Acil Servis Hekimlerinin Omuz Dislokasyonu ve Redüksiyonu Hakkındaki Bilgi Düzeylerinin Belirlenmesi
Öz
Amaç: Omuz eklemi vücudun en aktif, hareketli ve en fazla çıkıkla karşılaşılan eklemi olması nedeniyle omuz dislokasyonları, acil servislere sık başvuru tanılarından biridir. Çalışmamızda; acil servis hekimlerinin omuz dislokasyonunu tanıma, omuz redüksiyonu, hangi tekniği tercih ettikleri ve omuz dislokasyonunun tedavi süreci hakkındaki bilgi düzeylerinin belirlenmesi amaçlanmıştır.
Gereç ve Yöntemler: Çalışmamız Eylül 2021-Aralık 2021 tarihleri arasında acil servislerde çalışan asistan hekim, uzman hekim ve eğitim görevlilerinin katılması amaçlanan bir anket çalışmasıdır. Demografik özellikler, eğitim durumlarını sorgulayıcı ve omuz dislokasyonu ve redüksiyonu ile ilgili teorik ve pratik bilgilerini ölçen çoktan seçmeli anket yöneltilmiştir. İstatistiksel analizler IBM SPSS for Windows 16.0 programı ile gerçekleştirilmiştir ve istatistiksel anlamlılık için p <0,05 düzeyi kullanılmıştır.
Bulgular: Çalışmamıza toplam 205 hekim katıldı. Katılımcı dağılımı 133 asistan hekim, 66 uzman hekim ve 6 eğitim görevlisi şeklindedir. Verilen yanıtlara göre katılımcıların çoğunluğunun omuz dislokasyonu ve redüksiyonu ile ilgili eğitim aldıkları görülmüştür. Eğitim alanların, acil serviste çalışma süresi daha uzun olanların ayrıca uzman hekim ve eğitim görevlilerinin asistan hekimlere göre omuz dislokasyonu ve redüksiyonu konusunda daha başarılı ve bilgili oldukları görüldü.
Sonuç: Acil serviste çalışan asistan hekimlerin; uzman hekim ve eğitim görevlilerine kıyasla omuz dislokasyonu ve redüksiyonu hakkında teorik bilgi düzeylerinin yeterli düzeyde olmadığı tespit edildi. Omuz dislokasyonu ile karşılaşmaları muhtemel acil servis asistan hekimlerinin bu durumu, gelecek eğitim süreçlerinde göz önünde bulundurulmalı; teorik ve pratik eğitimler, kurslar planlanmalıdır.
Anahtar Kelimeler
Kaynakça
- Owens BD, Duffey ML, Nelson BJ, DeBerardino TM, Taylor DC, Mountcastle SB. The incidence and characteristics of shoulder instability at the United States Military Academy. Am J Sports Med 2007;35(7):1168-73.
- Lippitt S, Matsen F. Mechanisms of glenohumeral joint stability. Clinical Orthopaedics and Related Research 1993; 291:20-28.
- Kazár B, Relovszky E. Prognosis of primary dislocation of the shoulder. Acta Orthop Scand. 1969;40(2):216-24.
- Hayashi M, Tanizaki S, Nishida N, Shigemi R, Nishiyama C, Tanaka J, et al. Success rate of anterior shoulder dislocation reduction by emergency physicians: a retrospective cohort study. Acute Med Surg 2022;9(1):e751.
- Zacchilli MA, Owens BD. Epidemiology of shoulder dislocations presenting to emergency departments in the United States. J Bone Joint Surg Am 2010;92(3):542-9.
- Baden DN, Roetman MH, Boeije T, Mullaart-Jansen N, Burg MD. A Survey of Emergency Providers Regarding the Current Management of Anterior Shoulder Dislocations. J Emerg Trauma Shock 2020;13(1):68-72.
- Schuur D, Baden D, Roetman M, Boeije T, Burg M, Mullaart-Jansen N. Which factors influence the ED length-of-stay after anterior shoulder dislocations: a retrospective chart review in 716 cases. BMC Emerg Med 2020;20(1):41.
- Chong M, Karataglis D, Learmonth D. Survey of the management of acute traumatic first-time anterior shoulder dislocation among trauma clinicians in the UK. Ann R Coll Surg Engl 2006;88(5):454-8.
- Berendes TD, Pilot P, Nagels J, Vochteloo AJ, Nelissen RG. Survey on the management of acute first-time anterior shoulder dislocation amongst Dutch public hospitals. Arch Orthop Trauma Surg 2015;135(4):447-54.
- Te Slaa RL, Wijffels MP, Marti RK. Questionnaire reveals variations in the management of acute first time shoulder dislocations in the Netherlands. Eur J Emerg Med 2003;10(1):58-61.
- Gottlieb M, Holladay D, Peksa GD. Point-of-care ultrasound for the diagnosis of shoulder dislocation: A systematic review and meta-analysis. Am J Emerg Med 2019;37(4):757-761.
- Shuster M, Abu-Laban RB, Boyd J. Prereduction radiographs in clinically evident anterior shoulder dislocation. Am J Emerg Med 1999;17(7):653-8.
- Roberts J, Hedges J. Clinical procedures in emergency medicine, 2nd ed. Philadelphia: W. B. Saunders; 1991. 764 pp.
- Kiviluoto O, Pasila M, Jaroma H, Sundholm A. Immobilization after primary dislocation of the shoulder. Acta Orthop Scand 1980;51(6):915-9.
Öz
Aim: Since the shoulder joint is the most active, mobile, and dislocated joint in the body, shoulder dislocations are one of the common admitting diagnoses in emergency departments. Our study aimed to determine the level of knowledge of emergency physicians about recognizing shoulder dislocation, shoulder reduction, the technique of choice, and the treatment process of shoulder dislocation.
Material and Methods: This is a questionnaire-based study in which it was aimed to enroll emergency residents, specialists, and academicians working in emergency departments between September 2021 and December 2021. The participants were surveyed with a multiple-choice questionnaire to determine their demographic characteristics and educational state as well as to rate their theoretical and practical knowledge of shoulder dislocation and reduction. The statistical analyses were performed using IBM SPSS for Windows 16.0 software package, and p<0.05 was accepted as statistically significant.
Results: A total of 205 physicians participated in our study. The participants consisted of 133 residents, 66 specialists, and 6 academicians. According to the answers to the questionnaire, it was found that a majority of the participants had training on shoulder dislocation and reduction. It was found that those who received training, who had worked in emergency department for a longer time, and additionally, as compared with the residents, the specialists and academicians were more successful with and had a greater knowledge of shoulder dislocation and reduction.
Conclusion: It was found that, as compared with the specialists and academicians, the residents working in emergency department had an insufficient level of theoretical knowledge of shoulder dislocation and reduction. This fact about emergency department residents, who are likely to encounter shoulder dislocation, should be taken into consideration in their future training processes, and theoretical and practical trainings and courses should be planned.
Anahtar Kelimeler
Shoulder dislocation reduction emergency department level of knowledge
Kaynakça
- Owens BD, Duffey ML, Nelson BJ, DeBerardino TM, Taylor DC, Mountcastle SB. The incidence and characteristics of shoulder instability at the United States Military Academy. Am J Sports Med 2007;35(7):1168-73.
- Lippitt S, Matsen F. Mechanisms of glenohumeral joint stability. Clinical Orthopaedics and Related Research 1993; 291:20-28.
- Kazár B, Relovszky E. Prognosis of primary dislocation of the shoulder. Acta Orthop Scand. 1969;40(2):216-24.
- Hayashi M, Tanizaki S, Nishida N, Shigemi R, Nishiyama C, Tanaka J, et al. Success rate of anterior shoulder dislocation reduction by emergency physicians: a retrospective cohort study. Acute Med Surg 2022;9(1):e751.
- Zacchilli MA, Owens BD. Epidemiology of shoulder dislocations presenting to emergency departments in the United States. J Bone Joint Surg Am 2010;92(3):542-9.
- Baden DN, Roetman MH, Boeije T, Mullaart-Jansen N, Burg MD. A Survey of Emergency Providers Regarding the Current Management of Anterior Shoulder Dislocations. J Emerg Trauma Shock 2020;13(1):68-72.
- Schuur D, Baden D, Roetman M, Boeije T, Burg M, Mullaart-Jansen N. Which factors influence the ED length-of-stay after anterior shoulder dislocations: a retrospective chart review in 716 cases. BMC Emerg Med 2020;20(1):41.
- Chong M, Karataglis D, Learmonth D. Survey of the management of acute traumatic first-time anterior shoulder dislocation among trauma clinicians in the UK. Ann R Coll Surg Engl 2006;88(5):454-8.
- Berendes TD, Pilot P, Nagels J, Vochteloo AJ, Nelissen RG. Survey on the management of acute first-time anterior shoulder dislocation amongst Dutch public hospitals. Arch Orthop Trauma Surg 2015;135(4):447-54.
- Te Slaa RL, Wijffels MP, Marti RK. Questionnaire reveals variations in the management of acute first time shoulder dislocations in the Netherlands. Eur J Emerg Med 2003;10(1):58-61.
- Gottlieb M, Holladay D, Peksa GD. Point-of-care ultrasound for the diagnosis of shoulder dislocation: A systematic review and meta-analysis. Am J Emerg Med 2019;37(4):757-761.
- Shuster M, Abu-Laban RB, Boyd J. Prereduction radiographs in clinically evident anterior shoulder dislocation. Am J Emerg Med 1999;17(7):653-8.
- Roberts J, Hedges J. Clinical procedures in emergency medicine, 2nd ed. Philadelphia: W. B. Saunders; 1991. 764 pp.
- Kiviluoto O, Pasila M, Jaroma H, Sundholm A. Immobilization after primary dislocation of the shoulder. Acta Orthop Scand 1980;51(6):915-9.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Klinik Tıp Bilimleri |
| Bölüm | Orijinal Çalışma |
| Yazarlar | |
| Yayımlanma Tarihi | 30 Eylül 2023 |
| Yayımlandığı Sayı | Yıl 2023 Cilt: 6 Sayı: 3 |
