5 10 198 https://repository.horizon.ac.id/files/original/da2b858c801df97cb77decc30c22c862.pdf 1319d20203e5e38b1619d52fa72eeba4 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 Clinical challenges and management of late presenting congenital diaphragmatic hernia mimicking tension pneumothorax in a child: a case report and review of literatures Subject The topic of the resource Congenital diaphragmatic hernia, Tension pneumothorax, Case report, Surgical repair, Respiratory distress Description An account of the resource Abstract Background Congenital diaphragmatic hernia(CDH) is a rare congenital anomaly characterized by herniation of abdominal contents into thoracic cavity through a defect in diaphragm. While commonly diagnosed prenatally or in neonatal period, late-presenting CDH can occur and may mimic other thoracic emergencies such as tension pneumothorax, complicating diagnosis and management. Case presentation A two-year old male black child from Ethiopia presented to the emergency department with sudden onset of acute respiratory distress. Initial clinical assessment and chest radiography suggested a diagnosis of tension pneumothorax due to the presence of significant mediastinal shift and apparent pleural air. Despite insertion of chest tube, the child’s condition did not improve, raising suspicion of alternative diagnosis. Careful observation of initial chest x-ray and subsequent chest ultrasound revealed a left sided congenital diaphragmatic hernia with herniation of stomach and intestine into thoracic cavity compressing the left lung and causing mediastinal shift. After the diagnosis of CDH was confirmed, the child was stabilized and emergent surgical repair performed. Postoperative recovery was uneventful, and the child was discharged with no significant long-term complications. Conclusion This case underscores the importance of considering CDH in the differential diagnosis of acute respiratory distress in a child. It highlights the diagnostic challenges and potential risks of emergency interventions based on initial misdiagnosis. Even if x -ray looks like typical of tension pneumothorax, it showed giant cystic air filled structure pushing the mediastinal structure to contralateral side with loss of left diaphragmatic outline which raised suspicion of congenital cystic lung mass or congenital diaphragmatic hernia. Advanced imaging and high index of suspicion are crucial for accurate diagnosis and timely management, ultimately improving patient outcomes. Consideration of alternative diagnosis when our initial intervention with insertion of chest tube fail to provide symptom improvement in suspected pneumothorax should raise suspicion of congenital diaphragmatic hernia like in our case. Keywords Congenital diaphragmatic hernia, Tension pneumothorax, Case report, Surgical repair, Respiratory distress Creator An entity primarily responsible for making the resource Ashagre Gebremichael1* and Wintana Tesfaye2 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00741-y Date A point or period of time associated with an event in the lifecycle of the resource 2024 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource ENGLISH Type The nature or genre of the resource TEXT Congenital diaphragmatic hernia, Tension pneumothorax, Case report, Surgical repair, Respiratory distress https://repository.horizon.ac.id/files/original/88d4995eb5b726fad6aecfa94012a30d.pdf 93b8c2f991e2d72f089724a905ad62e6 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 novel nurse-inteRN mentorship program to improve nurse-physician communication and teamwork in the emergency department Subject The topic of the resource Communication, Education, Interdisciplinary, Collaboration, Mentorship Description An account of the resource Abstract Background Communication between nurses and physicians is essential to providing patient care in the emergency department. The American College of Graduate Medical Education includes interpersonal and communication skills as one of six core competencies for residents. There is a known correlation between poor communication and negative patient outcomes. Yet, formalized training programs in doctor-nurse communication are lacking and literature reports that physicians may view collaboration as less important than nurses. To address this gap, we developed and implemented a novel, pilot “Nurse-InteRN Mentorship Program”. The program aimed to improve trainees’ communication with nurses and enhance emergency department collaboration. We then evaluated the impact of this program on participant perception of nurse-physician communication, efficacy and overall benefit. Methods We used Kern’s Six-step approach to develop and implement this program. We then evaluated the program’s impact with a pre-program and post-program 12-question survey to evaluate participation, perceived benefit, and efficacy of the program using a 1–5 Likert scale. Nurse vs. intern responses were compared using Fisher’s exact and Wilcoxon rank sum tests. Pre- and post- intervention responses were paired by respondent and compared using marginal homogeneity tests. Results 13 interns and 22 nurses participated in the program. All 13 interns and 19 of 22 nurses completed the pre- program survey. 10 of 13 interns and 11 of 22 nurse mentors completed the post-program survey. Nurses showed greater interest in providing feedback on communication skills than interns showed in receiving feedback (p<0.001). Interns rated themselves higher in communication skills with patients than nurses rated them (p=0.004). Perceived benefit among nurses and interns decreased after completion of the program. Conclusion We were able to successfully implement a one-year nurse-intern mentorship program aiming to promote communication, collaboration and professional development. Our results show differing attitudes between nurses and interns around interns’ communication skills. There was some perceived benefit, but unfortunately this decreased over the course of the program. Further studies are needed to determine how this program impacts communication, teamwork, and patient care. We hope that given the novelty of such a nurse-intern mentorship program, this study may serve as a pilot for future programs. Creator An entity primarily responsible for making the resource Amanda Doodlesack1*, Nicole Dubosh1 , Anne Grossestreuer1 , Lorian de Oliveira2 and Leslie Bilello1 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00740-z Date A point or period of time associated with an event in the lifecycle of the resource 2024 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource ENGLISH Type The nature or genre of the resource TEXT Communication, Education, Interdisciplinary, Collaboration, Mentorship https://repository.horizon.ac.id/files/original/4a3cb7b36d19de6568f7dfd37bbd9f30.pdf 93b8c2f991e2d72f089724a905ad62e6 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 novel nurse-inteRN mentorship program to improve nurse-physician communication and teamwork in the emergency department Subject The topic of the resource Communication, Education, Interdisciplinary, Collaboration, Mentorship Description An account of the resource Abstract Background Communication between nurses and physicians is essential to providing patient care in the emergency department. The American College of Graduate Medical Education includes interpersonal and communication skills as one of six core competencies for residents. There is a known correlation between poor communication and negative patient outcomes. Yet, formalized training programs in doctor-nurse communication are lacking and literature reports that physicians may view collaboration as less important than nurses. To address this gap, we developed and implemented a novel, pilot “Nurse-InteRN Mentorship Program”. The program aimed to improve trainees’ communication with nurses and enhance emergency department collaboration. We then evaluated the impact of this program on participant perception of nurse-physician communication, efficacy and overall benefit. Methods We used Kern’s Six-step approach to develop and implement this program. We then evaluated the program’s impact with a pre-program and post-program 12-question survey to evaluate participation, perceived benefit, and efficacy of the program using a 1–5 Likert scale. Nurse vs. intern responses were compared using Fisher’s exact and Wilcoxon rank sum tests. Pre- and post- intervention responses were paired by respondent and compared using marginal homogeneity tests. Results 13 interns and 22 nurses participated in the program. All 13 interns and 19 of 22 nurses completed the pre- program survey. 10 of 13 interns and 11 of 22 nurse mentors completed the post-program survey. Nurses showed greater interest in providing feedback on communication skills than interns showed in receiving feedback (p<0.001). Interns rated themselves higher in communication skills with patients than nurses rated them (p=0.004). Perceived benefit among nurses and interns decreased after completion of the program. Conclusion We were able to successfully implement a one-year nurse-intern mentorship program aiming to promote communication, collaboration and professional development. Our results show differing attitudes between nurses and interns around interns’ communication skills. There was some perceived benefit, but unfortunately this decreased over the course of the program. Further studies are needed to determine how this program impacts communication, teamwork, and patient care. We hope that given the novelty of such a nurse-intern mentorship program, this study may serve as a pilot for future programs. Creator An entity primarily responsible for making the resource Amanda Doodlesack1*, Nicole Dubosh1 , Anne Grossestreuer1 , Lorian de Oliveira2 and Leslie Bilello1 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00740-z Date A point or period of time associated with an event in the lifecycle of the resource 2024 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource ENGLISH Type The nature or genre of the resource TEXT Communication, Education, Interdisciplinary, Collaboration, Mentorship https://repository.horizon.ac.id/files/original/75a4d0608e9f825f44dd345b4dfac369.pdf 7d80c117323d15347b0f1a28e5d87adb 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 Large right middle cerebral artery stroke with hemorrhagic transformation Subject The topic of the resource Right middle cerebral artery stroke, Ischemic stroke, Stroke thrombolysis, Hemorrhagic transformation Description An account of the resource Abstract The authors present a case of an acute right middle cerebral artery infarct in a 65-year-old male with a history of diabetes, hypertension, and cardiovascular disease. The timeline of treatment and the evolution of the stroke is described. This case highlights the significant burden of right-sided cerebral artery stroke, even when intervention is swift. Keywords Right middle cerebral artery stroke, Ischemic stroke, Stroke thrombolysis, Hemorrhagic transformation Creator An entity primarily responsible for making the resource Jack Niles1 , Garv Bhasin2 and Latha Ganti3,4* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00739-6 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 Right middle cerebral artery stroke, Ischemic stroke, Stroke thrombolysis, Hemorrhagic transformation https://repository.horizon.ac.id/files/original/ad93f9627c5860c8a5c3a8c98d453541.pdf 7d80c117323d15347b0f1a28e5d87adb 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 Bibliometric analysis of the usage of tenecteplase for stroke Subject The topic of the resource Tenecteplase, Acute ischemic stroke, Bibliometric analysis Description An account of the resource Abstract Introduction In recent years, tenecteplase has been competing with alteplase as a treatment for acute ischemic stroke given its ease of administration, lower dosage, cost-effectiveness, and better safety data. This paper seeks to analyze academic literature regarding the burgeoning usage of tenecteplase as a treatment for acute ischemic stroke across the world. Method The Web of Science database was used to collect the data from articles containing the keywords “Tenecteplase” and “Stroke” published from 1999 to 2023. The search resulted in 576 journal articles. This study analyzed metadata related to the country, institution, keywords, and date published for each article in the database pertaining to tenecteplase use for stroke. Results The United States led in publications (260, 39.93%), followed by Australia (101, 15.51%), and a tie for third place between Canada and China (77, 11.83% each). The three most prevalent keywords were tenecteplase (N=324), alteplase (N=284), and thrombolysis (N=244). The University of Melbourne and the University of Calgary were the leading institutions publishing on the use of tenecteplase as a treatment for stroke. In 2023, the number of publications on the usage of tenecteplase for stroke was the greatest, making up 24.3% of all papers on the topic. Conclusion The surge in academic papers regarding tenecteplase in stroke in 2023 could be a good indicator of the drug’s increasing prevalence as a treatment for stroke. Despite this finding, tenecteplase is currently not an FDA-approved therapy in the US as Genentech, the drug’s manufacturer, has yet to file for federal approval for acute ischemic stroke treatment. Keywords Tenecteplase, Acute ischemic stroke, Bibliometric analysis Creator An entity primarily responsible for making the resource Garv Bhasin1 and Latha Ganti2,3* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00738-7 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 https://repository.horizon.ac.id/files/original/1bd2ef0dbf762f1c8ee97cef2623faed.pdf 7d80c117323d15347b0f1a28e5d87adb 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 Epidemiology and outcomes of critically ill patients in the emergency department of a tertiary teaching hospital in Rwanda Subject The topic of the resource Emergency care, LMIC, Critical care, Resuscitation, Rwanda Description An account of the resource Abstract Background The introduction of Emergency Medicine in Rwanda in 2015 has been associated with a mortality reduction in patients presenting to Kigali University Teaching Hospital (KUTH). In the context of increasing numbers of critically ill patients presenting to Emergency Departments (ED) globally, the aim of this study was to describe the characteristics of critically ill patients, the critical care interventions performed, and the outcomes of critically ill patients presenting to the KUTH ED with the goal of informing future research into the root causes of mortality of critically ill ED patients and of identifying high yield topics for didactic and procedural training. Methods A descriptive observational prospective cohort pilot study analyzed all patients ≥15 years who presented to KUTH between April and June 2022 with modified South African Triage Scores of Red with alarm, Red without alarm, and Orange. Results Of 320 patients, 66.9% were male and median age was 40 years. Patients were triaged as Orange (65.3%), Red without alarm (22.8%), and Red with alarm (11.9%). Presentations were categorized as: medical emergencies (48.0%), traumatic injury (44.5%), and surgical emergencies (7.6%). Median length of stay was 31 h (IQR 28, 56) and boarding was 23 h (IQR 8, 48). Overall mortality was 12.2% and highest among medical emergencies (16.5%, p=0.048) and increased significantly with triage color: Red with alarm (47.4%), Red without alarm (16.4%), and Orange (4.3%, p<0.0001). Cardiopulmonary resuscitation (CPR) (10.3%), endotracheal intubation (8.8%), and vasopressor administration (3.1%) were the most frequent critical interventions performed. Survival after cardiac arrest was 9.1% and 32.1% after intubation. Mortality was associated with the following interventions: CPR, intubation, and use of vasopressors (p<0.05). Conclusions This pilot study identified the most common critical care interventions performed and a high mortality among patients who required these interventions in the ED of a tertiary teaching hospital in Rwanda. These findings will inform didactics and procedural training for emergency care providers. Future research should focus on the Creator An entity primarily responsible for making the resource Laurent Gamy Kamunga B.1,2*, Courtney J. Bearnot3,4, Kyle D. Martin4*, Doris L. Uwamahoro1 and Giles N. Cattermole1,5 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00736-9 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 Emergency care, LMIC, Critical care, Resuscitation, Rwanda https://repository.horizon.ac.id/files/original/f51d91d18f9e732a4e4428fd2b9f9575.pdf 6b481a42ed0468b708bd6ff9fa269a67 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 Elevated high-sensitive cardiac troponin T in emergency department patients: insights from a retrospective descriptive cohort study Subject The topic of the resource Elevated high-sensitive cardiac troponin T in emergency department patients: insights from a retrospective descriptive cohort study Description An account of the resource Abstract Background High-sensitive cardiac troponin T (hs-cTnT) assessments are routinely conducted in German emergency departments (EDs). However, data describing a large number of ED patients with pathological hs-cTnT levels and subsequent clinical outcomes are limited. Methods This retrospective descriptive analysis included 141.892 patients who presented to the interdisciplinary ED at Klinikum rechts der Isar in Munich, Germany, between January 2019 and December 2021. Patients with trauma diagnoses were excluded, focusing on those with elevated hs-cTnT levels. These patients were categorized into three groups based on the International Classification of Procedures in Medicine (ICPM): those with elevated hs-cTnT who received no coronary angiography (NCA), those who underwent diagnostic coronary angiography (DCA), and those who received percutaneous coronary intervention (PCI). The objective of this study was to characterize a large emergency department patient cohort and assess their subsequent clinical outcomes. Results After initial Manchester Triage Sytem (MTS) categorization, 32.6% (46.307/141.892) of patients were identified as non-trauma cases. Of these, 9.9% (4.587/46.307) had hs-cTnT levels exceeding 14 ng/L. Within this subset, 70.4% (3.230/4.587) did not undergo coronary angiography, 15.4% (705/4.587) underwent DCA and 14.2% (652/4.587) received PCI. Chest pain occurred more frequently in the PCI group (28.0%, 160/652) compared to the DCA group (18.3%, 113/705) or NCA group (5.7%, 159/3230), p<0.001. However, breathing problems occurred more frequently in the NCA group (23.2%, 647/3230) compared to the PCI group (17.7%, 101/652) or DCA group (21.8%, 135/705), p<0.001. Also, collapse was more frequent in patients in the NCA group (4.0%, 112/3230) compared to the DCA group (3.4%, 21/705) or PCI group (3.5%, 20/652), p<0.001. Overall, in-hospital mortality was significantly higher in the NCA group (7.9%, 256/3230) compared to the DCA group (2.3%, 16/705) or PCI group (4.1%, 27/652), p<0.001. Conclusion Emergency patients with elevated hs-cTnT who did not undergo coronary angiography faced a higher risk of in-hospital mortality in our retrospective descriptive study. Given the heterogeneous nature of presenting complaints in emergency departments, identifying at-risk patients can pose challenges for treating physicians. Keywords Emergency department, High-sensitive troponin, Percutaneous coronary intervention Creator An entity primarily responsible for making the resource Finn Syryca1 , Bernhard Haller2 , Lisa Schmid3 , Christiane Kallweit3 , Philipp Nicol1 , Teresa Trenkwalder1 , Karl- Georg Kanz3 , Anja Haas4 and Michael Dommasch3* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00735-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 https://repository.horizon.ac.id/files/original/aa2d70402bae179b3335e1d08acfc9bb.pdf 1b64d5faf6ae5922cb4c95732706940f 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 Manual flagging failed to identify pseudohyperkalemia in acute myeloid leukemia: case report Subject The topic of the resource Pseudohyperkalemia, Acute myeloid leukemia, Pneumatic tube transport, Lab flagging, Automation, Case report Description An account of the resource Abstract Background Pseudohyperkalemia is well known in acute or chronic lymphocytic leukemia, but it is very rare in acute myeloid leukemia (AML). The lab flagging system for leukocytosis to prevent pseudohyperkalemia may not work. Case presentation A 55 year-old white man with AML was sent to emergency department for transfusion due to severe anemia. Blood test showed severe leukocytosis and elevated potassium. Repeated blood test showed his potassium was even higher. Anti-hyperkalemic medical treatment was given. He was then diagnosed with pseudohyperkalema. Investigation I was repeatedly reassured that the lab’s manual flagging system for leukocytosis was the key in reaching the correct diagnosis. My persistent inquiries, however, revealed that the flagging system was not functioning in the care of this patient. It was clinicians’ suspicion of pseudohyperkalema that led to the correct diagnosis, although the clinicians’ recommendation of obtaining a heparinized plasma for test did not play a role because all blood samples were already heparinized. The cause of pseudohyperkalemia was pneumatic tube transport. After this incident, our laboratory is investigating the options of using the Laboratory Information System to automatically flag the results and Clinical Laboratory Scientists to make the chemistry team more aware of potentially erroneous potassium results due to pseudohyperkalemia. Conclusions Pseudohyperkalemia associated with leukocytosis still occurs. This is the first case of pneumatic tube transport causing pseudohyperkalemia associated with AML. When significant leukocytosis, thrombocytosis, hyperproteinemia, or hyperlipidemia is present, whole blood should be utilized for potassium measurements and walked to the lab instead of sent by pneumatic tube transport. Even in a lab with a manual flagging system, there is still room to improve by implementing an automatic flagging system. Keywords Pseudohyperkalemia, Acute myeloid leukemia, Pneumatic tube transport, Lab flagging, Automation, Case report Summary Despite an existing laboratory flagging system, pseudohyperkalemia still occurred in a patient with extreme leukocytosis. The incident led to a plan to automate the flagging. Creator An entity primarily responsible for making the resource Yangming Cao1,2* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00734-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 Pseudohyperkalemia, Acute myeloid leukemia, Pneumatic tube transport, Lab flagging, Automation, Case report https://repository.horizon.ac.id/files/original/344032654f9b1c2a9f80a72ec8b3daef.pdf 1b64d5faf6ae5922cb4c95732706940f 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 When flank pain leads to fainting: a case of a ruptured angiomyolipoma diagnosed by point-of-care ultrasound Subject The topic of the resource Flank pain, Angiomyolipoma, Emergency department Description An account of the resource Abstract Background Acute flank pain is a common presentation in the Emergency Department (ED). Point-of-care ultrasound (PoCUS) has emerged as an invaluable tool in the evaluation of acute flank pain and provides real-time images resulting in the early identification of the underlying pathology. Case Report Here we report a case of a young lady presented to the ED with a complaint of right flank pain followed by a syncopal episode. The diagnosis of ruptured angiomyolipoma was made using a PoCUS and an immediate consult to interventional radiology and urology was provided. Conclusion This case highlights the importance of PoCUS in assessing patients presented to the ED with acute flank pain. Its incorporation into clinical practice promises to revolutionize the approach to renal emergencies, emphasizing its important role in delivering timely and effective care. Keywords Flank pain, Angiomyolipoma, Emergency department Creator An entity primarily responsible for making the resource Noman Ali1*, Max Mudrik1 and Jordan Chenkin1 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00733-y Date A point or period of time associated with an event in the lifecycle of the resource 2024 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Flank pain, Angiomyolipoma, Emergency department https://repository.horizon.ac.id/files/original/d4eacae34e4a5ff37a697c45b3531b47.pdf e8f7c366ed17bb4f7e922ec2c2734fed 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 Shark fin ECG pattern in a patient with acute ascending aortic dissection Subject The topic of the resource Aortic dissection, Shark fin, ECG pattern - STEMI Description An account of the resource Abstract The ‘shark-fin’ ECG-sign is a rare electrocardiographic pattern seen in ACS, typically associated with poor prognosis. However, its manifestation in acute aortic syndromes remains largely unexplored. Here, we present a case of a patient diagnosed with Ascending Aortic Dissection, who presented to ED with acute chest pain and shark-fin ECG-pattern. Keywords Aortic dissection, Shark fin, ECG pattern - STEMI Creator An entity primarily responsible for making the resource Alessio Caccioppola1 , Filippo Maria Russo1 , Enrico Molho2 , Lorenzo Fargione2 , Alessandro Guareschi2 , Federico Colombo3 and Alessandro Jachetti4* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00732-z Date A point or period of time associated with an event in the lifecycle of the resource 2024 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Aortic dissection, Shark fin, ECG pattern - STEMI