The Examination of Occupational Injuries in the Emergency Department

Year 2025, Volume: 8 Issue: 1, 8 - 12, 29.03.2025

Ercan Nalbant , Burak Davran

https://doi.org/10.54996/anatolianjem.1510475

Abstract

Aim: While examining the demographic characteristics of injured individuals presenting to the emergency department due to occupational accidents, we also analyzed the types and mechanisms of injuries encountered based on the type of work causing the accident, assessed the adequacy of occupational safety measures, and investigated the patient burden on the emergency department caused by these cases. Emphasis was placed on the possibility of reducing the burden on the emergency department by completing the treatment of some occupational accident patients in occupational health clinics or primary care centers.

Material and Methods: We designed the study as a singlecenter, retrospective study. We included trauma cases who presented to the emergency department documented with occupational accident reports using the hospital automation system. Trauma patients aged 18 and above, presenting to the emergency department of a tertiary care and research hospital, were examined between January 1-2022, and December 31-2023. The study population was formed according to inclusion and exclusion criteria.

Results: Within the study, 887 patients were examined, of whom 80.8% were male. The mean age of the patients was 34 years. Penetrating-shearing instrument injury (35.4%) and blunt trauma (35.4%) were the most common injury mechanisms, with lacerations (34.6%) being the most common lesions. The upper extremities (41.3%) were the most commonly affected body regions. Furthermore, 74.7% of patients were found to belong to the group of cases treatable with simple medical interventions.

Conclusion: Based on our findings, we suggest that some of the existing diagnoses and medical interventions can be managed in occupational health clinics or primary care centers.Acting accordingly can alleviate the workload of emergency departments.

Keywords

Occupational accident, emergency department, trauma

Ethical Statement

Ethical approval was obtained from the Health Sciences University, Trabzon School of Medicine Non-Interventional Clinical Research Ethics Committee before the study (Decision No. 2024/88.).

Supporting Institution

This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.

Acil Servise Başvuran Mesleki Yaralanmaların İncelenmesi

Abstract

Amaç: Çalışmamız, iş kazaları nedeniyle acil servise başvuran hastaların demografik özelliklerini ve istihdamın türüyle ilişkili yaralanma türlerini ve mekanizmalarını inceledi. Ayrıca, iş güvenliği önlemlerinin etkinliğini ve bu yaralanmaların acil servis yükü üzerindeki etkisini değerlendirdik. Çalışma, belirli iş kazası vakalarının tedavisinin iş yeri veya aile hekimliği merkezlerinde tamamlanarak acil servisin yükünün hafifletilebileceğini önermektedir.

Gereç ve Yöntemler: Bu çalışma tek merkezli, retrospektif bir çalışma olarak planladı. Çalışmaya acil servise başvuran, iş kazası tutanağı tutulmuş travma vakaları dahil edildi. 1 Ocak 2022- 31 Aralık 2023 tarihleri arasında üçüncü basamak bir eğitim ve araştırma hastanesinin acil servisine başvuran 18 yaş üstü iş kazasına bağlı travma hastaları hastane otomasyon sistemi kullanılarak incelendi. Çalışma popülasyonu dâhil etme ve hariç tutma kriterlerine göre oluşturuldu.

Bulgular: Çalışma dâhilinde %80,8’i erkek 887 hasta incelenmiştir. Hastaların yaş ortalaması 34’tür. Penetrasyon-kesici alet yaralanması (%35,4) ve künt travma (%35,4) en sık yaralanma mekanizmalarıdır ve kesiler (%34.6) en sık lezyonlardır. Üst ekstremiteler (%41,3) en çok zarar gören vücut bölgeleridir. %74,7 hastanın ise basit tıbbi müdahale ile tedavi edilebilir hasta gurubunda olduğu tespit edilmiştir.

Sonuç: Verilerimiz doğrultusunda var olan tanı ve tıbbımüdahalelerin bir kısmının iş yeri hekimliği veya aile hekimliği merkezlerinde yapılabileceği tespit edilmiştir, bu doğrultuda hareket etmek acil servislerin iş yükünü azaltabilir.

Keywords

İş kazası, acil servis, travma

Ethical Statement

Ethical approval was obtained from the Health Sciences University, Trabzon School of Medicine NonInterventional Clinical Research Ethics Committee before the study (Decision No. 2024/88.).

Supporting Institution

Destekleyen kurum yoktur.

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