Yazar "Ozdamar, Yasemin" seçeneğine göre listele

Listeleniyor 1 - 3 / 3
  • Küçük Resim Yok
    Öğe
    Acute Systemic Toxicity Associated with Ingestion of Juniper Tar
    (Emergency Medicine Physicians Assoc Turkey, 2023) Ozdamar, Yasemin; Demir, Mehmet Cihat
    Juniper Tar has been utilized in traditional folk medicine to treat various ailments. Despite its historical use, documented cases are scarce regarding the potential complications associated with Juniper Tar, some of which have been fatal. A 62-year-old male patient with no previous medical history presented to the emergency department complaining of confusion and respiratory distress after drinking a glass of Juniper Tar approximately four hours ago. The patient, who experienced multiple seizures and cardiac arrest at the emergency department, was discharged after an 11-day intensive care unit monitoring period. We present this case to raise awareness among emergency physicians about Juniper Tar, which is widely used for various purposes in folk medicine and cosmetics but can cause poisoning due to its content of essential oils, triterpenes, and phenols. This is a case of cardiac arrest and status epilepticus associated with juniper tar poisoning.
  • Küçük Resim Yok
    Öğe
    EMERGENCY MANAGEMENT AND NURSING CONSIDERATIONS OF CAROTID BLOWOUT SYNDROME
    (Elsevier Science Inc, 2024) Kudu, Emre; Ozdamar, Yasemin; Danis, Faruk; Demir, Mehmet C.; Ilhan, Bugra; Aksu, Nalan Metin
    Introduction: Carotid blowout syndrome is a rare but fatal complication often witnessed secondary to treating patients with head and neck cancer. It occurs when damage and necrosis lead to the carotid artery wall rupture. The symptoms encountered in these patients range from asymptomatic to cardiac arrest. Here, we present 5 cases of carotid blowout syndrome in the emergency department. Case Presentations: Patients demonstrated symptoms ranging from subtle bleeding to hemodynamic instability, highlighting the diverse nature of carotid blowout syndrome in this population. Notably, while all patients had a history of radiotherapy, some had additional risk factors for carotid blowout syndrome, including prior surgery (n = 2), malnutrition (n = 3), and tracheostomies (n = 2). Definitive diagnoses were established through clinical evaluation and computed tomography angiography. Immediate interventions included bleeding control, resuscitation, and consultations with relevant specialties. Four patients underwent interventional radiology procedures, and 1 patient received otolaryngology care. While 2 patients recovered completely, 1 died in the emergency department, and 1 in the intensive care unit. One patient's clinical course was complicated by a stroke. Conclusion: The approach to the carotid blowout syndrome patient includes complex steps that proceed in a multidisci- plinary manner, starting from triage until discharge. Emergency nurses play crucial roles at every stage. They should be aware of carotid blowout syndrome when evaluating patients with head and neck cancer presenting with bleeding. When treating these patients, emergency nurses should be ready for airway in- terventions, bleeding control, and massive transfusion protocol. In this context, the multifaceted approaches made by nurses contribute significantly to carotid blowout syndrome manage- ment in the emergency department.
  • Küçük Resim Yok
    Öğe
    Role of Transcranial Doppler Ultrasonography in Detecting and Excluding Ischemic Stroke in the Emergency Department: A Prospective Observational Study
    (Turkish Neuropsychiatry Assoc-Turk Noropsikiyatri Dernegi, 2025) Agackiran, Ilter; Ozdamar, Yasemin; Demir, Mehmet Cihat; Agackiran, Merve; Akpinar, Erhan; Karaca, Mehmet Ali; Arsava, Ethem Murat
    Introduction: To determine whether color doppler ultrasonography (CDUS) and transcranial Doppler ultrasonography (TCD) can be used as an alternative test to cranial computed tomography angiography (CTA) by detecting vascular occlusions at the bedside in the emergency department (ED). Methods: This is a prospective, observational, and single-center study. It was performed on patients aged 18 years and older who were examined with a preliminary diagnosis of ischemic stroke and presented to an ED within the first 48 hours after the onset of symptoms. TCD, CDUS and vertebral artery doppler ultrasound were performed on one hundred and three patients. Computed tomography angiography was conducted as well and TCD and CDUS findings were compared. Results: Over one month, thirty-three patients were included in the study. The median age of the patients was 67 (52.5-78), and 57.6% (n=19) were male. When the TCD findings were compared with the gold standard (CTA), the negative predictive value of TCD for middle cerebral artery (MCA) was 96.5%. Both right and left carotids could be visualized optimally in all patients with CDUS. In the vertebral artery ultrasound examination, the right and left vertebral arteries were optimally visualized in all patients. Left vertebral artery ultrasound and CTA findings were completely compatible. Conclusion: Transcranial Doppler ultrasonography, a fast, inexpensive, non-invasive, and reproducible method, may have a role in the early detection or exclusion of ischemic strokes where time is critical. This suggests that TCD may be a helpful method in the ED for the early exclusion of acute MCA occlusions.