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              <name>Title</name>
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                  <text>Volume 18 Issue 1 2025</text>
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            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="136046">
                <text>Complication management in percutaneous dilatational tracheostomy: a case of tracheal needle sheath retrieval</text>
              </elementText>
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          <element elementId="49">
            <name>Subject</name>
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              <elementText elementTextId="136047">
                <text>Bronchoscopy, Foreign body retrieval, Airway management and tracheostomy complications</text>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
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                <text>Abstract&#13;
Background Percutaneous dilatational tracheostomy (PDT) is a widely performed procedure in intensive care&#13;
units (ICUs) for patients requiring prolonged mechanical ventilation. Although generally safe, PDT carries risks of&#13;
complications, some of which may be life-threatening. Foreign body aspiration is a well-known concern, but the&#13;
iatrogenic migration of procedural components, such as a tracheostomy needle sheath, has received little attention.&#13;
Case presentation We report the case of a male patient with intracerebral hemorrhage (ICH) who underwent a&#13;
percutaneous dilatational tracheostomy. During the procedure, the sheath of the tracheostomy needle became&#13;
dislodged and migrated into the tracheobronchial tree. Urgent intervention was required to prevent further&#13;
complications. Bronchoscopy was promptly performed at the bedside, revealing the foreign body in the right&#13;
main bronchus. Initial retrieval attempts using biopsy forceps were unsuccessful due to the sheath’s positioning.&#13;
The sheath was eventually maneuvered into the endotracheal tube (ETT) and extracted in a coordinated manner&#13;
with the simultaneous removal of the ETT and forceps. The tracheostomy tube was then successfully placed under&#13;
bronchoscopic guidance, and the patient remained stable without further complications.&#13;
Conclusion This case highlights a rare and potentially life-threatening complication of PDT, emphasizing the&#13;
essential role of bronchoscopy in managing intraprocedural complications. It underscores the importance of&#13;
procedural expertise and vigilance in ICU settings.&#13;
Keywords Bronchoscopy, Foreign body retrieval, Airway management and tracheostomy complications</text>
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            <name>Creator</name>
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              <elementText elementTextId="136049">
                <text>Sritam Mohanty1 , Biswajit Nayak1 , Samir Samal1 , Sagarika Panda1* , Shakti Bedanta Mishra1 and&#13;
Satyajit Choudhury1</text>
              </elementText>
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          <element elementId="48">
            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="136050">
                <text>https://doi.org/10.1186/s12245-025-00865-9</text>
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            <name>Date</name>
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              <elementText elementTextId="136051">
                <text>2025</text>
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              <elementText elementTextId="136052">
                <text>Peri Irawan</text>
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                <text>english</text>
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            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="134588">
                  <text>Volume 18 Issue 1 2025</text>
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="136036">
                <text>Traumatic facial arteriovenous fistula: a rare case report and literature review</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="136037">
                <text>Facial arteries, Facial vein, Arteriovenous fistula (AVF), Embolization</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
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                <text>Abstract&#13;
The formation of facial arteriovenous fistula (AVF) directly between the facial artery and vein after trauma is very&#13;
rare. Compared with intracranial AVF, understanding of this condition is limited. This paper reported the case of&#13;
a 49-year-old male who had a metallic foreign object impaled on his left neck while weeding 6 months prior to&#13;
admission. However, 3 months prior to admission, he developed a gradual throbbing of the left neck and swelling&#13;
on the left side of his face. Auscultation revealed a vascular murmur in front of the mandibular angle on the left&#13;
side of the face. Digital subtraction angiography (DSA) showed an AVF between the left lateral facial artery and&#13;
vein, resulting in retrograde blood flow into cavernous sinus though the ophthalmic vein. The authors discuss the&#13;
management of a traumatic AVF through combined transarterial embolization using coils and Onyx liquid embolic&#13;
&#13;
agent. A 3-month follow-up indicated no recurrence of AVF, and the patient had a great recovery with normal-&#13;
appearing left face and eye. It was the isolated involvement of the facial artery and vein in a post-traumatic setting&#13;
&#13;
makes this case particularly instructive. In addition, we summarized the clinical symptoms and treatment of AVF in&#13;
the face and neck regions.&#13;
Keywords Facial arteries, Facial vein, Arteriovenous fistula (AVF), Embolization</text>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="136039">
                <text>Hongwei Gao1,3, Donglin Zhou2&#13;
&#13;
, You Zhou1,3, Xuechao Wu1,3, Jing Wang1,3 and Qing Wang1,3,4*</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="48">
            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="136040">
                <text>https://doi.org/10.1186/s12245-025-00864-w</text>
              </elementText>
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            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="136041">
                <text>2025</text>
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            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="136042">
                <text>Peri Irawan</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="42">
            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="136043">
                <text>pdf</text>
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            </elementTextContainer>
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          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="136044">
                <text>english</text>
              </elementText>
            </elementTextContainer>
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              <elementText elementTextId="136045">
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    <tagContainer>
      <tag tagId="15577">
        <name>Facial arteries, Facial vein, Arteriovenous fistula (AVF), Embolization</name>
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            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="134588">
                  <text>Volume 18 Issue 1 2025</text>
                </elementText>
              </elementTextContainer>
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          </elementContainer>
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    <elementSetContainer>
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        <description>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/.</description>
        <elementContainer>
          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="136026">
                <text>Continuous quality improvement for prehospital STEMI improved triage rates and achievement of gold standard&lt;90‐min EMS‐to‐balloon time</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="136027">
                <text>ST-segment elevation MI (STEMI), Polk County Fire Rescue (PCFR), American Heart Association Mission&#13;
Lifeline STEMI</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="136028">
                <text>Abstract&#13;
Background ST-elevation myocardial infarction (STEMI) is a type of myocardial infarction caused by a buildup&#13;
of plaque or clot in the coronary arteries. There are approximately 750,000 STEMI cases each year in the United States.&#13;
The American Heart Association’s Mission Lifeline initiative aimed to optimize prehospital emergency medical services&#13;
&#13;
(EMS) and enhance STEMI triage rates through improved standardized protocol. This study evaluates the implementa-&#13;
tion of Mission Lifeline techniques by Polk County Fire Rescue (PCFR) on improved EMS-to-balloon (E2B) times and tri-&#13;
age rates.&#13;
&#13;
Methods Data from PCFR, Florida’s 4th largest EMS system, were analyzed quarterly from 2015 to 2023. The study&#13;
included patients with chest pain that were&gt;35 years of age.&#13;
Results Among 2,585 patients, the percentage meeting the 90-min EMS-to-Balloon time increased from 74% in 2015&#13;
to 84% by the year 2019. The average annual under-triage rate for STEMI decreased from ranging from 2% in 2015&#13;
&#13;
to 4% in 2017 to below 1% after the year 2020, reaching as low as 0% in 2021 and 2023. Over-triage rates initially fluc-&#13;
tuated, increasing to a height of 12% by 2017, but decreased to&lt;3% by 2022 and further dropped to 0.6% of cases&#13;
&#13;
were over-triage by 2024.&#13;
&#13;
Conclusion Implementation of Mission Lifeline procedures, including obtaining pre-hospital 12-lead ECG and hos-&#13;
pital pre-activation, significantly enhanced STEMI care. These interventions led to improved E2B times and more&#13;
&#13;
accurate prehospital STEMI identification, underscoring the importance of coordinated, protocol-driven prehospital&#13;
STEMI care in improving patient outcomes.&#13;
Keywords ST-segment elevation MI (STEMI), Polk County Fire Rescue (PCFR), American Heart Association Mission&#13;
Lifeline STEMI</text>
              </elementText>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="136029">
                <text>Aarish Reddy1&#13;
&#13;
, Latha Ganti2,3,4, Anjali Banerjee5 and Paul Banerjee2,3*</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="48">
            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="136030">
                <text>https://doi.org/10.1186/s12245-025-00863-x</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="40">
            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="136031">
                <text>2025</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="136032">
                <text>Peri Irawan</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="42">
            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="136033">
                <text>pdf</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="136034">
                <text>english</text>
              </elementText>
            </elementTextContainer>
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                <text>text</text>
              </elementText>
            </elementTextContainer>
          </element>
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    <tagContainer>
      <tag tagId="15576">
        <name>ST-segment elevation MI (STEMI), Polk County Fire Rescue (PCFR), American Heart Association Mission Lifeline STEMI</name>
      </tag>
    </tagContainer>
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          <elementContainer>
            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="134588">
                  <text>Volume 18 Issue 1 2025</text>
                </elementText>
              </elementTextContainer>
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          </elementContainer>
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    <elementSetContainer>
      <elementSet elementSetId="1">
        <name>Dublin Core</name>
        <description>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/.</description>
        <elementContainer>
          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="136016">
                <text>Septic shock caused by postpartum acute pancreatitis, a case report and literature review</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="136017">
                <text>Postpartum acute pancreatitis, Biliary obstruction, Gallstones, Septic shock</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="136018">
                <text>Abstract&#13;
Introduction Postpartum acute pancreatitis (PAP) is a rare but potentially life-threatening condition that can occur&#13;
&#13;
following childbirth. The incidence of PAP is estimated to be between 1 in 1,000 and 1 in 10,000 deliveries, with a sig-&#13;
nificant proportion of cases linked to biliary causes, particularly gallstones and biliary sludge. Prompt diagnosis&#13;
&#13;
and comprehensive management are essential to prevent severe complications such as septic shock and peritonitis.&#13;
Case presentation We report the case of a 25-year-old white woman who presented with severe abdominal pain&#13;
&#13;
and septic shock 18 days after a cesarean section. Initial management included aggressive fluid resuscitation, broad-&#13;
spectrum antibiotics, and pain control. Diagnostic imaging and laboratory tests confirmed the presence of biliary&#13;
&#13;
obstruction due to gallstones and biliary sludge, leading to acute pancreatitis. An endoscopic retrograde cholangio-&#13;
pancreatography (ERCP) was performed to remove the biliary obstructions, followed by a laparoscopic cholecystec-&#13;
tomy to prevent recurrence.&#13;
&#13;
Discussion PAP, while rare, poses significant risks and can lead to serious side effects such as septic shock. Early diag-&#13;
nosis by laboratory workup and imaging is essential. In this instance, gallstones and biliary sludge were found to be&#13;
&#13;
the culprit, requiring cholecystectomy and ERCP. ERCP was effective in this patient, despite its controversy in septic&#13;
&#13;
patients. The effective management of PAP requires a multidisciplinary approach involving obstetricians, gastroenter-&#13;
ologists, surgeons, and critical care specialists.&#13;
&#13;
Conclusion PAP must be identified and treated as soon as possible. Bile obstruction is a common problem&#13;
that necessitates prompt imaging and, if necessary, endoscopic or surgical intervention. Delays can be fatal; timing&#13;
is crucial. To prevent deadly consequences, doctors must be extremely suspicious of postpartum patients presenting&#13;
with abdominal pain.&#13;
Keywords Postpartum acute pancreatitis, Biliary obstruction, Gallstones, Septic shock</text>
              </elementText>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="136019">
                <text>Changiz Delavari1 , Delaram J. Ghadimi2 , Maryam Taheri3 , Harsh Kumar4 , Pouya Ebrahimi3 ,&#13;
Amir Nasrollahizadeh3 and Sepide Javankiani1*</text>
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            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="136020">
                <text>https://doi.org/10.1186/s12245-025-00862-y</text>
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            <name>Date</name>
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              <elementText elementTextId="136021">
                <text>2025</text>
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            <elementTextContainer>
              <elementText elementTextId="136022">
                <text>Peri Irawan</text>
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        <name>Postpartum acute pancreatitis, Biliary obstruction, Gallstones, Septic shock</name>
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                  <text>Volume 18 Issue 1 2025</text>
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                <text>Predicting triage of pediatric patients in the emergency department using machine learning approach</text>
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                <text>Canadian triage and acuity scale, K-Nearest neighbours, Support vector machine, Gaussian Naive Bayes,&#13;
Decision tree, Random forest, Light GBM</text>
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                <text>Abstract&#13;
Background The efficient performance of an Emergency Department (ED) relies heavily on an effective triage&#13;
system that prioritizes patients based on the severity of their medical conditions. Traditional triage systems, including&#13;
those using the Canadian Triage and Acuity Scale (CTAS), may involve subjective assessments by healthcare providers,&#13;
leading to potential inconsistencies and delays in patient care.&#13;
Objective This study aimed to evaluate six Machine Learning (ML) models K-Nearest Neighbors (KNN), Support&#13;
Vector Machine (SCM), Decision Tree (DT), Random Forest (RF), Gaussian Naïve Bayes (GNB), and Light GBM (Light&#13;
Gradient Boosting Machine) for triage prediction in the King Abdulaziz University Hospital using the CTAS framework.&#13;
Methodology We followed three essential phases: data collection (7125 records of ED patients), data exploration and&#13;
processing, and the development of machine learning predictive models for ED triage at King Abdulaziz University&#13;
Hospital.&#13;
Results and conclusion The overall predictive performance of CTAS was the highest using GNB=0.984 accuracy.&#13;
The CTAS-level model performance indicated that SVM, RF, and LGBM achieved the highest performance regarding&#13;
the consistency of precision and recall values across all CTAS levels.&#13;
Plain Language summary&#13;
A study used a dataset of records of ED patients to improve triage prediction accuracy using six machine learning&#13;
models. The Gaussian-naive Bayes model was the most accurate, predicting triage levels at 98.4% of the time.&#13;
However, SVM, Random Forest, and Light GBM outperformed each other in precision and recall, demonstrating that&#13;
these models can enhance the consistency and accuracy of triage judgments in the ED.&#13;
Keywords Canadian triage and acuity scale, K-Nearest neighbours, Support vector machine, Gaussian Naive Bayes,&#13;
Decision tree, Random forest, Light GBM</text>
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              <elementText elementTextId="136009">
                <text>Manal Ahmed Halwani1* , Ghada Merdad3&#13;
&#13;
, Miada Almasre2 , Ghadeer Doman3 , Shafiqa AlSharif1 ,&#13;
Safinaz M. Alshiakh3 , Duaa Yousof Mahboob3 , Marwah A. Halwani4 , Nojoud Adnan Faqerah5 and&#13;
Mahmoud Talal Mosuily2</text>
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            <description>A related resource from which the described resource is derived</description>
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              <elementText elementTextId="136010">
                <text>https://doi.org/10.1186/s12245-025-00861-z</text>
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            <elementTextContainer>
              <elementText elementTextId="136012">
                <text>Peri Irawan</text>
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                <text>english</text>
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                  <text>Volume 18 Issue 1 2025</text>
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          <element elementId="50">
            <name>Title</name>
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                <text>Quick to connect: a comparison of virtual and in-person speed mentoring&#13;
for emergency medicine medical students, residents by faculty at a national conference</text>
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          <element elementId="49">
            <name>Subject</name>
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                <text>Mentorship is vital to foster personal and professional growth.</text>
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            <description>An account of the resource</description>
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              <elementText elementTextId="135998">
                <text>Abstract&#13;
Background Mentorship is vital to foster personal and professional growth. Speed mentoring is a newer model of&#13;
mentorship that introduces trainees to several potential mentors. The Society for Academic Emergency Medicine&#13;
(SAEM) hosts a speed mentoring event at its annual meeting. During the COVID-19 pandemic, the annual meeting&#13;
transitioned to a virtual format. This study compares participants’ attitudes towards in-person and virtual speed&#13;
mentoring.&#13;
Methods Medical students, residents, and faculty mentors completed a biographical sheet to inform pairings and&#13;
to facilitate discussion. The same anonymous event evaluation was administered to the participants during both&#13;
the in-person (SAEM19) and virtual speed mentoring event (SAEM21). We assessed whether there were significant&#13;
differences in viewpoints of participants of the two formats using Fischer’s Exact Test for each question by role and&#13;
performed a thematic analysis on the free-text question.&#13;
Results The response rates for mentors and mentees were 89.6% (43/48) and 77.1% (37/48) for SAEM19, and&#13;
76.9% (10/13) and 84.6% (11/13) for SAEM21, respectively. Participants responded similarly to all (p&gt;0.05) but one&#13;
question. Mentors were more neutral that the event helped them feel more comfortable around trainees at the&#13;
conference (p=0.01). Otherwise, participants indicated the event was enjoyable, planned to participate again, and&#13;
felt empowered to make further connections outside of the event. Free responses underscored these themes and&#13;
suggested increasing time per encounter.&#13;
Conclusions Virtual speed mentoring is a feasible and effective alternative to in-person speed mentoring and may&#13;
be a helpful adjunct to in-person mentoring.</text>
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                <text>Wendy W. Sun1*, Katja Goldflam1&#13;
&#13;
, Zachary T. Pennington2&#13;
&#13;
, Lucia Derks3&#13;
&#13;
, Wendy C. Coates4&#13;
&#13;
, Madison A. Nashu1&#13;
,&#13;
&#13;
Tamanna Hossin1&#13;
&#13;
, Avery Clark5&#13;
&#13;
, Alina Tsyrulnik1&#13;
&#13;
and Judith A. Linden5</text>
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            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="136000">
                <text>https://doi.org/10.1186/s12245-025-00860-0</text>
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            <name>Date</name>
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            <elementTextContainer>
              <elementText elementTextId="136002">
                <text>Peri Irawan</text>
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            <elementTextContainer>
              <elementText elementTextId="136004">
                <text>english</text>
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        <name>Mentorship is vital to foster personal and professional growth.</name>
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                  <text>Volume 18 Issue 1 2025</text>
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="135986">
                <text>Challenges in diagnosing and treating distal common bile duct adenocarcinoma: A case report with literature insights</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
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              <elementText elementTextId="135987">
                <text>Roux-en-Y hepaticojejunostomy, Right upper abdominal pain, Common bile duct adenocarcinoma,&#13;
Intrahepatic bile ducts, Obstructive jaundice, Lymphovascular invasion</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="135988">
                <text>Abstract&#13;
Background Adenocarcinoma of the distal common bile duct (CBD) is a rare and aggressive malignancy that is often&#13;
diagnosed at an advanced stage owing to nonspecific symptoms and delayed presentation. This case report details&#13;
the diagnostic and therapeutic challenges associated with distal CBD adenocarcinoma and highlights the need for an&#13;
effective multidisciplinary approach.&#13;
Case presentation A 54-year-old male with a significant smoking history presented with persistent right upper&#13;
abdominal pain, dark urine, and scleral jaundice. Imaging studies revealed intrahepatic bile duct dilatation, a mass&#13;
obstructing the common bile duct, and thickened gallbladder walls. Despite initial antibiotic therapy for suspected&#13;
cholangitis, the patient underwent endoscopic retrograde cholangiopancreatography (ERCP) and subsequently a&#13;
surgical procedure. The surgical resection of a common bile duct adenocarcinoma with lymphovascular invasion&#13;
was successful, with subsequent restoration of bile flow through Roux-en-Y hepaticojejunostomy. Histopathological&#13;
analysis confirmed tumor characteristics and clear surgical margins. Postoperatively, the patient demonstrated&#13;
significant clinical improvement with normalized bilirubin levels and received appropriate management for his&#13;
oncologic condition.&#13;
Conclusion This case highlights the diagnostic complexity of distal CBD adenocarcinoma, particularly in patients&#13;
with delayed symptoms. Multimodal imaging approaches and timely surgical intervention are crucial for effective&#13;
management of this malignancy. Enhanced awareness of atypical presentations and advancements in targeted&#13;
therapies holds promise for improving outcomes in such challenging cases.&#13;
Keywords Roux-en-Y hepaticojejunostomy, Right upper abdominal pain, Common bile duct adenocarcinoma,&#13;
Intrahepatic bile ducts, Obstructive jaundice, Lymphovascular invasion</text>
              </elementText>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="135989">
                <text>Sakhr Alshwayyat1,2,3, Hamdah Hanifa4* , Yamen Alshwaiyat5&#13;
&#13;
, Mustafa Alshwayyat6&#13;
&#13;
, Hussein Alhussein7&#13;
,&#13;
&#13;
Malak Abu-Naja8 , Tala Abdulsalam Alshwayyat2&#13;
&#13;
, Basil Alsaleh9 , Mohammad Shafa’a10 and&#13;
&#13;
Muhammad Fadi Alkurdi10</text>
              </elementText>
            </elementTextContainer>
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            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="135990">
                <text>https://doi.org/10.1186/s12245-025-00859-7</text>
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            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="135991">
                <text>2025</text>
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            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="135992">
                <text>Peri Irawan</text>
              </elementText>
            </elementTextContainer>
          </element>
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            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="135994">
                <text>english</text>
              </elementText>
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      <tag tagId="15572">
        <name>Roux-en-Y hepaticojejunostomy,</name>
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              <name>Title</name>
              <description>A name given to the resource</description>
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                <elementText elementTextId="134588">
                  <text>Volume 18 Issue 1 2025</text>
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    <elementSetContainer>
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        <elementContainer>
          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="135976">
                <text>Impact of capacity building training on emergency medical services for chardham yatra: a pre-test post-test study in a hilly region of North India</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="135977">
                <text>Capacity Building, Emergency medical services (EMS), Char Dham Yatra, Medical officer training, High- Altitude illness management</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="135978">
                <text>Abstract&#13;
Background The Char Dham Yatra in Uttarakhand, India, poses significant healthcare challenges due to high altitude,&#13;
limited medical infrastructure, and increased risk of emergencies, including high-altitude illnesses and cardiovascular&#13;
events. To address these challenges, a capacity-building program was implemented for medical officers, aiming to&#13;
enhance their emergency medicine skills.&#13;
Method The study was conducted at the Emergency Medicine and Trauma Surgery Department, AIIMS Rishikesh.&#13;
The study was conducted for 6 months. A total of 150 medical officers were nominated, with 125 participating. The&#13;
training involved weekly sessions over three months, comprising didactic lectures and hands-on practical skills,&#13;
particularly in basic life support. Pre and post-tests comprising 20 questions assessed participants’ knowledge, and&#13;
skill assessments were conducted using a 7-item questionnaire on a 5-point Likert scale.&#13;
Result The program resulted in a significant improvement in participants’ knowledge, with an average increase of&#13;
41% in post-test scores compared to pre-test scores (p&lt;0.001). Skill assessment showed that 70.4% of participants&#13;
were rated as “Outstanding” or “Very Satisfactory.” The distribution of trained officers was uneven across districts, with&#13;
Pauri and Tehri having the highest representation.&#13;
Conclusion The capacity-building program significantly enhanced the emergency medicine capabilities of medical&#13;
officers, leading to better preparedness for handling medical emergencies during the Char Dham Yatra. The positive&#13;
outcomes highlight the importance of continued investment in such training programs to reduce morbidity and&#13;
mortality. Addressing the uneven distribution of trained officers is crucial for comprehensive emergency medical&#13;
coverage along the pilgrimage route.&#13;
&#13;
Keywords Capacity Building, Emergency medical services (EMS), Char Dham Yatra, Medical officer training, High-&#13;
Altitude illness management</text>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
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                <text>Nidhi Kaeley1 , Shantam Pokhriyal2 , Madhur Uniyal2* , Johnny Saxena1 , Mimanshu Mittal1 ,&#13;
Patel Sanket Mukeshkumar3 , Aditya Choudhary2 and Pushpendra Kaushik2</text>
              </elementText>
            </elementTextContainer>
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            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="135980">
                <text>https://doi.org/10.1186/s12245-025-00858-8</text>
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                <text>Peri Irawan</text>
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        <name>Capacity Building, Emergency medical services (EMS), Char Dham Yatra, Medical officer training, High- Altitude illness management</name>
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                  <text>Volume 18 Issue 1 2025</text>
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                <text>An Ogilvie’s syndrome: a rare case of large bowel pseudo-obstruction</text>
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                <text>Ogilvie’s Syndrome (OS) is a rare but serious functional</text>
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                <text>Abstract&#13;
Introduction Ogilvie’s Syndrome (OS) is a rare but serious functional disorder characterized by dilatation of the&#13;
colon, typically affecting the cecum and right colon, in the absence of any mechanical obstruction.&#13;
Case presentation We present an unusual case of Ogilvie’s Syndrome in a 67-year-old female patient following&#13;
elective dynamic hip screw surgery. She presented with gradual abdominal distention, as well as gas and stool&#13;
retention. On the ninth postoperative day, abdominal examination revealed significant distention, marked tympanitic&#13;
sounds upon percussion, diffuse tenderness on palpation, diminished bowel sounds, and moderate abdominal pain.&#13;
Investigation tools demonstrated gross dilated in colons, up to 92.4 mm at the cecum level by Abdominal CT which,&#13;
confirming the diagnosis of Ogilvie’s Syndrome. The team opted for conservative treatment, including nasogastric&#13;
tube (NGT) insertion, fasting, and intravenous fluids. Subsequent imaging a few days later indicated a reduction in&#13;
colonic diameter (cecum measuring 38 mm) and an improvement in the patient’s overall condition.&#13;
Conclusion Although Ogilvie’s Syndrome is infrequently encountered, clinicians should maintain a high index&#13;
of suspicion for gas and stool retention following surgical procedures. It is essential to be familiar with diagnostic&#13;
methods and management protocols for this condition.</text>
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                <text>Mazen Mohammad1 , Khaled Alsheikh2&#13;
&#13;
, Sabet El Madlaji3&#13;
&#13;
and Muhamad Zakaria Brimo Alsaman4*</text>
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                <text>https://doi.org/10.1186/s12245-025-00857-9</text>
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                <text>2025</text>
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                <text>Peri Irawan</text>
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                <text>english</text>
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        <name>Ogilvie’s Syndrome (OS) is a rare but serious functional</name>
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                  <text>Volume 18 Issue 1 2025</text>
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          <element elementId="50">
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                <text>Pediatric emergency disaster preparedness:a narrative review of global disparities, challenges, and policy solutions</text>
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          <element elementId="49">
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                <text>Disasters, whether natural or man-made,</text>
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Background Disasters, whether natural or man-made, pose significant challenges to healthcare systems, with&#13;
children being among the most vulnerable populations. Pediatric Emergency Departments (PEDs) require specialized&#13;
protocols to address children’s distinct physiological, psychological, and developmental needs in other to respond&#13;
adequately to disasters. While international guidelines for disaster preparedness exist, significant disparities persist&#13;
across different healthcare settings, particularly in low-resource regions where preparedness measures remain&#13;
inadequate. This review examines the current state of pediatric disaster preparedness, analyzing insights from past&#13;
disasters to highlight key challenges, gaps, and opportunities for improvement. Special attention is given to global&#13;
frameworks, existing protocols, and how lessons from successful disaster responses can inform future strategies,&#13;
particularly in resource-limited settings.&#13;
Aims This review aims to assess the readiness of PEDs for disaster scenarios by identifying deficiencies and proposing&#13;
strategies to enhance preparedness. It explores infrastructure requirements, workforce training, triage protocols, and&#13;
mental health considerations specific to pediatric populations. Additionally, it assesses international frameworks and&#13;
best practices to inform policy recommendations for strengthening pediatric-focused disaster response globally.&#13;
Conclusion Pediatric disaster preparedness remains inadequate across global healthcare systems, particularly&#13;
in resource-limited settings. While international protocols exist, their implementation varies widely, leaving gaps&#13;
in staff training, resource allocation, and mental health support. Addressing these gaps requires a multi-faceted&#13;
approach that includes enhanced training programs, improved resource allocation, and integration of mental health&#13;
services into disaster protocols. By adopting evidence-based strategies and fostering interdisciplinary collaborations,&#13;
healthcare systems can develop more resilient and child-focused emergency response frameworks. Strengthening&#13;
disaster preparedness in PEDs is essential to ensuring equal opportunities for care and effective treatment for children&#13;
in times of crisis.</text>
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                <text>Chibuike Daniel Onyejesi1 , Mohamed Alsabri2* , Jose Carlos Del Castillo Miranda3 , Mayam Mohamed Aziz4 ,&#13;
Muskaan Doulat Ram5 , Eslam Moumen Abady6 and Sohaila Mohamed Abdelbar7</text>
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                <text>https://doi.org/10.1186/s12245-025-00856-w</text>
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                <text>Peri Irawan</text>
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        <name>Disasters, whether natural or man-made,</name>
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