1 10 94 https://repository.horizon.ac.id/files/original/75e7fba73750958b924bdeba82f6f35d.pdf ce12e6c8b35ff6cf7e9a4452ae73fde1 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 A case of emergency reconstructive surgery following facial destructive gunshot wounds: clinical and medico‐legal assessments Subject The topic of the resource - Complexity and implications of facial gunshot wounds: Description An account of the resource Background Facial gunshot wounds present a complex challenge to both medical professionals and victims with significant physical, psychological, and economic implications for those who suffer these types of injuries. Recon- structive surgery offers satisfactory aesthetic and functional outcomes, improving a patient’s quality of life. In these cases, the surgical procedure may encompass additional phases beyond those initially identified based on the type of wound and the extent of tissue destruction. As a result, each case necessitates thorough evaluation to determine an appropriate strategy. Nonetheless, it is worth noting that the outcomes achieved in terms of both aesthetics and functionality in this domain have the potential to be excellent. Case presentation A 66-year-old man attempted suicide with a shotgun, causing severe facial injuries and frac- tures. He had a history of depression and was taken to the emergency department promptly. CT scans revealed brain and facial bone injuries, and he underwent surgery to control bleeding and tracheostomy. Postoperative recovery was successful. The patient’s condition stabilized, and he was discharged after 10 days. Follow-up visits showed gradual healing. Despite an offer for further facial reconstruction, he declined, satisfied with the achieved results. Conclusions The present case report is intended to support the argument that effective facial reconstruction should be considered in the medico-legal assessment. It could be beneficial to introduce a new classification system and personalized evaluation methods with careful consideration given to treatment costs (which can be very high) and expected results. Since reconstructive surgery modifies damage and impacts the long-term costs of permanent impairments, its inclusion in the decision-making process would promote improved personalized care. Creator An entity primarily responsible for making the resource Luca Tomassini1* , Giuliano Ascani2 , Paolo Mancini2 , Claudio Cacaci3 and Roberto Scendoni3 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-023-00572-3 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 - Complexity and implications of facial gunshot wounds: https://repository.horizon.ac.id/files/original/3f8f8af9fcbc4a88106e34d059a53812.pdf e27b0674666c8827bd5a8e5ed1ff6335 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 A case report: anteroseptal ST elevation due to acute isolated right ventricular infarction Subject The topic of the resource Electrocardiogram, STEMI, RV myocardial Infarction Description An account of the resource Background Biomechanical reduction techniques for shoulder dislocations have demonstrated high reduction success rates with a limited pain experience for the patient. We postulated that the combination of biomechanical reduction techniques with the shortest length of stay would also have the lowest pain experience and the highest first reduction success rate. Methods A randomized multicenter clinical trial was performed to compare different biomechanical reduction techniques in treating anterior shoulder dislocations without the use of invasive pain relief. Patients who were able to perform adduction of the arm were randomly assigned to Cunningham, the modified Milch, and the scapular manip- ulation technique. Those who were not able to do so were randomly assigned to modified Milch and the scapular manipulation technique. Primary outcomes were emergency department length of stay and pain experienced during the reduction process, measured by the numeric pain rating scale. Secondary outcomes were reduction time, reduc- tion success, use of analgesics or sedatives, and complications. Results Three hundred eight patients were included, of whom 134 were in the adduction group. In both groups, no differences in emergency department length of stay and experienced pain were observed between the treat- ment arms. In the adduction group, the modified Milch technique had the highest first reduction success rates 52% (p=0.016), within protocol 61% (p=0.94), and with sedation in the ED 100% (−). In the no-adduction group, the modified Milch was also the most successful primary reduction technique with 51% success (p=0.040), within protocol 66% (p=0.90), and with sedation in the ED 98% (p=0.93). No complications were recorded in any of the techniques. Conclusion A combination of biomechanical techniques resulted in a similar length of stay in the emergency department and showed similar pain scores with an overall high success rate of reduction. In both groups, the modi- fied Milch had the highest first-reduction success rate. Trial registration Netherlands Trial Register NTR5839—1 April 2016. Ethical committee Noord-Holland with the CCMO-number NL54173.094.15 Creator An entity primarily responsible for making the resource Indah Sukmawati1,2*, Fang Qin Goh3 , Alfred Yip1 , Poay Huan Loh1 and Koo Hui Chan1 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-023-00522-z 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 Electrocardiogram, STEMI, RV myocardial Infarction https://repository.horizon.ac.id/files/original/6e107814120764b8d140a428d12e6cbf.pdf ac169aa9e4edca0ad5ab3afe21e62990 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 A qualitative study of people who use methamphetamine during the early COVID‐19 pandemic to inform future ED harm reduction strategies Subject The topic of the resource Methamphetamine, COVID-19, Emergency, Harm reduction Description An account of the resource Background Morbidity and mortality rates related to methamphetamine are on the rise. Simultaneously, social- distancing guidelines were issued in March 2020 to decrease transmission of COVID-19. The aim of this study was to explore concerns regarding methamphetamine use during the COVID-19 pandemic and subsequent harm reduction strategies with patients who use methamphetamine to inform emergency department (ED)-based harm reduction approaches. Methods A mixed-methods study of adults residing in Washington with high-risk methamphetamine use and a recent ED visit from April-September 2020 was performed. Participants completed a survey and a semi-structured interview on perceptions and experiences of COVID-19. Descriptive statistics were used for survey responses. Inter- view transcripts were analyzed and guided by modified grounded theory using an iterative approach to refine the guide and codebook. Interviews were independently coded by 2 investigators and discussed until consensus. Results Twenty-five participants completed the survey; 20 participants were interviewed (45% recently used heroin, 40% unstably housed). Thirty-five percent was worried about COVID-19 infection. Three themes emerged from the interviews: (1) increase in meth use, (2) interplay of meth obtention and COVID-19, and (3) interactions with health- care and social services. Conclusions People who use methamphetamine noted an increase in use along with the social distancing guide- lines put in place for COVID-19 and employed a variety of harm reduction profiles when obtaining methampheta- mine. Also, the pandemic brought difficulties in accessing care and amplified mistrust in healthcare instructions and public health messages. Based on these qualitative interviews, further work should consider aligning methampheta- mine and COVID-19 harm reduction messages and working with trusted community resources to improve harm reduction strategies for methamphetamine use and COVID-19. IRB: Informed Consent by the University of Washington Human Subjects Division (approval number, STUDY00009277). Creator An entity primarily responsible for making the resource Sophie C. Morse1*, Callan Fockele1 , Ly Ngoc Huynh1 , Alina Zatzick1 and Lauren Kirsten Whiteside1 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-023-00505-0 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 Methamphetamine, COVID-19, Emergency, Harm reduction https://repository.horizon.ac.id/files/original/5a2579cc712af02e4065461c248a54a6.pdf 92e282227b080409e0ec677517273b6c 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 A role of point‐of‐care ultrasound in the emergency department diagnosis of vision loss due to traumatic cataract Subject The topic of the resource Vision loss, Cataract, Emergency department, Point-of-care, Ultrasound Description An account of the resource Background Ocular complaints, including acute or subacute vision loss, are commonly encountered in emergency departments (ED). These potentially time-sensitive complaints are difficult to diagnose and evaluate without ade- quate, specialized equipment and expertise. Additionally, a thorough evaluation often requires a more extensive and specialized physical exam, imaging, and ophthalmologic consultation, all of which may not be readily available in the acute setting. Case presentation This case report presented a patient in the emergency department with the chief complaint of vision loss. Point-of-care ultrasound (POCUS) using the 10-MHz-linear-array probe, in the ocular setting, demon- strated calcification of the lens, a finding consistent with cataract in the right eye. Conclusions The use of POCUS can expedite the accurate identification of vision threatening pathology, such as cataracts, and streamline ED disposition and plan of care. Keywords Vision loss, Cataract, Emergency department, Point-of-care, Ultrasound Creator An entity primarily responsible for making the resource Christian A. Tagle1 , Joe W. Chen2 , Jamshid Mistry2,3, Danny Fernandez3 , Cameron C. Neeki3 , Fanglong Dong3 and Michael M. Neeki2,3* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-023-00558-1 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 Vision loss, Cataract, Emergency department, Point-of-care, Ultrasound https://repository.horizon.ac.id/files/original/ac1aa04565c8e29d0a87908b61ccaa2d.pdf f8923361d3f98cbab20356609af282b5 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 Access block and overcrowding at the emergency department at Tupua Tamasese Meaole Hospital in Samoa Subject The topic of the resource Access block, Overcrowding, Emergency department, Pacific Islands Description An account of the resource Background Access block and overcrowding are known to adversely impact on patient outcomes, service delivery, and patient experiences within emergency departments (ED) worldwide. There are no studies on access block or overcrowding from the Pacific Islands. The aim of the present study is to provide preliminary data on access block and overcrowding in the ED of the national tertiary hospital of Samoa. Methods Mixed methods study design. Data collection was performed in March 2020. The quantitative strand calcu‐ lated (1) the point prevalence of patients impacted by access block in the ED, and (2) the ED bed occupancy rate to assess for overcrowding. The qualitative strand used thematic analysis of two focus group interviews exploring access block and overcrowding with ED medical and nursing staff members. Results On the day of data collection, a total of 60 patients presented through the ED triage system. Of the 20 patients who were admitted into ED, 80% were triaged as ‘see without delay’ (CAT1), ‘emergency’ (CAT2) or ‘urgent’ (CAT3). For patients requiring admission to hospital wards, 100% waited 4+h in ED, and 100% waited 8+h, suggest‐ ing the presence of access block. Overcrowding in the ED setting was also evident, with an ED bed occupancy rate of 0.95, and an adjusted bed occupancy rate of 1.43. The major themes emerging from the ED staff focus groups and individual in-depth interviews were (1) the adverse impacts of access block and overcrowding, i.e., violence towards ED staff members, (2) the preventable contributing factors, i.e., lack of physical beds in the ED, and (3) practical recom‐ mendations to improve patient flow through the ED, i.e., improved collaboration between ED, outpatient services, and the hospital wards. Conclusions Preliminary evidence suggested the presence of access block and overcrowding in the ED of the national tertiary hospital of Samoa. ED staff interviews provided insight into the ED frontline challenges and offered practical recommendations for ED health service improvement. Keywords Access block, Overcrowding, Emergency department, Pacific Islands Creator An entity primarily responsible for making the resource Tamara Ah Leong‐Nowell1,2, Ledua Tamani1 and Annette Kaspar3* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-023-00512-1 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 Access block, Overcrowding, Emergency department, Pacific Islands https://repository.horizon.ac.id/files/original/4141b6e29b6d365dc3bfd08fd1f97c4d.pdf e7d0f17f330091bd0c7f3c511c17a96e 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 Acute acrylamide poisoning with severe symptoms in a short time: a case report Subject The topic of the resource Acute acrylamide poisoning, Dose, Dose rate, Severity Description An account of the resource Background Acrylamide poisoning is often reported as chronic poisoning presenting with peripheral neuropathy or carcinogenic action due to long-term exposure to low concentrations. However, there have been few reports of acute poisoning due to oral ingestion of acrylamide, where the symptoms appear a few hours after ingestion. Here, we report a case of acute acrylamide poisoning where a high concentration was ingested in a short time, resulting in a fatal outcome due to the rapid course of events. Case presentation The patient was an adolescent female who ingested 150 ml (148 g) of acrylamide with suicidal intent. A disorder of consciousness was observed when the emergency medical team arrived 36 min later. An hour later, tracheal intubation and intravenous access were performed at a hospital, and 2 h after that, she was transported to our hospital. After she arrived at the hospital, circulatory dynamics could not be maintained despite vasopres- sor and colloid osmotic infusion, and hemodialysis could not be introduced. Subsequently, cardiopulmonary arrest occurred, and the patient passed away 7 h after ingestion. In the present case, severe symptoms appeared shortly after acrylamide ingestion, unlike other reported cases. In pre- vious report summarizing animal studies, there was a relationship among the symptoms of acute poisoning, the dose, and onset time. The data from this case were compared to those from previous reports, and we were able to predict the early appearance of severe symptoms based on this comparison. Conclusion The severity of acute acrylamide poisoning by oral ingestion was primarily dependent on the amount and rate of ingestion. Creator An entity primarily responsible for making the resource Rie Yamamoto1*, Takayuki Yasuoka1 , Junya Matsushima2 , Youhei Tsubouchi2 , Hideaki Kanazashi2 , Keiji Sakurai2 , Tomoki Hanazawa3 , Yoshito Kamijo3 and Kazuki Akieda2 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-023-00514-z 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 Acute acrylamide poisoning, Dose, Dose rate, Severity https://repository.horizon.ac.id/files/original/172aed055205c5d90fb9e9cbc41d24ea.pdf ce3f6a5a2f33280d2313131c9978eefb 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 Acute hydrocephalus caused by a colloid cyst — a case report Subject The topic of the resource Colloid cyst, Acute hydrocephalus, Elevated intracranial pressure, Third ventricle Description An account of the resource Background Colloid cysts are rare benign, slowly growing intracranial tumors of endodermal origin. Most colloid cysts are found incidentally and are asymptomatic, but rarely, they can lead to sudden death. Case presentation A 73-year-old female patient was admitted to our emergency department with complaints of dizziness, nausea, vomiting, fatigue, walking difficulties, and behavioral changes. CT imaging revealed acute obstruc- tive hydrocephalus attributable to a third ventricular colloid cyst. The patient was immediately transferred to a tertiary center where she underwent successful neurosurgical resection of the mass. Pathology results of the lesion confirmed the diagnosis of colloid cyst. Conclusion The case we present emphasizes the critical importance of prompt identification of warning signs, com- plex thinking, and evaluation. Establishing the right diagnostic approach early on can facilitate accurate diagnosis. Keywords Colloid cyst, Acute hydrocephalus, Elevated intracranial pressure, Third ventricle Creator An entity primarily responsible for making the resource Dóra Melicher1*, Szabolcs Gaál1 , Tamás Berényi1 , Bánk Gábor Fenyves1,2, Pál Kaposi Novák3 , Ambrus Tóth3 , László Szegedi4 and Csaba Varga1 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-023-00500-5 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 english Type The nature or genre of the resource text https://repository.horizon.ac.id/files/original/1e3a78ce582df6cb153659e51c7d4efd.pdf b990f176a91265a92c795e28357d3dd3 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 An undifferentiated cause of rhabdomyolysis: a case report Subject The topic of the resource Autoimmune myositis, Rhabdomyolysis, Case report Description An account of the resource Background Rhabdomyolysis can occur secondary to infections, trauma, or myotoxic substances. Rhabdomyolysis secondary to autoimmune myositis occurs rarely. Distinguishing autoimmune rhabdomyolysis from rhabdomyolysis secondary to other causes is paramount in considering the long-term management of autoimmune rhabdomyolysis. It is further important to continue close follow-up and further testing to completely understand the extent of this disease as diagnoses may be ever-changing. Case presentation A previously healthy female presented to the hospital with myalgias and myoglobinuria follow- ing a respiratory infection treated with azithromycin and promethazine. Labs demonstrating elevated creatine kinase (CK) prompted treatment for rhabdomyolysis and rheumatology consultation. The patient was given 3 l of intrave- nous (IV) 0.9% sodium chloride in the Emergency Department. Upon admission, the patient was placed on a continu- ous IV drip of 0.9% sodium chloride running at 300 cc/hour for all 8 days of her hospital admission. The rheumatology autoantibody panel pointed towards autoimmune myositis as a potential cause of her rhabdomyolysis. The patient was discharged to follow up with rheumatology for further testing. Conclusion Autoimmune myositis, although less common than other etiologies of rhabdomyolysis, is important to consider as the long-term management of autoimmune myositis includes the use of immunosuppressants, antima- larials, or IV immunoglobulins, which may be inappropriate for other etiologies of rhabdomyolysis. Keywords Autoimmune myositis, Rhabdomyolysis, Case report Creator An entity primarily responsible for making the resource Pallavi Patil1*, Jennifer Davidson1 and Sundip Patel2 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-023-00507-y 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 Autoimmune myositis, Rhabdomyolysis, Case report https://repository.horizon.ac.id/files/original/bd4790f2ca915652262cdcd0ba737eba.pdf 80d6f7bb07deed3909eb91b17202865a 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 An unusual case of thrombotic storm in an amateur cricketer—a case report Subject The topic of the resource Thrombotic storm, Hyperhomocysteinemia, Anticoagulation Description An account of the resource Background Thrombotic storm is a series of acute to subacute thrombotic events that evolve over a few days to weeks and result in progressive thromboses at multiple sites. There is often a predisposing event to thromboses, such as trauma or infections. Prompt initiation of anti-coagulation can prove life-saving in such patients. Case report We describe a previously healthy young male who developed thromboses of the right axillary, bra- chial, radial, and ulnar arteries while bowling in a cricket match. A few hours later, he developed a stroke involving the right anterior and middle cerebral arteries. His thrombophilia workup was significant for elevated homocysteine levels. Although he had a delayed presentation to our hospital, he was treated with anticoagulation and given a trial of thromboembolectomy, which failed and he had to ultimately undergo a right below-elbow guillotine amputation. Conclusion Thrombotic storm should be recognized promptly in the Emergency Department and timely anticoagu- lation should be initiated. Creator An entity primarily responsible for making the resource Takshak Shankar1 , Nagasubramanyam Vempalli1* and Archana Bairwa1 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-023-00539-4 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 englsih Type The nature or genre of the resource text Thrombotic storm, Hyperhomocysteinemia, Anticoagulation https://repository.horizon.ac.id/files/original/de8d8ac9cbe0eb0ce1c835a9a461de34.pdf e57cea4cf648b500763c095f2198fdf6 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 Assessing competence needs for doctors in the emergency department duty rosters: an observational study Subject The topic of the resource Emergency epidemiology, Duty roster, Competence requirements, Frequency distribution, Exponential pattern Description An account of the resource Background The purpose of our investigation is to analyze if emergency epidemiology is randomly variable or pre- dictable. If emergency admissions show a predictable pattern, we can use it for multiple planning purposes, especially defining competence needs for duty roster personnel. Method An observational study of consecutive emergency admissions at Haukeland University Hospital in Bergen over six years. We extracted the discharge diagnoses from our electronic patient record and sorted the patients by diagnoses and frequency. Data were loaded into a Jupyter notebook and presented in form of frequency diagrams. The study population, 213,801 patients, comprises all emergency admissions in need of secondary emergency care from the relevant specialities in the catchment area of our hospital in the western health region of Norway. Patients in need of tertiary care from the whole region are also included. Results Our analysis shows an annually reproducible distribution pattern regarding type and number of patients. The pattern adhere to an exponential curve that is stable from year to year. An exponential distribution pattern also applies when we sort patients according to the capital letters groups in the ICD 10 system. The same applies if patients are sorted adhering to primarily surgical or medical diagnoses. Conclusion Analysis of the emergency epidemiology of all admitted emergency patients in a defined geographical area gives a solid basis for defining competence needs for duty roster work. Keywords Emergency epidemiology, Duty roster, Competence requirements, Frequency distribution, Exponential pattern Creator An entity primarily responsible for making the resource Johannes Kolnes1*, Erlend Hodneland1 , Audun Lange1 and Torhild Heggestad1 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-023-00515-y 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 Emergency epidemiology, Duty roster, Competence requirements, Frequency distribution, Exponential pattern