2 10 43 https://repository.horizon.ac.id/files/original/bea6c0bdc825e02c0181c9178a844ef1.pdf 359558bad27f245c14119561b098ca0e 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 19 Issue 1 2026 Contributor An entity responsible for making contributions to the resource PERI IRAWAN 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 Development and psychometric assessment of the household earthquake preparedness questionnaire: an exploratory sequential mixed-methods study Subject The topic of the resource Household, Preparedness, Earthquake, Hazard, Questionnaire Description An account of the resource Abstract Introduction Earthquakes may lead to fatalities and property loss often due to lack of preparedness among individuals. This study aimed to develop and assess the psychometric properies of a Household Preparedness for Earthquake Hazards Questionnaire (HPE-Q). Methods This study utilized a mixed-methods approach comprising of both qualitative and quantitative methods. The qualitative phase concentrated on item generation through semi-structured interviews conducted with Iranian households selected via purposive sampling, alongside a systematic literature review to develop a comprehensive item pool for evaluating household preparedness for earthquake hazards. The quantitative phase focused on item reduction and the assessment of the face, content, and construct validity. To evaluate the reliability of the questionnaire Cronbach’s alpha and intraclass correlation coefficients (ICC) were calculated. Results The initial item pool comprised 88 potential items. Face validity, content validity, and item analysis evaluation was performed and the number of items was reduced to 61. Exploratory Factor Analysis (EFA) further pruned the instrument by eliminating 24 items and Confirmatory Factor Analysis (CFA) mandated the removal of 1 item resulting in a finalized 36-item HPE-Q anchored by 7 main factors: knowledge, self-efficacy, social support, social participation, collective efficacy, protective motivation and behavioral intention. Cronbach’s alpha was 0.92 and Interclass Correlation Coefficient (ICC) of the total score was 0.93. Conclusion Household preparedness for earthquakes is shaped by numerous factors that can either facilitate or impede preparedness and these factors may differ across communities and households. This questionnaire can help identify key aspects of households’ preparedness for earthquakes. Keywords Household, Preparedness, Earthquake, Hazard, Questionnaire Creator An entity primarily responsible for making the resource Fatemeh Rezabeigi Davarani1 , Hamid Sharif-Nia2 , Mahmood Nekoei-Moghadam3 , Abedin Iranpour4 , Narges Khanjani5 , Parya Jangipour Afshar6 and Hojjat Farahmandnia3* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01118-5 Date A point or period of time associated with an event in the lifecycle of the resource 2026 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 Household, Preparedness, Earthquake, Hazard, Questionnaire https://repository.horizon.ac.id/files/original/34104e04575e32542e481222b1574edc.pdf b1a7c01ef534e03ac060fb2ac265670d 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 19 Issue 1 2026 Contributor An entity responsible for making contributions to the resource PERI IRAWAN 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 Resuscitative endovascular balloon occlusion of the aorta in abdominal trauma: zone- specific outcomes and predictors of mortality Subject The topic of the resource REBOA, Abdominal trauma, Hemorrhage control, Aortic occlusion, Trauma resuscitation, Endovascular techniques Description An account of the resource Abstract Background Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) is increasingly utilized for hemorrhage control in trauma; however, zone-specific outcomes in abdominal trauma remain inadequately characterized. Methods We retrospectively analyzed 404 patients with abdominal trauma who underwent REBOA between 2019 and 2022. Patients were stratified by aortic occlusion zone (zones 1, 2, or 3), and their demographic characteristics, injury patterns, resuscitation requirements, and clinical outcomes were compared. Results The cohort was predominantly male (83.8%), with a median age of 35.0 years. The distribution of the zones was as follows: Zone 1 (33.7%); Zone 2 (4.7%); and Zone 3 (61.6%). Patients in Zone 1 presented with more severe hemodynamic compromise (median SBP 77.0 mmHg vs. 107.0 mmHg in Zone 2 and 103.0 mmHg in Zone 3, P<0.001) and lower GCS scores (median 6.0 vs. 15.0 in both Zones 2 and 3, P<0.001). Mortality was significantly higher in Zone 1 (73.6%) than in Zones 2 (27.8%) and 3 (37.7%) (P<0.001). Multivariate analysis identified GCS score (OR 0.80 per point increase, 95% CI 0.73–0.87, P<0.001) and Zone 3 placement (OR 0.20 vs. Zone 1, 95% CI 0.08–0.47, P<0.001) as independent predictors of survival. Overall mortality decreased from 58% in 2019 to 36% in 2022, despite the increased utilization of REBOA. Conclusion REBOA zone placement and neurological status are powerful independent predictors of mortality in patients with abdominal trauma. These findings support a zone-specific approach to REBOA deployment in patients with abdominal trauma. Keywords REBOA, Abdominal trauma, Hemorrhage control, Aortic occlusion, Trauma resuscitation, Endovascular techniques Creator An entity primarily responsible for making the resource Musaed Rayzah1* , Nasser A. N. Alzerwi1 , Bandar Idrees2 , Ahmed A. Alhumaid3 , Yaser Baksh4 and Fares Rayzah5 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01117-6 Date A point or period of time associated with an event in the lifecycle of the resource 2026 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 REBOA, Abdominal trauma, Hemorrhage control, https://repository.horizon.ac.id/files/original/582efe1b624c2d8fbae3edeecff9e038.pdf b437fa13573a5214c6883c288332f371 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 19 Issue 1 2026 Contributor An entity responsible for making contributions to the resource PERI IRAWAN 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 Revisiting Spigelian hernia with emphasis on diagnostic challenges and outcomes of open mesh repair: a case report of two patients Subject The topic of the resource Spigelian hernia, Abdominal wall hernia, Open mesh repair, Polypropylene mesh, Case report Description An account of the resource Abstract Background Spigelian hernia is a rare defect of the anterior abdominal wall, accounting for less than 2% of all abdominal wall hernias. Despite its low incidence, it carries a clinically significant risk of incarceration and strangulation due to its deep interparietal location beneath an intact external oblique aponeurosis, which often delays the diagnosis. Case presentations This report presents two surgically treated cases of Spigelian hernia and focuses on the operative outcomes and refinement of the open repair technique. Both patients were men aged 65 and 61 years, respectively, and presented with unilateral lower abdominal wall swelling that became more prominent during standing or straining. Clinical examination and preoperative ultrasonography confirmed the diagnosis in both cases, revealing fascial defects along the semilunar line, below the arcuate line. Open anterior repair was performed under spinal anaesthesia in both cases. The hernia sac was reduced without opening, and a polypropylene mesh was placed in an onlay position with adequate overlap and secured using non-absorbable sutures. In one patient, a concomitant inguinal hernia was repaired during the same surgical session. Postoperative recovery was uneventful in both patients. Follow-up at 6 and 12 months revealed no recurrence, chronic pain, or mesh-related complications. Conclusions These cases demonstrate that open mesh repair is a safe and effective treatment option for Spigelian hernias, particularly in complex or urgent clinical settings. The choice of surgical approach should be individualized based on anatomical characteristics and the overall clinical context. Clinical trial number Not applicable. Keywords Spigelian hernia, Abdominal wall hernia, Open mesh repair, Polypropylene mesh, Case report Creator An entity primarily responsible for making the resource Eren Ogut1* , Fatos Belgin Yildirim2 and Osman Memis3 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01116-7 Date A point or period of time associated with an event in the lifecycle of the resource 2026 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/142a964b2a16a51c84541ea9ea5d6f44.pdf 29734c378cb7daa529e0d62eaa4f4302 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 19 Issue 1 2026 Contributor An entity responsible for making contributions to the resource PERI IRAWAN 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 Prehospital emergency services: expectations of patients and companions Subject The topic of the resource Emergency medical services, Expectations, Prehospital emergency, Patient Description An account of the resource Abstract Background Prehospital emergency care is a vital pillar of the health system and serves as the first point of contact for patients. It plays an important role in providing timely care to emergency patients. The expectations of patients and their companions from these services, especially in critical situations, have the capacity to exert a significant influence on their experience and the quality of services. The aim of this study is to identify and investigate the needs and expectations of patients and their companions regarding prehospital emergency services. Methods In this descriptive-cross-sectional study, 1100 patients and their companions were selected. The collection of data was facilitated by means of a questionnaire on expectations of pre-hospital emergency services, which was administered via telephone interviews following the determination of validity and reliability. The collected data were then analyzed using SPSS21 statistical software, and the results were interpreted through the use of descriptive and inferential statistics. Results In this study, the average score of interviewees’ expectations was high (80.01±8.9) and the level of expectations was reported to be higher in women than in men. The results showed that the highest expectations of patients and their companions were related to the presence of a doctor in the ambulance, sufficient skills of medical personnel, respectful treatment combined with gaining trust and providing rapid emergency services. A significant relationship was observed between expectations and marital status, age, occupation and level of education (P<0.001). Conclusion The conclusion drawn from this study indicates that patients and their companions, particularly female members, hold elevated expectations of pre-hospital emergency services. The findings of this study indicate that patients and their companions, especially women, have elevated expectations of pre-hospital emergency services. These expectations encompass the presence of a medical professional in the ambulance, competent staff, respectful treatment, and expeditious service delivery. A notable correlation was identified between these expectations and socio-economic variables. These results underscore the importance of addressing patients’ needs and expectations to enhance the quality of emergency services. Specifically, enhancing staff skills and improving service delivery processes have the potential to increase patient and companion satisfaction. Keywords Emergency medical services, Expectations, Prehospital emergency, Patient Creator An entity primarily responsible for making the resource Jafar Khani1 , Abbas Dadashzadeh2* , Neda Gilani3 , Azad Rahmani4 and Faranak Jabbarzadeh Tabrizi4 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01115-8 Date A point or period of time associated with an event in the lifecycle of the resource 2026 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, Expectations, Prehospital emergency, Patient https://repository.horizon.ac.id/files/original/0c06c8c69ba5d97e3c4b4658d34e3703.pdf c7e6dd58723c022b95cc2a355df5227e 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 19 Issue 1 2026 Contributor An entity responsible for making contributions to the resource PERI IRAWAN 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 Simulation-based education in an emergency medicine clerkship in Qatar: impact on academic performance and student perceptions Subject The topic of the resource Simulation-based education, Emergency medicine, Medical clerkship, Mixed-methods, Student performance, Student perceptions Description An account of the resource Abstract Background Simulation-based medical education (SBME) is increasingly used in emergency medicine (EM) training to enhance clinical skills and decision-making. However, its impact on undergraduate clerkship performance and student perceptions in the Middle Eastern context remains underexplored. This study aimed to evaluate whether the integration of high-fidelity simulation into a medical student EM clerkship in Qatar improves academic outcomes and enhances student satisfaction with the learning experience. Methods Two clerkship students cohorts were compared: 63 students in a lecture-based education (LBE) group in 2022 and 67 students in an SBME group in 2024. Multiple-choice question (MCQ) and objective structured clinical examination (OSCE) scores were analyzed using independent sample t-tests. Demographic variables (age, gender) were collected, and qualitative feedback from the SBME group was analyzed using descriptive content analysis. Results There were no statistically significant differences in academic performance between the lecture-based education (LBE) and simulation-based medical education (SBME) cohorts. The mean MCQ score was 29.2 (SD=4.1) for the LBE group and 28.8 (SD=4.3) for the SBME group (p=0.588), with no meaningful difference (mean difference=+0.4, 95% CI: [-1.08, 1.84], Cohen’s d=+0.10). OSCE scores were also comparable, with the LBE group scoring a mean of 24.8 (SD=1.8) and the SBME group 25.2 (SD=1.7) (p=0.192; mean difference=-0.4, 95% CI: [-1.01, +0.21], Cohen’s d=-0.23). Demographic characteristics were also similar between groups, with a mean age of approximately 23 years and around 70% of participants being female. Thematic analysis of feedback revealed three dominant themes: (1) Enhanced clinical preparedness and confidence – students felt better prepared for real emergencies after simulation practice; (2) Active learning and realism – the lifelike scenarios and hands-on approach helped bridge theory to practice in a safe environment; (3) Positive engagement and recommendations – students found simulation highly engaging and recommended increasing its use. One student wrote, “The simulations were the most valuable part of the rotation, boosting my confidence in handling acute cases.” Minor challenges noted included initial anxiety during simulations and scheduling constraints, but overall perceptions were overwhelmingly positive. Creator An entity primarily responsible for making the resource Khalid Bashir1,2*, Aftab Mohammad Umar1,2, Amr Elmoheen1,2, Sarah Bashir3 and Abdulla A. Al-Yousuf4 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01114-9 Date A point or period of time associated with an event in the lifecycle of the resource 2026 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/b816dc0e3593ace398bce306c4e4acef.pdf 62d0881dc8ce23d7ecc9fcf248581efc 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 19 Issue 1 2026 Contributor An entity responsible for making contributions to the resource PERI IRAWAN 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 Recurrent syncope with seizure-like features: the role of emergency monitoring in revealing intermittent AV block Subject The topic of the resource Recurrent syncope, Atrioventricular block, Intermittent complete heart block, Adams–Stokes syndrome, Emergency monitoring, Seizure-like activity, Post-syncopal hypertension Description An account of the resource Abstract Background Recurrent syncope with seizure-like stiffening may mimic epilepsy or neurological disorders, and when routine tests are repeatedly normal, intermittent arrhythmia can be easily overlooked. Case presentation We report a case of a 65-year-old man with hypertension, hyperuricaemia, dyslipidaemia, and asthma who experienced recurrent syncopal episodes over one month. He presented several times to emergency departments and tertiary hospitals. Neurological and cardiovascular investigations—including brain MRI, echocardiography, coronary angiography, laboratory tests, and a previous Holter ECG—were consistently unremarkable. The initial diagnosis was hypertensive crisis based on marked post-event blood pressure surges, which was later recognized as a secondary phenomena rather than the primary cause of syncope. On the index admission, continuous emergency monitoring captured a sinus arrest of ~ 17 s with absent arterial pulse waveform, followed by bradyarrhythmia. Post-event blood pressure spiked to 220/110 mmHg. A repeat Holter ECG confirmed intermittent Mobitz II and complete AV block with asystole up to 18.6 s. EEG, performed during this admission to exclude epilepsy, was normal. A dual-chamber permanent pacemaker was implanted with complete resolution of symptoms (Shen et al, Circulation 136(5):e60-e122, 2017; Kusumoto et al, Circulation 140(8): e382-e482, 2019; Brignole et al, Eur Heart J 39(21):1883-1948, 2018). Conclusion This case demonstrates how intermittent AV block may masquerade as seizure or hypertensive crisis, underlining the critical role of emergency department monitoring and prolonged ECG recording in recurrent unexplained syncope. Keywords Recurrent syncope, Atrioventricular block, Intermittent complete heart block, Adams–Stokes syndrome, Emergency monitoring, Seizure-like activity, Post-syncopal hypertension Creator An entity primarily responsible for making the resource Huong Thi Thanh Le1* , Ninh Xuan Nguyen1 , Ngoc Tien Pham1 , Quoc Viet Tran1 , Hang Ngoc Thuy Tran1 and Nhat Hong Tran2 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01113-w Date A point or period of time associated with an event in the lifecycle of the resource 2026 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 Recurrent syncope, Atrioventricular block, Intermittent complete heart block, Adams–Stokes syndrome, Emergency monitoring, Seizure-like activity, Post-syncopal hypertension https://repository.horizon.ac.id/files/original/2f96d410986513da2ce63df2f0c169da.pdf 4b71549ef1fdbb8e7933994205a37a13 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 19 Issue 1 2026 Contributor An entity responsible for making contributions to the resource PERI IRAWAN 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 Association of Wet-Bulb Globe Temperature with heat-related illness hospitalizations in Japan: a time-stratified, case-crossover study Subject The topic of the resource Keywords Wet-Bulb Globe Temperature, Heat stroke, Heat related illness, Global warming Description An account of the resource Abstract Background Heat-related illnesses are a serious public health concern and are exacerbated by global warming. Wet- Bulb Globe Temperature (WBGT) is widely used as a heat stress indicator, but its clinical impact remains unclear. This study aimed to investigate the association between hourly variations in WBGT and the incidence of hospitalizations for heat-related illness in Japan using a nationwide database. By incorporating individual-level clinical data and performing stratified analyses, we sought to provide a more granular understanding of how heat exposure affects the risk of heat-related illness requiring hospitalization. Methods We conducted a time-stratified, case-crossover study using data collected from July to September in 2020 and 2021 in the Heatstroke STUDY registry. The inclusion criteria were patients registered in the Heatstroke STUDY registry, specifically hospitalized patients with heat-related illness who were transported to participating hospitals during the study period. Hourly WBGT values were assigned based on the nearest monitoring station to each hospital. Conditional logistic regression and distributed lag models were used to estimate associations between WBGT and the risk of hospitalization. Results A total of 1,653 heat-related illness hospitalizations were analyzed. The mean patient age was 67.9 years; 67.6% were male. Each 1 °C increase in WBGT at onset (hospital arrival) was associated with a significantly increased risk of hospitalization (OR 1.10, 95% CI: 1.05–1.15). The cumulative effect over the prior six hours was also significant (OR 1.56, 95% CI: 1.50–1.62). Compared with WBGT<25 °C, adjusted ORs were 3.39 (25–27 °C), 8.81 (28–30 °C), and 22.10 (≥31 °C). Stratified analyses suggested stronger associations among several subgroups; however, only patients with mental disorders showed statistically significant effect modification, whereas elevated WBGT posed a risk across all groups. Creator An entity primarily responsible for making the resource Yuka Yamamura1 , Takashi Hongo2,5*, Tetsuya Yumoto2 , Fumiya Sasai1 , Kohei Tokioka2 , Takafumi Obara2 , Tsuyoshi Nojima2 , Jun Kanda3 , Shoji Yokobori4 , Hiromichi Naito2 , Takashi Yorifuji1 and Atsunori Nakao2 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01112-x Date A point or period of time associated with an event in the lifecycle of the resource 2026 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/d62ef23f50f8c7f56798ffef95b7ded8.pdf fcda3c84542f48efbbdcee3e47ff1cc7 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 19 Issue 1 2026 Contributor An entity responsible for making contributions to the resource PERI IRAWAN 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 Scaling emergency care capacity during concurrent public health and humanitarian crises: outcomes of WHO-ICRC basic emergency care course implementation in the Republic of Moldova Subject The topic of the resource Basic emergency care, Emergency preparedness, Emergency care, Health system resilience, Workforce training, Humanitarian response, Ukraine refugee crisis, Republic of Moldova, Capacity building Description An account of the resource Abstract Introduction The Republic of Moldova, an upper-middle-income nation in Eastern Europe, has encountered overlapping public health and humanitarian challenges that have tested the resilience of its health system. Following the COVID-19 pandemic and 2022 influx of refugees from neighbouring Ukraine, the Ministry of Health (MoH) identified an urgent need to upskill healthcare providers in emergency care. The World Health Organization- International Committee of the Red Cross Basic Emergency Care (BEC) course was selected as a rapid solution to train a range of providers in managing acute patients. This study assessed BEC’s effects on emergency care knowledge and confidence in Moldova. Methods From February 2023 to December 2024, 15 BEC courses were taught in Moldova. Participants completed pre- and post-course knowledge tests, confidence self-assessments, and feedback forms. Quantitative scores were assessed using descriptive statistics and nonparametric testing, and qualitative responses were analysed thematically. Results Of 371 enrolled participants, 312 (84%) completed all course requirements. Post-course knowledge scores were significantly higher than pre-course (mean score: +20.2%, p<0.001). Self-reports also improved, with mean scores (ranging from 1 - least - to 4 - most) increasing from 1.85 (SD: 0.91) to 2.17 (SD: 0.67) for confidence (p<0.001) and 1.58 (SD: 0.79) to 2.07 (SD: 0.61) for competence (p<0.001). Most (89%) found the course highly relevant to their work and rated instructors as excellent (97%). Participants valued the symptom-based approach, hands-on simulations, short course duration, and interactive teaching, while suggesting more time for hands-on skills practice. Conclusion National BEC implementation in Moldova showed that a standardized short course can generate significant gains in emergency care knowledge and confidence across diverse provider cadres in a matter of days. Participants gained significant emergency care knowledge and confidence, even though the healthcare system Creator An entity primarily responsible for making the resource Ion Chesov1,2, Jennifer Pigoga Hart1*, Miljana Grbic1 , Ion Prisacary4 , Iuliana Garam1 , Ihor Perehinets5 , Emilie J. Calvello Hynes3 , Dina Pfeifer5 and Vitalii Stetsyk1 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01111-y Date A point or period of time associated with an event in the lifecycle of the resource 2026 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 Basic emergency care, Emergency preparedness, Emergency care, Health system resilience, Workforce training, Humanitarian response, Ukraine refugee crisis, Republic of Moldova, Capacity building https://repository.horizon.ac.id/files/original/afa51385db17fb2673cb03deaba5a3a4.pdf 54c5d135b40da4ad3a0b258fe85f19f7 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 19 Issue 1 2026 Contributor An entity responsible for making contributions to the resource PERI IRAWAN 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 Seeing beyond the numbers: capnography as a vital tool in pediatric emergency care Subject The topic of the resource Keywords ETCO2, Pediatrics, Critical care, Procedural sedation, Oximetry Description An account of the resource Abstract Purpose End-tidal carbon dioxide (ETCO2) monitoring is a vital, noninvasive technique for assessing ventilation, circulatory status, and predicting adverse events in pediatric emergency departments (EDs). This review aims to synthesize current evidence, examine barriers, and highlight strategies to optimize ETCO2 monitoring in pediatric emergency settings. Methods A narrative review of the literature was conducted, encompassing epidemiological data, clinical guidelines, expert consensus statements, and recent studies targeting ETCO2 monitoring in pediatric emergencies. Key topics evaluated include physiological principles, airway management, prognostic value in cardiac arrest, procedural sedation safety, sepsis triage, limitations, and future directions. Data from both high- and low-resource settings were included. Results ETCO2 monitoring demonstrates high sensitivity and specificity for confirming endotracheal tube placement and early detection of respiratory compromise—identifying hypoventilation, apnea, and airway obstruction minutes before pulse oximetry. During CPR, persistently low ETCO2 values correlate with poor outcomes, while sudden increases signal return of spontaneous circulation. In procedural sedation, routine capnography reduces hypoxic episodes and adverse events. In sepsis, ETCO2 inversely correlates with lactate levels, offering a rapid, non- invasive marker of perfusion, though its reliability diminishes in multisystemic shock. Challenges include equipment limitations, provider training gaps, lack of universal protocols, and cost barriers—especially in low-resource settings. Conclusion ETCO2 monitoring is an essential tool in pediatric emergency care, enhancing safety and clinical decision-making across multiple scenarios. Addressing implementation barriers through education, standardized protocols, and accessible technology is crucial to ensure widespread adoption and improved outcomes for critically ill children. Keywords ETCO2, Pediatrics, Critical care, Procedural sedation, Oximetry Creator An entity primarily responsible for making the resource Shree Rath1 , Mohammed Alsabri2,3* , Abdelrahman M. Tawfik4 , Eman Makky4 , Muhammad Azan Shahid5 , Ebraheem A. Ebraheem6 , Alaa Zayed7 and Israa Magdy Ata8 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01110-z Date A point or period of time associated with an event in the lifecycle of the resource 2026 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 Keywords ETCO2, Pediatrics, Critical care, Procedural sedation, Oximetry https://repository.horizon.ac.id/files/original/84b53063d3b11878c7aaeb9f356a3778.pdf a8ce838f956ade644855b624f7b1710a 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 19 Issue 1 2026 Contributor An entity responsible for making contributions to the resource PERI IRAWAN 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 Survival after multiple in-hospital cardiac arrests due to severe amitriptyline poisoning– a case report Subject The topic of the resource Severe amitriptyline toxicity, Multiple cardiac arrest, ACLS, Refractory arrhythmias, Sodium bicarbonate Description An account of the resource Abstract Background Amitriptyline, a classic tricyclic antidepressant, can produce toxic effects ranging from mild antimuscarinic symptoms to severe cardiotoxicity due to sodium channel blockade. In severe cases, toxicity may rapidly progress to cardiac arrest if not promptly recognized and managed. Case presentation We present a 25-year-old man who attempted suicide by ingesting 3.25 g of amitriptyline. He developed two episodes of cardiac arrest and recurrent life-threatening arrhythmias but was resuscitated and later discharged without neurological deficits. Management included aggressive supportive care, administration of sodium bicarbonate as the main antidotal therapy, and prolonged resuscitative efforts in the intensive care unit. Conclusion This case highlights that survival with good neurological outcome is possible even after multiple toxin-induced cardiac arrests when timely and persistent resuscitative measures are undertaken. It emphasizes the importance of early recognition of tricyclic antidepressant toxicity, prompt initiation of specific therapy, and preparedness for cardiac complications—particularly in low-resource settings. In addition, this report draws attention to the public health concern related to the accessibility and misuse of tricyclic antidepressants. Keywords Severe amitriptyline toxicity, Multiple cardiac arrest, ACLS, Refractory arrhythmias, Sodium bicarbonate Creator An entity primarily responsible for making the resource Amanuel Dagabas Wakoya1* , Tadesse G. Asenabeto1 , Hawi D. Moti1 , Negash B. Bayu1 , Fenta Wondimneh2 , Abebe D. Ayinalem1 , Alemu B. Mesekere1 , Ayto A. Negash3 and Tiliksew A. Tesfaw1 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01109-6 Date A point or period of time associated with an event in the lifecycle of the resource 2026 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 englsih Type The nature or genre of the resource text Severe amitriptyline toxicity, Multiple cardiac arrest, ACLS, Refractory arrhythmias, Sodium bicarbonate