Ulus Travma Acil Cerrahi Derg. 2020; 26(1): 74-79 | DOI: 10.14744/tjtes.2019.08949

Bir eðitim ve araþtýrma hastanesi acil servisine baþvuran ateþli silah yaralanmasý olgularýnýn incelenmesi

Orhan Meral¹, Caner Saðlam², Birdal Güllüpýnar², Özlem Ezgi Aktürk², Serdar Beden², Ýsmet Parlak^3
1Saðlýk Bilimleri Üniversitesi Ýzmir Bozyaka Eðitim ve Araþtýrma Hastanesi, Adli Týp Kliniði, Ýzmir
²Saðlýk Bilimleri Üniversitesi Ýzmir Bozyaka Eðitim ve Araþtýrma Hastanesi, Acil Týp Kliniði, Ýzmir
³Aksaray Üniversitesi Eðitim ve Araþtýrma Hastanesi, Acil Týp Kliniði, Aksaray

AMAÇ: Ateþli silah yaralanmalarý, ciddi morbidite ve mortaliteye neden olan ve acil týp ve adli týp ile ilgili kriminal olaylardýr. Çalýþmamýzýn amacý, ateþli silah yaralanmalarý nedeniyle acil servislere baþvuran olgularýn yara özelliklerini deðerlendirmektir.
GEREÇ VE YÖNTEM: Saðlýk Bilimleri Üniversitesi Ýzmir Bozyaka Eðitim ve Araþtýrma Hastanesi Acil Servisi’ne ateþli silah yaralanmasý nedeniyle baþvuran 18 yaþ ve üzeri 213 olgu çalýþmaya alýndý.
BULGULAR: Ýncelenen 213 olgunun 182’si (%85.4) erkekti. Olgularýn yaþlarý 18–78 yaþ arasý deðiþmekte olup yaþ ortalamasý 33.2±12.6 olarak bulundu. Yaralanmalarýn en sýk Nisan (n=28, %13.2) ve Mayýs (n=25, %11.6) aylarýnda meydana geldiði tespit edildi. Ýki yüz on üç olgunun 194’ünün (%91.1) hastanedeki tedavileri tamamlandýktan sonra taburcu edildiði, 19 olgunun (%8.9) ise tüm giriþimlere raðmen öldüðü belirlendi.
TARTIÞMA: Çalýþmamýz Türkiye’deki ateþli silah yaralanma patern ve sonuçlarý hakkýnda önemli bir kesit sunmakta, ancak bölgesel veriler içermektedir. Bu konuda ülke genelini kapsayan çok merkezli ve multidisipliner çalýþmalarýn literatüre ciddi katkýda bulunacaðý düþünülmektedir.

Anahtar Kelimeler: Acil servis, ateþli silah yaralanmasý, morbidite; mortalite.

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Investigation of firearm injury cases presented to training and research hospital’s emergency service

Orhan Meral¹, Caner Saðlam², Birdal Güllüpýnar², Özlem Ezgi Aktürk², Serdar Beden², Ýsmet Parlak^3
1Department of Forensic Medicine, University of Health Sciences Ýzmir Bozyaka Training and Research Hospital, Ýzmir-Turkey
²Department of Emergency Medicine, University of Health Sciences Ýzmir Bozyaka Training and Research Hospital, Ýzmir-Turkey
³Department of Emergency Medicine, Aksaray University Training and Research Hospital, Aksaray-Turkey

BACKGROUND: Firearm injuries are criminal events that may cause severe morbidity and mortality and concerned with Emergency Medicine and Forensic Medicine. The present study aims to evaluate the wound characteristics of the cases who presented to emergency services due to firearm injuries.
METHODS: In this study, 213 patients who were 18 years of age or older who applied to the Saðlýk Bilimleri University Bozyaka Training and Research Hospital Emergency Service with gunshot injury were included.
RESULTS: Of the 213 cases examined, 182 (85.4%) were male. The ages of the cases ranged from 18 to 78 years, and the mean age was found as 33.2±12.6. The most common months were April (n=28, 13.2%) and May (n=25, 11.6%). The findings showed that 194 (91.1%) of 213 patients were discharged after completing the treatment in the hospital, and 19 patients (8.9%) died despite all interventions.
CONCLUSION: Our study presents an important cross-section of the gunshot injury patterns and their consequences in Turkey, but it contains regional data. In this regard, multicentre and multidisciplinary studies covering the country, in general, are considered to be a significant contribution to the literature.

Keywords: Emergency, firearm injury, morbidity; mortality.

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