14 10 198 https://repository.horizon.ac.id/files/original/1945c038cdb14f69256b31e133ef6cae.pdf 95fde897ded62e7f31f470433f7eba57 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 17 Issue 1 2024 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 medicine residents’ learning curve in diagnosing deep vein thrombosis with 3-point venous point-of-care ultrasound Subject The topic of the resource Emergency medicine, Deep vein thrombosis, Point-of-care ultrasound, Learning curve, Diagnostic accuracy Description An account of the resource Abstract Background Many cases of deep vein thrombosis (DVT) are diagnosed in the emergency department, and abbreviated lower extremity venous point-of-care ultrasound (POCUS) has already shown an accuracy comparable to that of specialists. This study aimed to identify the learning curve necessary for emergency medicine (EM) residents to achieve expertise-level accuracy in diagnosing DVT through a 3-point lower extremity venous POCUS. Methods This prospective study was conducted at an emergency department between May 2021 and October 2022. Four EM residents underwent a one-hour POCUS training session and performed DVT assessments in participants with DVT symptoms or confirmed pulmonary embolism. POCUS was performed at three proximal lower extremity sites to evaluate the thrombi presence and vein compressibility, with results validated by specialized radiology ultrasound. Cumulative sum (CUSUM) and the Bush and Mosteller models were used to analyze the learning curve, while generalized estimating equations were used to identify factors affecting diagnostic accuracy. Results 91 POCUS scans were conducted in 49 patients, resulting in 22% DVT confirmed by specialized venous ultrasound. In the CUSUM analysis, all four EM residents attained a 90% success rate at the common femoral vein, whereas only half achieved this rate when all three sites were considered. According to Bush and Mosteller models, 13–18 cases are required to attain 90–95% diagnostic accuracy. After 10–16 cases, the examination time for each resident decreased, and a 20% increase in examiner confidence was linked to a 2.506-fold increase in the DVT diagnosis accuracy. Conclusion EM residents generally required 13–18 cases for 90–95% DVT diagnostic accuracy, but proficiency varied among individuals, particularly requiring more cases for regions outside the common femoral vein. Keywords Emergency medicine, Deep vein thrombosis, Point-of-care ultrasound, Learning curve, Diagnostic accuracy Creator An entity primarily responsible for making the resource Soo Yeon Kang1,2, Ik Joon Jo3 , Sejin Heo3 , Hansol Chang3 , Guntak Lee3 , Jong Eun Park3 , Taerim Kim3 , Se Uk Lee3 , Min Ji Kim4 and Hee Yoon3* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00645-x Date A point or period of time associated with an event in the lifecycle of the resource 2024 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, Deep vein thrombosis, Point-of-care ultrasound, Learning curve, Diagnostic accuracy https://repository.horizon.ac.id/files/original/9abe80eccd05f4c15ccd9b2db900b492.pdf 30f19cafd8c065d7a5bac99d7f55e288 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 17 Issue 1 2024 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 medical services in Armenia: national call trends and future directions Subject The topic of the resource Prehospital care, Emergency systems, Electronic health records, Armenia Description An account of the resource Abstract Background Emergency medical services (EMS) are paramount to boosting health indices in lower-middle income countries (LMICs); however, lack of uniform data collection and analysis hinders system improvement efforts. In the present study, we describe patterns of EMS utilization in the Republic of Armenia and provide key insight into the quality of digital data collection methods. Results For calls logged in the capital city, Yerevan, the majority had at least one missing field. The predominant complaint was high blood pressure among adults (34.4%) and fever among pediatrics (65.9%). A majority of patients were female (57.6%), adults (90.2%), and not transported to a hospital (85.0%). In the rural provinces, the data was largely intact. The predominant complaints were unspecified acute condition (27.4%) and high blood pressure (26.2%) among adults, and fever (43.9%) and unspecified acute condition (22.1%) among pediatrics. A majority of patients were female (57.1%), adults (94.2%), and not transported to a hospital (78.9%). Conclusions Our study reveals that the majority of calls to the EMS system are for concerns not needing in-hospital treatment and for acute exacerbation of chronic conditions. Our study also provides a critical foundation for the improvement of EMS systems in Armenia and in other nations in transition. The Locator software has the potential to be a valuable tool to the MoH if it is improved for surveillance purposes, and future synchronization of digital systems would provide easy access to critical information on population health needs and the effectiveness of public health interventions. Keywords Prehospital care, Emergency systems, Electronic health records, Armenia Creator An entity primarily responsible for making the resource Ani Arzoumanian1* , Anya Agopian2 , Marine Hovhannisyan3 , Sharon Chekijian4 and Aline Baghdassarian5 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00644-y Date A point or period of time associated with an event in the lifecycle of the resource 2024 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 Prehospital care, Emergency systems, Electronic health records, Armenia https://repository.horizon.ac.id/files/original/fa72c84cad6cfd6887ed98066e180c33.pdf 32cd10e6b5d9ae88f97e69bccb77d058 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 17 Issue 1 2024 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 Palliative care education: a nationwide qualitative study of emergency medicine residency program directors in the United Arab Emirates Subject The topic of the resource Emergency medicine, Residency, Graduate medical education, Palliative care, End-of-life care Description An account of the resource Abstract Background Emergency medicine (EM) physicians routinely care for patients with serious life-limiting illnesses. Educating EM residents to have general skills and competencies in palliative medicine is a global priority. The purpose of this study was to describe the current status of palliative and end-of-life education in EM residency programs in the United Arab Emirates (UAE) and to identify barriers and opportunities to inculcating palliative care (PC) instruction into EM training in a non-Western setting. Methods Using the American College of Emergency Medicine’s milestones for Hospice and Palliative Medicine for Emergency Medicine as a question guide, semi-structured interviews were conducted with program directors of all 7 EM residency programs in the UAE from January through July 2023. Qualitative content analysis was conducted to identify recurring themes. Results All program directors agreed that PC knowledge and skills are essential components of training for EM residents but have had variable success in implementing a structured PC curriculum. Six themes emerged, namely the educational curriculum, PC policies and practices, comprehensive PC services, cultural and religious barriers to PC, EM scope of practice, and supporting residents after patient death. Conclusion UAE national EM residency curriculum development is evolving with an emphasis on developing a structured PC curriculum. As EM residencies implement policies and programs to improve care for patients and families dealing with serious illness, future studies are needed to assess the impact of these initiatives on patient quality of life and physician well-being. Keywords Emergency medicine, Residency, Graduate medical education, Palliative care, End-of-life care Creator An entity primarily responsible for making the resource Thana Harhara1 , Rasha Buhumaid2,3, Leen Oyoun Alsoud4 and Halah Ibrahim4* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00643-z Date A point or period of time associated with an event in the lifecycle of the resource 2024 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, Residency, Graduate medical education, Palliative care, End-of-life care https://repository.horizon.ac.id/files/original/67b81227c6b91d8143794420b4005e7e.pdf bb495e73ea1441a0f4c1744eefee0824 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 17 Issue 1 2024 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 Mediastinitis and septic shock complicating spontaneous esophageal rupture “Boerhaave’s syndrome”: a case report Subject The topic of the resource Boerhaave’s syndrome, also known as spontaneous esophageal rupture, Description An account of the resource Abstract Boerhaave’s syndrome, also known as spontaneous esophageal rupture, is a rare but life-threatening condition char- acterized by a tear in the esophagus. It is most commonly caused by a sudden increase in intraesophageal pressure, often due to severe vomiting or retching. Early diagnosis of Boerhaave’s syndrome is crucial for improving patient outcomes. The classic triad of symptoms includes severe chest pain, vomiting, and subcutaneous emphysema (air under the skin). However, not all patients present with this triad, and the diagnosis can be challenging, especially in patients without the typical symptoms. In this case report, we present the clinical details of a 52-year-old male patient who presented to the emergency department (ED) with severe abdominal pain and vomiting for several days. The patient had a history of chronic alco- hol abuse and a recent episode of vigorous vomiting. Creator An entity primarily responsible for making the resource Said Kortli1* and Hery Andrianjafy1 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00642-0 Date A point or period of time associated with an event in the lifecycle of the resource 2024 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 Boerhaave’s syndrome, also known as spontaneous esophageal rupture, https://repository.horizon.ac.id/files/original/b8bc4a293b1a1d5ce60b33eb46a42df3.pdf bb495e73ea1441a0f4c1744eefee0824 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 17 Issue 1 2024 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 Limitations and consequences of public health models centred on hospitals and lacking connections with territorial and home‐based social and health services Subject The topic of the resource Frequent users, Emergency Department, Emergency Room, Public Health Model, Triage, Social frailty Description An account of the resource Abstract Background Delayed discharge from hospital to home or other care institutions is a significant problem and has been investigated in the international scientific literature for many years. Behind this condition is a health care system based on a hospital-centered concept characterized by a lack of territo- rial health and social welfare services. This phenomenon causes two different problems: an excessive length of hospital stay, resulting in slow turnover of bed utilization; and overcrowding in emergency rooms (ERs). The phenomenon of frequent users assumes particular importance in this context. These patients repeatedly visit the emergency department (ED) in the same year because care needs are not met by primary care services. The authors in this study tried to describe the Frequent users (FUs) population and the variables associated with this condition. Materials and methods A retrospective "single-arm" descriptive study was conducted by analysing all accesses made to the ED of Policlinico Tor Vergata (PTV) from January 1, 2022, to December 31, 2022. FUs were defined as patients who had 4 or more accesses to PTV ER during the year. Results A total of 37,800 accesses occurred during the study period. A total of 31,691 users accessed the PS, with a mean age of 55.8±22.2 years. There were 359 FU patients (approximately 1%) who had a total of 1984 accesses, corresponding to 5.2% of the total accesses. The triage codes for the FU patients were red, 2%; orange, 21%; blue, 45%; green, 26%; white, 5%; and not performed, 1%. Considering the 1984 FU accesses, the most frequently attributed "main problems" in the ED were "other symp- toms or disorders" (54%), "psychomotor agitation" (12%), "trauma or burn" (8%), "abdominal pain" (6%), "chest pain" (4%), "dyspnea" (4%) and "urological symptoms or disorders" (4%). Multivariate analysis revealed that the main Creator An entity primarily responsible for making the resource Lavinia Gentile1*, Martina Scaramella1 , Giuseppe Liotta2 , Andrea Magrini2 , Maria Franca Mulas2 , Giuseppe Quintavalle3 and Leonardo Palombi2,4 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00641-1 Date A point or period of time associated with an event in the lifecycle of the resource 2024 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 Frequent users, Emergency Department, Emergency Room, Public Health Model, Triage, Social frailty https://repository.horizon.ac.id/files/original/1ebae33f145556246139b443974adc7d.pdf c9a217689ec6b3fdd976324ab80c4292 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 17 Issue 1 2024 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 effect of the COVID‐19 pandemic on pediatric emergency department utilization in three regions in Switzerland Subject The topic of the resource Children, COVID-19, Emergency department, Pandemic, Utilization, Variation Description An account of the resource Purpose The COVID-19 pandemic was associated with a decrease in emergency department (ED) visits. However, contradictory, and sparse data regarding children could not yet answer the question, how pediatric ED utilization evolved throughout the pandemic. Our objectives were to investigate the impact of the pandemic in three language regions of Switzerland by analyzing trends over time, describe regional differences, and address implications for future healthcare. Methods We conducted a retrospective, longitudinal cohort study at three Swiss tertiary pediatric EDs (March 1st, 2018—February 28th, 2022), analyzing the numbers of ED visits (including patients` age, triage categories, and urgent vs. non-urgent cases). The impact of COVID-19 related non-pharmaceutical interventions (NPIs) on pediatric ED utiliza- tion was assessed by interrupted time series (ITS) modelling. Results Based on 304′438 ED visits, we found a drop of nearly 50% at the onset of NPIs, followed by a gradual recovery. This primarily affected children 0–4 years, and both non-urgent and urgent cases. However, the decline in urgent visits appeared to be more pronounced in two centers compared to a third, where also hospitalization rates did not decrease significantly during the pandemic. A subgroup analysis showed a significant decrease in respiratory and gastrointestinal diseases, and an increase in the proportion of trauma patients during the pandemic. Conclusions The COVID-19 pandemic had substantial effects on number and reasons for pediatric ED visits, par- ticularly among children 0–4 years. Despite equal regulatory conditions, the utilization dynamics varied markedly between the three regions, highlighting the multifactorial modification of pediatric ED utilization during the pan- demic. Furthermore, future policy decisions should take regional differences into account. Keywords Children, COVID-19, Emergency department, Pandemic, Utilization, Variation Creator An entity primarily responsible for making the resource Michael von Rhein1* , Aziz Chaouch2 , Vivian Oros3 , Sergio Manzano4 , Gianluca Gualco5 , Marc Sidler6 , Ursula Laasner7 , Michelle Dey8 , Julia Dratva8,9, Michelle Seiler10 and on behalf of the PedCov consortium Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00640-2 Date A point or period of time associated with an event in the lifecycle of the resource 2024 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 Children, COVID-19, Emergency department, Pandemic, Utilization, Variation https://repository.horizon.ac.id/files/original/9eb4ddff5cc12e297891f9eeb08352d5.pdf 5b71c6297701497ee2eaa8bd687adce7 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 17 Issue 1 2024 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 Double bad luck: pulmonary embolism and vaginal bleeding - a case report Subject The topic of the resource Pulmonary embolism is a common and potentially fatal condition. Description An account of the resource Abstract Background Pulmonary embolism is a common and potentially fatal condition. Exogenous estrogens in contraceptives are associated with an increased risk of venous thrombo-embolism. However, discontinuation of a combined oral contraceptive can lead to severe withdrawal bleeding in an anticoagulated patient. Case presentation We report a case of a 47-year-old female who presented to the emergency room with a two- day history of worsening shortness of breath and chest pain. Her chronic medication included a combined oral contraceptive pill. Transthoracic echocardiogram showed pulmonary hypertension and right ventricular dilatation. Computerized tomography scan revealed bilateral pulmonary embolism. She received thrombolysis with alteplase and was started on rivaroxaban. Five days after discharge, however, she was readmitted with severe vaginal bleeding. Discussion and conclusion We describe a case of submassive pulmonary embolism, treated with thrombolysis and anticoagulation, who developed severe vaginal bleeding after stopping the contraceptive pill. This case highlights the importance of detailed menstrual history taking when initiating anticoagulation in women. Discontinuation of oral contraceptives, while important in reducing the risk of recurrent thrombosis, could be postponed until the end of the recommended course of anticoagulation and until a safe alternative form of contraception has been established, if required. Creator An entity primarily responsible for making the resource Sarah Shiba1 and Jan Van Keer2* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00639-9 Date A point or period of time associated with an event in the lifecycle of the resource 2024 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 Pulmonary embolism is a common and potentially fatal condition. https://repository.horizon.ac.id/files/original/5b433039f552455ee6cba99dfbc0c573.pdf 544a7f0e2c1cfce1824b2e49abb0f443 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 17 Issue 1 2024 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 Patients’ pathways to the emergency department: a scoping review Subject The topic of the resource Emergency department (ED) crowding is a common Description An account of the resource Abstract Background Emergency department (ED) crowding is a common healthcare issue with multiple causes. One impor- tant knowledge area is understanding where patients arrived from and what care they received prior to ED admission. This information could be used to inform strategies to provide care for low acuity patients outside of the hospital and reduce unnecessary ED admissions. The aim of this scoping review was to provide a comprehensive overview of global published research examining the acute care trajectory of all ED patients. Methods The scoping review was performed according to the JBI Manual for Evidence Synthesis and the PRISMA- SCR checklist. A comprehensive literature search was performed to identify studies describing where patients arrived from and/or whose pathway of care was before an ED visit. The search was conducted in MEDLINE, Embase, and the Cochrane Library from inception through December 5th, 2022. Two reviewers independently screened the records. Results Out of the 6,465 records screened, 14 studies from Australia, Canada, Haiti, Norway, Sweden, Switzerland, Belgium, Indonesia, and the UK met the inclusion criteria. Four studies reported on where patients physically arrived from, ten reported how patients were transported, six reported who referred them, and six reported whether medical care or advice was sought prior to visiting an ED. Conclusion This scoping review revealed a lack of studies describing patients’ pathways to the ED. However, studies from some countries indicate that a relatively large proportion of patients first seek care or guidance from a primary care physician (PCP) before visiting an ED. However, further research and published data are needed. To improve the situation, we recommend the development and implementation of a template for the uniform reporting of fac- tors outside the ED, including where the patient journey began, which healthcare facilities they visited, who referred them to the ED, and how they arrived. Creator An entity primarily responsible for making the resource Målfrid Asheim Nummedal1*, Sarah Elizabeth King1 , Oddvar Uleberg1,2,3, Sindre Andre Pedersen4 and Lars Petter Bjørnsen1,2 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00638-w Date A point or period of time associated with an event in the lifecycle of the resource 2024 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 (ED) crowding is a common https://repository.horizon.ac.id/files/original/769804e34a1a9a28b19905e24da7e012.pdf b1c6f8b6f40789a6de9b4db4aad6d988 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 17 Issue 1 2024 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 Physicians’ experiences with reporting domestic violence against women: a cross- sectional study in Saudi Arabia Subject The topic of the resource Violence, Reporting, Women’s Health, Saudi Arabia Description An account of the resource Abstract Background Domestic violence, including violence against women, is a global public health concern with significant implications for women’s health and well-being. Despite its prevalence, healthcare providers often face barriers when reporting cases of domestic violence. This study aims to estimate the prevalence of reporting domestic violence against women by physicians and to explore the barriers to reporting. Methods This cross-sectional study was conducted at King Abdulaziz University Hospital in Saudi Arabia. Data were collected through a self-administered questionnaire distributed to physicians from various specialties. The questionnaire covered sociodemographic information, physicians’ experiences with domestic violence cases, and barriers to reporting. Results The study included 400 physicians. Approximately 39.8% of physicians reported encountering cases of domestic violence, with 33.0% documenting such cases. Reporting rates varied among occupational levels, with specialists (50.85%) and consultants (38.78%) reporting more frequently than general practitioners (16.67%) and residents (28.93%). Physicians with over 10 years of experience were more likely to report (49.40%, p=0.001). Among the various categories of barriers examined, a lower score in physician-related barriers was the only category significantly associated with higher reporting rates (p<0.01). However, health administration- and victim-related barriers were not significant factors in reporting. Conclusion This study highlights variations in reporting rates among medical specialties and underscores the positive impact of physician experience on reporting domestic violence cases. Addressing physician-related barriers and promoting a reporting culture are crucial steps toward combating domestic violence in Saudi Arabia. Healthcare providers play a vital role in identifying and addressing this public health issue. Keywords Violence, Reporting, Women’s Health, Saudi Arabia Creator An entity primarily responsible for making the resource Sarah Almuammar1* and Wijdan Alhowig1 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00635-z Date A point or period of time associated with an event in the lifecycle of the resource 2024 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 Violence, Reporting, Women’s Health, Saudi Arabia https://repository.horizon.ac.id/files/original/b1f7ea2c43f53bfc5515d5377e570210.pdf c31128fc504c55e9f44d9fbdf4dbd2b3 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 17 Issue 1 2024 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 Guanfacine poisoning resulting in transient ST‐segment elevation: a case report Subject The topic of the resource Attention-deficit hyperactivity disorder, Guanfacine, Poisoning, ST-segment elevation Description An account of the resource Background Guanfacine is an alpha-2 adrenergic agonist that decreases norepinephrine release and sympathetic outflow. With the increased use of guanfacine for attention-deficit hyperactivity disorder (ADHD), reports of guanfa- cine poisoning have also risen. Case presentation A 15-year-old male (height: 170 cm, weight: 48 kg), who was taking 2 mg/day of guanfacine for ADHD, was brought to our emergency department after ingesting 40 tablets of guanfacine due to poor exam results. He presented with impaired consciousness and sinus bradycardia on an electrocardiogram (ECG), leading to diagnosis of guanfacine poisoning. Gastric lavage (5 L) was performed, and activated charcoal was adminis- tered. Although his consciousness gradually recovered, he developed ST-segment elevation on the ECG. Despite the absence of chest pain and elevated myocardial enzymes, coronary artery stenosis was not observed on coronary artery computed tomography. As his blood guanfacine level decreased, his ECG returned to normal. Conclusions This case highlights the need for careful monitoring of guanfacine poisoning patients due to the poten- tial for various cardiovascular events. Keywords Attention-deficit hyperactivity disorder, Guanfacine, Poisoning, ST-segment elevation Creator An entity primarily responsible for making the resource Ichiro Hirayama1,2*, Yoshito Kamijo1 , Hiroko Abe1,3, Minaho Nonaka2 , Tetsuhiro Yano2 , Mitsuru Ishii2 and Yoshiteru Tominaga2 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00634-0 Date A point or period of time associated with an event in the lifecycle of the resource 2024 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 Attention-deficit hyperactivity disorder, Guanfacine, Poisoning, ST-segment elevation