Forensic Cases in Pediatric Emergency Department: A Single Center Experience
    PDF
    Cite
    Share
    Request
    Research Article
    P: 7-10
    April 2022

    Forensic Cases in Pediatric Emergency Department: A Single Center Experience

    J Pediatr Emerg Intensive Care Med 2022;9(1):7-10
    1. Kayseri Şehir Hastanesi, Çocuk Acil Kliniği, Kayseri, Türkiye
    No information available.
    No information available
    Received Date: 16.07.2020
    Accepted Date: 22.02.2021
    Publish Date: 29.03.2022
    PDF
    Cite
    Share
    Request

    ABSTRACT

    Introduction:

    Forensic cases occurring in childhood are among the most preventable health problems worldwide. It is important to identify forensic cases in the region we live in, in order to take appropriate prevention. The aim of this study was to evaluate the demographic and epidemiologic non-traumatic major forensic cases admitted to the pediatric emergency department retrospectively and to determine the accurate and rapid management.

    Methods:

    Data of 1.270 children under the age of 18 years, who were admitted to Kayseri City Hospital, Pediatric Emergency Clinic from January 2019 to December 2019, were analyzed retrospectively.

    Results:

    Of the children who were admitted to pediatric emergency department as forensic cases, 50.9% were girls and 49.1% were boys. Their mean age was 7.45±6.15 years. The most common diagnosis was intoxication. This was followed by narcotic cases, foreign body aspiration cases, psychiatric cases, cardiopulmonary arrest cases, and other cases. Considering the seasonal distribution of these cases, the most frequent application was in the spring and the least application was in the autumn. Considering the age distribution of these cases, it is seen that the highest rate was between the ages of 11 and 18 years and the lowest rate was between the ages of 6 and 10 years.

    Conclusion:

    Accidents and intoxication cases are the leading causes of preventable death in our country and also all over the world. In order to reduce such incidents, necessary arrangements should be made for the safety of children and their homes, and appropriate safety tools should be used when necessary to ensure safety. Regular trainings should be provided to children and parents within the framework of injury prevention programs by educators and healthcare professionals.

    Keywords: Pediatric emergency, forensic cases, intoxication

    References

    1
    Çınar O, Acar YA, Çevik E, Kılıç E, Bilgiç S, ve ark. Acil servise başvuran 0-18 yaş grubu adli olguların özellikleri. Anatol J Clin Investig. 2010;4:148-51.
    2
    Büken E, Yaşar ZF. Başkent Üniversitesi Ankara Hastanesi Acil Servisine Başvuran Adli Nitelikteki Çocuk Olguların Değerlendirilmesi. Adli Tıp Bülteni. 2015;20:93-8.
    3
    Özaslan A, Kolusayın Ö. Hekimin Yasal Sorumlulukları. Adli Tıp Ders Kitabı. Cerrahpaşa Tıp Fakültesi Yayınları, İstanbul, 2011;13-40.
    4
    Türkiye İstatistik Kurumu Haber Bülteni. İstatistiklerle Çocuk, 2015:21521.
    5
    National Center for Injury Prevention and Control.CDC 24/7 Ten leading causes death and injury. Available from: http://www.cdc.gov/injury/wisqars/leadingcauses.html
    6
    Murphy SL, Xu J, Kochanek KD. Deaths: final data for 2010. Natl Vital Stat Rep. 2013;61:1-117.
    7
    Türkmen N, Akgöz S, Çoltu A, Ergin N. Uludağ Üniversitesi Tıp Fakültesi acil servisine başvuran adli olguların değerlendirilmesi. Uludağ Üniversitesi Tıp Fakültesi Dergisi. 2005;31:25-9.
    8
    Korkmaz T, Erkol Z, Kahramansoy N. Acil Servise Gelen Pediatrik Adli Olguların Değerlendirilmesi: Retrospektif Bir Çalışma. Med Bull Haseki. 2014;52:271-7.
    9
    Yazar A, Akın F, Türe E, Odabaş D. Çocuk Acil Kliniğine Başvuran Adli Vakaların Değerlendirilmesi. Dicle Tıp Dergisi. 2017;44:345-53.
    10
    Özdemir AA, Elgörmüş Y, Çağ Y. Acil Servise Gelen Adli Nitelikli Çocuk Olguların Değerlendirilmesi. Int J Basic Clin Med. 2016;4:1-8.
    11
    Sever M, Saz EU, Koşargelir M. Bir üçüncü basamak hastane acil servisine başvuran adli nitelikli çocuk hastalarin değerlendirilmesi [An evaluation of the pediatric medico-legal admissions to a tertiary hospital emergency department]. Ulus Travma Acil Cerrahi Derg. 2010;16:260-7. 
    12
    Andıran N, Sarıkaya F. Hacettepe Üniversitesi İhsan Doğramacı Çocuk Hastanesinde son 6 yılda izlenen akut zehirlenme vakaları. Katkı Pediatri Dergisi. 2001;22:396-408.
    13
    Borse N, Sleet DA. CDC Childhood Injury Report: Patterns of Unintentional Injuries Among 0- to 19-Year Olds in the United States, 2000-2006. Fam Community Health. 2009;32:189.
    14
    Aygin D, Açıl H. The study of the intoxication cases of the patients (0-18 years) admitting to pediatric emergency unit.The Medical Bulletin of Şişli Etfal Hospital. 2014;48:27-33.
    15
    Bükülmez A, Tahta E, Şen TA, Alpay F. Evaluation of patients withintoxication admitted to the pediatric emergency service. Kocatepe Tıp Dergisi. 2013;14:11-6.
    16
    Turkish Statistics Institute Newsletter. Child in Statistics,2016. 2017: Number: 2464.
    17
    Pediatric emergency medicine services in Turkey and World: Current status and Suggestions Study Reports. Çocuk Acil Tıp ve Yoğun Bakım Derneği 2008. Available from: http://www.cayd.org.tr/ tr/raporlar/4. Accessed Online at 9 June2018.
    18
    Ünlü G, Aksoy Z, Ersan EE. Evaluation of children and youth attempting suicide. Pam Tıp Derg. 2014;7:176-83.
    19
    Toklucu MÖ, Akova S, Aydoğdu S, Yazar AS, Kul M. 2010 Demographic features of suicide attempt cases applied to Umraniye Education and Research Hospital Pediatric Emergency Department between 2010 and 2012. JOPP Derg. 2012;4:119-23.
    20
    Arroyo A, Rodrigo C, Marrón MT. Evaluación toxicológica del menor [Toxicological evaluation in the childhood]. Med Clin (Barc). 2014;142 (Suppl 2):43-6.
    21
    Özenir M, Selçuk Duru NS, Elevli M, Karakuş A, Çiviliba M. İlaç Zehirlenmesi Olan Çocuklarda Demografik Özellikler ve Ailesel Etkenlerin Değerlendirilmesi. Haseki Tıp Bülteni. DOI: 10.4274/Haseki.1165.
    22
    Lemberg PS, Darrow DH, Holinger LD. Aerodigestive tract foreign bodies in the older child and adolescent. Ann Otol Rhinol Laryngol. 1996;105:267-71. 
    23
    Carluccio F, Romeo R. L’inalazione di corpi estranei: dati epidemiologici e considerazioni cliniche alla luce di una revisione statistica su 92 casi [Inhalation of foreign bodies: epidemiological data and clinical considerations in the light of a statistical review of 92 cases]. Acta Otorhinolaryngol Ital. 1997;17:45-51.
    2024 ©️ Galenos Publishing House