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    Mushroom poisoning in a metropolitan hospital
    (2014) Koyuncu, Murat; Öztürk, Derya; Benli, Ali Ramazan; Altınbılek, Ertuğrul; Şahin, Harun; Serin, Mehmet; Ikızcelı, İbrahim
    Objective: We aimed to investigate suspected cases of mushroom poisoning that were admitted to the emergency department of a metropolitan education and research hospital. Material and Methods: Suspicious cases of mushroom poisoning and determined mushroom poisoning patients were investigated in the medical records of patients who were older than 18 years old in 1 year. We examined patient's demographic information, admission date, complaints, time of complaint starting, and clinical and laboratory findings. Treatments and results were evaluated.Results: We analyzed 74 patients who were diagnosed with mushroom poisoning. The most common complaints of the patients were nausea and vomiting. İncreases in the number of admission were observed in November and December. A total of 25 patients were externed from emergency medicine, and 39 patients were hospitalized. 5 patients treatment with hemodialysis and both of them died.Conclusion: Mushroom poisoning is known to vary according to seasonal distribution, type of mushroom, geographic shape, and climate of the region. Therefore, emergency physicians should investigate the characteristics and ecology of the region and the geographic shape, so that provision services can facility the emergency departments principles working and organizated. The importance of regional characteristics is lost in a metropolitan hospital.
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    Splenic infarction as a rare cause of chest pain
    (2015) Koyuncu, Murat; Köstekçı, Senol Kadir; Öztürk, Derya; Altınbılek, Ertuğrul; Okay, Meryem; Ekıncı, Nihat
    This report reviews literature on splenic infarction. It also describes the case of a 27-year-old female who was bedridden because of a muscular disease and who was admitted to the emergency department with chest pain. She experienced continuous squeezing and compressing pain, which originated from the lower left hemithorax and radiated to the left axilla. A splenic infarct was detected after 24 h follow-up in the emergency room. Emergency physicians should keep in mind that chest pain originating from the lower left thorax and radiating to the left shoulder can be a sign of splenic infarction
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    When should cardiopulmonary resuscitation be stopped: opinions of the emergency medicine physicians in turkey
    (2015) Koyuncu, Murat; Duman, Ali; Öztürk, Derya; İpekçi, Afsin; Altınbilek, Ertuğrul; Topal, Fatih Esad; Türkdoğan, Kenan Ahmet
    We aimed to define point of view of the Emergency Medicine Physicians (EMPs) working in emergency services in Turkey about the duration of cardiopulmonary resuscitation (CPR) and to determine whether a standardization could be developed for CPR duration in the light of this information. After approval of the ethics committee, a survey form was prepared using Google Document and internet access address was sent to 1.404 EMPs via mail. A total of 428 persons responded the survey and 426 appropriate responses were assessed. Of the EMPs, 64.2% suggested that the persons who perform and/or manage CPR must make the decision for the duration. The participants stated that CPR time should be longer at younger ages and shorten with aging and that duration of CPR must be shorter in patients with the end-stage. The decision for 'Do Not Attempt Resuscitation (DNAR)' can not be made in our country. Legal studies must be conducted for law, regulations and notification in order to made decision for DNAR only in terminal stage patients. Therefore there must not be a law, regulation or CPR guide including exact duration for CPR