1 10 14 https://repository.horizon.ac.id/files/original/69842c427c5a4b7dc7f1d4e2826fdda4.PDF fddcedcc319a3d7b9f8a7bfb0f38387a 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 23 ISSUE 1 MARET 2023 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 When disaster strikes: staff recall and the use of staff recall systems during mass patient influx at Norwegian emergency primary health care centers – a cross-sectional study Subject The topic of the resource Automatized staff recall system, Mass patient influx, Mass casualty incident, Disaster plan, Staff recall, Mass notification system, Questionnaire Description An account of the resource Background In Norway, planning for disasters has been specifically emphasized since the incidents on July 22nd, 2011. Every municipality is now legislated to have a contingency plan that includes plans for staff recall during situations with mass influx of patients. Whether the primary health care services in Norway are prepared for mass influx of patients remains unclear. Aims of the study The aims of this study were (1) to assess the experiences of head doctors at emergency primary health care centers (EPHCC) in Norway with mass influx of patients, (2) to explore mass influx and staff recall procedures in use, (3) to assess head doctors’ experiences with staff recall systems, and (4) to assess their perspective on automatized staff recall systems. We also wanted to assess whether there were differences between small and large EPHCCs regarding whether they had plans in place. Methods The study had a cross-sectional, multicenter design, using a self-developed questionnaire. The questionnaire was developed utilizing recommendations from the Delphi technique, including an expert group and piloting. A purposive sampling strategy was used, including head doctors from Norwegian EPHCCs (n=169). Data were analyzed using the Statistical Package for the Social Sciences, and included descriptive statistics, Chi-Square tests and Shapiro-Wilks. Free-text answers were analyzed by content analysis. Results A total of 64 head doctors responded to the questionnaire. The results show that 25% of the head doctors had experienced mass influx of patients at their EPHCC. In total 54.7% of Norwegian EPHCCs did not have disaster plans that consider mass influx situations. The majority of EPHCCs plan to recall staff one by one (60.3%) or through Short-Message-Systems (34.4%). Most EPHCCs had available telephone “alarm” lists (81.4%), that are updated regularly (60.9%). However, only 17.2% had plans that consider loss of mobile phone connection or internet. In total, 67,2% of the head doctors reported to have little experience with automatized staff recall systems, and 59,7% reported to have little knowledge about such systems. There were no significant difference between small and large EPHCCs in having plans or not. Conclusion Even though our results show that few EPHCCs experience mass influx of patients, it is important to be prepared when such incidents do occur. Our results indicate that it is still potential for improvement regarding plans for staff recall and implementation of staff recall systems at Norwegian EPHCCs. Involving national disaster medicine experts in the process of generating tools or checklists could aid when constructing disaster plans. Education and implementation of training for mass influx situations at all levels should always be highlighted. Keywords Automatized staff recall system, Mass patient influx, Mass casualty incident, Disaster plan, Staff recall, Mass notification system, Questionnaire Creator An entity primarily responsible for making the resource Fredrik Femtehjell Friberg, Heléne Nilsson and Ann-Chatrin Linqvist Leonardsen 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 2023 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 Automatized staff recall system Disaster plan Jurnal Internasional Keperawatan Mass notification system Mass casualty incident Mass patient influx questionnaire Staff recall https://repository.horizon.ac.id/files/original/fa47219e87f47c87ce8e8d3687d90cc1.PDF dcac75f12d2393742543079c669799b2 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 23 ISSUE 1 MARET 2023 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 War-related traumatic brain injuries during the Syrian armed confict in Damascus 2014–2017: a cohort study and a literature review Subject The topic of the resource Explosion injury, Gunshot injury, Neurological injury, Syrian armed confict, War-related injury, Combat injury, Brain injury Description An account of the resource Background The decade-long Syrian armed confict killed or injured more than 11% of the Syrian population. Head and neck injuries are the most frequent cause of war-related trauma, about half of which are brain injuries. Reports about Syrian brain trauma victims were published from neighboring countries; However, none are available from Syr�ian hospitals. This study aims to report war-related traumatic brain injuries from the Syrian capital. Methods We conducted a retrospective cohort study between 2014 and 2017 at Damascus Hospital, the largest public hospital in Damascus, Syria. Target patients were the victims of combat-related traumatic brain injuries who arrived alive and were admitted to the neurosurgery department or to another department but followed by the neurosurgery team. The collected data included the mechanism, type, and site of injury based on imaging fndings; types of invasive interventions; intensive-care unit (ICU) admissions; as well as neurological status at admission and discharge including several severity scales. Results Our sample consisted of 195 patients; Ninety-six of them were male young adults, in addition to 40 females and 61 children. Injuries were caused by shrapnel in 127 (65%) cases, and by gunshots in the rest, and most of them (91%) were penetrating. Sixty-eight patients (35%) were admitted to the ICU, and 56 (29%) underwent surgery. Neurological impairment was reported in 49 patients (25%) at discharge, and the mortality rate during hospitalization was 33%. Mortality and neurological impairment associated signifcantly with higher values on clinical and imaging severity scores. Conclusions This study captured the full spectrum of war-related brain injuries of civilians and armed personnel in Syria without the delay required to transport patients to neighboring countries. Although the clinical presentation of injuries at admission was not as severe as that in previous reports, the inadequate resources (i.e., ventilators and operation rooms) and the lack of previous experience with similar injuries might have resulted in the higher mortality rate. Clinical and imaging severity scales can provide a handy tool in identifying cases with low probability of survival especially with the shortage of personal and physical resources. Creator An entity primarily responsible for making the resource Ibrahem Hanaf , Eskander Munder , Sulafa Ahmad , Iman Arabhamo , Suzan Alziab , Noor Badin , Ahmad Omarain , Mhd Khaled Jawish , Muhannad Saleh , Vera Nickl , Tamara Wipplinger , Christoph Wipplinger and Robert Nickl 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 (2023) 23:35 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 Brain injury Combat injury Explosion injury Gunshot injury Jurnal Internasional Keperawatan Neurological injury Syrian armed confict War-related injury https://repository.horizon.ac.id/files/original/621140f5e3d694b86bfaeac157ef3d93.PDF d5e6776197ec63cb72ddb36e11672059 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 23 ISSUE 1 MARET 2023 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 The study of nurses’ knowledge and attitudes regarding pain management and control in emergency departments Subject The topic of the resource Knowledge, Attitude, Nurse, Emergency, Pain management Description An account of the resource Background Given the importance and pivotal role of nurses in pain management and control, this study was conducted to determine the nurses’ knowledge and attitudes toward in emergency departments. Methods This study was designed and conducted as a descriptive-analytical cross-sectional study. Nurses’ attitude and knowledge towards pain management and control and relationship between their demographic characteristics have been assessed. Nurse Attitude Survey (NAS) and Pain management and control principles assessment Test (PMPAT) questionnaires were used. Results Totally 400 volunteers, including 148 (37.2%) male and 250 (62.8%) female nurses recruited from 23 hospitals in East Azerbaijan, Iran, with a mean age of 30.88 years (±6.04 SD) and age range between 22 and 53 years old. The crude mean score of participants’ knowledge of pain management and control was 12.51 (±2.77 SD), and standardized mean score was 40.34 (±8.92 SD), which was low at 84.8% and moderate in 15.3% of the participants. Older nurses and nurses who previously participated in pain retraining courses had significantly less knowledge about pain management and control (r= -0.104, P=0.038), and (r= -0.148, P=0.003) respectively. The crude mean score of participants’ attitudes toward pain control and management was 15.22 (±2.56 SD), and standardized mean score was 60.87 (±10.26 SD). Nurses’ attitudes have become more negative with the increase of their work experience (r = -0.168, P=0.001), and previously participation in pain retraining courses (r =-0.207, P<0.001). Older nurses and highly educated nurses had significantly more negative attitudes towards pain control and management (r = -0.153, P=0.002), and (r= -0.126, P=0.005), respectively. Conclusions The current study revealed that pain management and control knowledge in most emergency nurses was low, and most of them had a moderate attitude. We need more scientific and comprehensive pain management and control training courses to improve knowledge and attitude among health workers and nurses. Creator An entity primarily responsible for making the resource Sajjad Ahmadi , Parya Vojdani and Hamid Reza MortezaBagi 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 (2023) 23:26 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 Attitude Emergency Jurnal Internasional Keperawatan knowledge Nurse pain management https://repository.horizon.ac.id/files/original/fc6adfb48f2c5db0eee3c0994f9a59c0.PDF 018e68e583ab9535dc9ef2bc89e37615 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 23 ISSUE 1 MARET 2023 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 Self-reported skills and self-confdence in point-of-care ultrasound: a cross-sectional nationwide survey amongst Finnish emergency physicians Subject The topic of the resource POCUS, Ultrasound, Post-graduate medical education, Continuous medical education, Skills training, Self�confdence Description An account of the resource Background The use of point-of-care ultrasound (POCUS) is increasing. Numerous investigators have evaluated the learning curves in POCUS, but there are no published studies on how emergency physicians perceive their own competence level with this skill. Methods A nationwide survey amongst Finnish emergency physicians was conducted. The respondents reported their use of POCUS and how it has afected their clinical decision-making. The number of POCUS examinations per�formed was compared to the self-assessed skill level with diferent applications. Cut-of values were determined for the number of examinations required to acquire a good self-assessed skill level in each POCUS application. The cor�relation between self-confdence and the self-estimated skill level was analyzed. Several diferent statistical methods were used, such as Student’s t-test, Pearson’s correlation test, Loess method and ROC curve analysis. Results A total of 134 out of 253 Finnish emergency medicine specialists and residents (52%) responded to the survey. The most commonly used POCUS applications were POCUS-assisted procedures, pleural efusion and pneu�mothorax, inferior vena cava and lower extremity deep venous thrombosis. The initial rate of perceived skill acquisi�tion was very steep with the curve fattening with greater skill and more experience. The number of examinations performed to reach a self-assessed good competence varied from seven to 75 with diferent applications. The lowest cut-of point for self-assessed good competence was obtained for rapid ultrasound for the shock and hypotension�protocol and the highest for focused cardiac examinations. There was an excellent correlation between self-conf�dence and the self-assessed skill level. Conclusions The Finnish emergency practitioners’ self-assessed development of POCUS skills parallels the previously published learning curves of POCUS. The correlation of self-confdence and the self-assessed skill level was found to be excellent. These fndings add information on the development of perceived POCUS skills amongst emergency physicians and could complement a formal performance assessment. Creator An entity primarily responsible for making the resource Ossi Hannula , Ville Hällberg, Anna Meuronen, Olli Suominen, Suvi Rautiainen, Ari Palomäki, Harri Hyppölä, Ritva Vanninen and Kalle Mattila 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 (2023) 23:23 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 Continuous medical education Jurnal Internasional Keperawatan POCUS Post-graduate medical education Self-confdence Skills training Ultrasound https://repository.horizon.ac.id/files/original/1a22cc32e1aa006fd1dc1d58e527552b.PDF 30f461f28c36db5cb4ddc25a31cc211b 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 23 ISSUE 1 MARET 2023 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 Red cell distribution width and mortality in older patients with frailty in the emergency department Subject The topic of the resource Frailty, Red cell distribution width, Biomarkers, Mortality, Prognostic factor, Emergency departments Description An account of the resource Background The red cell distribution width (RDW) refects the degree of heterogeneity of red blood cells. Elevated RDW is associated both with frailty and with increased mortality in hospital-admitted patients. In this study we evaluate whether high RDW values are associated with mortality in older emergency department (ED) patients with frailty, and if the association is independent of the degree of frailty. Methods We included ED patients with the following criteria:≥75 years of age, Clinical Frailty Scale (CFS) score of 4 to 8, and RDW % measured within 48 h of ED admission. Patients were allocated to six classes by their RDW value:≤13%, 14%, 15%, 16%, 17%, and≥18%. The outcome was death within 30 days of ED admission. Crude and adjusted odds ratios (OR) with 95% confdence intervals (CI) for a one-class increase in RDW for 30-day mortality were calculated via binary logistic regression analysis. Age, gender and CFS score were considered as potential confounders. Results A total of 1407 patients (61.2% female), were included. The median age was 85 with an inter-quartile range (IQR) of 80–89, median CFS score 6 (IQR: 5–7), and median RDW 14 (IQR: 13–16). Of the included patients, 71.9% were admitted to hospital wards. A total of 85 patients (6.0%) died during the 30-day follow-up. Mortality rate was associated with RDW increase (p for trend<.001). Crude OR for a one-class increase in RDW for 30-day mortality was 1.32 (95% CI: 1.17–1.50, p<.001). When adjusted for age, gender and CFS-score, OR of mortality for one-class RDW increase was still 1.32 (95% CI: 1.16–1.50, p<.001). Conclusion Higher RDW values had a signifcant association with increased 30-day mortality risk in frail older adults in the ED, and this risk was independent of degree of frailty. RDW is a readily available biomarker for most ED patients. It might be benefcial to include it in risk stratifcation of older frail ED patients to identify those who could beneft from further diagnostic assessment, targeted interventions, and care planning. Creator An entity primarily responsible for making the resource Janne Alakare, Kirsi Kemp, Timo Strandberg, Maaret Castrén, Jukka Tolonen and Veli‑Pekka Harjola 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 (2023) 23:24 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 Biomarkers Emergency departments Frailty Jurnal Internasional Keperawatan mortality prognostic factor Red cell distribution width https://repository.horizon.ac.id/files/original/f7eead3819a6f12e791d26e27fa1f60b.PDF 3c0699a3bed6d79df2f13529edc9c404 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 23 ISSUE 1 MARET 2023 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 Prolonged length of stay and its associated factors at adult emergency department in amhara region comprehensive specialized hospitals, northwest Ethiopia Subject The topic of the resource Emergency department, Length of stay, Northwest Ethiopia Description An account of the resource Background Prolonged length of stay at the emergency department interferes with the main goal of emergency care and results in adverse patient outcomes like nosocomial infection, dissatisfaction, morbidity, and mortality. Despite this, little is known about the length of stay and the factors that influence it in Ethiopia’s emergency department. Methods An institution-based cross-sectional study was conducted on 495 patients admitted at Amhara region comprehensive specialized hospitals emergency department from May 14 to June 15/2022. A systematic random sampling was employed to select study participants. A pretested structured interview-based questionnaire was used to collect data by using Kobo toolbox software. SPSS version 25 was used for data analysis. Bi-variable logistic regression analysis was carried out to select variables with P-value<0.25. The significance of association was interpreted using an Adjusted Odds Ratio with a 95% confidence interval. Variables with P-value<0.05 in the multivariable logistic regression analysis were inferred to be significantly associated with length of stay. Result Out of 512 enrolled participants, 495 were participated with a response rate of 96.7%. The prevalence of prolonged length of stay in the adult emergency department was 46.5% (95%CI: 42.1, 51.1). Lack of insurance (AOR: 2.11; 95% CI: 1.22, 3.65), non-communicative presentation (AOR: 1.98; 95% CI: 1.07, 3.68), delayed consultation (AOR: 9.5; 95% CI: 5.00, 18.03), overcrowding (AOR: 4.98; 95% CI: 2.13, 11.68), and shift change experience (AOR: 3.67; 95% CI: 1.30, 10.37) were significantly associated with prolonged length of stay. Conclusion The result of this study is found to be high based on Ethiopian target emergency department patient length of stay. Lack of insurance, presentation without communication, delayed consultation, overcrowding, and shift change experience were significant factors for prolonged emergency department length of stay. Therefore, interventions like expansion of organizational setup are needed to decrease the length of stay to an acceptable level. Creator An entity primarily responsible for making the resource Asnake Gashaw Belayneh, Yemataw Zewdu Temachu, Mengistu Abebe Messelu and Mignote Hailu Gebrie 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 (2023) 23:34 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 department Jurnal Internasional Keperawatan Length of stay Northwest Ethiopia https://repository.horizon.ac.id/files/original/497d7e9c46a6beecc72b3a4a2a7d2a58.PDF 1701ee4b56d0266d760d0fa64c484ff8 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 23 ISSUE 1 MARET 2023 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 Prehospital clinical practice guidelines for unintentional injuries: a scoping review and prioritisation process Subject The topic of the resource Injuries, Prehospital care, Clinical practice guidelines, Scoping review, Prioritisation Description An account of the resource Background Globally, millions of people die and many more develop disabilities resulting from injuries each year. Most people who die from injuries do so before they are transported to hospital. Thus, reliable, pragmatic, and evi�dence-based prehospital guidance for various injuries is essential. We systematically mapped and described prehospi�tal clinical practice guidelines (CPGs) for injuries in the global context, as well as prioritised injury topics for guidance development and adolopment. Methods This study was sequentially conducted in three phases: a scoping review for CPGs (Phase I), identifcation and refnement of gaps in CPGs (Phase II), and ranking and prioritisation of gaps in CPGs (Phase III). For Phase I, we searched PubMed, SCOPUS, and Trip Database; guideline repositories and websites up to 23rd May 2021. Two authors in duplicate independently screened titles and abstract, and full-text as well as extracted data of eligible CPGs. Guide�lines had to meet 60% minimum methodological quality according to rigour of development domain in AGREE II. The second and third phases involved 17 participants from 9 African countries and 1 from Europe who participated in a virtual stakeholder engagement workshop held on 5 April 2022, and followed by an online ranking process. Results Fifty-eight CPGs were included out of 3,427 guidance documents obtained and screened. 39/58 (67%) were developed de novo compared to 19 that were developed using alternative approaches. Twenty-fve out of 58 guidelines (43%) were developed by bodies in countries within the WHO European Region, while only one guideline was targeted to the African context. Twenty-fve (43%) CPGs targeted emergency medical service providers, while 13 (22%) targeted frst aid providers (laypeople). Forty-three CPGs (74%) targeted people of all ages. The 58 guidance documents contained 32 injury topics. Injuries linked to road trafc accidents such as traumatic brain injuries and chest injuries were among the top prioritised topics for future guideline development by the workshop participants. Conclusion This study highlights the availability, gaps and priority injury topics for future guideline development/ adolopment, especially for the African context. Further research is needed to evaluate the recommendations in the 58 included CPGs for possible adaptation to the African context. Creator An entity primarily responsible for making the resource Desmond Kuupiel, Nasreen S. Jessani, Jody Bofa, Celeste Naude, Emmy De Buck, Philippe Vandekerckhove and Michael McCaul 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 (2023) 23:27 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 Clinical practice guidelines Injuries Jurnal Internasional Keperawatan Prehospital care Prioritisation Scoping review https://repository.horizon.ac.id/files/original/01caef51edc5c3af8039486809b304ae.PDF f90016135a613e51563049494f27ac66 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 23 ISSUE 1 MARET 2023 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 Point-of-care neutrophil CD64 as a rule in diagnostic test for bacterial infections in the emergency department Subject The topic of the resource nCD64, Bacterial infections, Viral infections, COVID-19, Infammation, Point of care immunology Description An account of the resource Introduction Bacterial infections are frequently seen in the emergency department (ED), but can be difcult to dis�tinguish from viral infections and some non-infectious diseases. Common biomarkers such as c-reactive protein (CRP) and white blood cell (WBC) counts fail to aid in the diferential diagnosis. Neutrophil CD64 (nCD64), an IgG receptor, is suggested to be more specifc for bacterial infections. This study investigated if nCD64 can distinguish bacterial infec�tions from other infectious and non-infectious diseases in the ED. Methods All COVID-19 suspected patients who visited the ED and for which a defnitive diagnosis was made, were included. Blood was analyzed using an automated fow cytometer within 2 h after presentation. Patients were divided into a bacterial, viral, and non-infectious disease group. We determined the diagnostic value of nCD64 and compared this to those of CRP and WBC counts. Results Of the 291 patients presented at the ED, 182 patients were included with a defnitive diagnosis (bacterial infection n =78; viral infection n =64; non-infectious disease n =40). ROC-curves were plotted, with AUCs of 0.71 [95%CI: 0.64–0.79], 0.77 [0.69–0.84] and 0.64 [0.55–0.73] for nCD64, WBC counts and CRP, respectively. In the bacte�rial group, nCD64 MFI was signifcantly higher compared to the other groups (p <0.01). A cut-of of 9.4AU MFI for nCD64 corresponded with a positive predictive value of 1.00 (sensitivity of 0.27, a specifcity of 1.00, and an NPV of 0.64). Furthermore, a diagnostic algorithm was constructed which can serve as an example of what a future biomarker prediction model could look like. Conclusion For patients in the ED presenting with a suspected infection, nCD64 measured with automatic fow cytometry, has a high specifcity and positive predictive value for diagnosing a bacterial infection. However, a low nCD64 cannot rule out a bacterial infection. For future purposes, nCD64 should be combined with additional tests to form an algorithm that adequately diagnoses infectious diseases. Creator An entity primarily responsible for making the resource N. L. M. van de Ven, S. H. Bongers, R. Spijkerman, L. Koenderman, L. P. H. Leenen, F. Hietbrink and The COVPACH study group 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 (2023) 23:28 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 Bacterial infections COVID-19 Infammation, Jurnal Internasional Keperawatan nCD64 Point of care immunology Viral infections https://repository.horizon.ac.id/files/original/69a364a6edae07a1bbd6931d153adae7.PDF 7ebf3467292e08f02fcb870808e833ab 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 23 ISSUE 1 MARET 2023 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 Paediatric emergency medicine practice in Nigeria: a narrative review Subject The topic of the resource Paediatric, Emergency medicine, Practice, Quality of service, Capacity needs, Funding, Nigeria Description An account of the resource The practice of paediatric emergency medicine in Nigeria is still evolving, and laden with enormous challenges which contribute to adverse outcomes of childhood illnesses in emergency settings. Deaths from childhood illnesses presenting as emergencies contribute to overall child mortality rates in Nigeria. This narrative review discusses existing structures, organization, and practice of paediatric emergency in Nigeria. It highlights some of the challenges and suggests ways of surmounting them in order to reduce deaths in the children emergency units in Nigerian hospitals. Important aspects of this review include current capacity and need for capacity development, equipment needs for emergency care, quality of service in the context of inadequate healthcare funding and the need for improvement. Creator An entity primarily responsible for making the resource Joy N. Eze , Benedict O. Edelu , Ikenna K. Ndu and Tagbo Oguonu 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 (2023) 23:31 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 Capacity needs Emergency medicine Funding Jurnal Internasional Keperawatan Nigeria Paediatric Practice Quality of service https://repository.horizon.ac.id/files/original/7be807506dc6eabbf2eb695a9a59dda2.PDF 8cbf886be3ea4dd63cfe8fad0955b76e 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 23 ISSUE 1 MARET 2023 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 Equivalence of the top-down manoeuvre and bottom-up manoeuvre in speed and accuracy of identifying the cricothyroid membrane: a prospective randomised cross�over study Subject The topic of the resource Airway management, Cricothyrotomy, Cricothyroid membrane, Thyroid cartilage, Cricoid cartilage, Academic medical centres, Medical students Description An account of the resource Background Accurate identification of the cricothyroid membrane is crucial for successful cricothyrotomy; however, a manoeuvre that helps identify it both accurately and quickly remains unclear. The effectiveness of the so-called ‘bottom-up manoeuvre’ has never been investigated. This study aimed to examine whether the bottom-up manoeuvre is as rapid and accurate as the conventional ‘top-down manoeuvre’ at identifying the cricothyroid membrane. Methods This study was a prospective randomised cross-over trial conducted at an academic medical centre between 2018 and 2019. Fifth-year medical students participated. The students were trained in the use of either the top-down manoeuvre or the bottom-up manoeuvre first. Each student subsequently performed the technique once on a volunteer. The students were then taught and practiced the other manoeuvre as well. The accuracy of cricothyroid membrane identification and the time taken by successful participants only were measured and compared between the manoeuvres using equivalence tests with two one-sided tests. Results A total of 102 medical students participated in this study and there was no missing data. The accuracy of identification and time required for success were similar between the top-down manoeuvre and the bottom-up manoeuvre (65.7% vs. 70.6%, taking 13.8 s [interquartile range (IQR): 9.4–17.5] vs. 15.5 s [IQR: 11.5–19.9], respectively). The success rate was statistically equivalent (rate difference, 4.9%; 90% confidence interval [CI], -5.8 to 15.6; equivalence margin, -20.0 to 20.0). The time required for success was also statistically equivalent (median difference, 1.7 s; 90% CI, -0.2 to 3.3; equivalence margin, -4.0 to 4.0). Conclusion Among students first trained in both manoeuvres for identifying the cricothyroid membrane, the speed and accuracy of identification were similar between those using the bottom-up manoeuvre and those using the top�down manoeuvre. Creator An entity primarily responsible for making the resource Yohei Kamikawa , Osamu Muto and Hiroyuki Hayashi 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 (2023) 23:29 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 Academic medical centres Airway management Cricoid cartilage Cricothyroid membrane Cricothyrotomy Jurnal Internasional Keperawatan Medical students Thyroid cartilage