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Fırat Tıp Dergisi
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Evaluation of Paiıents who Applied to the Emergency Department by Intra-Vehicle Traffic Accident
Mustafa VARLIK1, Serkan Emre EROĞLU2, Serdar ÖZDEMİR2, Hande AKBAL KAHRAMAN1, Mehmet Necdet YILDIZ3, Öner BOZAN4
1Sancaktepe Şehit Prof. Dr. İlhan Varank Eğitim ve Araştırma Hastanesi, Acil Tıp Kliniği, İstanbul, Türkiye
2İstanbul Sağlık Bilimleri Üniversitesi Ümraniye Eğitim ve Araştırma Hastanesi, Acil Tıp Kliniği, İstanbul, Türkiye
3Sultanbeyli Devlet Hastanesi, Acil Tıp Kliniği, İstanbul, Türkiye
4İstanbul Okmeydanı Eğitim ve Araştırma Hastanesi, Acil Tıp Kliniği, İstanbul, Türkiye

Objective: This study aims to analyze the demographical characteristics of the patients which were injured as a result of intra-vehicle traffic accident and have been applied to the emergency service.

Material and Method: In our study, 1338 patients who applied between 01.01.2015-31.12.2015 by themselves or by the 112 ambulance service were examined retrospectively. The results of the patients\' age, sex, Glasgow Coma Scale (GCS), pathologic findings, presence of alcohol, injury zones, desired ultrasonography/computed tomography, consultation, hospitalization and mortality rates were examined.

Results: The median age of patients was 30, 69.7% were male. Ninety-nine % of the patients were in a GCS range of 14-15. 5.2% of the patients were alcoholic. The most common lesions were on head and neck (53.1%) and extremities (45.9%).The mean age of patients who could not be resol-ved by simple medical intervention was significantly higher (p <0,05). There was no relationship between sex and alcohol intake and lesion severity (p >0,05). The most frequently requested examination was brain tomography, and the least was ultrasound. The lesion detection frequency was found to be the highest in the tomography scan of the extremity trauma and the lowest in the ultrasound. 46.1% of the patients were consulted to related clinics and 8.5% were hospitalized. Orthopedics and brain surgery clinics were most frequently requested consultations and admissions. The mortality rate was 0.9% and found to be increased with intracranial hemorrhage, cranial fracture, pneumothorax, hemothorax and intraabdominal bleeding (p <0,05).

Conclusion: Most of the lesions identified in the trauma areas can be detected by physical examination, making examination according to the lesion region in the emergency department and adhering to the recommendations in the literature may reduce the number of tests. If lesions are detected by physical examination, intervention to lesions causing mortality can be accelerated.


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