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    Analysis of Patients Injured During the Local Elections in Sanliurfa Province
    (Elsevier Science Bv, 2012) Gokdemir, Mehmet Tahir; Sogut, Ozgur; Erdogan, Mehmet Ozgur; Kaya, Halil; Sayhan, Mustafa Burak; Karasu, Mehmet
    Objectives Criminal cases constitute a significant part of the patients referred to the emergency department. In this study, we aimed to analysis the cases who admitted to our emergency department resulted in judicial incidents due to the local elections in the surrounding of Sanliurfa. Methods Cases referred to the Emergency Department due to injuries obtained during the local elections held on March 29, 2009 were included in the study. Computer records, hospital treatment order books, judicial records, and autopsy reports were examined. Results In total, 126 people injured during the local elections between March 29, 2009 and March 30, 2009 were referred to the Emergency Department of the Education and Research Hospital, Sanliurfa. The Hospital Disaster Plan was activated, and triage was performed. Of the 126 patients, 119 (94.4%) were male, and 7 (5.6%) were female; the average age was 37 years. The most frequent cause of injury was beating, and deaths were mostly due to cranial trauma caused by firearm injuries. After first evaluation and treatment in the emergency department, of the 98 (77.7%) were discharged, 28 (22.3%) were hospitalized, and 6 died. Conclusions In the present study, our objective was to draw attention to the criminal incidents resulted from mass casualities in the districts of Sanliurfa and its villages and management of those cases in our emergency department.
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    Cardiac Rupture Due to Fall: a Case Report
    (Aves, 2012) Gokdemir, Mehmet Tahir; Karasu, Mehmet; Sayhan, Mustafa Burak; Kavalci, Cemil; Sogut, Ozgur
    Falls commonly seen in all age groups are important causes of morbidity and mortality. Traumatic cardiac rupture due to falls is rarely seen. A three-year-old boy was admitted to our emergency department in shock with 112 ambulance. The child had fallen from a height of 20 meters. Death was seen as a result of the rupture of the right ventricle at the autopsy.
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    Early oxidative status in adult patients with isolated traumatic brain injury
    (Tubitak Scientific & Technological Research Council Turkey, 2012) Sogut, Ozgur; Kaya, Halil; Gokdemir, Mehmet Tahir; Solduk, Leyla; Dokuzoglu, Mehmet Akif; Sayhan, Mustafa Burak; Kaya, Atilhan
    Aim: To investigate oxidative and antioxidative status, as well as the Glasgow Coma Scale (GCS) and Revised Trauma Score (RTS), reflecting injury severity and neurological outcome during the early posttraumatic period in patients with isolated traumatic brain injury (TBI). Materials and methods: Fifty-one adult patients with TB! and 45 eligible healthy volunteers as control subjects were enrolled. Plasma total oxidant status (TOS), total antioxidant status (TAS), and the oxidative stress index (OSI) were calculated as biomarkers of early oxidative changes in serum using a novel automated method. Results: TOS levels and OSI values were significantly higher in nonsurvivors compared with those in survivors. However, there was no significant difference in TAS levels between survivors and nonsurvivors. GCS and RTS showed negative correlations with TOS levels, but neither was significantly related to OSI levels. Furthermore, GCS scores were negatively correlated with TAS levels, whereas RTS scores were not significantly related to TAS levels. Conclusion: Patients with isolated TBI are exposed to potent oxidative stress. TOS, as an early oxidative stress biomarker, might reflect the severity of cerebral insult in those patients.
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    Homicide-suicide: a case report and rewiew of literature
    (Cumhuriyet Univ Tip Fak Psikiyatri Anabilim Dali, 2011) Sayhan, Mustafa Burak; Sogut, Ozgur; Gokdemir, Mehmet Tahir; Kara, Pinar Hanife; Bircan, Metin
    Homicide followed by suicide incident is described as an individual kills one or more other persons and subsequently committed suicide. In this paper, we aimed to present a case of self throat-cutting from an act of suicide after severed the head of his two daughters from their whole body by a sharp object, in view of the literature. (Anatolian Journal of Psychiatry 2011; 12:312-314)
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    Isolated Transverse Sacrum Fracture: A Case Report
    (Hindawi Ltd, 2011) Kavalci, Cemil; Akdur, Gokhan; Sayhan, Mustafa Burak; Sogut, Ozgur; Gokdemir, Mehmet Tahir
    Sacral fracture commonly results from high-energy trauma. Most insufficiency fractures of the sacrum are seen in women after the age of 70. Fractures of the sacrum are rare and generally combined with a concomitant pelvic fracture. Transverse sacral fractures are even less frequent which constitute only 3-5% of all sacral fractures. This type of fractures provide a diagnostic challenge. We report a unique case of isolated transverse fracture of sacrum in a young man sustained low-energy trauma. The patient presented to our emergency department after several hours of injury, and diagnosed by clinical features and roentgenogram findings.
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    Skull Base Osteomyelitis in the Emergency Department: A Case Report
    (Hindawi Ltd, 2011) Sayhan, Mustafa Burak; Kavalci, Cemil; Sogut, Ozgur; Sezenler, Eylem
    Skull base osteomyelitis (SBO) is a rare clinical presentation and usually occurs as a complication of trauma or sinusitis. A 5-year-old child presented to the emergency department with a three-week history of fever associated with drowsiness and left parietal headache, and a week's history of swelling on the left frontoparietal soft tissue. He had suffered a penetrating scalp injury four month ago. On physical examination, there was a tender swelling with purulent stream on the lateral half of his scalp. His vital signs are within normal limits. Plain X-ray of the skull showed a lytic lesion on the left frontoparietal bone. A cranial computed tomography (CT) scan demonstrated a large subgaleal abscess at the left frontoparietal region. SBO possesses a high morbidity and mortality; therefore, prompt diagnosis and appropriate treatment are mandatory to prevent further complications and to reduce morbidity and mortality significantly.