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                <text>Acute non-traumatic chest pain is one of the common complaints in the emergency department and is closely associated with fatal disease. Triage assessment urgently requires the use of simple, rapid tools to screen patients with chest pain for high-risk condition to improve patient outcomes.</text>
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                <text>Xuan Zhou, Gangren Jian, Yuefang He, Yating Huang, Jie Zhang, Shengfang Wang, Yunxian Wang &amp; Ruofei Zheng </text>
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                <text>Enhancing trauma triage in low-resource settings using machine learning: a performance comparison with the Kampala Trauma Score</text>
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                <text>Traumatic injuries are a leading cause of morbidity and mortality globally, with a disproportionate impact on populations in low- and middle-income countries (LMICs). The Kampala Trauma Score (KTS) is frequently used for triage in these settings, though its predictive accuracy remains under debate. This study evaluates the effectiveness of machine learning (ML) models in predicting triage decisions and compares their performance to the KTS.</text>
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                <text>Mike Nsubuga, Timothy Mwanje Kintu, Helen Please, Kelsey Stewart &amp; Sergio M. Navarro </text>
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                <text>https://link.springer.com/article/10.1186/s12873-025-01175-2</text>
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                <text>Volunteers providing nursing services are among the first individuals to arrive at the scene after an incident; therefore, they must use their skills and capabilities to provide necessary care for the injured to prevent problems from worsening and complications from arising. Consequently, having structured empowerment courses for volunteers before disasters seems essential. This research aimed to determine the dimensions and components of empowering volunteer nursing service providers in disasters.</text>
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                <text>Incidence and outcomes of dysnatremia in crush injury patients admitted to Türkiye’s largest hospital following the Kahramanmaraş earthquake</text>
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                <text>Dysnatremia is a critical electrolyte disturbance that can significantly impact the prognosis of trauma patients by influencing fluid balance, neurological function, and hemodynamics. Although sodium disorder is common in hospitalized patients, few studies have specifically examined the incidence of dysnatremia in patients presenting to the emergency department for post-earthquake trauma. The aim of this study is to evaluate the incidence of dysnatremia and the prognosis of patients with dysnatremia in trauma patients admitted to our center after the Kahramanmaraş earthquake.</text>
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                <text>Merve Yazla &amp; Fatih Mehmet Aksoy </text>
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                <text>https://link.springer.com/article/10.1186/s12873-024-01165-w</text>
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                <text>Psychosocial working conditions and violence prevention climate in German emergency departments – a cross-sectional study</text>
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                <text>Emergency departments (EDs) are high pressure work environments with several psychosocial job demands, e.g., violence, and job resources, e.g., colleague support. So far, the perceptions of working conditions have been compared between doctors and nurses, but there is limited knowledge regarding their respective supervisors. In addition, the violence prevention climate has not been assessed in German EDs before. Thus, the current study focuses on differences in the perceptions of working conditions and the violence prevention climate between the groups of doctor-supervisors, doctor-employees, nurse-supervisors, and nurse-employees within the ED. Further analyses regarding the association between social relations and pressure for unsafe practices are performed, including the moderating role of belonging to one of the aforementioned groups.</text>
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                <text>Sonja Reißmann, Mannat Guliani, Tanja Wirth, David A. Groneberg, Volker Harth &amp; Stefanie Mache </text>
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                <text>Medical regulation of chest pain is challenging due to the multitude of potential diagnoses. The key challenge is to avoid misdiagnosing acute coronary syndrome while preventing over-triage. The SCARE score (based on age, sex, smoking, typical coronary pain, inaugural pain, sweats, and dispatcher’s conviction) classifies patients as low, intermediate, or high risk of acute coronary syndrome. This study aimed to determine the diagnostic performance of the SCARE score among patients calling with chest pain.</text>
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                <text>The data created from the interviews identified barriers and facilitators for hospital response as well as aligned with previously established categories: Expectations, prior experience, and uncertainty affect hospital incident command group response during a Major Incident and three categories, (I) Gaining situational awareness (containing two subcategories), (II) Transitioning to management (containing three subcategories) and (III) Experiences of hospital incident command group response (containing two subcategories). In addition, the results suggest that an exaggerated response may have led to unanticipated adverse events.</text>
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                <text>Jason P. Murphy, Anna Hörberg, Monica Rådestad RN, Lisa Kurland &amp; Maria Jirwe </text>
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          <element elementId="42">
            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="101866">
                <text>PDF</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="101867">
                <text>English</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="51">
            <name>Type</name>
            <description>The nature or genre of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="101868">
                <text>Text</text>
              </elementText>
            </elementTextContainer>
          </element>
        </elementContainer>
      </elementSet>
    </elementSetContainer>
  </item>
</itemContainer>
