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3篇 您的检索式:作者名="Haldun Akoglu"
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1Application of scoring systems with point-of-care ultrasonography for bedside diagnosis of appendicitis显示文摘BACKGROUND: Appendicitis is a common disease requiring surgery. Bedside ultrasound(BUS) is a core technique for emergency medicine(EM). The Alvarado score is a well-studied diagnostic tool for appendicitis. This study aimed to investigate the relationship between patients' symptoms, Alvarado score and ultrasound(US) findings, as performed by emergency physicians(EPs) and radiologists, of patients with suspected appendicitis.METHODS: Three EM specialists underwent the BUS course and core course for appendicitis assessment. Patients suspected of having appendicitis were selected and their Alvarado and modif ied(m) Alvarado scores calculated. The specialists performed the BUS. Then, patients were given a formal US and surgery consultation if necessary. Preliminary diagnoses, admission or discharge from the emergency department(ED) and fi nal diagnosis were documented. The patients were also followed up after discharge from the hospital.RESULTS: The determined cut-off value was 2 for Alvarado and 3 for m Alvarado scores. The sensitivities of the two scores were 100%. Each score was used to rule out appendicitis. The results of EP-performed BUS were as follows: accuracy 70%, sensitivity 0.733, specifi city 0.673, + LR 2.24, and – LR 0.40(95%CI). Radiologists were better than EPs at diagnosing appendicitis and radiologists and EPs were equally strong at ruling out appendicitis by US. When US was combined with Alvarado and m Alvarado scores, EP US+Alvarado/m Alvarado scores ≤3 and radiology US+Alvarado/m Alvarado scores ≤4 perfectly ruled out appendicitis.CONCLUSION: BUS performed by EPs is moderately useful in detecting appendicitis. Combined with scoring systems, BUS may be a perfect tool for ruling out decisions in EDs.Erden Erol Unluer Rifat Urnal Utku Eser Serkan Bilgin Mehmet Haciyanh Orhan Oyar Haldun Akoglu Arif Karagoz 2016World Journal of Emergency Medicine2016,7,2:2
2Blue code: Is it a real emergency?显示文摘BACKGROUND: Cardiac arrests in hospital areas are common, and hospitals have rapid response teams or 'blue code teams' to reduce preventable in-hospital deaths. Education about the rapid response team has been provided in all hospitals in Turkey, but true 'blue code' activation is rare, and it is abused by medical personnel in practice. This study aimed to determine the cases of wrong blue codes and reasons of misuse.METHODS: This retrospective study analyzed the blue code reports issued by our hospital between January 1 and June 1 2012. A total of 89 'blue code' activations were recorded in 5 months. A 'blue code' was defined as any patient with an unexpected cardiac or respiratory arrest requiring resuscitation and activation of a hospital alert. Adherence to this definition, each physician classified their collected activation forms as either a true or a wrong code. Then, patient data entered a database(Microsoft Excel 2007 software) which was pooled for analysis. The data were analyzed by using frequencies and the Chi-square test on SPSSv16.0.RESULTS: The patients were diagnosed with cardiopulmonary arrest(8), change in mental status(18), presyncope(11), chest pain(12), conversive disorder(18), and worry of the staff for the patient(22). Code activation was done by physicians in 76% of the patients; the most common reason for blue code was concern of staff for the patient.CONCLUSION: The findings of this study show that more research is needed to establish the overall effectiveness and optimal implementation of blue code teams.Serkan E.Eroglu Ozge Onur Oguz Urgan Arzu Denizbasi Haldun Akoglu 2014World Journal of Emergency Medicine2014,5,1:2
3A national Internet survey on rapid sequence intubation patterns from Turkey显示文摘Ozlem Guneysel Ozge Ecmel Onur Haldun Akoglu Serkan Eroglu Arzu Den?zbas? 2008International Journal of Emergency Medicine2008,,4:1
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