18 10 198 https://repository.horizon.ac.id/files/original/bdd041ede0b519139281e4dd47e90f91.pdf d3376fd2467f9cf9dd1cd970e9630c5c 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 Demographics and clinical characteristics of carbon monoxide poisoning for patients attending in the emergency department at a tertiary hospital in Riyadh, Saudi Arabia Subject The topic of the resource Intoxication, Risk factors, Delayed neuropsychiatric sequelae, Emergency care, Descriptive analysis Description An account of the resource Background Carbon Monoxide (CO) is one of the most common environmental causes of acute intoxication glob- ally. It can lead to the development of Delayed Neuropsychiatric Sequelae (DNS) which may develop in 2-40days after remission of acute CO poisoning. DNS is defined by recurrent-transient neurological, cognitive, or psychological manifestations. This study was intended to describe the demographics and characteristics of CO poisoning patients attending at the Emergency Department (ED) and assess the association between CO intoxication and the develop- ment of DNS in a tertiary hospital, Riyadh, Saudi Arabia. Methods A retrospective descriptive cross-sectional study was conducted in subjects who were diagnosed with CO poisoning and attended to the ED at King Abdulaziz Medical City (KAMC) and King Abdullah Specialist Children’s Hospital (KASCH) in Riyadh during the period from January 2016 to December 2021. Patient demographics, vitals, diagnostic tests, and oxygen therapy at initial presentation were documented. Patient medical records were reviewed at 2-40days following CO poisoning for development of DNS. Ethical approval was obtained from King Abdullah International Medical Research Center (KAIMRC). Results A total of 85 patients were diagnosed with CO poisoning and met the study inclusion criteria. Of those, 76% were adults with an average age of 32.36 (SD±15.20) and 51% were male adults. Five (6%) of the 85 patients developed DNS. Common symptoms included dizziness, nausea, and decreased visual acuity in 40% of the cases. The development of DNS manifestations was most likely (80%) to occur at 2 to 10 days after the initial incident. Inferential statistics showed that BMI (p-value=0.021) and age group (p-value=0.029) were significantly associated with COHb level, which was not the case for gender and the presence of clinical manifestation. Furthermore, Gender was signifi- cantly associated with the development of DNS (20% male vs. 80% female, p=0.050). Conclusions The findings of this study are consistent with previous published studies showing low proportions of patients who were exposed to CO poisoning at risk of developing DNS. Further larger-scale multicenter studies are needed to assess the factors associated with the development of DNS for patients with CO poisoning. Keywords Intoxication, Risk factors, Delayed neuropsychiatric sequelae, Emergency care, Descriptive analysis Creator An entity primarily responsible for making the resource Nesrin Alharthy1,2,3*, Aljohara Alanazi2 , Alreem Almoqaytib2 , Bedour Alharbi2 , Rakad Alshaibani2 , Jawaher Albuniyan2 and Abdullah Alshibani2,3 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00600-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 Intoxication, Risk factors, Delayed neuropsychiatric sequelae, Emergency care, Descriptive analysis https://repository.horizon.ac.id/files/original/c104464dbe5c468f45ce0e86e75ddf5e.pdf ac9bc0d4aea3cb0f7f9996bd5774f6cc 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’ challenges when working in the prehospital environment - a qualitative study using grounded theory Subject The topic of the resource Prehospital, Physician, Doctor, Organization, Environment, Leadership, Emotional management, Communication, Grounded theory Description An account of the resource Background In the rapid development in prehospital medicine the awareness of the many challenges in prehospital care is important as it highlights which areas need improvement and where special attention during education and training should be focused. The purpose of this study is to identify challenges that physicians face when working in the prehospital environment. The research question is thus; what challenges do physicians face when working in prehospital care? Method This is a qualitative study with an inductive approach and is based on individual interviews. The interviews were analyzed using the Classic Grounded Theory (GT) method as an approach. The interviews were conducted as semi-structured interviews via the digital platform Zoom during winter / early spring 2022. Results Challenges for prehospital physicians can be understood as a process that involves a balancing act between different factors linked to the extreme environment in which they operate. This environment creates unique challenges not usually encountered in routine hospital practice, which results in trade-offs that they would not otherwise be faced with. Their individual situation needs to be balanced against organizational conditions, which means, among other things, that their medical decisions must be made based on limited information as a result of the constraints that exist in the prehospital environment. They must, both as individuals and as part of a team, manoeuvre in time and space for decision-making and practical tasks. This theory of balancing different entities is based on four themes; thus the theory is the relation between the four themes: leadership, environment, emotion management and organization. Conclusions With the help of previous studies and what we have found, it is reasonable to review what training is needed before starting to work prehospital as a physician. This should include components of the themes we have described: organization, environment, leadership and emotional management. Keywords Prehospital, Physician, Doctor, Organization, Environment, Leadership, Emotional management, Communication, Grounded theory Creator An entity primarily responsible for making the resource Denise Bäckström1* and Aida Alvinius2 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00599-0 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 Prehospital, Physician, Doctor, Organization, Environment, Leadership, https://repository.horizon.ac.id/files/original/9f2e7f00d496f38571f968cdeb8884bc.pdf b0c11ec47fba7ff9b514128324a45077 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 PoCUS identification of distal biceps tendon rupture: a case report Subject The topic of the resource Biceps tendon, Musculoskeletal injuries, Point-of-care ultrasound Description An account of the resource Background In the Emergency Department (ED), patients may present with various injuries that damage muscles, tendons, ligaments, and bony structures. Fractures, joint dislocations, strains, and sprains are prevalent among them. However, distal biceps tendon ruptures are uncommon. Case Report Here, we report a case of a young man presented to the ED with a complaint of left arm pain follow- ing a martial arts activity. The diagnosis of distal biceps tendon rupture was made using a point-of-care ultrasound (PoCUS), and an early referral to the orthopedic service was provided. Conclusion This case highlights the utility of point-of-care ultrasound in assessing musculoskeletal injuries in the ED. Early incorporation of PoCUS into routine clinical practice can potentially improve the overall care of musculoskeletal injuries. Keywords Biceps tendon, Musculoskeletal injuries, Point-of-care ultrasound Creator An entity primarily responsible for making the resource Noman Ali1*, Alan Tan1 and Jordan Chenkin1 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00598-1 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 Biceps tendon, Musculoskeletal injuries, Point-of-care ultrasound https://repository.horizon.ac.id/files/original/5e1f7f5294157da56ba2b81376d972dc.pdf b8901738e8bb3b9830dde7ccb9c07d07 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 From compression to diagnosis: identification of superior vena cava syndrome using point‐of‐care ultrasound in the emergency department Subject The topic of the resource Point-of-care ultrasound, Mediastinal mass, Superior vena cava syndrome, Lymphoma, Deep venous thrombosis Description An account of the resource Background Superior vena cava (SVC) syndrome is an urgent condition arising from restricted blood flow through the SVC, often linked to factors like malignancy, thrombosis, or infections. Typically, confirmation of the diag- nosis involves computed tomography. However, many patients experience respiratory distress and cannot lie supine. Given the increasing integration of point-of-care ultrasound in emergency medicine, it is important to be familiar with findings that are suggestive of this important condition. Case report In this case report, we highlight a young patient presenting to the emergency department with supe- rior vena cava syndrome symptoms, successfully diagnosed using point-of-care ultrasound. Conclusion This case highlights the utility of point-of-care ultrasound based diagnosis of SVC syndrome and upper arm deep venous thrombosis in a patient with underlying malignancy which ultimately led to early involvement of relevant speciality for initiation of treatment. Keywords Point-of-care ultrasound, Mediastinal mass, Superior vena cava syndrome, Lymphoma, Deep venous thrombosis Creator An entity primarily responsible for making the resource Noman Ali1*, Alan Tan1 and Jordan Chenkin1 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00597-2 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 Point-of-care ultrasound, Mediastinal mass, Superior vena cava syndrome, Lymphoma, Deep venous thrombosis https://repository.horizon.ac.id/files/original/64bc5a4b875451df40ae3f6eb92a6566.pdf efdd3a05a18dfc3e4b7bc3f574d9e5f8 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 Chest tube placement in trauma patients: please use sonography Subject The topic of the resource A 27-year-old patient with no known medical history was admitted for polytrauma resulting from a traf- fic accident. Description An account of the resource Case presentation A 27-year-old patient with no known medical history was admitted for polytrauma resulting from a traf- fic accident. The initial thoraco-abdominal computed tomography (CT) scan revealed a minimal left pneu- mothorax, liver lacerations with intracapsular hema- toma, and moderate hemoperitoneum. After 48 h, the patient’s respiratory status worsened. A subsequent chest CT scan identified a medium-sized right hemo- thorax leading to the insertion of a 28-Fr chest tube (Fig. 1, panel A). Approximately 400 mL of blood flowed freely through the chest tube before ceasing spontaneously. However, the chest tube was found to be dangerously low in its placement. Diagnosis A follow-up chest X-ray confirmed the misplaced chest tube, located intraabdominally (Fig. 1, panel B). Sub- sequent abdominal CT imaging confirmed the tube’s intrahepatic placement (Fig. 1, panels C and D). The blood flow through the intrahepatic tube likely cor- responded to the intracapsular hematoma. The mal- positioned tube was carefully removed under strict monitoring, and another chest tube was inserted under ultrasound (US) guidance, with the surgical Creator An entity primarily responsible for making the resource Fatimaezzahra Saroukh1,2, Ayoub Bouchama1,2, Ayoub Belhadj1,2 and Younes Aissaoui1,2* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00596-3 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 https://repository.horizon.ac.id/files/original/cbcf67dc6170a8b3b637cb9608d7fcef.pdf bac7e4d0cf3846975124e6aa19c03bb9 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 Diagnostic challenges between takotsubo cardiomyopathy and acute myocardial infarction—where is the emergency?: a literature review Subject The topic of the resource Takotsubo cardiomyopathy, Acute myocardial infarction, Echocardiography, Therapeutic strategy, Prognosis Description An account of the resource Background Takotsubo cardiomyopathy (TC) is an emergency cardiovascular disease, with clinical and paraclinical manifestations similar to acute myocardial infarction (AMI), but it is characterized by reversible systolic dysfunction of the left ventricle (LV) in the absence (most of the time) of obstructive coronary artery disease (CAD). Management of patients with TC TC seems to be more frequent in post-menopausal women and it is triggered by emotional or physical stress. The diagnosis of TC is based on the Mayo Clinic criteria. Initially, patients with TC should be treated as those with AMI and carefully monitored in intensive care unit. Urgent clinical and paraclinical distinction between TC and AMI is mandatory in all patients, because of the different therapeutical management between the two diseases. Chest pain and dyspnea are the most common symptoms in TC. Paraclinical diagno‐ sis is based on cardiac biomarkers, electrocardiogram (ST-segment elevation/T wave inversion in precordial leads without reciprocal ST-segment depression in inferior leads and absence of Q waves), echocardiography (LV systolic dysfunction, regional wall motion abnormalities extended in more than one coronary territory), cardiac magnetic resonance and in most of the cases the positive diagnosis is established by performing CA to exclude obstructive CAD. The prognosis of patients with TC is considered benign in most cases, with a complete LV function recovery, but severe complications may occur, such as cardiogenic shock, LV free wall rupture, life-threatening arrhythmia, and cardiac arrest. Postoperative TC may develop after any type of surgical intervention due to acute stress and it should be differentiated from postoperative AMI. The management of patients with TC is medical and it is based on supportive care and the treatment of heart failure, while patients with AMI require myocardial revascularization. Conclusions TC leads to transient LV dysfunction that mimics AMI from which it should be differentiated for a good therapeutic approach. Patients with TC should be carefully monitored during hospitalization because they have a high recovery potential if optimally treated. Keywords Takotsubo cardiomyopathy, Acute myocardial infarction, Echocardiography, Therapeutic strategy, Prognosis Creator An entity primarily responsible for making the resource Alexandru Scafa‐Udriste1,2, Ruxandra‐Nicoleta Horodinschi1,2*, Miruna Babos3 and Bogdan Dinu1,3 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00595-4 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 Takotsubo cardiomyopathy, Acute myocardial infarction, Echocardiography, Therapeutic strategy, Prognosis https://repository.horizon.ac.id/files/original/98033874819259df9a4ea315e2ddd2ca.pdf f30858d215983633d60b72d00476c46c 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 How a broken vertebra can lead to a fatal hemorrhage: a case report Subject The topic of the resource Elderly, Spinal fracture, Hemorrhage, Diffuse idiopathic skeletal hyperostosis, Emergency medicine Description An account of the resource Background Unintentional falls are common among the elderly and given the expected increase of the aging popu- lation, these falls contribute to a high number of admissions to the emergency department. Relatively low-energy trauma mechanisms can lead to serious injuries in the elderly, with contributing factors being comorbidities, medica- tion use and degenerative abnormalities. Case presentation A 94-year-old female suffered an unintentional fall at home. Upon arrival of the ambulance at her house she was hemodynamically stable and mobilized to the gurney with assistance. During primary survey at the emergency department, her blood pressure and oxygen saturation decreased, she was not able to move her legs anymore and lost consciousness. A full-body CTA was performed, which showed a fracture through the verte- bral body of L2 with significant dislocation and a large active bleeding of the corpus, extending to the retroperito- neum and the epidural space. Despite resuscitation, her vital signs deteriorated and given the severe abnormalities on CTA, it was decided to discontinue further treatment, after which she deceased. The performed CTA and an x-ray from 2016 suggested diffuse idiopathic skeletal hyperostosis, which might have contributed to the severity and insta- bility of the vertebral fracture. Mobilization after the fall might have increased the dislocation of the fracture. The use of oral anticoagulants worsened the subsequent bleeding and the extension to the epidural space caused the paraly- sis of the legs. Conclusions It is important to be aware of the possible serious consequences of unintentional falls in the elderly population and to provide strict immobilization of the spinal column until proper imaging. Keywords Elderly, Spinal fracture, Hemorrhage, Diffuse idiopathic skeletal hyperostosis, Emergency medicine Creator An entity primarily responsible for making the resource Roxanne A. W. Ploumen1,2* , Martin R. van Wezenbeek1,3, Paul C. P. H. Willems4,5, Suzanne C. Gerretsen6 and Jan A. Ten Bosch1,2 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00594-5 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 Elderly, Spinal fracture, Hemorrhage, Diffuse idiopathic skeletal hyperostosis, Emergency medicine https://repository.horizon.ac.id/files/original/17cad9e355d27483d5e512225be8bfc1.pdf 0a821de3670a7f46afa4b7dcbb87877e 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 Overview of best practices for buprenorphine initiation in the emergency department Subject The topic of the resource Social emergency medicine, Addiction medicine, Harm reduction, Buprenorphine, Opioid use disorder Description An account of the resource In recent decades, opioid overdoses have increased dramatically in the United States and peer countries. Given this, emergency medicine physicians have become adept in reversing and managing complications of acute overdose. However, many remain unfamiliar with initiating medication for opioid use disorder such as buprenorphine, a high- affinity partial opioid agonist. Emergency department-based buprenorphine initiation is supported by a significant body of literature demonstrating a marked reduction in mortality in addition to increased engagement in care. Buprenorphine initiation is also safe, given both the pharmacologic properties of buprenorphine that reduce the risk of diversion or recreational use, and previously published literature demonstrating low rates of respiratory depres- sion, sedation, and precipitated withdrawal. Further, barriers to emergency department-based initiation have been reduced in recent years, with publicly available dosing and up-titration schedules, numerous publications overview- ing best practices for managing precipitated withdrawal, and removal of USA policies previously restricting patient access and provider prescribing, with the removal of the X-waiver via the Medication Access and Training Expansion Act. Despite reductions in barriers, buprenorphine initiation in the emergency room remains underutilized. Poor uptake has been attributed to numerous individual and systemic barriers, including inadequate education, provider stigma, and insufficient access to outpatient follow-up care. The following practice innovation aims to summarize pre- viously published evidence-based best practices and provide an accessible, user-friendly initiation guide to increase emergency physician comfortability with buprenorphine initiation going forward. Keywords Social emergency medicine, Addiction medicine, Harm reduction, Buprenorphine, Opioid use disorder Creator An entity primarily responsible for making the resource Terence Hughes1 , Nicholas Nasser1* and Avir Mitra2 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00593-6 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 Social emergency medicine, Addiction medicine, Harm reduction, Buprenorphine, Opioid use disorder https://repository.horizon.ac.id/files/original/7d27d5eb56117eb273042f26f21d6d6b.pdf 0a821de3670a7f46afa4b7dcbb87877e 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 A case report on ultrasound‐guided pericardiocentesis with a right parasternal approach: a novel in‐plane lateral‐to‐medial technique Subject The topic of the resource Pericardiocentesis, Ultrasound-guided pericardiocentesis, High-frequency probe, In-plane technique, Lateral-to-medial approach, Right parasternal access, Point-of-care ultrasound Description An account of the resource Introduction Emergency pericardiocentesis is a life-saving procedure that is performed to aspirate fluid from the pericardial space in patients who have severe pericardial effusion that is causing hemodynamic compromise. The current gold standard for pericardial fluid aspiration is ultrasound-guided pericardiocentesis. Echocardiography with a low-frequency transducer has generally been used in pericardiocentesis, but this method lacks real-time visualization of the needle trajectory, leading to complications. Therefore, we describe a case involving an ultrasound- guided pericardiocentesis method using a novel in-plane technique with a lateral-to-medial approach via the right parasternal and a high-frequency probe. The method was performed for an infant with cardiac tamponade. Case presentation We present a case of a 14-month-old male infant who was brought to the emergency room with a history of cough, shortness of breath, and fever following recurrent chest infections. Despite prior treatments, his condition deteriorated, and signs of cardiac tamponade were evident upon examination. Cardiopulmonary point- of-care ultrasound confirmed the presence of a large pericardial effusion with tamponade. Emergency pericardio‐ centesis was performed using the novel in-plane technique, resulting in successful fluid aspiration and stabilization of the patient’s condition. Technique description The proposed technique involves positioning a high-frequency ultrasound probe over the right parasternal area to obtain real-time visualization of the needle trajectory and surrounding structures, including the sternum, right internal thoracic vessels, pleural sliding end point, pericardial effusion, and myocardium. The needle is inserted laterally to medially at a 45-degree angle, ensuring safe passage between the pleural sliding endpoint and the right internal thoracic vessels while reaching the pericardial effusion. Conclusion The presented technique provides real-time visualization of the needle and surrounding struc‐ tures, which may potentially help to avoid complications and improve accuracy. The proposed technique may potentially enable access for emergency pericardiocentesis and for loculated pericardial effusion that has formed around the right atrium. Nevertheless, further studies with large patient populations are needed. Keywords Pericardiocentesis, Ultrasound-guided pericardiocentesis, High-frequency probe, In-plane technique, Lateral-to-medial approach, Right parasternal access, Point-of-care ultrasound Creator An entity primarily responsible for making the resource Najem Abdullah Mohammed1,2,3*, Tanweer A. Al‐zubairi1,2 and Moad H. Al‐soumai1,2 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00592-7 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 Pericardiocentesis, Ultrasound-guided pericardiocentesis https://repository.horizon.ac.id/files/original/729e33b0d5e8aabc4a94aad57ec91402.pdf 9a439b00149ecf18dd5859b4f511a108 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 first reported mortality from aluminum phosphide poisoning in Lebanon: a case report Subject The topic of the resource Aluminum phosphide, Insecticide, Intentional poisoning, Mortality, Emergency department Description An account of the resource Background Aluminum phosphide is a commonly used pesticide, particularly in developing countries where uncon- trolled insecticides and pesticides are commonly prevalent. Mortalities have been reported due to accidental and suicidal exposures to aluminum phosphide. To date, there has been no reported mortality case of aluminum phosphide in Lebanon. In addition, there is no specific antidote for aluminum phosphide toxicity and the treatment is mainly supportive. This is why awareness should be spread about this case to include it in the differential diagnoses and enhance prompt management and response in future encounters. Case presentation A previously healthy 37-year-old male, presented to the emergency department of Notre Dame des Secours University Hospital Center for a suicidal attempt after ingesting 5 tablets of pesticide containing 56% aluminum phosphide an hour prior to presentation. Shortly after the presentation, the patient began dete- riorating and became clinically unstable. The patient was then intubated and was started on sodium bicarbonate along with aggressive fluid resuscitation. The patient remained hypotensive even after giving vasopressors. He was then later admitted to the intensive care unit for further management. However, the patient further decom- pensated and developed multiorgan failure. This is the first case of mortality in Lebanon from aluminum phosphide toxicity. Conclusions Emergency physicians should include aluminum phosphide toxicity in the differential diagnosis when dealing with patients ingesting unknown pesticides especially when they smell the characteristic garlic-like odor. The toxicity from ALP leads to multiorgan failure and death rapidly. Thus, it is of utmost importance to start early, and aggressive resuscitation given that there is no specific antidote. Keywords Aluminum phosphide, Insecticide, Intentional poisoning, Mortality, Emergency department Creator An entity primarily responsible for making the resource Pierre Edde1 , Anthony El Kortbawi1 , Zeina Halabi2 , Nancy Sakr1 , Alondra Barakat2 and Tharwat El Zahran2* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00591-8 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 Aluminum phosphide, Insecticide, Intentional poisoning, Mortality, Emergency department