3 10 198 https://repository.horizon.ac.id/files/original/591a5800a48a358ef8b06f859b161455.pdf 051c36d8f65163e4a2b7233bcec69a88 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 Factors associated with severity and length of hospital stay in patients with acute upper gastrointestinal bleeding: insights from two Ethiopian hospitals Subject The topic of the resource Upper gastrointestinal bleeding, Disease severity, Length of hospital stay, Hematemesis, Esophageal varices, Duodenal ulcers Description An account of the resource Abstract Background Upper gastrointestinal bleeding (UGIB) is a critical emergency with substantial morbidity and mortality. Outcomes depend on bleeding severity, patient risk factors, and comorbidities. This study evaluated clinical patterns and factors influencing disease severity and hospital stay among patients present with UGIB symptoms at two major Ethiopian hospitals. Methods A retrospective, cross-sectional review was conducted on 199 UGIB patients admitted to Yekatit 12 Hospital Medical College (Y12HMC) and Tikur Anbesa Specialized Hospital (TASH) from September 2022 to September 2023. Data on demographics, clinical presentations, endoscopic findings, and outcomes were analyzed using SPSS version 26. Binary logistic regression assessed associations, with statistical significance set at P<0.05. Results Of 199 patients, 70.9% were male, predominantly aged 18–40. Hematemesis (63.8%) and hematemesis with melena (27.6%) were common presentations. Endoscopy was not performed on more than half of the participants, with 116 patients (58.3%) not undergoing this procedure. Among the 83 cases who did have endoscopy, esophageal varices emerged as the most common condition, observed in 43.3% (36 cases. Smoking (AOR=1.77), alcohol intake (AOR=1.89), and drug use (AOR=1.34) were linked to higher severity scores. Alcohol use, comorbidities, liver disease, and previous drug use correlated with prolonged hospital stays. Conclusion UGIB predominantly affects younger males, with hematemesis as the primary presentation. Key factors like smoking, alcohol intake, and drug use were associated with greater disease severity and longer hospital stays. These findings suggest the importance of lifestyle interventions, particularly in resource-limited settings. Keywords Upper gastrointestinal bleeding, Disease severity, Length of hospital stay, Hematemesis, Esophageal varices, Duodenal ulcers Creator An entity primarily responsible for making the resource Missgana Worku Belete1 , Molla Asnake Kebede2*, Meaza Rorisa Bedane3 , Trhas Tadesse Berhe4 , Alemayehu Beharu Tekle5 , Erkihun Pawlos Shash1 , Misikr Alemu Eshetu1 , Girma Daniel Bushiso2 and Biruk Yacob Loge6 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00768-1 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 https://repository.horizon.ac.id/files/original/d54ee076ee2855b5ce6993b0d91aa126.pdf 66bae796726d1c7ba56a0c6af832e115 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 relationship between self-confidence and attitude of emergency medical technicians towards family presence during resuscitation Subject The topic of the resource Cardiopulmonary resuscitation, Emergency Medical technicians, Family presence during resuscitation, Prehospital Emergency Care, Self-confidence Description An account of the resource Abstract Background Family presence during resuscitation is a controversial issue worldwide. The aim of this study was to investigate the self-confidence and attitudes of Emergency Medical Technicians (EMTs) towards family presence during resuscitation (FPDR). Methods In this cross-sectional study, a random sample of 252 EMTs were selected from 110 prehospital emergency centers. Two main questionnaires were used to collect data on the EMTs’ self-confidence and attitudes towards FPDR. Results The results showed that the EMTs’ attitudes towards FPDR were lower than the mean (43.69±19.40). In addition, more than 85% of them stated that the resuscitation process was stressful for the patient’s companions. There was a positive correlation between EMTs’ self-confidence and attitudes towards FPDR (r=0.52, p<0.01). The results showed that the smaller number of family members present during resuscitation was associated with higher EMTs’ self-confidence and more positive attitudes towards FPDR. Moreover, personnel with more experience, liability insurance, and advanced resuscitation training were significantly more self-confident than other personnel. Conclusion A large number of the EMS personnel have a negative attitude towards FPDR, but EMTs, with higher self-confidence, have a more positive attitude. Therefore, it is possible to improve the EMTs attitudes towards FPDR and increase their self-confidence by training them to perform resuscitation in the presence of the family and by preventing people from gathering at resuscitation scenes. Keywords Cardiopulmonary resuscitation, Emergency Medical technicians, Family presence during resuscitation, Prehospital Emergency Care, Self-confidence Creator An entity primarily responsible for making the resource Jaber Najafi1 , Neda Gilani2,3, Hadi Hassankhani1 , Mansour Ghafourifard5 , Abbas Dadashzadeh1,4* and Mahnaz Zali1 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00766-3 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 Cardiopulmonary resuscitation, Emergency Medical technicians https://repository.horizon.ac.id/files/original/4c0bba49d4b7168b57c2719e85767bad.pdf b171584dc93704797f19bde56f2cc3e7 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 Consideration of advance directives by emergency physicians in patients with cardiac arrest: a clinical vignettes-based qualitative study Subject The topic of the resource Keywords Cardiac arrest, Emergency medical services, Advance directive, Do-not-attempt-cardiopulmonary- resuscitation orders, Ethics, Decision-making Description An account of the resource Abstract Background Emergency medical services (EMS) must incorporate the patient’s physiologic state and end-of-life wishes when determining whether to initiate and/or continue cardiopulmonary resuscitation (CPR). This study aims to describe and analyze the use of advance directives (ADs) in CPR by emergency physicians (EPs). Methods A qualitative approach using semi-directed interviews was conducted. EPs were confronted with three fictitious clinical situations where they would have to take under their care a young patient with no previous history or treatment, presenting with a cardiac arrest and a do not attempt CPR (DNACPR) order. Results Twenty EPs, 10 men and 10 women (mean age 39.7±SD 11,21), were included either for individual interviews or a focus group. Without the AD, EPs all declared that they would have started CPR. With the AD, 6 physicians accepted ADs and did nothing, 5 physicians performed a time-limited trial to allow time for collegial discussion, and 9 physicians rejected ADs alone and resuscitated. Inductive analysis of the verbatims identified 4 themes (reflection, assessment of the medical situation, determining the validity of ADs, cognitive dissonance) and the opposability of ADs to medical decisions was the point of divergence within the focus group. Conclusion This difference seems to be explained by different thought processes, notably concerning two steps: determining the validity of ADs, and the cognitive dissonance induced by the situation. EPs seem to respect ADs in cardiac arrest when determining the validity of ADs can be quick and the physician understands why the AD was written. Keywords Cardiac arrest, Emergency medical services, Advance directive, Do-not-attempt-cardiopulmonary- resuscitation orders, Ethics, Decision-making Creator An entity primarily responsible for making the resource Pierre-Élie Ménégaux1,6*, Aline Chassagne2 , Abdo Khoury1,3,4 and Tania Marx1,4,5 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00763-6 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 Cardiac arrest, Emergency medical services, Advance directive, https://repository.horizon.ac.id/files/original/97faa8986494fc3c93a0637a3b06abdd.pdf b8cf04bc69aa8a9cb6e418e94952d72e 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 Volume assessment comparing femoral vein and inferior vena cava among chest pain patients presenting to the emergency department Subject The topic of the resource POCUS (point of Care Ultrasound), Femoral vein Collapsibility Index, Volume assessment, Inferior Vena Cava, Volume responsiveness, Emergency Department. Description An account of the resource Abstract Background Inferior vena cava (IVC) diameter measurement using ultrasound for volume status assessment has shown satisfactory results and is being adopted in Emergency and critical care settings. IVC diameter can vary depending on the cardiac function, respiratory efforts, intraabdominal pressure, and mechanical ventilation. Due to these factors, IVC measurement cannot be considered a stand-alone technique appropriate for every patient. The femoral vein (FV), a more superficial vein than IVC, can be considered an alternative method for assessing fluid responsiveness in patients presenting to the Emergency department. It is easily accessible and can be used in scenarios where IVC cannot be visualized or reliable. Methods This was a single-center diagnostic study where 85 patients who presented to the ED with chest pain were enrolled prospectively. IVC and femoral vein collapsibility indices, stroke volume, and cardiac output are measured using an ultrasound machine. The measurements were repeated after a passive leg-raising test. These values were compared with each other to assess an intra-class correlation between IVC and femoral vein collapsibility indices. We have also evaluated the relationship between the collapsibility indices of both veins and cardiac output. Discussion & limitations Our findings show an insufficient correlation between IVC and FV collapsibility indices. However, both vein diameters significantly increased after passive leg raising (PLR), indicating a response to fluid challenge. Post-PLR reduced IVC, and FV collapsibility index (CI) suggests intravascular volume expansion after a fluid challenge, also reflected in the hemodynamic parameters. Our study was conducted only in a subset of relatively stable patients. The applicability of the study in different subsets of patients presenting to ED is still questionable. Conclusion We conclude that femoral vein indices may not be an accurate alternative for volume assessment in the chosen cohort of patients. IVC and FV metrics do not correlate and may not be accurate for volume responsiveness. We may need to explore the utility of FV and its indices in a larger population in multiple settings for a better understanding of its role in volume assessment and responsiveness. Trial registration (EC/NEW/INST/2021/1707). Registered 03 January 2023. Creator An entity primarily responsible for making the resource Neeraja A Nair1 , Freston Marc Sirur1 and Vimal Krishnan S1* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00762-7 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 POCUS (point of Care Ultrasound), Femoral vein Collapsibility Index, https://repository.horizon.ac.id/files/original/dfa9b970370778d8971f6d2db4ac4e67.pdf c047b704385a42cb8f79a69a5d37dd91 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 Unveiling three accessory spleens in one patient: a rare case report and literature review Subject The topic of the resource Accessory spleen, Case report, Misdiagnosis, Splenosis, Pheochromocytoma, Adrenal tumour Description An account of the resource Abstract Background During embryogenesis, the spleen undergoes intricate developmental processes, originating from mesenchymal cells in the dorsal mesentery. An accessory spleen, a common anomaly found in autopsies and abdominal CT scans, can often be mistaken for different types of tumors. To the best of our knowledge, this is the first case in Syria documenting the occurrence of 3 accessory spleens in a patient who had previously under- gone splenectomy. Case presentation A 33-year-old male presented with right hypochondrium pain, sharp and radiating to the right flank, exacerbated by movement and large meals. Past medical history included mild Irritable Bowel Syndrome (IBS) and splenectomy due to a traumatic accident in childhood. On admission, vital signs were stable, with abdominal tenderness in the right upper quadrant. Laboratory investigations showed normal values. Ultrasound revealed a lobu- lated mass at the right adrenal gland (4.5×5 cm) with an isoechoic to hypoechoic texture. Multi-slice computed tomography (MSCT) Scan showed multiple nodules in the right adrenal gland, regular in shape, exerting a compres- sive mass effect, and significant lymphadenopathy around the abdominal aorta. Elevated metanephrine levels raised suspicion of an extra-adrenal pheochromocytoma. Laparoscopic surgery was performed, revealing accessory spleens and normal adrenal tissue with no malignancy. Conclusion Healthcare providers should consider accessory spleens as a differential diagnosis for masses near the adrenal glands. Multiple accessory spleens in the adrenal region can complicate cases. Accessory spleens in uncommon locations like the adrenal glands can be challenging to diagnose and manage. Keywords Accessory spleen, Case report, Misdiagnosis, Splenosis, Pheochromocytoma, Adrenal tumour Creator An entity primarily responsible for making the resource Hamdah Hanifa1 , Hussein Alhussein2* , Lissa Mahmandar2 , Sara Kadi2 , Mahfoud Najjar3 and Ahmad Alhaj4 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00758-3 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 Accessory spleen, Case report, Misdiagnosis, Splenosis, Pheochromocytoma, Adrenal tumour https://repository.horizon.ac.id/files/original/695fa1a328977a5067be2763c0d18ff3.pdf c0e18d9a7d5014ade1e771a6e1903ea2 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 need for implementing a standardized, evidence-based emergency department discharge plan for optimizing adult asthma patient outcomes in the UAE, expert meeting report Subject The topic of the resource Asthma is a common chronic respiratory inflammatory disease Description An account of the resource Abstract Background Asthma is a common chronic respiratory inflammatory disease that adversely affects patients’ quality of life (QoL) and overall well-being. When asthma is not adequately controlled, there is a higher risk of exacerbations and hospitalizations, thereby increasing the direct and indirect costs associated with the treatment and productivity loss. Overreliance on SABA and underutilization of ICS in the management of asthma can result in suboptimal treatment and poor asthma control. Patients who visit the emergency department are more likely to have poorly controlled asthma. Ensuring that these patients are provided with an evidence-based treatment plan during discharge can help reduce the risk of future exacerbations and consequently reduce the burden on the UAE healthcare system. Methods A joint task force comprising experts from the Emirates Society of Emergency Medicine (ESEM) and Emirates Thoracic Society (ETS) reviewed published evidence and updated guidelines in asthma management to optimize the post-discharge recommendations. Results The ESEM-ETS experts’ joint task force has developed a step-by-step plan for emergency department/ hospital discharge, which is based on the GINA 2023 guideline recommendations and the medications available in the UAE. By adhering to this structured plan, emergency department physicians can play a crucial role in improving asthma care, long-term patient outcomes, and the utilization of healthcare resources. Conclusions Prioritizing patient education and ensuring patients are equipped with the best-suited asthma treatment plans prior to discharge can help ED physicians improve patient outcomes and reduce healthcare resource utilization in UAE hospitals. Creator An entity primarily responsible for making the resource Rasha Buhumaid1*, Ashraf Alzaabi2 , Bassam Mahboub3 , Mohamed Nizam Iqbal3 , Hamad Alhay Alhameli4 , Mohamed Ghazi Al-Mafrachi5 , Kenneth Charles Dittrich6 and Thiagarajan Jaiganesh7 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00757-4 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 Asthma is a common chronic respiratory inflammatory disease https://repository.horizon.ac.id/files/original/3a128db88bd90d3ca08ca8974270e1e9.pdf 47a93c464d730b1aaeecc3a1a05a527a 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 Facial high-pressure injection injury with air in a child Subject The topic of the resource High-pressure injection, Facial trauma, Orbital injection injury, Air injection, Conservative treatment, Antibiotic treatment Description An account of the resource Abstract Background High-pressure injection injuries are rare injuries and are frequently underestimated due to the limited external damage. Because of their association with occupational activities, these injuries are predominantly seen in hands. Facial involvement in such traumas is extremely rare. The difference in facial anatomy compared to the extremities demands careful consideration of both associated complications and treatment options. Case A 6-year-old girl with no significant medical history was presented to the Emergency Department with a high- pressure injection injury to her right eye with a high-pressure cleaner. This resulted in injection of air at a pressure of 8 bar into the eye. She developed significant subcutaneous emphysema in the facial and neck regions. Additionally, intraorbital and intracranial emphysema were identified without any fractures. Treatment consisted of inpatient observation and antibiotic treatment. The patient was discharged after one day of observation for continued antibiotic treatment at home. Two weeks later, the patient had no residual symptoms and there were no signs of secondary infection. Conclusion High-pressure injection injuries to the face are rare and demand a different approach compared to the most common high-pressure injection injuries to the extremities. The nature of the injected material is paramount in choosing the appropriate treatment. This case illustrates that a high-pressure injection injury with air in the facial region, leading to extensive emphysema, can be managed conservatively with antibiotic therapy and inpatient observation. Keywords High-pressure injection, Facial trauma, Orbital injection injury, Air injection, Conservative treatment, Antibiotic treatment Creator An entity primarily responsible for making the resource S. A. Simonis1* and D. H. de Lange2 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00756-5 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 High-pressure injection, Facial trauma, Orbital injection injury https://repository.horizon.ac.id/files/original/53004e4efd9f27fb04a6591f5e14dbe3.pdf 77a4bd39133501df0e28026531853a28 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 Stroke in the young: infective endocarditis due to mitral valve prolapse leading to acute ischemic stroke and subsequent hemorrhagic transformation Subject The topic of the resource Mitral valve prolapse, Infective endocarditis, Acute ischemic stroke Description An account of the resource Abstract Background Stroke in young needs an individualized approach before considering thrombolysis. Here we present a case of undiagnosed mitral valve prolapse presenting with stroke due to associated infective endocarditis. Young stroke patients presenting with fever need a panoramic approach. Case summary This 39-year-old female with a background history of fever and loss of weight for two months presented to the emergency department with a history of altered sensorium and aphasia. The Magnetic Resonance Imaging (MRI) showed a hyperacute infarct. Hence, thrombolysis with alteplase was considered. Post thrombolysis, the patient had a parenchymal bleed. The diagnostic evaluation yielded stroke secondary to infective endocarditis because of undiagnosed mitral valve prolapse. Conclusion Mitral valve prolapse is not associated with stroke in young patients. However, the undiagnosed infec- tive endocarditis and subsequent septic emboli led to an increased risk. Emergency physicians and intensivists should anticipate infective causes before considering thrombolysis, as the results could be counterproductive. Keywords Mitral valve prolapse, Infective endocarditis, Acute ischemic stroke Creator An entity primarily responsible for making the resource Kajal Arora1 and Amarja Ashok Havaldar1* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00755-6 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 ENGLIST Type The nature or genre of the resource TEXT Mitral valve prolapse, Infective endocarditis, Acute ischemic stroke https://repository.horizon.ac.id/files/original/191b387b4bc24d87f31c4ba8d844bfb3.pdf c57bf9fc1b4a7fe625123e7827356981 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 Peri-injury symptomatology as predictors of brain computed tomography (CT) scan abnormalities in mild traumatic brain injury (mTBI) Subject The topic of the resource Mild TBI, Brain CT, Clinical decision rules Description An account of the resource Abstract Objective This study aimed to identify predictors of brain CT abnormalities in patients who sustained a mild traumatic brain injury (mTBI). Methods Retrospective observational cohort of adult patients with mTBI (Glasgow Coma Score 13–15) that occurred within the preceding 24 h. Results 2548 (91%) of the cohort had a brain CT and 698 (27%) demonstrated abnormal findings. The most frequently observed CT abnormalities were bleeding (638, 25%) and fractures (190, 7.4%). Multivariate logistic regression analysis revealed several significant predictors associated with the presence of brain CT abnormalities including older age [P<0.0001], male sex [P<0.0001], loss of consciousness [P=0.0041], associated vomiting [P=0.0011], alteration of consciousness (AOC) [P=0102], and GCS score [P<0.0001]. This was a robust model with an R2 of 14.2%. Conclusion In this retrospective analysis, older age, male sex, the presence of loss of consciousness or alteration in consciousness, lower GCS score, and associated vomiting were found to be significant predictors of having an abnormal brain CT. These findings highlight the importance of considering these factors when determining the necessity of brain CT scans in patients with mTBI and suggest that existing clinical decision rules may be limited. These findings may also help to inform clinical decision rules. Early identification of individuals at a higher risk of CT abnormalities may assist in appropriate management and allocation of healthcare resources. Keywords Mild TBI, Brain CT, Clinical decision rules Creator An entity primarily responsible for making the resource Sihi Vasista1 , Josue Saint-Fleur2 , Neera Kapoor3 and Latha Ganti2,4* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00754-7 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 Mild TBI, Brain CT, Clinical decision rules https://repository.horizon.ac.id/files/original/653270018c666cb96d8215e0a5efc6d5.pdf 4c7a9e2f0d846a0d7557d96debbab679 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 Datura stramonium seed ingestion leading to unintentional poisoning in a 3-year-old Ethiopian toddler: case report Subject The topic of the resource Datura stramonium, Poisoning, Anticholinergic toxicity, Case report Description An account of the resource Abstract Introduction Datura stramonium poisoning, resulting from the ingestion of seeds, leaves, or flowers of Datura stramonium, is a severe condition with significant risks, particularly for young children. Most documented cases of Datura stramonium poisoning in the literature involve teenagers who intentionally ingest the plant to induce hallucinogenic and euphoric experiences. This report presents a rare instance of unintentional Datura stramonium poisoning in a 3year-old Ethiopian toddler. Case presentation He presented with symptoms consistent with anticholinergic toxidrome, including altered mental status, agitation, seizures, dilated pupils, and tachycardia. Laboratory tests, including complete blood count, liver function test, renal function test, electrolyte levels and cerebrospinal fluid analysis were normal. Results of blood toxicology screen were negative. Timely recognition and supportive care lead to a positive outcome. Conclusion Through this report, we aim to add to the limited body of literature on Datura stramonium poisoning in toddlers and offer insights into its clinical course and management in paediatric patients. Keywords Datura stramonium, Poisoning, Anticholinergic toxicity, Case report Creator An entity primarily responsible for making the resource Desalegn Mechal Shifa1*, Aynalem Yemane Leyew1 and Meron Tebeka Jufar1 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00753-8 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 Datura stramonium, Poisoning, Anticholinergic toxicity, Case report