4 10 45 https://repository.horizon.ac.id/files/original/d1e291efe67c4d7278d6749c08b2146c.pdf 115560defac3c2c1413139042e32a551 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 Prosiding 3rd Emergency Physician's International Conference Contributor An entity responsible for making contributions to the resource Sri Wahyuni 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 VTE Risk Assessment and Correct Dosage of TP in General Medicine and Medical Outlier wards in Basingstoke and North Hampshire Hospital, UK (E-Poster Presentations) Subject The topic of the resource VTE Risk Assessment and Correct Dosage of TP in General Medicine and Medical Outlier wards, Basingstoke, North Hampshire Hospital, UK Description An account of the resource Introduction We conducted an audit focusing on VTE risk assessment and correct dosage of thromboprophylaxis (TP) primarily in the Medical Outlier wards of BNHH, HHFT from March 2024 to May 2024. Methods Prospectively, we included approximately 65-85 admissions in each audit cycle and utilized EPMA/EPR to assess whether VTE risk assessment was conducted during admission/clerking and if TP dosage was prescribed correctly based on weight and creatinine clearance. Results In Cycle 1, 16% of patients did not undergo VTE risk assessment compared to 9.5% in Cycle 2. Additionally, 28.75% of patients received delayed TP (>24 hrs of admission) in Cycle 1, decreasing to 25.4% in Cycle 2. Incorrect TP dosage was observed in 8.75% of patients in Cycle 1 versus 6.3% in Cycle 2. Moreover, 6.25% of patients received TP without VTE risk assessment in Cycle 1, rising slightly to 8% in Cycle 2. Discussion Our focus on medical outlier wards was driven by the lack of a full-time Registrar or Consultant in these wards until very recently, likely impacting adherence rates to VTE guidelines compared to other medical wards. Conclusion Following Cycle 1, we observed an improving trend in Cycle 2 results, possibly influenced by the dissemination of Cycle 1 results and Trust VTE guidelines via posters in medical wards and email communication with colleagues. Additionally, efforts were made to engage the IT system to enforce completion of VTE risk assessment on EPR before advancing further in clerking new patients and prescribing appropriate TP which is still in progress. Creator An entity primarily responsible for making the resource Shaies Zahoor Chat, Omran Alkhatib, Anum Faisal, Swechhaya Rai Source A related resource from which the described resource is derived Ibrahim, H. A. K. (Ed.). (2024). Abstract and Poster Presentations Book: 3rd Emergency Physician’s International Conference (EPIC24), 10 July 2024. From Zero to Hero Medical Education LTD Publisher An entity responsible for making the resource available From Zero to Hero Medical Education LTD Date A point or period of time associated with an event in the lifecycle of the resource 10 July 2024. Contributor An entity responsible for making contributions to the resource Sri Wahyuni 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 https://repository.horizon.ac.id/files/original/2ecd27913fd5d1a7fe36f981a143580c.pdf 115560defac3c2c1413139042e32a551 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 Prosiding 3rd Emergency Physician's International Conference Contributor An entity responsible for making contributions to the resource Sri Wahyuni 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 Unraveling the Complexity of Recurrent Takotsubo Cardiomyopathy in Post-Menopausal Women, with conduction abnormalities (E-Poster Presentations) Subject The topic of the resource Recurrent Takotsubo Cardiomyopathy, Post-Menopausal Women,conduction abnormalities Description An account of the resource Introduction Takotsubo cardiomyopathy, colloquially known as "broken heart syndrome," presents a transient cardiac condition triggered by emotional stress, often mimicking acute coronary syndrome (ACS) but lacking coronary artery blockages. Studies reveal a notable occurrence of Takotsubo post-ACS, particularly in post-menopausal women, with a subgroup necessitating pacemaker implantation due to nodal dysfunction and exhibiting heightened recurrence risk. Understanding these nuances is pivotal for optimizing post-ACS care, highlighting the intricate interplay between emotional and physiological factors in cardiac health. Case Presentation A 78-year-old post-menopausal woman, with a history of Takotsubo cardiomyopathy diagnosed six years ago, presented with sudden chest pain and shortness of breath following exertion. Initial evaluation revealed new-onset left bundle branch block (LBBB) on electrocardiogram (ECG) alongside elevated troponin and D-dimer levels. Point-of-care ultrasound depicted left ventricular ballooning. Angiography suggested a recanalized left anterior descending (LAD) artery, while echocardiography was inconsistent with findings of global hypokinesia . Cardiac MRI confirmed Takotsubo cardiomyopathy, with severely impaired left ventricular (LV) function. Managed with ACE inhibitors and beta-blockers for ACS, she developed bradycardia syndrome necessitating DDD pacemaker placement. Post-pacemaker, LV function improved significantly. Discussion This case underscores diagnostic challenges in distinguishing ACS from Takotsubo, emphasizing the role of alternative imaging like cardiac MRI. Discrepancies between echocardiography and angiography highlight the need for comprehensive evaluation. Development of bradycardia despite beta-blocker discontinuation and isoprenaline initiation underscores personalized treatment necessity. Pacemaker placement yielded promising outcomes, suggesting its potential in Takotsubo with conduction abnormalities. Multidisciplinary collaboration is crucial for optimal management. Conclusion In summary, this case illuminates the complexities of Takotsubo cardiomyopathy in post-menopausal women post-ACS, presenting a rare scenario of recurrent Takotsubo triggered by ACS itself. It underscores the importance of recognizing the relatively low recurrence rate of Takotsubo (2%) and the subset of patients who develop tachy-brady syndrome requiring pacemaker implantation, with only 1 in 8 exhibiting this complication. Moreover, the inconsistency between left bundle branch block (LBBB) on electrocardiogram and findings on echocardiography emphasizes the need for considering Takotsubo cardiomyopathy in such cases. This emphasizes the importance of comprehensive cardiac evaluation, personalized management, and multidisciplinary collaboration. Recognizing Takotsubo as a potential differential diagnosis in ACS-like presentations is vital, particularly in high-risk populations. This case underscores the need for tailored approaches to optimize outcomes in complex cardiac scenarios, reinforcing the imperative of a patient-centered approach in contemporary cardiology practice. Creator An entity primarily responsible for making the resource Vaishnavi Jayasree Shekaripuram Sadasivan Source A related resource from which the described resource is derived Ibrahim, H. A. K. (Ed.). (2024). Abstract and Poster Presentations Book: 3rd Emergency Physician’s International Conference (EPIC24), 10 July 2024. From Zero to Hero Medical Education LTD Publisher An entity responsible for making the resource available From Zero to Hero Medical Education LTD Date A point or period of time associated with an event in the lifecycle of the resource 10 July 2024 Contributor An entity responsible for making contributions to the resource Sri Wahyuni 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 https://repository.horizon.ac.id/files/original/1e2ec2fbb4dbdaf81d4122f5ab4574ea.pdf 115560defac3c2c1413139042e32a551 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 Prosiding 3rd Emergency Physician's International Conference Contributor An entity responsible for making contributions to the resource Sri Wahyuni 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 Traumatic hemorrhagic central cervical cord myelopathy after a minor trauma (E-Poster Presentations) Subject The topic of the resource Traumatic hemorrhagic central cervical cord myelopathy, minor trauma Description An account of the resource Introduction The classical clinical presentation and neurological findings of a traumatic central cervical spinal cord (CSS) injury could easily be missed. Case presentation An 82-year-old male with a history of cardiac amyloidosis was brought to the emergency department after an unwitnessed minor fall or collapse in the garden with a Glasgow Coma Scale (GCS) of 11. He was bradycardic, hypotensive, and showing limited movement in all four limbs. A primary CT scan showed a fracture of the C3 transverse process, and a subsequent CT angiogram revealed a traumatic vertebral artery dissection. After consulting with neurosurgeons, he was initially treated as a stroke case. However, his GCS declined from 11 to 5, which was not consistent with the diagnosis and imaging findings according to the neurology team. Additional imaging was then conducted. An MRI of the brain and cervical spine revealed hemorrhagic central cord myelopathy at the C2-4 level, deemed an unsalvageable injury. Discussion Traumatic spinal cord injury has many etiological factors, most of which involve severe trauma to the spine. Early diagnosis of patients with high cervical spine injuries is crucial. In our case, the patient was initially mistreated as only having a traumatic vertebral artery dissection after experiencing a minor trauma. Conclusion This case report emphasizes the importance of considering central cord myelopathy after minor trauma and taking into account its effect on the patient’s vital signs. Creator An entity primarily responsible for making the resource Abdelrahman, Hend Abdelmageed Source A related resource from which the described resource is derived Ibrahim, H. A. K. (Ed.). (2024). Abstract and Poster Presentations Book: 3rd Emergency Physician’s International Conference (EPIC24), 10 July 2024. From Zero to Hero Medical Education LTD Publisher An entity responsible for making the resource available From Zero to Hero Medical Education LTD Date A point or period of time associated with an event in the lifecycle of the resource 10 July 2024 Contributor An entity responsible for making contributions to the resource Sri Wahyuni 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 https://repository.horizon.ac.id/files/original/38eb8704a1080894943761aad158aa47.pdf 115560defac3c2c1413139042e32a551 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 Prosiding 3rd Emergency Physician's International Conference Contributor An entity responsible for making contributions to the resource Sri Wahyuni 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 Pattern of Serum Vitamin D in Individuals with non-Alcoholic Fatty Liver and its Relation to Metabolic Dysfunction (E-Poster Presentations) Subject The topic of the resource Pattern of Serum Vitamin D, non-Alcoholic Fatty Liver , Metabolic Dysfunction Description An account of the resource Background and study aim Vitamin D has extensive anti-fibrotic, anti-inflammatory, and insulin-sensitizing properties, in addition to involvement in immune�metabolic pathways within the gut-adipose tissue-liver axis. This study aims to assess the association between vitamin D deficiency, metabolic dysfunction and NAFLD which is still controversial. Patients and Methods Cross sectional study that included 170 subjects; 85 cases with fatty liver and 85 healthy controls. After measurement of BMI, both studied groups were subjected to the following laboratory investigations: vitamin D, liver enzymes, random blood glucose, HbA1C, cholesterol, TG, LDL, HDL and uric acid. Results Vitamin D deficiency was associated with many metabolic dysfunction parameters. Regarding NAFLD: in univariate analysis, vitamin D deficiency, male sex, overweight and obesity, hypercholesterolemia, hyper-glycaemia, and elevated liver enzymes were the risk factors. Meanwhile multivariate analysis showed that the risk factors included male sex, overweight and obesity. Sensitivity and specificity of vitamin D deficiency, at a cut-off value of ≤18.5mg/mL, were 68.24% and 52.92%, respectively. Sensitivity and specificity of hypertriglyceridemia, with a cut-off value of >113 mg/dL, were 77.65% and 48.24%, respectively. At cut-off value of >5.2%, sensitivity and specificity of HBA1C were 69.41% and 56.47%, respectively. Discussion It is found that low vitamin D levels were significantly linked to NAFLD and metabolic changes. Obesity, a significant factor in NAFLD, was also associated with low vitamin D levels. However, some studies had conflicting results on the relationship between vitamin D and NAFLD. Additionally, the study highlighted the impact of vitamin D on hyperlipidaemia and blood glucose levels in NAFLD patients. Predictors of NAFLD included male gender, high BMI, hypercholesteremia, high blood sugar levels, and elevated liver enzymes, with vitamin D being a sensitive and specific variable. Conclusion Vitamin D deficiency is associated with high prevalence of metabolic changes. Thus, early detection and treatment of such deficiency can improve fatty liver disease and its associated metabolic changes, hence, preventing progression into liver Creator An entity primarily responsible for making the resource Fatma Rageh, Samar Ahmed, Shaymaa Abdelhady, Mohamed Aboelamgd, Mohamed Farrag, Mariam Hassan, Naglaa Abd el monem, Ahmed Mohamed, Dalia Ghareeb Source A related resource from which the described resource is derived Ibrahim, H. A. K. (Ed.). (2024). Abstract and Poster Presentations Book: 3rd Emergency Physician’s International Conference (EPIC24), 10 July 2024. From Zero to Hero Medical Education LTD Publisher An entity responsible for making the resource available From Zero to Hero Medical Education LTD Date A point or period of time associated with an event in the lifecycle of the resource 10 Juli 2024 Contributor An entity responsible for making contributions to the resource Sri Wahyuni 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 https://repository.horizon.ac.id/files/original/882552a4d074bc33333dc3a0e9b1d0cf.pdf 115560defac3c2c1413139042e32a551 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 Prosiding 3rd Emergency Physician's International Conference Contributor An entity responsible for making contributions to the resource Sri Wahyuni 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 Clinical Audit for National Early Warning Score (NEWS) In Emergency department in Alexandria Main University Hospital (E-Poster Presentations) Subject The topic of the resource Clinical Audit for National Early Warning Score (NEWS), mergency department in Alexandria Main University Hospital Description An account of the resource Introduction In the emergency department (ED), early detection of clinical deterioration is critical for timely management and better outcomes. Failure to recognize such deterioration can lead to serious adverse events (SAEs). Standardized scoring systems, such as the National Early Warning Score (NEWS), aid in early detection by evaluating vital sign abnormalities. The purpose of this audit is to assess how well Alexandria Main University Hospital (AMUH) ED's current monitoring system predicts clinical deterioration when compared to NEWS. Methods A clinical audit was conducted at AMUH-ED over four months. Data collection included socio-demographic details, vital sign measurements, assessments of the need for medical consultation and escalation levels, and patient outcomes. The audit comprised two phases: the first phase (112 patients) involved assessing vital sign measurements and patient outcomes, while the second phase (894 patients) involved implementing the NEWS and assessing its effectiveness in the early detection of deterioration. Results and Discussion Comparison between audit cycles revealed a significant improvement in patient outcomes, with a decrease in deterioration from 17.9% to 2.5% (p<0.001) accompanying the NEWS implementation. NEWS adoption led to increased vital signs monitoring frequency and structured escalation plans. During the first audit cycle, without a monitoring plan in place, escalations occurred only in cases of clinical deterioration. However, the introduction of the NEWS in the second cycle provided a systematic approach for responding to abnormal vital signs. In the second cycle, a total of 93 cases had their condition escalated, categorized into vital escalation detected by NEWS (71 cases) and clinical deterioration missed by NEWS (22 cases). Vital escalation involved increased NEWS scores and tailored responses, while clinical deterioration encompassed SAEs. Upon comparing vital escalation with clinical deterioration in the second cycle, it was found that a positive debilitating past medical history was associated with the 22 cases of clinically deteriorating patients (p=0.033). Additionally, a significant difference was observed in baseline respiratory rate between the two groups (U<0.001). Conclusion The implementation of the (NEWS) led to notable enhancements in patient outcomes. However, it's crucial to acknowledge that while early warning scores like NEWS are valuable tools, they cannot replace clinical assessment entirely. Additionally, the results of the audit indicate a potential need to lower the cutoff value of respiratory rate, as doing so could help minimize the risk of clinical deterioration. Creator An entity primarily responsible for making the resource Mohammed Nassif, Hanaa Peshara, Azza Baraka, Asmaa Alkafafy Source A related resource from which the described resource is derived Ibrahim, H. A. K. (Ed.). (2024). Abstract and Poster Presentations Book: 3rd Emergency Physician’s International Conference (EPIC24), 10 July 2024. From Zero to Hero Medical Education LTD. Publisher An entity responsible for making the resource available From Zero to Hero Medical Education LTD Date A point or period of time associated with an event in the lifecycle of the resource 10 Juli 2024 Contributor An entity responsible for making contributions to the resource Sri Wahyuni 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 https://repository.horizon.ac.id/files/original/664931a94f9fd80b952a430a9c86c4f1.pdf 115560defac3c2c1413139042e32a551 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 Prosiding 3rd Emergency Physician's International Conference Contributor An entity responsible for making contributions to the resource Sri Wahyuni 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 From Sore Throat to Jugular Vein: Unravelling the Enigma of Lemierre’s Syndrome (E-Poster Presentations) Subject The topic of the resource Sore Throat, Jugular Vein, the Enigma of Lemierre’s Syndrome Description An account of the resource INTRODUCTION Lemierre’s syndrome (LS) is a rare complication following an oropharyngeal infection and is characterized by thrombophlebitis of the internal jugular vein (IJV) and further complicated with septicemia, IJV thrombosis and septic emboli. CASE A 47 years old lady presented to Emergency Department with fever, sore throat, lethargy and swelling over the left neck for 4 days. She was septic looking and hemodynamically unstable. Examination showed a tender left neck swelling measuring about 3cm x 3cm with no skin changes and enlarged bilateral tonsils (Grade III). C-reactive protein was 334 mg/L. Neck Xray showed no thickening of soft tissue or thumb sign. Contrast enhanced CT (CECT) neck revealed bilateral palatine tonsillitis with left peritonsillar microabscess and surrounding inflammatory changes causing oropharynx narrowing and left IJV thrombosis. She was treated with IV Ceftriaxone for 1 week, IV Metronidazole for 5 days and anti-coagulant for provoked thrombosis. On Day 7 of admission, she developed septic lung metastasis where she received IV Ceftazidime for another week. Her condition improved and discharged with oral antibiotic for another 4 weeks and direct oral anti-coagulant. DISCUSSION Radiological findings of intraluminal filling defect in the jugular venous wall often provide the first diagnostic clue for LS. CECT is considered the gold standard and is superior to ultrasound as it allows better assessment of deeper venous segments, depict sites of septic emboli and primary infection. If left untreated, release of septic emboli into the systemic circulation results in the widespread dissemination commonly into the lungs, dural venous sinus, meninges and joints. The mainstay of treatment for LS is antibiotic therapy for 6 weeks. Anticoagulation is usually recommended when the thrombus extends into the cerebral sinuses, for large or bilateral clot burden, or when a patient fails to improve in the first 72 hours with appropriate antibiotic and/or surgical therapy. CONCLUSION Due to the high frequency of benign oropharyngeal infections, the diagnosis of LS is often elusive on initial presentation. A high degree of suspicion of LS is essential when patients present with acute tonsillopharyngitis with neck pain and septic syndrome. Creator An entity primarily responsible for making the resource Navin Ravi, Shahira Ruslan Source A related resource from which the described resource is derived Ibrahim, H. A. K. (Ed.). (2024). Abstract and Poster Presentations Book: 3rd Emergency Physician’s International Conference (EPIC24), 10 July 2024. From Zero to Hero Medical Education LTD Publisher An entity responsible for making the resource available From Zero to Hero Medical Education LTD Date A point or period of time associated with an event in the lifecycle of the resource 10 Juli 2024 Contributor An entity responsible for making contributions to the resource Sri Wahyuni 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 https://repository.horizon.ac.id/files/original/d17f87a65ee28cbccce69f99e560da8c.pdf 115560defac3c2c1413139042e32a551 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 Prosiding 3rd Emergency Physician's International Conference Contributor An entity responsible for making contributions to the resource Sri Wahyuni 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 Frequency Of Depressive Symptoms Among Patients With End-Stage Renal Disease (E-Poster Presentations) Subject The topic of the resource Frequency Of Depressive Symptoms, End-Stage Renal Disease Description An account of the resource Introduction End-stage renal disease (ESRD) patients undergoing haemodialysis face both physical and psychological challenges. Adherence to strict treatment and dietary regimens is essential, yet the psychological burden, including depression, anxiety, and stress, can complicate the management. Assessing the frequency and severity of depressive symptoms in this population is crucial for optimizing patient care and outcomes. Objective This study aimed to assess the frequency of depressive symptoms among patients diagnosed with end-stage renal disease (ESRD) in Nawabshah, Pakistan as well as to explore potential contributing factors. Methods This observational, single-centre study involved a sample of 100 ESRD patients undergoing haemodialysis, selected through simple random sampling from Dialysis Centre of Peoples University of Medical & Health Sciences for Women in Nawabshah, Pakistan. Data was collected through structured interviews using validated questionnaires from December 1st, 2023, to February 10th, 2024. The severity of depressive symptoms was evaluated using the Depression, Anxiety, and Stress (DAS) scale v. 21. The data was analysed using SPSS v. 25. Results The findings revealed a prevalence of moderate to severe depressive symptoms among the study participants. Furthermore, a significant proportion (69%) of patients reported challenges with adhering to dietary restrictions. Despite long-term dialysate usage (50% of respondents undergoing dialysis for over a year) and frequent dialysis sessions (83% receiving treatment twice weekly), serum albumin and urea levels remained outside the normal range. Additionally, a high prevalence (91%) of hypertension was reported among the patients. Discussion The study revealed a concerning prevalence of depressive symptoms among ESRD patients undergoing haemodialysis in Nawabshah, Pakistan. Difficulties with dietary restrictions, suboptimal management of ESRD, and a high prevalence of hypertension were noted. Integrating psychological support services into patient care is essential to address these challenges and improve outcomes. Limitations include the study's observational nature and single-centre design. Future research should explore longitudinal designs and objective measures of psychological distress. Conclusion The findings underscore the substantial occurrence of depressive symptoms among ESRD patients undergoing haemodialysis in Nawabshah, Pakistan. This highlights the importance of addressing psychological well-being alongside medical management in this patient population Creator An entity primarily responsible for making the resource Mahnoor Rehman, Priyanka Devi, Source A related resource from which the described resource is derived Ibrahim, H. A. K. (Ed.). (2024). Abstract and Poster Presentations Book: 3rd Emergency Physician’s International Conference (EPIC24), 10 July 2024. From Zero to Hero Medical Education LTD Publisher An entity responsible for making the resource available From Zero to Hero Medical Education LTD Date A point or period of time associated with an event in the lifecycle of the resource 10 Juli 2024 Contributor An entity responsible for making contributions to the resource Sri Wahyuni 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 https://repository.horizon.ac.id/files/original/cf4f488bccc3d0298e1412440b747c36.pdf 115560defac3c2c1413139042e32a551 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 Prosiding 3rd Emergency Physician's International Conference Contributor An entity responsible for making contributions to the resource Sri Wahyuni 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 rare case of an unusual cardiac condition: double outlet right ventricle in a young female presenting with crying and irritability (E-Poster Presentations) Subject The topic of the resource unusual cardiac condition, double outlet right ventricle in a young female presenting with crying and irritability Description An account of the resource Introduction The following case is a 3-year-old child presenting with continuous irritation, crying, and difficulty in feeding. She was diagnosed with double outlet right ventricle (DORV) which makes it an exceptional case since it is uncommon only representing 2% of all congenital heart defects. Case presentation The 2-month-old female had continuous irritation and was severely crying with noticeable difficulty feeding urging her mother to bring her to the emergency department which this complaint had been going on for two days. During history taking the mother denied any dyspnea, cyanosis, or occurrence of any previous attacks of similar complaints. Her past medical history was insignificant, and she has no medical or family history of cardiovascular diseases. By examination, the main remarkable signs were the murmur and her oxygen saturation at room temperature, which measured 64%, and regarding her vitals she was tachycardiac (HR130/min) and tachypneic (RR72/min). Consequently, imaging was done with Echo showing a double outlet right ventricle with normally related great vessels, large malalignment VSD 8.6mm, stenotic mitral valve, and hypoplastic left ventricle. She was treated successfully surgically in a two-step procedure. Firstly, by doing atrial septostomy and pulmonary artery banding and secondly, by performing Glenn’s anastomosis. Discussion DORV is a rare presenting 2% of congenital heart defects at which pulmonary artery and aorta exit right ventricle, aorta is right or anterior to pulmonary artery, VSD and fibrous discontinuation of mitral and semilunar valves. Clinical presentations vary according to the site of VSD and pulmonary stenosis degree. Subtypes are classified according to the site of VSD as DORV with subaortic VSD, DORV with sub pulmonary VSD, DORV with double committed VSD and DORV with non-committed VSD. Clinical pictures are cyanosis, tachypnea, tachycardia, failure to thrives but neglecting a case of DORV may lead to pulmonary hypertension and heart failure thus surgery is required for correction of the anomalies either through intraventricular repair, biventricular repair or univentricular repair. DORV might be associated with other congenital anomalies as heterotaxy, intestinal malrotation and ciliary dysfunction. Conclusion Although DORV is rare but it’s important to surgically correct it in the first year of life to prevent complications and it’s also important to search for other anomalies. Creator An entity primarily responsible for making the resource Farida Shaat, Alia Bassiouny, Aya Abdelhameed Source A related resource from which the described resource is derived Ibrahim, H. A. K. (Ed.). (2024). Abstract and Poster Presentations Book: 3rd Emergency Physician’s International Conference (EPIC24), 10 July 2024. From Zero to Hero Medical Education LTD Publisher An entity responsible for making the resource available From Zero to Hero Medical Education LTD Date A point or period of time associated with an event in the lifecycle of the resource 10 Juli 2024 Contributor An entity responsible for making contributions to the resource Sri Wahyuni 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 https://repository.horizon.ac.id/files/original/f75a3b3d47e79c93fc4134f284b64bf1.pdf 115560defac3c2c1413139042e32a551 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 Prosiding 3rd Emergency Physician's International Conference Contributor An entity responsible for making contributions to the resource Sri Wahyuni 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 Utilizing Point Of Care Ultrasound in the evaluation of Paediatric Trauma Head (E-Poster Presentations) Subject The topic of the resource Utilizing Point Of Care Ultrasound, Paediatric Trauma Head Description An account of the resource A 4-year-old child presented to the emergency department following an unwitnessed fall in the park, resulting in blunt trauma to the right side of the head. Subsequent to the incident, the child experienced two episodes of vomiting, prompting concern for possible intracranial injury. Despite maintaining a Glasgow Coma Scale (GCS) score of 15 and exhibiting a clinically stable condition upon examination, the presence of a boggy swelling in the right frontal region raised suspicions of a skull fracture. In accordance with the Paediatric Emergency Care Applied Research Network (PECARN) decision rule, which advocate for clinical decision support in paediatric head injury evaluations, a decision was made to pursue diagnostic imaging to rule out skull fracture. While computed tomography (CT) was initially recommended, but we have opted for a point-of-care ultrasound due to its high sensitivity and specificity in detecting skull fractures, rapid turnaround time, and avoidance of ionizing radiation exposure. Within a minutes, the ultrasound examination revealed no evidence of skull fracture or intracranial haemorrhage, thus obviating the need for CT imaging. This approach not only expedited patient care, minimizing length of stay and alleviating parental anxiety, but also mitigated potential risks associated with ionizing radiation and sedation. Following a 4-hour period of observation and comprehensive safety netting, the child was discharged with appropriate head injury instructions. Creator An entity primarily responsible for making the resource QAZI ZIA ULLAH Source A related resource from which the described resource is derived Ibrahim, H. A. K. (Ed.). (2024). Abstract and Poster Presentations Book: 3rd Emergency Physician’s International Conference (EPIC24), 10 July 2024. From Zero to Hero Medical Education LTD Publisher An entity responsible for making the resource available From Zero to Hero Medical Education LTD Date A point or period of time associated with an event in the lifecycle of the resource 10 Juli 2024 Contributor An entity responsible for making contributions to the resource Sri Wahyuni 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 https://repository.horizon.ac.id/files/original/8fcd79f08f6486ddc2ea8095a1dca9fd.pdf 115560defac3c2c1413139042e32a551 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 Prosiding 3rd Emergency Physician's International Conference Contributor An entity responsible for making contributions to the resource Sri Wahyuni 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 Exploring Eating Habits and Challenges Faced by Emergency Staff During Shift Changes (E-Poster Presentations) Subject The topic of the resource Exploring Eating Habits and Challenges Faced, Emergency Staff During Shift Changes Description An account of the resource Introduction The demanding nature of work of emergency staff including doctors and nurses often lead to irregular eating habits and poor nutritional intake. Shift changes, in particular, can disrupt meal times and make it challenging for emergency staff to maintain a healthy diet. This cross-sectional study aims to investigate the eating habits and challenges of emergency staff during shift change, with a focus on identifying potential areas for improvement. Methods A cross-sectional study design was used to collect data on the eating habits and nutritional intake of emergency staff during shift change. 153 participants from emergency department of Aga Khan University Hospital were recruited and data was collected using a self-administered questionnaire on meal times, types of food consumed, frequency of snacking, and overall dietary habits along with challenges faced on shift. Descriptive statistics, Chi-square tests, and logistic regression analyses were employed to evaluate the relationships between work shifts and eating patterns. Results Preliminary results from the study indicate that a significant proportion of emergency staff report skipping meals during shift change, with many relying on fast food or vending machine snacks for sustenance. Furthermore, the majority of participants do not meet the recommended daily intake of fruits and vegetables, and consume high amounts of processed foods and sugary beverages. Challenges identified included lack of time, stress and lack of availability of healthier food options especially during night shift. Conclusion This study provides valuable insights into the eating habits and nutritional intake of emergency staff during shift change. The findings underscore the importance of promoting healthy eating habits among healthcare professionals, particularly during times of high stress and long hours. By implementing targeted interventions and support programs, the overall health and well-being of emergency staff can be improved, leading to better outcomes for both the staff and patients Creator An entity primarily responsible for making the resource Rida Jawed, Soha Mateen, Haniya Ather, Shahan Waheed Source A related resource from which the described resource is derived Ibrahim, H. A. K. (Ed.). (2024). Abstract and Poster Presentations Book: 3rd Emergency Physician’s International Conference (EPIC24), 10 July 2024. From Zero to Hero Medical Education LTD Publisher An entity responsible for making the resource available From Zero to Hero Medical Education LTD Date A point or period of time associated with an event in the lifecycle of the resource 10 Juli 2024 Contributor An entity responsible for making contributions to the resource Sri Wahyuni 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