Ulus Travma Acil Cerrahi Derg. 2010; 16(3): 241-247

Occupational injuries admitted to the Emergency Department

Seda Özkan¹, Þebnem Kýlýç², Polat Durukan¹, Okhan Akdur¹, Alper Vardar¹, Sebahattin Geyik², Ýbrahim Ýkizceli^1
1Department Of Emergency Medicine, Erciyes University Medical School, Kayseri, Turkey
²Department Of Emergency Medicine, Toyota State Hospital, Adapazarý, Turkey

BACKGROUND
We aimed to identify the characteristics, causes and rates of injuries associated with occupational accidents.
METHODS
Patients who presented to the Emergency Department due to injuries occurring as a result of occupational accidents were determined retrospectively. In occupational injuries, several parameters were evaluated, such as gender, occurrence mechanism, injury type, injury localization, severity score of the injury, and the type of profession.
RESULTS
The number of occupational injury admissions in the Emergency Departments of our two centers during 2006 was 1038. Mean age of the cases was 31.6±9.6. The most common mechanism of injuries was determined to be caught-in-machinery, at 31.5%, followed by blunt object injury (21.5%), fall from height (18.9%), penetrating-sharp object injury (17%), ocular foreign body (3.9%), and others. Isolated extremity injuries (74.2%) were the most common injury site, followed by multiple bodily injuries (8.5%), facial injuries (5.5%) and head-neck injuries (4.6%). While 90% of cases were discharged after treatment in the Emergency Department, 7% were referred to various departments for hospitalization.
CONCLUSION
In the majority of cases, patients with injuries associated with occupational accidents presented to Emergency Departments. Observations in Emergency Departments may help reveal details of occupational injuries and prevent workplace-related accidents.

Keywords: Emergency Department, injury; occupational accidents; trauma; wounds and injuries.

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Acil servise gelen iþ kazalarýna baðlý yaralanmalar

Seda Özkan¹, Þebnem Kýlýç², Polat Durukan¹, Okhan Akdur¹, Alper Vardar¹, Sebahattin Geyik², Ýbrahim Ýkizceli^1
1Erciyes Üniversitesi Týp Fakültesi, Acil Týp Anabilim Dalý, Kayseri, Türkiye
²Toyota Hastanesi Acil Týp Kliniði, Adapazarý, Türkiye

AMAÇ
Çalýþmamýzda iþ kazalarýna baðlý yaralanmalarýn özelliklerini, nedenlerini ve sonuçlarýný tanýmlamayý amaçladýk.
GEREÇ VE YÖNTEM
Ýþ kazalarý sonucunda oluþan yaralanma ile acil servise gelen hastalar geriye yönelik olarak incelendi. Ýþ kazalarýna baðlý yaralanmalarda, cinsiyet, yaralanmanýn oluþ mekanizmasý, yaralanma tipi, yaralanmanýn olduðu yer, yaralanma þiddet skoru ve iþ tipi gibi parametreler deðerlendirildi.
BULGULAR
Her iki acil bölümüne 2006 yýlý boyunca gelen iþ kazasýna baðlý yaralanma sayýsý 1038 idi. Olgularýn yaþ ortalamasý 31,6±9,6 idi. En yaygýn görülen yaralanma mekanizmasý %31,5 ile vücuduna makinaya kaptýrma olarak saptandý. Bunu sýrasýyla %21,5 ile künt cisimle yaralanma, %18,9 ile yüksekten düþme, %17 ile delici kesici aletle yaralanma, %3,9 ile göze yabancý cisim kaçmasý ve diðerleri izledi. Ýzole ekstremite yaralanmasý (%74,2) en çok yaralanan vücut bölgesi idi. Bunu sýrasýyla çoklu vücut yaralanmasý (%8,5), yüz yaralanmalarý (%5,5), baþ-boyun yaralanmalarý (%4,6) izledi. Olgularýn %90’ý acil serviste tedavisi yapýldýktan sonra taburcu edilirken, %7’si deðiþik bölümlere yatýrýldý.
SONUÇ
Ýþ kazalarýna baðlý yaralanmalarýn büyük kýsmý acil servislerde deðerlendirilmektedir. Acil servislerdeki gözlemler, iþ yeri ile iliþkili kazalarýn önlenmesinde ve iþ kazalarýna baðlý yaralanmalarýn özelliklerinin tanýmlanmasýnda yardýmcý olabilir.

Anahtar Kelimeler: Acil servis, yaralanma; iþ kazalarý; travma; yaralar ve yaralanmalar.

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