15 10 201 https://repository.horizon.ac.id/files/original/51ae12117460ec56be353d7a6451eaf6.pdf ef8437def834f48c5c452aa17ee15b16 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 18 Issue 1 2025 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 Successful management of life-threatening spontaneous inferior thyroid artery rupture in neurofibromatosis type 1: a rare case report Subject The topic of the resource Airway, Emergency, Spontaneous artery rupture, Neurofibromatosis type 1, Case report Description An account of the resource Abstract Background Neurofibromatosis type 1 (NF1) is an autosomal dominant disorder associated with cutaneous and vascular complications. Arterial rupture, including the rare involvement of the subclavian artery, can be life- threatening. We present a case of a ruptured inferior thyroid artery in a patient with NF1, presenting with a rapidly expanding neck hematoma. Case presentation A 35-year-old male with a history of NF1 presented to the emergency department with sudden- onset right-sided neck swelling and pain. The swelling rapidly expanded, leading to severe dyspnea, irritability, and hoarseness, necessitating emergent intubation. After failed attempts of intubation, a surgical tracheostomy was performed. Imaging revealed active arterial extravasation at the inferior thyroid artery near the thyrocervical trunk, with a large neck hematoma extending into the mediastinum. Coil embolization was performed, resulting in a favorable outcome. Postoperative follow-up confirmed successful embolization and resolution of symptoms. Discussion and conclusion NF1 is commonly associated with cutaneous manifestations but can also lead to vascular complications, including arterial stenosis and aneurysms, due to impaired vascular endothelial and smooth muscle cell function. Rupture of the inferior thyroid artery in NF1 is extremely rare and can present with symptoms such as hoarseness, dysphagia, and swelling, complicating initial diagnosis. Management of vascular complications in NF1 can be challenging due to the fragility of affected vessels. Endovascular interventions, such as coil embolization, offer a less invasive treatment option with promising outcomes. In this case, rapid airway management followed by angiographic embolization led to a successful resolution. Keywords Airway, Emergency, Spontaneous artery rupture, Neurofibromatosis type 1, Case report Creator An entity primarily responsible for making the resource Hamza A. Abdul-Hafez1*, Yazan Abudeyak1 , Mahmoud S. Mansour2 , Mohammed A. Barakat3 and Mohanad A. Abuzahra4 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-00854-y Date A point or period of time associated with an event in the lifecycle of the resource 2025 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 Airway, Emergency, Spontaneous artery rupture, Neurofibromatosis type 1, Case report https://repository.horizon.ac.id/files/original/ecccb89789d49e60f645c1ccecb7a8c0.pdf acf66e739a1f67f1e5a3aa0cd8b1f33a 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 18 Issue 1 2025 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 Reaching the right facility for emergency patients - destinations of patients transported by emergency medical services in Kigali, Rwanda Subject The topic of the resource Ambulance, Emergency medical services (EMS), Service D’Aide Médicale Urgente (SAMU), Rwanda Description An account of the resource Abstract Background Ensuring that emergency patients reach the right healthcare facility at the right time is a key component of providing quality emergency care. Rwanda’s prehospital emergency care system, Service D’Aide Médicale Urgente (SAMU), was established in 2007 to provide prehospital emergency care services, but a formal assessment of the receiving facilities has not been done. We explored the characteristics of patients transported by SAMU to identify factors influencing the choice of destination health facilities. Methods We retrospectively analyzed SAMU data documenting patients transported in Kigali in 2022. The main dataset included patient sex, age, emergency condition, insurance status, and destination facility. For a subset of patients, additional data were available on clinical variables such as Glasgow Coma Score (GCS), variables to permit derivation of the Triage Early Warning Scores (TEWS), and an assessment of urgency made by the ambulance team. Facilities receiving patients transported by SAMU were categorised into health centers, district hospitals, and tertiary hospitals. Results are described for the main dataset, and associations between facility type and patient characteristics were determined using multinomial logistic regression on the subset of patients with additional clinical variables. Results Data was available for 7,221 patients. The majority were male (65%), with a mean age of 34 years (SD=16). The leading three emergency conditions were trauma (66%), gynecological and obstetric conditions (9%), and medical conditions (17%). Most patients were received by district hospitals (47%), followed by health centers (36%), and tertiary hospitals (17%). We also found that patients with urgency classified as “extreme” had a 49%, 37%, and Creator An entity primarily responsible for making the resource Ephrem Daniel Sheferaw1*, Barnabas Alyande1 , Oda Munyura1 , Assuman Nuhu4 , Aurore Nishimwe2 , Jeanne Nyinawankusi5 , Jean Marie Uwitonze5 , Jean Nepomuscene Sindikubwabo5 , Irene Bagahirwa5 , Didier Hagumimana4 , Fabien Hagenimana4 , Collins Fred Inkotanyi1 , Jean Claude Semuto5 , Gilbert Rukundo5 , Agnieszka Ignatowicz2 , Lucia D’Ambruoso3 , Philbert Muhire7 , Sudha Jayaraman8 , Emmy Agabe Nkusi6 , Laura Quinn2 , Abebe Bekele1 , Jean Claude Byiringiro4† and Justine Davies2,9† Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-00853-z Date A point or period of time associated with an event in the lifecycle of the resource 2025 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 Ambulance, Emergency medical services (EMS), Service D’Aide Médicale Urgente (SAMU), Rwanda https://repository.horizon.ac.id/files/original/720fe49c6d59f8258027f2919b294d2b.pdf 45c9f5627b80d92cab7fb479cce3da2d 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 18 Issue 1 2025 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 Patients’ attitude and information-seeking behaviour on intra-venous fluid therapy in emergency department for common cold: a cross-sectional study Subject The topic of the resource Attitude, Common cold, Information-seeking behaviour, Intra-venous fluid, Therapy Description An account of the resource Abstract Objective This study aimed to examine patients’ attitude and information-seeking behaviour related to intra-venous (IV) fluid use for the common cold visited in emergency department. Methods A cross-sectional analytical study was conducted from January to May 2024. A total of 365 patients aged 18 years and older presenting with cold symptoms were surveyed using a validated questionnaire. The survey assessed demographic information, attitudes towards IV fluid therapy, and the sources of information patients used. Descriptive statistics, and one-sample t-tests were performed to compare mean perceptions against a neutral score (e.g., 3 on a 5-point Likert scale) using SPSS version 21. Results The mean age of participants was 39.35±15.48 years, with 48.5% women and 51.5% men. Nearly two-third (62.19%) of participants were agree or strongly agree that patient with cold must receive IV Fluid to get well. While the majority of participants disagreed that IV fluid therapy strengthens the body (mean=2.08±1.02) or boosts immunity (mean=2.03±0.98), many perceived it as effective in infection elimination (mean=3.81±1.24) and disease prevention (mean=3.18±1.09). The majority of participants—81.92%, 88.49%, and 89.04%—agreed that sneezing, runny nose, and mild fever, respectively, required IV fluids. Key information sources were specialists (mean=4.17±1.17) and medical journals (mean=3.83±1.18), while general practitioners (mean=2.43±1.21) and social networks (mean=2.6±1.33) were less utilized. Conclusions The findings highlight the need for public health education on the natural course of the common cold and the appropriate use of ED services to reduce unnecessary IV fluid administration. Keywords Attitude, Common cold, Information-seeking behaviour, Intra-venous fluid, Therapy Creator An entity primarily responsible for making the resource Abdollah Malekian1 , Shiv Kumar Mudgal2 , Nipin Kalal3 , Shima Zaghi4 , Zohreh Hosseini Marznaki5 , Seyyed Hamid Hoseini6 , Fatemeh Keshavarzi7 and Seyed Mohammad Hosseininejad8* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-00852-0 Date A point or period of time associated with an event in the lifecycle of the resource 2025 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 Attitude, Common cold, Information-seeking behaviour, Intra-venous fluid, Therapy https://repository.horizon.ac.id/files/original/43dc1ca101ba98224fcb75dbf15d87aa.pdf aa27a3de99ca47d9b2e98aff0f84d10c 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 18 Issue 1 2025 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 Predictive value of venous bicarbonate levels for survival to hospital discharge in out-of- hospital cardiac arrest patients Subject The topic of the resource Out-of-hospital cardiac arrest, Metabolic acidosis, Venous bicarbonate levels, Survival, Resuscitation strategies Description An account of the resource Abstract Background Acid-base disturbances significantly impact cardiac function and prognostic outcomes in cardiac arrest. Previous studies have highlighted the correlation between pH levels from arterial blood gas (ABG) analyses during cardiopulmonary resuscitation (CPR) in out-of-hospital cardiac arrest (OHCA) and survival outcomes. However, ABG measurements are often impractical in resource-limited settings. This study explores the relationship between serum bicarbonate levels and survival outcomes in patients with OHCA. Methods This retrospective cohort study examined patients with OHCA who presented at Srinagarind Hospital (Thailand) between 2015 and 2021. We analyzed venous bicarbonate levels and other laboratory markers (Na+, K+, BUN, Creatinine). Demographic and clinical data were extracted from electronic medical records. The primary objective was to assess the association between venous bicarbonate levels and survival and to determine the optimal cutoff values for predicting survival in these patients. Results Of the 461 identified patients, 19% survived hospital discharge. Survivors exhibited higher bicarbonate and BUN levels but lower potassium levels. Bicarbonate levels≥12.6 demonstrated a sensitivity of 74% and specificity of 47%, with an 88.44% negative predictive value (NPV) for survival. A sensitivity analysis, which reclassified patients who left against medical advice as non-survivors, revealed that a bicarbonate cutoff of 13.9 mmol/L yielded the best predictive value, with a sensitivity of 93.8% and a specificity of 52.1%. Factors associated with increased survival included BUN≥19.5, bicarbonate≥12.6, private transport, and initial PEA or VT/VF rhythms, while potassium≥5.1 decreased survival likelihood. Conclusion Bicarbonate levels, particularly with a threshold greater than 12.6 mmol/L, may be effective prognostic indicators. Other factors influencing survival include BUN, potassium levels, private transport, and initial cardiac rhythm. These insights can help clinicians improve resuscitation strategies and prognosis assessment, especially in resource-limited settings. Creator An entity primarily responsible for making the resource Pariwat Phungoen1 , John M. O’Donnell2,3, Jirat Tosibphanom1 , Praew Kotruchin1 , Thummasorn Phurisetthasak1 and Thanat Tangpaisarn1* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-00851-1 Date A point or period of time associated with an event in the lifecycle of the resource 2025 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 https://repository.horizon.ac.id/files/original/aac8ac7d31a5975a870db1760f85c01f.pdf f4e540c6e121bfe3ad108f4648cd3635 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 18 Issue 1 2025 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 comparison of SIEVE, SORT, and START triage training effectiveness between immersive interactive 3D learning materials using virtual reality (VR-SSST) and traditional methods in mass casualty incidents Subject The topic of the resource Virtual reality, Disaster triage, Sieve triage, Sort triage, Start triage, Mass casualty incidents, ARCS model Description An account of the resource Abstract Introduction Disaster triage is a crucial competency for paramedics. Traditional training methods, such as lectures and tabletop exercises (TTx), may not provide immersive and high-pressure experience necessary for optimal skill development. Virtual reality (VR) is innovative, allowing trainees to engage in realistic triage simulations in a controlled, interactive environment. Objective The study aimed to compare the effectiveness of VR-based triage training and traditional methods by assessing knowledge, learner motivation, and practical skills through pre-and post-tests, the ARCS model, and live simulations. Methods This method-oriented, randomized study was conducted over a 2-week intervention among 83 paramedic students and compared traditional lecture-based (n=41) with VR-based (n=42) training for MCI triage education among paramedic students at the Faculty of Medicine, Ramathibodi Hospital, Mahidol University. Both groups attended lectures. Knowledge was assessed through validated pre- and post-tests in four domains: memory, comprehension, application and analysis. Learner motivation was evaluated using the ARCS model (Attention, Relevance, Confidence, Satisfaction), and practical skills were measured during live simulations, assessing time use and a validated accuracy score that included triage steps, proper sequencing, and the correctness of triage judgment. Results Both groups demonstrated significant improvements in post-test knowledge scores. The VR group scored higher across all ARCS model dimensions: attention (4.78 vs. 4.17, p<0.001), relevance (4.79 vs. 4.37, p<0.001), confidence (4.74 vs. 4.24, p<0.001), and satisfaction (4.71 vs. 4.34, p<0.001). In the practical triage assessment, the VR group achieved higher accuracy in SORT triage (14.39 vs. 12.09, p=0.001) than the traditional group. Creator An entity primarily responsible for making the resource Kritsada Chumvanichaya1 , Chaiyaporn Yuksen1 , Promphet Nuanprom2 and Kasamon Aramvanitch1* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-00850-2 Date A point or period of time associated with an event in the lifecycle of the resource 2025 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, Disaster triage, Sieve triage, Sort triage, Start triage, Mass casualty incidents, ARCS model https://repository.horizon.ac.id/files/original/e53ec7ea40a8d559b0457f93cd47655d.pdf 98211ba83937a7765530ca81606b9895 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 18 Issue 1 2025 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 survey of emergency medicine physicians’ knowledge, attitude, and practice towards esophagogastric variceal bleeding Subject The topic of the resource Emergency physicians, Esophagogastric variceal bleeding, Knowledge, Attitude, Practice Description An account of the resource Abstract Background Esophageal-gastric variceal bleeding (EVB) is one of the leading causes of mortality in patients with cirrhotic portal hypertension. Rapid, accurate, and effective emergency care is crucial for successful patient outcomes. Aims This study aims to evaluate the knowledge, attitudes, and practices of Chinese emergency physicians regarding EVB, with the goal of improving the diagnosis and treatment of gastrointestinal bleeding in emergency settings. Methods A self-designed questionnaire based on clinical guidelines was developed to assess EVB knowledge, attitudes, and practices of Chinese emergency physicians in treating EVB. An online survey was conducted among emergency physicians nationwide. Data were analyzed using descriptive statistics and correlation analysis. Results The knowledge score for EVB was 11.2±3.5 (total score was 22), indicating a relatively low level of understanding. Statistically significant differences in knowledge scores were observed across hospital grades, educational backgrounds, years of experience, professional titles, and participation in relevant training programs (P<0.05). The mean attitude score for EVB was above 4 (total score was 5), reflecting a generally positive attitude among physicians. In terms of practices, the score for treatment behavior of EVB was 2.7±1.2, and behavior was positively correlated with knowledge and attitude (P<0.05). Conclusion Chinese emergency physicians demonstrate a low level of knowledge about EVB treatment, although their attitudes remain positive. Their clinical practices in EVB management are also insufficient. Enhancing education on EVB and standardizing treatment protocols are necessary to improve patient outcomes. Keywords Emergency physicians, Esophagogastric variceal bleeding, Knowledge, Attitude, Practice Creator An entity primarily responsible for making the resource Zhenzhen Gao1†, Yusong Gao2†, Shuai Ma1 , Tianpeng Zhang3 , Junyuan Wu1 , Shubin Guo1 and Xue Mei1* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-00849-9 Date A point or period of time associated with an event in the lifecycle of the resource 2025 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 physicians, Esophagogastric variceal bleeding, Knowledge, Attitude, Practice https://repository.horizon.ac.id/files/original/11dc45d851c0accca1d7780c8d452f28.pdf 78d65d9f3461e309ce37edd699e1189e 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 18 Issue 1 2025 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 comparison of outcomes between transferred patients versus patients wh o presented directly to the emergency department with necrotizing fasciitis Subject The topic of the resource Necrotizing fasciitis, Operative report, Soft tissue infection, Cellulitis, Skin abscess Description An account of the resource Abstract Introduction Necrotizing Fasciitis (NF) is a rare life-threatening bacterial infection that necessitates emergent resuscitation and operative intervention. Most of the literature has emphasized the need for early surgical intervention. This is problematic for patients being treated at a facility lacking surgical support, with concerns for increasing mortality and morbidity rates. Methods This is a 10-year retrospective study of emergency department (ED) documentation and surgical operative reports of patients seen at Arrowhead Regional Medical Center from January 1, 2011, to December 31, 2020. The patients were divided into two groups: the Transfer Group (TG), consisting of those transferred from another facility, and the Direct Admit Group (DAG), comprising those who presented directly to the ED. A comparison was conducted to identify statistically significant differences between the 2 groups of patients with a final diagnosis of NF, with specific emphasis on mortality rate, hospital length of stay (LOS), and intensive care unit (ICU) LOS. Results A total of 134 patients with a confirmed diagnosis of NF were included in the final analysis. More than half (50.8%, n=68) of the patients presented as transfers from area hospitals. Compared to the DAG, the TG had a significantly higher percentage of patients undergoing surgical intervention within six hours of ED presentation (95.6% vs. 10.6%, respectively; p<0.0001). The TG had a lower mortality rate compared to the DAG (11.8% vs. 22.7%), though the difference did not reach statistical significance. There was no statistically significant difference in hospital LOS (13 days vs. 13.5 days, p=0.9046) or ICU LOS (3 days for both groups, p=0.4845) between these two groups. Conclusion Aggressive management with broad-spectrum antibiotics and intravenous fluid resuscitation may mitigate the effect on mortality in patients with necrotizing fasciitis when prompt surgical intervention is not available. Keywords Necrotizing fasciitis, Operative report, Soft tissue infection, Cellulitis, Skin abscess Creator An entity primarily responsible for making the resource Michael M. Neeki1,2,3*, Fanglong Dong1,2,3, Louis Tran1,2,3, Aldin Malkoc1,2,3, Joseph Kim1,2,3, Sarah C. Neeki1,2,3, Suraj Patel1,2,3, Niluk Leon Senewiratne1,2,3, Mariel Ma1,2,3, Cynthis Wong1,2,3, Rodney Borger1,2,3 and David Wong1,2,3 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-00848-w Date A point or period of time associated with an event in the lifecycle of the resource 2025 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 Necrotizing fasciitis, Operative report, Soft tissue infection, Cellulitis, Skin abscess https://repository.horizon.ac.id/files/original/658918b7995a28361f9a594bbb6c5a05.pdf 76b2ef7de99325b1d7d27d989c4dd8ad 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 18 Issue 1 2025 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 Critical revisits after discharge from the emergency department Subject The topic of the resource Revisits, Triage, Patient safety, Ed administration Description An account of the resource Abstract Aims Emergency department (ED) revisits within 72 h is a standard quality measure for emergency care but most revisits are managed and discharged. However, a sub-group of revisits are due to clinical deterioration resulting in admissions to higher acuity care or even mortality. We aimed to identify these critical revisits and their associated risk factors. Identification of these factors would allow development of strategies to reduce incidence of post discharge deterioration. Methods A retrospective cohort study was conducted on all patients who had a revisit within 72 h of discharge from the ED of a tertiary hospital in Singapore from 2008 to 2020. Deidentified data were extracted from the electronic health records (EHR). We identified critical revisits, defined as a revisit that resulted in death or admission to Intensive Care Unit or High Dependency. These patients were compared to patients who had a revisit that resulted in discharge or admission to general ward. The main outcome was the rate of critical revisit. We also determined the commonest index and critical revisit ED diagnosis as well as factors associated with critical revisits. Results Out of 1,057,533 discharges from the ED over the study period, 44,506 (4.2%) had a revisit within 72 h, of which 1321 (0.12%) were critical revisits. Adjusted odds ratios from multivariable logistic regression analysis indicated that higher heart rate, higher mean arterial pressure, and several lab abnormalities were associated with critical revisits. Diagnosis categories at the initial visit with the highest contribution to the likelihood of a critical revisit included “acute cerebrovascular disease” (OR: 38.00, 95%CI: 27.04–53.39), “other gastrointestinal disorders” (OR: 3.10, 95%CI: 2.41–3.99) and “residual codes; unclassified” (OR: 2.69, 95%CI: 2.01–3.60). Conclusion Critical revisits after discharge were rare in our study population, most prevalent amongst the elderly with multiple comorbidities. Future research should focus on diagnoses at higher risk of a critical revisit to develop practical approaches to follow up these patients. Keywords Revisits, Triage, Patient safety, Ed administration Creator An entity primarily responsible for making the resource Zhenghong Liu1*†, Raziyeh Mohammadi2†, Seyed Ehsan Saffari2 , Wei Lin Tallie Chua1 , Mingwei Ng1 , Fahad Javaid Siddiqui3 and Marcus Eng Hock Ong1,4 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-00847-x Date A point or period of time associated with an event in the lifecycle of the resource 2025 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 Revisits, Triage, Patient safety, Ed administration https://repository.horizon.ac.id/files/original/945c5fbf2a53f9bd6be4998e7c7d2735.pdf 60dccca07ca1e52c6863b0e5a3d4f6c0 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 18 Issue 1 2025 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 Remifentanil use in critically Ill patients requiring mechanical ventilation is associated with increased delirium‐free days: a retrospective study Subject The topic of the resource Remifentanil, Delirium, Critical illness Description An account of the resource Abstract Intraoperative remifentanil reduces postoperative delirium incidence, unlike other opioids; however, its efficacy in medical emergencies with organ failure is unknown. We hypothesized that remifentanil use in nonoperative inten- sive care unit (ICU) patients requiring ventilatory management would improve delirium outcomes. This retrospec- tive study included 95 nonoperative patients with unplanned ICU admissions requiring ventilatory opioids. Delirium was assessed using the Intensive Care Delirium Screening Checklist. Patients were divided into remifentanil and non- remifentanil groups; statistical adjustments were made using propensity score matching and inverse probability weighting. After matching, the remifentanil group had significantly more delirium-free days (DFDs) within 14 days than the non-remifentanil group (8 [5–11] vs. 5 [3–9], p<.001). Adjusted multivariate analysis showed that DFD was significantly increased in the remifentanil group (Odds ratio=2.639 [95% CI 1.279–5.445]; p=0.009). Remifentanil use in nonoperative ventilated ICU patients may reduce delirium duration. Keywords Remifentanil, Delirium, Critical illness Creator An entity primarily responsible for making the resource Junpei Haruna1 , Aki Sasaki2 and Satoshi Kazuma1* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-00846-y Date A point or period of time associated with an event in the lifecycle of the resource 2025 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 Remifentanil, Delirium, Critical illness https://repository.horizon.ac.id/files/original/951c0b791a53f3b3179f167f9132ae6a.pdf c3adcfa2de44d831ea391a5facbf8cc1 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 18 Issue 1 2025 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 Posterior STEMI presenting as painless, isolated left arm numbness and weakness: a case report Subject The topic of the resource case describes an atypical presentation of isolated posterior Description An account of the resource Abstract This case describes an atypical presentation of isolated posterior ST-segment elevation myocardial infarction (STEMI), who presented with left arm numbness and weakness, mimicking an acute stroke. Diagnosis was confirmed with coronary angiogram showing occlusion in proximal left circumflex artery, as well as rise in troponin. This atypical presentation highlights the importance of maintaining high index of suspicion and casting a wide net of differential diagnoses in initial assessment of patient in the emergency department. Creator An entity primarily responsible for making the resource Annisa Dewi Utami Rakun1* and Mathew Yi Wen Yeo1 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-00845-z Date A point or period of time associated with an event in the lifecycle of the resource 2025 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 case describes an atypical presentation of isolated posterior