The Attitudes of Emergency Physicians in Turkey Towards The Snakebites

Büyükyılmaz, Tunç; Ersan, Eylem; Eryiğit, Veysi; YÜKSEL, Melih; karaaslan, ulaş; ERİMŞAH, Mehmet Emre

The Attitudes of Emergency Physicians in Turkey Towards The Snakebites

Melih YÜKSEL, (Sağlık Bilimleri Üniversitesi, Bursa Yüksek İhtisas Eğitim ve Araştırma Hastanesi, Acil Tıp Kliniği, Bursa, Türkiye)

Veysi ERYİĞİT, (Balıkesir Devlet Hastanesi, Acil Servisi, Balıkesir, Türkiye)

Mehmet Emre ERİMŞAH, (Bolu İzzet Baysal Devlet Hastanesi, Acil Servisi, Bolu, Türkiye)

Ulaş KARAASLAN, (Balıkesir Devlet Hastanesi, Acil Servisi, Balıkesir, Türkiye)

Tunç BÜYÜKYILMAZ, (Balıkesir Atatürk Şehir Hastanesi, Acil Servisi, Balıkesir, Türkiye)

Eylem ERSAN (Balıkesir Üniversitesi, Tıp Fakültesi, Acil Tıp Ana Bilim Dalı, Balıkesir, Türkiye)

Kocaeli Tıp Dergisi

2 0

Yıl: 2020 Cilt: 9 Sayı: 1 Sayfa Aralığı: 76 - 82 Metin Dili: İngilizce İndeks Tarihi: 06-11-2020

The Attitudes of Emergency Physicians in Turkey Towards The Snakebites

Öz:

INTRODUCTION: The aim of this study is to investigate theattitudes of emergency physicians towards snakebites.METHODS: This study includes a questionnaire aiming toexamine emergency physicians’ knowledge, skills andexperience regarding snakebites as well as demographiccharacteristics. It also aims to identify the causes ofshortcomings in the management of emergency department(ED).RESULTS: A total of 611 physicians participated in the study.71.4% of physicians (n = 436) experienced snakebite casesbefore. Emergency medicine specialists (EMS) had the highestrate 42.0% (n = 183) (p <0.001). 48.9% (n = 299) of thephysicians stated that snake antivenoms should be usedintravenously (IV), whereas 32.4% (n = 198) declared thatsnake antivenoms should be used as half wound edge / halfintramuscular (HWE / HI). The rate of IV use in snakeantivenoms was found to be 58.3% (n = 123) in EMSs, 54.0%(n = 115) in emergency medicine residents (EMR), and 32.6%(n = 61) in general practitioners (GP), while the rate of HWE /HI use in snake antivenoms was 39.6% (n = 74) in GPs, 31.3%(n = 66) in EMSs, and 27.2% (n = 58) in EMRs (p <0.001).DISCUSSION AND CONCLUSION: We report high rates ofmisuse of antivenoms, the primary treatment of venomoussnake bites, which is thought-provoking. This issue should beexamined in detail through both undergraduate andpostgraduate trainings.

Anahtar Kelime:

Türkiye’deki Acil Servislerde Çalışan Hekimlerin Yılan Isırıklarına Yaklaşımı

Öz:

GİRİŞ ve AMAÇ: Bu çalışmanın amacı, acil servis hekimlerinin yılan ısırıklarına karşı yaklaşımını değerlendirmektir. YÖNTEM ve GEREÇLER: Bu çalışma acil serviste çalışan hekimlerin demografik özellikleri, çalışma yerleri ve sürelerini, yılan ısırıkları ile karşılaşıp karşılaşmadıklarını, antivenom kullanıp kullanmadıkları, antivenom kullanma şekillerini, tedavi yaklaşımı ve deneyimlerini araştıran bir anketten oluşmaktadır. BULGULAR: Çalışmaya 611 hekim katıldı. Hekimlerin 71.4%’ü (n=436) daha önce yılan ısırığı hastasına müdahale ederken, bu oran 42.0 % (n=183) ile en fazla acil tıp uzmanlarında (ATU) idi (p<0.001). Hekimlerin 48.9%’u (n=299) yılan antivenomlarının intravenöz (IV), 32.4%’ü (n=198) ise yarısı yara kenarına/yarısı intramusküler (YYK/YİM) olarak kullanılması gerektiğini belirtmişlerdir. Yılan antivenomlarının İV kullanılması oranı, ATU’larda 58.3% (n=123), Acil Tıp Asistanlarında (ATA) 54.0% (n=115) ve pratisyen Hekimlerde (PH)ise 32.6% (n=61) iken YYK/YİM kullanım oranı, PH’ler de 39.6% (n=74), ATU’lar da 31.3% (n=66) ve ATA’lar da ise 27.2% (n=58) olarak bulunmuştur (p<0.001). TARTIŞMA ve SONUÇ: Bu çalışmada acil servislerde, zehirli yılan ısırıklarının primer tedavisi olan antivenomların yüksek oranda yanlış kullanıldığı saptandı. Bu yüzden hem mezuniyet öncesi hem de mezuniyet sonrası eğitimler ile bu konuların yeniden ve ayrıntılı olarak irdelenmesi gerekmektedir.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	YÜKSEL M, Eryiğit V, ERİMŞAH M, karaaslan u, Büyükyılmaz T, Ersan E (2020). The Attitudes of Emergency Physicians in Turkey Towards The Snakebites. , 76 - 82.
Chicago	YÜKSEL Melih,Eryiğit Veysi,ERİMŞAH Mehmet Emre,karaaslan ulaş,Büyükyılmaz Tunç,Ersan Eylem The Attitudes of Emergency Physicians in Turkey Towards The Snakebites. (2020): 76 - 82.
MLA	YÜKSEL Melih,Eryiğit Veysi,ERİMŞAH Mehmet Emre,karaaslan ulaş,Büyükyılmaz Tunç,Ersan Eylem The Attitudes of Emergency Physicians in Turkey Towards The Snakebites. , 2020, ss.76 - 82.
AMA	YÜKSEL M,Eryiğit V,ERİMŞAH M,karaaslan u,Büyükyılmaz T,Ersan E The Attitudes of Emergency Physicians in Turkey Towards The Snakebites. . 2020; 76 - 82.
Vancouver	YÜKSEL M,Eryiğit V,ERİMŞAH M,karaaslan u,Büyükyılmaz T,Ersan E The Attitudes of Emergency Physicians in Turkey Towards The Snakebites. . 2020; 76 - 82.
IEEE	YÜKSEL M,Eryiğit V,ERİMŞAH M,karaaslan u,Büyükyılmaz T,Ersan E "The Attitudes of Emergency Physicians in Turkey Towards The Snakebites." , ss.76 - 82, 2020.
ISNAD	YÜKSEL, Melih vd. "The Attitudes of Emergency Physicians in Turkey Towards The Snakebites". (2020), 76-82.

APA	YÜKSEL M, Eryiğit V, ERİMŞAH M, karaaslan u, Büyükyılmaz T, Ersan E (2020). The Attitudes of Emergency Physicians in Turkey Towards The Snakebites. Kocaeli Tıp Dergisi, 9(1), 76 - 82.
Chicago	YÜKSEL Melih,Eryiğit Veysi,ERİMŞAH Mehmet Emre,karaaslan ulaş,Büyükyılmaz Tunç,Ersan Eylem The Attitudes of Emergency Physicians in Turkey Towards The Snakebites. Kocaeli Tıp Dergisi 9, no.1 (2020): 76 - 82.
MLA	YÜKSEL Melih,Eryiğit Veysi,ERİMŞAH Mehmet Emre,karaaslan ulaş,Büyükyılmaz Tunç,Ersan Eylem The Attitudes of Emergency Physicians in Turkey Towards The Snakebites. Kocaeli Tıp Dergisi, vol.9, no.1, 2020, ss.76 - 82.
AMA	YÜKSEL M,Eryiğit V,ERİMŞAH M,karaaslan u,Büyükyılmaz T,Ersan E The Attitudes of Emergency Physicians in Turkey Towards The Snakebites. Kocaeli Tıp Dergisi. 2020; 9(1): 76 - 82.
Vancouver	YÜKSEL M,Eryiğit V,ERİMŞAH M,karaaslan u,Büyükyılmaz T,Ersan E The Attitudes of Emergency Physicians in Turkey Towards The Snakebites. Kocaeli Tıp Dergisi. 2020; 9(1): 76 - 82.
IEEE	YÜKSEL M,Eryiğit V,ERİMŞAH M,karaaslan u,Büyükyılmaz T,Ersan E "The Attitudes of Emergency Physicians in Turkey Towards The Snakebites." Kocaeli Tıp Dergisi, 9, ss.76 - 82, 2020.
ISNAD	YÜKSEL, Melih vd. "The Attitudes of Emergency Physicians in Turkey Towards The Snakebites". Kocaeli Tıp Dergisi 9/1 (2020), 76-82.