Australian Emergency Nursing Journal最新文献

{"title":"Global electrocardiograph changes and acute pulmonary oedema in an acute hydralazine overdose of a young male: A case study","authors":"Paul Woolmer (Masters of Clinical Nursing Candidate)","doi":"10.1016/S1328-2743(04)80110-X","DOIUrl":"10.1016/S1328-2743(04)80110-X","url":null,"abstract":"<div><p>A 15 year-old male was bought to the unit by ambulance approximately two hours after ingesting 750 mg of hydralazine tablets. The episode was marked with distinct stages of deterioration whereby the patient's symptoms changed as the effects of the drug and treatment progressed. On arrival in the unit the patient was hypotensive and tachycardic but otherwise asymptomatic. Over the course of the next four hours his cardiovascular and respiratory status deteriorated. Widespread electrocardiogram (ECG) changes with related chest pain indicated cardiac ischemia, which was later confirmed by rises in cardiac enzymes. The patient's respiratory status deteriorated with the onset of acute pulmonary oedema (APO). These symptoms progressed to such an extent that he required ionotropic support, intubation and extended ventilation. The possible mechanisms involved in the overdose are discussed.</p><p>The incidence of acute hydralazine overdose is rare with only scant mention in the literature of similar incidents. ECG changes have been noted in the literature (<span>Smith &amp; Ferguson, 1992</span>), however the progression of the symptoms to include APO and heart failure have not been noted.</p></div>","PeriodicalId":100148,"journal":{"name":"Australian Emergency Nursing Journal","volume":"6 2","pages":"Pages 14-20"},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1328-2743(04)80110-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79512556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nursing together — Australian and Vietnam: Trauma nursing in a developing country","authors":"Kathy Bailey (Clinical Nurse Manager),&nbsp;Tricia Ansell (Associate Nurse Unit Manager)","doi":"10.1016/S1328-2743(03)80075-5","DOIUrl":"10.1016/S1328-2743(03)80075-5","url":null,"abstract":"<div><p>Trauma care is part of the emergency nurse's everyday practice in Australia. It can range from a patient with a simple fracture to one with multiple traumatic injuries. Largely we have a well-developed and sophisticated prehospital service, especially in metropolitan areas. In most cases we are notified and are able to prepare for the arrival of a trauma patient. We are then able to action our trauma teams or plans and have a focussed, systematic way of assessing, resuscitating and managing the patient.</p><p>Imagine working in a hospital in a country where systems are limited. In Vietnam trauma is one of the ten leading causes of death and is the leading cause of death in people aged 5 to 45 years. It accounts for the highest number of occupied hospital beds. Road traffic accidents are responsible for half the injury deaths and they increased four fold between 1989 and 1998.</p><p>Emergency departments (EDs) in Vietnam do not receive prehospital notification of an incoming trauma victim, there is little or no prehospital care because most patients are brought to hospital by private car. Basic supplies that we take for granted, such as cervical collars, are not readily available and; on the whole, ED staff are unable to prepare for a trauma patient's arrival.</p><p>This article is a description of our visit to Vietnam in March 2003. It is a snapshot of life and trauma management in another health system, in one hospital in a developing country.</p></div>","PeriodicalId":100148,"journal":{"name":"Australian Emergency Nursing Journal","volume":"7 1","pages":"Pages 23-27"},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1328-2743(03)80075-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73558962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"","authors":"Cate Salter","doi":"10.1016/S1328-2743(05)80031-8","DOIUrl":"10.1016/S1328-2743(05)80031-8","url":null,"abstract":"","PeriodicalId":100148,"journal":{"name":"Australian Emergency Nursing Journal","volume":"7 2","pages":"Page 41"},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1328-2743(05)80031-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81593220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ODs in the ED — A study of the experiences of emergency nurses caring for people who deliberately self-poison","authors":"","doi":"10.1016/S1328-2743(04)80077-4","DOIUrl":"https://doi.org/10.1016/S1328-2743(04)80077-4","url":null,"abstract":"","PeriodicalId":100148,"journal":{"name":"Australian Emergency Nursing Journal","volume":"6 2","pages":"Page 16"},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1328-2743(04)80077-4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136529521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Near-drowning: Prognoses and prevention","authors":"Scott DeBoer (Flight nurse, Classic Lifeguard and founder of Peds-R-Us Medical Education),&nbsp;Ella Scott (Clinical Nurse Consultant)","doi":"10.1016/S1328-2743(04)80112-3","DOIUrl":"10.1016/S1328-2743(04)80112-3","url":null,"abstract":"<div><p>Drowning is a significant and preventable cause of death in children across the world. Early indicators for 2001–2 suggest that at least 251 incidents occurred in Australia, with 44 of these being children under five years old (The Royal Life Saving Society Australia, 2002). This figure is down by 25% from the previous five-year average. However, the loss of 44 young children in preventable water related incidents is 44 too many.</p><p>Seventy-five percent of paediatric drowning deaths in the 0–5 year age group were due to the child falling or wandering into the water (<span>Langley, 2001</span>). Because children of this age are curious, the message to all is that children need to be kept under constant supervision when near water.</p></div>","PeriodicalId":100148,"journal":{"name":"Australian Emergency Nursing Journal","volume":"6 2","pages":"Pages 27-38"},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1328-2743(04)80112-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84432164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An overview of biological and chemical agents","authors":"","doi":"10.1016/S1328-2743(04)80078-6","DOIUrl":"https://doi.org/10.1016/S1328-2743(04)80078-6","url":null,"abstract":"","PeriodicalId":100148,"journal":{"name":"Australian Emergency Nursing Journal","volume":"6 2","pages":"Pages 16-17"},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1328-2743(04)80078-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136530979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The NSW Health Clinical Initiatives Nurse","authors":"","doi":"10.1016/S1328-2743(04)80072-5","DOIUrl":"https://doi.org/10.1016/S1328-2743(04)80072-5","url":null,"abstract":"","PeriodicalId":100148,"journal":{"name":"Australian Emergency Nursing Journal","volume":"6 2","pages":"Page 14"},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1328-2743(04)80072-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136493069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comprehensive nurse initiated analgesia program — improving timeliness of analgesia delivery","authors":"","doi":"10.1016/S1328-2743(04)80066-X","DOIUrl":"https://doi.org/10.1016/S1328-2743(04)80066-X","url":null,"abstract":"","PeriodicalId":100148,"journal":{"name":"Australian Emergency Nursing Journal","volume":"6 2","pages":"Pages 11-12"},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1328-2743(04)80066-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136450258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Increasing confidence of emergency department staff in responding to mental health issues: An educational initiative","authors":"RN, MS, DNSc Cynthia M Stuhlmiller (Professor of Nursing (Mental Health) School of Nursing and Midwifery) ,&nbsp;RN, MS Barry Tolchard (Senior Lecturer and Course Coordinator School of Medicine and School of Nursing and Midwifery) ,&nbsp;BA (Hons), MPHC Lyndall J Thomas (Senior Project Officer, Department of Human Services) ,&nbsp;RN, PhD, FRCNA Charlotte F de Crespigny (Professor of Nursing (Alcoho & Other Drugs) School of Nursing and Midwifery) ,&nbsp;MBBS, FRANZCP Ross S Kalucy am (Professor, Department of Psychiatry) ,&nbsp;MBBS, FACEM Diane King (Director Emergency Medicine)","doi":"10.1016/S1328-2743(03)80073-1","DOIUrl":"10.1016/S1328-2743(03)80073-1","url":null,"abstract":"<div><p>Abstract</p></div><div><h3>Introduction</h3><p>This paper reports on one major finding of an educational initiative aimed at improving the care of persons presenting to emergency departments (EDs) with mental health issues. This goal, to improve care, was based on the premise that enhanced knowledge and skills of ED staff in mental health, including drug and alcohol issues, would result in increased confidence and competence of staff. The outcome of this would be that they could provide more effective and efficient service and thus better facilitate triage of persons with these problems.</p></div><div><h3>Objective</h3><p>To increase the confidence of staff in working with increasing numbers of mental health presentations in EDs.</p></div><div><h3>Methods</h3><p>Pre and post Emergency Mental Health Alcohol and Other Drugs (EMHAD) course questionnaires assessed self-ratings of clinical confidence in working with people with mental health issues. Follow-up interviews assessed if new found confidence in mental health had been integrated into daily ED practice.</p></div><div><h3>Results</h3><p>Self ratings of clinical confidence, including knowledge and skills, showed a significant improvement on all questions following the course. Responses to the follow-up interviews suggest that participants in the course had retained and integrated information into practice. This was especially evident in their ability to talk to people about mental health problems and to triage more appropriately.</p></div><div><h3>Conclusion</h3><p>Since attending the course staff feel more confident and competent to deal with mental health, including alcohol and other drug presentations, in the emergency department.</p></div>","PeriodicalId":100148,"journal":{"name":"Australian Emergency Nursing Journal","volume":"7 1","pages":"Pages 9-17"},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1328-2743(03)80073-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79523645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial information","authors":"","doi":"10.1016/S1328-2743(03)80068-8","DOIUrl":"https://doi.org/10.1016/S1328-2743(03)80068-8","url":null,"abstract":"","PeriodicalId":100148,"journal":{"name":"Australian Emergency Nursing Journal","volume":"7 1","pages":"Page 2"},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1328-2743(03)80068-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136930802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}