Browsing by Author "Sasmaz, Muhammed Ikbal"

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Breaking Bad News in the Emergency Department: How Do the Patients Want It
(Aves, 2018) Guven, Ramazan; Kaykisiz, Eylem Kuday; Onturk, Hatice; Sasmaz, Muhammed Ikbal; Ari, Asim; Eyupoglu, Gokhan; Parlak, Ayse Gurol
Aim: When breaking bad news (BBN) is not managed correctly, the negative impact on patients and patient's relatives is much greater. The aim of the present study was to investigate the thoughts of the patient/patient's relatives about how BBN should be given in four hospitals located in the eastern region of Turkey. Materials and Methods: In this cross-sectional, multicenter study, a total of 760 patients were included using a six-item questionnaire. Participants were divided into two groups according to educational status as high school and below (Group 1) and university and above (Group 2). The difference between the groups was determined according to p<0.05 level of significance. Results: There was a statistically significant difference between the two groups in terms of the answers to items about how, where, and to whom should a doctor tell the death and also possible negative situation of a patient to his/her relatives. All participants were asked where they preferred to stay in the emergency department when cardiopulmonary resuscitation (CPR) was needed in one of the family members. Of the participants, 47.4% (n=360) reported that they preferred waiting in a seat close to the room where CPR was performed. Conclusion: The emergency physician should break the bad news considering the educational status of the patient/patient's relatives. BBN should be carried out by sitting down face-to-face with the patients or family members in a room where no other patients are present. In contrast to some literature data, patient's relatives are more likely to wait near the CPR room instead of watching CPR.
Comparing the Interpretation of Diffusion-Weighted Magnetic Resonance Images Made by Emergency Physicians and On-Call Radiologists
(Emergency Medicine Physicians Assoc Turkey, 2018) Sasmaz, Muhammed Ikbal; Akca, Ali Haydar; Guven, Ramazan; Altan, Burak; Baraz, Nuri; Kirpat, Vedat; Gunduz, Ali Mahir
Aim: Stroke is a leading cause of adult disability and death worldwide. It is very important to determine the ischemic tissue at risk in stroke patients. Although brain computed tomography (CT) is the first and standard imaging technique, diffusion-weighted magnetic resonance imaging (DW-MRI) is superior to CT and is the optimal imaging technique for the diagnosis of acute ischemic stroke. In our study, we aimed to compare the interpretation of DW-MRI between emergency physicians (EP) and on-call radiologists (OCRs). Materials and Methods: This multi-centered, prospective study was conducted at three central hospitals from June 1, 2016 to May 31, 2017. DW-MRI images of the patients were first interpreted by the EP and then by the OCR. Finally, DW-MRI images were interpreted by a definitive result team comprised of two radiologists who were blinded to the study. Sensitivity, specificity, positive predictive value, negative predictive value, and. coefficient were calculated. Results: In total, 315 patients' DW-MRI images were examined. The interpretation sensitivity and specificity rates of the DW-MRI images for EPs were 95.1% and 98.7%, respectively, whereas those for OCRs were 98.8% and 98%, respectively. There was almost perfect agreement (kappa value > -0.80) regarding DW-MRI interpretations of both OCRs and EPs. Conclusion: Our study showed that EPs were very successful in interpreting DW-MRI after a short-term training.
Kinesiotaping for Isolated Rib Fractures in Emergency Department
(W B Saunders Co-elsevier inc, 2020) Akca, Ali Haydar; Sasmaz, Muhammed Ikbal; Kaplan, Seyhmus
Introduction: Rib fractures, which are among the most common injuries in blunt thoracic trauma, are usually encountered in Emergency Departments. Kinesiotape (KT) is a drug-free elastic therapeutic tape used for treating various musculoskeletal problems such as injury, dysfunction and pain. We aimed to investigate whether kinesotaping should be used safely and effectively in rib fractures in emergency setting. Materials and methods: This was a prospective, randomized controlled study conducted in an Emergency Department of a University Hospital. Patients diagnosed with isolated rib fractures were included in the study. Pain severity of patients assessed with 0-10 cm visual analog scale (VAS), then patients assigned into 2 treatment groups. One of them received treatment with flurbiprofen 200 mg/day and the other group received kinesiotaping in addition to the same oral therapy. On the 4th day of the procedure, both groups were assessed with VAS in the followup visit. Results: Total of 82 patients presented with rib fractures, 52 of them were excluded. Remaining 30 constituted the study group and randomly allocated to kinesiotaping (n = 16) or control group (n = 14). In both groups, pain intensity on the 4th day was significantly reduced when compared with baseline (p for both<0.01). Additionally, considering the reducing the pain intensity on 4th day, kinesiotaping was significantly superior than the control group (p < 0.01). Conclusion: This study investigated the use of kinesiotaping in emergency departments. When compared to NSAID therapy alone, combined kinesiotaping and NSAID therapy appears to be more effective in terms of pain reduction in rib fractures. (C) 2019 Elsevier Inc. All rights reserved.