4 10 201 https://repository.horizon.ac.id/files/original/3d4df692775601dd7916aec1c44950e0.pdf 21d014cc420771c21bb538652444b8ab 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 Prevalence of anemia and its association with poor outcomes in acute heart failure patients in northeastern Thailand Subject The topic of the resource Anemia is a common comorbidity among patients with acute heart failure (AHF) Description An account of the resource Abstract Background Anemia is a common comorbidity among patients with acute heart failure (AHF) and is associated with worse clinical outcomes. However, there is limited data on the effects of anemia in AHF patients in Asian populations. Moreover, the impact of anemia at varying severity levels in patients presenting to the emergency department (ED) is still not well understood. Objectives This study aimed to evaluate the prevalence and severity of anemia, together with its association with clinical outcomes in adult patients with AHF. Methods A retrospective analysis was conducted on 890 adult AHF patients extracted from 100,420 ED visits at Srinagarind Hospital between October 2021 and March 2023. Anemia was classified into three categories: mild (hemoglobin 11.0 g/dl to normal), moderate (hemoglobin 8.0–10.9 g/dl), and severe (hemoglobin<8.0 g/dl). Patient characteristics, laboratory markers, and outcomes were compared among groups. Results Of the 890 patients, 71% were anemic, with 25% having mild, 51% moderate, and 24% severe anemia. Anemic patients, particularly those with moderate and severe anemia, were older (median age 74 and 71.5 years vs. 64 years for non-anemic, p-value<0.001) and had higher rates of comorbidities, including chronic kidney disease and diabetes. Severe anemia was associated with worse kidney function (median eGFR 28.9 vs. 62.9 mL/min/1.73 m2 for non-anemic, p-value<0.001) and higher initial cardiac troponin T levels (85.8 vs. 39.1 ng/dL, p-value<0.001). Hospital admission rates increased with anemia severity, with 93% of severely anemic patients being admitted compared to 81% of non-anemic patients. In-hospital mortality was highest in the severe anemia group (8.6%), though this was not statistically significant (p-value=0.238). Conclusion Anemia is common in patients with AHF, with many exhibiting moderate or severe levels of anemia. Greater severity of anemia correlates with older age, more comorbidities, and higher hospital admission rates, along with a trend toward higher mortality. Clinical trial number Not applicable. Keywords Emergency department, Comorbidities, Cardiac biomarkers, Renal function, Hospital admission, Mortality Creator An entity primarily responsible for making the resource Praew Kotruchin1 , Pannita Duangprasat1 , Thanat Tangpaisarn1*, Pariwat Phungoen1 , Thapanawong Mitsungnern1 , Marturod Buranasakda1 and Vichai Senthong2 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01051-7 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 Anemia is a common comorbidity among patients with acute heart failure (AHF) https://repository.horizon.ac.id/files/original/6659a395ea3d78c4632e509b61604a8b.pdf c32c1866fa44d92e4c0522c22a21b79d 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 Task-shifting and system readiness: a narrative review of strategies for pediatric emergency care in low-resource settings Subject The topic of the resource Pediatric emergency care, Low-resource settings, Task-shifting, Emergency triage assessment and treatment (ETAT), Global health, Mortality reduction Description An account of the resource Abstract Background In various low- and middle-income countries (LMICs), non-specialist healthcare providers (HCPs), such as general practitioners, nurses, and community health workers (CHWs), often manage acute pediatric emergencies. HCPs in these settings may face challenges due to limited training in emergency care and a lack of ongoing educational opportunities. Additionally, they often operate in clinical environments that lack dedicated emergency departments (EDs), child-specific care protocols, or the necessary pediatric equipment required for managing critically ill children. This is concerning, considering that acute illnesses and injuries are significant contributors to the high rates of preventable childhood deaths in low-and middle-income countries. Objective This review synthesizes evidence on pediatric emergency care strategies to improve fidelity to evidence- based practice that can be utilized and scaled beyond the conventional ED framework, without relying on Pediatric Emergency Medicine (PEM)-trained personnel, who may be unavailable in these regions. This includes task shifting, where community and non-physician HCPs learn how to provide emergency triage and acute lifesaving interventions for children in preventing morbidity and mortality, and other strategies, framed within the established concept of “pediatric readiness”, which is a systems-based approach encompassing staff competencies, protocols, equipment, and quality improvement. Additionally, this review explores practical examples from international real-world applications of such strategies. Methods A narrative review of literature from 2000 to 2024 covering task-shifting, protocols, simulation training, and system approaches for pediatric emergency care in low-resource settings. Results Our synthesis of the literature suggests that low-dose, low-fidelity simulation-based training can effectively enhance confidence and competence in pediatric resuscitation. By recognizing the roles of community-based and non-specialist providers within a pediatric readiness framework, standardizing relevant protocols, and providing appropriate tools and education, we can substantially improve pediatric emergency care systems on a broader scale. Creator An entity primarily responsible for making the resource Mohammed Alsabri1,2*, Israa Magdy Ata3 , Joseph Alhaddad4 , Eslam Abady5 , Muhammad Azan Shahid6 , Aanal Patel7 , Dalia Atef Abouda8 , Sohaila Mohamed Mohamed Abdelbar9 , Victor N. Oboli10 , Muhammad Waseem11 and Luis L. Gamboa12,13 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01050-8 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 Pediatric emergency care, Low-resource settings https://repository.horizon.ac.id/files/original/bdf8b6dd3f950ec4f261775aec021884.pdf 0466c5a2739de90bb015216015a545a2 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 Revolutionizing emergency care: an overview of the transformative role of artificial intelligence in diagnosis, triage, and patient management Subject The topic of the resource Artificial intelligence, Machine learning, Deep learning, Emergency care, Trauma Description An account of the resource Abstract Background The deployment of artificial intelligence (AI) applications in the healthcare domain has witnessed a significant and noteworthy surge. This is particularly pronounced within the fast-paced and critical realm of emergency care, where the integration of AI has manifested as a transformative force, exerting profound influence on the diagnosis of trauma-related complications. Objective This scholarly article aims to provide an in-depth exploration of the multifaceted applications of AI in the emergency department, elucidating its remarkable efficacy in expediting and refining the precision of diagnoses and patient management within this exigent setting. Methods Through a meticulous and comprehensive review of pertinent literature, this study endeavors to delineate and emphasize key AI applications, thereby illuminating their significant impact in optimizing patient outcomes and rationalizing workflows within emergency care. This scholarly exploration seeks to underscore the burgeoning potential of AI as an indispensable ally in the collective pursuit of achieving apid and accurate diagnoses, particularly in high-stakes emergency settings. Results Findings reveal that AI is driving a paradigm shift in emergency medicine by transforming clinical approaches to urgent cases. Its implementation has shown substantial potential in optimizing patient outcomes and streamlining clinical workflows. Conclusion AI stands as a promising and indispensable tool in the pursuit of rapid and accurate diagnoses in emergency care. Its continued integration is poised to significantly enhance clinical decision-making and patient care in high-stakes scenarios. Keywords Artificial intelligence, Machine learning, Deep learning, Emergency care, Trauma Creator An entity primarily responsible for making the resource Hanieh Alimiri Dehbaghi1 and Karim Khoshgard2* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01049-1 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 Artificial intelligence, Machine learning, Deep learning, Emergency care, Trauma https://repository.horizon.ac.id/files/original/931f7b3d4eb3110fb5e5ce3df8f568f9.pdf 0a825cf9795542e9f5e95ab56363dd36 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 Changes in prehospital emergency medical services dispatch mission patterns and their public health implications during the COVID-19 pandemic in Beijing, China Subject The topic of the resource Emergency medical services, Emergency medical dispatch, COVID-19, Health policy, Disaster planning, Health systems resilience, Beijing, Megacities Description An account of the resource Abstract Background The COVID-19 pandemic placed unprecedented strain on global prehospital emergency medical services (EMS), particularly in megacities, acting as a stress test for health system resilience. However, comprehensive analyses of its impact on EMS dispatch patterns, mission types, and patient demographics in megacities like Beijing remain limited. This study aims to evaluate how the pandemic reshaped EMS operations in Beijing across multiple dimensions. Methods This population-based retrospective cohort study analysed 452,824 dispatch tasks from the Beijing Prehospital Emergency Centre during matched periods (20 January–20 July) in 2019 (pre-pandemic) and 2020 (pandemic). Using chi-square tests and multivariable Poisson regression models with interaction terms, we examined changes in dispatch volume, mission type distribution, patient demographics, and call locations before and during the pandemic. Results Among the 452,824 tasks (pre-pandemic: 225,318; pandemic: 227,506), significant changes were observed. Overall EMS dispatch volume decreased during the pandemic (IRR=0.69, 95% CI: 0.69–0.69), though monthly variability increased significantly (χ2 = 25.59, P<0.001). Mission types underwent substantial restructuring: conventional emergency responses declined by 4.2% points, while infectious disease transfers increased over 100-fold and non-emergency transports quadrupled (1.18% to 4.40%). Significant demographic shifts occurred, with increased service demands from elderly populations (interaction IRR up to 2.24 for oldest age group) and a pronounced relocation of emergency incidents from public spaces to residential areas (50.14% to 56.42%). Creator An entity primarily responsible for making the resource Zhen Ren1†, Sihan Dong2†, Hua Zhang3†, Shu Li1 , Yinzi Jin4 , Jinjun Zhang5 , Hui Chen5* and Qingbian Ma1* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01048-2 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 Emergency medical services, Emergency medical dispatch https://repository.horizon.ac.id/files/original/457475b1eef6fd212a220303e0f57b90.pdf 249a7ad588df18107f82121f26db292a 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 Spontaneous passage of an accidentally ingested metallic bullet casing in an adolescent: a case report Subject The topic of the resource Bullet casing, Foreign body ingestion, Adolescent, Conservative management, Gastrointestinal tract, Emergency department Description An account of the resource Abstract Background Accidental ingestion of foreign objects is a frequent emergency presentation that can lead to serious complications. It is most often seen in children and high-risk adults, but remains rare in healthy adolescents without predisposing factors. Case presentation We describe a 17-year-old female who accidentally swallowed a metallic bullet casing during a meal. She presented two hours later with only a mild sore throat. Serial abdominal radiographs demonstrated progressive passage of the casing through the gastrointestinal tract without perforation or obstruction. With close inpatient monitoring, including clinical evaluations and sequential imaging, the casing was spontaneously expelled per rectum. The patient remained asymptomatic, and follow-up showed no complications. Discussion Most blunt, small foreign bodies pass spontaneously. This case highlights that, in carefully selected asymptomatic patients, conservative management with vigilant monitoring is a safe and effective alternative to invasive intervention. Conclusion Conservative management can be both safe and effective in healthy adolescents who accidentally ingest a foreign body, provided there are no clinical or radiological signs of obstruction, perforation, or other complications. Keywords Bullet casing, Foreign body ingestion, Adolescent, Conservative management, Gastrointestinal tract, Emergency department Creator An entity primarily responsible for making the resource Sowdo Nur Iyow1 , Abdullahi Ahmed Ahmed1* , Abdulkadir Nur Mohamed2 , Shuayb Moallim Ali Jama3 and Hassan Adan Ali Adan1 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01047-3 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 Bullet casing, Foreign body ingestion https://repository.horizon.ac.id/files/original/a4093029587e88528376cd6e3f8a02cc.pdf d5d95e15e8ad304cc00fd1f780115840 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 Trauma outcomes in elderly patients referring to the emergency department via the rapid emergency medicine score, injury severity score, and geriatric trauma outcome score indices Subject The topic of the resource Geriatric trauma, Rapid emergency medicine score, Injury severity score, Geriatric trauma outcome score Description An account of the resource Abstract Background Accurate early risk stratification of older trauma patients is essential for appropriate triage and resource allocation. We compared the discriminatory performance of three prognostic scores—Rapid Emergency Medicine Score (REMS), Injury Severity Score (ISS), and Glasgow Coma Scale-based Trauma Outcome Score (GTOS)—for predicting in-hospital mortality in trauma patients aged 65 years and older. Methods A single-center, retrospective cohort study was conducted, including all trauma patients aged 65 years or older admitted to the Emergency Department of Imam Khomeini Hospital (Sari, Iran) between September 2019 and March 2023 (n=296). REMS, ISS, and GTOS were computed from registry and chart data. Discrimination was assessed using the area under the receiver operating characteristic curve (AUC-ROC) and compared with DeLong’s test. Multivariable logistic regression models were fit to estimate adjusted associations and predictive performance. Pre-specified subgroup analyses included patients≥75 years and those with ISS≥9. Results This study examined 296 patients with trauma. Overall, in-hospital mortality was 6.0% (18/296). AUCs for predicting in-hospital mortality were: REMS 0.949 (95% CI 0.898–1.00), GTOS 0.928 (95% CI 0.881–0.949), and ISS 0.860 (95% CI 0.770–0.949). The overall difference in discrimination across scores was statistically significant (p=0.031). In multivariable analysis, each one-point increase in REMS was associated with higher odds of in-hospital death (OR 1.51; 95% CI 1.45–1.58). Observed in-hospital mortality by REMS strata was: <8=1.2%, 8–10=8.3%, and ≥11=70.6%. GTOS maintained superior performance in subgroup analyses than REMS, including patients aged 75 years or older and those with an ISS of 9 or higher. Conclusion In this cohort of older trauma patients, REMS demonstrated superior discriminatory ability for in-hospital mortality compared with GTOS and ISS, and may serve as a rapid, bedside tool to identify high-risk older trauma Creator An entity primarily responsible for making the resource Farzad Bozorgi1,2, Touraj Assadi1,3, Mohammad Sazgar1 , Fatemeh Jahanian1 , Mohammadreza Abdollahifar4 and Hamed Aminiahidashti1,5* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01046-4 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 Geriatric trauma, Rapid emergency medicine score, Injury severity score, Geriatric trauma outcome score https://repository.horizon.ac.id/files/original/5adfc344f9fb28c33e0c74c2418d4a32.pdf c2779609f04fd0514ffa460e72bf1c7e 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 Characteristics and risk factors of opioid poisoning in opioid-dependent individuals using their primary opioid of dependence: a registry-based study Subject The topic of the resource Opioids, Substance related disorders, Poisoning, Iran, Public health Description An account of the resource Abstract Background Opioid addiction and poisoning are prevalent health issues in Iran, where various types of opioids are easily accessible. Despite being dependent on a specific type of opioid, some opioid-dependents abuse different types opioids which can prone them to some consequences. This study aimed to assess the characteristics and risk factors of opioid poisoning among opioid-dependent individuals poisoned by their own or opioid. Methods This cross-sectional study analyzed data from the MTR-MUMS-Iran (May 2021-January 2022), including opioid-dependent adults poisoned by their regularly used opioid. Opioid dependency was categorized as synthetic opioid or opiate. Data extracted included demographics, opioid type, manner of poisoning, and clinical manifestations. Also, a comparison was conducted between poisoning prevalence with 2011 Iranian Mental Health Survey (IMHS) opioid dependency data. Results Among 3064 registered cases, 116 patients with a mean age of 40.27 years were included, with a mortality rate of 1.7% (n=2). The frequency of synthetic opioid and opiate overdose was similar (50.9% vs. 49.1%). Opium and methadone were the most common opioids involved. The most common clinical presentation was decreased level of consciousness (72.4%). Excessive use (50.9%), suicide (24.1%), were the main scenarios leading to poisoning. The manner of poisoning among elderly and opiate-dependent patients was excessive use, while younger synthetic opioid-dependent patients tended to attempt suicide. Furthermore, opiate-dependent individuals were more likely to co-ingest therapeutic medications and have underlying renal disease. The average hospital stay was 2.31 days, with age being a significant predictor of length of stay. Creator An entity primarily responsible for making the resource Ahmad Nemati1 , Leila Etemad2,3, Bita Dadpour4,5, Anselm Wong6,7, Mobin Gholami1 , Seyed Reza Mousavi4,5, Anahita Alizadeh Ghomsari4,5, Seyed Hadi Mousavi4,5, Alireza Ghassemi Toussi4,5, Khalil Kimiafar8 , Zahra Ataee9 , Maryam Vahabzadeh4,5, Mohammad Amin Talebpour10, Amir Mohammad Arasteh Nodeh1 , Fatemeh Abavisani10 and Mohammad Moshiri4,5* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01045-5 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 Opioids, Substance related disorders, Poisoning, Iran, Public health https://repository.horizon.ac.id/files/original/e0909f34e789ad9fd4f6c62170be94d4.pdf fda5f97826776ab5830f25c20fb8be3c 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 Fork from camping utensils as a wounded shell caused severe vascular injury in a combat patient injured in the war in Ukraine: a case report Subject The topic of the resource War in Ukraine, Unusual penetrating projectile, Camping utensil, Kitchen cutlery, Temporary arterial shunts, Damage control surgery, Damage control resuscitation Description An account of the resource Abstract Background The war in Ukraine is associated with severe injuries and challenges in the management of patients. There are various kinds of high-energy ballistic projectiles, but kitchen cutlery or camping utensils parts, such as forks, knives, or spoons, are not usually expected to be found in the gunshot wound, but might serve as a ballistic projectile causing severe damage to the human body. Vascular injury is also a challenge in war surgery, and the application of temporary arterial shunts is a good approach, as well as the application of damage control tactics. The aim of this study was to demonstrate the rare case of management of the combat patient who received a severe vascular injury to the femoral artery by fork from camping utensils after the strike by the KAB precision-guided munition, who was treated with temporary arterial shunts with application of DCR and DCS. Case presentation A 34-year-old Ukrainian soldier was wounded by a precision-guided munition (KAB) in East Ukraine. The injury resulted in severe trauma to the left lower extremity, including superficial femoral artery damage. Due to the persistent threat of drone attacks, the rapid evacuation to advanced medical facilities was delayed for 12 h. The Forward Surgical Team diagnosed the patient with arterial thrombosis of superficial femoral artery and a foreign metal mass, identified as a fork, which was a part of a camping utensil, embedded in the hip. Surgical intervention involved the removal of the foreign bodies and amputation below the upper third of the hip due to critical arterial ischemia. The patient was stabilized, transferred to a higher-level field hospital, and eventually discharged after 21 days for rehabilitation and prosthetic fitting. Conclusions The trajectory of a high-energy ballistic projectile might go through the various objects (e.g., cutlery forks, etc.), followed by their involvement in the injury process, and increase the severity of the wounds. Ongoing war in Ukraine is associated with the impossibility of wide use of the aeromedical evacuation due to tactical obstacles, resulting in prolongation of the time for patients’ evacuation to higher level of medical care and higher risk for extremity amputations in patients with vascular injury. Creator An entity primarily responsible for making the resource Igor Lurin1,2, Vitalii Makarov3,4, Volodymyr Nehoduiko3,4, Ivan Veryovkin5 , Maksym Malimonenko5 , Victor Orlov6 and Andrii Dinets7,8* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01044-6 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 War in Ukraine, Unusual penetrating projectile https://repository.horizon.ac.id/files/original/a9208d0a79a52c0aa016370895786ac5.pdf 972bed988689ceb0d75ef1420c543992 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 Resuscitation outcomes and associated factors among out-of-hospital cardiac arrest patients at the National Referral Hospital, Bhutan: a prospective cohort study Subject The topic of the resource Out-of-hospital cardiac arrest, Cardiopulmonary resuscitation, Return of spontaneous circulation, Low- and middle-income countries Description An account of the resource Abstract Background Presentation to the Emergency Department (ED) following out-of-hospital cardiac arrest (OHCA) is not uncommon, and resuscitation outcomes are generally poor. In a country like Bhutan, where emergency medicine is still developing, there is a lack of baseline data on the burden of OHCA cases presenting to the ED, and resuscitation outcomes remain largely unexplored. Therefore, this study aimed to study the factors associated with, and the outcomes of, resuscitation among patients who sustained OHCA. Methods A Prospective cohort study was conducted over one year, from August 1, 2023 to July 31, 2024 at the ED of the National Referral Hospital in Bhutan. All OHCA patients who underwent resuscitation in the ED were included. Demographic data, clinical presentation, ED interventions, and outcomes following return of spontaneous circulation (ROSC) were recorded using a standardized research questionnaire. Data were analyzed using SPSS version 23. Results During the study period, 104 OHCA patients were resuscitated in the ED. Sustained ROSC was achieved in 36% (37/104) of the cases. The median age was 53.5 years (IQR: 32.7–71.7) with male predominance (56.7%). Over 40% (42/104) of the patients were elderly, and around 10% (10/104) were pediatric. The majority of arrests were witnessed (69.2%) and occurred at home (57.7%). Hypertension was the most common comorbidity, followed by end stage renal disease. Asystole was the most frequent initial arrest rhythm (82%). All patients received adrenaline and intravenous fluids during resuscitation, and 40% (41/104) required intubation in the ED. Among 37 patients who achieved sustained ROSC, 54% (20/37) of them survived immediate resuscitation period and were admitted to the Intensive Care Unit (ICU). Ultimately, two patients survived to hospital discharge and remained alive at 90-day follow-up, resulting in a sustained survival rate of 1.9% from the original cohort. Among survivors 50% (1/2) had good neurological outcome (Cerebral performance category 1 to 2). A higher ROSC was observed among patients Creator An entity primarily responsible for making the resource Ugyen Rinzin1* , Yeshey Dorjey2* , Tsheten Wangchuk3 , Sona Pradhan4 , Sweta Giri4 , Sherab Wangdi1 , Ugyen Tshering5 and Chimi Rinzin6 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01043-7 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, Cardiopulmonary resuscitation, Return of spontaneous circulation, Low- and middle-income countries https://repository.horizon.ac.id/files/original/76c3c56123805e242db6f0d353b29a3d.pdf b1b4d66827e2b84095fe987f77d14923 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 Anomalous right coronary artery stemming from left coronary sinus and malignant interarterial course in a middle-aged woman: a case report and review of diagnostic and surgical management Subject The topic of the resource Coronary artery anomalies, Coronary artery bypass, Coronary angiography, Myocardial ischemia, Tomography, X-ray computed Description An account of the resource Abstract Background An anomalous right coronary artery (RCA) arising from the left coronary sinus with an interarterial/ intramural course can cause exertional ischemia and, rarely, sudden death. Functional testing and coronary CT angiography (CCTA) are key for diagnosis and risk stratification. Case presentation We report the case of a 46-year-old woman presenting with exertional dyspnea and jaw discomfort. She had no conventional cardiovascular risk factors aside from hyperlipidemia and a family history of premature coronary disease. Exercise treadmill testing and myocardial perfusion imaging revealed inducible ischemia. Coronary computed tomography angiography demonstrated an anomalous RCA arising from the left coronary sinus with an interarterial and intramural course between the aorta and pulmonary artery. Surgical consultation confirmed a malignant anatomical variant, and the patient underwent successful coronary artery bypass grafting (CABG) with complete symptom resolution. Discussion This case underscores the importance of considering congenital coronary anomalies in the differential diagnosis of exertional angina, especially in patients without atherosclerosis or major cardiovascular risk factors. Functional and anatomical imaging are essential for risk stratification. CABG remains an effective treatment for high- risk anomalies when direct reimplantation is not feasible. Conclusion In symptomatic patients with demonstrable ischemia and high-risk anatomic features, surgery provides excellent outcomes. Early recognition using complementary functional and anatomic imaging is essential. Creator An entity primarily responsible for making the resource Arya Khezrpour1 , Mehran Abdollahi2*, Pouya Ebrahimi3*, Amin Zaki Zadeh4 , Nazanin Rafiei5 , Sara Montazeri Namin6 , Pedram Ramezani1 , Touba Akbari7 and Mohammad Hossein Mandegar8 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01042-8 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 Coronary artery anomalies, Coronary artery bypass, Coronary angiography, Myocardial ischemia,