Pneumomediastinum due to excessive cheering during a football match Abdullah Önür, Emre Sanci Turkish Journal of Emergency Medicine, 2026 A 19-year-old female presented to the emergency department with the sudden onset of chest pain. The patient had a complaint after cheering for her team during a football match. Initial blood workup and imaging were normal. However, before discharge, a widespread crepitation in the neck was detected during re-examination. Further imaging revealed a pneumomediastinum, and the patient was admitted to the hospital. This case emphasizes the importance of follow-up and re-examination before discharging the patients.
Comparative analysis of emergency department admissions: A multi-center study on patient characteristics and mortality before and during the early phase of pandemic in Turkey Emre Şanci, Başak Bayram, Ahmet Naci Emecen, Asim Enes Özbek, Emrah Çelik, Onursal Varlikli, Şenol Ergüney, Alper Akin Gözübüyük, Hüseyin Cahit Halhalli Medicine United States, 2025 The effect of the global healthcare events makes its initial impact to the emergency departments. As the vanguards of healthcare system emergency departments had handled the surge while undergoing physical changes to manage ongoing crisis. Therefore, for the preparation of further global events, admission rates and emergency department utilization of the pandemic requires further investigation. The aim of this study was to analyze the admissions in a multi-center scale and compare ICD codes and crude mortality rates during the early COVID-19 pandemic period and compare this data to the previous year of the outbreak. This was a multi-center study of 10 hospitals; including 2 tertiary and 8 secondary healthcare institutions. This study comparatively analyzed ED admissions between during pandemic and pre-pandemic periods. A total of 8,38,502 admissions were included in the study (5,72,443 vs 2,66,059; pre pandemic period vs during pandemic period, respectively). There was a significant difference between age, gender, ED waiting time, triage color, and hospitalization rates (P < .001) between 2 periods. Comparison of admission international statistical classification of diseases and related health problems 10th revision codes were significantly different between pre-pandemic and pandemic periods for trauma, cardiovascular, neurology, and respiratory codes (P < .001, P < .001, P < .001, P = .024, respectively). The findings of this study suggest that a pandemic affects many mechanisms in the emergency healthcare systems. This influence might have affected the ED admission rates, hospital admission rates, and mortality rates.
Comparison of Standard Method and Triple Airway Maneuver on LMA Insertion Times in Prehospital Cardiac Arrest Simulation Ahmet Emir Sarı, Asım Enes Özbek, Emre Şancı, Hüseyin Cahit Halhallı, Merve Akın Özdemir, Akin Güllü, Erdem Aydin, Burhan Pehlivan, Hakan Özerol Prehospital Emergency Care, 2025 OBJECTIVES In this study, we hypothesized that in prehospital ambulance environments, the use of the triple airway maneuver-which facilitates airway patency in the mannequin-may allow for faster and easier placement of the Laryngeal Mask Airway (LMA). This study aimed to evaluate the effect of the triple airway maneuver on the LMA insertion times of paramedics with and without chest compression. METHODS This study was designed as a randomized, prospective, crossover simulated manikin study. Paramedics who were working in the Prehospital Command and Control Center were informed about the study. A randomized, crossover study design was used to reduce the learning curve of the participants. For each participant, four scenarios were created in a randomized order: 1) standard method with chest compressions, 2) triple airway maneuver with chest compressions, 3) standard method without chest compressions, and 4) triple airway maneuver without chest compressions. The study was carried out in a moving ambulance in an empty area. The standard method was defined as passive manual support of the head from below. For the triple airway maneuver, an emergency medicine specialist served as the second operator. The LMA application time was defined as the time until the LMA was held, and effective ventilation was provided. The primary outcome of the study was defined as the comparison of LMA insertion times of the standard method and triple airway maneuver for each method. RESULTS Twenty-eight participants were included in the study. When all scenarios were compared LMA insertion times did not differ between triple airway maneuver and standard method groups (p = 0.730). During chest compressions, no statistically significant difference was found between the LMA insertion times (mean difference: 0.57 seconds, 95% CI: -0.819 to 1.961; p = 0.406). Similarly, when chest compressions were not applied, no significant difference was observed between the groups (mean difference: 0.5001 seconds, 95% CI: -2.00 to 3.50; p = 0.675). CONCLUSIONS The findings of this study suggest that both the triple airway maneuver and the standard method may be effectively utilized in patients undergoing chest compressions as well as in those without chest compressions.
Effect of pulmonary embolism location on electrocardiological parameters Serkan Günay, Emre Şancı, Ahmet Emir Sarı, Semiha Aksoy Gümüş, Deniz Kaptan Özen, Hüseyin Cahit Halhallı Revista Da Associacao Medica Brasileira, 2023 SUMMARY OBJECTIVE: Pulmonary thromboembolism is a disease with high morbidity and mortality. Various changes occur on the electrocardiogram secondary to pulmonary thromboembolism. The objective of this study was to investigate variations in QT dispersion, Tpeak-Tend duration, and Tpeak-Tend/QT ratio in relation to pulmonary thromboembolism localization and their impacts on 30-day mortality. METHODS: This study was carried out in a tertiary emergency medicine clinic between December 1, 2019 and November 30, 2020. We evaluated correlations between radiological outcomes of patients, QT dispersions, T-wave dispersions, Tpeak-Tend durations, and Tpeak-Tend/QT ratios. We sought statistically significant disparities between these values, considering the presence or localization of pulmonary thromboembolism. The 30-day mortality in pulmonary thromboembolism-diagnosed patients was reassessed. RESULTS: Electrocardiogramfindings revealed that T-wave dispersion (p<0.001), Tpeak-Tend duration (p=0.034), and Tpeak-Tend/corrected QT ratio (p=0.003) were lower in patients than controls. Conversely, QT dispersion (p=0.005) and corrected QT dispersion (p<0.001) were higher in patients. CONCLUSION: Electrocardiogram findings such as T-wave dispersion, QT duration, Tpeak-Tend time, and Tpeak-Tend/corrected QT ratio can detect pulmonary thromboembolism. More studies with larger cohorts are required to further understand the role of QT and corrected QT dispersion in pulmonary thromboembolism patient mortality.
Comparison of Jaw-Thrust Maneuver and Standard Method for Airway Management with Laryngeal Mask Airway by Paramedics during Chest Compression: A Randomized, Crossover, Manikin Study Asim E. Ozbek, Emre Sanci Prehospital and Disaster Medicine, 2022 Introduction:The first priority of the primary survey of trauma care is airway management. For patients who have a known or suspected cervical spine injury, using the jaw-thrust maneuver is critical. It was hypothesized that the jaw-thrust maneuver would ease the insertion of the laryngeal mask airway (LMA) by moving the tongue forward from the palate and posterior pharyngeal wall.Study Objectives:The aim of the study was to evaluate the effect of jaw-thrust maneuver on LMA insertion times of the paramedics with or without chest compression and with or without cervical stabilization in a manikin.Methods:Eleven experienced paramedics inserted LMA in jaw-thrust position and standard position in chest compression without cervical stabilization scenario, chest compression with cervical stabilization scenario, cervical stabilization without chest compression scenario, and the scenario where neither cervical stabilization nor chest compression were performed. The primary outcome of the study was the comparison of LMA insertion times for each method. The secondary outcome measures were first-pass success rates and the comparison of the difficulty level of each method.Results:During the LMA placement, performing the jaw-thrust maneuver instead of the standard method did not shorten the LMA insertion times. Adding chest compression and/or cervical stabilization did not complicate the LMA insertion. All of the LMA insertion attempts during the jaw-thrust maneuver and standard method were successful.Conclusion:The findings of this study suggest that LMA insertion might be attempted both during the jaw-thrust maneuver and standard position in patients with or without chest compression and with or without cervical stabilization.
Short-term effects of fibrinolytic therapy on the hemodynamic parameters of patients with intermediate-and high-risk pulmonary embolism Hamza Çıldır, Ersin Aksay, Emre Şancı, Başak Bayram, Neşe Çolak, Can Sevinç Clinical and Experimental Emergency Medicine, 2022 Objective We aimed to determine the effect of fibrinolytic therapy on hemodynamic parameters at 4 hours after treatment and bleeding complications in patients with intermediate- and high-risk pulmonary embolism.Methods This single-center, retrospective, cohort study included patients with intermediate- and high-risk pulmonary embolism treated with fibrinolytics. Their demographic and clinical characteristics, complications, and vital signs at the initiation of and 4 hours after fibrinolytic therapy were evaluated. The primary outcome was the change in the patients’ vital signs at 4 hours after fibrinolytic therapy, compared by the Mann-Whitney U-test.Results Seventy-nine patients were included in this study. The systolic and diastolic blood pressures of the high-risk group at 4 hours after fibrinolytic therapy were higher than those at the initiation of fibrinolytic therapy (80 mmHg vs. 99 mmHg, P = 0.029; 49 mmHg vs. 67 mmHg, P = 0.011, respectively). In the intermediate-risk group, the oxygen saturation increased (94% vs. 96%, P = 0.004) and pulse rate decreased (104 beats/min vs. 91 beats/min, P < 0.001).Conclusion Blood pressure at 4 hours after fibrinolytic therapy increased in patients with high-risk pulmonary embolism. Also, oxygen saturation and pulse rate improved in intermediate-risk patients.
Kounis syndrome associated with BNT162b2 mRNA COVID-19 vaccine presenting as ST-elevation acute myocardial infarction Emre Şancı, , Cihan Örçen, Osman Muhsin Çelik, Muhammed Tahsin Özen, Serdar Bozyel, , , , , and Anatolian Journal of Cardiology, 2022 Although it is known that the adverse effects of COVID-19 vaccines have low incidence (2), allergic side effects are possible similar to any other medication. Although a wide spectrum of symptoms can be seen, from mild allergic complaints to angioedema, Kounis syndrome is one with undesirable effects. Hypersensitivity coronary disorder was originally described in 1991 by Kounis as acute coronary syndrome associated with an allergic reaction (3). This syndrome has been reported with different SARS-CoV-2 vaccines (4, 5); and to the best of our knowledge, we present the first Kounis syndrome after an mRNA vaccine.
Pneumomediastinum due to excessive cheering during a football match A Önür, E Sanci Turkish Journal of Emergency Medicine 26 (2), 153-155 , 2026 2026
Burnout and Cognitive Performance in the Emergency Department in Turkey: The Relationship with Resident Physicians' Work Schedules MA Ozdemir, E Şancı, İU Özturan, Ö İnci, Y Delice The Journal of Emergency Medicine , 2026 2026
Comparison of manual pulse, carotid 2D ultrasound, and EtCO2 for detecting ROSC. A Gullu, S Kockan, E Sanci, E Aydin, AE Sari, AE Ozbek, HC Halhalli Clinical and Experimental Emergency Medicine , 2026 2026
Comparative analysis of emergency department admissions: A multi-center study on patient characteristics and mortality before and during the early phase of pandemic in Turkey E Şanci, B Bayram, AN Emecen, AE Özbek, E Çelik, O Varlikli, Ş Ergüney, ... Medicine 104 (37), e44438 , 2025 2025
Comparison of standard method and triple airway maneuver on LMA insertion times in prehospital cardiac arrest simulation AE Sarı, AE Özbek, E Şancı, HC Halhallı, M Akın Özdemir, A Güllü, ... Prehospital Emergency Care, 1-6 , 2025 2025 Citations: 1
Entübe Hasta Transportu E ŞANCI Turkiye Klinikleri Emergency Medicine-Special Topics 11 (1), 83-86 , 2025 2025
Investigation of the relationship between the measured alpha angle in capnography and readmission within thirty days in chronic obstructive pulmonary disease patients who … M Tuncekin, AE Ozbek, E Sanci, FET Tasolar, HC Halhalli The Journal of Emergency Medicine 67 (5), e393-e401 , 2024 2024 Citations: 2
Clinical Gestalt and TIMI Risk Score in Predicting Major Cardiac Event in Patients with Chest Pain at Emergency Department ŞE Anbarlı Metin D, Yanturalı S, Ertürk Z Experimental and Applied Medical Science 5 (4), 207-215 , 2024 2024
The relationship between patient characteristics, laboratory findings and outcomes of the patients presenting with seizures to the emergency department Y Yıldız, B Kaya, E Şancı, N Aytaş, MT Özen, F Alkan, HC Halhallı Intercontinental Journal of Emergency Medicine 2 (2), 31-35 , 2024 2024
Effect of pulmonary embolism location on electrocardiological parameters S Günay, E Şancı, AE Sarı, SA Gümüş, DK Özen, HC Halhallı Revista da Associação Médica Brasileira 69 (12), e20230733 , 2023 2023 Citations: 3
Comparison of Pain Management of Geriatric and Non-geriatric Patients who applied to the Emergency Department with Acute Pain E Şancı, O Kocaman, AE Özbek Southern Clinics of Istanbul Eurasia 34 (3) , 2023 2023
Violence in the emergency department: what can we do? AD Oztermeli, A Oztermeli, E Şancı, HC Halhallı Cureus 15 (7) , 2023 2023 Citations: 10
Ondansetron-induced oculogyric crisis in a pediatric patient: case report E Cinar, E Sanci, HS Utku, AE Ozbek Canadian Journal of Emergency Medicine 25 (6), 534-536 , 2023 2023 Citations: 3
Comparison of Hematological Phenotypes of COPD Exacerbations in Hospitalized Patients after Emergency Department Admission E Şancı, AE Özbek, F Alkan, H Kılınç, HC Halhallı Istanbul Medical Journal 74 (10.6), 74-10.8 , 2023 2023
Comparison of Jaw-Thrust Maneuver and Standard Method for Airway Management with Laryngeal Mask Airway by Paramedics during Chest Compression: A Randomized, Crossover, Manikin … AE Ozbek, E Sanci Prehospital and Disaster Medicine 37 (3), 378-382 , 2022 2022 Citations: 1
Short-term effects of fibrinolytic therapy on the hemodynamic parameters of patients with intermediate-and high-risk pulmonary embolism H Çıldır, E Aksay, E Şancı, B Bayram, N Çolak, C Sevinç Clinical and Experimental Emergency Medicine 9 (1), 47 , 2022 2022
Could Mild Symptoms Lead to a Critical Diagnosis? Subtle Aymptoms of an Aortic Dissection A Önür, E Şancı, A Güllü, F Soydan, M Çifçi Global Emergency and Critical Care 1 (3), 93-95 , 2022 2022
Kounis syndrome associated with BNT162b2 mRNA COVID-19 vaccine presenting as ST-elevation acute myocardial infarction E Şancı, C Örçen, OM Çelik, MT Özen, S Bozyel Anatolian Journal of Cardiology 26 (1), 72 , 2022 2022 Citations: 13
Evaluation of The Knowledge Level on Aeromedical Transfer of The Critically Ill Patients Among Emergency Medicine Physicians AE Özbek, E Şancı Kocaeli Medical Journal 10 (3), 291-298 , 2021 2021
Effect of using barrier devices on intubation times and performance—a randomized, prospective, crossover manikin study AE Ozbek, E Sanci, HC Halhalli Notfall Rettungsmed. , 2021 2021 Citations: 8
MOST CITED SCHOLAR PUBLICATIONS
Invasive mechanical ventilation in the emergency department B Bayram, E Şancı Turkish Journal of Emergency Medicine , 2019 2019 Citations: 36
Kounis syndrome associated with BNT162b2 mRNA COVID-19 vaccine presenting as ST-elevation acute myocardial infarction E Şancı, C Örçen, OM Çelik, MT Özen, S Bozyel Anatolian Journal of Cardiology 26 (1), 72 , 2022 2022 Citations: 13
Comparison of BPAP S/T and average volume-assured pressure support modes for hypercapnic respiratory failure in the emergency department: a randomized controlled trial NZ Gören, E Şancı, FFE Coşkun, D Gürsoylu, B Bayram Balkan Medical Journal 38 (5), 265 , 2021 2021 Citations: 12
Can thrombocytosis or thrombocytopenia predict complicated clinical course and30-days mortality in patients with pneumonia? RS MISIRLIOĞLU, E Aksay, E Şanci, KC Tertemiz Turkish journal of medical sciences 51 (6), 2903-2907 , 2021 2021 Citations: 12
Impact of High-Flow Nasal Cannula on Arterial Blood Gas Parameters in the Emergency Department E Şancı, F Ercan Coşkun, B Bayram Cureus 12 (9) , 2020 2020 Citations: 11
Violence in the emergency department: what can we do? AD Oztermeli, A Oztermeli, E Şancı, HC Halhallı Cureus 15 (7) , 2023 2023 Citations: 10
The comparison of manual and mechanical chest compression on survival and long-term neurological outcome of nontraumatic out-of-hospital cardiac arrest patients HC Halhalli, E Şancı, T Uslu The Journal of emergency medicine 59 (5), 680-686 , 2020 2020 Citations: 9
Effect of using barrier devices on intubation times and performance—a randomized, prospective, crossover manikin study AE Ozbek, E Sanci, HC Halhalli Notfall Rettungsmed. , 2021 2021 Citations: 8
Effects of using an endotracheal tube introducer for intubation during mechanical chest compressions of a manikin: randomized, prospective, crossover study AE Ozbek, HC Halhalli, S Yilmaz, E Celik, H Ozerol, E Şancı The Journal of Emergency Medicine 59 (1), 56-60 , 2020 2020 Citations: 4
Effect of pulmonary embolism location on electrocardiological parameters S Günay, E Şancı, AE Sarı, SA Gümüş, DK Özen, HC Halhallı Revista da Associação Médica Brasileira 69 (12), e20230733 , 2023 2023 Citations: 3
Ondansetron-induced oculogyric crisis in a pediatric patient: case report E Cinar, E Sanci, HS Utku, AE Ozbek Canadian Journal of Emergency Medicine 25 (6), 534-536 , 2023 2023 Citations: 3
The effectiveness of neutrophil/lymphocyte ratio in hospitalization of childhood viral gastroenteritis E Çelik, HC Halhalli, E Şancı Kocaeli Medical Journal 9 (3), 111-119 , 2020 2020 Citations: 3
Investigation of the relationship between the measured alpha angle in capnography and readmission within thirty days in chronic obstructive pulmonary disease patients who … M Tuncekin, AE Ozbek, E Sanci, FET Tasolar, HC Halhalli The Journal of Emergency Medicine 67 (5), e393-e401 , 2024 2024 Citations: 2
Comparison of standard method and triple airway maneuver on LMA insertion times in prehospital cardiac arrest simulation AE Sarı, AE Özbek, E Şancı, HC Halhallı, M Akın Özdemir, A Güllü, ... Prehospital Emergency Care, 1-6 , 2025 2025 Citations: 1
Comparison of Jaw-Thrust Maneuver and Standard Method for Airway Management with Laryngeal Mask Airway by Paramedics during Chest Compression: A Randomized, Crossover, Manikin … AE Ozbek, E Sanci Prehospital and Disaster Medicine 37 (3), 378-382 , 2022 2022 Citations: 1
Selective intubation with endotracheal tube introducer in difficult airway: A randomized, prospective, cross-over study H Özerol, E Şancı, O Karakayalı, E Aydın, HC Halhallı Turkish Journal of Emergency Medicine 21 (4), 205-209 , 2021 2021 Citations: 1
Pneumomediastinum due to excessive cheering during a football match A Önür, E Sanci Turkish Journal of Emergency Medicine 26 (2), 153-155 , 2026 2026
Burnout and Cognitive Performance in the Emergency Department in Turkey: The Relationship with Resident Physicians' Work Schedules MA Ozdemir, E Şancı, İU Özturan, Ö İnci, Y Delice The Journal of Emergency Medicine , 2026 2026
Comparison of manual pulse, carotid 2D ultrasound, and EtCO2 for detecting ROSC. A Gullu, S Kockan, E Sanci, E Aydin, AE Sari, AE Ozbek, HC Halhalli Clinical and Experimental Emergency Medicine , 2026 2026
Comparative analysis of emergency department admissions: A multi-center study on patient characteristics and mortality before and during the early phase of pandemic in Turkey E Şanci, B Bayram, AN Emecen, AE Özbek, E Çelik, O Varlikli, Ş Ergüney, ... Medicine 104 (37), e44438 , 2025 2025