Objective: The aim of the study was to investigate the prevalence, characteristics, and consequences of workplace violence (WPV) in emergency care settings, including reporting behaviors. Methods: An online questionnaire was conducted among 660 emergency department (ED) healthcare workers (HCWs), covering types of violence, perpetrators, psychological impacts, and reporting behaviors. Results: A 97.4% of HCWs reported experiencing at least one violent incident. Verbal violence was the most prevalent (93.8%), followed by psychological pressure (59.1%) and physical violence (22.7%). Perpetrators were mainly patient companions (98.0%) and patients (60.3%). Nearly half (49.8%) had never reported violence. Consequences of the violence on HCWs included a loss of motivation (80.8%), anxiety (63.8%), and burnout (57.7%). About 85% associated violence with ED overcrowding. Conclusions: WPV in EDs remains a public health and workforce safety issue. System-level interventions are needed to enhance safety and deterrence, reduce overcrowding, improve reporting, and strengthen institutional support.

Pneumomediastinum is the presence of free air within the mediastinum and may be primary or secondary. Secondary pneumomediastinum typically follows trauma, invasive procedures, mechanical ventilation, or dental interventions using pressurized air; odontogenic causes without prior intervention are exceptionally rare. We report the case of a 52-year-old male with liver cirrhosis who presented with chest and neck pain 2 days after being diagnosed with a dental abscess and receiving antibiotics, with no dental procedure performed. He had fever, cervical swelling with crepitus, odynophagia, and dysphagia. Computed tomography revealed extensive subcutaneous emphysema tracking from the cervical region into the mediastinum, and inflammatory markers were elevated. He was diagnosed with secondary pneumomediastinum complicated by descending necrotizing mediastinitis and underwent mediastinal exploration and surgical drainage. Cultures grew Parvimonas micra . Postoperatively, he required intensive care and mechanical ventilation for 8 days. With culture-directed antibiotics and multidisciplinary management, he recovered fully and was discharged without sequelae. Anaerobic bacterial gas production may contribute to this rare complication. Clinicians should consider secondary pneumomediastinum in patients with chest and neck pain in the setting of odontogenic infection, even without preceding dental procedures, as early recognition, prompt imaging, surgical drainage, and definitive source control are critical for favorable outcomes.

Acute respiratory distress syndrome(ARDS) is a critical condition which compromises with the respiratory functions.Aim of this study is to present the management of ARDS case in the emergency department. This is a case report of a patient who was admitted to an emergency department.We did not apply any statistical methods. A 41-year-old female patient with no medical history was admitted to the emergency department as an outpatient with complaints of shortness of breath and palpitations. After a physical examination,it was first though that the patient was simply experiencing an anxiety episode.However oxygen saturation was measured as 35 % and further investigation of the patient revealed ARDS as the cause of these symptoms.Patient was admitted to the ICU unit. Even though anxiety can be common,it can be dangerous to dismiss other clinical and potentially lethal pathologies when searching for the cause of respiratory distress.Physical examination and vital signs should be evaluated together to reach a potential diagnosis.

Background/Objectives: Multimodal artificial intelligence may support point-of-care ultrasound (POCUS) interpretation in emergency medicine, but its performance on static images and sensitivity to acquisition context remain uncertain. This study evaluated GPT-5.6 Sol and assessed whether probe-region information improves interpretation across view/plane, anatomy, and pathology domains. Methods: In this paired comparative in silico study, 92 educational ultrasound images from seven anatomical regions were assessed under standardized uninformed (image only) and informed (image plus probe-region code) prompting conditions. Two independent raters scored responses against textbook-based references in three domains: view/plane identification, anatomical structure identification, and pathological finding detection. Each domain was scored from 0 to 2. Disagreements were resolved by a third ultrasound expert, and fully correct responses were defined as domain scores of 2. The primary outcome was the total performance score (0–6). Secondary outcomes included domain-specific scores, fully correct response rates, and exploratory subgroup analyses. Wilcoxon signed-rank and McNemar tests assessed paired scores and fully correct rates, respectively. Results: Total performance was higher with informed prompting (median (interquartile range), 5 (4–6) versus 4 (2–5); p < 0.001). Interrater agreement was substantial to almost perfect across evaluation domains (quadratic-weighted κ = 0.750–1.000). Fully correct rates increased from 58.7% to 88.0% for view/plane identification and from 47.8% to 82.6% for anatomical structure identification (both p < 0.001). Pathological finding detection improved from 35.9% to 48.9% (p = 0.002). Among pathology-positive images, missed or incorrectly labeled pathology remained frequent (44.8%) despite informed prompting. Regional differences in total performance were significant only under uninformed prompting (p = 0.002). Conclusions: Probe-region information substantially improved view/plane and anatomical structure identification, but pathological finding detection remained comparatively weak. In static POCUS interpretation, improved anatomical recognition did not translate into reliable pathology detection. Persistent false-negative and false-positive errors do not support independent diagnostic use. Potential applications in POCUS education and anatomical labeling require further validation.

To evaluate the association of the hemoglobin-albumin-lymphocyte-platelet (HALP) score with one-year all-cause mortality and its discriminatory performance