4 10 198 https://repository.horizon.ac.id/files/original/fb5b16fab62f3ff7477dec33d6efd466.pdf 4a974682473630e6946668908831ed1d 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 Prognostic significance of inferior vena cava volume defined by initial polytrauma CT- imaging: single-center experience of a level-1 trauma center Subject The topic of the resource Polytrauma, Mechanical ventilation, Transfusion, Mortality, Inferior vena cava volume, Computed tomography Description An account of the resource Abstract Background The significance of computed tomography (CT)-based volume measurement of the inferior vena cava (IVC) in the treatment and prognosis of trauma patients is not yet fully understood. The conflicting results that have been reported may be attributable to differences in injury severity and the use of different measurement methods, including IVC index and volumetry. The purpose of this study was to determine the relationship between IVC volume and red blood cell (RBC) transfusion and mortality in intubated trauma patients who were stable enough for initial CT imaging. Methods A retrospective analysis was conducted on all consecutive trauma patients who underwent emergency tracheal intubation and mechanical ventilation before initial whole-body CT imaging at a level-1 trauma center over a 12-year period (2008–2019). The IVC volume was determined on initial trauma CT and included in multivari‐ able models with demographic and diagnostic data. Associations of overall RBC transfusion, massive transfusion, 24-h mortality, and 30-day mortality were assessed using logistic regression analyses and Cox proportional hazard models. Results A total of 438 patients (75.3% male) with a median age of 50 years, and a median injury severity score (ISS) of 26 points were included in the analysis. Most of the patients (97.5%) had suffered from blunt trauma mechanisms. Median IVC volume was 36.25 cm3 , and RBC transfusion and massive transfusion were performed in 197 and 90 patients, respectively. The 24-h and 30-day mortality rates were 7.3% and 23.3%, respectively. VCI volume was found to be independently associated with the necessity of RBC transfusion and 24-h mortality (OR 0.98, 95% CI 0.96–0.99, p=0.01 and HR 0.96, 95% CI 0.93–0.99, p=0.025, respectively), while associations with massive transfusion and 30-day mortality were not statistically significant in multivariable analyses. Conclusion Initial IVC volume may serve as a predictor of patients at risk for overall RBC transfusion requirements and 24-h mortality, suggesting the possibility of its diagnostic efficacy in short-term outcomes. Further studies are needed to confirm these findings. Creator An entity primarily responsible for making the resource Hans‐Jonas Meyer1†, Veronika Sotikova1†, Michael Hetz2 , Georg Osterhoff2 , Christian Kleber2 , Timm Denecke1 , Robert Werdehausen3,4, Gunther Hempel3 and Manuel F. Struck3* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00752-9 Date A point or period of time associated with an event in the lifecycle of the resource 2024 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource ENGLISH Type The nature or genre of the resource TEXT Polytrauma, Mechanical ventilation, Transfusion, Mortality, Inferior vena cava volume, Computed tomography https://repository.horizon.ac.id/files/original/a2acf6a4c37cac19cf90c475d74e8296.pdf 38a747c07eec52cec2e07e8f3ab8dba2 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 Generalized tetanus complicated with Takotsubo-cardiomyopathy in a septuagenarian following a laceration injury with soil contamination – a case report Subject The topic of the resource Tetanus, Elderly, Vaccination, Post exposure prophylaxis, Cardiac complications, Takotsubo- cardiomyopathy Description An account of the resource Abstract Background Tetanus is a clinical rarity due to the successful globally adopted childhood vaccination programme. The rising elderly population in the United Kingdom creates a subset of individuals whom are prone to develop Tetanus as they preceded this vaccination drive. Case summary A 76 year old Caucasian lady presented with a soil contaminated laceration injury on her knee following a fall. Though she received urgent assessment and wound care, the relevance of the injury in the backdrop of her age was not appreciated and her tetanus post exposure prophylaxis was overlooked. She readmitted seeking further management 1 week later with an infected wound with Trismus and clinical features favoring Generalized tetanus. During her stay she developed Takotsubo-cardiomyopathy with congestive cardiac failure and required prolonged care in the intensive unit with mechanical ventilation and rehabilitation before being discharged home. Conclusion First contact physicians should have a greater appreciation of the types of injuries and at-risk individuals who are more prone to develop tetanus upon exposure to ensure early and appropriate identification. There should be greater situational awareness with regard to the elderly in view of their heightened risk of development of tetanus specially those born before the vaccination drive. Knowledge regarding post exposure prophylaxis measures for tetanus should be regularly updated using local guidance to ensure awareness, so as to despite its rarity Tetanus remains an adequately appreciated disease. Keywords Tetanus, Elderly, Vaccination, Post exposure prophylaxis, Cardiac complications, Takotsubo- cardiomyopathy Creator An entity primarily responsible for making the resource Sareesh Bandapaati1*, Rayno Navinan Mitrakrishnan2 , Mazharul Islam3 and Usman Memon4 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00751-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 Tetanus, Elderly, Vaccination, Post exposure prophylaxis, Cardiac complications, Takotsubo- cardiomyopathy https://repository.horizon.ac.id/files/original/65fd74adf5c8cdf00db860173d5579a6.pdf 7a714520a15f34fec5bb319b7c144660 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 and therapeutic challenges in rapidly progressing cardiac amyloidosis a literature review based on case report Subject The topic of the resource Cardiovascular imaging, Cardiac magnetic resonance imaging, Amyloidosis, Restrictive cardiomyopathy, Heart failure Description An account of the resource Abstract Introduction Cardiac amyloidosis is a rarely reported and potentially fatal variant of the systemic disease. Its early diagnosis could potentially lead to significantly improved clinical outcomes. Case presentation A 56-year-old female presented with dyspnea and palpitations. Her physical exam and non- invasive evaluation with cardiac magnetic resonance imaging (CMRI) revealed restrictive cardiomyopathy, and the bone marrow biopsy results showed systemic amyloidosis. Discussion The diagnosis of cardiac amyloidosis is not always straightforward, and delay can cause the progression of the disease and an increased risk of morbidity and mortality. Electrocardiograms, echocardiograms, cardiac magnetic resonance imaging, and histopathologic evaluation are the main methods for diagnosing cardiac amyloidosis. The treatment consists of controlling heart failure symptoms and disease-modifying interventions, including medical and surgical therapeutic methods. Clinical learning point (conclusion) Cardiac involvement is the main cause of death in systemic amyloidosis. Early suspicion, diagnosis, and treatment are crucial in improving patients’ survival. CMRI can play an essential role in the diagnosis of cardiac Amyloidosis. A graphical abstract is provided for visual summary. Creator An entity primarily responsible for making the resource Nahid Senobari1 , Roozbeh Nazari1 , Pouya Ebrahimi2*, Hamidreza Soleimani2 , Maryam Taheri2*, Kaveh Hosseini2 , Homa Taheri3 and Robert J. Siegel3 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00750-x Date A point or period of time associated with an event in the lifecycle of the resource 2024 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource ENGLISH Type The nature or genre of the resource TEXT Cardiovascular imaging, Cardiac magnetic resonance imaging, Amyloidosis, Restrictive cardiomyopathy, Heart failure https://repository.horizon.ac.id/files/original/f58d40ec8bbcf3b09146b73e179be2c2.pdf a1cbfbcc46acb11f665c807a0ebadc88 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 Validating the GO-FAR score: predicting in- hospital cardiac arrest outcomes in the Middle East Subject The topic of the resource External validations of the Good Outcome Following Attempted Resuscitation (GO-FAR) Description An account of the resource Abstract Introduction and aim External validations of the Good Outcome Following Attempted Resuscitation (GO-FAR) score have been in populations where Do Not Attempt Resuscitation (DNAR) is practised. We aim to externally validate the GO-FAR score in a population without a DNAR order. Methods We studied patients≥18 years old who had an In-hospital cardiac arrest (IHCA) with known outcomes at Al Ain Hospital from January 2017 to December 2019, excluding those who died in the emergency department. Studied variables included demography, location, response time, code duration, initial rhythm, primary diagnosis, admission vital signs, GO FAR score variables, discharge status, and functional outcomes as determined by the cerebral performance category score ranging from 1 (good cerebral performance) to 5 (brain death). Results 366 patients were studied; 66.7% were males. The median (IQR) age was 70 (55–81) years. Cardiac and respiratory causes were the primary diagnoses in 89 (24.6%) and 67 (18.5%), respectively. IHCA occurred in critical areas such as the intensive care unit, high dependency unit and coronary care unit in 206 (80.8%) patients. The majority, 308 (91.8%), had a non-shockable rhythm, and a return of spontaneous circulation was achieved in 159 (43.4%) of the patients. Thirty-one (8.5%) patients survived to hospital discharge, and 20 (5.5%) patients had cerebral performance category scores of 1 and 2. The area under the curve of the ROC for survival to discharge with good functional outcome was 0.74 (95% CI 0.59–0.88). The best cut-off point for predicting survival with a good neurological outcome was a GO-FAR score of <4, having a sensitivity of 0.81, a specificity of 0.7, a positive likelihood ratio of 2.7 and a negative likelihood ratio of 0.27. Conclusions A GO-FAR score of less than 4 predicts survival with a good neurological outcome in a healthcare system with an all-inclusive patient population with no DNAR practice. Creator An entity primarily responsible for making the resource David O. Alao1,2*, Yaman Hukan2 , Nada Mohammed2 , Kinza Moin2 , Resshme K. Sudha2 , Arif Alper Cevik1,2 and Fikri M. Abu-Zidan3 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00749-4 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 External validations of the Good Outcome Following Attempted Resuscitation (GO-FAR) https://repository.horizon.ac.id/files/original/8a734c49923d0f65cf70749f13e21f49.pdf cdb0df76edc196b096a38875e08de6dc 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 Convergence insufficiency as a predictor of poor prognosis after acute mild traumatic brain injury Subject The topic of the resource Convergence insufficiency, Traumatic brain injury, Head injury, Post-concussive syndrome, Extracranial manifestations of TBI Description An account of the resource Abstract Background Mild traumatic brain injury (mTBI) is becoming a more common emergency department (ED) presen- tation. Towards this end, many types of testing in the acute setting are being investigated. One of these is screening for convergence insufficiency (CI) symptoms. These are common problems reported by patients with mTBI, but such oculomotor testing is rarely performed in the ED. Objective To assess the feasibility of convergence insufficiency screening in the ED and investigate whether CI is associated with adverse events such as post-concussive symptoms or hospital admission. Methods Written informed consent was obtained from patients age 18 years or older who experienced a mild head injury from any mechanism resulting in an mTBI. Patients underwent screening for CI symptoms using a standardized instrument of 15 questions, known as the convergence insufficiency symptom survey (CISS), with responses based on the Likert scale. These data were correlated to outcomes of hospital admission, occurrence of post-concussive symptoms, and 30-day hospital re-admission. Results A total of 116 patients were prospectively enrolled, of which 58 were male. The median age was 31 years, with a range of 18 to 95 years of age. The median CISS score was 13, with an interquartile range (IQR) of 6 to 21 and an overall range of 0 to 53. Females presented with a median CISS score of 14, which was higher compared to the male median score of 10. The higher the CISS score, the more likely the patient was to be admitted to the hos- pital (p = 0.0378), develop symptoms of post-concussive syndrome at 30-day follow up (p = 0.0322), and be readmit- ted within 30 days (p = 0.0098). Conclusions Screening for CI symptoms using the CISS can be a solid adjunct in the evaluation of mTBI in the ED. The CISS is easy and fast to administer, and it is a useful tool to stratify patients in terms of who is at the highest risk of developing complications related to the mTBI. Keywords Convergence insufficiency, Traumatic brain injury, Head injury, Post-concussive syndrome, Extracranial manifestations of TBI Creator An entity primarily responsible for making the resource Kavya Devani1 , Neera Kapoor2 and Latha Ganti3,4* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00747-6 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 Convergence insufficiency, Traumatic brain injury, Head injury, Post-concussive syndrome, Extracranial manifestations of TBI https://repository.horizon.ac.id/files/original/afb88822a4276613d5a2460b43b30ec8.pdf 9f95a58f0cc94378e36051abaae55a6c 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 Rhythm conversion in out-of-hospital cardiac arrest and influence on the return of spontaneous circulation at the hospital arrival: a 10-year retrospective study in Croatia Subject The topic of the resource Out-of-hospital cardiac arrest, Return of spontaneous circulation, Rhythm conversion Description An account of the resource Abstract Background While initial non-shockable (NS) rhythms are often associated with poor prognosis, the conversion to shockable rhythms during cardiopulmonary resuscitation (CPR) can significantly influence survival rates. This retrospective cohort study investigated the impact of rhythm conversion on the return of spontaneous circulation (ROSC) in out-of-hospital cardiac arrest (OHCA) patients. Methods The study analyzed data recorded from January 2012 to August 2022 obtained from the Utstein Templates from The Institute of Emergency Medicine of the City of Zagreb. Statistical analysis, including logistic regression, was performed to assess the likelihood of achieving maintained ROSC. Results Study included 2791 cases of OHCA with emergency medical service attempts at resuscitation. A total of 74.92% of patients had an initial NS rhythm with a total conversion rate of 18.27%. Factors significantly associated with rhythm conversion were younger age, male sex (74.13%), public place (32.35%) of and witnessed collapse (75.98%), higher adrenaline dose, use of a mechanical compression machine (41.68%), and shorter response interval. There was no significant difference in the occurrence of conversion between the cases with initial asystole and pulseless electrical activity (PEA). However, cases with converted asystole (33.48%) compared to the ones with converted PEA (20.65%) had significantly greater ROSC maintenance (p=0.006), as well as when compared to cases with sustained PEA (20.93%, p<0.001). Logistic regression revealed that women with rhythm conversion, lower adrenaline doses, and provided bystander CPR were significantly more likely to achieve ROSC at hospital admission (P<0.001). Conclusions This comprehensive study sheds light on the importance of rhythm conversion in patients with OHCA, with greater ROSC achievement, especially in patients with initial asystole, than in patients with initial PEA. Keywords Out-of-hospital cardiac arrest, Return of spontaneous circulation, Rhythm conversion Creator An entity primarily responsible for making the resource Josip Lovaković1 , Porin Šantek2 , Luka Matej Mahečić3 , Ivana Rožić2 , Jana Marić4 , Đivo Čučević5 , Lorka Tarnovski6*, Dejana Martinić2 , Fran Rašić7 and Žarko Rašić8 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00746-7 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 Out-of-hospital cardiac arrest, Return of spontaneous circulation, Rhythm conversion https://repository.horizon.ac.id/files/original/237ccd28bdf5b4bd637087a3c425787d.pdf 3459ffc9306a544c95e2524e38d77684 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 Prehospital management and outcomes of patients calling with chest pain as the main complaint Subject The topic of the resource Chest pain, Ischemic heart disease, Emergency medical services Description An account of the resource Abstract Background Chest pain is a frequent cause of health care contacts. We examined the prehospital management, in-hospital discharge diagnoses, and mortality of patients calling a non-emergency and emergency medical service with chest pain. Methods The Copenhagen Emergency Medical Services (EMS) consists of a non-emergency medical helpline (calls to 1813) and emergency medical service (1-1-2 calls). We included all calls to the Copenhagen EMS with a primary complaint of chest pain from 2014 to 2018 in Copenhagen, Denmark. The outcomes were: emergency response (ambulance dispatch, other transports/self-transport/home visits, self-care, and unknown/cancelled response), in-hospital diagnosis within 7 days after the call (cardiovascular, pulmonary, or other non-cardiovascular/pulmonary) and 30-day mortality. Results Among 4,834,071 calls, 91,671 were registered with chest pain at the Copenhagen EMS. The first call for each patient was kept for analysis (n=66,762). In total, 91.4% were referred to the hospital, 75.8% (n=50,627) received an ambulance and 15.6% (n=10,383) received other transport/self-transport/home visits. Overall, 26.9% (n=17,937) were diagnosed with a cardiovascular disease, 5.2% (n=3,490) a pulmonary disease, 52.8% (n=35.242) other non- cardiovascular/pulmonary disease, and 15.1% (n=10,093) received no diagnosis. Among ambulance-transported patients, the prevalence of cardiovascular discharge diagnoses was higher (32.1%) and fewer received no diagnosis (11.0%). Cardiovascular disease was less prevalent among patients not transported by ambulance and patients not referred to hospital at all (2-13.4%) and in patients≤40 years of age (<10%). The 30-day mortality was below 5% regardless of diagnosis (0.6-4%), and 65,704 (98.4%) were still alive 30 days later. Conclusion Nearly all patients calling with chest pain were referred for treatment. Among ambulance-transported patients, around half of the patients did not have a cardiovascular/pulmonary disease. While current practices appear reasonable, improved differentiation of chest pain patients in telephone consultations could potentially both improve the treatment and management of these patients and reduce the in-hospital burden of non-acute chest pain consultations. Creator An entity primarily responsible for making the resource Sughra Ahmed1*, Filip Gnesin1 , Helle Collatz Christensen3,9, Stig Nikolaj Blomberg3,9, Fredrik Folke2,3,4, Kristian Kragholm5 , Henrik Bøggild6 , Freddy Lippert2 , Christian Torp-Pedersen1,7 and Amalie Lykkemark Møller7,8 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00745-8 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 Chest pain, Ischemic heart disease, Emergency medical services https://repository.horizon.ac.id/files/original/4d07cd7b82dc49d8574dfbe1da797f95.pdf d0b533827ec729030d1c6aa192f96dbc 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 Minimally invasive approach to managing brachiocephalic trunk cannulation complicating central venous catheterization: a case report Subject The topic of the resource Central venous catheterization, Brachiocephalic trunk, Cannulation, Catheter replacement Description An account of the resource Abstract Background Central venous catheterization, crucial for device insertion, monitoring, medication, and fluid resuscitation, commonly uses the subclavian, internal jugular, and femoral veins. Despite its general safety, complications like arterial puncture can be life-threatening, requiring rapid diagnosis and treatment. Case presentation A 74-year-old woman in the recovery phase of cerebral infarction underwent right subclavian vein catheterization. The catheter was mistakenly placed in the brachiocephalic trunk, with its tip in the ascending aorta, as confirmed by computed tomography (CT) and digital subtraction angiography (DSA). With the high surgical risk and the complexity of endovascular treatment, catheter replacement was chosen. One month after the initial placement, the catheter was replaced with a smaller one, and another month later, it was retracted without complications. Follow-up CT and DSA revealed no leakage, with the patient’s vitals remaining stable. A three-month post-discharge phone follow-up confirmed the patient’s continued stability. Conclusion This case demonstrates the effective use of a catheter replacement technique as a minimally invasive repair method when other options are impractical. Ultrasound guidance is also recommended to improve the procedure’s accuracy and safety. Keywords Central venous catheterization, Brachiocephalic trunk, Cannulation, Catheter replacement Creator An entity primarily responsible for making the resource Haihui Deng1 , Bin Chen1 , Deti Peng2 and Fuwen Pang1* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00744-9 Date A point or period of time associated with an event in the lifecycle of the resource 2024 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource ENGLISH Type The nature or genre of the resource TEXT Central venous catheterization, Brachiocephalic trunk, Cannulation, Catheter replacement https://repository.horizon.ac.id/files/original/2b361c5684d95228f62eb6a702287817.pdf a8cd47f47bfec1092dd9cc97836ce65c 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 Risk factors of early death in heat stroke and the challenges of emergency care in Hungary - a case series study Subject The topic of the resource Emergency care, Heat stroke, Hyperthermia, Climate change, Cooling, Calcium metabolism disorders Description An account of the resource Abstract Background and aim The increasing frequency of heat waves is a major challenge for emergency care providers worldwide. The aim of this study was to analyze the clinical features, treatment options, and early outcomes of heat stroke patients presenting to a large academic emergency department (ED) in Hungary and to provide guidance in management for other emergency professionals. Methods Patients presenting to the ED between June 1, 2024, and July 31, 2024, with a body temperature above 40 °C were analyzed in a retrospective cohort study. Data collection included demographic, clinical and laboratory parameters. Predictors of mortality were analyzed with Mann-Whitney U test. Results Eight patients were included in our analysis. Three patients died in the ED (37.5%). Patients who died had significantly lower pH (7.07 vs. 7.4, p=0.036), higher potassium (7.3 vs. 3.2 mmol/L, p=0.036), higher calcium (1.19 vs. 0.97 mmol/L, p=0.036), higher lactate (10.9 vs. 3.5 mmol/L, p=0.036) and higher PaCO2 (57.2 vs. 28 mmHg, p=0.036) at admission compared to those who did not die. Conclusions The risk of heat stroke due to climate change-induced heat stress and the consequent thermoregulatory disruption may now be significant in temperate climate zones where it was not previously present. Standardization of differential diagnostic and therapeutic procedures could reduce mortality. pH, potassium, lactate and calcium levels may play an important role in predicting the outcome of heat stroke. Keywords Emergency care, Heat stroke, Hyperthermia, Climate change, Cooling, Calcium metabolism disorders Creator An entity primarily responsible for making the resource Kornél Ádám1*, Tamás Berényi1 , Dóra Melicher1 , Bánk G. Fenyves1 , Szabolcs Gaál1 and Csaba Varga1 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00743-w Date A point or period of time associated with an event in the lifecycle of the resource 2024 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource ENGLISH Type The nature or genre of the resource TEXT Emergency care, Heat stroke, Hyperthermia, Climate change, Cooling, Calcium metabolism disorders https://repository.horizon.ac.id/files/original/bf335d63e3ab6e6a362779cd8b107d94.pdf 9eb89593e684269d00c4b91bc0ccc70d 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 many is enough? Measuring the number of FAST exams needed by emergency medicine trainees to reach competence Subject The topic of the resource Focused assessment with sonography, FAST, Ultrasound, Education, Competency Description An account of the resource Abstract Background For patients with blunt abdominal trauma, the Focused Assessment with Sonography in Trauma (FAST) exam is the initial imaging modality employed to diagnose and risk stratify. A positive FAST exam in this patient population denotes intraperitoneal hemorrhage. In a hemodynamically unstable patient, it necessitates rapid surgical intervention. Ultrasound is highly dependent on the operator’s ability to obtain quality images for interpretation. Failure to obtain adequate images prevents accurate interpretation and reduce its diagnostic accuracy. Previous studies evaluating whether the FAST exam can be improved solely by experience had conflicting results. None of those studies used an objective method to evaluate the FAST exam’s quality. Our study aimed to objectively determine the number of FAST exams required by an emergency medicine (EM) resident to reach sufficient quality for independent scanning. Methods 59 first-year EM residents from a single site were included in this study. All FAST exams that were saved in the Qpath archival system by the 59 EM residents, whether the exam was performed for educational or clinical purposes, were reviewed, and scored using a Task-Specific Checklist (TSC) score. This score is an objective way to assess the proficiency and quality of the FAST scan. The TSC was based on whether the imaging of 24 specific anatomic landmarks, split into four anatomic regions, was completed successfully or not. The AEMUS (Advanced EM Ultrasonography) faculty provided feedback to trainees wither electronically via Qpath or at the bedside. According to the quality of ultrasound imaging and competence (QUICK Score), if the average TSC score for the first 10 exams was 18 or higher, the resident was considered an expert. However, if the resident failed to achieve that score, we skipped the first exam performed by the resident and the average score for the second through eleventh exams was then calculated. If the resident did not achieve the desired result, the first and second exams were skipped and the average score for the remaining 10 exams was determined. This sequence was repeated until the resident achieved an average score of 18 or higher on their TSC score. Results In total, 663 FAST scans performed by EM residents were scored. The average number of FAST exams needed for independent scanning is 11.23 (95% CI, 10.6-11.85). 66.1% of enrolled residents achieved an average score of 18 or higher in their first 10 FAST exams, and 33.8% of residents required more than 10 scans. The average scores for the Creator An entity primarily responsible for making the resource Ahmad Bakhribah1 , Jordan Leumas2 , Gregg Helland2 , Joshua Guttman2 , Yara Arfaj3 , Rawan Alharbi3 and Abdullah Bakhsh1* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00742-x Date A point or period of time associated with an event in the lifecycle of the resource 2024 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource ENGLISH Type The nature or genre of the resource TEXT Focused assessment with sonography, FAST, Ultrasound, Education, Competency