1 10 45 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 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/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/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/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/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 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/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/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/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