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Article ; Online: Diagnostic Performance of One-hour Delta High Sensitive Troponin in Acute Coronary Syndrome.

Caglar, Bahadir / Serin, Suha

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP

2020 Volume 30, Issue 9, Page(s) 906–911

Abstract: Objective: To determine the impact of an increase in the level of high sensitivite (HS) troponin-I between the time of Emergency Department (ED) arrival and one-hour after arrival (0h-1h), and between the time of ED arrival and three hours after arrival ...

Abstract	Objective: To determine the impact of an increase in the level of high sensitivite (HS) troponin-I between the time of Emergency Department (ED) arrival and one-hour after arrival (0h-1h), and between the time of ED arrival and three hours after arrival (0h-3h), upon the diagnostic performance of HS troponin-I to correctly diagnose AMI. Study design: Descriptive, analytical study. Place and duration of study: Fethi Sekin City Hospital, Elazig, Turkey from January to June 2019. Methodology: Patients presenting with chest pain were included in the study. The delta HS Troponin I (0h-1h) and delta HS Troponin I (0h-3h) values of the patients were calculated as percentage changes. These values were statistically compared between those who were diagnosed with acute myocardial infarction (AMI). Results: The evaluation was performed on 114 patients. Delta HS Troponin I levels were examined, a change of >20% was observed in 48 patients (42.1%) for the 0-1 hr interval. Of the 20 patients ultimately diagnosed with an AMI, 16 (80%) had such a change at this time (p <0.001). For 0-3 hr interval, a change of HS Troponin-I of >20% was observed in 52 patients (45.6%); and 17 of 20 AMI patients with an AMI were detected by such a change (p<0.001). Conclusion: Delta HS troponin I value in the first hour was nearly as sensitive for detection of an AMI as was delta HS Troponin I third-hour value. Key Words: Troponin, Myocardial infarction, Acute coronary syndrome.
MeSH term(s)	Acute Coronary Syndrome/diagnosis ; Biomarkers ; Chest Pain/diagnosis ; Emergency Service, Hospital ; Humans ; Troponin I ; Turkey
Chemical Substances	Biomarkers ; Troponin I
Language	English
Publishing date	2020-10-06
Publishing country	Pakistan
Document type	Journal Article
ZDB-ID	2276646-7
ISSN	1681-7168 ; 1022-386X
ISSN (online)	1681-7168
ISSN	1022-386X
DOI	10.29271/jcpsp.2020.09.906
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Article ; Online: The Effect on Video Laryngoscope on Intubation Process During Ambulance Transport.

Caglar, Bahadir / Serin, Suha

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP

2020 Volume 30, Issue 4, Page(s) 351–354

Abstract: Objective: To compare the effects of VL and DL on intubation time and ease of operation in an ambulance, which is moving in real urban traffic.: Design: Comparative experimental manikin study.: Place and duration of study: Urla City Hospital, ... ...

Abstract	Objective: To compare the effects of VL and DL on intubation time and ease of operation in an ambulance, which is moving in real urban traffic. Design: Comparative experimental manikin study. Place and duration of study: Urla City Hospital, Izmir, Turkey, from January to May 2019. Methodology: The paramedics were asked to intubate a standard intubation manikin and manikin with cervical collar with DL and VL in an ambulance that moving in real urban traffic. Intubation time, incisor tooth injury, and the ease of operation data were recorded. Results: There was a statistically significant difference between the median values of DL and VL intubation times DL:18s / VL:15s in standard manikin and DL:28 s / VL:21 s in manikin with cervical collar (p<0.001). When the ease of operation was evaluated, the median scores of the DL and VL Likert 5 scale were determined in the standard manikin as DL:3 / VL:5 and the manikin with collar as DL:2 / VL:4 Conclusion: VL significantly decreased the intubation time compared to DL in both normal and difficult airways. The ease of operation provided by VL reduces the negative environmental factors brought by the out-of-hospital environment and ambulance movement for healthcare workers. The use of VL in limited conditions and time, reduces the intubation time and increases the ease of operation compared to DL. Key Words: Resuscitation, Video Laryngoscope, Transport.
MeSH term(s)	Ambulances ; Humans ; Intubation, Intratracheal ; Laryngoscopes ; Laryngoscopy ; Turkey
Language	English
Publishing date	2020-06-08
Publishing country	Pakistan
Document type	Journal Article
ZDB-ID	2276646-7
ISSN	1681-7168 ; 1022-386X
ISSN (online)	1681-7168
ISSN	1022-386X
DOI	10.29271/jcpsp.2020.04.351
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Article: The Effect of Different Personal Protective Equipment Masks on Health Care Workers' Cardiopulmonary Resuscitation Performance During the Covid-19 Pandemic.

Serin, Suha / Caglar, Bahadir

The Journal of emergency medicine

2020 Volume 60, Issue 3, Page(s) 292–298

Abstract: Background: Personal protective equipment (PPE) is equipment that protects health care workers from harmful agents and organisms. The importance of this equipment was noticed again with the Coronavirus Disease 2019 (COVID-19) pandemic.: Objectives: ... ...

Abstract	Background: Personal protective equipment (PPE) is equipment that protects health care workers from harmful agents and organisms. The importance of this equipment was noticed again with the Coronavirus Disease 2019 (COVID-19) pandemic. Objectives: In this study, we investigated the effect of different masks used as PPE on resuscitation quality and rescuer fatigue. Methods: Participants applied chest compression without a mask, with a surgical mask, a filtering face-piece respirator (FFR) mask, and a half-face mask with active P3 filter. A smart watch was worn on the left wrists of the participants during chest compression in each condition. They were requested to rate their fatigue on a visual analogue scale. Results: Statistically higher average pulse rates were found in the FFR mask and half-face mask conditions. FFR mask and half-face mask resulted in statistically worse results than surgical mask and no-mask conditions in the number of compressions per minute, compression depth, and compression effectiveness. Further, half-face mask and FFR mask caused more fatigue in participants. Conclusion: Protective masks other than surgical masks used as PPE increase rescuer fatigue in CPR and negatively affect the quality of chest compressions.
MeSH term(s)	Adult ; COVID-19/prevention & control ; Cardiopulmonary Resuscitation/standards ; Electrocardiography ; Fatigue ; Female ; Health Personnel ; Humans ; Male ; Masks/adverse effects ; Occupational Exposure/prevention & control ; Pandemics ; SARS-CoV-2
Language	English
Publishing date	2020-11-04
Publishing country	United States
Document type	Journal Article
ZDB-ID	605559-x
ISSN	0736-4679
ISSN	0736-4679
DOI	10.1016/j.jemermed.2020.11.005
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Article: The Effect of Different PPE Masks on Healthcare Workers’ CPR Performance, During Covid-19 Pandemic CPR with PPE Masks

Serin, Suha Caglar Bahadir

The Journal of Emergency Medicine

Abstract: Background Personal protective equipment (PPE) are equipment that protect healthcare workers from harmful agents and organisms The importance of these equipment was noticed again with the Covid-19 pandemic Objectives In this study, we investigated the ... ...

Abstract	Background Personal protective equipment (PPE) are equipment that protect healthcare workers from harmful agents and organisms The importance of these equipment was noticed again with the Covid-19 pandemic Objectives In this study, we investigated the effect of different masks used as PPE on resuscitation quality and rescuer fatigue Methods Participants applied chest compression without a mask, with a surgical mask, a filtering face-piece respirator (FFR) mask, and a half-face mask with active P3 filter A smart watch was worn on the left wrists of the participants during chest compression in each condition They were requested to rate their fatigue on the Visual Analogue Scale (VAS) Results Statistically higher average pulse rates were found in the FFR mask and half-face mask conditions FFR mask and half-face mask resulted in statistically worse results than surgical mask and no-mask conditions in the number of compression per minute, compression depth, and compression effectiveness Further, half-face mask and FFR mask caused more fatigue in participants Conclusion Protective masks used as PPE other than surgical masks increase rescuer fatigue in CPR and negatively affect the quality of chest compressions
Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #907164
Database	COVID19

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Article ; Online: The Effect of Different PPE Masks on Healthcare Workers’ CPR Performance, During Covid-19 Pandemic CPR with PPE Masks

Serin, Suha / Caglar, Bahadir

The Journal of Emergency Medicine ; ISSN 0736-4679

2020

Keywords	Emergency Medicine ; covid19
Language	English
Publisher	Elsevier BV
Publishing country	us
Document type	Article ; Online
DOI	10.1016/j.jemermed.2020.11.005
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: The Effect of Different Monitor Use on Radiography Interpretation in Emergency Medicine

Süha Serin / Bahadir Çağlar

Journal of Contemporary Medicine, Vol 11, Iss 1, Pp 18-

2021 Volume 21

Abstract: Aim Although it is recommended to use a medical monitor in radiology guides, it is rare to use a medical monitor in non-radiology departments. In this study, the effect of using LED, tablet and medical monitor in the radiography evaluation of ... ...

Abstract	Aim Although it is recommended to use a medical monitor in radiology guides, it is rare to use a medical monitor in non-radiology departments. In this study, the effect of using LED, tablet and medical monitor in the radiography evaluation of inexperienced physicians in the emergency room was investigated. Materials and Methods Fifty medical intern from the medical school were included in the study. Participants were asked to diagnose pre-prepared radiography sets on LEDs, tablets and medical monitors and to request a radiology consultation for radiographs they could not decide. The diagnoses of medical interns and cases of requesting radiology consultation were recorded. Results The median values of the correct diagnosis of the participants according to the monitors; 13.5 on led monitor, 13 on tablet monitor and 16 on medical monitor. The median value of the desired radiology consultation numbers; 6 on led monitor, 7 on tablet monitor and 4 on medical monitor. The medical monitor has statistically signficant difference to the other two monitors, in the correct diagnosis and number of consultations desired. Conclusion The use of medical monitors by inexperienced physicians in the emergency room where workload is extreme and time is valuable, will increase the diagnosis accuracy and decrease the rate of request for consultation.
Keywords	emergency medicine ; radiography ; radiologic technology ; acil tıp ; radyografi ; radyolojik teknoloji ; Medicine ; R
Language	English
Publishing date	2021-01-01T00:00:00Z
Publisher	Rabia Yılmaz
Document type	Article ; Online
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Article ; Online: CHEST PAIN AND SINGLE TROPONIN

Süha Serin / Bahadir Çağlar

Journal of Contemporary Medicine, Vol 10, Iss 4, Pp 562-

2020 Volume 566

Abstract: Aim: It is important to exclude the diagnosis of acute coronary syndrome quickly and accurately. This study aims to exclude the diagnosis of acute myocardial infarction (AMI) with a single troponin value in patients with appropriate clinical evaluation ... ...

Abstract	Aim: It is important to exclude the diagnosis of acute coronary syndrome quickly and accurately. This study aims to exclude the diagnosis of acute myocardial infarction (AMI) with a single troponin value in patients with appropriate clinical evaluation and electrocardiography (ECG) Materials and Methods: Among the patients who were followed up with a pre-diagnosis of AMI and for whom a HEART score was calculated, patients whose high sensitive troponin I result was found below the limit of detection (LoD) value and who were discharged is included in study. All patients were contacted on the 30th day of discharge. The status of "major adverse cardiac events" (MACE-30) in the last 30 days was questioned. Results: The HEART score of 122 patients (73.1%) in the study was found to be at low risk while 45 (26.9%) as moderate. MACE-30 developed in only 5 patients (3%). Of the 5 patients who developed Mace; The HEART score of 3 (60%) was determined as 5, whereas the heart score of 2 (40%) was 6. p
Keywords	acil servis ; anjina ; akut koroner sendrom ; troponin ; emergency service ; angina ; acute coronary syndrome ; Medicine ; R
Subject code	610
Language	English
Publishing date	2020-12-01T00:00:00Z
Publisher	Rabia Yılmaz
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: The Impact of Treatment with Continuous Positive Airway Pressure on Acute Carbon Monoxide Poisoning.

Caglar, Bahadır / Serin, Suha / Yilmaz, Gokhan / Torun, Alper / Parlak, Ismet

Prehospital and disaster medicine

2019 Volume 34, Issue 6, Page(s) 588–591

Abstract: Introduction: Approximately 50,000 patients per year present at emergency departments (EDs) because of carbon monoxide (CO) intoxication. The hypothesis of this study was that the half-life of CO and the regression period of complaints could be reduced ... ...

Abstract	Introduction: Approximately 50,000 patients per year present at emergency departments (EDs) because of carbon monoxide (CO) intoxication. The hypothesis of this study was that the half-life of CO and the regression period of complaints could be reduced more rapidly by applying oxygen with the Continuous Positive Airway Pressure (CPAP) modality using a non-invasive mechanical ventilator. Methods: The patients were divided into Group 1 and Group 2 in terms of the treatment method applied. Patients in Group 1 received FiO2 1.0 15 l/minute oxygen at room temperature for at least 30 minutes with a non-rebreather mask. Patients in Group 2 received FiO2 1.0 oxygen at 12 cmH2O pressure with non-invasive mechanical ventilation for at least 30 minutes with an oronasal mask in the CPAP modality. Results: The median values (interquartile range) of carboxyhemoglobin (COHb) levels at zero and 30 minutes of patients were 19% (8) and 14% (6) in Group 1 and 22% (8) and nine percent (3) in Group 2; a median difference of six percent (2) was detected in Group 1 and of 13% (4) in Group 2 in the first 30 minutes (P <.001). When the symptoms of the patients were examined, the median values of Group 1 and Group 2 at zero minutes were both eight units and at 30 minutes were five and three units, respectively. A decrease of five units was determined in the median of Group 2 in the first 30 minutes, and a decrease of two units in the median of Group 1 (P <.001). Conclusion: The use of CPAP was determined to more rapidly reduce COHb level as opposed to high-flow oxygen therapy. It is also thought that it may enable earlier discharge by reducing the duration of the emergency follow-up since it provides a faster improvement in the symptoms of the patients.
MeSH term(s)	Adolescent ; Adult ; Aged ; Aged, 80 and over ; Blood Gas Analysis ; Carbon Monoxide Poisoning/blood ; Carbon Monoxide Poisoning/therapy ; Continuous Positive Airway Pressure ; Emergency Service, Hospital ; Female ; Humans ; Male ; Middle Aged ; Oxygen Inhalation Therapy ; Prospective Studies ; Treatment Outcome ; Turkey ; Young Adult
Language	English
Publishing date	2019-10-22
Publishing country	United States
Document type	Clinical Trial ; Journal Article
ZDB-ID	1025975-2
ISSN	1945-1938 ; 1049-023X
ISSN (online)	1945-1938
ISSN	1049-023X
DOI	10.1017/S1049023X19005028
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Article: An evaluation of the effect of ertapenem in rats with sepsis created by cecal ligation and puncture.

Göl Serin, Başak / Köse, Şükran / Yilmaz, Osman / Yildirim, Mehmet / Akbulut, Ilkay / Serin Senger, Suheyla / Akkoçlu, Gülgün / Diniz, Gulden / Serin, Süha

Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES

2019 Volume 25, Issue 5, Page(s) 427–432

Abstract: Background: Intra-abdominal adhesions are still a major problem which is expected to be reduced by the provision of bacterial decontamination. Various antibiotics have been used to prevent the formation of adhesion in the septic abdomen. This study aims ...

Title translation	Çekal ligasyon ve puncture yöntemi uygulanan sıçanlarda ertapenem etkinliğinin gösterilmesi.
Abstract	Background: Intra-abdominal adhesions are still a major problem which is expected to be reduced by the provision of bacterial decontamination. Various antibiotics have been used to prevent the formation of adhesion in the septic abdomen. This study aims to investigate the efficacy of ertapenem in sepsis of rats induced by cecal ligation and puncture. Methods: Twenty-eight Wistar rats were divided into four groups randomly. In all groups, bacterial peritonitis was created by cecal ligation and puncture method. Group 1 was considered as sham group. Groups 2, 3 and 4 were given, respectively, saline, a single dose of ertapenem and a dose of ertapenem intraperitoneally every day. Intra-abdominal adhesions were assessed seven days after surgery by histopathological examination. Microbiological examination was performed through the ascites obtained. TNF-α was measured from blood taken from rats. Results: Adhesion score decreased significantly by the application of ertapenem (p<0.001) and fibrosis scores were found to be significantly lower (p=0.005). Among all groups, the relationship between the decrease in the number of colonies and antibiotics application was not statistically significant (p=0.109). No statistically significant difference was found between the group given a single dose of ertapenem and the group given multiple ertapenem (p=1). Conclusion: Peritoneal lavage with ertapenem appears to be effective in preventing the adhesion in the septic abdomen. As no difference was detected at the end of a single dose and multiple-dose administration of antibiotics in the adhesion scores, a single dose after surgery seems to be enough. The findings suggest that the results should be evaluated in a clinical trial.
MeSH term(s)	Animals ; Anti-Bacterial Agents/therapeutic use ; Disease Models, Animal ; Ertapenem/therapeutic use ; Peritonitis ; Random Allocation ; Rats ; Rats, Wistar ; Sepsis/drug therapy
Chemical Substances	Anti-Bacterial Agents ; Ertapenem (G32F6EID2H)
Language	English
Publishing date	2019-09-02
Publishing country	Turkey
Document type	Journal Article
ZDB-ID	2253739-9
ISSN	1306-696X
ISSN	1306-696X
DOI	10.5505/tjtes.2018.26050
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Zs.A 6718: Show issues

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Article ; Online: The accuracy of bedside USG in the diagnosis of nasal fractures.

Caglar, Bahadır / Serin, Suha / Akay, Serhat / Yilmaz, Gokhan / Torun, Alper / Adıbelli, Zehra Hilal / Parlak, Ismet

The American journal of emergency medicine

2017 Volume 35, Issue 11, Page(s) 1653–1656

Abstract: A comparison of the sensitivity and specificity of bedside ultrasonography with conventional radiography for the evaluation of nasal fractures.: Introduction - purpose: There is increasing use of ultrasonography in the Emergency Dept (ED) and other ... ...

Abstract	A comparison of the sensitivity and specificity of bedside ultrasonography with conventional radiography for the evaluation of nasal fractures. Introduction - purpose: There is increasing use of ultrasonography in the Emergency Dept (ED) and other areas. The purpose of the present study was to evaluate the sensitivity and specificity of bedside ultrasonography with conventional radiographs in the evaluation of nasal fractures in the ED. Method: Patients admitted to ED with maxillofacial trauma were evaluated in this prospective study. Ultrasonography scans of the patients were taken by the emergency physician at the bedside. The images were obtained from both laterals and parallel to the nasal dorsum. The nasal radiography scans were evaluated by an experienced radiologist blinded to the study. The ultrasonography and radiography results were compared statistically. Results: The study included 103 patients. In showing the presence of nasal fracture, the sensitivity of ultrasonography was determined to be 84.8% (95% CI 71.13%-93.66%), specificity was 93.0% (95% CI 83.00%-98.05%), positive predictive value (PPV) was 90.7% (95% CI 77.86%-97.41%), negative predictive value (NPV) was 88.3% (95% CI 77.43%-95.18%). Conclusion: Ultrasonography can be used in ED as an alternative method to conventional radiography with high rates of sensitivity and specificity in the evaluation of nasal fractures.
MeSH term(s)	Accidental Falls ; Accidents, Traffic ; Adolescent ; Adult ; Aged ; Emergency Service, Hospital ; Facial Injuries/diagnostic imaging ; Female ; Fractures, Bone/diagnostic imaging ; Humans ; Male ; Middle Aged ; Nasal Bone/diagnostic imaging ; Nasal Bone/injuries ; Point-of-Care Systems ; Predictive Value of Tests ; Prospective Studies ; Radiography ; Sensitivity and Specificity ; Ultrasonography ; Violence ; Young Adult
Language	English
Publishing date	2017-11
Publishing country	United States
Document type	Journal Article
ZDB-ID	605890-5
ISSN	1532-8171 ; 0735-6757
ISSN (online)	1532-8171
ISSN	0735-6757
DOI	10.1016/j.ajem.2017.05.015
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