5 10 45 https://repository.horizon.ac.id/files/original/11f1a61b69c5b0a6fa317964fbc5e9b9.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 Wernicke’s encephalopathy in a non-alcoholic patient with Pancreatic pseudocyst: A case report from Karachi, Pakistan (E-Poster Presentations) Subject The topic of the resource Wernicke’s encephalopathy, Pancreatic pseudocyst: Description An account of the resource Introduction Wernicke’s encephalopathy is an acute neurological condition characterised by a classical triad of ataxia, ophthalmoplegia and encephalopathy which requires urgent recognition and initiation of treatment to prevent further neurological progression. Traditionally the occurrence of Wernicke has been linked to alcohol misuse. However, data shows that non-alcohol related causes may have a more significant role to play in its incidence than taught conventionally. Some of these causes include severe malnutrition which may be secondary to vomiting with underlying hyperemesis gravidarum or a gastrointestinal pathology, starvation, refeeding syndrome, anorexia nervosa, gastrointestinal surgery, or even dialysis. This is the first case report of Wernicke encephalopathy in a non- alcoholic patient with chronic malnutrition secondary to gastrointestinal obstruction caused by Pancreatic pseudocyst in Karachi, Pakistan. Case Presentation A young male, with no known co-morbid, with history of vomiting and significant weight loss for 5 months due to Subacute Pancreatitis and pancreatic pseudo cyst presented with altered mentation and inability to walk to the emergency department. He was initially worked up extensively on differentials of septic vs metabolic encephalopathy but was later diagnosed and managed on the lines of Wernicke’s encephalopathy. Over time with Thiamine replacement, his GCS improved, along with his right lateral nystagmus with complete resolution of all symptoms in a week. He was then managed for vomiting due to gastric outlet obstruction caused by pancreatic pseudo cyst over the course of hospital stay and started tolerating orally over the course of months in follow up visits. Conclusion There should be a low threshold of suspicion of WE in any chronically malnourished patient who presents with acute neurological symptoms, especially in low-middle income countries. Caine Criteria of Wernicke encephalopathy can be used along with MRI Brain to aid in the diagnosis of this rare disease entity. Prompt and timely treatment with high dose thiamine therapy is crucial in resolution of symptoms along with preventing progression to Korsakoff syndrome. Creator An entity primarily responsible for making the resource Rida Jawed, Arfa Fatima, Muhammad Abu Kamran Pasha 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/42fc7dbd80f17ffc803ba56ed8936cb5.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 Patterns and Clinical Outcomes of Life-Threatening Cases Admitted Through Emergency Department: Analysis from a Tertiary Care Hospital (Oral Presentations) Subject The topic of the resource Patterns and Clinical Outcomes of Life-Threatening Cases Admitted, Emergency Department, ertiary Care Hospital Description An account of the resource INTRODUCTION Emergency medical treatment aims to stabilize individuals facing life or limb-threatening accidents or diseases, emphasizing immediate medical interventions over preventative or primary care. It focuses on swift medical decision-making to prevent unnecessary death or impairment from time-sensitive health issues. This study aimed to analyze the patterns and outcomes of life and limb-threatening cases admitted through the emergency department to inpatient services among adults and pediatric patients at a tertiary care hospital in Pakistan. METHODS A retrospective study design included all patients who presented with life-threatening conditions at the emergency department of Aga Khan University Hospital from December 2020 to August 2022, recruited using a non-probability consecutive sampling technique. RESULTS The study comprised 798 patients with an average age of 39.9 years, spanning from newborns to 95-year-olds. The average length of stay in the emergency department was 3.3 hours, with a hospital stay averaging 5.11 days. The majority of patients were aged between 21-30 years (27%), followed by those aged 31-40 years (18%), and 61-70 years (14%) with almost equal gender distribution. The majority hailed from Sindh, with a smaller representation from Balochistan and other regions. Pediatric cases accounted for 10% of the life- and limb-threatening cases, while adults constituted 90%. In terms of ED disposition, 45% of patients were sent to the operating room, 34% to the CCU/Cath Lab, and 14% to the labor room. The mortality rate was 10%, with 90% surviving. Hospital disposition revealed that most were discharged, while a small percentage left against medical advice or expired. Financially, 51% paid their full bill, 24% required welfare, and others paid less or were covered by various sources. Specialties involved included Obstetrics/Gynaecology (34%), Cardiology (34%), Neurosurgery (8%), and General Surgery (5%). Other specialties had smaller proportions, indicating a wide range of medical and surgical interventions required by the patient population. DISCUSSION The imperative treatment of life or limb-threatening injuries is often the most critical, with unfavorable responses leading to catastrophic consequences. These cases primarily involve cardiovascular and respiratory emergencies, as well as trauma and obstetric/gynecological patients. A number of studies have revealed a consistent increase in the absolute number of emergency department admissions for defined populations over the last decade. A nation's healthcare system must adapt to morbidity and mortality patterns to mitigate prolonged illness and premature death among adults, reflecting the prevalence of various health problems within society. CONCLUSION This study revealed varied patterns and outcomes of emergency department admissions, underscoring the importance of continued support and resource allocation to improve emergency and inpatient care, especially for economically disadvantaged populations. Creator An entity primarily responsible for making the resource Naheed Habibullah, Badar Afzal Khan, Bushra Qaiser, Sundus Marium 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/0aadecbf4926cfc1ee23bf53bf6216c9.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 Should every Emergency Department by using a Modified Early Obstetric Warning Score? (Oral Presentations) Subject The topic of the resource Modified Early Obstetric Warning Score Description An account of the resource Introduction In the UK, between January 2023 to January 2024, the number of patients waiting 12 or more hours in emergency departments (EDs) from the decision made to admit increased by 27%. For the women awaiting an obstetric or gynaecological bed, the use of an effective early warning score is crucial in recognising deteriorating patients. The MBRRACE (Mothers and Babies: Reducing Risk through Audits and Confidential Enquiries across the UK) 2023 report recommends that we must use a national Maternity Early Warning Score to monitor all pregnant women wherever in the hospital they receive care, including the ED. Aims Compare the use of the Modified Early Obstetric Warning Score (MEOWS) to the National Early Warning Score 2 (NEWS2) in a UK ED that currently does not used a modified early warning score for pregnant women. Evaluate the differences made by using a modified, instead of national, and the impact on pregnant women's care, escalation and management in the ED. Method A retrospect cohort study over a 3-month period in a UK district general hospital ED (September – December 2022). Cerner FirstNet Electronic Medical Records were used to identify a final cohort of 48 women. Patients initial stay was analysed using NEWS2 score including initial warning score at triage, score at decision to admit/discharge, frequency of vital sign observations, recommended escalation of care, length of stay and reattendance. The MEOWS was then applied to the same patient attendance. Results In 44% of cases, the MEOWS indicated that the patient needed a greater frequency of observation than recommended by patient NEWS2. 10% of women represented with the same presentation within 7 days following discharge. Of these, 90% had a MEOWS that advised obstetric discussion that they did not have. MEOWS recommends evaluation for proteinuria if >20weeks gestation and lochia if up to 6 weeks postpartum. Only 16% of women were evaluated for this during their ED stay. Conclusion Physiological response to acute illness can be modified by pregnancy and therefore leaves the NEWS2 inappropriate. Using the MEOWS not only triggered more frequent observations, but also triggered for obstetric review when NEW2 did not. This may have not only picked up on deteriorating patient earlier, but also prevented recurrent attendances in the ED. Creator An entity primarily responsible for making the resource Rebecca Talbutt , Rachel Hodgson, Jessica Oscroft 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/fc37c1b1823327400ae8e57c53fee87d.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 Audit on the use of T-MACS decision aid for patients presenting to ED with chest pain (Oral Presentations) Subject The topic of the resource T-MACS decision aid for patients presenting to ED with chest pain Description An account of the resource Background T-MACS is a computer-based decision aid that rules in and rules out ACS using a combination of six clinical features with only one biomarker measured on arrival: hs-cardiac Troponin. T-MACS has been shown to have a 99.3% negative predictive value and 98.7% sensitivity for ACS, ruling out ACS in 40% and ruling in 5% patients at highest risk. We aim at benchmarking the use of T�MACS for risk stratification which could help to conserve healthcare resources, facilitate early discharges, and ensure safe practice. Methodology Randomized retrospective data collection was done (n=300) from ED electronic records across 3 hospital sites over a period of 2 months. Patients being evaluated for non-cardiac chest pain or admitted for reasons other than ACS were excluded. Data was analysed by percentage for usage of T-MACS, number of admissions/discharges and in days for length of stay in hospital, also serving as a comparison between sites. The data was given RAG rating for compliance against standards that was used to calculate an assurance level. Results MRI A&E had the maximum compliance with use of T-MACS in the trust at 66% with minimum admissions (44%) and an average length of stay of 1.825 days. NMG A&E had an extremely low compliance rate (8 %) with 75% admission and 3.387 days as average length of stay. WYT A&E had none T-MACS recorded with maximum 79% admissions and the longest average length of stay at 5.07 days. Discussion All three hospital sites had a RAG rating of ‘Red’ as per the compliance levels. Assurance level was calculated as ‘Very Limited’ across all sites. There was a positive correlation observed between compliance with T-MACS and direct discharges from ED thereby reducing average length of stay for patients in hospital. Conclusion This study has highlighted the importance of training sessions and refresher courses for doctors to familiarize them with the importance of recording and utilizing T-MACS decision aid for early discharges, patient safety, optimal resource utilization Creator An entity primarily responsible for making the resource Saurav Dhawan, Ranjith Rajgopal,Ajibola Omotosho 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/841c385eb7edbe4d0b85767ffd20a83a.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 Editorial Board 3rd Emergency Physician’s International Conference Proceeding 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