Evaluation of Patients That Apply Emergency Medicine Clinic with Carbon Monoxide Intoxication

Öz

Objective: Identification of the patients applying to the emergency medicine clinic with carbon monoxide (CO) poisoning and determination of treatment modalities. Material and Method: The adult patients, that applied to Emergency Clinic with different reasons and diagnosed as CO poisoning, on February 2014 are included in this study. Patients are analized according to their age, complaints at the time of application, the type and time of their application, the source of their poisoning, lab test results and treatment types. Results: Our study included 32 CO intoxicated patients. The mean age of the patients was 37.5 ± 17.8 years. 50 % of them were male. 93.75% (n: 30) of the patients applied to the emergency service between 08:00 pm and 08:00 am. The most frequent application type was with ambulance and 62.5% of patients` most common reason of poisoning was the heater (n: 20). The most common complaints were nausea, dizziness and headache. Mean COHb (Carboxyhemoglobin) values at the time of admission were 23.7 ± 9.2 (10-48.2). Two patients did not complete the study and all the remaining patients were discharged with healthy Conclusion: CO poisoning is one of the most important reasons of application to the emergency clinics, especially in winter.It is an emergency situation that should be diagnosed at an earlier stage and given the lifesaving treatment immediately.

Anahtar Kelimeler

• carbon monoxide intoxication
• emergency department
• carboxyhemoglobin

Karbonmonoksit Zehirlenmesi Nedeniyle Acil Tip Kliniğine Başvuran Hastaların Değerlendirilmesi

Öz

Amaç: Acil tıp kliniğine karbonmonoksit (CO) zehirlenmesi ile gelen hastaların tanımlanması ve tedavi şekillerinin belirlenmesidir. Gereç ve Yöntem: Acil Tıp Kliniği’ne 2014 yılı Şubat ayı içinde çeşitli sebeplerle başvurup CO zehirlenmesi tanısı alan erişkin hastalar çalışmaya dahil edilmiştir. Hastalar yaş, cinsiyet, acil servise başvuru şekli ve saati, zehirlenme kaynağı, başvuru şikayetleri, laboratuar test sonuçları ve tedavi şekillerine göre incelenmiştir. Bulgular: Çalışmamıza 32 CO zehirlenmesi olan hasta dahil edilmiştir. Hastaların ortalama yaşı 37,5 ± 17,8 yıl idi. Hastaların %50 (n:16) sı erkek idi. Hastaların %93,75 (n:30)’i akşam 08:00 ile sabah 08:00 saatleri arasında acil servise başvurmuştu. En sık başvuru şekli ambulans ile olup %62,5 (n:20) en sık zehirlenme kaynağı kombi olarak tespit edilmiştir. En sık başvuru şikayetleri bulantı, baş dönmesi ve baş ağrısı bulundu. Hastaların başvuru anındaki COHb (Karboksihemoglobin) değerleri ortalama 23,7 ± 9.2 (10-48,2) idi. Çalışmayı 2 hasta tamamlamadı ve geri kalan hastaların hepsi sağlıklı bir şekilde taburcu edildi. Sonuç: CO zehirlenmesi, kış aylarında önemli bir acil servis başvurusu nedeni olup erken dönemde tanı konulup hızlıca hayat kurtarıcı tedavisinin yapılması gereken acil bir durumdur.

Anahtar Kelimeler

• Karbonmonoksit zehirlenmesi
• Acil servis
• Karboksihemoglobin

Kaynakça

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