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Konu: Acil Tıp Nedir? Konuk: Dr. Tuba Cimilli Öztürk Ayşenur Asuman Uğur İletişim...","preview":{"posterSrc":"//avatars.mds.yandex.net/get-vthumb/966366/9d2371a156b2d15f6e454a155d14d339/564x318_1","videoSrc":"https://video-preview.s3.yandex.net/h4FlNQAAAAA.mp4","videoType":"video/mp4"},"target":"_self","position":"13","reqid":"1769262111761184-16793711835371911432-balancer-l7leveler-kubr-yp-klg-269-BAL","summary":{"isFull":true,"fullTextUrl":"/video/result?ask_summarization=1&numdoc=1&noreask=1&nomisspell=1&parent-reqid=1769262111761184-16793711835371911432-balancer-l7leveler-kubr-yp-klg-269-BAL&text=videoid:697855050832618574","teaser":[{"list":{"type":"unordered","items":["Assmanur TV'de yayınlanan \"Sağlık Raporu\" programında sunucu Ayşenur, İstanbul Fatih Sultan Mehmet Eğitim ve Araştırma Hastanesi'nden acil tıp kliniği idari sorumlusu ve acil tıp uzmanı Dr. Tuba Cimilli Öztürk ile bir röportaj gerçekleştiriyor.","Video, acil tıp uzmanlarının kim olduğu, acil servis süreçleri ve acil hasta tanımı gibi konuları ele alıyor. Acil servislerdeki triyaj sistemi, hastaların önceliklerinin nasıl belirlendiği, kırmızı, sarı ve yeşil kategorilerdeki hastaların özellikleri ve 112 sisteminin çalışma prensipleri detaylı olarak anlatılıyor.","Videoda ayrıca acil servislerin verimli çalışması için halkın gereksiz acil servis başvurularını azaltması gerektiği, acil şeritlerin önemi, kırmızı ve mavi şeritli ambulansların farkları ve acil tıp teknisyenleri (ATT) ile acil tıp teknikerleri (paramedik) gibi sağlık personelinin görevleri hakkında bilgiler de paylaşılıyor. Türkiye'nin acil başvurularının nüfusa göre yüksek olduğu ve %70'inin acil olmadığı tespit edildiği bilgisi de videoda yer alıyor."]},"endTime":2144,"title":"Acil Tıp ve Acil Servis Sistemi Hakkında Bilgilendirme","beginTime":0}],"fullResult":[{"index":0,"title":"Acil Tıp Programı Tanıtımı","list":{"type":"unordered","items":["Programda acil tıp süreçleri, acil servis süreçleri ve acil tıp uzmanlarının uzmanlık alanları ele alınacak.","Acil servislerin yaklaşık %70'ini acil olmayan hastalar oluşturuyor ve bu durum acil hastaların tedavisinde aksamalara neden oluyor.","Vatandaşların acil servislere gereksiz yere başvurması, 112 servisini meşgul etmesi ve ambulans şeritlerini ihlal etmesi acil servislerin işleyişini olumsuz etkiliyor."]},"beginTime":21,"endTime":141,"href":"/video/preview/697855050832618574?parent-reqid=1769262111761184-16793711835371911432-balancer-l7leveler-kubr-yp-klg-269-BAL&text=ACIL+TIP&t=21&ask_summarization=1"},{"index":1,"title":"Acil Tıp Uzmanlığı Hakkında","list":{"type":"unordered","items":["Acil tıp uzmanlığı Amerika Birleşik Devletleri'nde 1970'lerde, Türkiye'de ise 1993 yılında ilk üniversite hastanelerinde eğitim verilmeye başlanmıştır.","Acil tıp uzmanlığı için altı yıllık tıp fakültesi eğitimi ve dört yıllık uzmanlık eğitimi gerekmektedir.","Türkiye'de yaklaşık 700-750 civarında acil tıp uzmanı görev yapmakta olup, bu sayı yeterli değildir."]},"beginTime":141,"endTime":211,"href":"/video/preview/697855050832618574?parent-reqid=1769262111761184-16793711835371911432-balancer-l7leveler-kubr-yp-klg-269-BAL&text=ACIL+TIP&t=141&ask_summarization=1"},{"index":2,"title":"Acil Servislerin Yapısı","list":{"type":"unordered","items":["Tüm üniversite hastanelerinde acil tıp klinikleri bulunmakta ve eğitim verilmektedir.","Eğitim Araştırma Hastanelerinin %90'ından fazlasında acil tıp kliniği mevcuttur.","İkinci basamak devlet hastanelerinde acil tıp uzmanları yavaş yavaş birebir çalışmaya başlamıştır."]},"beginTime":211,"endTime":260,"href":"/video/preview/697855050832618574?parent-reqid=1769262111761184-16793711835371911432-balancer-l7leveler-kubr-yp-klg-269-BAL&text=ACIL+TIP&t=211&ask_summarization=1"},{"index":3,"title":"Acil Servis Seviyeleri","list":{"type":"unordered","items":["Üçüncü seviye acil servislerde altı ana bilim dalından uzman hekimin 24 saat nöbet tutması zorunludur.","Üçüncü seviye acil servisler hasta bakabilen, yeterli yatağı olan ve donanımı yüksek hastanelerdir.","Kamu hastanelerinin çoğu üçüncü seviye acil servislere sahiptir, ancak her özel ve devlet hastanesi üçüncü seviye olmayabilir."]},"beginTime":260,"endTime":373,"href":"/video/preview/697855050832618574?parent-reqid=1769262111761184-16793711835371911432-balancer-l7leveler-kubr-yp-klg-269-BAL&text=ACIL+TIP&t=260&ask_summarization=1"},{"index":4,"title":"Acil Hasta Tanımı","list":{"type":"unordered","items":["Dünya Sağlık Örgütü'nün tanımladığı acil durum parametreleri 32 başlık altında tanımlanmıştır.","Travmalar, kalp krizleri, felç durumları, intihar girişimleri, suda boğulmalar, yanıklar, kronik hastalıkların akut alevlenme süreçleri ve şiddetli ağrılar acil durum kavramlarına girer.","Sağlık Bakanlığı'na göre 24 saat içerisinde ani başlangıçta olmak şartıyla agut bütün olaylar ve klinik olarak kötüleşmesi beklenen durumlar acil kabul edilmelidir."]},"beginTime":373,"endTime":539,"href":"/video/preview/697855050832618574?parent-reqid=1769262111761184-16793711835371911432-balancer-l7leveler-kubr-yp-klg-269-BAL&text=ACIL+TIP&t=373&ask_summarization=1"},{"index":5,"title":"Acil Servislerde Triyaj Sistemi","list":{"type":"unordered","items":["Acil servislerde hastaların aciliyetlerini sınıflandırmak için triyaj uygulaması kullanılmaktadır.","Sağlık Bakanlığı'nın en son uygulamasında kullanılan sistem üçlü renk kodlama sistemidir.","Hastalar acil servise başvurduğunda şikayetleri dinlendikten sonra hayati bulguları (nabız, tansiyon, oksijen saturasyonu ve ateş) değerlendirilerek aciliyet durumu belirlenir."]},"beginTime":539,"endTime":626,"href":"/video/preview/697855050832618574?parent-reqid=1769262111761184-16793711835371911432-balancer-l7leveler-kubr-yp-klg-269-BAL&text=ACIL+TIP&t=539&ask_summarization=1"},{"index":6,"title":"Acil Servis Hasta Grupları","list":{"type":"unordered","items":["Üçlü sistemlerde sarı-kırmızı-yeşil kavramında kırmızı hasta grubu kritik hastaları içerir ve hiç bekletilmeden müdahale edilmesi gerekir.","Kırmızı alan hastaları arasında kalp krizi geçiren, şiddetli göğüs ağrısı, soğuk terleme, tansiyon düşüklüğü, nefes darlığı ve astım krizleri olan hastalar bulunur.","Sarı grup hastalar acil hastalardır ancak ilk grup kadar hemen müdahale edilmesi gerekmez, bir saate kadar bekleme süresi tanınabilir."]},"beginTime":628,"endTime":722,"href":"/video/preview/697855050832618574?parent-reqid=1769262111761184-16793711835371911432-balancer-l7leveler-kubr-yp-klg-269-BAL&text=ACIL+TIP&t=628&ask_summarization=1"},{"index":7,"title":"Yeşil Grup ve Türkiye'deki Acil Başvuru Durumu","list":{"type":"unordered","items":["Yeşil ana hasta grubu iki saate kadar bekleyebilecek hastalardır ve nispeten daha az acil gruplardır.","Türkiye'de acil başvuru sayısı nüfusa göre çok yüksektir; 76 milyon nüfuslu Türkiye'de bir yıl içerisinde 90 milyon acil başvurusu yapılmıştır.","Sağlık Bakanlığı'nın araştırmasında, acil servise başvuran hastaların %70'inin acil olmadığı tespit edilmiştir."]},"beginTime":722,"endTime":841,"href":"/video/preview/697855050832618574?parent-reqid=1769262111761184-16793711835371911432-balancer-l7leveler-kubr-yp-klg-269-BAL&text=ACIL+TIP&t=722&ask_summarization=1"},{"index":8,"title":"Acil Servise Başvuru Nedenleri ve Yeni Uygulamalar","list":{"type":"unordered","items":["Acil servise başvuranların %43'ü kendilerini acil olarak görmese de başvurmaktadır.","Acil servise başvurmanın en yaygın nedenleri hizmetin ücretsiz olması, tetkiklerin hızlı çalıştırılması ve mesai saatlerinin dışında işlemlerin halledilmesidir.","Bu yıl içerisinde hekim değerlendirdikten sonra yeşil alan olduğu ve acil olmadığı düşünülen hastalardan ücret alınmaya başlanmıştır."]},"beginTime":841,"endTime":952,"href":"/video/preview/697855050832618574?parent-reqid=1769262111761184-16793711835371911432-balancer-l7leveler-kubr-yp-klg-269-BAL&text=ACIL+TIP&t=841&ask_summarization=1"},{"index":9,"title":"Adli Vakalar ve Acil Servis","list":{"type":"unordered","items":["112 servisi ile hastaneye gelen tüm hastalar kırmızı alan hastası olarak değerlendirilir ve tiryaj uygulaması yapılmaz.","Acil servislerde adli olguların ilk müdahaleleri, tedavileri ve stabilizasyonları acil tıp kliniklerinde gerçekleştirilir.","Adli vakaların tespiti, kolluk kuvvetlerine bildirilmesi ve raporlarının düzenlenmesi acil tıp uzmanlarının sorumluluğundadır."]},"beginTime":952,"endTime":1110,"href":"/video/preview/697855050832618574?parent-reqid=1769262111761184-16793711835371911432-balancer-l7leveler-kubr-yp-klg-269-BAL&text=ACIL+TIP&t=952&ask_summarization=1"},{"index":10,"title":"112 Sistemi ve Ambulans Türleri","list":{"type":"unordered","items":["112, 112 çalışanlarına bağlı bir birim değil, İshak Müdürlüğü'ne bağlı ayrı bir yönetim sistemi vardır.","112 komutayı aradığınızda hastalığınızı ve şikayetinizi net ifade etmeniz çok önemlidir, yanlış bilgi yanlış ambulansın gelmesine ve gecikmelere yol açabilir.","Ambulanslar çeşit çeşittir; kırmızı şeritli ambulanslar müdahale ambulanslarıdır ve tam donanımlı ekip ve personele sahiptir, mavi şeritli ambulanslar ise hasta transferi için kullanılır."]},"beginTime":1117,"endTime":1206,"href":"/video/preview/697855050832618574?parent-reqid=1769262111761184-16793711835371911432-balancer-l7leveler-kubr-yp-klg-269-BAL&text=ACIL+TIP&t=1117&ask_summarization=1"},{"index":11,"title":"112 Sisteminin Sorunları","list":{"type":"unordered","items":["Bazı vatandaşlar durumlarını abartarak tam donanımlı ambulans talep edebilir, bu durumda başka acil durumlar için uygun ambulanslar geç kalabilir.","İstanbul içerisinde ambulansın vakaya ulaşma süresi 6-7 dakika olup, trafik göz önünde bulundurulduğunda ambulanslara saygı göstermek vatandaşlık görevlerinden biridir.","112 çalışanları, ciddi hayati riskler taşıyan hastaları taşırken ayak burkulması gibi gereksiz çağrılarla karşılaşınca tükenmişlik ve ekstra iş yükü yaşarlar."]},"beginTime":1206,"endTime":1371,"href":"/video/preview/697855050832618574?parent-reqid=1769262111761184-16793711835371911432-balancer-l7leveler-kubr-yp-klg-269-BAL&text=ACIL+TIP&t=1206&ask_summarization=1"},{"index":12,"title":"112 Kullanımında Bilinçlendirme Gerekliliği","list":{"type":"unordered","items":["Halkın acil hasta nedir ve hangi durumlarda 112'yi çağırması gerektiği konusunda bilinçlendirilmesi gerekiyor.","Kendi imkanlarıyla gelebilecek durumdaysa kendi imkanları kullanmayı tercih etmek, acil servise gereksiz yere meşgul etmemek önemlidir.","Sağlık hizmetine ulaşmak kolaylaştı ancak bu hizmeti suistimal etmemek gerekiyor."]},"beginTime":1371,"endTime":1478,"href":"/video/preview/697855050832618574?parent-reqid=1769262111761184-16793711835371911432-balancer-l7leveler-kubr-yp-klg-269-BAL&text=ACIL+TIP&t=1371&ask_summarization=1"},{"index":13,"title":"Acil Şeritler ve Vatandaşlık Bilinci","list":{"type":"unordered","items":["Acil şeritler çok da ihlal ediliyor, ancak bu bir vatandaşlık görevidir.","Sürücü kurslarında ambulansların geçiş önceliği anlatılır ve herkesin bu bilinci olması gerekir.","İçerideki hastanın kendi hastamız olduğunu düşünerek ambulansın önceliğini tanımak ve hastaneye bir an önce ulaşması için kolaylık sağlamak vatandaşlık görevidir."]},"beginTime":1478,"endTime":1582,"href":"/video/preview/697855050832618574?parent-reqid=1769262111761184-16793711835371911432-balancer-l7leveler-kubr-yp-klg-269-BAL&text=ACIL+TIP&t=1478&ask_summarization=1"},{"index":14,"title":"Göz Tembelliği Uyarısı","list":{"type":"unordered","items":["Çocuklarda zamanında tespit ve tedavi edilmeyen göz tembelliği, yasal körlük sınırı kabul edilen onda birin altında görme azlığına sebep olabiliyor.","Türkiye genelinde yaklaşık bir milyon kişide çocuklukta saptanamayan göz tembelliği nedeniyle yasal körlüğe varan görme kaybı bulunuyor.","Göz tembelliğinin dört yaşından önce mutlaka kontrol altına alınması ve tedavi edilmesi gerekiyor, sekiz-on yaşından sonra tedavi edilemiyor."]},"beginTime":1582,"endTime":1706,"href":"/video/preview/697855050832618574?parent-reqid=1769262111761184-16793711835371911432-balancer-l7leveler-kubr-yp-klg-269-BAL&text=ACIL+TIP&t=1582&ask_summarization=1"},{"index":15,"title":"Acil Servis Sistemi","list":{"type":"unordered","items":["Hastanede acil başvuran hastalar için ilk olarak kayıt işlemi yapılır.","Fatih Sultan Mehmet Hastanesi'nde bu sistemi iyileştirmek ve hızlandırmak adına yeni bir uygulama kurulmuştur."]},"beginTime":1706,"endTime":1725,"href":"/video/preview/697855050832618574?parent-reqid=1769262111761184-16793711835371911432-balancer-l7leveler-kubr-yp-klg-269-BAL&text=ACIL+TIP&t=1706&ask_summarization=1"},{"index":16,"title":"Acil Serviste Tiryaj Süreci","list":{"type":"unordered","items":["Hastalar acil servise başvurduğunda öncelikle TC numarası vererek ön kayıt yaptırıyor ve tiryaj alanına yönlendiriliyor.","Tiryaj alanında eğitimini almış sağlık personeli tarafından hasta değerlendiriliyor, ilk şikayet alınıyor ve teknolojik cihazlar yardımıyla triyaj kodlaması 2-5 dakika içinde tamamlanıyor.","Tiryajda muayene değil, ön veriler ve hayati bulgular (tansiyon, nabız, oksijen saturasyonu, ateş) değerlendiriliyor ve kritik düzeylerde olup olmadığı tespit ediliyor."]},"beginTime":1728,"endTime":1800,"href":"/video/preview/697855050832618574?parent-reqid=1769262111761184-16793711835371911432-balancer-l7leveler-kubr-yp-klg-269-BAL&text=ACIL+TIP&t=1728&ask_summarization=1"},{"index":17,"title":"Tiryaj Sonrası Süreç","list":{"type":"unordered","items":["Hastalar acil servise bekleme sürecine dahil ediliyor ve bu süreçte sürekli gözetleniyorlar.","Tiryajda bakılan parametreler hastane otomasyon sistemine otomatik olarak aktarılıyor, bu da hekimlerin hastaya daha hızlı müdahale etmesini sağlıyor.","Sağlık Bakanlığı'nda tiryaj değerlendirmesini düzenleyici yeni çalışmalar yapılıyor ve eğitimler konusunda daha önem verilmesi gerektiği konusunda hemfikirler."]},"beginTime":1800,"endTime":1893,"href":"/video/preview/697855050832618574?parent-reqid=1769262111761184-16793711835371911432-balancer-l7leveler-kubr-yp-klg-269-BAL&text=ACIL+TIP&t=1800&ask_summarization=1"},{"index":18,"title":"Acil Serviste Çalışma Süreci","list":{"type":"unordered","items":["Acil serviste bin kişilik hastayı gruplandırmak zorunda olunuyor, ancak acil durumda olan hastalar bekletilmiyor.","Acil serviste 24 saat aktif çalışan bir ekip var ve her alanda değerlendirilen hastalar önceliğine göre bakım görüyor.","Hastalar genellikle acil serviste tek bir hekim çalıştığını düşünüyor, ancak farklı alanlarda değerlendirilen hastalar için her alanda bakım yapan hekimler bulunuyor."]},"beginTime":1893,"endTime":1967,"href":"/video/preview/697855050832618574?parent-reqid=1769262111761184-16793711835371911432-balancer-l7leveler-kubr-yp-klg-269-BAL&text=ACIL+TIP&t=1893&ask_summarization=1"},{"index":19,"title":"Acil Servislerde Çalışan Meslekler","list":{"type":"unordered","items":["Acil tıp teknisyenleri (ATT) ve acil tıp teknikerleri (paramedik) iki farklı grup olarak görev yapıyor.","Paramedikler esas olarak 112'de çalışıyor, ancak acil servislerde de görevlendiriliyorlar.","Acil tıp teknisyenleri acil servislerde çok fazla görevlendiriliyor ve acil hasta müdahalesi için özel eğitim almış kişiler."]},"beginTime":1967,"endTime":2013,"href":"/video/preview/697855050832618574?parent-reqid=1769262111761184-16793711835371911432-balancer-l7leveler-kubr-yp-klg-269-BAL&text=ACIL+TIP&t=1967&ask_summarization=1"},{"index":20,"title":"Ambulanslarda Çalışma","list":{"type":"unordered","items":["Her ambulansa bir hekim bulunması zorunlu değil, bu durum yurt dışında da benzer şekilde uygulanıyor.","Paramedikler acil tıp teknisyenleri olarak ilaç yapma, müdahale yapma ve acil müdahale etme yetkisi olan kişilerdir.","Paramedikler acil hastaları stabilizasyondan sorumlu olup, gerektiğinde 112 komutadaki hekimlerle iletişim kurarak hasta yönlendirilmesi konusunda yardımcı olabiliyorlar."]},"beginTime":2013,"endTime":2067,"href":"/video/preview/697855050832618574?parent-reqid=1769262111761184-16793711835371911432-balancer-l7leveler-kubr-yp-klg-269-BAL&text=ACIL+TIP&t=2013&ask_summarization=1"},{"index":21,"title":"Son Mesaj","list":{"type":"unordered","items":["Acil servislerle ilgili herkesin kendi öz eleştirisini yapması ve acil servise başvurmadan önce gerçekten acil olup olmadığını değerlendirmesi gerekiyor.","Acil servise gereksiz başvurular, acil servisleri meşgul ediyor ve bu durum büyük bir alana girebiliyor.","Acil servislerin saygı gösterilmesi gerektiği 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