26 10 255 https://repository.horizon.ac.id/files/original/6bf35897da8859b2a6f3f25b12b99fac.pdf 86febbb750c8e99b9a8a5bcdf8c30f6a 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 Unmasking cerebral infarction: hemianopia and heavy menstrual bleeding in a patient with adenomyosis and vascular abnormalities Subject The topic of the resource Adenomyosis, Cerebral infarction, Heavy menstrual bleeding, Carotid artery stenosis Description An account of the resource Abstract Background Adenomyosis, typically associated with heavy menstrual bleeding and pelvic pain, is rarely linked to neurological complications. This case presents a rare instance of ischemic stroke in a young patient with adenomyosis and vascular abnormalities, underscoring the role of anemia, hypercoagulability, and vascular factors as potential contributors to cerebral infarction. Case presentation We describe a 41-year-old female with a history of adenomyosis who presented with right- sided hemianopia and dizziness following severe menstrual bleeding. Imaging revealed multiple acute cerebral infarctions and diffuse narrowing of the left internal carotid artery, suggesting an underlying vascular pathology. Thrombelastography revealed a hypercoagulable state, raising questions about the contributions of systemic and vascular factors in the context of adenomyosis. Conclusion This case highlights the need for a multidisciplinary approach in young patients with atypical risk factors. The findings underscore the importance of considering gynecological, vascular, and coagulation abnormalities in the evaluation of cerebrovascular events, offering new insights into diagnostic and therapeutic strategies. Keywords Adenomyosis, Cerebral infarction, Heavy menstrual bleeding, Carotid artery stenosis Creator An entity primarily responsible for making the resource Qing Wan1†, Chao Wang2†, Weiyue Zhang1 , Weijia Zhong2 , Haoran Wang2 , Hee King SU2 , Mei Hwa Joanne HNG2 , Fan Yang3 and Xiaoguang Li1* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00779-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 Adenomyosis, Cerebral infarction, Heavy menstrual bleeding, Carotid artery stenosis https://repository.horizon.ac.id/files/original/928e667adeb1eb0d053d6c12374862bc.pdf 81ea8d19a615b9bdb7fe179a7446e3d8 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 Retrospective analysis of trauma patients transported by dispatch monitored type B ambulances to Dhulikhel Hospital, Kavre, Nepal, 2019–2023 Subject The topic of the resource Ambulance, Emergency medical services, Nepal, Prehospital, Trauma Description An account of the resource Abstract Background Timely emergency medical services (EMS) are particularly important among trauma patients, as inefficient EMS systems can result in potentially avoidable death before reaching a hospital. The Dhulikhel Hospital Dispatch Center coordinates and monitors a growing network of ambulances, including seven Type B ambulances staffed with a trained prehospital care provider and medical equipment. This study evaluates the prehospital care and outcomes of trauma patients transported by Type B ambulances to Dhulikhel Hospital’s Emergency Department, as monitored by the Dispatch Center. Methods Data were collected via a retrospective chart review of Dispatch Center records, including patient demographics, injury mechanisms, prehospital care, and outcomes. Patients were included if they experienced physical trauma and were transported by a Type B ambulance to Dhulikhel Hospital’s Emergency Department between 2019 and 2023. Results Between 2019 and 2023, 224 trauma patients were transported to the hospital and received prehospital care services from Type B ambulances monitored by the Dispatch Center. Most patients were male (59%), and nearly half were aged 18–44 (49%). The median total transport time for Dhulikhel Hospital-owned Type B ambulances was 40 min. Type B ambulances reached patients across 24 municipalities (88% in Kavrepalanchowk and Sindupalchowk districts). Falls (55%) and road traffic accidents (30%) were the most common injury mechanisms, followed by physical assault (7%). Falls were significantly associated with female, pediatric, and geriatric patients (p<0.05), while road traffic accidents predominated among males, particularly in adults aged 25–34 years (p<0.05). Approximately one-third of patients admitted to the hospital after evaluation in the emergency department experienced multiple injuries, and the most prevalent diagnosis of admitted cases were extremity fractures (52%). Conclusion Trauma cases accounted for 15% (227/1541) of all patients who received transport and prehospital care services from a Type B ambulance monitored by the Dispatch Center between 2019 and 2023. This study Creator An entity primarily responsible for making the resource Maxwell L. Mantych1 , Shiva Neupane2 , Machchendra Sapkota2 , Laura D. Cassidy3,4, Sarah C. Young1,5, Ronald Anguzu3,4 and Samjhana Basnet6* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00773-4 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, Nepal, Prehospital, Trauma https://repository.horizon.ac.id/files/original/b59531e446aec7fe4bb92a60b46353ef.pdf bb437882896aa91a55e6d9247563d0ba 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 Disposition of emergency department patients presenting with angiotensin- converting enzyme inhibitor-induced angioedema Subject The topic of the resource Angioedema, ACEI-angioedema, Epinephrine, Airway, Emergency department boarding Description An account of the resource Abstract Background Angiotensin-converting enzyme inhibitors (ACEI) are the most common cause of drug-induced angioedema in the United States. Our primary objective was to provide descriptive evidence regarding emergency department (ED) disposition of ACEI-induced angioedema patients. Our secondary objective was to evaluate unique patterns in those with ACEI-induced angioedema at a tertiary referral center, including demographics, details of those requiring intubation, length of inpatient stay, and allergy documentation. Methods This was a retrospective study evaluating all cases of ACEI-induced angioedema at a large, regional academic medical center. We performed a medical record review to identify patients with ACEI-induced angioedema who presented to the ED from January 1, 2016, to December 31, 2022. A structured data abstraction process was utilized to select patients of interest, followed by descriptive statistics, chi-square tests and odds ratios for categorical data, and Kruskal Wallis tests for continuous data. Results A total of 637 unique patient encounters met potential inclusion. After a substantial, standardized review, 94 patients met inclusion. During the study period, there were 94 patients presenting to the ED who were diagnosed as having angioedema secondary to an ACEI (90 patients) or angiotensin receptor blocker (ARB) (4 patients). Overall, 53 patients (56.38%) improved during their ED stay, and of those, 32 patients (60.38%) were discharged home. None of the 12 patients that worsened were sent home from the ED. Those who were discharged from the ED with a median stay of 4 h had no increased risk of return to the ED versus those who were admitted. The only treatment found to have statistical association with disposition was intramuscular epinephrine. Only 13 of 43 ED discharged patients (23.64%) had their ACEI/ARB documented in their allergy listings compared to 42 of 51 patients (76.36%) of admitted patients, odds ratio of failure to document was 0.0929 (95% CI, 0.0352 to 0.24512). Only one patient out of the total 94 returned to the ED due to recurrent angioedema symptoms during our study period and was subsequently discharged. Creator An entity primarily responsible for making the resource Blake Briggs1*, David Cline2 and Iltifat Husain2 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00772-5 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 Angioedema, ACEI-angioedema, Epinephrine, Airway, Emergency department boarding https://repository.horizon.ac.id/files/original/db734a7b3c98350cc27d237133a73ec8.pdf d69dd96cd9bcde1f5ce70c49aa4d25ac 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 Adjusting EWS scores for altitude above sea level: is it necessary to predict sepsis mortality in the emergency room? Subject The topic of the resource Emergency room, Mortality, NEWS, Sepsis Description An account of the resource Abstract Background Sepsis mortality can be significantly reduced with early diagnosis and appropriate treatment. It is crucial to have tools that enable the early identification of patients at high risk of sepsis mortality from the triage stage. The National Early Warning Score (NEWS) and recently the International Early Warning Score (IEWS), are widely used for this purpose. However, its oxygenation parameters are primarily validated in populations at sea level. Given that patient oxygenation varies with altitude, there is a need to investigate the applicability of this scores at differ- ent altitudes. The purpose of this study is to compare the discriminatory capacity of sepsis mortality in emergency departments between the standard NEWS and IEWS scale and a NEWS and IEWS scale adjusted for barometric pressure in Bogotá, a city located 2600 m above sea level. A prospective recruitment was conducted in the triage area of the emergency department, including all patients with suspected sepsis. The scales under evaluation were calculated. Subsequently, the sensitivity, specificity, predictive values, and areas under the curve (AUC) of each scale were assessed for mortality prediction. Results A total of 304 patients were recruited. The overall mortality rate was 19.4% and the septic shock mortality rate was 59.3%. The AUC for the standard NEWS was 0.78 (95% CI: 0.72–0.83), and for the standard IEWS was 0.81(95% CI: 0.75–0.87), altitude-adjusted NEWS, it was 0.79(95% CI: 0.73–0.84), and for the altitude-adjusted IEWS was 0.82(95% CI: 0.76–0.88). Conclusions Adjustment of oxygen saturation for altitude above sea level in NEWS (NEWSa) does not improve its predictive capacity for mortality in patients with sepsis in the emergency department, however, this same adjustment in the IEWS value significantly improves the predictive capacity compared to NEWS and NEWSa. Keywords Emergency room, Mortality, NEWS, Sepsis Creator An entity primarily responsible for making the resource German Devia Jaramillo1,2* and Lilia Erazo Guerrero1 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00761-8 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 room, Mortality, NEWS, Sepsis https://repository.horizon.ac.id/files/original/0b1f774d9c3c267ccfc699475c5b2511.pdf 210513cc5a563c70c6b38c712365e7fc 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 The pit crew card game: a novel gamification exercise to improve EMS performance in critical care scenarios Subject The topic of the resource Gamification, Emergency medical services, Pit crew approach, Medical education Description An account of the resource Abstract Background Gamification can be defined as the use of game design elements in non-game contexts, in this case, education. As such, gamification seeks to augment the interactive approach of adult learning theory which promotes ongoing motivation and engagement. The objective of this study was to develop and implement a gamified learning module to teach the pit crew approach to Emergency Medical Services personnel in an interactive, engaging format. We created a game-based simulation scenario, an introductory video, and a post-session survey to assess the effectiveness of our educational innovation. We hypothesized that gamification would strengthen classroom engagement and attitudes toward clinical education as assessed in the post-session survey. Methods This was a pilot study to assess the characteristics of a novel, gamified educational session. We created teams of 5 personnel with various experience and levels of training. Our educational session began with an introductory video and the Pit Crew Card Game, a novel, interactive card game where the facilitator leads teams through a verbal scenario and administers task cards to the team leader based on interventions and other tasks the group verbalizes. After the game, teams were engaged in an interactive critical care simulation scenario where they were expected to perform tasks based on their pre-assigned roles. After the exercise, we administered a brief survey to assess learners’ perceptions about the effectiveness of this novel educational session as well as whether participating in this activity would change their behaviors in future real-life critical care scenarios. Results 96 participants completed the post-session survey. The Pit Crew Card Game was heavily favored over traditional lecture-based learning sessions, with 84% of respondents indicating agreement. 77% agreed that the game improved their understanding of how to utilize the pit crew approach for critical care scenarios and that it was an effective teaching, teamwork, and communication tool. Conclusion Based on these results, we conclude that gamification has potential as a preferential and feasible learning method for critical scenario training among prehospital personnel. Participants reported that the Pit Crew Card Game increased their understanding of pit crew concepts, promoted effective communication and teamwork, Creator An entity primarily responsible for making the resource Danielle DiCesare1,2, Bridget Scheveck3 , Jeffrey Adams4 , Maria Tassone5 , Vanessa I. Diaz-Cruz6 , Christine Van Dillen2 , Latha Ganti7 , Shayne Gue6,8* and Ayanna Walker6,9 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00748-5 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 Gamification, Emergency medical services, Pit crew approach, Medical education