Journals / Journal of Clinical and Analytical Medicine / 2015 / Cilt: 6 - Sayı: 5

Acil Servise Başvuran Yılan Sokmalarının Klinik Özellikleri ve Acil Yönetimi

Clinical Aspects and Emergent Management of Snake Bites Presented to Emergency Department

Pages
558–561
Publication Date
2022-11-05
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Particularly emergency care physicians should be adequately capable and sophisticated in multidisciplinary management of snake bites.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: Evaluating the epidemiologic characteristics and management of snake bites presenting to emergency departments.
📊
Key Findings & Data:Material and Method: In this retrospective study 74 cases of snakebites admitted to Emergency Department of Diyarbakır Training and Research Hospital between 2008 and 2009 were retrospectively evaluated.
💡
Conclusion & Impact:Particularly emergency care physicians should be adequately capable and sophisticated in multidisciplinary management of snake bites.
🔬Design:Research Article
📍Scope:2008 Verileri
⚙️Variables:Domain Parameters

Abstract

Aim: Evaluating the epidemiologic characteristics and management of snake bites presenting to emergency departments. Material and Method: In this retrospective study 74 cases of snakebites admitted to Emergency Department of Diyarbakır Training and Research Hospital between 2008 and 2009 were retrospectively evaluated. Results: Fourty-six (62.2%) of patients were male and 28 (37.8%) were female. Mean age of the study population was 34.85±19.17 (min 7- max 80) years. Most of the snakebites occurred between 18.00 to 06.00 hours and at home (73%). 79.7% of snake bites occurred to upper extremities. %93 of cases had intravenous administration of antivenin (one dose). Neither none of the patients needed recurrent administration. Discussion: Snake bites are still a major public health problem especially in rural areas. Particularly emergency care physicians should be adequately capable and sophisticated in multidisciplinary management of snake bites.

Özet

Amaç: Acil servise başvuran yılan sokmalarının epidemiyolojik özellikleri ve yönetiminin değerlendirilmesi. Gereç ve Yöntem: Bu çalışmada 2008-2009 yılları arasında Diyarbakır Eğitim ve Araştırma Hastanesi Acil Servisi'ne başvuran 74 vaka retrospektif olarak değerlendirildi. Bulgular: Hastaların 46'sı (%62.2) erkek ve 28'i (%37.8) kadındı. Çalışmaya alınan hastaların yaş ortalaması 34.85±19.17 (min 7- mak 80) yaştı. Yılan sokmalarının çoğu 18.0006.00 saatleri arasında ve evde (%73) meydana gelmişti. %79.7'si üst ekstremitelerdeydi. Vakaların %93'üne tek doz intravenöz antivenin uygulandı. Hastaların hiçbirinin tekrarlayan antivenin uygulamasına ihtiyacı olmadı. Tartışma: Yılan sokmaları özellikle kırsal alanda hala büyük bir halk sağlığı sorunudur. Acil servis doktorlarının yılan sokmalarına multidisipliner yaklaşımı bilmeleri gerekmektedir.

🔖

Cite This Article

AKBULUT, A. S., ALAGÖZ, F., GÖKHAN, Ş., SÖNMEZ, B. M. M., YILMAZ, F., KAVALCI, C., YILMAZ, M. S., ÖZHASENEKLER, A. (2022). Acil Servise Başvuran Yılan Sokmalarının Klinik Özellikleri ve Acil Yönetimi. Journal of Clinical and Analytical Medicine, Cilt: 6 - Sayı: 5, 558–561. https://ajindex.com/articles/652347

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (14)

  1. Nogalski A, Jankiewicz L, Cwik G, Karski J, Matuszewski L. Animal related injuries treated at the department of trauma and emergency medicine, Medical University of Lublin. Ann Agric Environ Med 2007;14(1):57-61
  2. Yılmaz F, Akbulut AS, Taş M, Kavalcı C, Arslan ED, Sönmez M. Evaluation of caseswith rabies risk presenting to emergency department. J Clin Anal Med 2012; DOI: 10.4328/JCAM.1175
  3. Del Brutto OH, Del Brutto VJ. Neurological complications of venomous snake bites: a review. Acta Neurol Scand 2012;125(6):363-72
  4. Köse R. Yılan zehirlenmelerinin tedavisi: Yirmi bir olgunun incelenmesi. Ulus Travma Acil Cerrahi Derg 2007;13(4):307-12
  5. Bozkurt M, Kulahci M, Zor F, Kapi E. The management of pit viper envenomation of the hand. Hand 2008;3(4):324-31
  6. Arikan H, Göçmen B, Kumlutaş Y, Alpagut KN, Ilgaz Ç, Yıldız MU. Electrophoretic characterisation of the venom samples obtained from various Anatolian snakes (Serpentes: Colubridae, Viperidae, Elapidae). N West J Zool 2008;4(1):16-28
  7. Al B, Orak M, Aldemir M, Güloğlu C. Snakebites in adults from the Diyarbakır region in southeast Turkey. Ulus Travma Acil Cerrahi Derg 2010;16 (3):210-4
  8. Lykissas MG, Koulouvaris P, Kostas-Agnantis I, Ioannis Gkiatas, Milionis HJ, Mavrodontidis AN. Snakebites of fingers or toes by viperidae family members. An Orthopaedic Approach Acta Orthop Belg 2011;77(2):246-51
  9. Kasturiratne A, Wickremasinghe AR, de Silva N, Gunawardena NK, Pathmeswaran A, Premaratna R et al. The Global burden of snakebite: A Literature analysis and modelling based on regional estimates of envenoming and deaths. PLoS Med 2008;5(11):1591-604
  10. Cesaretli Y, Ozkan O. Snakebites in Turkey: epidemiological and clinical aspects between the years 1995 and 2004. The Journal of Venomous Animals and Toxins including Tropical Diseases 2010;16(4):579-86
  11. Chippaux JP. Epidemiology of snakebites in Europe: a systematic review of the literature. Toxicon 2012;59(1):86-99
  12. Ertem K, Esenkaya İ, Kaygusuz MA, Turan C. Our clinical experience in the treatment of snakebites. Acta Orthop Traumatol Turc 2005;39(1):54-8
  13. Evans DD, Nelson LW. Treating venomous snakebites in the United States: a guide for nurse practitioners. Nurse Pract 2013;38(7):13-22
  14. Özay G, Boşnak M, Ece A, Davutoglu M, Dikici B, Gürkan F et al. Clinical characteristics of children with snakebite poisioning and management of complications in the pediatric intensive care unit. Pediatrics International 2005;47(6):669-75. 15.