Özet:

In patients who apply for emergency service with awareness change, both time management and proper diagnosis are very important for survival. Early diagnosis and intervention of intrakranial hematoma developing in patients with traumatic brain damage is essential for successful treatment. Therefore, in our work, we aimed to investigate the detection of intrakranial bleeding of the infrascanner device, which is noninvasive iv and a fast method. From 1 March to 8 April 2010, 38 patients were included in the study with a complaint of awareness change to the emergency service of our hospital. Patients were investigated by emergency medical assistants who were trained for the use of the device at the time they applied for emergency service in terms of bleeding with the infrascanner device. 20 of the patients (52.6%) were male and 18 (47.4%) female. The average age is 51. 8±23.2, the glaskow coma scale (GKS) was 10.6 (15-3) The time spent to evaluate patients with an infrascanner in emergency service was an average of 5.2 (0.5-45) hours from the moment of the incident, while the time spent to evaluate with computer tomography (BT) was an average of 6.3 (1-47) hours. In 22 (57.9 percent) of the patient’s brain’s intestines there was no bleeding, while in 16 (42.1 percent) there was no bleeding. Infrascanner assessment also found positive values in 24 patients (63.2 percent) and 14 patients (36.8 percent). In the detection of intrakranial bleeding of the infrascaner, the sensitivity was 63.6%, the specificity was 100%, the positive predictive value was 100%, and the negative predictive value was 66.7%. Infrascanner is shown to provide useful clinical information in the identification of patients in need of advanced visualization methods, in addition to symptoms and neurological examination. The high detected specificity value shows the need for patients diagnosed with infrascanner and bleeding to be assessed by advanced examination.