.00±5.12, their tenure in emergency health services was 2.90±4.37 and 51.25% did not receive in-service training. It was found that pre-hospital emergency health care personnel who received in-service training had significantly higher scores with correct answers and treatment choices on peri-arrest and arrest rhythms and their related treatments compared to the group who did not receive in-service training (p = 0.03). Conclusion:Regular in-service training for pre-hospital emergency health care personnel is of great importance in increasing the knowledge about fatal rhythms and related treatments.

Introduction: Healthcare professionals have been of the fight against the pandemic, continued for more than a year. The anxiety levels of healthcare workers due to increased workload, social isolation, fear of catching COVID-19, etc. have increased significantly. The aim of this study is to determine the anxiety levels of emergency service workers who are always at the forefront of the fighting against the pandemic in Turkey. Methods: A questionnaire containing demographic information and the questions of 2 different scales (generalized anxiety disorder-7 scale, coronavirus anxiety scale), whose validation and reliability were performed in Turkey, was delivered via the web to the emergency room workers. Results: Personnel working in the emergency service of a tertiary state hospital, 74% were reached. On the generalized anxiety scale, 53% of the participants received a score of 11 or above (severe anxiety). While the mean values of the generalized anxiety scale in the income and education groups showed a statistically significant correlation, the anxiety mean scores of those with less than 2 years of employment were found to be statistically significantly lower, and the anxiety mean scores of those who had covid-19 during the pandemic were found to be statistically significantly higher. This was found to be related to those with high anxiety and covid-related anxiety scores not wanting to work in the emergency service. Conclusion: As a result of the study, it was revealed emergency service workers have a high level of anxiety originating from pandemics, regardless of their seniority, age, and gender.

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