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                  <text>VOLUME 24 2024</text>
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                <text>Evaluation of droperidol use in the emergency department: a retrospective analysis of QTc prolongation and adverse events</text>
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                <text>Droperidol is a first-generation antipsychotic medication that has been used for various indications in the emergency department (ED); however, its use has been controversial due to reports of QT prolongation and the risk of torsades de pointes (TdP). The aim of the study is to evaluate the safety of droperidol administration in the ED.</text>
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                <text>A total of 327 administrations of droperidol were identified in 245 patients in the ED. The composite safety endpoint occurred in 30 (9.1%) administrations. None of these events were classified as “probable” or “definite” on the Naranjo adverse drug reaction probability scale. No episodes of TdP or serious ventricular arrhythmia were reported. Higher cumulative droperidol dose and creatinine clearance &lt; 60 mL/min were associated with an increased odds of developing QTc prolongation (OR 1.27 [CI 1.04–1.56]) and (OR 1.01 [CI 1.0-1.02]), respectively.</text>
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                <text>Abdulmajeed M. Alshehri, Kaitlin E. Crowley, Kenneth E. Lupi, Christine S. Kim, Jeremy R. DeGrado &amp; Kaylee Marino </text>
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                <text>https://bmcemergmed.biomedcentral.com/articles/10.1186/s12873-024-01158-9</text>
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                <text>BMC Emergency Medicine</text>
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                <text>18 december 2024</text>
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                <text>Fajar bagus W</text>
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                  <text>VOLUME 24 2024</text>
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                <text>Characteristics and survival of hospitalized combat casualties during two major conflicts between Israel and Hamas: 2023 versus 2014</text>
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                <text>In the complex landscape of modern warfare, understanding combat-related injuries leading to hospitalization is crucial for optimizing injury treatment. This study aims to compare combat casualty characteristics and outcomes during the major conflicts between Israel and Hamas in 2023 and 2014 as a basis for understanding the effectiveness of trauma care practices for wounded soldiers.</text>
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                <text>Of the 1,198 study subjects, 67.8% belonged to the 2023 cohort and 32.2% to the 2014 cohort. The percentage of casualties with severe and critical injuries (Injury Severity Score [ISS] 16–75) was higher among the 2023 cohort (18.6% vs. 13.7%, p = 0.036), as was the percentage of casualties with multiple severe injuries (≥ 2 regions with Abbreviated Injury Score ≥ 3: 11.5% vs. 7.5%, p = 0.035) and firearm injuries (19.6% vs. 14.5%, p = 0.081). Injuries to the torso and extremities were more frequent among the 2023 cohort. Among the critically injured casualties (ISS 25–75), the mortality rates were 17.3% vs. 28.6%, respectively, for the 2023 and 2014 cohorts (p = 0.351); adjusted HR (95% CI): 0.56 (0.21–1.49). The 2023 cohort had higher rates for treatment in the trauma bay (61.5% vs. 47.9%, p &lt; 0.001), ICU utilization (admission: 16.3% vs 11.7%, p = 0.036), surgical intervention (51.5% vs. 42.7%, p = 0.005), longer duration from arrival to surgery (median [interquartile range]: 4.6 (1.2–18.5) vs. 2.6 (1.1–10.1) hours, p = 0.037), and longer hospital stays (&gt; 14 days: 15.5% vs. 8.8%, p &lt; 0.001).</text>
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                <text>Abebe Tiruneh, Ari M. Lipsky, Gilad Twig, Adi Givon, Shachar Shapira, Sharon Goldman, Irina Radomislensky, Israel Trauma Group, Avi Benov &amp; Eldad Katorza </text>
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                <text>https://bmcemergmed.biomedcentral.com/articles/10.1186/s12873-024-01149-w</text>
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                <text>BMC Emergency Medicine</text>
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                <text>18 december 2024</text>
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                <text>Fajar bagus W</text>
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                  <text>VOLUME 24 2024</text>
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            <description>A name given to the resource</description>
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                <text>Epidemiological pattern of injuries among road traffic crash victims: the first experience of a large tertiary care hospital in the West Bank of Palestine</text>
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                <text>Road traffic injuries are a global public health challenge. This study was conducted to describe the epidemiological patterns of road traffic injuries in a large tertiary care hospital in the West Bank of Palestine. In addition, associations between the different variables of the victims and the patterns of road traffic injuries were also assessed.</text>
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            <description>An account of the resource</description>
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                <text>A total of 1,544 victims of traffic road injuries were included in this study. Lower limb (43.0%), neck (41.2), and upper limb (39.8%) injuries were the most common types of road traffic injuries sustained by the victims admitted to the large tertiary care hospital.&#13;
&#13;
The victims who were 30 years or older were more likely to sustain back injuries (aOR = 1.71, 95% CI: 1.20–2.45) pelvic injuries (aOR = 1.84, 95% CI: 1.08–3.12), chest injuries (aOR = 1.59, 95% CI: 1.06–2.38), and neck injuries (aOR = 2.54, 95% CI: 1.68–3.82) compared to the victims who were younger than 30 years.&#13;
&#13;
The victims who did not use seatbelts were more likely to sustain abdominal injuries (aOR = 1.88, 95% CI: 1.34–2.63) and head injuries (aOR = 1.49, 95% CI: 1.06–2.10) compared to the victims who used seatbelts. The victims who did not have the airbag deployed were more likely (aOR = 1.85, 95% CI: 1.31–2.63) to sustain neck injuries compared to the victims who had the airbag deployed.</text>
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                <text>Alaa H. Rostom, Duha Suboh, Tasneem Dweikat, Inam Hindi, Zain Farounyeh &amp; Ramzi Shawahna </text>
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            <description>A related resource from which the described resource is derived</description>
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                <text>https://bmcemergmed.biomedcentral.com/articles/10.1186/s12873-024-01153-0</text>
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            <description>An entity responsible for making the resource available</description>
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                <text>BMC Emergency Medicine</text>
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            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
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                <text>18 december 2024</text>
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            <description>An entity responsible for making contributions to the resource</description>
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                <text>Fajar bagus W</text>
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                  <text>VOLUME 24 2024</text>
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            <description>A name given to the resource</description>
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                <text>What do community paramedics in Germany do regarding the care of older people? A retrospective, descriptive analysis of low-acuity cases</text>
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                <text>Non-life-threatening cases treated by emergency services have been increasing in recent years, especially in older people. In a region in Germany with approximately 600,000 inhabitants, the role of a specially trained community paramedic (Gemeindenotfallsanitäter, G-NFS) was introduced in 2019. The G-NFS is dispatched to low-acuity requests, attends the assignment alone and is allowed to treat patients at home.</text>
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            <description>An account of the resource</description>
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                <text>Of the 1,643 included anonymous assignment report forms, 52.9% (n = 869) related to patients aged ≥ 65 years. In this population, the mean age was 80.7 years (SD 8.2), 49.6% were female and most were in long-term care, whether as home care recipients (34.8%) or as nursing home residents (26.9%). The most frequent diagnoses were categorised as urological (24.9%), general and unspecified (13.7%), circulatory (13.6%), digestive (12.8%), musculoskeletal (11.5%) and respiratory (10.3%). In 52.7% of the cases no transport was necessary, while 73.7% of urological cases did not need to be transported.</text>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
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                <text>Anna Lena Obst, Insa Seeger &amp; Falk Hoffmann </text>
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            <description>A related resource from which the described resource is derived</description>
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              <elementText elementTextId="100864">
                <text>https://bmcemergmed.biomedcentral.com/articles/10.1186/s12873-024-01134-3</text>
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            <description>An entity responsible for making the resource available</description>
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                <text>BMC Emergency Medicine</text>
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                <text>16 november 2024</text>
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                <text>Fajar bagus W</text>
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                  <text>VOLUME 24 2024</text>
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            <name>Title</name>
            <description>A name given to the resource</description>
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                <text>Exploring Saudi paramedics’ experiences in managing adult trauma cases: a qualitative study</text>
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            <description>The topic of the resource</description>
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                <text>Saudi paramedics face numerous challenges while providing care for adult trauma patients affecting their care but little is known about these specific challenges.</text>
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            <description>An account of the resource</description>
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                <text>A total of 20 paramedics were recruited and interviewed. They identified challenges in trauma response, including coordinating care, ensuring the accuracy and accessibility of patient information, and maintaining confidence and readiness. Participants emphasized the need for independent knowledge acquisition through courses, simulations, and peer discussions. They also highlighted the need for more paramedics, strategies to reduce burnout, and the importance of accurately assessing patient conditions. Additionally, they also stressed the importance of raising public awareness to enhance trauma care</text>
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                <text>Ateeq Almuwallad, Naif Harthi, Hussin Albargi, Bahja Siddig &amp; Rayan Jafnan Alharbi </text>
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                <text>https://bmcemergmed.biomedcentral.com/articles/10.1186/s12873-024-01145-0</text>
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                <text>BMC Emergency Medicine</text>
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            <description>An entity responsible for making contributions to the resource</description>
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                <text>Fajar bagus W</text>
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            <name>Language</name>
            <description>A language of the resource</description>
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              <elementText elementTextId="100740">
                <text>English</text>
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            <name>Type</name>
            <description>The nature or genre of the resource</description>
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              <name>Title</name>
              <description>A name given to the resource</description>
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                  <text>VOLUME 24 2024</text>
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      <name>Text</name>
      <description>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.</description>
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        <description>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/.</description>
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            <name>Title</name>
            <description>A name given to the resource</description>
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                <text>Does the gender of emergency physicians have an impact on the prehospital care of psychiatric emergencies? a retrospective cohort analysis</text>
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            <name>Subject</name>
            <description>The topic of the resource</description>
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                <text>Psychiatric emergencies pose a special challenge for emergency physicians. It is known from other areas of medicine that the influence of a doctor’s gender can have an impact on the type of treatment and quality of patient care. However, this has not yet been investigated in the context of prehospital care in psychiatric emergencies.</text>
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            <description>An account of the resource</description>
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                <text>2882 emergency missions with a psychiatric indication/prehospital psychiatric diagnosis were studied and divided into: intoxication (n = 1343, 46.6%), suicidal behavior (n = 488, 16.9%), exceptional mental situation (n = 282, 9.8%), agitation (n = 262, 9.1%), anxiety and panic disorders (n = 262, 9.1%) and “psychiatric miscellaneous” (n = 245, 8.5%). Inpatient hospitalization occurred in 67.9% (n = 1958) of emergency missions. Of these, 20.3% (n = 392) were admitted directly to a psychiatric hospital. Male emergency physicians had a slightly longer "on-scene" time for psychiatric emergencies than female emergency physicians (p = 0.024). However, the variance in "on-scene" time for all interventions was significantly greater for female emergency physicians than for male emergency physicians (p = 0.025). Male emergency physicians were significantly more likely than their female counterparts to administer intravenous hypnotics in prehospital psychiatric emergencies (p = 0.001). For psychiatric patients who refused medically indicated inpatient psychiatric admission (“involuntary psychiatric admission”), male and female emergency physicians were equally likely to take the required action (p = 0.522). However, male emergency physicians were significantly more likely to administer an intravenous hypnotic to enforce involuntary admission (p = 0.009).</text>
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                <text>Benedikt Schick, Benjamin Mayer, Bettina Jungwirth, Eberhard Barth, Claus-Martin Muth, Christine Eimer, Celine Schwarzer &amp; Carlos Schönfeldt-Lecuona </text>
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              <elementText elementTextId="101007">
                <text>https://bmcemergmed.biomedcentral.com/articles/10.1186/s12873-024-01118-3</text>
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                <text>BMC Emergency Medicine</text>
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                <text>Fajar bagus W</text>
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            <description>The file format, physical medium, or dimensions of the resource</description>
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            <name>Language</name>
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                  <text>VOLUME 24 2024</text>
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      <description>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.</description>
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                <text>Assessment of nursing managers’ awareness and hospital preparedness for disasters: a cross-sectional study</text>
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            <name>Subject</name>
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                <text>Preparedness, focused on planning, training, and research, is one of the primary stages of the disaster management cycle. Accordingly, this study was conducted to determine the level of awareness in nursing managers and the preparedness of hospitals for disasters in the hospitals of Sanandaj, the capital of Kurdistan Province.</text>
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            <description>An account of the resource</description>
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                <text>his cross-sectional study was conducted in 2023, with a total of 167 Nursing Managers in Sanandaj selected as the research sample using a census approach. Data were collected using a demographic information form, WHO Hospital Emergency Response Checklist, and managers’ emergency awareness questionnaire. Data were analyzed using Chi-square tests, Fisher’s exact test, independent t-tests, analysis of variance (ANOVA), and Pearson correlation. Data analysis was performed using SPSS v26 (P &lt; 0.05).</text>
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                <text>Borhan Rahimi, Arezoo Yari, Fatemeh Rafiei &amp; Mokhtar Mahmoudi </text>
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            <description>A related resource from which the described resource is derived</description>
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              <elementText elementTextId="100985">
                <text>https://bmcemergmed.biomedcentral.com/articles/10.1186/s12873-024-01122-7</text>
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            <description>An entity responsible for making the resource available</description>
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              <elementText elementTextId="100986">
                <text>BMC Emergency Medicine</text>
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                <text>25 oktober 2024</text>
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                <text>Fajar bagus W</text>
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            <description>The file format, physical medium, or dimensions of the resource</description>
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            <name>Language</name>
            <description>A language of the resource</description>
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              <elementText elementTextId="100990">
                <text>English</text>
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              <name>Title</name>
              <description>A name given to the resource</description>
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                  <text>VOLUME 24 2024</text>
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      <name>Text</name>
      <description>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.</description>
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        <description>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/.</description>
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
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              <elementText elementTextId="100818">
                <text>Improving triage performance in emergency departments using machine learning and natural language processing: a systematic review</text>
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          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
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              <elementText elementTextId="100819">
                <text>In Emergency Departments (EDs), triage is crucial for determining patient severity and prioritizing care, typically using the Manchester Triage Scale (MTS). Traditional triage systems, reliant on human judgment, are prone to under-triage and over-triage, resulting in variability, bias, and incorrect patient classification. Studies suggest that Machine Learning (ML) and Natural Language Processing (NLP) could enhance triage accuracy and consistency. This review analyzes studies on ML and/or NLP algorithms for ED patient triage.</text>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
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              <elementText elementTextId="100820">
                <text>Sixty studies covering 57 ML algorithms were included. Logistic Regression (LR) was the most used model, while eXtreme Gradient Boosting (XGBoost), decision tree-based algorithms with Gradient Boosting (GB), and Deep Neural Networks (DNNs) showed superior performance. Frequent predictive variables included demographics and vital signs, with oxygen saturation, chief complaints, systolic blood pressure, age, and mode of arrival being the most retained. The ML algorithms showed significant bias risk due to critical bias assessment in classification models.</text>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
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                <text>Bruno Matos Porto</text>
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            <description>A related resource from which the described resource is derived</description>
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              <elementText elementTextId="100822">
                <text>https://bmcemergmed.biomedcentral.com/articles/10.1186/s12873-024-01135-2</text>
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            <name>Publisher</name>
            <description>An entity responsible for making the resource available</description>
            <elementTextContainer>
              <elementText elementTextId="100823">
                <text>BMC Emergency Medicine</text>
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            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
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                <text>18 november 2024</text>
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            <description>An entity responsible for making contributions to the resource</description>
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                <text>Fajar bagus W</text>
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            <description>The file format, physical medium, or dimensions of the resource</description>
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                <text>PDF</text>
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            <name>Language</name>
            <description>A language of the resource</description>
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              <elementText elementTextId="100827">
                <text>English</text>
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            <description>The nature or genre of the resource</description>
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              <name>Title</name>
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                  <text>VOLUME 24 2024</text>
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      <description>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.</description>
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
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                <text>Relatives’ experiences of unsuccessful out-of-hospital cardiopulmonary resuscitation attempts: a qualitative analysis</text>
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          <element elementId="49">
            <name>Subject</name>
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                <text>Relatives of patients who have experienced an out of hospital cardiac arrest (OHCA) experience confusion and distress during resuscitation. Clear information from ambulance clinicians and the opportunity to witness the resuscitation helps them navigate the chaotic scene. However, UK-based evidence concerning relatives’ experiences of unsuccessful resuscitation attempts and interactions with ambulance clinicians is lacking. This qualitative study explores those experiences to inform ambulance clinician practice.</text>
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            <description>An account of the resource</description>
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                <text>Semi-structured interviews were conducted with 14 relatives of OHCA non-survivors. Thematic analysis identified four themes. Cardiac arrest is a traumatic event for relatives, with chaotic noisy scenes increasing their distress. Many described feelings symptomatic of Post-Traumatic Stress Disorder since the event. During resuscitation, participants needed information from clinicians about what was happening, and provided information about their relatives’ wishes. Participants needed reassurance from clinicians that everything possible was done to save their relative and were reassured when they could witness some of the resuscitation. Participants were surprised how long resuscitation seemed to last; some were distressed that it lasted so long.</text>
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                <text>Caroline Huxley, Eleanor Reeves, Justin Kearney, Galina Gardiner, Karin Eli, Rachael Fothergill, Gavin D. Perkins, Michael Smyth, Anne-Marie Slowther &amp; Frances Griffiths </text>
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            <name>Source</name>
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              <elementText elementTextId="100930">
                <text>https://bmcemergmed.biomedcentral.com/articles/10.1186/s12873-024-01117-4</text>
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            <name>Publisher</name>
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                <text>BMC Emergency Medicine</text>
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                <text>05 november 2024</text>
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            <description>An entity responsible for making contributions to the resource</description>
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                <text>Fajar bagus W</text>
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                  <text>VOLUME 24 2024</text>
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                <text>A novel operational protocol for the establishment of a medical facility for receiving returning hostages: structure, process and outcomes</text>
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                <text>On October 7, 2023, Hamas carried out an unprecedented attack on the State of Israel and kidnapped 251 people into captivity to the Gaza Strip. Several months later, as part of a humanitarian exchange deal, 105 hostages were released in five phases and admitted to one of six hospitals throughout the country for treatment. Shamir Medical Center (SMC) was one of these facilities. This study aims to describe the structure, process and outcomes of establishing a comprehensive, multi-step, operational protocol for receiving hostages returning from captivity.</text>
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                <text>24 returning hostages were received at SMC. Social workers, dietitians and translators were used by 100% of the majority group of returning hostages from the same country of origin and the sole individual from the other country of origin utilized a dietitian, social worker, ENT consultations, and a hearing test. Among the majority group, orthopedic and dermatological consultations were utilized by 17.4% and 13% received an ENT consultation. Of the administered imaging, 13% received a chest X-ray, 8.7% received a limb X-ray, 17.4% received a head CT scan, and 4.3% received an abdominal CT. In addition, 21.7% were provided antibiotic therapy. Protocol efficacy was measured by assessing time to various operational aspects of protocol implementation and medical procedures such as mean hours to room assignment, primary physician evaluation and social worker session. No correlation between age and operational variables was found.</text>
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            <description>An entity primarily responsible for making the resource</description>
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                <text>Daniel Trotzky, Idit Segal, Ronit Koren, Orna Tal, Gal Pachys, Galina Goltzman, Karen Or, Margarita Alpro, Ronit Zaidenstein, Maayan Bachar, Baruch Berzon, Roni Enten Vissoker, Inbar Hartmann, Miri Avraham, Vered Shinar, Ada Azar &amp; Osnat Levtzion Korach </text>
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            <description>A related resource from which the described resource is derived</description>
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              <elementText elementTextId="100952">
                <text>https://bmcemergmed.biomedcentral.com/articles/10.1186/s12873-024-01121-8</text>
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              <elementText elementTextId="100953">
                <text>BMC Emergency Medicine</text>
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            <name>Date</name>
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                <text>29 oktober 2024</text>
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                <text>Fajar bagus w</text>
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                <text>PDF</text>
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                <text>English</text>
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