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Aim: Gastrointestinal (GI) bleeding is the most common reason for admission to the emergency department, and, despite technological advances, mortality is still high. The aim of our study was to evaluate the relationship between endoscopic findings and D-Dimer in patients presenting with suspected upper GI bleeding. Materials and Methods: This retrospective, cross-sectional descriptive study included all patients who met the inclusion criteria for patients with GI bleeding who applied to the Department of Emergency Medicine between August 15, 201 6 and February 15, 2017. Demographic characteristics, history, D-dimer and endoscopy were evaluated. Significance was evaluated at p 0.05). No statistical difference was found between D-Dimer mean values and limit values and the stages according to Forrest classification (p>0.05). Discussion: In the study, there was no relationship between the endoscopic findings (Forrest classification stage I, II, III) and the increased D-Dimer levels. WOS:000731629800018

The Osborn wave which is also known asthe J wave in electrocardiogram (ECG) is most commonly detected in the caseswith hypothermia. Furthermore, this wave may develop as secondary to manyconditions such as hypercalcemia, hypoglycemia, brain damage, ischemic heartdisease. The Osborn wave disappears when the underlying cause is recovered. Asis known, alcohol is a substance made of ethyl alcohol which may cause severecardiac problems such as cardiomyopathy, cardiac arrhythmia and cardiac arrestIn the present case report, we wanted to address the association of a typicalOsborn wave with high blood level of alcohol by presenting two cases whomOsborn wave was detected after cardiac arrest and hypothermia developedsecondary to high alcohol level in the blood; and discuss the association betweenOsborn wave and high blood levels of alcohol.

Etilen oksit renksiz, yanıcı, patlayıcı ve hafif bir kokuya sahip, havadan biraz daha ağır olan zehirli bir gazdır. Sağlık sektöründe malzemelerin sterilizasyonu ve ilaç sektöründe sterilizasyon amaçları için kullanılır. 7 kadın ve 1 erkek olmak üzere sekiz hasta, bir şirketin sterilizasyon ünitesinde etilen oksit gazı sızıntısından sonra acil kliniğimize başvurdu. Hastaların yaş ortalaması 28 (en az 19, en çok 53) idi. Acil servisteki hastaların muayenesinde özellik saptanmadı. Hastaların laboratuvar bulgularında özellik yoktu. Hastalar acil serviste tedavi ederken acil servisten kendi istekleri ile taburcu edildi. Üç gün sonra ise hastaların üçü bulantı ve kusma şikayeti ile tekrar acil servise başvurdu. Tekrarlanan kan analizlerinde herhangi bir patolojik bulgu saptanmadı. Hidrasyon amaçlı serum fizyolojik uygulaması yapıldı ve 4 mg ondanstaron uygulandı. Hastalar şikayetlerin düzelmesi üzerine taburcu edildi. Bu çalışmanın amacı,sterilizasyon ünitelerinde yaygın olarak kullanılan etilen oksit ile olası zehirlenmelerin izlenmesini ve tedavisini sunmaktır., Ethylene oxide is a colorless,inflammable, explosive and toxic gas with a slight odor which is slightly heavierthan air. Ethylene oxide has beendiscovered in 1859; bacteriocyte characteristics was discovered in World War 2. Ethylene oxide has beenused for sterilization since 1960 (1). It is also used for sterilization of thematerials in healthcare sector and for sterilization purposes in pharmaceuticalsector etc. Eight patients including 7 females and 1 male referred to ouremergency clinic after ethylene oxide gas leak in sterilization unit of acompany. Age average of the patients was 28 (min: 19, max:53) years. Inspectionof the patients in the emergency service was nonspecific. Blood analyses of thepatients were also nonspecific. The patients were discharged from emergencyservice by their own request while they were treated in the emergency service. Threepatients then referred because of nausea and vomiting 3 days after. Bloodanalyses performed again were also nonspecific. Physiological saline wasadministrated for hydration and 4 mg of ondanstarone was administrated; thepatients were discharged upon recovery of the complaints. The aim of thepresent study was to present monitoring and treatment of possible intoxicationby ethylene oxide which is commonly used in sterilization units.