A Case of Accidental Child Death which Occurred with Blank Cartridge Gun [Kurusiki Tabanca Ile Olusan Kaza Orijinli Cocuk Olumu Olgu]

The article presents an 8-year-old childs death during treatment, whose head was injured while playing with his fathers blank cartridge gun, and it aims to draw the attention to how dangerous blank firing guns can be. The father stated that he always kept the blank cartridge gun in the glove compartement of his car so that his children wont play with it. The father also said that, in the day of the event, his other son called for him and when he went to his vehicle, he saw his son sitting at the drivers seat, with his head bleeding. When the case was brought to the hospital, his general condition was bad, he was unconscious, and there was a 2.50-cm-wide skin lesion on the left temporal preauricular region. The cranial CT scan showed introcranial bleeding, oedema, fracture on the left zygomatic bone, thrypsis on the left temporal bone, cerebral contusion, and a shift at the midline. The case was treated in the intensive care unit for 15 days at the end of which, exitus happened. The autopsy revealed that the death was because of cranial and facial fractures due to firearm injury, resulting in cerebral hemorrhage and cerebral tissue destruction. The fact that blank cartridge guns can cause lethal injuries, strongly requires more serious legal enforcements for its gaining. There is also a need to modify the guns mechanism in order to remove or decrease the gas pressure at the exit of the gun barrel. [Med-Science 2014; 3(2.000): 1289-98

Lower Extremity Tissue Defect Caused by Mobile Phone Charger Explosion: A Case Report

SUMMARY: As the usage of cell phones is markedly increasing worldwide, accidental injuries and even lethal damages caused by cellular phone explosions have been reported lately. Although, cell phone charger explosion related scalding and tissue loss is extremely rare, they generally cause severe damage to tissues and cause severe complications, ending up in hospitalization. We are presenting a case of 9-year old female patient who was admitted to our emergency service due to a phone charger explosion that resulted in a lower extremity tissue defect. ÖZET: Cep telefonu kullanımı dünya çapında belirgin bir şekilde arttıkça, yaralanmaların, hatta ölümcül hasarların olduğu kazalar son zamanlarda bildirilmiştir. Her ne kadar cep telefonu şarj aleti patlaması ile ilgili yanık ve doku kaybı oldukça nadir olsa da, komşu dokularda ciddi hasar yapıp problem oluşturabilirler. Bu yazıda, cep telefonu şarj aleti patlamasına bağlı alt ekstremitede doku defekti ile acil servise başvuran dokuz yaşında bir kız çocuğu olgusu sunuldu. Key words: Charger, explosion, tissue defect, Anahtar sözcükler: Şarj aleti, patlama, doku defekt

Comparison of the effects of magnesium sulphate and dexmedetomidine on surgical vision quality in endoscopic sinus surgery: randomized clinical study

Background and objectives: Even a small amount of bleeding during endoscopic sinus surgery can corrupt the endoscopic field and complicate the procedure. Various techniques, including induced hypotension, can minimize bleeding during endoscopic sinus surgery. The aim of this study was to compare the surgical vision quality, haemodynamic parameters, postoperative pain, and other effects of magnesium, a hypotensive agent, with that of dexmedetomidine, which was initially developed for short-term sedation in the intensive care unit but also is an alpha 2 agonist sedative. Method: 60 patients between the ages of 18 and 45 years were divided into either the magnesium group (Group M) or the dexmedetomidine group (Group D). In Group M, magnesium sulphate was given at a pre-induction loading dose of 50 mg kg−1 over 10 min and maintained at 15 mg kg−1 h−1; in Group D, dexmedetomidine was given at 1 mcg kg−1 10 min before induction and maintained at 0.6 mcg kg−1 h−1. Intraoperatively, the haemodynamic and respiratory parameters and 6-point intraoperative surgical field evaluation scale were recorded. During the postoperative period, an 11-point numerical pain scale, the Ramsay sedation scale, the nausea/vomiting scale, the adverse effects profile, and itching parameters were noted. Results: Group D showed a significant decrease in intraoperative surgical field evaluation scale scale score and heart rate. The average operation time was 50 min, and Group M had a higher number of prolonged surgeries. No significant difference was found in the other parameters. Conclusions: Due to its reduction of bleeding and heart rate in endoscopic sinus surgery and its positive impacts on the duration of surgery, we consider dexmedetomidine to be a good alternative to magnesium

Predictive value of total atrial conduction time measured with tissue Doppler imaging for postoperative atrial fibrillation after coronary artery bypass surgery

Postoperative atrial fibrillation (POAF) complicating coronary artery bypass grafting surgery (CABG) increases morbidity and stroke risk. Total atrial conduction time (PA-TDI duration) has been identified as an independent predictor of new-onset atrial fibrillation (AF). We aimed to assess whether PA-TDI duration is a predictor of AF after CABG