2 10 43 https://repository.horizon.ac.id/files/original/5b7f734da65b41749f6ed589cc05d900.pdf 0178f44ef646a9911d30af6725a4bd1b 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 volume 26 2026 Contributor An entity responsible for making contributions to the resource PERI IRAWAN 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 Prehospital diagnostic performance of emergency physicians in identifying blunt traumatic pneumothorax requiring early decompression Subject The topic of the resource Emergency medicine, Prehospital care, Tension pneumothorax, Thoracic decompression, Thoracostomy, Ultrasound Description An account of the resource Background Traumatic pneumothorax is a potentially life-threatening condition requiring timely diagnosis and management, particularly in the prehospital setting where diagnostic tools are limited. This study aimed to evaluate the diagnostic performance of clinical signs used by emergency physicians in the field to identify traumatic pneumothorax requiring early thoracic decompression. Methods We conducted a retrospective observational study in a French level I trauma center from January 2015 to August 2022. All patients with CT-confirmed pneumothorax managed by prehospital emergency physicians were included. The primary endpoint was the diagnostic performance of prehospital clinical assessment to identify pneumothorax requiring early decompression (prehospital or within four hours of admission). Statistical analysis was focused on predictive performance of three clinical signs (asymmetric lung auscultation, thoracic expansion asymmetry, and subcutaneous emphysema) in identifying cases requiring early decompression, using univariable analyses and the construction of a composite predictive score by logistic regression. Results Among 280 included patients, 115 (41%) required early thoracic decompression. Clinical suspicion of pneumothorax was present in 63% (95% CI: 54‒71) of these cases. Asymmetric lung auscultation showed the highest sensitivity (74%; 95% CI: 62‒86), while subcutaneous emphysema demonstrated the highest specificity (79%; 95% CI: 68‒89). The overall clinical suspicion rate across the cohort was 46% (95% CI: 41‒52). A composite predictive score using the three clinical signs demonstrated better diagnostic performance (AUC 0.63 (95% CI 0.57‒0.69); score=1 OR 2.0 [95% CI 1.1‒3.6], score=2 OR 3.0 [95% CI 1.6‒5.7]; score=3 OR 11.0 [95% CI 1.3‒96.8]). Conclusion Prehospital clinical assessment alone had limited diagnostic performance for detecting blunt traumatic pneumothorax requiring early decompression. A simple clinical composite score offers higher specificity but remains insufficiently sensitive to be used as a standalone diagnostic tool; it may support field decision-making as a risk- Creator An entity primarily responsible for making the resource Céline Occelli1,2*, Marie Lenoir1 , Arthur Naudet Lasserre3,4, Lauranne Teule5 , Hugues Weber3,4, Jonathan Charbit3,4 and Xavier Bobbia1 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12873-025-01462-y Date A point or period of time associated with an event in the lifecycle of the resource 2026 Contributor An entity responsible for making contributions to the resource PERI IRAWAN 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 Emergency medicine, Prehospital care, Tension pneumothorax, Thoracic decompression, Thoracostomy, Ultrasound https://repository.horizon.ac.id/files/original/32f6d1210e88e553acfb50d36728323e.pdf 12abf9390f6556827e902d7d972967ab 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 volume 26 2026 Contributor An entity responsible for making contributions to the resource PERI IRAWAN 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 Helicopter emergency medical services for elderly patients: clinical outcomes and disease patterns Subject The topic of the resource Helicopter emergency medical services, Elderly patients, Stroke, Acute myocardial infarction, Prehospital care, Geriatric emergency medicine Description An account of the resource Background The rapid aging of global populations necessitates evidence-based optimization of emergency medical services for elderly patients. This study evaluates helicopter emergency medical services (HEMS) utilization patterns, clinical outcomes, and disease distribution in elderly patients transported to a metropolitan tertiary care facility. Methods Prospective observational study of 119 elderly patients (≥65 years) transported via HEMS to Istanbul Başakşehir Çam and Sakura City Hospital between January 2021 and January 2023. Data analysis included disease distribution, transport performance metrics, seasonal variation, and clinical outcomes using descriptive statistics and inferential testing. Results Mean patient age was 74.2±8.4 years. Stroke (30.3%) and cardiovascular conditions (47.1%) represented predominant diagnoses. Mean total transport time was 31.1 min (95% CI: 28.3–33.9). In-hospital mortality was 4.2% (95% CI: 1.4–9.5%), with 28.6% requiring intensive care unit (ICU) admission. Significant seasonal variation occurred (p<0.001, η2=0.42), with 74.8% of cases during spring-summer months. Geographic analysis revealed disparities with 73.1% of patients originating from Çatalca region. Conclusions HEMS represents an essential component of elderly emergency care with favorable clinical outcomes. Age-stratified disease patterns support development of specialized geriatric protocols. Significant seasonal variation and geographic disparities necessitate dynamic resource allocation and policy consideration for equitable HEMS accessibility. Creator An entity primarily responsible for making the resource Mehmet Necmeddin Sutaşır1* , Demet Duman1 , Banu Arslan1 , Ramazan Güven1 and Abuzer Coşkun2 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12873-025-01461-z Date A point or period of time associated with an event in the lifecycle of the resource 2026 Contributor An entity responsible for making contributions to the resource PERI IRAWAN 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 Helicopter emergency medical services, Elderly patients, Stroke, Acute myocardial infarction, Prehospital care, Geriatric emergency medicine https://repository.horizon.ac.id/files/original/4f21b4fef3f772e591ebb1519193f38e.pdf e258c96ec7bdcc7762b48a885132ce0f 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 volume 26 2026 Contributor An entity responsible for making contributions to the resource PERI IRAWAN 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 Factors associated with the phenomenon of overcrowding in the emergency department: a retrospective cohort study Subject The topic of the resource Emergency medical services, Overcrowding, Emergency room visits, Emergency services, Hospital/trends, Health services accessibility Description An account of the resource Objectives Emergency departments (EDs) have been confronted with growing demand for several decades. However, the strain on EDs is generally not evenly distributed across the year, as some days are at increased risk of overcrowding compared to others. Identifying the days during which teams are unable to meet actual service demands could be beneficial as a means to avoid, in the most drastic cases, redirecting patients to other care structures (ambulance diversion). The objective of this study was to identify the factors explaining ED overcrowding in a general hospital. Methods We conducted a retrospective study at a single emergency department between 1 January 2017 and 31 December 2021. The days with the highest deviation from baseline regarding length of stay were defined as being overcrowded. The factors associated with overcrowding were evaluated using a logistic regression model adjusted for the day’s characteristics. Results The study period comprised 183 overcrowded days and 1643 uncrowded days. The factors associated with the risk of crowding in multivariable analysis were the ED crowding status of the previous day, the number of patients at the beginning of the day, the proportion of patients age 75 or greater, the number of radiological exams per patient, and the number of radiological exams of the skull and brain region. The mitigating factors were the proportion of patients with less urgent needs during triage, an increased proportion of patients needing trauma care, the proportion of patients<7 years old, weekend days, and the epidemic period following the month of March 2020. Conclusion Our study has highlighted case-mix factors and chronological factors related to the risk of overcrowding. These factors were communicated to hospital management, which allowed the hospital to reassess its operations. Creator An entity primarily responsible for making the resource Jan Chrusciel1 , Adrien Wartelle2 , Antoine Sanchez3 , Marine Desbouvry4 , Amélie Brochet-Paille5 , David Laplanche1 and Stéphane Sanchez1,6* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12873-025-01460-0 Date A point or period of time associated with an event in the lifecycle of the resource 2026 Contributor An entity responsible for making contributions to the resource PERI IRAWAN 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 Emergency medical services, Overcrowding, Emergency room visits, Emergency services, Hospital/trends, Health services accessibility https://repository.horizon.ac.id/files/original/1e8a908078026a2347f7f0dc93941509.pdf ee8c3da854198959408b16db66177cbd 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 volume 26 2026 Contributor An entity responsible for making contributions to the resource PERI IRAWAN 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 Identifying 20 homogeneous clusters of acute patients discharged with nonspecific diagnoses through k-prototypes mixed data clustering Subject The topic of the resource Acute medicine, Clustering, Emergency medicine, Nonspecific diagnoses, Noncausative diagnosis, Unspecific diagnoses, Unsupervised machine learning Description An account of the resource Background Patients discharged with nonspecific diagnoses after acute hospital care are frequent and represent potential diagnostic uncertainty at discharge. Adverse outcomes indicate missed diagnoses with a potential for improving patient safety. However, research and interventions are limited by population heterogeneity. We aimed to identify clusters of patients discharged with nonspecific diagnoses by employing unsupervised machine learning and to assess the risk of readmission and mortality of each cluster. Methods Observational, register-based study of emergency department arrivals discharged with nonspecific diagnoses (ICD-10: R and Z03 chapters) from March 2019 to February 2020 in Denmark. We applied partitional (k-prototypes) and hierarchical (agglomerative) clustering based on demographics, socioeconomics, comorbidities, administrative information, biochemistry, and 50 nonspecific discharge diagnosis groups. The risk of 30-day readmission and mortality after discharge was assessed as cumulative incidence for each cluster. Results We included 92,650 patients. A 20 clusters k-prototypes model best fitted our data. Clusters 1–5 were differentiated by no or limited biochemistry across different age and comorbidity patterns. Clusters 6–9 consisted mainly of young adults with low comorbidity, except Cluster 9 with notable neuropsychiatric and substance abuse comorbidities. Clusters 10–20 described the older patients: 10–14 with single comorbidities and 15–20 with substantial comorbidity of different cooccurring patterns. The risk of 30-day readmission and mortality ranged from 5% to 27% and 0% to 9% across clusters, respectively. Conclusion Patients with nonspecific discharge diagnoses after acute hospital contacts can be grouped into 20 distinct clusters based on clinical, socioeconomic, administrative, and biochemical features. The clusters can be used to form delimited populations allowing for better and more individualized prediction models. Keywords Acute medicine, Clustering, Emergency medicine, Nonspecific diagnoses, Noncausative diagnosis, Unspecific diagnoses, Unsupervised machine learning Creator An entity primarily responsible for making the resource Rasmus Gregersen Mottlau1,2,3* , Marie Villumsen2 , Axel Nyström4 , Hanne Nygaard1,3 , Jens Rasmussen1 , Mikkel B. Christensen5,6,7 , Jakob Lundager Forberg8 and Janne Petersen2,3 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12873-025-01459-7 Date A point or period of time associated with an event in the lifecycle of the resource 2026 Contributor An entity responsible for making contributions to the resource PERI IRAWAN 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 Acute medicine, Clustering, Emergency medicine, Nonspecific diagnoses, Noncausative diagnosis, Unspecific diagnoses, Unsupervised machine learning https://repository.horizon.ac.id/files/original/d6ea94037d4f2f3b5276cee9b9e64465.pdf fbcd56dcbff8495a9ac0b19272e26743 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 volume 26 2026 Contributor An entity responsible for making contributions to the resource PERI IRAWAN 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 Emergency department presentations of older patients in Germany: high rates of ambulatory care–sensitive conditions and increased odds of inpatient mortality in patients living with dementia Subject The topic of the resource Emergency department, Geriatric emergency care, Dementia, Cross-sectoral healthcare Description An account of the resource Background The crowding of emergency departments (ED) in Germany and many other countries has been a well- known problem and the ageing population is posing additional and very specific challenges to EDs as older patients may present with multimorbidity, polypharmacy, frailty, dementia and non-specific complaints. The primary aim of this study was to characterize clinical and demographic features of emergency department (ED) patients aged ≥70 years in Germany, and to analyse their outpatient care utilization before the ED visit. The secondary aim was to explore the relationship between dementia and inpatient mortality. Methods Routine hospital data from 16 German EDs from 2016 were linked to outpatient care data from 2014 to 2017. The demographic and clinical characteristics of ED patients ≥70 years were evaluated for the four billing quarters preceding the first ED visit in 2016. The relationship between dementia and inpatient mortality was assessed using a directed acyclic graph and a generalized linear mixed model adjusted for confounders (e.g., age, sex, comorbidities) and ED centre. Results In 2016, 99,858 patients aged≥70 years presented to one of the 16 EDs. Most arrived via medical transportation (60.5%). Whilst 31.2% were triaged as less urgent, 64.2% were admitted as an inpatient. Among the most common ED diagnoses were several ambulatory care–sensitive conditions (ACSC). Although 84.1% of patients having had regular contact (i.e., in ≥3 billing quarters) with a general practitioner, geriatric assessment was only conducted in 45.7% of patients; 60.2% of ED patients were taking five or more medications (polypharmacy). ED patients with dementia (n=14,511) had increased odds of inpatient mortality (adjusted odds ratio 1.18; 95%-confidence interval 1.08–1.28). Creator An entity primarily responsible for making the resource Kristina Hartl1,2, Anna Slagman1 , Martin Möckel1 , Hanna Winkler3 , Liane Schenk4 , Thomas Keil3,5,6 and Dorothee Riedlinger1* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12873-025-01458-8 Date A point or period of time associated with an event in the lifecycle of the resource 2026 Contributor An entity responsible for making contributions to the resource PERI IRAWAN 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 Emergency department, Geriatric emergency care, Dementia, Cross-sectoral healthcare https://repository.horizon.ac.id/files/original/b75b565f2331ebbc88fd58906a968465.pdf a2646a05d752816aca816dbc7239396c 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 volume 26 2026 Contributor An entity responsible for making contributions to the resource PERI IRAWAN 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 Development and internal validation of the goliat score to predict 48-hour complications after minor/moderate traumatic brain injury in the emergency department: a single-center cohort study Subject The topic of the resource Traumatic brain injury, Emergency department, Risk stratification, Clinical prediction, Elderly people Description An account of the resource Background Most patients with non-severe traumatic brain injury (TBI) do not develop complications after 24 h of hospital observation. Identifying low-risk patients could enable safe discharge and follow-up—potentially via telemedicine—while avoiding unnecessary cranial CT scans, particularly in older adults. Methods We performed a single-centre, consecutive cohort study (tertiary ED, Spain; 1 June 2019–31 December 2020). Adults with minor/moderate TBI (GCS 13–15) were included. The primary outcome was any clinically relevant complication within 48 h (neurological, cardiorespiratory, or death), ascertained by a structured 48-h telephone follow-up plus electronic health record review by assessors independent from clinical care. Candidate predictors (≤6 h) comprised baseline factors (age, sex, Charlson comorbidity index, prior anticoagulation), injury-severity signals (polytrauma-code activation, pupil abnormality, fluctuating GCS), physiology/haematology (systolic blood pressure, platelet count), and serum S100 (<6 h). A multivariable logistic regression with prespecified functional forms (splines/ transforms) and two interactions (sex×log[S100]; hypertension×SBP) was fitted. Internal validation used bootstrap/ LOOCV with optimism correction and uniform shrinkage. Performance was assessed by AUC, Brier score, calibration (slope/intercept, plots), and decision-curve analysis (DCA). We defined a risk-stratified pathway at ~6 h (discharge vs. short observation vs. admission). Results Median age was 84 years (IQR 73–88), and 84.6% were ≥65 years. Acute complications occurred in 155 patients (29.5%). Independent predictors were age, sex, platelet count, systolic blood pressure, history of hypertension, S100B level at 6 h, anticoagulant treatment, and any high-risk clinical event (fluctuating GCS, moderate severity, pupil alteration, TBI code activation, anticoagulant reversal, polytrauma). Pathological CT findings did not show a significant contribution to the predictive model (LRT p=0.10) and were not used. The Goliat score achieved an Creator An entity primarily responsible for making the resource Oriol Yuguero1,2,3*, Itziar López-Vena1 , Montserrat Martinez-Alonso2,4, Ana Vena1,2, Maria Bernal5 and Francisco Purroy2,6 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12873-025-01457-9 Date A point or period of time associated with an event in the lifecycle of the resource 2026 Contributor An entity responsible for making contributions to the resource PERI IRAWAN 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 Traumatic brain injury, Emergency department, Risk stratification, Clinical prediction, Elderly people https://repository.horizon.ac.id/files/original/d35b9312d4d62b8af31ae219fa97a9e2.pdf 7255fd9c48f82eb5af9ac58c338a79ce 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 volume 26 2026 Contributor An entity responsible for making contributions to the resource PERI IRAWAN 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 Point-of-care ultrasound (POCUS) use in mountain emergency medicine: results from an international online survey Subject The topic of the resource Echocardiography, Emergency medicine, Mountain medicine, POCUS, Ultrasound Description An account of the resource Background The extent to which point-of-care ultrasound (POCUS) is currently being used in international mountain emergency medicine has not yet been investigated. The aim of this study was to determine the use of POCUS in mountain rescue organizations which are members of the International Commission for Alpine Rescue (ICAR). Methods We asked 92 ICAR member organizations to complete an online survey to gather information about staffing, ultrasound equipment, indications, perceived utility, and aspects of education and clinical supervision. Results Our survey had a response rate of 42% (n=39). The availability of POCUS in rescue organizations was associated with the type of staffing and rescue provided. Organizations with POCUS (31%, n=12) were permanently (67%, n=8; 95%-CI: 35–90%) or intermittently (33%, n=4; 95%-CI: 10–65%) staffed by physicians (p=0.006). POCUS was mostly available in organizations with professional staff (58%, n=7; 95%-CI: 28–85%). In contrast, organizations with voluntary staff mostly did not use POCUS (70%, n=19; 95%-CI: 50–86%) (p=0.002). Organizations with POCUS mostly provided a combination of both HEMS and terrestrial rescue (75%, n=9; 95%-CI: 43–95%), whereas organizations without POCUS (69%, n=27) mostly provided terrestrial rescue alone (70%, n=19; 95%-CI: 50–86%) (p=0.001). Most organizations (67%, n=8) used POCUS in <10% of their treated patients. In these select patients, however, POCUS was perceived to change on-site treatment and improve patient outcomes. POCUS was considered equally relevant in both medical and traumatic emergencies. Half of the providers used standardized ultrasound protocols (50%, n=6). Half of the rescue organizations did not record POCUS findings (50%, n=6). Most rescue organizations did not have a framework in place for education and clinical supervision (91%, n=10). Conclusions Our survey shows that POCUS plays a considerable role in international mountain emergency medicine. POCUS is primarily used by physicians in HEMS but is also available in organizations who provide terrestrial rescue. Most rescue providers use POCUS in select patient groups, with perceived benefits on clinical decision-making and patient outcomes. Although providers often use standardized protocols when performing examinations, aspects of education and clinical supervision will need to be addressed in the future. Keywords Echocardiography, Emergency medicine, Mountain medicine, POCUS, Ultrasound Creator An entity primarily responsible for making the resource Niels Holthof1,2* , Natalie Hölzl2,3, Juan Manuel Funk2,4, Simon Rauch2,5,6, Giacomo Strapazzon2,6,7 and Peter Paal2,8 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12873-025-01456-w Date A point or period of time associated with an event in the lifecycle of the resource 2026 Contributor An entity responsible for making contributions to the resource Peri Irawan 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 Echocardiography, Emergency medicine, Mountain medicine, POCUS, Ultrasound https://repository.horizon.ac.id/files/original/401286ffeb1aacb4c8f3e71e33e5cdea.pdf 7d6e5fa6d0b1850436d62381c3f337cc 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 volume 26 2026 Contributor An entity responsible for making contributions to the resource PERI IRAWAN 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 External validation of the modified Brain Injury Guidelines: an observational study Subject The topic of the resource Brain Injury Guidelines, Mild traumatic brain injury, Head trauma Description An account of the resource Background Mild traumatic brain injury (mTBI) is a frequent cause of emergency department (ED) admission, with most cases being uncomplicated. However, a subset of patients presents with intracranial findings on CT, such as cerebral hemorrhage or skull fracture, that raise concerns for potential clinical deterioration. The modified Brain Injury Guidelines (mBIG) provide a risk-stratification framework for managing such patients but do not address cerebral hygromas or indeterminate radiological lesions, both commonly encountered in clinical practice. This study aimed to externally validate the mBIG criteria, including patients with cerebral hygromas and indeterminate radiological lesions on CT scan, in order to assess their prognostic accuracy for severe neurological outcomes. Methods We conducted a retrospective single-center observational study of 451 adult patients presenting to the ED with a blunt head trauma who underwent initial CT imaging and clinical evaluation. Patients were classified as mBIG 1, 2, or 3 based on CT findings and clinical criteria. Outcomes were extracted from electronic medical records, with the primary outcome defined as a composite of death due to mTBI, neurosurgical intervention, or admission to intensive care unit. Results Among 237 patients classified as mBIG 1, 38.8% exhibited an indeterminate radiological lesion and 35% had cerebral hygromas. The primary outcome was observed in only one mBIG 1 patient (0.4%; 95% CI: 0.0%–2.3%), demonstrating high sensitivity (94.7%; 95% CI: 74%-99.9%) and low negative likelihood ratio (0.1; 95% CI: 0.01-0.65), albeit with wide confidence intervals due to limited sample size. Radiological progression occurred in 6.3% of mBIG 1 patients, though none required neurosurgical intervention or intensive care admission Conclusion The mBIG criteria appear to be a safe and efficient approach for managing complicated mTBI, even in cases involving cerebral hygromas and indeterminate radiological lesions. This preliminary validation suggests good prognostic performance, but further large-scale prospective studies are needed to confirm applicability in routine ED practice. Creator An entity primarily responsible for making the resource Giorgio Colombo1*, Anna Giuliani2 , Francesca Gianni3 , Rosa Casella1 , Giulio Andrea Bertani4 , Giovanni Casazza3 and Giorgio Costantino3 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12873-025-01454-y Date A point or period of time associated with an event in the lifecycle of the resource 2026 Contributor An entity responsible for making contributions to the resource PERI IRAWAN 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 Brain Injury Guidelines, Mild traumatic brain injury, Head trauma https://repository.horizon.ac.id/files/original/ac1ba20ddde70a851b054fd9cc3ecc7b.pdf 4a47ea94420d67189a4b8b684c15f72b 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 volume 26 2026 Contributor An entity responsible for making contributions to the resource PERI IRAWAN 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 Role of schools in disaster risk management: a systematic review Subject The topic of the resource Disasters, Prevention, Preparedness, Response, Recovery, Schools Description An account of the resource Background Community-based disaster risk management has emerged as a highly effective approach, emphasizing the importance of local institutions. As integral parts of communities, schools possess valuable resources that can play a crucial role in supporting government agencies in managing disasters efficiently. Therefore, this study identified the dimensions and components of schools participation in disaster risk management. Methods A comprehensive search was conducted across key electronic databases, including PubMed, Web of Science, and Scopus, focusing on English-language articles published up to June 8, 2024. Additionally, searches were performed on organizational websites such as WHO, CDC, FEMA, IFRC, UN, INEE, and Save the Children. Study selection followed the PRISMA 2020 guidelines, and thematic analysis was employed to examine the findings. Results Finally, of 7824 selected records, 17 papers were included in the final analysis. Six main themes, 26 categories, and 61 subcategories were revealed. The main themes included planning and preparedness, education and awareness, Communication and Collaboration, Equipment and Infrastructure, Evaluation and Improvement, Challenges and Solutions. Conclusions Schools are central to disaster risk management and must be integrated into national frameworks through formal legislation. Strengthening preparedness requires investment in infrastructure, regular assessments, and inclusive education programs. Stakeholder collaboration especially with families, NGOs, and local authorities enhances coordination and community awareness. Sustainable funding and flexible, localized strategies are essential, particularly in underserved areas. Future research should focus on cost-effective models, digital tools, and scalable practices across diverse contexts. Creator An entity primarily responsible for making the resource Ameneh Marzban1 , Mohsen Dowlati2*, Shandiz Moslehi2 and Milad Ahmadi Marzaleh3 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12873-025-01453-z Date A point or period of time associated with an event in the lifecycle of the resource 2026 Contributor An entity responsible for making contributions to the resource PERI IRAWAN 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 Disasters, Prevention, Preparedness, Response, Recovery, Schools https://repository.horizon.ac.id/files/original/4c4a1fde85e7bd27d759d6e6c83986c6.pdf 3da8592ac2c8cb3a8f9530be4d06310a 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 volume 26 2026 Contributor An entity responsible for making contributions to the resource PERI IRAWAN 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 The preventive effect of emergency psychological intervention on post-traumatic stress disorder (PTSD) in patients with acute spinal cord injury: a retrospective cohort study Subject The topic of the resource Psychological intervention, Inpatients, Rehabilitation, Spinal cord injury, Stress disorders, post-traumatic Description An account of the resource Introduction Acute spinal cord injury (ASCI) often leads to severe disability and post-traumatic stress disorder (PTSD), yet evidence on early psychological prevention during the emergency stage is limited. Aim This study aimed to evaluate whether emergency psychological intervention can effectively prevent PTSD in ASCI patients and improve rehabilitation outcomes, addressing a key gap in current trauma management research. Methods A retrospective cohort study was conducted among 191 ASCI patients admitted to the emergency department of the Affiliated Hospital of Xuzhou Medical University from June 2023 to December 2024. Patients were divided by injury severity (ISS≥16 or ISS<16) and exposure to emergency psychological intervention. Primary outcome was PTSD incidence; secondary outcomes included exercise compliance, muscle strength recovery, emergency stay time, readmission rate, and medical costs. Results The incidence of PTSD was significantly lower in the severe intervention group than in controls (26.7% vs. 51.8%, P=0.024). Exercise compliance and muscle strength recovery were higher in intervention groups, and average medical expenses per patient decreased by ¥3,953 in the severe group. Conclusion Early emergency psychological intervention can effectively prevent PTSD and enhance rehabilitation outcomes in ASCI patients, while reducing healthcare costs and improving efficiency in emergency care. These findings support integrating a “physiological–psychological” management model into routine trauma practice. Clinical trial number Not applicable. Keywords Psychological intervention, Inpatients, Rehabilitation, Spinal cord injury, Stress disorders, post-traumatic Creator An entity primarily responsible for making the resource Ting Li1,2, Hua Xu1,2, Chenchen Jiang1,2 and Xiao Liu1,2* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12873-025-01452-0 Date A point or period of time associated with an event in the lifecycle of the resource 2026 Contributor An entity responsible for making contributions to the resource PERI IRAWAN 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 Psychological intervention, Inpatients, Rehabilitation, Spinal cord injury, Stress disorders, post-traumatic