3 10 94 https://repository.horizon.ac.id/files/original/362327fe9df85d4bfc5bf829135920d5.pdf 40ae69b48c5f5d10eff0b3572c388860 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 16 Issue 1 2023 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 Outcomes of critically ill COVID‐19 patients boarding in the emergency department of a tertiary care center in a developing country: a retrospective cohort study Subject The topic of the resource COVID-19, Boarders, Pandemic, Emergency department, Critically ill patients Description An account of the resource Background Boarding of critically ill patients in the emergency department (ED) has long been known to compro- mise patient care and affect outcomes. During the COVID-19 pandemic, multiple hospitals worldwide experienced overcrowded emergency rooms. Large influx of patients outnumbered hospital beds and required prolonged length of stay (LOS) in the ED. Our aim was to assess the ED LOS effect on mortality and morbidity, in addition to the predic- tors of in-hospital mortality, intubation, and complications of critically ill COVID-19 ED boarder patients. Methods This was a retrospective cohort study, investigating 145 COVID-19-positive adult patients who were criti- cally ill, required intensive care unit (ICU), and boarded in the ED of a tertiary care center in Lebanon. Data on patients who boarded in the emergency from January 1, 2020, till January 31, 2021, was gathered and studied. Results Overall, 66% of patients died, 60% required intubation, and 88% developed complications. Multiple risk factors were associated with mortality naming age above 65 years, vasopressor use, severe COVID pneumonia find- ings on CT chest, chemotherapy treatment in the previous year, cardiovascular diseases, chronic kidney diseases, prolonged ED LOS, and low SaO2<95% on triage. In addition, our study showed that staying long hours in the ED increased the risk of developing complications. Conclusion To conclude, all efforts need to be drawn to re-establish mitigation strategies and models of critical care delivery in the ED to alleviate the burden of critical boarders during pandemics, thus decreasing morbidity and mor- tality rates. Lessons from this pandemic should raise concern for complications seen in ED ICU boarders and allow the promotion of health measures optimizing resource allocation in future pandemic crises. Keywords COVID-19, Boarders, Pandemic, Emergency department, Critically ill patients Creator An entity primarily responsible for making the resource Tharwat El Zahran1*, Sally Al Hassan1 , Victoria Al Karaki1 , Lina Hammoud1 , Christelle El Helou1 , Malak Khalifeh1 , Moustafa Al Hariri1,2, Hani Tamim3,4 and Imad El Majzoub1 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-023-00551-8 Date A point or period of time associated with an event in the lifecycle of the resource 2023 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 COVID-19, Boarders, Pandemic, Emergency department, Critically ill patients https://repository.horizon.ac.id/files/original/0d42448f31121ab3b12a4cc2f531ea2e.pdf 6bd323a9263d263ee7e0e4a8474cce1a 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 16 Issue 1 2023 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 Outcomes of prehospital traumatic cardiac arrest managed by helicopter emergency medical service personnel in Japan: a registry data analysis Subject The topic of the resource Helicopter emergency medical service, Mortality, Prehospital, Registry data, Traumatic cardiac arrest Description An account of the resource Background Traumatic cardiac arrest (TCA) is associated with poor outcomes. Helicopter emergency medical services (HEMSs) are often used to transport critically ill patients to hospitals. However, the role of HEMS in the treat‐ ment of TCA remains unclear. Therefore, in this study, we aimed to determine the current status of patients with pre‐ hospital TCA managed by HEMS personnel in Japan and compare the outcomes of patients who experienced TCA before and after the arrival of HEMS. Methods The Japanese Society for Aeromedical Services registry data of patients managed by HEMS personnel from April 2015 to March 2020 were analyzed in this retrospective cohort study. HEMS arrival and physicians’ interven‐ tions at the scene were the variables of interest. The survival rate and neurological outcomes at 28 days after injury were analyzed. Results Of the 55 299 registered patients, 722 who experienced prehospital TCA were included in the analysis. The distribution of first-witnessed TCA was as follows: pre-emergency medical service (EMS) arrival (n=426/722, 60.3%), after EMS arrival (n=113/722, 16.0%), and after HEMS arrival (n=168/722, 23.8%). The 28-day survival rate was 6.2% (n=44/706), with a cerebral performance category of 1 or 2 in 18 patients. However, patients who experienced TCA after receiving interventions provided by physicians before HEMS arrival had the worst outcomes, with only 0.6% of them surviving with favorable neurological outcomes. Multivariable analysis revealed that securing the intravenous route by the EMS team (adjusted odds ratio: 2.43, 95% confidence interval [CI]: 1.11–5.30) and tranexamic acid infu‐ sion by the HEMS team (adjusted odds ratio: 2.78, 95% CI: 1.16–6.64) may have increased the return of spontaneous circulation (ROSC) rate. Conclusions The results of our study were similar to those reported in previous studies with regards to the use of HEMS in Japan for transporting patients with TCA. Our findings suggest that in patients with severe trauma, cardiac arrest after initiation of HEMS, the highest level of prehospital medical intervention, may be associated with an inferior prognosis. Tracheal intubation and administration of tranexamic acid by the EMS team may increase the rate of ROSC in TCA. Creator An entity primarily responsible for making the resource Hiroki Nagasawa1*, Kazuhiko Omori1 , Ken‐ichi Muramatsu1 , Ikuto Takeuchi1 , Hiromichi Ohsaka1 , Kouhei Ishikawa1 and Youichi Yanagawa1 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-023-00550-9 Date A point or period of time associated with an event in the lifecycle of the resource 2023 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 service, Mortality, Prehospital, Registry data, Traumatic cardiac arrest https://repository.horizon.ac.id/files/original/cd65509066a25fd55ccd8bc80c792277.pdf 6326d213e9893733790d3b64f52f1394 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 16 Issue 1 2023 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 Determinants of hypertensive crisis among hypertensive patients at adult emergency departments of public hospitals in Addis Ababa, Ethiopia, 2021: a case–control study Subject The topic of the resource Hypertension, Hypertensive crisis, Public hospitals Description An account of the resource Background Hypertension (HTN) is a major global health problem that affects approximately 1.13 billion people worldwide, and 1–2% of this population has hypertensive crisis. Hypertensive crisis is becoming a major health issue in low-income countries. However, few studies have been conducted in developing countries such as Ethiopia. This study aimed to assess the determinants of hypertensive crisis among patients visiting adult emergency departments of public hospitals in Addis Ababa. Method A hospital-based unmatched case–control study was conducted among 85 cases with a hypertensive crisis and 170 controls with hypertension without a hypertensive crisis in the adult emergency departments of public hos- pitals in Addis Ababa from March 15 to May 15, 2021. Data were collected using a structured questionnaire and ana- lyzed using SPSS version 26. Binary logistic regression and multivariable logistic regression were performed. Finally, a statistically significant level was declared at a p value of less than 0.05. The result was summarized and presented in text, tables, and graph. Result The odds of having hypertensive crisis were 3.6 times (AOR=3.621) higher among participants with a history of hypertension compared to those without a history of hypertension. There was also 4 times increased risk of hyper- tensive crisis among participants who presented with diabetes mellitus than participants who presented without it (AOR=4.179). Similarly, participants who presented with stroke had 7 times higher odds of having hypertensive crisis (AOR=7.174) than participants without stroke. Conclusion This study demonstrated a statistically significant association between unemployment, diabetes mellitus, stroke, heart failure, history of hypertension, family history of hypertension, and regular follow-up with a hypertensive crisis. The Ethiopian Ministry of Health, Ababa City Administration Health Bureau, and hospitals shall give due atten- tion to the HTN crisis. Health care workers, hospital managers, and other stakeholders shall work towards the early detection and management of HTN-crisis to prevent related morbidity, disability, and mortality. Keywords Hypertension, Hypertensive crisis, Public hospitals Creator An entity primarily responsible for making the resource Hailemariam Gezie1*, Aklilu Azazh2 , Birhanu Melaku2 and Habtam Gelaye3 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-023-00549-2 Date A point or period of time associated with an event in the lifecycle of the resource 2023 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 englsih Type The nature or genre of the resource text Hypertension, Hypertensive crisis, Public hospitals https://repository.horizon.ac.id/files/original/df3297abef10a07e957430df58ac8efa.pdf 925001407e082fc5a66b31bf1b58233d 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 16 Issue 1 2023 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 Stroke in a patient of anaphylaxis—a case report and brief review Subject The topic of the resource Anaphylaxis, Stroke, Intravenous contrast media Description An account of the resource Background The use of nonionic low-osmolar contrast media has significantly reduced the risk of hypersensitivity reactions. Despite this, severe reactions continue to occur unpredictably. An ischemic stroke in the setting of anaphy- laxis is extremely rare. Case report A 64-year-old male with no prior allergies went into anaphylactic shock following the administration of iohexol which improved after treatment. He later developed a multi-territorial ischemic stroke. Conclusion An ischemic stroke in the setting of an anaphylaxis is a rare occurrence, which can be attributed to mul- tiple factors in our patient. Keywords Anaphylaxis, Stroke, Intravenous contrast media Creator An entity primarily responsible for making the resource Takshak Shankar1 , Nagasubramanyam Vempalli1*, Reshma Asokan2 , Aadya Pillai3 and D. J. Lalneiruol Infimate4 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-023-00548-3 Date A point or period of time associated with an event in the lifecycle of the resource 2023 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 Anaphylaxis, Stroke, Intravenous contrast media https://repository.horizon.ac.id/files/original/2c16ebbeae7570d38330ecc7846ee9b9.pdf 557775c2f04c7f853feb9891825b1a42 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 16 Issue 1 2023 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 Evaluation of human monkeypox knowledge and beliefs regarding emerging viral infections among healthcare workers Subject The topic of the resource Monkeypox, (HMPX), Orthopoxviruses, (HCWs), Biological warfare Description An account of the resource Objectives The purpose of this study was to evaluate possible factors that might be accompanied by high level of human monkey pox (HMPX) knowledge and to explain the relationship between HMPX knowledge and Beliefs regarding emerging viral infections. Study design A descriptive cross-sectional study was conducted for the implementation of this study. Methods Study was conducted at two general hospitals in Mansoura City (Old General Hospital and International Hospital) El Dakahlia Governorate among 620 healthcare workers (HCWs) using a self-managed questionnaire for 1 week (1 to 7 January 2023). The questionnaire has items adapted from the previously published literature to assess HMPX knowledge and Beliefs regarding emerging viral infections. Results The mean age of the study sample was 27.97 years and most of them were female (86.1%). Physicians and other HCWs (nurses, laboratory technicians, radiographer technicians, and pharmacists) had significantly differ- ent levels of knowledge of monkeypox for the majority of the questions. A higher belief was found among two items: viruses are biological weapons manufactured by the superpowers to take global control and the government is mis- leading the public about the cause of the virus. Conclusion This study discovered lower levels of knowledge of HMPX among HCWs in Egypt. Beliefs about emerg- ing viral infections were widespread, and future research should look into their potential negative impact on health behavior. Keywords Monkeypox, (HMPX), Orthopoxviruses, (HCWs), Biological warfare Creator An entity primarily responsible for making the resource Safa H. Alkalash1,2, Marzouk M. Marzouk3 , Nagwa A. Farag2 , Fatma A. Elesrigy2 , Ayah M. Barakat2 , Faransa A. Ahmed4,5, Rasha A. Mohamed6,7 and Abeer A. Almowafy8* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-023-00547-4 Date A point or period of time associated with an event in the lifecycle of the resource 2023 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 Monkeypox, (HMPX), Orthopoxviruses, (HCWs), Biological warfare https://repository.horizon.ac.id/files/original/3a451b83b051e267d8ad2b0356193ded.pdf 0aef7e0fc1047baf79cb366513a345b4 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 16 Issue 1 2023 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 Out‐of‐hospital cardiac arrest treated with prehospital double sequential external defibrillation during eCPR in refractory VF- a case report Subject The topic of the resource Resuscitation, Extracorporeal cardiopulmonary resuscitation, Double sequential external defibrillation, Advanced life support, Case report Description An account of the resource Background Double sequential external defibrillation (DSED) has demonstrated increased survival with good neu- rological outcome in a recent randomized controlled trial. DSED has not been studied in patients with extracorporeal cardiopulmonary resuscitation (eCPR). Case We present the first case of prehospital eCPR with ongoing refractory ventricular fibrillation (VF), terminated by DSED. After six shocks, return of spontaneous circulation was initially achieved; however, the patient went into recurrent VF. ECPR was performed prehospital, with VF still refractory after three more shocks. DSED successfully terminated VF and showed a further increase in ­etCO2 and near-infrared spectroscopy cerebral oximetry values. Conclusion DSED can be a sufficient strategy for patients in refractory VF while on eCPR and should be evaluated in further studies. Keywords Resuscitation, Extracorporeal cardiopulmonary resuscitation, Double sequential external defibrillation, Advanced life support, Case report Creator An entity primarily responsible for making the resource Stephan Katzenschlager1*, Raphael Heck1 , Erik Popp1 , Frank Weilbacher1 , Markus A. Weigand1 , Christoph Eisner1 and Christopher Neuhaus1 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-023-00546-5 Date A point or period of time associated with an event in the lifecycle of the resource 2023 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 englsih Type The nature or genre of the resource text Resuscitation, Extracorporeal cardiopulmonary resuscitation, Double sequential external defibrillation, https://repository.horizon.ac.id/files/original/0e70a40a421b5ec3a19c074c859bf8cf.pdf 034ebc9cca233abc2444b77bdcd84665 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 16 Issue 1 2023 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 usability testing of a fully immersive VR simulation for REBOA training Subject The topic of the resource REBOA, Virtual reality, Trauma resuscitation, Medical education Description An account of the resource Background Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a potentially life-saving procedure for bleeding trauma patients. Being a rare and complex procedure performed in extreme situations, repetitive train- ing of REBOA teams is critical. Evidence-based guidelines on how to train REBOA are missing, although simulation- based training has been shown to be effective but can be costly and complex. We aimed to determine the feasibility and acceptance of REBOA training using a fully immersive virtual reality (VR) REBOA simulation, as well as assess the confidence in conducting the REBOA procedure before and after the training. Methods Prospective feasibility pilot study of prehospital emergency physicians and paramedics in Bern, Swit- zerland, from November 2020 until March 2021. Baseline characteristics of trainees, prior training and experience in REBOA and with VR, variables of media use (usability: system usability scale, immersion/presence: Slater-Usoh- Steed, workload: NASA-TLX, user satisfaction: USEQ) as well as confidence prior and after VR training were accessed. Results REBOA training in VR was found to be feasible without relevant VR-specific side-effects. Usability (SUS median 77.5, IQR 71.3–85) and sense of presence and immersion (Slater-Usoh-Steed median 4.8, IQR 3.8–5.5) were good, the workload without under-nor overstraining (NASA-TLX median 39, IQR 32.8–50.2) and user satisfaction high (USEQ median 26, IQR 23–29). Confidence of trainees in conducting REBOA increased significantly after training (p<0.001). Conclusions Procedural training of the REBOA procedure in immersive virtual reality is possible with a good accept- ance and high usability. REBOA VR training can be an important part of a training curriculum, with the virtual reality- specific advantages of a time- and instructor-independent learning. Creator An entity primarily responsible for making the resource T. Birrenbach1*, R. Wespi1 , W. E. Hautz1 , J. Berger1 , P. R. Schwab1,2, G. Papagiannakis3,4,5, A. K. Exadaktylos1 and T. C. Sauter1 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-023-00545-6 Date A point or period of time associated with an event in the lifecycle of the resource 2023 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 REBOA, Virtual reality, Trauma resuscitation, Medical education https://repository.horizon.ac.id/files/original/5a8ce0af2eaa2827afa8469ef71fa25e.pdf 2f8b115161c8fe7864c6959e751d7a41 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 16 Issue 1 2023 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 Use of point‐of‐care ultrasound in a low‐resource setting to diagnose Achilles tendon rupture and avulsion fracture of the calcaneal bone Subject The topic of the resource Point-of-care, Ultrasound, Achilles tendon rupture, Emergency medicine, Calcaneal avulsion Description An account of the resource Background Point-of-care ultrasound (POCUS) is becoming more prevalent in recent years for evaluating patients presenting with musculoskeletal injuries in the emergency department (ED). This imaging modality has been utilized to diagnose soft tissue and bony injuries accurately, obtain appropriate consultation, and perform timely interven- tional procedures in the ED. Case presentation We present the case of a 55-year-old man who presented to the ED with significant left ankle pain following a ground-level fall. His physical examination showed swelling and tenderness around the ankle. POCUS examination aided the rapid and accurate detection of acute Achilles tendon rupture. Conclusion This case demonstrates that POCUS is a valuable diagnostic tool in evaluating patients with a suspected Achilles tendon rupture, especially in a resource-limited setting. Keywords Point-of-care, Ultrasound, Achilles tendon rupture, Emergency medicine, Calcaneal avulsion Creator An entity primarily responsible for making the resource Naheed Habibullah1 , Jamil Dayo1 , Salman Muhammad Soomar1 and Noman Ali1* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-023-00544-7 Date A point or period of time associated with an event in the lifecycle of the resource 2023 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 Point-of-care, Ultrasound, Achilles tendon rupture, Emergency medicine, Calcaneal avulsion https://repository.horizon.ac.id/files/original/801e2c72045a3ba9fca1db5de7b22124.pdf 7be12ef08834d121c824acb95cdaa0e6 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 16 Issue 1 2023 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 Lethal abdominal compartment syndrome after extracorporeal cardiopulmonary resuscitation in a patient with out‐of‐hospital cardiac arrest: a case report Subject The topic of the resource Cardiopulmonary resuscitation, Compartment Syndromes, Extracorporeal membrane oxygenation, Fasciotomy, Intensive care units, Laparotomy, Out-of-hospital cardiac arrest Description An account of the resource Background Clinical attempts of extracorporeal cardiopulmonary resuscitation (ECPR) in patients with out-of- hospital cardiac arrest (OHCA) have increased in recent years; however, it also has life-threatening complications. Massive fluid and transfusion resuscitation, shock status, or low cardiac output status during ECPR may lead to ascites and interstitial edema, resulting in secondary abdominal compartment syndrome (ACS). Case presentation A 43-year-old male patient was admitted to the emergency department due to cardiac arrest. Due to refractory ventricular fibrillation, ECPR was initiated. Approximately, 3 h after extracorporeal membrane oxygenation support, abdominal distension and rigidity developed. Therefore, ACS was suspected. Decompression laparotomy was required to relieve elevated intra-abdominal pressure. Conclusions We report a case of a patient with OHCA who developed lethal ACS after ECPR. Despite this, the patient was able to recover from several major crises. Regardless of how lethal the patient is, if compartment syndrome devel‐ ops in any part of the body, we should aggressively consider surgical decompression. Keywords Cardiopulmonary resuscitation, Compartment Syndromes, Extracorporeal membrane oxygenation, Fasciotomy, Intensive care units, Laparotomy, Out-of-hospital cardiac arrest Creator An entity primarily responsible for making the resource Gun Jik Kim1 , Kyoung Hoon Lim2 , Tak‐hyuk Oh3 , Hyun‐Joo Lee4 , Deokbi Hwang5 and Hanna Jung1* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-023-00543-8 Date A point or period of time associated with an event in the lifecycle of the resource 2023 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 Cardiopulmonary resuscitation, Compartment Syndromes, Extracorporeal membrane oxygenation, https://repository.horizon.ac.id/files/original/03c1f151afe2a642a9d0ae148534c7dc.pdf 18778ca387f56e23c6afaff635bb6030 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 16 Issue 1 2023 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 Do patients referred to emergency departments after being assessed in primary care differ from other ED patients? Retrospective analysis of a random sample from two German metropolitan EDs Subject The topic of the resource Primary health care, Emergency service, Hospital, Diagnostic imaging, Comorbidity, Quality of healthcare Description An account of the resource Background To assess differences between patients referred to emergency departments by a primary care physician (PCP) and those presenting directly and the impact of referral on the likelihood of admission. Design of study Retrospective cohort study. Setting EDs of two nonacademic general hospitals in a German metropolitan region. Participants Random sample of 1500 patients out of 80,845 presentations during the year 2019. Results Age was 55.8±22.9 years, and 51.4% was female. A total of 34.7% presented by emergency medical services (EMS), and 47.7% were walk-ins. One-hundred seventy-four (11.9%) patients were referred by PCPs. Referrals were older (62.4±20.1 vs 55.0±23.1 years, p<.001) and had a higher Charlson Comorbidity Index (CCI) (3 (1–5) vs 2 (0–4); p<.001). Referrals received more ultrasound examinations independently from their admission status (27.6% vs 15.7%; p<.001) and more CT and laboratory investigations. There were no differences in sex, Manchester Triage System (MTS) category, or pain-scale values. Referrals presented by EMS less often (9.2% vs 38.5%; p<.001). Admission rates were 62.6% in referrals and 37.1% in non-referrals (p<.001). Referral (OR 3.976 95% CI: 2.595–6.091), parenteral medication in ED (OR 2.674 (1.976–3.619)), higher MTS category (1.725 (1.421–2.093)), transport by EMS (1.623 (1.212–2.172)), abnormal vital parameters (1.367 (0.953–1.960)), higher CCI (1.268 (1.196–1.344)), and trauma (1.268 (1.196–1.344)) were positively associated with admission in multivariable analysis, whereas ultrasound in ED (0.450 (0.308–0.658)) and being a nursing home resident (0.444 (0.270–0.728)) were negatively associated. Conclusion Referred patients were more often admitted. They received more laboratory investigations, ultrasound examinations, and computed tomographies. Difficult decisions regarding the necessity of admission requiring typical resources of EDs may be a reason for PCP referrals. Creator An entity primarily responsible for making the resource Andreas Umgelter1,2*, Markus Faust1,2, Slatomir Wenske2 , Katrin Umgelter3 , Roland M. Schmid1 and Georg Walter4 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-023-00542-9 Date A point or period of time associated with an event in the lifecycle of the resource 2023 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 Primary health care, Emergency service, Hospital, Diagnostic imaging, Comorbidity, Quality of healthcare