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Biomedical subjects

Mehmet Eryilmaz

Publications and source records attributed to Mehmet Eryilmaz.

6 recordsLinked to original sources
PubMed2006

Chemical release at the airport and lessons learned from the medical perspective.

The risk of massive exposure to toxic chemical substances including chemical weapons or industrial chemicals has increased especially during the last century due to the development in industry and chemistry science. This paper aims to describe a real chemical release event and further exposures to personnel working at the Esenboğa Airport, Ankara, Turkey, and to give lessons learned. This chemical release was noticed firstly by airport staff giving symptoms including nausea, vomiting, irritation of eyes, itching and rinorrhea. First responders from civil defense unit and a group of health staff including NBC First-aid and Rescue Team gave response to the incident. The increasing number of exposed or suspected cases transferred to hospital were isolated in Emergency Department (ED) following the decontamination at the airport. Due to the characteristic odour and the growing number of the victims, the releasing agent was considered to be likely cyanide or sulfur mustard. Because of the panic amongst the workers, the number of the exposed (real or suspected) people increased up to about 40 and were kept under observation in ED of the hospital. The chromotographic analysis revealed that the agent contained diallyl disulfide, an organo-sulfur compound present at very high concentrations in pure garlic oil. Blood results showed no cyanide and the isolation were terminated. Along with the lessons learned, incident showed that the health facilities should be prepared against such deliberate or accidental mass casualties.

Accidents↗
PubMed2006

Intracolonic multiple pebbles in young adults: radiographic imaging and conventional approach to a case.

Most of the foreign bodies detected in adult gastrointestinal systems are accidentally swallowed pins. In this study, we presented a case with intracolonic multiple pebbles. A 20-year-old man was admitted to emergency surgery policlinic for abdominal pain for 2 d without any alleviation or aggravation. His upright plain abdominal radiographic imaging revealed about 30-40 overt dense opacities in lumen of colonic segments, with oval and well shaped contours, each approximately 1 cm multiply 1 cm in size. The multiplanar reconstructions and three-dimensional images combined with sectional screening showed that all pebbles had passed completely into the colon and no foreign bodies had remained in the ileal segments. On psychiatric assessment, he was found to have immature personality features, difficulty in overcoming stressors and adaptation disorder. He recovered by conservative management and radiographic monitoring applied during his follow-up. Thus, it can be concluded that, in differential diagnosis of abdominal pain in adult ages, though less frequently seen than in children, gastrointestinal system foreign bodies should always be kept in mind and it should be considered that ingestion of pebbles may be one of the factors contributing to abdominal pain particularly in young adults with psychiatric problems. In such cases suspected of having foreign bodies which cannot be detected by plain films, abdominal tomography can be an alternative for diagnostic imaging.

Abdominal Pain↗
PubMed2006

[Prehospital life support in trauma patients: basic or advanced trauma life support].

The controversy between Advanced Trauma Life Support (ATLS) and Basic Life Support (BLS) in the prehospital care of trauma patients has not been resolved yet. The purpose of this study was to examine the literature with respect to the type of prehospital care applied to the trauma patients. A total of 76 papers on ATLS and/or BLS for trauma were reviewed regarding the variables such as intravenous catheter application, prehospital fluid resuscitation, transport time, intubation and mortality. As a conclusion, the data in the literature do not support the routine use of on-field ATLS in trauma patients. Prospective randomized trials comparing ATLS and BLS in prehospital management of trauma patients are needed to clarify this issue.

Advanced Cardiac Life Support↗
PubMed2006

[Remarks of 52 physicians participating into 8th Ankara Emergency Rooms (ERs) Meeting 2005 on resuscitative thoracotomy intervention].

BACKGROUND: The aim of this study was to define the opinions of 52 emergency physicians working in different ERs in Ankara and participated in the 8th Ankara Emergency Meeting 2005, on resuscitative thoracotomy (RT). METHODS: A questionnaire form containing 14 questions was designed for the opinions of physicians on RT. Responders filled in the forms through answering the questions by themselves. Data were analyzed using Student's t-test and ANOVA. RESULTS: The survey concluded three common points: 1. Resuscitative thoracotomy should be performed in the emergency rooms (65,4%), 2. It should be performed by specialists however; it is a procedure which can and should be conducted by every experienced emergency physician easily when the indications are clear (69,23%). 3. Majority of the responders stated that they would like to get a post-education course on this subject (96,15%). CONCLUSION: Theoretical and practical policies of our medical education on RT should be revised. Emergency rooms should be equipped for this intervention. Resuscitative thoracotomy should be applied by the experienced people, indications should be clarified well and emergency physicians should be trained on resuscitative thoracotomy by regular post-graduation courses.

Attitude of Health Personnel↗
PubMed2006

The epidemiology of the railway related casualties.

BACKGROUND: Railway related accidents and incidents account for 150-200 deaths per 100 million passengers annually in Turkey. The aim of this study was to evaluate the epidemiological aspects of these casualties. METHODS: The data about railway related casualties between January 1997 and December 2003 were retrospectively analyzed in Turkey. RESULTS: Railway related accidents and incidents resulted in 213,3 deaths per year per 100 million passengers during the study period. Train-pedestrian accidents caused highest number of mortality and level crossing accidents caused highest numbers of casualty. Furthermore, suicide attempts had highest mortality ratio in railway related accidents. The majority of the fatalities and injuries occurred in males for every type of incident and most of the injuries have taken place in the 25-60 age group. Summer time was the season with the highest number of fatalities and injuries. CONCLUSION: Measures should be taken to improve railway safety. These include prevention of direct exposure of pedestrians to the railway tracts and conditioning the level crossings.

Accidents↗