Koronavirüs Pandemisi Sırasında Pediatrik Kafa Travmasının Acil Değerlendirmesindeki Hatalar: İki Vaka Sunumu
Yıl 2021,
, 414 - 417, 31.08.2021
Engin Yücel
,
Ali Köksal
,
Gökhan Akpınar
,
İsmail Semih Keskil
Öz
Koronavirüs hastalığı salgını, hastalığa maruz kalma riski yüksek olan sağlık çalışanları için bir zorluk oluşturdu. Bununla birlikte, sağlık çalışanları semptomsuz taşıyıcıların varlığı nedeniyle enfeksiyon riskiyle de karşı karşıya kalmaktadırlar. Bu çalışmanın amacı, özellikle minör kafa travması ve negatif rutin kontrastsız bilgisayarlı tomografi sonuçları olan pediatrik hastalarda; ayrıntılı öykü alma, ayrıntılı fiziksel nörolojik muayeneler, kafatası kırığı tanısı koyma ve takibi için standart bir radyografi protokolünün gerekliliğini hatırlatmaktır. Hafif kafa travması değerlendirmelerinde radyografiyi terk etmenin şu anda doğru olmadığını düşünüyoruz. Kafa yaralanmalı hastaların yönetimi, kafatası konvansiyonel radyografisi, üç boyutlu rekonstrüksiyonu ve ince kesitli kemik görüntüleme pencereli bilgisayarlı tomografi kombinasyonu kullanılarak güvenli bir şekilde yapılabilir.
Destekleyen Kurum
Türk Nöroşirürji Derneği
Teşekkür
Katkılarından dolayı Türk Nöroşirürji Derneği'ne teşekkür ederiz.
Kaynakça
- Butt AA, Azad AM, Kartha AB, Masoodi NA, Bertollini R, Abou-Samra AB: Volume and Acuity of Emergency Department Visits Prior To and After COVID-19. J Emerg Med. 2020 Nov;59(5):730-734. doi: 10.1016/j.jemermed.2020.08.013. Epub 2020 Aug 7.PMID: 32919838
- Tan L, Kovoor JG, Williamson P, Tivey DR, Babidge WJ, Collinson TG, et al.: Personal Protective Equipment and Evidence‐Based Advice for Surgical Departments during COVID-19 ANZ J Surg. 2020 Jul 15 :10.1111/ans .16194. doi: 10.1111/ans.16194 PMCID: PMC7404866
- Atkinson P, French J, Lang E, McColl T, Mazurik L Just the Facts: Protecting frontline clinicians during the COVID-19 pandemic. CJEM. 2020 Jul;22(4):435-439. doi: 10.1017/cem.2020.359.PMID: 32238197
- Treibel TA, Manisty C, Burton M, McKnight Á, Lambourne J, Augusto JB, et al. COVID-19: PCR screening of asymptomatic health-care workers at London hospital. Lancet. 2020 May 23;395(10237):1608-1610. doi: 10.1016/S0140-6736(20)31100-4. Epub 2020 May 8.PMID: 32401714
- Babidge WJ, Tivey DR, Kovoor JG, Weidenbach K, Collinson TG, Hewett PJ, et al.: Surgery Triage during the COVID‐19 Pandemic ANZ J Surg. 2020 Jul 20 : 10.1111/ans.16196. doi: 10.1111/ans.16196 PMCID: PMC7404945
- Scaife ER, Rollins MD: Managing radiation risk in the evaluation of the pediatric trauma patient. Semin Pediatr Surg. 2010 Nov;19(4):252-6. doi: 10.1053/j.sempedsurg.2010.06.004. PMID: 20889080
- Macgregor DM, McKie L: CT or not CT—that is the question. Whether ‘tis better to evaluate clinically and x ray than to undertake a CT head scan! Emerg Med J 2005; 22:541–3.
ERRORS IN THE EMERGENCY ASSESSMENT OF PEDIATRIC HEAD TRAUMA DURING THE CORONAVIRUS PANDEMIC: A REPORT OF TWO CASES
Yıl 2021,
, 414 - 417, 31.08.2021
Engin Yücel
,
Ali Köksal
,
Gökhan Akpınar
,
İsmail Semih Keskil
Öz
The coronavirus pandemic has posed a challenge to health-care workers, who are at high risk for exposure to the disease. However, they also face the risk of infection due to the presence of asymptomatic carriers. The aim of this study was to demonstrate the necessity of a standard radiography protocol for fracture surveillance and good history taking and physical and neurological examinations, especially in pediatric patients with minor head injuries and negative routine non-contrast computed tomography results. We think that abandoning radiography in minor head-injury assessments is not right at the moment. Head injuries can be safely managed using a combination of skull radiography and three-dimensional reconstruction and thin-slice bone-imaging window computed tomography.
Kaynakça
- Butt AA, Azad AM, Kartha AB, Masoodi NA, Bertollini R, Abou-Samra AB: Volume and Acuity of Emergency Department Visits Prior To and After COVID-19. J Emerg Med. 2020 Nov;59(5):730-734. doi: 10.1016/j.jemermed.2020.08.013. Epub 2020 Aug 7.PMID: 32919838
- Tan L, Kovoor JG, Williamson P, Tivey DR, Babidge WJ, Collinson TG, et al.: Personal Protective Equipment and Evidence‐Based Advice for Surgical Departments during COVID-19 ANZ J Surg. 2020 Jul 15 :10.1111/ans .16194. doi: 10.1111/ans.16194 PMCID: PMC7404866
- Atkinson P, French J, Lang E, McColl T, Mazurik L Just the Facts: Protecting frontline clinicians during the COVID-19 pandemic. CJEM. 2020 Jul;22(4):435-439. doi: 10.1017/cem.2020.359.PMID: 32238197
- Treibel TA, Manisty C, Burton M, McKnight Á, Lambourne J, Augusto JB, et al. COVID-19: PCR screening of asymptomatic health-care workers at London hospital. Lancet. 2020 May 23;395(10237):1608-1610. doi: 10.1016/S0140-6736(20)31100-4. Epub 2020 May 8.PMID: 32401714
- Babidge WJ, Tivey DR, Kovoor JG, Weidenbach K, Collinson TG, Hewett PJ, et al.: Surgery Triage during the COVID‐19 Pandemic ANZ J Surg. 2020 Jul 20 : 10.1111/ans.16196. doi: 10.1111/ans.16196 PMCID: PMC7404945
- Scaife ER, Rollins MD: Managing radiation risk in the evaluation of the pediatric trauma patient. Semin Pediatr Surg. 2010 Nov;19(4):252-6. doi: 10.1053/j.sempedsurg.2010.06.004. PMID: 20889080
- Macgregor DM, McKie L: CT or not CT—that is the question. Whether ‘tis better to evaluate clinically and x ray than to undertake a CT head scan! Emerg Med J 2005; 22:541–3.