Acute pulmonary embolism is one of the most important preventable mortality causes during pregnancy. In this case report, a 24-week pregnant patient who were diagnosed with Acute pulmonary embolism and who underwent thrombolytic treatment was discussed in the light of a literature review. The 27-year-old female patient, who was pregnant, applied to the emergency service with sudden shortness of breath and chest pain. Since the hemodynamic condition of the patient was unstable, no imaging could be carried out in the radiology unit. As a result of the right ventricular load symptoms detected in bedside Transthoracic Echocardiography, massive Acute pulmonary embolism was diagnosed, and thrombolytic treatment was initiated. Acute pulmonary embolism should be considered in patients who are admitted to emergency services with sudden shortness of breath and chest pain complaints. Patients who are excessively unstable for imaging in the radiology unit should be evaluated quickly with bedside transthoracic Echocardiography, in terms of massive embolism. ÖZET Akut pulmoner emboli (APE), gebelik döneminde en önemli önlenebilir ölüm nedenlerinden birisidir. Bu yazıda APE tanısı alan ve trombolitik tedavi uygulanan 24 haftalık gebe bir hastayı litaratür eşliğinde tartışılmıştır. Gebe olan 27 yaşındaki bayan hasta, ani başlayan nefes darlığı ve göğüs ağrısı şikayetleriyle acil servise müracaat etti. Hastanın hemodinamik durumu unstabil olduğundan radyoloji ünitesinde herhangi bir görüntüleme yapılamadı. Yatakbaşı transtorasik ekokardiyografi (EKO)'de sağ ventrikül yüklenme bulguları görülmesi sonucu massif APE tanısı konularak trombolitik tedavi uygulandı. APE, hemodinamik olarak unstabil olan hastalarda kardiyovasküler acil durumların en yaygın nedenlerinden birisi olup, çok mortal seyreder. Ani başlayan nefes darlığı ve göğüs ağrısı şikayetleriyle acil servise başvuran hastalarda, mutlaka APE düşünülmelidir. Radyoloji ünitesinde görüntüleme yapılamayacak kadar unstabil olan hastalar, hızlıca yatakbaşı transtorasik EKO ile massif emboli açısından değerlendirilmelidir.
Information is changing rapidly and being constantly updated in the fight against coronavirus disease-2019 (COVID-19) infection. Obtaining up-to-date information has become an important requirement of healthcare workers during this time. The purpose of this study was to determine information communication technology (ICT) tools used by healthcare workers to access up-to-date information concerning COVID-19 disease during the peak period. Material and Methods: This descriptive study was conducted with the participation of 134 healthcare workers, 59 physicians and 75 nurses, working in Karadeniz Technical University Farabi Hospital. A data form developed by the authors was employed as a data collection tool. The data were analyzed using the chi-square and Wilcoxon signed rank tests. Results: Length of use of ICT tools and applications increased significantly compared to the pre-pandemic period (p<0.05). The ICT tool regarded as most useful by physicians and nurses for obtaining upto-date information about the COVID-19 disease during the pandemic was the official Health Ministry web site (76.4% and 71.4%, respectively) and WhatsApp (28.0% and 32.8%, respectively). The academic databases most employed for access to professional information among healthcare workers during this period were Google Scholar (44.8%), PubMed (44.0%), and MEDLINE (20.9%). Conclusion: During the COVID-19 pandemic, healthcare workers mostly followed the Ministry of Health publications for access to up-to-date information on the COVID-19 disease, and benefited WhatsApp application the most. During this period, there was a significant increase in the time that healthcare workers use (ICT) tools to obtain information about clinical applications. The data obtained from this study will be a useful guide for strategies aimed at facilitating access to evidence-based information on the part of healthcare workers during times of pandemic.
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