6 10 198 https://repository.horizon.ac.id/files/original/2b0dceed8ee3a65853f98f30302fe38f.pdf 8240eddce51ddbd311c3c312fe799ae4 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 Sex and 30-day survival following out-of- hospital cardiac arrest in Scotland 2011–2020 Subject The topic of the resource Out-of-hospital, Cardiac arrest, Cardiopulmonary resuscitation, Sex, Gender, Survival Description An account of the resource Abstract Background Differences in 30-day survival between males and females following out-of-hospital cardiac arrest (OHCA) are well documented. Biological sex does not appear to be responsible for this survival gap independently of potential mediating factors. We investigated the role of potential mediating factors in the association between sex and 30-day survival after OHCA in Scotland. Methods A retrospective cohort study of adult non-emergency medical services (EMS)-witnessed OHCA cases was conducted. We included incidents from the whole of Scotland where resuscitation was attempted by the Scottish Ambulance Service (SAS) between April 1, 2011 and March 1, 2020. Logistic regression was used to assess the contri- bution of age, socioeconomic status, urban–rural location of the incident, initial cardiac rhythm, bystander cardiopul- monary resuscitation (CPR) and location of the arrest (home or away from home). Results The cohort consisted of 20,585 OHCA cases (13,130 males and 7,455 females). Median (IQR) age was 69 years (22) for males versus 72 years (23) for females. A higher proportion of males presented with initial shockable rhythm (29.4% versus 12.4%) and received bystander CPR (56.7% versus 53.2%) compared with females. A higher proportion of females experienced OHCA at home (78.8% versus 66.8%). Thirty-day survival after OHCA was higher for males compared with females (8.2% versus 6.2%). Males had higher age-adjusted odds for 30-day survival after OHCA than females (OR, 1.26; (95% CI), 1.12–1.41). Mediation analyses suggested a role for initial cardiac rhythm and location of the arrest (home or away from home). Conclusion Males had higher age-adjusted 30-day survival after OHCA than females. However, after adjusting for confounding/mediating variables, sex was not associated with 30-day survival after OHCA. Our findings suggest that initial cardiac rhythm and location of the arrest are potential mediators of higher 30-day OHCA survival in males than females. Improving proportions of females who present with initial shockable rhythm may reduce sex differ- ences in survival after OHCA. Keywords Out-of-hospital, Cardiac arrest, Cardiopulmonary resuscitation, Sex, Gender, Survival Creator An entity primarily responsible for making the resource Laura A. E. Bijman1,2*, Sarah H. Wild1 , Gareth Clegg1,2 and Nynke Halbesma1,2 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00731-0 Date A point or period of time associated with an event in the lifecycle of the resource 2024 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Out-of-hospital, Cardiac arrest, Cardiopulmonary resuscitation, Sex, Gender, Survival https://repository.horizon.ac.id/files/original/e5a51946637cc27dc2b76b3a37ee81d7.pdf ca8455308f617ab4c7454542410b9a4d 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 Airway obstruction due to ingestion of sodium polyacrylate: a case report Subject The topic of the resource Airways obstruction, Asphyxia, Super-absorbent polymers, Sodium polyacrylate, Foreign body aspiration Description An account of the resource Abstract Background Super-absorbent polymers (SAPs) possess the ability to absorb large amounts of water and are widely used in medical settings. Commonly used in vomit bags to contain fluids, reduce spillage, and enhance bedside hygiene, SAPs are generally regarded as safe and non-toxic. However, we report a tragic incident where the accidental ingestion of SAPs led to fatal asphyxiation, highlighting a critical safety concern. Case presentation A 76-year-old female suffering from advanced Alzheimer’s dementia was brought to the emergency department following a fall with cervical trauma. Following a complaint of nausea, she was given a vomit bag containing a sachet of approximately 9 g of SAP. Thirty minutes later, she was found deceased in the waiting area, with a grayish, half-hardened gel blocking her oropharynx and remnants of a chewed SAP sachet. Pathological analysis confirmed death by asphyxiation caused by the SAP expanding in her oropharynx upon contact with saliva. Conclusions This case emphasizes the potential dangers of SAPs when accidentally ingested and it is imperative that such products are kept out of reach of vulnerable populations. In cases of airway obstruction, there are no specific treatments available. Laryngoscopy may be impossible, necessitating the prompt consideration of an emergency tracheotomy. Experimental data suggest the use of an aerosol of warm alkaline hydrogen peroxide solution to dissolve these obstructive foreign bodies, but further studies are needed to validate its use in emergency situations. Keywords Airways obstruction, Asphyxia, Super-absorbent polymers, Sodium polyacrylate, Foreign body aspiration Creator An entity primarily responsible for making the resource Andreas Stalder1 , Youcef Guechi1,2, Claire-Lise Bonnemain1 and Thomas Schmutz1,2* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00730-1 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 Airways obstruction, Asphyxia, Super-absorbent polymers, Sodium polyacrylate, Foreign body aspiration https://repository.horizon.ac.id/files/original/007d3177f428e9ebb13377d5e16da700.pdf 0661f6940c89f29ae15ca618785ea763 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 Fatal cerebral thrombosis after pericardiectomy Subject The topic of the resource Pericardium, Arrhythmias, Thrombosis Description An account of the resource Abstract Background Pericardiectomy due to constrictive pericarditis is usually safe procedure. There was a rare event of thrombosis after pericardiectomy, which was mainly accounted by low-cardiac-output syndrome. Case presentation Here, we report the case undergoing pericardiectomy after constrictive pericarditis, with fatal cerebral thrombosis after pericardiectomy confirmed by endovascular mechanical thrombectomy. Even though recanalization was completed and suggestive decompressive craniectomy was in preparation, the patient still died for cerebral hernia due to severe edema. The causes of cerebral thrombosis after pericardiectomy in this case was accounted by the persistence of nonpliable pericardium encasing the left ventricular wall limited local myocardium motor, pro-coagulable state due to thermal transmission during decortication like radiofrequency ablation under the condition of postoperative atrial fibrillation and rapid ventricular rates precipitated the information of mural thrombus in cardiac cavity and migration into the main branch of the aortic arch. Conclusion The protocol of prompt aggressive anticoagulation prophylaxis would be vigilantly recommended for the patients undergoing pericardiectomy. Keywords Pericardium, Arrhythmias, Thrombosis Creator An entity primarily responsible for making the resource Qin Jiang1*, Tao Yu1 , Keli Huang1 , Bing Huang2 , Xiang Huang3 and Shengshou Hu4 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00729-8 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 Pericardium, Arrhythmias, Thrombosis https://repository.horizon.ac.id/files/original/497a023a2f51cd3b050b1ef83fb5128a.pdf e3fe7f786e939dffbaef5459b01009b2 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 systematic review of cost‐effectiveness of treating out of hospital cardiac arrest and the implications for resource‐limited health systems Subject The topic of the resource Emergency care, Cardiac arrest, Cost-effectiveness, Health policy, Health economics, Public health Description An account of the resource Abstract Background Out-of-hospital cardiac arrest (OHCA) is a prevalent condition with high mortality and poor outcomes even in settings where extensive emergency care resources are available. Interventions to address OHCA have had limited success, with survival rates below 10% in national samples of high-income countries. In resource-limited settings, where scarcity requires careful priority setting, more data is needed to determine the optimal allocation of resources. Objective To establish the cost-effectiveness of OHCA care and assess the affordability of interventions across income settings. Methods The authors conducted a systematic review of economic evaluations on interventions to address OHCA. Six databases (PubMed, EMBASE, Global Health, Cochrane, Global Index Medicus, and Tuft’s Cost-Effectiveness Registry) were searched in September 2023. Included studies were (1) economic evaluations (beyond a simple cost- ing exercise); and (2) assessed an intervention in the chain of survival for OHCA. Article quality was assessed using the CHEERs checklist and data summarised. Findings were reported by major themes identified by the reviewers. Based upon the results of the cost-effectiveness analyses we then conduct an analysis for the progressive realization of the OHCA chain of survival from the perspective of decision-makers facing resource constraints. Results Four hundred and sixty-eight unique articles were screened, and 46 articles were included for final data abstraction. Studies predominantly used a healthcare sector perspective, modeled for all patients experiencing non- traumatic cardiac OHCA, were based in the US, and presented results in US Dollars. No studies reported results or used model inputs from low-income settings. Progressive realization of the chain of survival could likely begin with invest- ments in termination of resuscitation protocols, professional prehospital defibrillator use, and CPR training followed by the distribution of AEDs in high-density public locations. Finally, other interventions such as indiscriminate defibril- lator placement or adrenaline use, would be the lowest priority for early investment. Conclusion Our review found no high-quality evidence on the cost-effectiveness of treating OHCA in low-resource settings. Existing evidence can be utilized to develop a roadmap for the development of a cost-effective approach Creator An entity primarily responsible for making the resource Kalin Werner1,2*, Sarah Hirner3 , O. Agatha Offorjebe4 , Edouard Hosten5 , Julian Gordon6 , Heike Geduld7 , Lee A. Wallis1 and Nicholas Risko8 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00727-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, Cardiac arrest, Cost-effectiveness, Health policy, Health economics, Public health https://repository.horizon.ac.id/files/original/451174f50aeaf2920e4b1dcbadc14162.pdf 155700290ffc948e3599f896191ea2ca 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 Fundamentals of emergency care support: a blended learning model to improve emergency and trauma care in a low-income country Subject The topic of the resource Fundamentals, Emergency care, Trauma, Blended learning, Education Description An account of the resource Abstract Background The burden of time-sensitive illnesses that require emergency care, such as heart diseases, respiratory tract infections, and road traffic injuries, is the leading cause of premature deaths. The healthcare providers of the emergency care system lack the essential knowledge and skills across different healthcare levels in our country. In this paper, we aim to describe the development and initial implementation of a blended learning curriculum for teaching and training non-EM-trained physicians working in the emergency departments of our country. Methods We used a previously articulated curriculum designed by Patricia Thomas and David Kern. The model included general and specific need assessment, defining goals and objectives, selecting teaching and learning strategies, and implementation and evaluation plans. Results Based on the need assessment, a module-based blended learning model has been designed with well- defined goals and objectives covering knowledge and skills. This ten-week module-based course focuses on four areas of critically emergent conditions, i.e., trauma, shock, difficulty in breathing, and altered mental status. Evaluation will be made by comparing the pre and post-test scores of the participants. Conclusion We have developed a blended course to teach non-EM-trained physicians working in the ED of our country. We hope that through this blended learning model, we will be able to adequately train our physicians working in the emergency department without any formal training in EM, which will lead to improved patient care and outcomes. Keywords Fundamentals, Emergency care, Trauma, Blended learning, Education Creator An entity primarily responsible for making the resource Noman Ali1,3*, Qamar Riaz1 , Salman Muhammad Soomar1,2, Shahan Waheed1 , Uzma Khan1 and Nadeem Ullah Khan1 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00726-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 https://repository.horizon.ac.id/files/original/1244d101bf96ced55b869796a4767aae.pdf c2d4a82acc4088c67fb42a5a52f1a3bb 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 depression in post- stroke patients Subject The topic of the resource Post-stroke depression, Bibliometric analysis Description An account of the resource Abstract Introduction Stroke is a life-threatening condition that increasingly damages cerebral tissue over time and can lead to serious post-effects, including depression, which can hinder a patient’s recovery from stroke and reduce quality of life. This paper aims to analyze the global research landscape of post-stroke depression (PSD) between the years 1900 to 2024 using bibliometric analysis. Methods The data used in this analysis was collected from the Web of Science Core Collection (WoSCC). An advanced search was performed using the keywords, “stroke” and “depression,” on July 8th, 2024. From the Web of Science, bibliometric data was then extracted and analyzed in VOSviewer through four categories: countries, number of publications, keywords, and journals. Results The bibliometric analysis resulted in 2,289 publications from the year 1900 to 2024. A gradual increase in the number of publications on post-stroke depression over the study period was observed. China was found to be the leading country for publications and funding on PSD, with the United States following in second. The top keywords included: “stroke,” “depression,” and “poststroke depression.” The Journal of Stroke had the highest number of publications on depression in post-stroke patients. Conclusion This study provides an overview of the current trends in articles published on PSD. Depression is an important topic to be considered in post-stroke patients due to its negative effects on post-stroke recovery and reduced quality of life, necessitating a call to attention and support for future research in this field. With continued research efforts led by the United States and China, improved treatments for patients with post-stroke depression can be implemented. Keywords Post-stroke depression, Bibliometric analysis Creator An entity primarily responsible for making the resource Dehao Zheng1 , Sydney Vaughn2 , Murdoc Gould3 and Latha Ganti4,5* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00725-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 Post-stroke depression, Bibliometric analysis https://repository.horizon.ac.id/files/original/8f11347d54b158af81f9fcb22150c4d6.pdf e6094d0acab070722d5609c651601ca5 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 penetrating aortic ulcer rapidly evolving into aortic dissection in a patient presenting with respiratory tract infection to the emergency department: an acute aortic syndrome case report Subject The topic of the resource Penetrating atherosclerotic ulcer, Aortic dissection, Acute aortic syndrome, Intramural hematoma, Aortic lesion, Emergency medicine Description An account of the resource Abstract Background Penetrating aortic ulcers (PAU) are life-threatening conditions which derive from severely advanced atherosclerotic lesions of the aorta. The clinical course is unpredictable; thus clinical vigilance should be maintained. It is very challenging to separate PAU from co-existing AAS as predisposing factors and findings overlap. Case presentation Case of 58-year-old gentleman, who presented for atypical chest pain in the setting of respiratory tract infection. Computed Tomographic angiography (CTA) of the chest showed a large PAU and intramural hematoma which rapidly progressed into an acute aortic dissection in the emergency department. Close follow up with cardiac point of care ultrasound one hour later detected an intimal flap which was not initially present on CTA. Patient underwent surgical aortic graft replacement and had an uneventful in-hospital stay. Discussion This case underlines the importance of broadening differential diagnoses in atypical presentations in patients with risk factors. Prompt intervention and careful management are imperative to optimize patient outcomes and prevent complications of aortic lesions. Cardiac point of care ultrasound can help in detecting progression of dynamic atherosclerotic diseases such as acute aortic syndrome. Keywords Penetrating atherosclerotic ulcer, Aortic dissection, Acute aortic syndrome, Intramural hematoma, Aortic lesion, Emergency medicine Creator An entity primarily responsible for making the resource Victoria Al Karaki1* and Aed Saab1 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00724-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 Penetrating atherosclerotic ulcer, Aortic dissection, Acute aortic syndrome, Intramural hematoma, Aortic lesion, Emergency medicine https://repository.horizon.ac.id/files/original/0db2ee97ed92faf8bf6e860de1ab43a5.pdf d6909ab5e2c36932a150db0b28333e14 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 Frontoparietal intraparenchymal hemorrhage secondary to anticoagulation Subject The topic of the resource Intracererbal hemorrhage, Frontoparietal hemorrhage, Warfarin-associated bleed Description An account of the resource Abstract The authors present the case of a patient experiencing frontoparietal intraparenchymal hemorrhage. With a history of a mechanical heart valve due to rheumatic disease, the patient was on warfarin and experienced a warfarin- associated bleed. The new 2002 guidelines for the management of intracerebral hemorrhage are discussed in the context of this case. Keywords Intracererbal hemorrhage, Frontoparietal hemorrhage, Warfarin-associated bleed Creator An entity primarily responsible for making the resource Savitra Ward1 , Benjamin Colaco Jamal2 and Latha Ganti3,4* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00723-0 Date A point or period of time associated with an event in the lifecycle of the resource 2024 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Intracererbal hemorrhage, Frontoparietal hemorrhage, Warfarin-associated bleed https://repository.horizon.ac.id/files/original/d18fff048466dcd796df45c1657e890c.pdf ce1e8c16e8585784fb8aa708063e88f8 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 Polk Country Fire Rescue screening tool for detecting subarachnoid hemorrhage Subject The topic of the resource Subarachnoid hemorrhage, Prehospital stroke, Intracerebral hemorrhage Description An account of the resource Abstract Introduction The subarachnoid space in the brain contains crucial blood vessels and cerebrospinal fluid. Aneurysms in these vessels can lead to subarachnoid hemorrhage (SAH), a serious stroke subtype with high morbidity and mortality rates. SAH treatment includes procedures like coiling and clipping, but these are available only at comprehensive stroke centers (CSCs), necessitating urgent diagnosis and transfer to specialized facilities. Methods This IRB-approved study was conducted by Polk County Fire Rescue (PCFR) in Florida. PCFR, serving an 850,000-person population, implemented a three-step SAH protocol. The protocol uses both Ottawa SAH criteria and recurring symptoms, such as new-onset seizures and high systolic blood pressure, that were identified by EMS. Acute management included administering labetalol, levetiracetam, and ondansetron. Results Of 2175 stroke patients, 80 screened positive for SAH and were eligible for transfer. Patients had a median age of 66, and 33% had an initial systolic BP over 220 mmHg. The interfacility transfer rate dropped from 12.9 to 3.6% after implementing the protocol. Conclusion The PCFR protocol’s effectiveness suggests its potential for nationwide implementation. Early SAH recognition and prompt transfer to CSCs reduce complications and improve outcomes. Accurate field diagnosis by EMTs can prevent unnecessary transfers and enhance patient care. Future improvements may include portable diagnostic tools and enhanced EMT training to further improve SAH patients’ pre-hospital care. Keywords Subarachnoid hemorrhage, Prehospital stroke, Intracerebral hemorrhage Creator An entity primarily responsible for making the resource Krish Patel1 , Sanjana Konda2 , Latha Ganti2,3*, Anjali Banerjee4 and Paul Banerjee5 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00722-1 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 Subarachnoid hemorrhage, Prehospital stroke, Intracerebral hemorrhage https://repository.horizon.ac.id/files/original/9f0b48193c9be35ca5539cf6d2718834.pdf 974cb4ed6e1a4dd38c85acf01db22b47 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 Virtual reality for assessing emergency medical competencies in junior doctors – a pilot study Subject The topic of the resource Virtual reality, Emergency medical competencies, Competence assessment, Junior doctors, Clinical reasoning Description An account of the resource Abstract Background The teaching and assessment of clinical-practical skills in medical education face challenges in adequately preparing students for professional practice, especially in handling emergency situations. This study aimed to evaluate the emergency medical competencies of junior doctors using Virtual Reality (VR)-based scenarios to determine their preparedness for real-world clinical situations. Methods Junior doctors with 0–6 months of professional experience participated in one of three VR-based emergency scenarios. These scenarios were designed to test competencies in emergency medical care. Performance was automatically assessed through a scenario-specific checklist, and participants also completed self-assessments and a clinical reasoning ability test using the Post-Encounter Form. Results Twenty-one junior doctors participated in the study. Results showed that while general stabilization tasks were performed well, there were notable deficiencies in disease-specific diagnostic and therapeutic actions. On average, 65.6% of the required actions were performed correctly, with no significant variance between different scenarios. Participants achieved an average score of 80.5% in the Post-Encounter-Form, indicating a robust ability to handle diagnostic decisions. Self-assessments did not correlate significantly with objective measures of competency, highlighting the subjective nature of self-evaluation. Conclusion VR-based simulations can provide a detailed picture of EMC, covering both diagnostic and therapeutic aspects. The findings of this pilot study suggest that while participants are generally well-prepared for routine tasks, more focus is needed on complex case management. VR assessments could be a promising tool for evaluating the readiness of new medical professionals for clinical practice. Keywords Virtual reality, Emergency medical competencies, Competence assessment, Junior doctors, Clinical reasoning Creator An entity primarily responsible for making the resource Franca Keicher1,2, Joy Backhaus1 , Sarah König1 and Tobias Mühling1* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00721-2 Date A point or period of time associated with an event in the lifecycle of the resource 2024 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Virtual reality, Emergency medical competencies, Competence assessment, Junior doctors, Clinical reasoning