4 10 43 https://repository.horizon.ac.id/files/original/327dba0157f601a05d41a35fbc9268e2.pdf d50dfaee9df62fdb34e4885b26b77941 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 Successful endoscopic retrieval of an accidentally ingested toothbrush in a 95-year- old male : a clinical case report Subject The topic of the resource Toothbrush, Accidental swallowing, Foreign body ingestion, Endoscopic removal Description An account of the resource Abstract Background Accidental foreign body ingestion in the paediatric age group is a common presentation to the Emergency department, with most objects being small and round. Accidental ingestion of non-organic, long, and rigid foreign bodies in adults is relatively rare, and is usually seen in patients with an underlying psychiatric illness. Such foreign bodies are unlikely to pass through the entirety of the gastrointestinal tract owing to their length and rigidity, and are therefore associated with the risk of pressure ulcers, necrosis, and perforation, which necessitates their prompt removal. Case presentation We report the case of a 95-year-old male with Parkinson’s disease, who presented to the Emergency Department with alleged history of having swallowed his toothbrush an hour prior to arrival. The patient was hemodynamically stable. An X-ray of the abdomen confirmed the presence of the toothbrush with the radio- opaque bristle end seen in the left upper quadrant. The Gastroenterologist was involved, and an endoscopic retrieval of the toothbrush was planned immediately. There were challenges encountered in the endoscopic removal owing to the smooth surface of the toothbrush. However, successful retrieval was accomplished, and patient was discharged the following day with no complications. Conclusion Accidental ingestion of toothbrush in adults is extremely rare. Owing to its length and structure, the tooth brush is unlikely to be naturally expelled from the rectum, and therefore associated with risk of complications like perforation, which necessitates prompt removal. Keywords Toothbrush, Accidental swallowing, Foreign body ingestion, Endoscopic removal Creator An entity primarily responsible for making the resource Farzin Vajifdar1*, Khursheed Vazifdar1 , Vivek Singh1 , Sagar Jaiswal1 and Sayash Nair1 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01094-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 Toothbrush, Accidental swallowing, Foreign body ingestion, Endoscopic removal https://repository.horizon.ac.id/files/original/cebdefd022a57b9a236ca510aa68e697.pdf 430f068e3db81390d57afe14e6dd8ea2 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 Acute toxic encephalopathy induced by organic solvent exposure: a case report of diagnostic challenges and occupational health implications Subject The topic of the resource Acute toxic encephalopathy induced by organic solvent exposure: a case report of diagnostic challenges and occupational health implications Description An account of the resource Abstract Background Toxic encephalopathy, which results from exposure to neurotoxic substances, poses a considerable clinical challenge, especially for occupational groups like painters and construction workers. Case presentation This case report describes a 35-year-old female painter who experienced acute toxic encephalopathy, presenting with severe headache, nausea, and vomiting. Initially, her condition was misdiagnosed as cervical spondylosis. However, recognizing her occupational exposure to organic solvents was essential for arriving at the correct diagnosis. This case highlights the importance of thorough evaluations, particularly detailed occupational histories, to avoid misdiagnosis and ensure timely management of such conditions. Neuroimaging results showed bilateral symmetric white matter changes, which supported the diagnosis of organic solvent toxicity. This finding aligns with existing literature that discusses how lipid solubility can disrupt neuronal function. The patient's positive outcome following prompt treatment underscores the critical need for early recognition of toxic encephalopathy, as it can significantly improve recovery chances. Conclusion This case enhances our understanding of the complexities associated with diagnosing acute encephalopathy caused by organic solvents and underscores the urgent need for healthcare providers to be more aware of occupational hazards. Keywords Acute toxic encephalopathy, Neurotoxic substance exposure, Organic solvent exposure Creator An entity primarily responsible for making the resource Mengfei Han1 , Yi Ren1 , Kongbo Lv1 , Li Wang2 and Zhizhou Yang1* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01092-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 Acute toxic encephalopathy induced by organic solvent exposure: a case report of diagnostic challenges and occupational health implications https://repository.horizon.ac.id/files/original/839a3aec0b0aa2df6a31873d0d15a002.pdf e96f0b76884cdc0833d25e34b821488e 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 Middle-aged woman with acute-on- chronic generalized abdominal pain due to phlebosclerotic colitis Subject The topic of the resource A 48-year-old woman presented to the emergency depart- ment Description An account of the resource Case presentation A 48-year-old woman presented to the emergency depart- ment (ED) due to acute-on-chronic generalized abdomi- nal pain and nausea for 2 weeks. Her temperature was 36.6 °C, blood pressure 111/88 mmHg, sinus tachycar- dia (152 bpm) and oxygen saturation 99% on room air without respiratory distress when arriving ED. Physical examination disclosed tenderness over entire abdomen without muscle guarding. Laboratory study showed ele- vated C-reactive protein level (18.75 mg/dL), and D-dimer (2.22 μg/mL FEU). The KUB revealed continuous gas- filled and dilated small bowel loops with linear calcifica- tions along the right colon and mesenteric veins [1] (Fig. 1). Contrast computed tomography (CT) was performed subsequently which revealed wall thickening with high density contents in the ascending colon and pericolic mesenteric venous vessels (Fig. 2). Under the impression of phlebosclerotic colitis complicated with small bowel obstructions, the patient received intravenous hydra- tion, antibiotic treatment, and was admitted to the hos- pital for conservative treatment. However, the condition Creator An entity primarily responsible for making the resource Ta-Jen Wen1 , Je-Ming Hu2 and Sy-Jou Chen1* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01089-7 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 A 48-year-old woman presented to the emergency depart- ment https://repository.horizon.ac.id/files/original/77d682909743a7f5e3b16e8e0eb0461e.pdf d7be63388cd94cc335339f13e83bb686 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 Biomarkers and clinical rules for the management of mild traumatic brain injury: a narrative review Subject The topic of the resource Keywords Brain injuries, Traumatic, Glial fibrillary acidic protein, Ubiquitin thiolesterase, Biomarkers, Clinical decision rules, Multidetector computed tomography, Emergency service, Hospital, Unnecessary procedures Description An account of the resource Abstract Background Mild traumatic brain injury (mTBI) accounts for 80% of TBI cases. Although only 16% show intracranial lesions and <1% require neurosurgical intervention, CT overutilization remains common. Clinical decision rules like the Canadian CT Head Rule achieve high sensitivity (≈100%) but poor specificity (28-65%). Serum biomarkers, particularly GFAP and UCH-L1, offer complementary diagnostic performance. Emerging evidence suggests combining both strategies may optimize diagnostic accuracy, though integrated approaches remain poorly characterized in the literature. Methods We conducted a narrative review of literature published January 2000-March 2025 across PubMed/ MEDLINE, Google Scholar, and Scielo. Search terms included mTBI, biomarkers (GFAP, UCH-L1, S100B), clinical decision rules (Canadian CT Head Rule, New Orleans Criteria, NEXUS), and resource-limited settings. Inclusion criteria comprised observational cohorts, clinical trials, validation studies, systematic reviews, and meta-analyses focused on mTBI in emergency contexts. Results Combined strategies integrating clinical decision rules with biomarkers achieved superior diagnostic performance compared to either tool individually. The Canadian CT Head Rule demonstrated optimal performance across GCS 13-15 (sensitivity 93-100% and specificity 28-65% for intracranial lesions). GFAP demonstrated superior diagnostic performance compared with UCH-L1 and S100B. Although UCH-L1 did not provide meaningful incremental value beyond GFAP alone, all currently FDA- and CE-cleared platforms for clinical use (Abbott i-STAT, Alinity i; bioMérieux VIDAS® TBI) measure both GFAP and UCH-L1 in combination, achieving sensitivities of 95.8–97.3% and specificities of 34.2–41.2%. Conclusion Integrating the Canadian CT Head Rule with GFAP-based biomarker testing may optimize CT utilization in mTBI. We propose a sequential diagnostic algorithm consisting of initial evaluation with the Canadian CT Head Rule, followed by biomarker testing in CCHR-positive cases, with CT reserved for biomarker-positive patients. This stepwise approach has the potential to support more efficient referral decisions and resource utilization in settings with limited access to neuroimaging, while reducing unnecessary brain CT use in centers with imaging availability, Creator An entity primarily responsible for making the resource Sebastián Salgado1,2,3, Vicente Saver1,2,3,8* , Ángel Sáenz1,2,3, Andrés Ferre1,2, Andrés Giglio1,2,4,5,6 and Andrés Reccius1,2,7 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01088-8 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 Keywords Brain injuries, Traumatic, Glial fibrillary acidic protein, Ubiquitin thiolesterase, Biomarkers, Clinical decision rules, Multidetector computed tomography, Emergency service, Hospital, Unnecessary procedures https://repository.horizon.ac.id/files/original/81f2403a222077557650db4d0927046d.pdf 42745972b642c0ddb6e52506bfdc3e0c 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 Abdominal computed tomography use in the emergency department among children with abdominal pain: a retrospective analysis Subject The topic of the resource Abdominal pain, Abdominal computed tomography, Emergency department, Children Description An account of the resource Abstract Background Acute abdominal pain is a common cause of visits to the pediatric emergency departments (ED). In recent years, abdominal computed tomography (CT) has emerged as an increasingly used imaging modality due to its diagnostic value in the evaluation of abdominal pain. This study aimed to determine the frequency of CT use among children presenting to the ED with abdominal pain, and to identify the factors associated with CT use. Methods A single-center, retrospective review of medical records was conducted, including children aged 3 to 15 years who presented to the ED at the American University of Beirut Medical Center (AUBMC) with abdominal pain between January 1st and December 31, 2014. Demographic, clinical and laboratory data were collected and analyzed to assess predictors of CT use. Results A total of 451 patients were included in the study, of whom 11.8% underwent abdominal CT. Appendicitis was the most common abnormal finding (26%) seen on the abdominal CT scans followed by mesenteric adenitis (25%), while one-quarter of CT scans yielded normal findings. Older age, right lower quadrant (RLQ) pain, leukocytosis, and evaluation by an emergency medicine physician were significant predictors of CT use. Conclusion This study sheds the light on the potential overuse of abdominal CT scan in children presenting to ED with abdominal pain, exposing this vulnerable population to unnecessary radiation and adding financial burden. Thus, these findings underscore the importance of implementing institutional guidelines and promoting the use of non-ionizing imaging modalities. Keywords Abdominal pain, Abdominal computed tomography, Emergency department, Children Creator An entity primarily responsible for making the resource Sarah Khafaja1 , Sarah Salam Rizk1 , Samer El Hayek1 and Nadine Yazbeck1,2* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01087-9 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 Abdominal pain, Abdominal computed tomography, Emergency department, Children https://repository.horizon.ac.id/files/original/5f802ce366ed7ca49d9614a8b5a20441.pdf d870e99058830fe893db6cdb12a333a4 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 Usefulness of S100β protein in patients on antithrombotic drugs with mild traumatic brain injury: a prospective cohort study in an emergency department Subject The topic of the resource Mild brain injury, S100β protein, Cerebral injury, Antithrombotic, Cerebral CT, Medico-economic Description An account of the resource Abstract Background S100β protein has interesting metrological characteristics in the general population with mild traumatic brain injury (TBI) but its value in the subpopulation of patients on antithrombotic drugs (ATD) remains poorly documented. Objective The main objective was to evaluate the performance of S100β assay in ruling-out the presence of a cerebral injury after mTBI in subjects on ATD. Design, settings and participants This prospective single-center study was conducted between March 2020 and September 2021 in the Emergency Department of a French hospital. Patients on ATD consulting for mTBI having occurred less than 6 h previously were included. Outcomes measure and analysis The S100β assay was to have been performed within 6 h of the TBI, and a cut- off value of 0.105 μg/L was applied. The standard diagnosis was provided by cerebral computed tomography (CCT). The primary endpoint was the metrological qualities of S100β for detecting intracranial complication following TBI. Economic impact was evaluated as a secondary endpoint. Results 245 patients were included, with a mean age of 81.5 (±11.8) years. CCT showed cerebral injury for 15 (6.1%) patients. The S100β assay was negative for 58 (23.7%) patients. Sensitivity was 100% (95% CI: 78.2% −100%), specificity 25.2% (95% CI: 19.7% −31.3%), and NPV 100% (95% CI: 93.8% −100%). The S100β assay could have avoided CCT for 23.7% of the subjects, which would save €82.03 per patient compared to the current strategy. Conclusion The use of S100β within 6 h of a TBI among subjects on ATD is efficacious in safely discounting cerebral injury, with an appreciable economic saving. Clinical trial registration NCT04305821 (2020-03-09) Keywords Mild brain injury, S100β protein, Cerebral injury, Antithrombotic, Cerebral CT, Medico-economic Creator An entity primarily responsible for making the resource Xavier Quilcaille1 , Paul-Georges Reuter1,2, Mélanie Duval3 , Emma Bajeux4 and Nicolas Peschanski1,5* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01085-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 Mild brain injury, S100β protein, Cerebral injury, Antithrombotic, Cerebral CT, Medico-economic https://repository.horizon.ac.id/files/original/2853b185eb556a7cf10aa04bfe90e866.pdf d816311bac3766c5b0794ad3ab287958 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 Second victims among emergency medical dispatchers in Germany: a cross-sectional study (SeViD-VII) Subject The topic of the resource Second victim, Emergency medical dispatchers, Emotional distress, Psychological distress, Patient safety, Occupational health Description An account of the resource Abstract Background Emergency Medical Dispatchers (EMDs) play a critical role in coordinating emergency responses while being remotely exposed to distressing incidents. The Second Victim Phenomenon (SVP) refers to emotional distress experienced by healthcare professionals following adverse events; however, its prevalence and impact among EMDs remain poorly understood. This study examines the prevalence, symptom burden, and support preferences related to SVP among EMDs in Germany. Methods A cross-sectional survey was conducted using the validated SeViD-questionnaire, supplemented with demographic items. The survey assessed SVP prevalence, symptom severity, and preferred support measures. A web- based survey was distributed via professional networks. Descriptive statistics summarized sample characteristics and binary logistic regression was used to identify predictors of SVP and symptom burden. Results Among 407 respondents, 315 completed the questionnaire (completion rate: 78%). More than half (62.2%) of participating EMDs identified as Second Victims, despite limited prior awareness of the phenomenon. Traumatic events such as patient deaths or suicides and aggressive behavior were central triggers. SVP was linked to symptoms including emotional strain and difficulties concentrating, with neuroticism associated with greater symptom load (p=0.02). Binary logistic regression suggested that higher scores of the personality trait openness and professional experience increase SVP risk (p<0.01). Although many affected EMDs refrained from seeking help, those who did often relied on their friends and family for support. Immediate time off, structured debriefing, and professional counseling emerged as the most valued support strategies. Conclusions SVP is highly prevalent among EMDs, highlighting the need for targeted support strategies. Raising awareness, integrating SVP education into dispatcher training, and establishing accessible psychological support programs are essential to improve well-being and resilience in this professional group. Keywords Second victim, Emergency medical dispatchers, Emotional distress, Psychological distress, Patient safety, Occupational health Creator An entity primarily responsible for making the resource Victoria Klemm1,2*, Reinhard Strametz2 , Thomas Neusius2 , Matthias Raspe1 , Rafael Trautmann3 , Marc Gistrichovsky4 , Rainer Petzina5 , Stefan Bushuven6,7 and Hartwig Marung5 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01084-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 Second victim, Emergency medical dispatchers, Emotional distress, Psychological distress, Patient safety, Occupational health https://repository.horizon.ac.id/files/original/9236e7cd9d2ce503f3a933a97d18bbc2.pdf 95f73433bbc88c2b70f1945f2a530b38 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 Preliminary investigation of bacterial surface contamination in emergency ambulances in South Korea Subject The topic of the resource Ambulance contamination, Infection prevention, Emergency medical services, Bacterial persistence, Disinfection efficacy, Bacillus velezensis, Williamsia muralis, EMS infection control Description An account of the resource Abstract Background Emergency ambulances are vital in prehospital care but carry a high risk of healthcare-associated infections due to confined spaces, high patient turnover, and brief cleaning intervals. Routine disinfection protocols are in place; however, their effectiveness in South Korean ambulances has not been formally evaluated. Methods This pre–post observational study examined bacterial contamination on six high-touch surfaces across five operational ambulances in Province G, South Korea. Swabs were collected immediately before and after daily disinfection performed by paramedics. Bacterial load was quantified using colony-forming units (CFUs), and species identification was conducted via 16 S rRNA sequencing. Statistical analyses included paired t-tests, ANOVA, Cohen’s d, and MANOVA to evaluate the cleaning efficacy and contamination patterns. Results All six surfaces were contaminated before cleaning, with the highest CFUs recorded on the ventilation outlet (182.6±48.3), SpO2 sensor (145.2±35.7), and stretcher handle (122.4±22.6). Disinfection significantly reduced bacterial load across all surfaces (p<0.05), yet residual contamination remained on the SpO2 sensor (Bacillus velezensis) and stretcher handle (Williamsia muralis). ANOVA revealed significant differences in baseline contamination (F(5,24)=78.52, p<0.001), and MANOVA confirmed that cleaning effectiveness varied by surface geometry (Wilks’ Λ=0.202, p<0.001). Conclusions Manual disinfection significantly lowers bacterial load in ambulances, but residual contamination on complex, high-touch surfaces remains problematic. These findings underscore the need for multimodal disinfection approaches, improved equipment design, and systematic microbial surveillance to enhance EMS infection control standards. Keywords Ambulance contamination, Infection prevention, Emergency medical services, Bacterial persistence, Disinfection efficacy, Bacillus velezensis, Williamsia muralis, EMS infection control Creator An entity primarily responsible for making the resource Seoul-Hee Nam1 , Hyeon-Ji Lee2* and Mi-young Choi2 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01083-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 Ambulance contamination, Infection prevention, Emergency medical services, Bacterial persistence https://repository.horizon.ac.id/files/original/3393afdd848b363c901a004c30e83aab.pdf b056023e4b16e8db5ead3756164d9edb 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 Fatal late cardiovascular sequelae of previously unrecognized Kawasaki disease in 12-year-old child Subject The topic of the resource Kawasaki disease, Incomplete Kawasaki disease, Coronary aneurysm, Myocardial infarction, Pediatric cardiac arrest, Case report Description An account of the resource Abstract Background Kawasaki disease (KD), previously termed mucocutaneous lymph node syndrome, is a childhood vasculitis affecting medium-sized arteries and is the leading cause of acquired heart disease in children. It primarily affects children under five years of age. If left untreated, KD can lead to serious cardiovascular complications, particularly coronary artery aneurysms (CAA) and thrombosis. Incomplete KD presents with fewer clinical criteria, making it more difficult to diagnose. Importantly, long-term sequelae such as CAA may remain clinically silent for years. This case highlights the critical need for awareness that even minimal or transient symptoms can be the only warning sign of life-threatening complications in adolescents with a remote history of incomplete or unrecognized KD. Case presentation We describe a fatal case of a 12-year-old boy with a history of presumed myocarditis at age five, which retrospectively fulfilled criteria for incomplete KD but remained undiagnosed. From age five to twelve, he was asymptomatic except for occasional, brief chest tightness. At twelve, he presented with mild chest pain followed by rapid clinical deterioration, cardiac arrest, and death. Post-mortem imaging and autopsy revealed a thrombosed giant aneurysm of the left anterior descending coronary artery, consistent with chronic coronary disease. Conclusion This case illustrates the potentially fatal long-term cardiovascular sequelae of unrecognized and untreated incomplete KD. Early recognition and treatment with IVIG are critical to reduce coronary complications. Healthcare providers must maintain clinical vigilance for patients with a history of KD. Even subtle or transient symptoms in patients with a history of KD should prompt immediate evaluation to prevent fatal outcomes. Keywords Kawasaki disease, Incomplete Kawasaki disease, Coronary aneurysm, Myocardial infarction, Pediatric cardiac arrest, Case report Creator An entity primarily responsible for making the resource Tereza Fremuthová1 , Michal Huml1*, Alexandra Kotková1 , Josef Sýkora1 , Jan Baxa2 , Lukáš Hanáček3 and Jiří Fremuth1 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01079-9 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 Kawasaki disease, Incomplete Kawasaki disease, Coronary aneurysm, Myocardial infarction, Pediatric cardiac arrest, Case report https://repository.horizon.ac.id/files/original/1b885ba732f26532445716e7268ddb26.pdf 11684f534082222219ac2ecb5cba3aab 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 Exertional heat stroke with multiorgan dysfunction in a community sports event: case report and one-month follow-up Subject The topic of the resource Exertional heat stroke, Multiorgan dysfunction, Rhabdomyolysis, Cardiac injury, Low- and middle-income countries, Emergency preparedness Description An account of the resource Abstract Background Exertional heat stroke (EHS) is a life-threatening emergency characterized by central nervous system (CNS) dysfunction with hyperthermia and frequent multiorgan injury. Although outcomes have improved with rapid on-site cooling in elite sports and military contexts, data from community sporting events in low- and middle-income countries (LMICs) remain scarce. Case presentation We report a 30-year-old previously healthy Vietnamese male who collapsed during a 5-km community run. He presented with encephalopathy, generalized seizure, metabolic acidosis, acute kidney injury (AKI) (creatinine 149 μmol/L, estimated glomerular filtration rate (eGFR) 53), rhabdomyolysis (creatine kinase (CK) 3745 U/L), and myocardial injury (high-sensitivity troponin I (hs-troponin I) peak 3.87 ng/mL). The electrocardiogram (ECG) showed incomplete right bundle branch block with minor ectopy, while echocardiography revealed preserved systolic function. With rapid cooling and supportive care, renal, muscular, and cardiac abnormalities resolved. At one- month follow-up, hs-troponin I and CK had normalized (0.0016 ng/mL; 155 U/L), creatinine was 81 μmol/L, and ECG was normal, confirming full clinical recovery. Conclusion This case illustrates EHS with multiorgan dysfunction successfully managed at a community sporting event in Vietnam. The comprehensive one-month biomarker and cardiac follow-up highlights the potential for full recovery, while emphasizing the need for cost-effective emergency preparedness-including trained staff and rapid cooling strategies-in LMIC community events. Keywords Exertional heat stroke, Multiorgan dysfunction, Rhabdomyolysis, Cardiac injury, Low- and middle-income countries, Emergency preparedness Creator An entity primarily responsible for making the resource Ninh Xuan Nguyen1*, Ngoc Tien Pham1 , Huong Thi Thanh Le1 , Quoc Viet Tran1 , Hang Ngoc Thuy Tran1 , Thi Kim Thanh Vo1 and Phong Van Phan2 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01071-3 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 Exertional heat stroke, Multiorgan dysfunction, Rhabdomyolysis, Cardiac