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6 Şubat 2023 Kahramanmaraş Depremi Sonrası Görülen Karbonmonoksit Zehirlenmelerinin Değerlendirilmesi

Year 2025, Volume: 7 Issue: 1, 1 - 4, 30.04.2025

Ömer Faruk Küçük , Muhammed Semih Gedik , Muhammed Ali Güler , Ali İhsan Kilci , Hakan Hakkoymaz , Murat Tepe , Muhammed Alkaya , Muhammet Mustafa Yılmaz , Mürsel Koçer , Erdem Aksay

https://doi.org/10.51262/ejtox.1659460

Abstract

Amaç: Karbonmonoksit zehirlenmesi, doğal afetler sonrasında artış gösterebilen önemli bir halk sağlığı sorunudur. Bu çalışmada, 6 Şubat 2023 Kahramanmaraş depremleri sonrası dönemde acil servise başvuran karbonmonoksit zehirlenmesi vakalarının sıklığını, etiyolojik nedenlerini ve klinik özelliklerini belirlemek amaçlanmıştır.
Materyal ve Metot: Bu çalışma, depremin ardından acil servise başvuran karbonmonoksit zehirlenmesi tanılı hastaların demografik ve klinik verilerini içermektedir. Hastaların yaş, cinsiyet, başvuru şikayetleri, karboksihemoglobin düzeyleri, tedavi yaklaşımları ve klinik sonuçları kayıt altına alındı. Veriler, deprem öncesi ve sonrası dönemler karşılaştırılarak analiz edildi.
Bulgular: Deprem sonrası dönemde acil servise karbonmonoksit zehirlenmesi nedeniyle başvuran hasta sayısında belirgin bir artış saptandı. Çoğu vakanın, geçici barınma alanlarında yetersiz havalandırma koşullarında ısıtıcı ve jeneratör kullanımına bağlı olduğu görüldü. Klinik olarak en sık başvuru şikayetleri baş ağrısı, baş dönmesi ve bilinç değişiklikleri olup, hiperbarik oksijen tedavisi gerektiren vakaların oranı anlamlı düzeyde arttığı saptandı.
Sonuç: Kahramanmaraş depremleri sonrası karbonmonoksit zehirlenmesi insidansında belirgin bir artış gözlenmiştir. Bu durum, afet sonrası süreçte güvenli ısınma yöntemlerinin sağlanmasının ve halkın bilinçlendirilmesinin önemini vurgulamaktadır. Afet yönetimi kapsamında karbonmonoksit maruziyetini azaltmaya yönelik önleyici stratejilerin geliştirilmesi gerekmektedir.

Keywords

Karbonmonoksit Zehirlenmesi Deprem Afet Karboksihemoglobin

References

  • B C Chen , L K Shawn, N J Connors, K Wheeler, N Williams, R S Hoffman, et al. Carbon monoxide exposures in New York City following Hurricane Sandy in 2012. Clin Toxicol (Phila). 2013;51(9):879–885.
  • Centers for Disease Control and Prevention (CDC). Notes from the field: carbon monoxide exposures reported to poison centers and related to Hurricane Sandy - Northeastern United States, 2012. MMWR Morb Mortal Wkly Rep. 2012;61(44):905.
  • Gedik MS, Hakkoymaz H, Kilci Aİ, Küçük ÖF. General approach to cases of drug intoxication. Eurasian J Crit Care. 2023;5(1):17-21. doi:10.55994/ejcc.1237689.
  • Türk Toraks Derneği. Deprem ve Akciğer Sağlığı Sempozyumu. Türk Toraks Derneği Yayınları; 2023. p. 9-11. Acces adress https://www.solunum.org.tr/TusadData/Book/1076/1832024154634-Deprem ve Akciger. pdf
  • Çevik Y. Carbon monoxide poisoning after the 1999 Marmara earthquake. Disaster Med Public Health Preparedness. 2001.
  • Köseoğlu Z, Çolak T, Beydilli I, Altunok G, Şener K, Demir K, et al. Kahramanmaraş depremi sonrası Mersin Şehir Eğitim ve Araştırma Hastanesi Acil Tıp kliniğine başvuran hastaların veri analizi. Ulus Travma Acil Cerrahi Derg. 2024;30(8):579-587. DOI: 10.14744/tjtes.2024.68523.
  • Iqbal S, Clower JH, Hernandez SA, Damon SA, Yip FY. A review of disaster-related carbon monoxide poisoning: surveillance, epidemiology, and opportunities for prevention. Am J Public Health. 2012 Oct;102(10):1957-63. doi: 10.2105/AJPH.2012.300674.
  • Weaver LK. Clinical practice. Carbon monoxide poisoning. N Engl J Med. 2009.
  • Koçyiğit A, Eke BC. Karbonmonoksit zehirlenmelerinde postmortem değişiklikler. J Fac Pharm Ankara Univ. 2021;45(3):722-735.
  • Hakkoymaz H, Gedik MS, Nazik S, Seyithanoglu M. Does hypoxia-inducible factor-1α levels contribute to the diagnosis and follow-up of carbon monoxide poisoning? EJMI. 2023;7(4):394–400.
  • Kandiş H, Katırcı Y, Karapolat BS. Karbonmonoksit zehirlenmesi. Duzce Med J. 2009;11(3):54-60.
  • Ernst A, Zibrak JD. Carbon monoxide poisoning. N Engl J Med. 1998 Nov 26;339(22):1603-8.
  • Richard D., Cristian A.T., Amy K., Deborah B.D. A Critical Issue in the Management of Adult Patients Presenting to the Emergency Department With Acute Carbon Monoxide Poisoning. Annals of Emergency Medicine, Volume 85, Issue 4, e45 - e59.
  • Buckley N.A, David N.J., Geoff I, Michael H.B, Eric J.L. Hyperbaric oxygen for carbon monoxide poisoning: systematic review and meta-analysis. Lancet. 2011.
  • Akköse S, Türkmen N, Bulut M,İşcimen R, Eren B. An analysis of carbon monoxide poisoning cases in Bursa, Turkey. East Mediterr Health J. 2010;16:101-106.

Evaluation of Carbon Monoxide Poisonings Observed After the February 6, 2023 Kahramanmaraş Earthquake

Year 2025, Volume: 7 Issue: 1, 1 - 4, 30.04.2025

Ömer Faruk Küçük , Muhammed Semih Gedik , Muhammed Ali Güler , Ali İhsan Kilci , Hakan Hakkoymaz , Murat Tepe , Muhammed Alkaya , Muhammet Mustafa Yılmaz , Mürsel Koçer , Erdem Aksay

https://doi.org/10.51262/ejtox.1659460

Abstract

Objective: Carbon monoxide poisoning is a significant public health concern that can increase following natural disasters. This study aims to determine the frequency, etiological causes, and clinical characteristics of carbon monoxide poisoning cases presenting to the emergency department in the post-earthquake period following the Kahramanmaraş earthquakes on February 6, 2023.
Materials and Methods: This study includes the demographic and clinical data of patients diagnosed with carbon monoxide poisoning who presented to the emergency department following the earthquake. Patients' age, gender, presenting symptoms, carboxyhemoglobin levels, treatment approaches, and clinical outcomes were recorded. The data were analyzed by comparing the pre-earthquake and post-earthquake periods.
Results: A significant increase in the number of patients presenting to the emergency department due to carbon monoxide poisoning was observed in the post-earthquake period. Most cases were associated with the use of heaters and generators in temporary shelter areas with inadequate ventilation. Clinically, the most common presenting symptoms were headache, dizziness, and altered consciousness. Additionally, the proportion of cases requiring hyperbaric oxygen therapy was found to have significantly increased.
Conclusion: A significant increase in the incidence of carbon monoxide poisoning was observed following the Kahramanmaraş earthquakes. This finding highlights the importance of ensuring safe heating methods and raising public awareness in the post-disaster period. Preventive strategies aimed at reducing carbon monoxide exposure should be developed as part of disaster management.

Keywords

Carbon Monoxide Poisoning Earthquake Disaster Carboxyhemoglobin

References

  • B C Chen , L K Shawn, N J Connors, K Wheeler, N Williams, R S Hoffman, et al. Carbon monoxide exposures in New York City following Hurricane Sandy in 2012. Clin Toxicol (Phila). 2013;51(9):879–885.
  • Centers for Disease Control and Prevention (CDC). Notes from the field: carbon monoxide exposures reported to poison centers and related to Hurricane Sandy - Northeastern United States, 2012. MMWR Morb Mortal Wkly Rep. 2012;61(44):905.
  • Gedik MS, Hakkoymaz H, Kilci Aİ, Küçük ÖF. General approach to cases of drug intoxication. Eurasian J Crit Care. 2023;5(1):17-21. doi:10.55994/ejcc.1237689.
  • Türk Toraks Derneği. Deprem ve Akciğer Sağlığı Sempozyumu. Türk Toraks Derneği Yayınları; 2023. p. 9-11. Acces adress https://www.solunum.org.tr/TusadData/Book/1076/1832024154634-Deprem ve Akciger. pdf
  • Çevik Y. Carbon monoxide poisoning after the 1999 Marmara earthquake. Disaster Med Public Health Preparedness. 2001.
  • Köseoğlu Z, Çolak T, Beydilli I, Altunok G, Şener K, Demir K, et al. Kahramanmaraş depremi sonrası Mersin Şehir Eğitim ve Araştırma Hastanesi Acil Tıp kliniğine başvuran hastaların veri analizi. Ulus Travma Acil Cerrahi Derg. 2024;30(8):579-587. DOI: 10.14744/tjtes.2024.68523.
  • Iqbal S, Clower JH, Hernandez SA, Damon SA, Yip FY. A review of disaster-related carbon monoxide poisoning: surveillance, epidemiology, and opportunities for prevention. Am J Public Health. 2012 Oct;102(10):1957-63. doi: 10.2105/AJPH.2012.300674.
  • Weaver LK. Clinical practice. Carbon monoxide poisoning. N Engl J Med. 2009.
  • Koçyiğit A, Eke BC. Karbonmonoksit zehirlenmelerinde postmortem değişiklikler. J Fac Pharm Ankara Univ. 2021;45(3):722-735.
  • Hakkoymaz H, Gedik MS, Nazik S, Seyithanoglu M. Does hypoxia-inducible factor-1α levels contribute to the diagnosis and follow-up of carbon monoxide poisoning? EJMI. 2023;7(4):394–400.
  • Kandiş H, Katırcı Y, Karapolat BS. Karbonmonoksit zehirlenmesi. Duzce Med J. 2009;11(3):54-60.
  • Ernst A, Zibrak JD. Carbon monoxide poisoning. N Engl J Med. 1998 Nov 26;339(22):1603-8.
  • Richard D., Cristian A.T., Amy K., Deborah B.D. A Critical Issue in the Management of Adult Patients Presenting to the Emergency Department With Acute Carbon Monoxide Poisoning. Annals of Emergency Medicine, Volume 85, Issue 4, e45 - e59.
  • Buckley N.A, David N.J., Geoff I, Michael H.B, Eric J.L. Hyperbaric oxygen for carbon monoxide poisoning: systematic review and meta-analysis. Lancet. 2011.
  • Akköse S, Türkmen N, Bulut M,İşcimen R, Eren B. An analysis of carbon monoxide poisoning cases in Bursa, Turkey. East Mediterr Health J. 2010;16:101-106.
There are 15 citations in total.

Details

Primary Language English
Subjects Emergency Medicine, Environmental Health
Journal Section Original Articles
Authors

Ömer Faruk Küçük 0000-0002-2247-6785

Muhammed Semih Gedik 0000-0003-3854-4794

Muhammed Ali Güler 0000-0003-0375-5268

Ali İhsan Kilci 0000-0003-0029-3942

Hakan Hakkoymaz 0000-0002-8568-8283

Murat Tepe 0000-0002-0397-2804

Muhammed Alkaya 0000-0001-6414-7018

Muhammet Mustafa Yılmaz 0000-0002-8952-6329

Mürsel Koçer 0000-0002-1548-8630

Erdem Aksay 0000-0001-5269-2318

Publication Date April 30, 2025
Submission Date March 17, 2025
Acceptance Date March 26, 2025
Published in Issue Year 2025 Volume: 7 Issue: 1

Cite

APA Küçük, Ö. F., Gedik, M. S., Güler, M. A., Kilci, A. İ., et al. (2025). Evaluation of Carbon Monoxide Poisonings Observed After the February 6, 2023 Kahramanmaraş Earthquake. Eurasian Journal of Toxicology, 7(1), 1-4. https://doi.org/10.51262/ejtox.1659460
AMA Küçük ÖF, Gedik MS, Güler MA, Kilci Aİ, Hakkoymaz H, Tepe M, Alkaya M, Yılmaz MM, Koçer M, Aksay E. Evaluation of Carbon Monoxide Poisonings Observed After the February 6, 2023 Kahramanmaraş Earthquake. Eurasian J Tox. April 2025;7(1):1-4. doi:10.51262/ejtox.1659460
Chicago Küçük, Ömer Faruk, Muhammed Semih Gedik, Muhammed Ali Güler, Ali İhsan Kilci, Hakan Hakkoymaz, Murat Tepe, Muhammed Alkaya, Muhammet Mustafa Yılmaz, Mürsel Koçer, and Erdem Aksay. “Evaluation of Carbon Monoxide Poisonings Observed After the February 6, 2023 Kahramanmaraş Earthquake”. Eurasian Journal of Toxicology 7, no. 1 (April 2025): 1-4. https://doi.org/10.51262/ejtox.1659460.
EndNote Küçük ÖF, Gedik MS, Güler MA, Kilci Aİ, Hakkoymaz H, Tepe M, Alkaya M, Yılmaz MM, Koçer M, Aksay E (April 1, 2025) Evaluation of Carbon Monoxide Poisonings Observed After the February 6, 2023 Kahramanmaraş Earthquake. Eurasian Journal of Toxicology 7 1 1–4.
IEEE Ö. F. Küçük, “Evaluation of Carbon Monoxide Poisonings Observed After the February 6, 2023 Kahramanmaraş Earthquake”, Eurasian J Tox, vol. 7, no. 1, pp. 1–4, 2025, doi: 10.51262/ejtox.1659460.
ISNAD Küçük, Ömer Faruk et al. “Evaluation of Carbon Monoxide Poisonings Observed After the February 6, 2023 Kahramanmaraş Earthquake”. Eurasian Journal of Toxicology 7/1 (April 2025), 1-4. https://doi.org/10.51262/ejtox.1659460.
JAMA Küçük ÖF, Gedik MS, Güler MA, Kilci Aİ, Hakkoymaz H, Tepe M, Alkaya M, Yılmaz MM, Koçer M, Aksay E. Evaluation of Carbon Monoxide Poisonings Observed After the February 6, 2023 Kahramanmaraş Earthquake. Eurasian J Tox. 2025;7:1–4.
MLA Küçük, Ömer Faruk et al. “Evaluation of Carbon Monoxide Poisonings Observed After the February 6, 2023 Kahramanmaraş Earthquake”. Eurasian Journal of Toxicology, vol. 7, no. 1, 2025, pp. 1-4, doi:10.51262/ejtox.1659460.
Vancouver Küçük ÖF, Gedik MS, Güler MA, Kilci Aİ, Hakkoymaz H, Tepe M, Alkaya M, Yılmaz MM, Koçer M, Aksay E. Evaluation of Carbon Monoxide Poisonings Observed After the February 6, 2023 Kahramanmaraş Earthquake. Eurasian J Tox. 2025;7(1):1-4.
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