1 10 20 https://repository.horizon.ac.id/files/original/477164072068239db87e8dd18627e05c.PDF 89fee989d95deb05620538f22c0a9ed9 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 2 JULY 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 A retrospective descriptive analysis of non-physician-performed prehospital endotracheal intubation practices and performance in South Africa Subject The topic of the resource Prehospital emergency care, Airway management, Endotracheal intubation, South Africa Description An account of the resource Introduction: Prehospital advanced airway management, including endotracheal intubation (ETI), is one of the most commonly performed advanced life support skills. In South Africa, prehospital ETI is performed by non-physician prehospital providers. This practice has recently come under scrutiny due to lower frst pass (FPS) and overall success rates, a high incidence of adverse events (AEs), and limited evidence regarding the impact of ETI on mortality. The aim of this study was to describe non-physician ETI in a South African national sample in terms of patient demographics, indications for intubation, means of intubation and success rates. A secondary aim was to determine what factors were predictive of frst pass success. Methods: This study was a retrospective chart review of prehospital ETIs performed by non-physician prehospital providers, between 01 January 2017 and 31 December 2017. Two national private Emergency Medical Services (EMS) and one provincial public EMS were sampled. Data were analysed descriptively and summarised. Logistic regression was performed to evaluate factors that afect the likelihood of FPS. Results: A total of 926 cases were included. The majority of cases were adults (n =781, 84.3%) and male (n =553, 57.6%). The most common pathologies requiring emergency treatment were head injury, including traumatic brain injury (n =328, 35.4%), followed by cardiac arrest (n =204, 22.0%). The mean time on scene was 46minutes (SD=28.3). The most cited indication for intubation was decreased level of consciousness (n =515, 55.6%), followed by cardiac arrest (n =242, 26.9%) and inefective ventilation (n =96, 10.4%). Rapid sequence intubation (RSI, n =344, 37.2%) was the most common approach. The FPS rate was 75.3%, with an overall success rate of 95.7%. Intubation failed in 33 (3.6%) patients. The need for ventilation was inversely associated with FPS (OR=0.42, 95% CI: 0.20–0.88, p =0.02); while deep sedation (OR=0.56, 95% CI: 0.36–0.88, p =0.13) and no drugs (OR=0.47, 95% CI: 0.25–0.90, p =0.02) compared to RSI was less likely to result in FPS. Increased scene time (OR=0.99, 95% CI: 0.985–0.997, p <0.01) was inversely associated FPS. Creator An entity primarily responsible for making the resource Craig A. Wylie, Farzana Araie, Clint Hendrikse, Jan Burke, Ivan Joubert, Anneli Hardy and Willem Stassen 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) 22:129 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 management Endotracheal intubation Jurnal Internasional Keperawatan Prehospital emergency care South Africa https://repository.horizon.ac.id/files/original/86130ae38aa611fdc383015cb245e34f.pdf 4e9c69831626bd8efcba466bccbf2cba 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 2 JULY 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 Analysis of injuries and deaths from road trafc accidents in Iran: bivariate regression approach Subject The topic of the resource Road Trafc Accident, Death, Injury, Bivariate Regression Description An account of the resource Backgrounds: This study aims to estimate and compare the parameters of some univariate and bivariate count models to identify the factors afecting the number of mortality and the number of injured in road accidents. Methods: The accident data used in this study are related to Kermanshah province in march2020 to march2021. Accidents areas were divided into 125 areas based on density characteristics. In a one-year period, 3090 accidents happened on the suburban roads of Kermanshah province, which resulted in 398 deaths and 4805 injuries. Accident information, including longitude and latitude of accident location, type of accident (fatal and injury), number of deaths, number of injuries, accident type, the reason of the accident, and the kind of accident were all included as population-level variables in the regression models. We investigated four frequently used bivariate count regression models for accident data in the literature. Results: In bivariate analysis, except for the DNM model, there is a reasonable decrease in the AIC measures of the saturated model compared to the reduced model for the other three models. For the injury models, MSE is lowest, respectively for DIBP (137.87), BNB (289.46), BP (412.36) and DNM (3640.89) models. These results are also established for death models. But, in univariate analysis, only injury models almost present reasonable results. Conclusions: Our fndings show that the IDBP model is better suitable for evaluating accident datasets than other models. Motorcycle accidents, pedestrian accidents, left turn deviance, and dangerous speeding were all signifcant variables in the IDBP death model, and these parameters were linked to accident mortality Creator An entity primarily responsible for making the resource Soodeh Shahsavari, Ali Mohammadi, Shayan Mostafaei, Ehsan Zereshki, Seyyed Mohammad Tabatabaei, Mohsen Zhaleh, Meisam Shahsavari and Frouzan Zeini 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) 22:130 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 Bivariate Regression Death Injury Jurnal Internasional Keperawatan Road Trafc Accident https://repository.horizon.ac.id/files/original/ac080ffa7944227795a284da7debf7ee.PDF 5601dbd7f4b89d44e89fd6a1ea8dd0f1 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 2 JULY 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 Capillary refll time for the management of acute circulatory failure: a survey among pediatric and adult intensivists Subject The topic of the resource Capillary refll time, Acute circulatory failure, Survey, Peripheral perfusion, Shock Description An account of the resource Introduction: Recent studies have shown the prognostic value of capillary refll time (CRT) and suggested that resus‑ citation management guided by CRT may reduce morbidity and mortality in patients with septic shock. However, little is known about the current use of CRT in routine clinical practice. This study aimed to assess the modalities of CRT use among French adult and pediatric intensivists. Methods: A cross-sectional survey exploring CRT practices in acute circulatory failure was performed. The targeted population was French adult and pediatric intensivists (SFAR and GFRUP networks). An individual invitation letter including a survey of 32 questions was emailed twice. Descriptive and analytical statistics were performed. Results: Among the 6071 physicians who received the letter, 418 (7%) completed the survey. Among all respond‑ ents, 82% reported using CRT in routine clinical practice, mainly to diagnose acute circulatory failure, but 45% did not think CRT had any prognostic value. Perfusion goal-directed therapy based on CRT was viewed as likely to improve patient outcome by 37% of respondents. The measurement of CRT was not standardized as the use of a chronometer was rare (3%) and the average of multiple measurements rarely performed (46%). Compared to adult intensivists, pediatric intensivists used CRT more frequently (99% versus 76%) and were more confdent in its diagnostic value and its ability to guide treatment. Conclusion: CRT measurement is widely used by intensivists in patients with acute circulatory failure but most often in a non-standardized way. This may lead to a misunderstanding of CRT reliability and clinical usefulness. Creator An entity primarily responsible for making the resource Matthias Jacquet‑Lagrèze, Cléo Wiart, Rémi Schweizer, Léa Didier, Martin Ruste, Maxime Coutrot, Matthieu Legrand, Florent Baudin, Etienne Javouhey, François Dépret and Jean‑Luc Fellahi 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) 22:131 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 Acute circulatory failure Capillary refll time Jurnal Internasional Keperawatan Peripheral perfusion Shock Survey https://repository.horizon.ac.id/files/original/44d2076c1b4fec1c509c8729c713c3cf.PDF af4e9319c5d2fb2ebf35d5b4b227f4ce 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 2 JULY 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 Challenges in abdominal re-exploration for war casualties following on-site abdominal trauma surgery and subsequent delayed arrival to defnitive medical care abroad – an unusual scenario Subject The topic of the resource Abdominal surgery, Re-laparotomy, Damage control surgery, Abdominal trauma, Missed injuries, War injuries Description An account of the resource Background: During the Syrian civil war, patients were initially treated on-site in Syria and later transferred to medical centers in Israel. Relevant details concerning the exact nature of injury and medical/surgical care received in Syria were unavailable to clinicians in Israel. Many of these patients required abdominal re-exploration for obvious or suspected problems related to their injury. Our aim is to present our approach to abdominal trauma patients who survived initial on-site surgery and needed subsequent abdominal re-exploration abroad, in our medical center. Methods: Clinical data from all medical records were retrospectively analyzed. Each patient underwent total body computerized tomography on arrival, revealing diverse multi-organ trauma. We divided the patient population who had abdominal trauma into 4 sub-groups according to the location in which abdominal surgical intervention was performed (abdominal surgery performed only in Syria, surgery in Syria and subsequent re-laparotomy in Israel, abdominal surgery only in Israel, and management of patients without abdominal surgical intervention). We focused on missed injuries and post-operative complications in the re-laparotomy sub-group. Results: By July 2018, 1331 trauma patients had been admitted to our hospital, of whom 236 had sufered abdomi�nal trauma. Life-saving abdominal intervention was performed in 138 patients in Syria before arrival to our medical center. A total of 79 patients underwent abdominal surgery in Israel, of whom 46 (33%) required re-laparotomy. The absence of any communication between the surgical teams across the border markedly afected our medical approach. Indica�tions for re-exploration included severe peritoneal infammation, neglected or overlooked abdominal foreign bodies, hemodynamic instability and intestinal fstula. Mortality occurred in 37/236 patients, with severe abdominal trauma as the main cause of fatality in 10 of them (4.2%), usually following urgent re-laparotomy. Conclusions: Lack of information about the circumstances of injury in an environment of catastrophe in Syria at the time and the absence of professional communication between the surgical teams across the border markedly Creator An entity primarily responsible for making the resource Amitai Bickel, Konstantin Akinichev, Michael Weiss, Samer Ganam, Seema Biswas, Igor Waksman and Eli Kakiashvilli 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) 22:132 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 Abdominal surgery Abdominal trauma Damage control surgery Jurnal Internasional Keperawatan Missed injuries Re-laparotomy War injuries https://repository.horizon.ac.id/files/original/769f8e56a1290454a0aaff446b13b0b4.PDF b05947e9dcb1f28c36c90b578c6b1e84 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 2 JULY 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 Characterizing people with frequent emergency department visits and substance use: a retrospective cohort study of linked administrative data in Ontario, Alberta, and B.C., Canada Subject The topic of the resource Emergency medicine, Epidemiology, Health policy, Health services research, Frequent Users, High Service Users, Substance-Related Disorders Description An account of the resource Background: Substance use is common among people who visit emergency departments (EDs) frequently. We aimed to characterize subgroups within this cohort to better understand care needs/gaps, and generalizability of characteristics in three Canadian provinces. Methods: This was a retrospective cohort study (April 1st, 2013 to March 31st, 2016) of ED patients in Ontario, Alberta, and British Columbia (B.C.) We included patients≥18 years with substance use-related healthcare contact during the study period and frequent ED visits, defned as those in the top 10% of ED utilization when all patients were ordered by annual ED visit number. We used linked administrative databases including ED visits and hospitalizations (all prov�inces); mental heath-related hospitalizations (Ontario and Alberta); and prescriptions, physician services, and mortality (B.C.). We compared to cohorts of people with (1) frequent ED visits and no substance use, and (2) non-frequent ED visits and substance use. We employed cluster analysis to identify subgroups with distinct visit patterns and clinical characteristics during index year, April 1st, 2014 to March 31st, 2015. Results: In 2014/15, we identifed 19,604, 7,706, and 9,404 people with frequent ED visits and substance use in Ontario, Alberta, and B.C (median 37–43 years; 60.9–63.0% male), whose ED visits and hospitalizations were higher than comparison groups. In all provinces, cluster analyses identifed subgroups with “extreme” and “moderate” frequent visits (median 13–19 versus 4–6 visits/year). “Extreme” versus “moderate” subgroups had more hospitalizations, mental health-related ED visits, general practitioner visits but less continuity with one provider, more commonly left against medical advice, and had higher 365-day mortality in B.C. (9.3% versus 6.6%; versus 10.4% among people with frequent ED visits and Creator An entity primarily responsible for making the resource Jessica Moe , Yueqiao Elle Wang, Michael J. Schull, Kathryn Dong, Margaret J. McGregor, Corinne M. Hohl, Brian R. Holroyd and Kimberlyn M. McGrail 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) 22:127 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 medicine Epidemiology Frequent Users Health policy Health services research High Service Users Jurnal Internasional Keperawatan Substance-Related Disorders https://repository.horizon.ac.id/files/original/bf0b6d2c1cef6f1dc245a6fd927ddcb0.PDF 213f7b5352ae713921c957d2f4f19083 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 2 JULY 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 Compromised cardiopulmonary resuscitation quality due to regurgitation during endotracheal intubation: a randomised crossover manikin simulation study Subject The topic of the resource Airway management, Cardiopulmonary resuscitation, Manikin, Regurgitation Description An account of the resource Background: Regurgitation is a complication common during cardiopulmonary resuscitation (CPR). This manikin study evaluated the efect of regurgitation during endotracheal intubation on CPR quality. Methods: An airway-CPR manikin was modifed to regurgitate simulated gastric contents into the oropharynx dur‑ ing chest compression during CPR. In total, 54 emergency medical technician-paramedics were assigned to either an oropharyngeal regurgitation or clean airway scenario and then switched to the other scenario after fnishing the frst. The primary outcomes were CPR quality metrics, including chest compression fraction (CCF), chest compression depth, chest compression rate, and longest interruption time. The secondary outcomes were intubation success rate and intubation time. Results: During the frst CPR–intubation sequence, the oropharyngeal regurgitation scenario was associated with a signifcantly lower CCF (79.6% vs. 85.1%, P<0.001), compression depth (5.2 vs. 5.4 cm, P<0.001), and frst-pass success rate (35.2% vs. 79.6%, P<0.001) and greater longest interruption duration (4.0 vs. 3.0 s, P<0.001) than the clean airway scenario. During the second and third sequences, no signifcant diference was observed in the CPR quality metrics between the two scenarios. In the oropharyngeal regurgitation scenario, successful intubation was independently and signifcantly associated with compression depth (hazard ratio=0.47, 95% confdence interval, 0.24–0.91), whereas none of the CPR quality metrics were related to successful intubation in the clean airway scenario. Conclusion: Regurgitation during endotracheal intubation signifcantly reduces CPR quality. Trial registration: ClinicalTrials.gov, NCT05278923, March 14, 2022. Creator An entity primarily responsible for making the resource Li‑Wei Lin, James DuCanto, Chen‑Yang Hsu, Yung‑Cheng Su, Chi‑Chieh Huang and Shih‑Wen Hung 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) 22:124 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 management Cardiopulmonary resuscitation Jurnal Internasional Keperawatan Manikin https://repository.horizon.ac.id/files/original/ffcc8d7bd3d17224c9909214a9cf4a04.PDF 46691f09766b8374069ffba37cfb8c04 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 2 JULY 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 annual hospital admissions of out-of-hospital cardiac arrest patients on prognosis following cardiac arrest Subject The topic of the resource Cardiopulmonary resuscitation, Hospital volume, Neurological outcome, Out-of-hospital cardiac arrest, Prediction, Prognosis Description An account of the resource Background: Although the prognosis of patients treated at specialized facilities has improved, the relationship between the number of patients treated at hospitals and prognosis is controversial and lacks constancy in those with out-of-hospital cardiac arrest (OHCA). This study aimed to clarify the efect of annual hospital admissions on the prog�nosis of adult patients with OHCA by analyzing a large cohort. Methods: The efect of annual hospital admissions on patient prognosis was analyzed retrospectively using data from the Japanese Association for Acute Medicine OHCA registry, a nationwide multihospital prospective database. This study analyzed 3632 of 35,754 patients hospitalized for OHCA of cardiac origin at 86 hospitals. The hospitals were divided into tertiles based on the volume of annual admissions. The efect of hospital volume on prognosis was analyzed using logistic regression analysis with multiple imputation. Furthermore, three subgroup analyses were performed for patients with return of spontaneous circulation (ROSC) before arrival at the emergency department, patients admitted to critical care medical centers, and patients admitted to extracorporeal membrane oxygenation�capable hospitals. Results: Favorable neurological outcomes 30days after OHCA for patients overall showed no advantage for medium�and high-volume centers over low-volume centers; Odds ratio (OR) 0.989, (95% Confdence interval [CI] 0.562-1.741), OR 1.504 (95% CI 0.919-2.463), respectively. However, the frequency of favorable neurological outcomes in OHCA patients with ROSC before arrival at the emergency department at high-volume centers was higher than those at low-volume centers (OR 1.955, 95% CI 1.033-3.851). Conclusion: Hospital volume did not signifcantly afect the prognosis of adult patients with OHCA. However, trans�port to a high-volume hospital may improve the neurological prognosis in OHCA patients with ROSC before arrival at the emergency department. Creator An entity primarily responsible for making the resource Takumi Tsuchida, Kota Ono, Kunihiko Maekawa, Mariko Hayamizu and Mineji Hayakawa 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) 22:121 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 Cardiopulmonary resuscitation Hospital volume Jurnal Internasional Keperawatan Neurological outcome Out-of-hospital Cardiac Arrest Prediction prognosis https://repository.horizon.ac.id/files/original/5bf0ec7b861a7153c0d3a9590e714a2e.PDF ab350cb4c298e3780b2bfd6845b88aba 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 2 JULY 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 Evaluation of the efectiveness and costs of inhaled methoxyfurane versus usual analgesia for prehospital injury and trauma: non-randomised clinical study Subject The topic of the resource Prehospital, Emergency medical services, Analgesia, Pain, Ambulance, Methoxyfurane Description An account of the resource Background: We aimed to investigate clinical benefts and economic costs of inhaled methoxyfurane when used by ambulance staf for prehospital emergency patients with trauma. Comparison is to usual analgesic practice (UAP) in the UK in which patient records were selected if treatment had been with Entonox® or intravenous morphine or intravenous paracetamol. Methods: Over a 12-month evaluation period, verbal numerical pain scores (VNPS) were gathered from adults with moderate to severe trauma pain attended by ambulance staf trained in administering and supplied with methoxy�furane. Control VNPS were obtained from ambulance database records of UAP in similar patients for the same period. Statistical modelling enabled comparisons of methoxyfurane to UAP, where we employed an Ordered Probit panel regression model for pain, linked by observational rules to VNPS. Results: Overall, 96 trained paramedics and technicians from the East Midlands Ambulance Service NHS Trust (EMAS) prepared 510 doses of methoxyfurane for administration to a total of 483 patients. Comparison data extracted from the EMAS database of UAP episodes involved: 753 patients using Entonox®, 802 patients using intravenous morphine, and 278 patients using intravenous paracetamol. Modelling results included demonstration of faster pain relief with inhaled methoxyfurane (all p-values<0.001). Methoxyfurane’s time to achieve maximum pain relief was estimated to be signifcantly shorter: 26.4 min (95%CI 25.0–27.8) versus Entonox® 44.4 min (95%CI 39.5–49.3); 26.5 min (95%CI 25.0–27.9) versus intravenous morphine 41.8 min (95%CI 38.9–44.7); 26.5 min (95%CI 25.1–28.0) versus intravenous paracetamol 40.8 (95%CI 34.7–46.9). Scenario analyses showed that durations spent in severe pain were signifcantly less for methoxyfurane. Costing scenarios showed the added benefts of methoxyfurane were achieved at higher cost, eg versus Entonox® the additional cost per treated patient was estimated to be £12.30. Conclusion: When administered to adults with moderate or severe pain due to trauma inhaled methoxyfurane reduced pain more rapidly and to a greater extent than Entonox® and parenteral analgesics. Inclusion of inhaled methoxyfurane to the suite of prehospital analgesics provides a clinically useful addition, but one that is costlier per treated patient. Creator An entity primarily responsible for making the resource Murray D. Smith , Elise Rowan, Robert Spaight and Aloysius N. Siriwardena 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) 22:122 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 Ambulance Analgesia Emergency medical services Jurnal Internasional Keperawatan Methoxyfurane Pain Prehospital https://repository.horizon.ac.id/files/original/78b3ec40e950912876ad51c9d224250c.pdf 50bc522b427d3a361f8041f04ae59271 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 2 JULY 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 Examining patient fow in a tertiary hospital’s emergency department at a low coronavirus prevalence region Subject The topic of the resource COVID-19 pandemic, Low prevalence, Patient fow, Emergency department, Overcrowding Description An account of the resource Background: Taiwan’s successful containment of the COVID-19 outbreak prior to 2021 provided a unique environ‑ ment for the surveillance of unnecessary emergency medical use. The aim of the study is to examine the impact of the coronavirus disease (COVID-19) pandemic on the patient fow in the emergency department (ED) of a tertiary hospital over 1 year in southern Taiwan, a region with low COVID-19 prevalence. Methods: Cross-sectional observational study was conducted from January to December 2020. Essential parameters of patient fow in the ED between January and February 2020 and the subsequent 11-month period were compared to data from 2019. Data were analyzed with descriptive statistics, using an independent sample t-test or Mann–Whit‑ ney U test, as applicable. Results: The ED census showed an acute decline (−30.8%) from January to February 2020, reaching its nadir (−40.5%) in April 2020. From February to December 2020, there was an average decrease of 20.3% in ED attendance (p<0.001). The impact was most signifcant in ambulatory visits, lower-urgency acuity (level III) visits, and pediatric vis‑ its, without change in the acuity proportion. The length of stay shortened mainly in the adult division, which typically had an overcrowding problem (median, 5.7–4.4hours in discharge; 24.8–16.9hours in hospitalization; p<0.001). The incidence of 72-hour unscheduled return visits was also reduced (4.1–3.5%, p=0.002). Conclusions: In contrast to devastated regions, the impact on the ED patient fow in regions having low COVID-19 prevalence highlights a remodeling process of emergency medical care that would improve overcrowding Creator An entity primarily responsible for making the resource Wen‑Min Tseng, Po‑Hsiang Lin, Pin‑Chieh Wu and Chih‑Hsiang Kao 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) 22:137 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 COVID-19 pandemic Emergency department Jurnal Internasional Keperawatan Low prevalence Overcrowding Patient fow https://repository.horizon.ac.id/files/original/db5f79727096f4035b914d0b5c1ba3cc.PDF 7967922430cce697e3e14549fb35f553 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 2 JULY 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 Impact of establishing a level-1 trauma center for lower extremity trauma: a 4-year experience Subject The topic of the resource Amputation, Limb salvage, Lower limb, Open fracture, Trauma center Description An account of the resource Purpose: A multidisciplinary approach is essential for trauma patients’ treatment, particularly for cases with open lower extremity fractures, which are considered major traumas requiring a comprehensive approach. Recently, the social demand for severe-trauma centers has increased. This study analyzed the clinical impact of establishing a trauma center for the treatment of open lower extremity fractures. Methods: A retrospective chart review was conducted for trauma patients admitted to our hospital. Patients were classifed into two groups: before (January 2014–December 2015, 178 patients) and after establishment of a Level-1 trauma center (January 2017–December 2018, 125 patients). We included patients with open fracture below the knee level and Gustilo type II/III, but excluded those with life-threatening trauma that afected the treatment choice. Results: Total 273 patient were included in this study, initial infection was signifcantly more common and external fxator application signifcantly less in post-center establishment group. The time to emergency operation decreased signifcantly from 13.89±17.48 to 11.65±19.33 h post-center setup. By multivariate analysis, the decreased primary amputation and increased limb salvage was attributed to establishment of the trauma center. Conclusion: With the establishment of the Level-1 trauma center, limbs of patients with open lower extremity fractures could be salvaged, and the need for primary amputation was decreased. Early control of initial open wound infection and minimizing external fxator use allowed early soft tissue reconstruction. The existence of the center ensured a shorter interval to emergency operation and facilitated interdepartmental cooperation, which promoted active limb salvage and contributed to patients’ quality of life. Creator An entity primarily responsible for making the resource Min Ji Kim, Kyung Min Yang, Hyung Min Hahn, Hyoseob Lim and Il Jae 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) 22:123 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 Amputation Jurnal Internasional Keperawatan Limb salvage Lower limb, Open fracture Trauma center