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            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
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                <elementText elementTextId="130912">
                  <text>Volume 17 Issue 1 2024</text>
                </elementText>
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              <name>Contributor</name>
              <description>An entity responsible for making contributions to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="130913">
                  <text>peri irawan</text>
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        <elementContainer>
          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
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              <elementText elementTextId="131518">
                <text>Comparison of T-POD and SAM Pelvic Sling II and the influence of attachment level in the initial management of unstable pelvic type C injuries – a cadaveric study</text>
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          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
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              <elementText elementTextId="131519">
                <text>Pelvic fracture, Unstable pelvic Injury, Pelvic binder, T-POD, SAM pelvic Sling II, Pelvic stabilization</text>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
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              <elementText elementTextId="131520">
                <text>Abstract&#13;
Background Type C pelvic fractures (AO/OTA) are severe injuries that frequently lead to bleeding and hemodynamic&#13;
instability. Pelvic binders play a crucial role in their initial management. Placement at the correct level in the&#13;
prehospital setting is challenging. The aim of this study was to compare two pelvic binders regarding their&#13;
effectiveness in reducing intrapelvic volume and increasing intrapelvic pressure in patients with type C pelvic&#13;
fractures (AO/OTA) when applied at three different levels.&#13;
Methods Rotationally and vertically unstable pelvic injuries (AO/OTA classification 61-C1.1) were produced in five&#13;
fresh-frozen human cadaveric specimens. Intrapelvic volume, vesical pressure and compression pressure within the&#13;
pubic symphysis and the sacroiliac joint were measured when applying a SAM Pelvic Sling II and a T-POD at the level&#13;
of the greater trochanter as well as levels higher and lower than recommended.&#13;
Results Comparison of the two pelvic binders positioned at the recommended level (greater trochanter) showed&#13;
no significant difference in volume reduction (13.85 ± 31.37 cm3&#13;
&#13;
, p=0.442), however, increase in vesical pressure was&#13;
significantly higher when using the T-POD (5.80 ± 3.27 cmH2O, p=0.017). When positioned at the level of the iliac&#13;
crest, vesical pressure increase and intrapelvic volume reduction were significantly greater with the T-POD (14.00 ±&#13;
8.57 cmH2O, p=0.022 and 10.45 ± 5.45 cm3&#13;
&#13;
, p=0.031 respectively). Application of the SAM Pelvic Sling II below the&#13;
&#13;
greater trochanter led to a significantly greater decrease in volume (-32.26 ± 7.52 cm3&#13;
&#13;
, p=0.003) than the T-POD.&#13;
Comparison of the recommended attachment level with incorrect positioning led to no significant differences for&#13;
the T-POD, while the SAM Pelvic Sling II achieved a significantly lower volume reduction when placed at the iliac crest&#13;
(40.15 ± 14.57 cm3&#13;
&#13;
, p=0.012) and a significantly lower increase in vesical pressure when applied below the greater&#13;
&#13;
trochanter (3.40 ± 1.52 cmH2O, p=0.007).&#13;
Conclusion Direct comparison of the two pelvic binders showed that the T-POD achieved significantly greater results&#13;
when applied at the recommended level and was less susceptible to incorrect positioning. These outcomes support&#13;
the preferred use of the T-POD for prehospital emergency pelvic stabilisation.&#13;
Keywords Pelvic fracture, Unstable pelvic Injury, Pelvic binder, T-POD, SAM pelvic Sling II, Pelvic stabilization</text>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="131521">
                <text>Maxim Privalov1&#13;
&#13;
, Malte Junge1&#13;
&#13;
, Matthias Karl Jung1&#13;
&#13;
, Sven Yves Vetter1&#13;
&#13;
, Jochen Franke2&#13;
&#13;
, Svetlana Hetjens3&#13;
, Paul&#13;
&#13;
Alfred Grützner1&#13;
&#13;
, Holger Stadthalter4,5 and Niko R.E Schneider6,7*</text>
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            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="131522">
                <text>https://doi.org/10.1186/s12245-024-00610-8</text>
              </elementText>
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          <element elementId="40">
            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="131523">
                <text>2024</text>
              </elementText>
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          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="131524">
                <text>Peri Irawan</text>
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          <element elementId="42">
            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
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              <elementText elementTextId="131526">
                <text>english</text>
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    <tagContainer>
      <tag tagId="15188">
        <name>Pelvic fracture, Unstable pelvic Injury, Pelvic binder, T-POD, SAM pelvic Sling II, Pelvic stabilization</name>
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              <name>Title</name>
              <description>A name given to the resource</description>
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                <elementText elementTextId="130912">
                  <text>Volume 17 Issue 1 2024</text>
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            <element elementId="37">
              <name>Contributor</name>
              <description>An entity responsible for making contributions to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="130913">
                  <text>peri irawan</text>
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    <elementSetContainer>
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        <description>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/.</description>
        <elementContainer>
          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="131481">
                <text>The leading role of expert safety knowledge in supporting the mission of caring for patients during man-made and natural disasters: state of emergency medicine in Ethiopia, Myanmar, and Ukraine</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="131482">
                <text>Disaster Planning, Security measures, Civil Defense, Health Care Facilities, Manpower, and services</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="131483">
                <text>Abstract&#13;
Preparedness to endure extreme situations such as natural disasters or military conflicts is not commonplace in&#13;
healthcare training programs. Moreover, multidisciplinary teams in health services rarely (if ever) include experts&#13;
in security. However, when emergency situations occur, prevailing healthcare demands do not cease to exist, and&#13;
unexpected demands often surge due to the shortage of other services and supplies or as a consequence of the&#13;
emergency condition itself.&#13;
With services in 45 countries, AIDS Healthcare Foundation (AHF) has operated in several conflict zones, facing&#13;
broad and challenging security demands. Since 2017 AHF has implemented the Global Department of Safety&#13;
and Security (GDSS), a dedicated intelligence and safety program that had a key role in the security monitoring,&#13;
preparedness, and defense responses, assisting staff members and clients during recent conflicts.&#13;
In this manuscript, we describe the experience of AHF’s GDSS in three recent military conflicts in Ethiopia,&#13;
Myanmar, and Ukraine, and provide insights into steps that can be taken to assure staff safety and support the&#13;
mission of caring for patients throughout catastrophic events.&#13;
Keywords Disaster Planning, Security measures, Civil Defense, Health Care Facilities, Manpower, and services</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="131484">
                <text>Ralph C. Miles1&#13;
&#13;
, Vivian I. Avelino-Silva1*, Wilfred Odoke1&#13;
&#13;
, Jan van den Hombergh1&#13;
&#13;
, Fernanda F. Fonseca1&#13;
,&#13;
&#13;
Mengistu GebreMichael2&#13;
&#13;
, Yaroslava Lopatina3&#13;
, Win Oo4&#13;
and Adele Schwartz Benzaken1</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="48">
            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="131485">
                <text>https://doi.org/10.1186/s12245-024-00609-1</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="40">
            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="131486">
                <text>2024</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="131487">
                <text>Peri Irawan</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="42">
            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
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              <elementText elementTextId="131488">
                <text>pdf</text>
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          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="131489">
                <text>english</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="51">
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            <description>The nature or genre of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="131490">
                <text>text</text>
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          </element>
        </elementContainer>
      </elementSet>
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    <tagContainer>
      <tag tagId="15187">
        <name>Disaster Planning, Security measures, Civil Defense, Health Care Facilities, Manpower, and services</name>
      </tag>
    </tagContainer>
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  <item itemId="12299" public="1" featured="1">
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          <elementContainer>
            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="130912">
                  <text>Volume 17 Issue 1 2024</text>
                </elementText>
              </elementTextContainer>
            </element>
            <element elementId="37">
              <name>Contributor</name>
              <description>An entity responsible for making contributions to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="130913">
                  <text>peri irawan</text>
                </elementText>
              </elementTextContainer>
            </element>
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    <elementSetContainer>
      <elementSet elementSetId="1">
        <name>Dublin Core</name>
        <description>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/.</description>
        <elementContainer>
          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="131471">
                <text>What factors are effective on the CPR duration of patients under extracorporeal cardiopulmonary resuscitation: a single- center retrospective study</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="131472">
                <text>Extracorporeal cardiopulmonary resuscitation, Cardiopulmonary resuscitation, Cardiac arrest, In-hospital&#13;
cardiac arrest, Out-of-hospital cardiac arrest, Prognostic factors</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="131473">
                <text>Background Extracorporeal cardiopulmonary resuscitation (ECPR) is an alternative method for patients with&#13;
reversible causes of cardiac arrest (CA) after conventional cardiopulmonary resuscitation (CCPR). However,&#13;
cardiopulmonary resuscitation (CPR) duration during ECPR can vary due to multiple factors. Healthcare providers&#13;
need to understand these factors to optimize the resuscitation process and improve outcomes. The aim of this study&#13;
was to examine the different variables impacting the duration of CPR in patients undergoing ECPR.&#13;
Methods This retrospective, single-center, observational study was conducted on adult patients who underwent&#13;
ECPR due to in-hospital CA (IHCA) or out-of-hospital CA (OHCA) at Hamad General Hospital (HGH), the tertiary&#13;
governmental hospital of Qatar, between February 2016 and March 2020. Univariate and multivariate binary logistic&#13;
regression analyses were performed to identify the prognostic factors associated with CPR duration, including&#13;
demographic and clinical variables, as well as laboratory tests.&#13;
Results The mean±standard division age of the 48 participants who underwent ECPR was 41.50±13.15 years,&#13;
and 75% being male. OHCA and IHCA were reported in 77.1% and 22.9% of the cases, respectively. The multivariate&#13;
analysis revealed that several factors were significantly associated with an increased CPR duration: higher age (OR:&#13;
1.981, 95%CI: 1.021–3.364, P=0.025), SOFA score (OR: 3.389, 95%CI: 1.289–4.911, P=0.013), presence of comorbidities&#13;
&#13;
(OR: 3.715, 95%CI: 1.907–5.219, P=0.026), OHCA (OR: 3.715, 95%CI: 1.907–5.219, P=0.026), and prolonged collapse-&#13;
to-CPR time (OR: 1.446, 95%CI:1.092–3.014, P=0.001). Additionally, the study found that the initial shockable rhythm&#13;
&#13;
was inversely associated with the duration of CPR (OR: 0.271, 95%CI: 0.161–0.922, P=0.045). However, no significant&#13;
associations were found between laboratory tests and CPR duration.&#13;
Conclusion These findings suggest that age, SOFA score, comorbidities, OHCA, collapse-to-CPR time, and initial&#13;
shockable rhythm are important factors influencing the duration of CPR in patients undergoing ECPR. Understanding&#13;
these factors can help healthcare providers better predict and manage CPR duration, potentially improving patient&#13;
outcomes. Further research is warranted to validate these findings and explore additional factors that may impact CPR&#13;
duration in this population.&#13;
Keywords Extracorporeal cardiopulmonary resuscitation, Cardiopulmonary resuscitation, Cardiac arrest, In-hospital&#13;
cardiac arrest, Out-of-hospital cardiac arrest, Prognostic factors</text>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="131474">
                <text>Amir Vahedian-Azimi1&#13;
&#13;
, Ibrahim Fawzy Hassan2,3, Farshid Rahimi-Bashar4&#13;
&#13;
, Hussam Elmelliti5&#13;
&#13;
, Anzila Akbar2,3,&#13;
&#13;
Ahmed Labib Shehata2,3, Abdulsalam Saif Ibrahim2,3 and Ali Ait Hssain2,3,6*</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="48">
            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="131475">
                <text>https://doi.org/10.1186/s12245-024-00608-2</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="40">
            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="131476">
                <text>2024</text>
              </elementText>
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          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="131477">
                <text>Peri Irawan</text>
              </elementText>
            </elementTextContainer>
          </element>
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            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
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                <text>pdf</text>
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            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="131479">
                <text>english</text>
              </elementText>
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            <description>The nature or genre of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="131480">
                <text>text</text>
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    <tagContainer>
      <tag tagId="15186">
        <name>Extracorporeal cardiopulmonary resuscitation, Cardiopulmonary resuscitation, Cardiac arrest, In-hospital cardiac arrest, Out-of-hospital cardiac arrest, Prognostic factors</name>
      </tag>
    </tagContainer>
  </item>
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            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
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                <elementText elementTextId="130912">
                  <text>Volume 17 Issue 1 2024</text>
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              <name>Contributor</name>
              <description>An entity responsible for making contributions to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="130913">
                  <text>peri irawan</text>
                </elementText>
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
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              <elementText elementTextId="131461">
                <text>Emergency airway management in resource limited setting</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="131462">
                <text>Emergency airway management, Resource-limited settings</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="131463">
                <text>Background Emergency airway management in resource-limited settings presents multifaceted challenges due to&#13;
shortages in essential medical resources, healthcare professionals, and infrastructure.&#13;
Methods We conducted a literature search using keywords “Emergency Airway Management” “Low Resource” “Africa”&#13;
“Asia” from databases such as Pubmed, and Google Scholar, from where we extracted relevant literature for our study.&#13;
Findings These limitations resulted in delayed interventions, suboptimal care, and higher complication rates during&#13;
&#13;
intubation procedures. However, innovative solutions have emerged to address these challenges, including cost-&#13;
effective airway management devices and training programs tailored for non-medical personnel. Capacity building&#13;
&#13;
and local empowerment are critical components of improving emergency airway management in these settings.&#13;
Additionally, advocating for policy support and investment in healthcare infrastructure is essential to ensure access&#13;
to essential equipment and adequate staffing. Collaboration and knowledge-sharing networks among healthcare&#13;
professionals and organisations are pivotal in disseminating best practices and advancing healthcare delivery in&#13;
resource-limited regions.&#13;
Conclusion Future efforts should focus on tailored training programs, rigorous research, innovative device&#13;
development, telemedicine solutions, sustainable capacity building, and advocacy to enhance emergency airway&#13;
management in resource-limited settings.&#13;
Keywords Emergency airway management, Resource-limited settings</text>
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              <elementText elementTextId="131464">
                <text>Gbolahan Olatunji1&#13;
&#13;
, Emmanuel Kokori1&#13;
&#13;
, Nicholas Aderinto2&#13;
&#13;
and Mohammed Alsabri Hussein Alsabri3*</text>
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            <elementTextContainer>
              <elementText elementTextId="131465">
                <text>https://doi.org/10.1186/s12245-024-00607-3</text>
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                <text>Peri Irawan</text>
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                  <text>Volume 17 Issue 1 2024</text>
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                <text>The PIRATE mnemonic: providing a structured approach in the care for intoxicated patients at the emergency department</text>
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          <element elementId="49">
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                <text>Intoxications, Acute toxicology, Emergency department, Mnemonic</text>
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                <text>Background Expertise in toxicology is essential for acute care providers, as intoxicated patients frequently present&#13;
to Emergency Departments. These patients can be challenging for care providers because they often present with&#13;
uncertain substance exposure and unknown dose and timing of these exposures.&#13;
Methods The Dutch Society of Emergency Physicians has developed an mnemonic to support treating physicians in&#13;
a structured approach for the management of (undifferentiated) intoxicated patients.&#13;
Results The PIRATE mnemonic was developed, which includes the following aspects and sequence of care for the&#13;
intoxicated patient: primary survey, investigation &amp; identification, risk assessment, ADME (comprising pharmacokinetic&#13;
therapeutic targets: absorption, distribution, metabolism, elimination), therapy and evaluation.&#13;
Conclusion The toxicology section of the Dutch Society of Emergency Physicians developed the PIRATE mnemonic&#13;
to provide a structured approach in the management of patients presenting with acute intoxications to Emergency&#13;
Departments. It summarizes the essential steps and priorities required in the care of intoxicated patients. Further, it&#13;
provides a common strategy for all specialties involved in the care of the acutely intoxicated patient, contributing to&#13;
developing greater competence in poisoning management.&#13;
Keywords Intoxications, Acute toxicology, Emergency department, Mnemonic</text>
              </elementText>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="131454">
                <text>Nicole Kraaijvanger1,4*, Wouter Raven1,4, Trudy van Dijken2,4 and Femke Gresnigt3,4,5</text>
              </elementText>
            </elementTextContainer>
          </element>
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            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="131455">
                <text>https://doi.org/10.1186/s12245-024-00606-4</text>
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            <name>Date</name>
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                <text>2024</text>
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            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="131457">
                <text>Peri Irawan</text>
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            <elementTextContainer>
              <elementText elementTextId="131459">
                <text>english</text>
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        <name>Intoxications, Acute toxicology, Emergency department, Mnemonic</name>
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                  <text>Volume 17 Issue 1 2024</text>
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                <text>Use of bitemporal NACA score documentation in prehospital emergency medical services– a retrospective study</text>
              </elementText>
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          <element elementId="49">
            <name>Subject</name>
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                <text>Emergency medical services, Documentation, Classification</text>
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                <text>Abstract&#13;
Background The assessment of illness severity in the prehospital setting is essential for guiding appropriate medical&#13;
interventions. The National Advisory Committee for Aeronautics (NACA) score is a validated tool commonly used&#13;
for this purpose. However, the potential benefits of using bitemporal documentation of NACA scores to capture the&#13;
dynamic changes in emergency situations remain uncertain. The objective of this study was to evaluate the potential&#13;
benefit of bitemporal NACA score documentation in the prehospital setting, specifically in assessing the dynamic&#13;
changes of emergencies and facilitating quality improvement through enhanced documentation practices.&#13;
Methods In this retrospective study, data from prehospital emergency patients were analyzed who received care&#13;
from the physician response unit between January 1, 2018, and May 31, 2021. Patient demographics, NACA scores,&#13;
indications for emergency care, and changes in NACA scores were extracted from medical records. Statistical analyses&#13;
were performed to examine the associations between NACA scores, emergency categories, indications, and changes&#13;
in NACA scores.&#13;
Results The study included 4005 patients, predominantly categorized as NACA III (33.7% at initial assessment, 41.8%&#13;
at subsequent assessment) and NACA IV (31.6% at initial assessment, 22.4% at subsequent assessment). There was&#13;
a significant improvement in NACA scores during the provision of prehospital care (p&lt;0.01). Notably, prehospital&#13;
emergencies attributed to internal medical, neurological, traumatic, and paediatric causes demonstrated significant&#13;
improvements in NACA scores (p&lt;0.01). Gender-specific differences were also observed.&#13;
Conclusion Our study suggests that the bitemporal documentation of NACA scores can be advantageous in the&#13;
prehospital setting and may have implications for research, practice, and policy.&#13;
Key message&#13;
1) The NACA score is a validated tool used to categorize illness severity in the prehospital setting. However,&#13;
the utility of bitemporal NACA score documentation and its impact on understanding the dynamic changes of&#13;
emergencies remained unknown.&#13;
2) This study adds evidence regarding the benefit of bitemporal NACA score documentation in the prehospital&#13;
setting. It demonstrates that bitemporal assessment provides valuable information on the dynamic changes of&#13;
emergencies, facilitating a better understanding of the effectiveness of prehospital interventions.&#13;
3) The findings of this study may have implications for research, practice, and policy in prehospital emergency&#13;
care. The use of bitemporal NACA score documentation can enhance the monitoring of treatment effectiveness in&#13;
the prehospital setting. This study may encourage further research into the implementation and standardization of&#13;
bitemporal assessment protocols.&#13;
Keywords Emergency medical services, Documentation, Classification</text>
              </elementText>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="131444">
                <text>Michael Eichinger1&#13;
&#13;
, Sandro Reiterer2&#13;
&#13;
, Martin Rief1*, Michael Eichlseder1&#13;
&#13;
, Alexander Pichler1&#13;
&#13;
, Philipp Zoidl1&#13;
and&#13;
&#13;
Gerhard Prause1</text>
              </elementText>
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            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="131445">
                <text>https://doi.org/10.1186/s12245-024-00605-5</text>
              </elementText>
            </elementTextContainer>
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            <name>Date</name>
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            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="131447">
                <text>Peri Irawan</text>
              </elementText>
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                <text>english</text>
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                  <text>Volume 17 Issue 1 2024</text>
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
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                <text>Introduction of a formative assessment tool in a post-graduate training program in India: a mixed methods evaluation</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
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                <text>Medical education &amp; training, Accident and emergency medicine, India</text>
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              <elementText elementTextId="131433">
                <text>Background Our institution has longstanding post-graduate education and training partnership programs in&#13;
&#13;
Emergency Medicine (EM) across India. A programmatic challenge has been the integration and uptake of evidence-&#13;
based medicine and lifelong learning concepts. Formative assessment (FA) is intended to enable learners to monitor&#13;
&#13;
learning, identify strengths and weaknesses, and target areas of growth. As part of a program improvement initiative,&#13;
we introduced an online FA tool to existing summative assessments. This study investigates how the FA tool was used&#13;
and perceived by trainees.&#13;
Methods 246 trainees across 19 sites were given access to the FA tool. Usage metrics were monitored over&#13;
12 months. Semi-structured interviews were conducted in person with trainees using a purposive sampling&#13;
methodology. A hybrid thematic analysis approach was used to determine themes. Interviews were coded&#13;
independently by two blinded researchers using NVivo software. The study was deemed exempt by our institutional&#13;
review board.&#13;
Results There was high variability in trainees’ utilization of the FA tool. Trainees who used the FA tool more performed&#13;
better on summative exams (r=0.35, p&lt;0.001). Qualitative analysis revealed that trainees were motivated to learn for&#13;
improved clinical knowledge and to be a good physician, not only passing exams. Benefits of the tool included the&#13;
relationship to clinical practice and thorough explanation of answers, while disadvantages included topics unrelated&#13;
to India.&#13;
Conclusion The integration of a FA tool has provided positive outcomes for trainees in EM education programs in&#13;
India. Lessons learned may apply globally to other contexts and programs.&#13;
Keywords Medical education &amp; training, Accident and emergency medicine, India</text>
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                <text>Katherine Douglass1*, Tania Ahluwalia2&#13;
&#13;
, Brianna McKiernan3&#13;
&#13;
, Heena Patel3&#13;
&#13;
, Natasha Powell1&#13;
&#13;
, Jacob Keller1&#13;
and&#13;
&#13;
Serkan Toy4</text>
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                <text>https://doi.org/10.1186/s12245-024-00604-6</text>
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                <text>Persistent hiccups as a rare presenting symptom of empyema: a case report</text>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="131423">
                <text>Background Empyema is uncommon owing to antibiotic use but still affects patient health if not treated. Hiccups as&#13;
the initial symptom of empyema are rare; however, empyema should be considered if a patient has persistent hiccups&#13;
with unexplained fever.&#13;
Case presentation We present a case of persistent hiccups, left upper quadrant abdominal pain, and fever on day&#13;
1, and total left lung white-out and empyema on day 3. The hiccups resolved gradually after antibiotic treatment and&#13;
surgical decortication.&#13;
Conclusions Clinicians should consider the possibility of empyema and conduct a chest computed tomography&#13;
study if unexplained fever and persistent hiccups coexist.&#13;
Keywords Hiccups, Empyema, Emergency department, Case report</text>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
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              <elementText elementTextId="131424">
                <text>An-Fu Lee1&#13;
, Hong-Wei Lee2&#13;
&#13;
and Zui-Shen Yen2*</text>
              </elementText>
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            <name>Source</name>
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              <elementText elementTextId="131425">
                <text>https://doi.org/10.1186/s12245-024-00603-7</text>
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            <name>Date</name>
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                <text>2024</text>
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              <elementText elementTextId="131427">
                <text>Peri Irawan</text>
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    <tagContainer>
      <tag tagId="15181">
        <name>Hiccups, Empyema, Emergency department, Case report</name>
      </tag>
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            <element elementId="50">
              <name>Title</name>
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              <elementTextContainer>
                <elementText elementTextId="130912">
                  <text>Volume 17 Issue 1 2024</text>
                </elementText>
              </elementTextContainer>
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            <element elementId="37">
              <name>Contributor</name>
              <description>An entity responsible for making contributions to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="130913">
                  <text>peri irawan</text>
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    <elementSetContainer>
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          <element elementId="50">
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                <text>Catheter‐related gas‐forming suppurative thrombophlebitis</text>
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          <element elementId="49">
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            <description>The topic of the resource</description>
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              <elementText elementTextId="131400">
                <text>Catheter-related bloodstream infection, Central line-associated bloodstream infection, Central venous&#13;
catheter-related thrombosis, Clostridium perfringens, Gas-forming suppurative thrombophlebitis</text>
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            <description>An account of the resource</description>
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                <text>Catheter-related suppurative thrombophlebitis (CRST) is a complication of catheter-related bloodstream infection&#13;
(CRBSI). The microbiology of CRST is similar with the microbiology of CRBSI, but Clostridium perfringens that causes gas&#13;
&#13;
gangrene is a rare pathogen of CRBSI and CRST. We present a case of catheter-related gas-forming suppurative throm-&#13;
bophlebitis due to Clostridium perfringens infection. Gas-forming thrombus around the catheter can be useful findings&#13;
&#13;
for the early diagnosis of catheter-related clostridial thrombophlebitis.&#13;
Keywords Catheter-related bloodstream infection, Central line-associated bloodstream infection, Central venous&#13;
catheter-related thrombosis, Clostridium perfringens, Gas-forming suppurative thrombophlebitis</text>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="131402">
                <text>Yasuyoshi Miyamura1*, Takeshi Shimazaki1 and Kunihiko Okada1</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="48">
            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="131403">
                <text>https://doi.org/10.1186/s12245-024-00602-8</text>
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            <name>Date</name>
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                <text>2024</text>
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            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="131405">
                <text>Peri Irawan</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="42">
            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
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              <elementText elementTextId="131406">
                <text>pdf</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="131407">
                <text>english</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="51">
            <name>Type</name>
            <description>The nature or genre of the resource</description>
            <elementTextContainer>
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      <tag tagId="15176">
        <name>Catheter-related bloodstream infection, Central line-associated</name>
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  <item itemId="12291" public="1" featured="1">
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          <elementContainer>
            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="130912">
                  <text>Volume 17 Issue 1 2024</text>
                </elementText>
              </elementTextContainer>
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            <element elementId="37">
              <name>Contributor</name>
              <description>An entity responsible for making contributions to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="130913">
                  <text>peri irawan</text>
                </elementText>
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          </elementContainer>
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      </elementSetContainer>
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    <elementSetContainer>
      <elementSet elementSetId="1">
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        <description>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/.</description>
        <elementContainer>
          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="131389">
                <text>Recurrent transitory attacks with cytotoxic edema could benefit from thrombolysis</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="131390">
                <text>Stroke, Transitory ischemic attack, Thrombolysis, Cerebral MRI, Atrial fibrillation</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="131391">
                <text>We read with interest the article by Tan et al. about a&#13;
65-year-old male with ten transitory ischemic attacks&#13;
&#13;
(TIAs) within three hours, clinically manifesting as dys-&#13;
arthria and right-sided hemiparesis, each lasting approxi-&#13;
mately 10 min [1]. ECG showed newly diagnosed atrial&#13;
&#13;
fibrillation (AF). Cerebral computed tomography (CCT)&#13;
showed an old left, lacunar striato-capsular infarct and&#13;
computed tomography angiography (CTA) showed only&#13;
mild atherosclerosis [1]. Magnetic resonance imaging&#13;
(MRI) showed a small acute infarct in the left corona&#13;
radiata three hours after onset [1]. The patient recovered&#13;
completely under therapy initially with acetyl-salicylic&#13;
acid (ASS, 300 mg), clopidogrel (300 mg), and “aggressive&#13;
hydration”, which was replaced by apixaban 10 mg/d three&#13;
days after onset [1]. The study is impressive, but several&#13;
points require discussion.&#13;
The major limitation of the study is that the patient did&#13;
&#13;
not have capsular warning syndrome (CWS) [1]. “Cap-&#13;
sule” refers to the internal capsule. However, MRI showed&#13;
&#13;
an ischemic lesion in the left corona radiata, which is dis-&#13;
tinct from the internal capsule. Therefore, the diagnosis&#13;
&#13;
of CWS is not justified. A second argument against CWS&#13;
is that dysarthria and hemiparesis are not necessarily due</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="131392">
                <text>Josef Finsterer1* and Sounira Mehri2</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="48">
            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="131393">
                <text>https://doi.org/10.1186/s12245-024-00601-9</text>
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          <element elementId="40">
            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="131394">
                <text>2024</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="131395">
                <text>Peri Irawan</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="42">
            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="131396">
                <text>pdf</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="131397">
                <text>english</text>
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      <tag tagId="15175">
        <name>Stroke, Transitory ischemic attack, Thrombolysis, Cerebral MRI, Atrial fibrillation</name>
      </tag>
    </tagContainer>
  </item>
</itemContainer>
