{"title":"Application of End-Tidal CO2 Monitoring to ICU Management.","authors":"Bradley Owens, Chris Hall","doi":"10.1097/CNQ.0000000000000506","DOIUrl":"10.1097/CNQ.0000000000000506","url":null,"abstract":"<p><p>Waveform capnography is a noninvasive measurement of ventilation and perfusion commonly employed in the prehospital setting. It is easy to apply, and modern cardiac monitors are equipped with the necessary ports and capability to display results. Despite its ease of use, end-tidal CO2 monitoring has not yet achieved widespread adoption within the hospital setting. It is routinely used in the emergency department and by anesthesiologists, but its application could support ICU management in critically ill patients. Its use is routinely supported by multiple professional societies, and it has been recommended as a requirement in all cardiac arrests. Careful analysis of the waveform and expired carbon dioxide can guide therapy for patients experiencing respiratory emergencies, hemodynamic compromise, metabolic acidosis, and shock due to trauma, hypovolemia, or sepsis. Use of capnography throughout the hospital could improve patient outcomes and prevent unidentified deterioration.</p>","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"47 2","pages":"157-162"},"PeriodicalIF":1.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139989566","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}
Peter Hough, Philip Nawrocki, Tyler McCardell, Gregory Parker
{"title":"Top 10 Tips on Safety From the Air Medical Transport Industry.","authors":"Peter Hough, Philip Nawrocki, Tyler McCardell, Gregory Parker","doi":"10.1097/CNQ.0000000000000504","DOIUrl":"10.1097/CNQ.0000000000000504","url":null,"abstract":"<p><p>The air medical transport industry places a high value on developing and maintaining a culture of safety due to the higher risk nature of its operations. The dynamic nature of response and transport, inherent risks involved with flight, lack of supporting resources, weather conditions, and austere nature of the transport environment are all factors that highlight the need for enhanced safety. As such, the air medical transport industry has developed a robust and unique approach to provider and patient safety involving many tactics not otherwise used in other areas of health care. This article describes some of the unique safety features and approaches that are commonplace in the air medical transport industry and proposes a means for these initiatives to other areas of the health care system.</p>","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"47 2","pages":"143-151"},"PeriodicalIF":1.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139989510","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 History of Vertical Flight and Air Medical Transport.","authors":"Cassandra Asberry, Donny Copper","doi":"10.1097/CNQ.0000000000000497","DOIUrl":"10.1097/CNQ.0000000000000497","url":null,"abstract":"<p><p>Vertical flight was sought-after by scientists for centuries, finding early beginnings in children's toys and slowly developing into the modern helicopter. For centuries, true success was elusive, and many machines failed to achieve safe, controlled flight. Despite slow progress, vertical flight enthusiasts were unrelenting and continued trialing new concepts until one finally rose above the rest. As technology advanced, the critical role of helicopters in medical evacuation became apparent. Throughout recent history, continuous progress in vertical flight technology has led to widespread and multifaceted use of helicopters in civilian and military medical operations.</p>","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"47 2","pages":"95-101"},"PeriodicalIF":1.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139989509","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}
Alaina Martini, Stephanie Boswell, Russ Faiello, Jeffrey Toy
{"title":"Multidisciplinary Collaboration Within Air Medical Transport: It Takes a Team.","authors":"Alaina Martini, Stephanie Boswell, Russ Faiello, Jeffrey Toy","doi":"10.1097/CNQ.0000000000000500","DOIUrl":"10.1097/CNQ.0000000000000500","url":null,"abstract":"<p><p>The success of each air medical transport mission is dependent on the coordinated efforts of communications specialists, aviation personnel, medical crew members, referring hospitals, local emergency medical services, and fire and law enforcement personnel. Expedited, efficient, and safe patient transport is made possible through the collaboration of all the aforementioned disciplines. In this specialized, unpredictable, and high-pressure environment, each entity plays its own crucial role in rapidly delivering critical care directly to the patient in need.</p>","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"47 2","pages":"111-118"},"PeriodicalIF":1.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139989506","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}
Kerry O'Rourke, Terilyn Ma, Kevin Bojko, Leon Chen
{"title":"An Unusual Cause of Complete Heart Block.","authors":"Kerry O'Rourke, Terilyn Ma, Kevin Bojko, Leon Chen","doi":"10.1097/CNQ.0000000000000487","DOIUrl":"10.1097/CNQ.0000000000000487","url":null,"abstract":"<p><p>Mercury poisoning is most frequently associated with multiorgan toxicity involving the brain, lungs, and kidneys. Cardiotoxic effects of mercury are rare and often overlooked. We demonstrate mercury poisoning-induced cardiotoxicity through a case study and then provide a review of the incidence, pathophysiology, and associated management plans. This case illustrates the importance of thorough history-taking to promote early recognition of toxicity.</p>","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"47 1","pages":"14-18"},"PeriodicalIF":1.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138458404","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}
Hameed Daraghmeh, Ahmad Ayed, Basma Salameh, Imad Fashafsheh
{"title":"Factors of Missed Nursing Care in Intensive Care Units: Palestinian Perspective.","authors":"Hameed Daraghmeh, Ahmad Ayed, Basma Salameh, Imad Fashafsheh","doi":"10.1097/CNQ.0000000000000494","DOIUrl":"10.1097/CNQ.0000000000000494","url":null,"abstract":"<p><p>Maintaining a high standard of nursing care is imperative for ensuring patient safety. Several factors significantly impact the provision of nursing care, including work environment resources, personnel coordination, work systems, and head nurse leadership. In addition, each nurse's clinical and academic career also plays a role in shaping the quality of care provided to patients. This article reports results of a cross-sectional study aimed to identify the different types of missed nursing care and the factors that contribute to them, as perceived by nurses, and second, to investigate how nurses' characteristics may relate to the occurrence of missed nursing care. Data for this study were obtained through a self-administered questionnaire that was distributed to participants working in an intensive care unit. The study included a final sample size of 176 participants, all of whom worked in intensive care unit hospitals located in the north region of Palestine. The study found that handwashing, setting up meals for patients who feed themselves, discharge planning, and response to a call light were the most frequently missed nursing care activities. The primary factors identified as reasons for missed nursing care were inadequate availability of labor and material resources, along with communication issues. Efforts to address these identified issues can potentially lead to improved quality of nursing care in intensive care units.</p>","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"47 1","pages":"62-70"},"PeriodicalIF":1.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138458408","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}
Ghada Shalaby Khalaf Mahran, Mimi M Mekkawy, Bedour A Ibrahim, Ebtisam A Saber, Mostafa Ali, Mostafa S Abbas, Sherif A A Mohamed, Ragaa D Ahmed
{"title":"Designing and Validating an Evidence-Based, Shift-to-Shift Handover Bundle for Nurses and Physicians.","authors":"Ghada Shalaby Khalaf Mahran, Mimi M Mekkawy, Bedour A Ibrahim, Ebtisam A Saber, Mostafa Ali, Mostafa S Abbas, Sherif A A Mohamed, Ragaa D Ahmed","doi":"10.1097/CNQ.0000000000000490","DOIUrl":"10.1097/CNQ.0000000000000490","url":null,"abstract":"<p><p>This article reports a study aimed at developing and validating an evidence-based, shift-to-shift handover bundle for nurses and physicians to be used at shift changes in intensive care and emergency units. Deficient or absent clinical handovers, or failures to transfer information, responsibility, and accountability can have unwanted consequences for hospitalized patients, particularly those at critical areas. Clinical handovers are practiced every day, in many ways, in all institutional health care settings. Despite increasing demand for structured processes to guide clinical handovers, standardized handover bundles for nurses and physicians are limited in the emergency and intensive care unit. As a result of this study, a shift-to-shift handover bundle was created, which was an evidence-based research design. This bundle is expected to be helpful for proper patient transfers between these critical areas, ensuring patient safety and efficient quality management.</p>","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"47 1","pages":"41-50"},"PeriodicalIF":1.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138458406","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":"Health Literacy Among Patients With Acute Coronary Artery Diseases: Predictors, Consequences, and Enhancing Strategies: A Review of the Literature.","authors":"Maha K Aburadwan, Ferial A Hayajneh","doi":"10.1097/CNQ.0000000000000492","DOIUrl":"10.1097/CNQ.0000000000000492","url":null,"abstract":"<p><p>The purpose of this study is to integrate evidence on predictors, consequences, in addition to the strategies for enhancing health literacy (HL) for patients with acute coronary artery diseases. An integrative review was conducted by searching four main electronic databases: the Web of Science, PubMed, ScienceDirect, and MEDLINE. Twenty-three studies met the inclusion criteria and were included in the final review process. The review identified the most common predictors, consequences, and relationship of HL with health outcomes in patients with acute coronary artery disease. In addition to the main strategies that enhance HL, patients with or at risk for acute coronary artery disease need a good level of HL to cope with the disease's consequences. It is recommended to include routine assessment and management of HL levels in acute coronary artery disease treatment protocols to improve clinical outcomes.</p>","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"47 1","pages":"71-82"},"PeriodicalIF":1.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138458410","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":"Right Ventricular Failure: A Concise Review.","authors":"Leon L Chen, Danielle Zuma","doi":"10.1097/CNQ.0000000000000486","DOIUrl":"10.1097/CNQ.0000000000000486","url":null,"abstract":"<p><p>Right ventricular failure (RVF) is a critical condition that significantly impacts morbidity and mortality in affected patients. This review article aims to provide a comprehensive understanding of RVF by discussing its background, etiology, pathophysiology, clinical presentation, diagnostic studies, medical treatment, and mechanical assistive devices.</p>","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"47 1","pages":"9-13"},"PeriodicalIF":1.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138458412","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}