1 10 201 https://repository.horizon.ac.id/files/original/ba37407b151594d26b99695463300b97.pdf f998f87c8dfb7084c7827754415ea035 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 Under the coconut palm – a retrospective analysis of trauma incidents caused by falling coconuts presenting to emergency department at a tertiary care centre in coastal India Subject The topic of the resource Falling coconuts, Coconut fall-related trauma, Coconut falls, Coastal India, Emergency medicine Description An account of the resource Background Injuries due to falling coconuts are a common yet underreported form of trauma in the tropical regions. Although these might appear insignificant at first glance, the physical forces involved are potentially fatal. Despite their global prevalence, research on this subject remains scarce, making it a neglected public health concern. This study seeks to bridge these gaps by analysing the affected demographics, contributing factors and injury patterns. By enhancing the understanding of coconut fall-related injuries, this research seeks to create awareness about dangers of falling coconuts and inform the development of effective public health strategies to mitigate their impact. Methods A retrospective study was conducted over a period of 3 years from January 2021 to December 2023 at a tertiary care centre on the southern coast of India. Patients who presented to emergency with coconut-fall related injuries were identified through a comprehensive review of nursing ledgers. Additional data including imaging, consultations & treatment details were retrieved from patient files and electronic medical records. Descriptive statistics of the recorded data like demographic variables, time of injury, injury patterns, injury severity score (ISS) and ED disposition were analysed by using Microsoft Excel 365. Results The study population included 17 males and 12 females. Most patients were within the age group of 40–60, which comprised 48% of the total participants. The months of September and October reported the highest frequency of cases. Out of the 29 patients, 14 were farm workers who sustained coconut fall-related injuries. Injury patterns varied from mild soft tissue injuries to severe TBIs which include SDH and SAH. There were 3 patients who required surgery, and 7 patients were admitted. There were no fatalities reported, and average hospital stay was 4.5 days. Conclusion Coconut fall-related injuries in tropical regions is a significant but less recognised public health issue. Our study shows the necessity of seasonal preventive strategies, public awareness and safety measures for high-risk Creator An entity primarily responsible for making the resource A. Sai Deepak1 , Aaditya Katyal1*, Neeraja A Nair1 , Tanvee Walia2 and Rachana Bhat1 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-00816-4 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 Falling coconuts, Coconut fall-related trauma, Coconut falls, Coastal India, Emergency medicine https://repository.horizon.ac.id/files/original/230f39e6114e86fe29b551d298c554f3.pdf ad9b54ceb40fa1b7ddc3b3ad5e14bdba 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 Continuous quality improvement for prehospital STEMI improved triage rates and achievement of gold standard<90‐min EMS‐to‐balloon time Subject The topic of the resource ST-segment elevation MI (STEMI), Polk County Fire Rescue (PCFR), American Heart Association Mission Lifeline STEMI Description An account of the resource Abstract Background ST-elevation myocardial infarction (STEMI) is a type of myocardial infarction caused by a buildup of plaque or clot in the coronary arteries. There are approximately 750,000 STEMI cases each year in the United States. The American Heart Association’s Mission Lifeline initiative aimed to optimize prehospital emergency medical services (EMS) and enhance STEMI triage rates through improved standardized protocol. This study evaluates the implementa- tion of Mission Lifeline techniques by Polk County Fire Rescue (PCFR) on improved EMS-to-balloon (E2B) times and tri- age rates. Methods Data from PCFR, Florida’s 4th largest EMS system, were analyzed quarterly from 2015 to 2023. The study included patients with chest pain that were>35 years of age. Results Among 2,585 patients, the percentage meeting the 90-min EMS-to-Balloon time increased from 74% in 2015 to 84% by the year 2019. The average annual under-triage rate for STEMI decreased from ranging from 2% in 2015 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- tuated, increasing to a height of 12% by 2017, but decreased to<3% by 2022 and further dropped to 0.6% of cases were over-triage by 2024. Conclusion Implementation of Mission Lifeline procedures, including obtaining pre-hospital 12-lead ECG and hos- pital pre-activation, significantly enhanced STEMI care. These interventions led to improved E2B times and more accurate prehospital STEMI identification, underscoring the importance of coordinated, protocol-driven prehospital STEMI care in improving patient outcomes. Keywords ST-segment elevation MI (STEMI), Polk County Fire Rescue (PCFR), American Heart Association Mission Lifeline STEMI Creator An entity primarily responsible for making the resource Aarish Reddy1 , Latha Ganti2,3,4, Anjali Banerjee5 and Paul Banerjee2,3* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-00863-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 ST-segment elevation MI (STEMI), Polk County Fire Rescue (PCFR), American Heart Association Mission Lifeline STEMI 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/01363630480870544b86d812f1fd36dc.pdf 57b310f27f4cc7b9548612300f8171d4 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 Epidemiology and management of urological emergencies in a tertiary care setting in Scandinavia Subject The topic of the resource Catheter, Computed tomography, Emergency unit, Hematuria, Loin pain, Primary care healthcare, Ultrasound, Urinary tract infection, Urological emergencies Description An account of the resource Abstract Objective To develop a baseline database detailing the distribution of urological emergencies and to define their epidemiological profile in a tertiary care setting, with the hope of providing important data for health planning. Design, settings and participants A retrospective study was conducted on all patients presenting with urological emergencies at the Emergency Department (ED) of the NU Hospital Group in Trollhättan, Sweden throughout 2019. Medical records of identified patients were reviewed retrospectively to summarize pertinent information. Main results In 2019, 2 433 patients visited the ED with urological complaints, with 71% being male. Most patients (83%) were self-referred and 15% referred by general practitioners (GPs). Loin pain, infectious symptoms, and lower urinary tract symptoms were the most common complaints. Urinary and genital infections (UGIs) were the most frequent diagnoses (37%), followed by urolithiasis (24%). 28% of patients required admission, particularly for UGIs (42%). Self-referred patients had a higher admission rate compared to those referred by GPs. Radiological investigations were performed in 48% of cases, though 65% showed no urological pathology. Conclusions Most patients self-referred to the ED, and many required hospitalization, particularly for UGIs. Enhancing the management of urological emergencies in primary care and refining guidelines for acute imaging could contribute to more efficient use of healthcare resources. Keywords Catheter, Computed tomography, Emergency unit, Hematuria, Loin pain, Primary care healthcare, Ultrasound, Urinary tract infection, Urological emergencies Creator An entity primarily responsible for making the resource Adin Osmancevic1 , Alma Petersson2 , Anna Duverin1 , Bina Merzaai3 , Ella Hedlund4 , Giovanni Morera Porras5 , Isabella Albinsson6 , Jasmine AL-Hadad5 , Salome Olsson7 , Daniel Vestberg5,8, Erik Sagen1,8,9 and Suleiman Abuhasanein1,8,9* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-00882-8 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 Catheter, Computed tomography, https://repository.horizon.ac.id/files/original/04639aa0b3aa9ec81b8ce468067d2453.pdf b39d9a1730fc8d5a096a40176b1dfb96 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 Clinical and toxicological epidemiology of intoxications by new psychoactive substances in Reunion Island Subject The topic of the resource Synthetic cannabinoid receptor agonists, NPS, Novel synthetic opioids, Synthetic cathinones, Drug- checking, Toxicology Description An account of the resource Abstract Background New psychoactive substances (NPS) represent a growing concern for emergency medicine due to their unpredictable toxicity and limited detectability in routine screening. Reunion Island, French territories in the Indian Ocean, NPS-related intoxications have been suspected for several years, but biological confirmation has remained scarce. This study aimed to characterise confirmed cases of acute NPS intoxication and describe their clinical features, toxicological profiles, and implications for emergency care and public health surveillance. Methods A retrospective multicentre study was conducted in four public hospitals of Reunion Island between August 2022 and March 2024. Patients presenting with suspected NPS intoxication were mainly identified in emergency and intensive care units. Biological samples were analysed using untargeted high-resolution mass spectrometry (HRMS). Clinical, demographic, and toxicological data were extracted from medical records through a standardised electronic case report form. Confirmed NPS were grouped by pharmacological class, and their clinical manifestations were compared with non-NPS cases. Results Among 176 suspected cases, 152 (86%) had biological analyses performed. The median age was 29 years, and 77% were men. Most exposures were intentional (77.3%), but unintentional cases—more frequent among women—were also reported. Fourteen intoxications were biologically confirmed, involving synthetic cathinones (dimethylpentylone, hexedrone), cannabinoids (MDMB-4en-PINACA, HHC), a novel opioid (protonitazene), and NM-2AI. Clinical severity ranged from agitation and sedation to cardiovascular collapse, rhabdomyolysis, and respiratory failure. Inhalation was the predominant route of exposure. Alcohol co-exposure was less common in confirmed NPS cases than in conventional drug intoxications. Conclusion This first series of toxicologically confirmed NPS intoxications on Reunion Island highlights the clinical diversity and potential severity of these emerging substances. For emergency departments, early recognition of unexplained toxidromes, systematic biological sampling, and close collaboration with toxicology laboratories are Creator An entity primarily responsible for making the resource Adrien Maillot14*, Joris Guyon2 , Maeva Ma-Tsi-Leong1 , Laetitia Berly3 , Flore Weisse4 , Aurore Mahé5 , Gael Le Roux6 , Frédérique Nativel7 , Amélie Daveluy8 , Bérénice Puech9 , Adrien Marteau10, Marion Leroy11, Olivia Plé11, Olivier Maillard1 , Sophie Bastard12 and David Mete13 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01055-3 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 Synthetic cannabinoid receptor agonists, 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/b7014ffc6ccab9d44a1207a2a0c8f1f1.pdf 26188fe50108ffe996d586da855ced1d 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 Complicated diaphragmatic hernia post laparoscopic Nissen fundoplication: a case report Subject The topic of the resource Gastric volvulus, Nissen fundoplication, GERD Description An account of the resource Abstract Background The definition of gastroesophageal reflux disease is gastroesophageal reflux with associated symptoms or complications. Because parents or guardians perceive the disease’s symptoms differently, it is difficult to determine how common it is. Although gastric volvulus and wrap migration are well-known complications following Nissen fundoplication, the herniation in our case was caused by a defect medial to the hiatus, which could potentially compromise the patient’s life in the future. Case presentation We present a rare complication post laparoscopic Nissen fundoplication, four years male Egyptian child presented to emergency department by shock, rigid abdomen. X-ray and CT scan abdomen showed herniated stomach with ischemic volvulus of the stomach and pneumoperitoneum, exploration was done and case managed successfully. Conclusion Gastric volvulus is a complication with high morbidity and mortality outcomes that could be missed or misdiagnosed, especially post laparoscopic fundoplication, high index of suspicion is the key to detect such complications. Defects in diaphragm could be present in pediatric patients because of congenital or acquired causes, careful inspection of diaphragm during laparoscopic fundoplication is an important step to detect possible defects to minimize post operative complications. Keywords Gastric volvulus, Nissen fundoplication, GERD Creator An entity primarily responsible for making the resource Ahmed Maher1* , Ahmed Tayel1 and Karim Darwesh1 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01039-3 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 Gastric volvulus, Nissen fundoplication, GERD https://repository.horizon.ac.id/files/original/2b6016f845f2f2a038915eae58c84846.pdf 5f4ef8c123422cf3de5017db5cfa997c 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 Tension pneumothorax from large bowel herniation and perforation as a late presentation of traumatic diaphragmatic hernia during pregnancy: a case report Subject The topic of the resource Diaphragmatic hernia, Large bowel perforation, Empyema, Tension pneumothorax, Pregnancy, Dyspnea Description An account of the resource Abstract Background Diaphragmatic hernias can be congenital or acquired, with trauma being the primary cause of the latter. Both types may have delayed presentations, with abdominal organs protruding into the thoracic cavity, causing symptoms of varying severity. Pregnancy can sometimes precipitate the condition. Tension pneumothorax resulting from bowel perforation into the thorax is exceptionally rare, with only a few cases reported. To the best of the authors knowledge, this is the third documented case of a late-presenting trauma-related diaphragmatic hernia during pregnancy, complicated by tension pneumothorax. Case presentation A 30-year-old woman, 29 weeks pregnant, was referred to Semmelweis University emergency department with moderate dyspnea. Initial investigation revealed tension pneumothorax. Chest tube placement released air, pus, and feces. Computer tomography identified a diaphragmatic hernia with bowel incarceration and perforation as the underlying cause. The patient underwent a delayed cesarean section and surgical repair, with a good outcome. A history of thoracic trauma eight years prior was later revealed. Conclusion Evaluating pregnant patients with shortness of breath in the emergency department is challenging. Identifying a history of thoracic or abdominal trauma is crucial, as this can raise the suspicion of diaphragmatic hernia, which can present with a wide range of symptoms. Spontaneous tension pneumothorax in pregnant women is extremely rare and requires cautious management. A multidisciplinary approach is crucial for the successful treatment of maternal diaphragmatic hernia. Keywords Diaphragmatic hernia, Large bowel perforation, Empyema, Tension pneumothorax, Pregnancy, Dyspnea Creator An entity primarily responsible for making the resource Ákos Sóti1*, Gábor Nagy1 , Zoltán Győri2 , Tamás Vass3 , László Hetzman1 , Bánk Gábor Fenyves1 and Csaba Varga1 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-00843-1 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 https://repository.horizon.ac.id/files/original/edd719665621a4ffac6d1a77bbf26a5d.pdf 87572cb1267e6911d5445359d87cf63f 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 Tension pneumothorax from large bowelherniation and perforation as a late presentation of traumatic diaphragmatic hernia during pregnancy: a case report Subject The topic of the resource Diaphragmatic hernia, Large bowel perforation, Empyema, Tension pneumothorax, Pregnancy, Dyspnea Description An account of the resource Abstract Background Diaphragmatic hernias can be congenital or acquired, with trauma being the primary cause of the latter. Both types may have delayed presentations, with abdominal organs protruding into the thoracic cavity, causing symptoms of varying severity. Pregnancy can sometimes precipitate the condition. Tension pneumothorax resulting from bowel perforation into the thorax is exceptionally rare, with only a few cases reported. To the best of the authors knowledge, this is the third documented case of a late-presenting trauma-related diaphragmatic hernia during pregnancy, complicated by tension pneumothorax. Case presentation A 30-year-old woman, 29 weeks pregnant, was referred to Semmelweis University emergency department with moderate dyspnea. Initial investigation revealed tension pneumothorax. Chest tube placement released air, pus, and feces. Computer tomography identified a diaphragmatic hernia with bowel incarceration and perforation as the underlying cause. The patient underwent a delayed cesarean section and surgical repair, with a good outcome. A history of thoracic trauma eight years prior was later revealed. Conclusion Evaluating pregnant patients with shortness of breath in the emergency department is challenging. Identifying a history of thoracic or abdominal trauma is crucial, as this can raise the suspicion of diaphragmatic hernia, which can present with a wide range of symptoms. Spontaneous tension pneumothorax in pregnant women is extremely rare and requires cautious management. A multidisciplinary approach is crucial for the successful treatment of maternal diaphragmatic hernia. Keywords Diaphragmatic hernia, Large bowel perforation, Empyema, Tension pneumothorax, Pregnancy, Dyspnea Creator An entity primarily responsible for making the resource Ákos Sóti1*, Gábor Nagy1 , Zoltán Győri2 , Tamás Vass3 , László Hetzman1 , Bánk Gábor Fenyves1 and Csaba Varga1 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-00843-1 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 Diaphragmatic hernia, Large bowel perforation, Empyema, Tension pneumothorax, Pregnancy, Dyspnea https://repository.horizon.ac.id/files/original/e9fe076077239a78559df713ee2410b9.pdf 9ccddf46849bcc815413144a4fc83d66 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 Hepatic necrosis and dysfunction following angioembolization in a trauma-related mortality Subject The topic of the resource Angiographic embolization is a key tool in managing hemorrhage from blunt traumatic injuries, Description An account of the resource Abstract Background Angiographic embolization is a key tool in managing hemorrhage from blunt traumatic injuries, particularly hepatic trauma, but it carries risks such as hepatic necrosis. The incidence of clinically significant hepatic necrosis post-embolization is around 6%, with non-selective embolization increasing this risk compared to selective techniques. Objective To report a case of a patient with high-grade blunt hepatic injury who developed hepatic necrosis and dysfunction leading to death following non-selective angiographic embolization. Methods A 46-year-old male involved in a high-speed motor vehicle collision underwent emergency laparotomy for multiple liver lacerations, followed by non-selective coil embolization of the right and middle hepatic artery trunks due to suspected ongoing hemorrhage. The case was retrospectively analyzed, including operative findings, imaging (CT and angiography), and clinical outcomes over 25 days. Results Despite no active contrast blush on CT or angiography, non-selective embolization was performed. The patient developed patchy hepatic necrosis, requiring multiple laparotomies, and progressed to liver failure, ARDS, and cerebral edema. Death occurred 25 days post-admission due to severe encephalopathy, with hepatic necrosis likely exacerbated by the embolization. Conclusion This case suggests that non-selective angiographic embolization may have contributed significantly to hepatic necrosis and mortality in a patient with high-grade hepatic trauma, highlighting the need for careful consideration of embolization indications and techniques. Creator An entity primarily responsible for making the resource Ali Cadili1* and Jonathan Gates1 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01077-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 Angiographic embolization is a key tool in managing hemorrhage from blunt traumatic injuries