Objective: We aimed to determine the demographic characteristics, trauma severity scores, place of occurrence of the trauma, consultations requested and the way it ended in geriatric trauma patients. At the same time, we aimed to reveal the relationship between the occurrence of the event and admission to the emergency department and the relationship between trauma scores and mortality. Material and Method: This study was conducted retrospectively with 250 patients aged 65 and over who applied to the Emergency Department of Erciyes University Faculty of Medicine between 01. 01.2011 and 31.12.2011. Gender, age, time elapsed after trauma, trauma mechanism, diagnoses, requested consultations, injury site, GCS, ISS and outcome patterns were investigated. Results: 51.6% of these patients were female and 48.4% were male. The mean age of the patients is 73.3. While 32.4% of the patients were in the first 1-hour period, 11.2% of them applied to the emergency department after the first 24-hour period. While soft tissue trauma (36.4%) was the most common in the patients, when the trauma areas were examined, it was determined that the extremities were the most common with 51.6%. While 86 of the patients did not want consultation from any branch; Orthopedics consultation was requested for 79 patients and neurosurgery consultation was requested for 44 patients. 54.8% of the patients in the study were discharged from the emergency room after treatment, 28.4% were hospitalized, 12% were followed up under intensive care conditions, and 4.8%, 12 patients, died. The duration of admission to the emergency department, GCS and ISS scores of the patients and their outcomes in the emergency department were compared and a statistically significant relationship was found. Conclusion: Geriatric trauma patients are mortal and morbid patients. Depending on the old age, there are usually additional medical problems. Treatment processes are more laborious and demanding. Therefore, patients should be evaluated more carefully and multisystemically. ÖZET Amaç: Geriatrik travma hastalarındaki demografik özellikleri, travma şiddet skorları, travmanın oluş mekanlarını, hastalara istenen konsültasyonları ve sonlanış şekillerini tespit etmeyi hedefledik. Aynı zamanda olayın oluşu ile acil servise başvuru arasında geçen sürenin ve travma skorlarının mortalite ile ilişkisini ortaya çıkarmayı amaçladık.

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Objective: The present study aimed to investigate the effectiveness of copeptin levels in detecting increased pulmonary artery pressure and right ventricular dysfunction in patients with acute pulmonary embolism. Methods: A total of 116 patients who presented to the emergency department with chest pain or dyspnea and were diagnosed with acute pulmonary embolism and 30 healthy controls were included in the study. Plasma copeptin levels of patients and healthy control group were measured. Right ventricular functions and pulmonary artery pressures were evaluated in echocardiography of patients diagnosed with acute pulmonary embolism. Results: Copeptin levels were significantly higher in patients with right ventricular dysfunction than in those without right ventricular dysfunction [median 1.06(0.03–7.14) vs. 0.59(0.31–2.50), p= 0.01]. Conclusion: Copeptin can be used as a new biomarker in the diagnosis of acute pulmonary embolism and in predicting right ventricular dysfunction and increased pulmonary artery pressure in patients with acute pulmonary embolism

AMAÇ: SARS-CoV-2 virüsünün neden olduğu yeni Koranavirüs hastalığının Çin’in Wuhan kentinden sonra tüm dünyada yayılması ile birlikte bir pandemi süreci başlamıştır. Bu çalışmada pandemi sürecinde hastanemizde acil servis ve polikliniklere yapılan hasta başvurularının pandemi öncesi dönemle karşılaştırılması amaçladık.GEREÇ VE YÖNTEM: Ocak 2019 - Ağustos 2020 tarihleri arasında Nevşehir Devlet Hastanesi acil servis ve polikliniklerine yapılan hasta başvurularına ait sistem kayıtları retrospektif olarak değerlendirilmiştir.BULGULAR: Acil servis ve diğer polikliniklere yapılan başvurular olmak üzere hastalardan iki grup oluşturulmuştur. Hastaneye başvuran hasta sayılarının, hospitalize edilen hasta sayılarının ve eksitus sayılarının aylık ve yıllık dağılımı ayrı ayrı incelenmiştir. Her iki gruptaki hasta başvurularının pandemi sürecinde azaldığı saptanmıştır. Altmışbeş yaş üstü hasta başvuru sayıları her iki grup için ayrıca değerlendirilmiştir. Hasta başvuru sayıları, hospitalizasyon sayıları ve 65 yaş üstü başvuru sayıları önceki yıl ile karşılaştırılmış, pandemi sürecinin başladığı mart ayı itibariyle istatistiksel olarak anlamlı bir fark saptanmıştır (p<0.05).SONUÇ: Salgın süreciyle birlikte etkilenen hasta başvuru sayılarının; ülkemizde sağlık sistemlerinin yeniden düzenlenmesinde yol gösterici olabileceği düşünülmektedir.

Aims: Poisoning incidents are frequently encountered and can often result in fatal outcomes in emergency departments. This study aimed to examine the demographic characteristics of patients diagnosed with drug poisoning in the emergency department and to analyze the associated healthcare costs. Methods: The study retrospectively analyzed patients admitted to the Nevşehir State Hospital emergency service between January 1, 2017, and December 31, 2018, due to both accidental and intentional drug poisoning. The number of patients diagnosed with drug poisoning in the emergency department was assessed by month and year. Aspects such as the demographic characteristics of the patients, the times of their admission to the emergency department, the outcomes in the emergency department, and the associated costs were compared. Results: The emergency department received a total of 520,672 patients. Among these, 659 patients who were diagnosed with drug poisoning and had complete data were included in the study. Women constituted 65% of the study population. The patients were categorized into two groups: children under the age of 18 and adults aged 18 and over. The average age of the pediatric patients was 7.7, while the mean age of the adult patients was 30.2. When the emergency service costs were compared with the age and gender variables of the admissions, no statistically significant difference was observed (p>0.05). However, a statistically significant difference was noted in terms of cost when the times of admission for patients in the emergency department were compared (p<0.05). Conclusion: Given the morbidity and mortality rates associated with poisoning, the financial burden it imposes is substantial. It is necessary to develop targeted preventive health services to reduce the incidence of poisoning cases.