Sudden cardiac death or arrest describes an unexpected cardiac cause-related death or arrest that occurs rapidly out of the hospital or in the emergency room. This study aimed to reveal the relationship between coronary angiographic findings and cardiac death secondary to acute ST-elevation myocardial infarction.

Kitap Türkiye’de yaklaşık bir yıl önce temelleri atılan 6000 yazarla yola çıkılan ve aktif olarak 6 aydır yoğun ve disiplinli çalışmalarına tanık olduğumuz, birçok branşa ait farklı başlıklardaki kitaplardan biri olarak kaleme alınmaya başlanmıştır. Toplam 40 yazarla çalıştığımız bu kitapta amacımız, her alanda çalışan araştırma görevlisi, pratisyen ve uzman hekimlerin, adli olguların nasıl yönetileceği hususunda fikir ve hatta bilgi sahibi olmaları, kamuoyu ve medyada sıkça gündeme gelmeye başlayan sağlık çalışanına şiddet, hekim hataları, etik, istismar, ilaç suistimali gibi önemli konularda, bir hukukçu kadar olması beklenilmese de gereken temel mevzuat bilgilerine sahip olmasıdır.

Introduction The aim of this study is to investigate the perception, information and experiences of healthcare professionals working in public and university hospitals who will respond to the CBRN incidents in order to raise an awareness for requirements of knowledge, training and practice about this topic. Methodology Our study was a survey study. Data acquisition were carried out between the dates 10.05.2021-10.11.2021. The questionnaire was applied to health care professionals working in public and university hospitals. There were 26 questions in our questionnaire. Questions were prepared to be short, clear and understandable. Each question was provided with 3 options as “Yes/No/Partially”. Results A total of 103 people participated to the study. 65 (63.1%) of the participants were male, 38 (36.9%) were female. The ages of the participants were categorically evaluated and 44 (42.7%) were in age group 26-35, 38 (36.9%) were in 18-25, 17 (16.5%) were in 36-45, and 4 (3.9%) were above 46. When the answers were evaluated according to education status, people with bachelor’s degree answered “Yes” to the question “Injured people with possible exposure to an CBRN agent are accepted to the emergency service after decontamination process in the health care facility I work in” significantly higher than the other groups (p:0.04). The question of “I have come across with hospitalized injured in the region I work” were answered as “No” by 17 doctors, 41 nurses, and “Yes” by 1 doctor and 1 nurse, while the majority of people answering “Yes” to this question were emergency medical technician and paramedics. The difference was statistically significant (p

BACKGROUND Ischemic stroke (IS) is a major cause of mortality and disability worldwide. Rapid and accurate diagnosis in the emergency department (ED) is crucial for improving outcomes. Neurogranin (Ng), a postsynaptic protein involved in synaptic plasticity, and Nardilysin (NRDC), a metallopeptidase with neuronal functions, have been linked to various neurological disorders. This study examines their potential diagnostic and prognostic value in IS. MATERIAL AND METHODS This prospective case-control study was carried out in a high-volume ED between June and October 2023. A total of 44 IS patients and 44 healthy controls, matched for age and sex, were included. Serum levels of Ng and NRDC were measured using enzyme-linked immunosorbent assay (ELISA). Statistical analyses involved receiver operating characteristic (ROC) analysis to assess diagnostic value and comparisons of biochemical parameters between groups. RESULTS Ng levels were significantly higher in IS patients compared to controls (281.12±32.12 pg/mL vs 265.71±24.54 pg/mL, P=0.01), with moderate diagnostic accuracy (area under curve=0.624). Elevated Ng levels were associated with intensive care unit admission (311.50±46.13 pg/mL, P=0.023). NRDC levels showed no significant differences between groups or clinical outcomes. Biochemical parameters, including elevated urea and creatinine and reduced hemoglobin levels, showed the systemic impacts of IS. CONCLUSIONS Ng may have a limited role as a biomarker in IS diagnosis, while its potential prognostic value requires further validation. NRDC did not show significant utility in this study. Larger studies incorporating additional biomarkers are needed to determine whether Ng can provide clinical insights into IS diagnosis and prognosis.

This study aims to investigate the diagnostic accuracy of adropin as a biomarker to exclude the diagnosis of acute pulmonary embolism (PE). Patients admitted to the emergency department of a tertiary health centre between August 2019 and August 2020 and diagnosed with PE were included in this prospective cohort study. The amount of serum adropin was determined in patients with (PE) and compared with that of healthy volunteers. Receiver operating characteristic analysis was performed with the obtained data, and the area under the curve (AUC) with a 95% confidence interval was determined. The parameters of diagnostic accuracy for PE were determined. A total of 57 participants were included in the study (28 controls and 29 PE patients). The mean adropin level in the PE group was 187.33 ± 62.40 pg/ml, which was significantly lower than that in the control group (524.06 ± 421.68 pg/ml) (p < 0.001). When the optimal adropin cut-off value was 213.78 pg/ml, the likelihood ratio of the adropin test was 3.4, and the sensitivity of the adropin test at this value was 82% with specificity of 75% (95% CI; AUC: 0.821). Our results suggest that adropin may be considered for further study as a candidate marker for the exclusion of the diagnosis of PE. However, more research is required to verify and support the generalizability of our study results.

Most elderly people live in low- and middle-income countries and are required to continue working. With the increasing number of elderly individuals in the workforce, occupational accidents among the elderly are predicted to remain a significant patient group for emergency departments. This study aimed to examine the descriptive characteristics of elderly individuals admitted to a tertiary-care emergency department due to occupational accidents and to identify factors that could predict their prognosis. Patients aged 65 years and older who presented to the emergency department due to an occupational accident between June 1, 2019, and June 30, 2023, were retrospectively reviewed. Data on demographic characteristics, trauma-related details, injury severity scores, ED and hospital stay durations, and mortality rates were analyzed and compared. In total, 92 elderly patients with occupational accidents were evaluated. The most common trauma mechanism was lacerations (n = 34, 37%), and the upper extremities were the most frequently affected body parts (n = 39, 42.4%). Patients with thoracic trauma, injuries from falls from heights, and higher injury severity scores had significantly longer emergency department and hospital stays (p = 0.045, p = 0.003, and p < 0.001, respectively). Occupational accidents in elderly individuals most commonly result in upper extremity injuries, with lacerations being the predominant trauma mechanism. Among elderly patients with occupational accidents, those with thoracic trauma due to falls from heights and those with high injury severity scores are associated with worse prognoses.