Drowning and emergency department/Suda bogulma ve acil servis

Citation metadata

Authors: Yeliz Simsek and Salim Satar
Date: June 2013
From: Turkish Journal of Emergency Medicine(Vol. 13, Issue 2)
Publisher: KARE Publishing
Document Type: Article
Length: 2,583 words
Abstract :

Objectives We investigated the demographic characteristics and the clinical and biochemical parameters for drowning admissions to the Emergency Department (ED) so to improve measures to prevent drowning and to determine the potential prognostic indicators for patient morbidity and mortality. Methods A retrospective chart review with statistical analysis was performed with patients admitted to the ED with submersion or drowning between January 2011 and December 2012. General demographic characteristics, reasons for admission, admission dates, features of the water in which the drowning occurred, and discharge were collected for each patient. Patient clinical status was classified via the Szpilman scoring system. Further biochemical and clinical parameters were also analyzed including Glasgow coma scores (GCS), serum sodium and potassium levels, and blood gases. Results Drowning or submersion was mostly observed in males (61%) that were Conclusions Effective measures to prevent drowning include raising awareness for at-risk age groups via visual and written educational media. Moreover, it is paramount to maintain adequate security measures around open waters especially during the summer months. Useful prognostic indicators for patients admitted for drowning are physical examination, GCS, and blood pH. Additional studies are needed to develop a more accurate scoring system to better gauge the morbidity and mortality of patients presenting with drowning or submersion. Key words: Emergency; drowning, Glasgow coma score; prognosis. Amac Calismamizda acil servise bogulma basvurularinda demografik ozellikleri, klinik ve biyokimyasal parametreleri kullanarak olgularin yonetimini ve prognozunu etkileyecek faktorleri belirlemeyi amacladik. Gerec ve Yontem Geriye donuk olarak yapilan bu calismada acil servise Ocak 2011 ile Aralik 2012 tarihleri arasinda suda batma/bogulma sikayeti ile basvuran eriskin ve cocuk hastalarin demografik ozellikleri, basvuru tarihleri, Glasgow koma skorlari (GKS), kan sodyum ve potasyum duzeyleri, kan gazi analizleri, bogulmanin gerceklestigi suyun ozelligi, olum, taburculuk, yatis kararlari hasta dosyalarindan kayit altina alindi. Hastalarin klinik durumlari Szpilman'nin basit skorlama sistemi ile siniflandirildi. Sonuclar istatistiksel olarak degerlendirildi. Bulgular Bogulma/suda batmalar en fazla erkeklerde (%61), 15 yas altinda (%56.1), sicak havalarda (%87.8) ve tatli sularda (%70.7) goruldu. Dort hasta hayatini kaybetti, olen hastalarin tumu 15 yas altinda idi. Tatli ve/ veya tuzlu suda bogulma ve/veya batma, kan elektrolit duzeylerinde istatistiksel olarak anlamli degisiklik olusturmamisti. Szpilman'in skor-lama sistemine gore yapilan klinik siniflama ile birlikte, GKS ve kan pH duzeyleri prognostik acidan istatistiksel olarak anlamli idi. Sonuc Risk altindaki yas gruplarinin egitim ve gorsel/yazili medya ile bilinclendirilmesi, acik sularda yeterli guvenlik onlemlerinin alinmasi, ozellikle yaz aylarinda daha dikkatli olunmasi olumleri azaltacaktir. Hastalarin prognozunun belirlenmesinde GKS, fizik muayene bulgulari ve kan pH'si kullanilabilir. Morbidite/mortaliteyi etkileyecek tum parametrelerin birlikte kullanilabilecegi detayli yeni bir skorlama sistemi gelistirilmesi icin yeni calismalara ihtiyac vardir. Anahtar sozcukler: Acil; bogulma; Glasgow koma skoru; prognoz.

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Source Citation

Source Citation
Simsek, Yeliz, and Salim Satar. "Drowning and emergency department/Suda bogulma ve acil servis." Turkish Journal of Emergency Medicine, vol. 13, no. 2, 2013, p. 81+. Accessed 9 July 2020.
  

Gale Document Number: GALE|A339733183