1 10 21 https://repository.horizon.ac.id/files/original/50d0acf75f153a4ba9d36bee39a84d30.PDF 6ec4b5f512f1554b527417c7feb8f24d Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource VOLUME 22 ISSUE 1 MARET 2022 Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Association between post-extubation upper airway obstruction symptoms and airway size measured by computed tomography: a single-center observational study Subject The topic of the resource Intubation, Airway extubation, Airway management, Tracheal stenosis, Airway obstruction, Post�extubation stridor Description An account of the resource Background: Computed tomography (CT) is often performed to assess patients; however, little is known about how airway size measured by CT scan imaging might infuence the occurrence of post-extubation upper airway obstruction. Methods: This study aimed to evaluate the association between airway size measured by CT and the incidence of post-extubation upper airway obstruction symptoms for each sex. This single-center observational study was con�ducted at a tertiary emergency medical center/severe trauma center with a 12-bed intensive care unit. We enrolled consecutive adult patients (aged≥20 years), who were intubated in the emergency room, between January 2016 and March 2019. Patients who underwent a CT scan of the glottic region within three hours before and after intuba�tion were included in the analysis. For each sex, we frst divided the patients into two groups: those who had post�extubation stridor, hoarseness, or both and those who had no such symptoms. Then, we compared the two groups using the Mann–Whitney U test and Fisher’s exact test. Univariate and multivariate logistic regression analyses were also performed. Results: During the 39 months, 855 patients were enrolled in this study. A total of 217 patients underwent CT of the glottic region within three hours before and after intubation. Five patients had no records of symptoms after extuba�tion. Thus, we analyzed data from 212 patients. This study included 144 males and 68 females. In female patients, the median [inter-quartile range] (average) of the transverse diameter of the glottis/endotracheal tube outer diameter (OD) ratio was smaller in patients with post-extubation upper airway obstruction symptoms than in patients with�out the symptoms (1.00 [1.00–1.00] (0.9572) vs. 1.00 [1.00–1.00] (1.00296), respectively; p=.013). Multivariate logistic regression analysis showed that the glottis/tube OD ratio<1 was associated with the symptoms in females (odds ratio: 95% confdence interval, 5.68: 1.04–30.97). There was no relation between the airway sizes and the symptoms in male patients. Conclusions: In female patients, no gap between the endotracheal tube and the vocal codes or the glottic trans�verse diameter being smaller than the endotracheal tube OD on CT scan was associated with post-extubation upper airway obstruction symptoms. Creator An entity primarily responsible for making the resource Mafumi Shinohara, Masayuki Iwashita, Takeru Abe and Ichiro Takeuchi Publisher An entity responsible for making the resource available BMC Emergency Medicine Date A point or period of time associated with an event in the lifecycle of the resource (2022) 22:55 Contributor An entity responsible for making contributions to the resource Fajar bagus W Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource English Type The nature or genre of the resource Text Airway extubation Airway management Airway obstruction Intubation Jurnal Internasional Keperawatan Post-extubation stridor Tracheal stenosis https://repository.horizon.ac.id/files/original/1b3100e0aeed1a8896e16868de5f637b.PDF 6db8d59dff21e889a9bc4d744b8cfe21 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource VOLUME 22 ISSUE 1 MARET 2022 Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Comparing the prehospital NEWS with in-hospital ESI in predicting 30-day severe outcomes in emergency patients Subject The topic of the resource Emergency medical services, Early warning score, Triage, Emergency severity index, Patient outcome, Smartphone Description An account of the resource Background: In Iran, the emergency departments (EDs) have largely adopted the emergency severity index (ESI) to prioritize the emergency patients, however emergency medical services (EMS) mainly triage the patients based on the paramedics’ gestalt. The National Early Warning Score (NEWS) is a recommended prehospital triage in the UK. We aimed to compare prehospital NEWS and ED ESI for predicting severe outcomes in emergency patients. Methods: An observational study was conducted in a university-afliated ED between January and April 2021. Adult patients who arrived in the ED by EMS were included. EMS providers calculated the patients’ NEWS upon arriving on the scene using an Android NEWS application. In the ED, triage nurses utilized the ESI algorithm to prioritize patients with higher clinical risk. Then, Research nurses recorded patients’ 30-day severe outcomes (death or ICU admission). Finally, The prognostic properties of ESI and NEWS were evaluated. Results: One thousand forty-eight cases were included in the fnal analysis, of which 29 (2.7%) patients experienced severe outcomes. The diference between the prehospital NEWS and ED ESI in predicting severe outcomes was not statistically signifcant (AUC=0.825, 95% CI: 0.74–0.91 and 0.897, 95% CI, 0.83–0.95, for prehospital NEWS and ESI, respectively). Conclusion: Our fndings indicated that prehospital NEWS compares favorably with ED ESI in predicting 30-day severe outcomes in emergency patients. Creator An entity primarily responsible for making the resource Peyman Saberian, Atefeh Abdollahi, Parisa Hasani‑Sharamin, Maryam Modaber and Ehsan Karimialavijeh Publisher An entity responsible for making the resource available BMC Emergency Medicine Date A point or period of time associated with an event in the lifecycle of the resource (2022) 22:42 Contributor An entity responsible for making contributions to the resource Fajar bagus W Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource English Type The nature or genre of the resource Text Early warning score Emergency medical services Emergency Severity Index Jurnal Internasional Keperawatan Patient outcome Smartphone Triage https://repository.horizon.ac.id/files/original/b72466dd2193d2624c5a847afccfb3bb.PDF a3106d0ed2719f47ab9465fc254ec22e Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource VOLUME 22 ISSUE 1 MARET 2022 Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Comparison of the outcomes of EMS vs. Non-EMS transport of patients with ST-segment elevation myocardial infarction (STEMI) in Southern Iran: a population-based study Subject The topic of the resource Myocardial infarction, Emergency medical services, Pre-hospital transport, Out-of-hospital acute care Description An account of the resource Background: In the medical management of acute myocardial infarction, the transport of patients and primary care provided by emergency medical technicians (EMTs) and paramedics are efective in reducing the mortality and disabilities. Therefore, the present study aimed to compare the outcomes of emergency medical services (EMS) vs. non-EMS transport of patients with ST-segment elevation myocardial infarction (STEMI) in southern Iran. Methods: This is an analytical, cross-sectional study. The study population consisted of the individuals registered in Fasa Registry on Acute Myocardial Infarction (FaRMI) in the south of Iran. 2244 patients with STEMI were included in the study. Statistical analyses were performed using Chi-Square test and independent t-test at a signifcance level of P<0.05 in SPSS 22. Results: Out of the 2244 patients with STEMI, 1552 (69.16%) were male and 672 patients (29.94%) were female. 934(41.62%) patients used EMS transport to the hospital, while 1310 (58.37%) patients used non-EMS transport to the hospital. A total of 169 patients with STEMI (7.26%) expired (out-of-hospital cardiac arrest); of them, 113 (66.86%) patients did not use EMS transport to the hospital. Successful cardiopulmonary resuscitation (CPR) was performed on 52 patients who used EMS transport. 27 patients also received an efective DC shock due to ventricular fbrillation (VF). Of the total number of patients, 49 had a stroke; among them, 37(75.51%) patients did not use EMS transport. Conclusion: In the present study, the death rate in patients with acute myocardial infarction who used EMS trans�port was lower than those who used non-EMS transport. The health system managers and policymakers in the health�care systems are recommended to take the necessary measures to increase public health awareness and knowledge about the use of EMS and consequently reduce the death rate and complications of acute myocardial infarction. Creator An entity primarily responsible for making the resource Hjatolah Najaf, Ehsan Bahramali, Mostafa Bijani, Azizallah Dehghan, Mehdi Amirkhani and Maryam Balaghi inaloo Publisher An entity responsible for making the resource available BMC Emergency Medicine Date A point or period of time associated with an event in the lifecycle of the resource (2022) 22:46 Contributor An entity responsible for making contributions to the resource Fajar bagus W Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource English Type The nature or genre of the resource Text Emergency medical services Jurnal Internasional Keperawatan Myocardial infarction Out-of-hospital acute care Pre-hospital transport https://repository.horizon.ac.id/files/original/4a0e7f81c67b59780a4916cf57f9c71e.PDF 79cd1f51c0fb46374d0ebb99e5dc067a Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource VOLUME 22 ISSUE 1 MARET 2022 Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Efect of age adjustment on two triage methods Subject The topic of the resource Triage, Older adults, Emergency Severity Index, Emergency Department, Acuity assessment Description An account of the resource Background: Most emergency departments rely on acuity assessment, triage, to recognize critically ill patients that need urgent treatment, and to allocate resources according to need. The accuracy of commonly used triage instru�ments such as the Emergency Severity Index (ESI) is lower for older adults compared to young patients. We aim to examine, whether adjusting the triage category by age leads to improvement in sensitivity without excessive increase in patient numbers in the higher triage categories. The primary outcome measure was 3-day mortality and secondary outcomes were 30-day mortality, hospital admission, and HDU/ICU admissions. Methods: We gathered data of all adult patients who had an unscheduled visit to any of our three emergency departments within one month. The data was analysed for 3-day mortality, 30-day mortality, hospital admission, and high dependency unit or intensive care unit (HDU/ICU) admission. The analysis was run for both the standard ESI tri�age method and a local 3-level Helsinki University Hospital (HUH) method. A further analysis was run for both triage methods with age adjustment. Net reclassifcation improvement values were calculated to demonstrate the efect of age adjustment. Results: Thirteen thousand seven hundred ffty-nine patients met the study criteria, median age was 57. 3-day mor�tality AUCs for unadjusted HUH and ESI triage were 0.77 (0.65–0.88) and 0.72 (0.57–0.87); 30-day mortality AUCs were 0.64 (0.59–0.69) and 0.69 (0.64–0.73); hospital admission AUCs were 0.60 (0.68–0.71) and 0.66 (0.65–0.68) and HDU/ ICU admission AUCs were 0.67 (0.64–0.70) and 0.82 (0.79–0.86), respectively. Age adjustment improved accuracy for 30-day mortality and hospital admission. With the threshold age of 80, AUCs for 30-day mortality were 0.73 (0.68–0.77) and 0.77 (0.73–0.81) and for hospital admission, 0.66 (0.65–0.67) and 0.72 (0.71–0.73) for the HUH and ESI triage. The efect was similar with all cut of ages. Conclusion: Moving older adults into a more urgent triage category based on age, improved the triage instruments’ performance slightly in predicting 30-day mortality and hospital admission without excessive increase in patient numbers in the higher triage categories. Age adjustment did not improve HDU/ICU admission or 3-day mortality prediction. Creator An entity primarily responsible for making the resource Kirsi Kemp, Janne Alakare, Minna Kätkä, Mitja Lääperi, Lasse Lehtonen and Maaret Castrén Publisher An entity responsible for making the resource available BMC Emergency Medicine Date A point or period of time associated with an event in the lifecycle of the resource (2022) 22:52 Contributor An entity responsible for making contributions to the resource Fajar bagus W Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource English Type The nature or genre of the resource Text Acuity assessment Emergency department Emergency Severity Index Jurnal Internasional Keperawatan Older adults Triage https://repository.horizon.ac.id/files/original/763cf74c531e63e608d39c2454a0386b.PDF 609279ac7292514900e68c8f0e981f83 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource VOLUME 22 ISSUE 1 MARET 2022 Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Efect of implementing quality control management in the treatment of severely injured patients: a retrospective cohort study in a level I trauma center in China Subject The topic of the resource Severe trauma, Multidisciplinary team, Quality control management, Mortality, Emergency operation Description An account of the resource Background: This study aimed to review the impact of quality control management on the treatment of severely injured patients. Methods: A retrospective analysis was conducted on patients with severe injury (injury severity score [ISS]≥16) between January 1, 2018 and February 1, 2020. The selected patients were stratifed as follows. The patients who were admitted prior to the implementation of quality control management—from January 1 to December 31, 2018—were assigned to the PRE group; the POST group included patients who were admitted after the implementation—from February 1, 2019 to February 1, 2020. Quality control management was implemented from January 1, 2019 to January 31, 2019. Parameters were compared to account for diferences in terms of demographics, surgical procedures, results of process quality, and 72-h mortality. Results: This study included 599 patients (PRE group: 212 males and 86 females; POST group: 228 males and 73 females; P=0.20). The extent of document completion was 97.3 and 100% in the PRE and POST groups, respectively (P<0.001). There was no delay in the arrival of the trauma surgeons or the multidisciplinary team after implementa�tion. However, following implementation of quality control management, there was a signifcant reduction in the duration of basic diagnostics, time until receipt of laboratory data, time until frst computed tomography scan, time until intubation, and time until an emergency operation (P<0.05). The deaths were caused by severe head injury (PRE: 5.4%, POST: 4%), hemorrhagic shock (PRE: 2.4%, POST: 0.7%), multiple-organ failure (PRE: 1.0%, POST: 0.3%), or other causes (PRE: 0.7%, POST: 0.0%). The 72-h mortality decreased after the implementation of quality control management (PRE vs. POST groups: 9.4 vs. 5.0%, P=0.04). Conclusions: The implementation of quality control management resulted in decreased time to critical interven�tions, improved patient care efciency, and reduced early mortality. We recommend that this approach be replicated at other trauma centers in China. Creator An entity primarily responsible for making the resource Zhe Du and Tianbing Wang Publisher An entity responsible for making the resource available BMC Emergency Medicine Date A point or period of time associated with an event in the lifecycle of the resource (2022) 22:34 Contributor An entity responsible for making contributions to the resource Fajar bagus W Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource English Type The nature or genre of the resource Text Emergency operation Jurnal Internasional Keperawatan mortality Multidisciplinary team Quality control management Severe trauma https://repository.horizon.ac.id/files/original/a7ca4c52876a9bbcee5c525c0cc7199f.PDF 5bfc5cd0e7eb293c8e8182f2d429d338 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource VOLUME 22 ISSUE 1 MARET 2022 Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Epidemiology, injury characteristics and clinical outcomes of bicycle and motorcycle accidents in the under 20 population: South Korea Subject The topic of the resource Adolescence, Bicycle Injury, Fracture, Injury, Motorcycle Injury, Paediatric Description An account of the resource Background: Bicycles and motorcycles are a main means of transportation and leisure for individuals aged under 20 years in South Korea. We aimed to identify the epidemiology of injuries and describe and compare patterns of injury and clinical outcomes of two-wheel vehicle-related accidents in these individuals. Methods: We analysed data obtained from the National Emergency Department Information System for 401 emergency departments (EDs) from January 2016 to December 2018. We included patients aged<20 years who experienced injuries while driving or a passenger on two-wheeled vehicles. We analysed patients with a bicycle�related injury and those with a motorcycle-related injury, and then compared two groups and performed a regression analysis for factors predicting severe trauma. Results: This study enrolled 54,342 two-wheel vehicle injury patients (37,410 bicycle and 16,932 motorcycle-related), of which, 86.8% (bicycle) and 94.9% (motorcycle) were males. External injuries were the most common. ED mortality was 9 (0.0%) for bicycles and 53 (0.3%) for motorcycles. Overall, 3,346 (8.9%) patients were hospitalised with bicycle injuries and 4,096 (24.2%) with motorcycle injuries. Among admitted patients with bicycle-related injuries, 48.7% had upper extremity injuries and among those admit�ted patients with motorcycle-related injuries, 76.0% had lower extremity injuries. Among hospitalised patients, the mean injury severity score (ISS) was 12.0±12.6 in bicycle-related injury and 17.6±15.4 in motorcycle-related injury. The number of patients with ISS≥16 was 27.6% for bicycle related injuries and 45.2% for motorcycle-related injuries. The mean length of hospital stay was 191.5.8±224.2h for bicycle injury, and 359.6±416.7h for motorcycles. Hospital mortality cases were 0.2% with bicycle injury and 1.2% with motorcycle injury. Motorcycle-related injuries had more severe injury (ISS≥16), with an adjusted odds ratio of 2.825 (95% conf�dence interval 2.610–3.059) compared to bicycle-related injuries. Conclusions: In the population aged under 20 years, two-wheel vehicle-related occurred predominantly in males. When using two-wheeled vehicles, motorcycle injuries were higher in patients aged over 14 years and were associ�ated with higher ISS (≥16). Political eforts should be made to educate under 20 years of age for safe driving and to wear protective gear, including helmets to prevent severe injury. Creator An entity primarily responsible for making the resource Hyeokmin Yun, Sung Jin Bae, Jung Il Lee and Duk Hee Lee Publisher An entity responsible for making the resource available BMC Emergency Medicine Date A point or period of time associated with an event in the lifecycle of the resource (2022) 22:56 Contributor An entity responsible for making contributions to the resource Fajar bagus W Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource English Type The nature or genre of the resource Text Adolescence Bicycle Injury Fracture Injury Jurnal Internasional Keperawatan Motorcycle Injury Paediatric https://repository.horizon.ac.id/files/original/fa4769f5195eb6a90f5b167fe097291b.PDF 62cd676b83b0b5d95bd73078bdafacc4 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource VOLUME 22 ISSUE 1 MARET 2022 Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Hand grenade blast injuries in the Eastern Democratic Republic of Congo: a case series of 38 patients Subject The topic of the resource Confict, Democratic Republic of Congo, Grenade injury, Trauma, Survival Description An account of the resource Introduction: The armed confict in the Kivu province of the Democratic Republic of Congo has caused close to 12,000 deaths. One of the most lethal weapons in armed conficts is the high explosive hand grenade. The study aimed to describe the epidemiology, presentation, and outcomes of hand grenade blast injuries (HGBI) in the Kivu province. Methods: In this case series, the authors present 2017 to 2020 HGBI admissions at a Congolese trauma center. Measures of central tendency and spread were computed for continuous data. Complication and mortality rates were equally computed. Admission-to-discharge data were disaggregated by the body part injured and by complication status and visualized using time-to-event curves. Results: Thirty-eight HGBI patients aged 31.4 (range 17–56) years were included in the study. Twenty-six (68.4%) were male and the patients were admitted 1.8days post-injury on average. The patients were hemodynamically stable at admission; 84.2% received the antitetanic vaccine, 21.1% received broad-spectrum antibiotics, and all were debrided (100.0%). The complication rate was 13.2%, and the most common complication was anemia (7.9%). In addition, the mortality rate was 2.6%. The median admission-to-discharge time was 17.0 (range 4–71) days, and it was prolonged in patients with lower extremity injuries (23.0days). Conclusion: HGBIs cause avertable death and disability in the Kivu regions. These data suggest that the burden of HGBIs can be reduced with appropriate preventive and health systems strengthening interventions. Creator An entity primarily responsible for making the resource Paul Munguakonkwa Budema, Romeo Bujiriri Murhega, Tshibambe Nathanael Tshimbombu, Georges Kuyigwa Toha, Fabrice Gulimwentuga Cikomola, Paterne Safari Mudekereza, Léon‑Emmanuel Mubenga, Ghislain Maheshe Balemba, Darck Cubaka Badesire and Ulrick Sidney Kanmounye Publisher An entity responsible for making the resource available BMC Emergency Medicine Date A point or period of time associated with an event in the lifecycle of the resource (2022) 22:43 Contributor An entity responsible for making contributions to the resource Fajar bagus W Format The file format, physical medium, or dimensions of the resource PDf Language A language of the resource English Type The nature or genre of the resource Text Confict Democratic Republic of Congo Grenade injury Jurnal Internasional Keperawatan Survival Trauma https://repository.horizon.ac.id/files/original/fb35e6b3994016bdb918670e9202c5df.PDF 9cc1219c219108f03e0a66249b684775 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource VOLUME 22 ISSUE 1 MARET 2022 Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Implementation and fndings on a one-minute sit-stand test for prehospital triage in patients with suspected COVID-19—a pilot project Subject The topic of the resource Prehospital Emergency Medical Services, Exercise testing, Corona virus disease 2019 Description An account of the resource Introduction: During the initial Coronavirus Disease 2019 (COVID-19) pandemic wave, sparse personal protection equipment made telephone triage of suscpeted COVID-19 patients for ambulance transport necessary. To spare resources, stable patients were often treated and released on-scene, but reports from Italy suggested that some later detoriated. We implemented a prehospital sit-stand test to identify patients in risk for detoriation. Methods: The test was implemented as part of a new guideline in stable suspected COVID-19 patients younger than 70 years with no risk factors for serious disease triaged by general practitioners to ambulance response in the Cen�tral Denmark Region. Data were collected from April 6th to July 6th 2020. The primary outcome for this study was the proportion of patients treated with oxygen within 7 days among patients decompensating vs patients not decom�pensating during the test. Results: Data on 156 patients triaged to ambulance response by general practioners were analysed. In total 86/156 (55%) were tested with the sit-stand test. Due to of-guideline use of the test, 30/86 (34.8%) were either older than 70 or had risk factors for serious disease. 10/156 (6%) of patients had a positive COVID-19-test. In total, 17/86 (20%) decompensated during the test and of these, 9/17 (53%) were treated with oxygen compared to 2/69 (3%) in patients who did not decompensate (p<0.001). Conclusion: In a population suspected of COVID-19 but with a low COVD-19 prevalence, decompensation with the sit-stand test was observed in 20% of patients and was associated with oxygen treatment within 7 days. These fndings are hypotheses-generating and suggest that physical exercise testing may be usefull for decision making in emergency settings. Creator An entity primarily responsible for making the resource Julie Kjerulf, Allan Bach, Ulla Væggemose, Søren Helbo Skaarup and Morten Thingemann Bøtker Publisher An entity responsible for making the resource available BMC Emergency Medicine Date A point or period of time associated with an event in the lifecycle of the resource (2022) 22:54 Contributor An entity responsible for making contributions to the resource Fajar bagus W Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource English Type The nature or genre of the resource Text Corona virus disease 2019 Exercise testing Jurnal Internasional Keperawatan Prehospital Emergency Medical Services https://repository.horizon.ac.id/files/original/412c9cfa76b0bb2acc80c5fd3bc00f56.PDF 3a71f8ac5579e1d8ee7fe4f2ce87a6fc Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource VOLUME 22 ISSUE 1 MARET 2022 Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Management of intoxicated patients – a descriptive outcome analysis of 4,267 ICU patients Subject The topic of the resource Epidemiology, Poisoning, Hospital mortality, Intensive care units, Critical illness Description An account of the resource Introduction: Intoxications are common in intensive care units (ICUs). The number of causative substances is large, mortality usually low. This retrospective cohort study aims to characterize diferences of intoxicated compared to general ICU patients, point out variations according to causative agents, as well as to highlight diferences between survivors and non-survivors among intoxicated individuals in a large-scale multi-center analysis. Methods: A total of 105,998 general ICU patients and 4,267 individuals with the admission diagnoses “overdose” and “drug toxicity” from the years 2014 and 2015 where included from the eICU Collaborative Research Database. In addition to comparing these groups with respect to baseline characteristics, intensive care measures and outcome parameters, diferences between survivors and non-survivors from the intoxication group, as well as the individual groups of causative substances were investigated. Results: Intoxicated patients were younger (median 41 vs. 66 years; p<0.001), more often female (55 vs. 45%; p<0.001), and normal weighted (36% vs. 30%; p<0.001), whereas more obese individuals where observed in the other group (37 vs. 31%; p<0.001). Intoxicated individuals had a signifcantly lower mortality compared to general ICU patients (1% vs. 10%; aOR 0.07 95%CI 0.05-0.11; p<0.001), a fnding which persisted after multivariable adjustment (aOR 0.17 95%CI 0.12-0.24; p<0.001) and persisted in all subgroups. Markers of disease severity (SOFA-score: 3 (1-5) vs. 4 (2-6) pts.; p<0.001) and frequency of vasopressor use (5 vs. 15%; p<0.001) where lower, whereas rates of mechani�cal ventilation where higher (24 vs. 26%; p<0.001) in intoxicated individuals. There were no diferences with regard to renal replacement therapy in the frst three days (3 vs. 4%; p=0.26). In sensitivity analysis (interactions for age, sex, ethnicity, hospital category, maximum initial lactate, mechanical ventilation, and vasopressor use), a trend towards lower mortality in intoxicated patients persisted in all subgroups. Conclusion: This large-scale retrospective analysis indicates a signifcantly lower mortality of intoxicated individuals compared to general ICU patients. Creator An entity primarily responsible for making the resource Richard Rezar, Christian Jung, Behrooz Mamandipoor, Clemens Seelmaier, Thomas K. Felder, Michael Lichtenauer, Sarah Wernly, Samanta M. Zwaag, Dylan W. De Lange, Bernhard Wernly and Venet Osmani Publisher An entity responsible for making the resource available BMC Emergency Medicine Date A point or period of time associated with an event in the lifecycle of the resource (2022) 22:38 Contributor An entity responsible for making contributions to the resource Fajar bagus W Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource English Type The nature or genre of the resource Text critical illness Epidemiology Hospital mortality Intensive care units Jurnal Internasional Keperawatan Poisoning https://repository.horizon.ac.id/files/original/409e073e6eba7c0f516c2edca7479f01.PDF a01346eed4fd2df16e63ff9224fc72b7 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource VOLUME 22 ISSUE 1 MARET 2022 Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Pain management of nalbuphine and sufentanil in patients admitted intensive care unit of diferent ages Subject The topic of the resource Nalbuphine, Sufentanil, Analgesia, Sedation, Intensive care unit Description An account of the resource Background: Pain relief for patients in the intensive care unit (ICU) can improve treatment outcomes and reduce the burden on doctors and nurses. This study aims to report the clinical analgesic and sedative efects of nalbuphine and sufentanil on ICU patients. Methods: This study retrospectively analyzed the medical records of 87 critically ill patients who received nalbuphine or sufentanil infusion in the ICU, including demographic data, diagnosis, Acute Physiology and Chronic Health Evalu�ation (APACHE) II, Critical Care Pain Observation Tool (CPOT), Richmond Agitation-Sedation Scale (RASS), systolic and diastolic blood pressure, heart rate and blood oxygen saturation (SpO2). The primary outcomes of this study were CPOT and RASS scores. The secondary outcomes were hemodynamic changes, including systolic blood pressure, dias�tolic blood pressure, heart rate, and SpO2. The adverse events recorded during pain management, such as hypoxemia, respiration depression and bradycardia, were also collected and analyzed. Results: None of the patients in both groups experienced episode of hypoxemia, respiration depression and bradycardia. However, age-stratifed analyses showed that nalbuphine has a better analgesic efect than sufentanil for patients aged≤60 (P<0.05). In contrast, sufentanil showed a better analgesic efect than nalbuphine for patients aged>60 ( P<0.05). Furthermore, nalbuphine has a signifcantly better sedative efect than sufentanil for patients aged≤60 (P<0.05). Conclusion: ICU patients of diferent age groups may be suitable for diferent analgesics. For patients under the age of 60, nalbuphine has better analgesia and sedation than sufentanil, and does not cause respiratory depression and drastic hemodynamic changes. Creator An entity primarily responsible for making the resource Kaiqiang Ji, Xiaoying Gong, Ting Luan, Xiaopeng Gao and Bin Zang Publisher An entity responsible for making the resource available BMC Emergency Medicine Date A point or period of time associated with an event in the lifecycle of the resource (2022) 22:50 Contributor An entity responsible for making contributions to the resource Fajar bagus W Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource English Type The nature or genre of the resource Text Analgesia Intensive care unit Jurnal Internasional Keperawatan Nalbuphine Sedation Sufentani