OBJECTIVES: There is no sufficient data to provide a clear picture of out-of-hospital cardiac arrest (OHCA) across Türkiye. This study is the first to present the prognostic outcomes of OHCA cases and the factors associated with these outcomes. MATERIALS AND METHODS: The study was conducted in a prospective, observational, multicenter design under the leadership of the Emergency Medicine Association of Turkey Resuscitation Study Group. OHCA cases aged 18 years and over who were admitted to 28 centers from Türkiye were included in the study. Survived event, return of spontaneous circulation (ROSC), survival to hospital discharge, and neurological outcome at discharge were investigated as primary outcomes. RESULTS: One thousand and three patients were included in the final analysis. 61.1% of the patients were male, and the average age was 67.0 ± 15.2. Cardiopulmonary resuscitation (CPR) was performed on 86.5% of the patients in the prehospital period by emergency medical service, and bystander CPR was performed on only 2.9% by nonhealth-care providers. As a result, the survived event rate was found to be 6.9%. The survival rate upon hospital discharge was 4.4%, with 2.7% of patients achieving a good neurological outcome upon discharge. In addition, the overall ROSC and sustained ROSC rates were 45.2% and 33.4%, respectively. In the multiple logistic regression analysis, male gender, initial shockable rhythm, a shorter prehospital duration of CPR, and the lack of CPR requirement in the emergency department were determined to be independent predictors for the survival to hospital discharge. CONCLUSION: Compared to global data, survival to hospital discharge and good neurological outcome rates appear to be lower in our study. We conclude that this result is related to low bystander CPR rates. Although not the focus of this study, inadequate postresuscitative care and intensive care support should also be discussed in this regard. It is obvious that this issue should be carefully addressed through political moves in the health and social fields.

SUMMARY OBJECTIVES The 2019 Novel coronavirus disease puts a serious burden on the health system. Therefore, the detection of particularly serious patients at an early stage is extremely important in terms of controlling the outbreak and improving the prognosis. We investigated the role of inflammatory markers studied in patients suspected of COVID-19 at an emergency department in predicting PCR and CT results. METHODS This retrospective study was carried out with 133 patients who were admitted between 13 March and 1st April 2020 with suspicion of COVID-19. The patients were divided into four groups according to CT and RT-PCR results and evaluated. RESULTS Considering all patients, no specific findings were found in the hematological and biochemical values of patients in the laboratory analyses. Although all of the results remained within the reference range, there was a significant difference in white blood cell, neutrophil, platelet, and lymphocyte values when the groups were compared [p = 0.000; p = 0.004; p = 0.022; p = 0.023]. CONCLUSION Laboratory is not specific enough in the pre-diagnosis. In addition, this result does not alter with PCR or CT positivity. However, minimal changes observed in laboratory results may be partially guiding in patients in whom both PCR and CT are positive.

Leukoglycemic Index and Its Prognostic Implications in Diabetic and Nondiabetic Patients with Acute Pulmonary Embolism - Article abstract #947156

Objective: Healthcare professionals are one of the groups at highest risk of transmission, as they are in close contact with COVID-19 patients. Naturally, people who see themselves at risk for COVID 19 may be worried. This study aims to determine perceptions, knowledge levels, measures, and resources of healthcare professionals and make additional suggestions. Material and Method: This cross-sectional study was conducted from the 10th to 17th of March, 2020. Participants were assessed using an online questionnaire containing risk perceptions, knowledge, preventive behaviors, and sources of information about COVID-19. The questionnaire was created from 4 chapters and 61 questions. The data obtained were analyzed with IBM SPSS 21. Results: A total of 305 healthcare professionals completed the questionnaire. The median age of participants was 26 years (IQR: 23-30). The highest Perceived vulnerability risk score belongs to cold. (mean: 3.8; SD: 0.9) However, the highest Perceived severity score belongs to COVID-19 (mean: 6.5; SD: 2.6). A mean knowledge score of 3.3 (standard deviation [SD] = 0.6) was observed; 87.5% of the respondents answered three or more knowledge questions correctly. It has been determined that the most preferred method of protection is to washing hands more frequently (82.6%). Conclusion: The results indicate that the healthcare professionals were well aware of the COVID-19 outbreak, knew what COVID-19 was, about their risk, and obtained their information primarily from the internet and doctors, which were also rated as trustworthy sources of information.

COVID-19 hastalığının en dikkat çeken özelliği insandan insana çok hızlı bir şekilde bulaşabilmesidir. COVID-19 hastalarına müdahale ve nakil süreçlerinde yer alan hastane öncesi acil sağlık hizmetlerinde çalışan 112 ambulans ekibinin hastalığa yakalanma açısından en yüksek riske sahip gruplar arasında yer aldığı bilinmektedir. Bu yazıda hastane öncesi acil sağlık hizmetleri yönü ile COVID-19 hasta yönetimi ve bu alanda çalışan sağlık personeline yönelik riskler ve alınması gereken önlemlerden bahsedilmesi amaçlanmıştır.