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Diagnostic and treatment dilemmas in well children with petechial rash in the emergency department. 急诊科瘀斑性皮疹患儿的诊断和治疗难题。
Emergency Nurse Pub Date : 2022-08-31 DOI: 10.7748/en.2022.e2138
Andriana Summers
{"title":"Diagnostic and treatment dilemmas in well children with petechial rash in the emergency department.","authors":"Andriana Summers","doi":"10.7748/en.2022.e2138","DOIUrl":"10.7748/en.2022.e2138","url":null,"abstract":"<p><p>This article presents a discussion based on a case study of an eight-month-old boy with petechial rash who presented at the emergency department (ED). Blood tests were obtained and intravenous antibiotics were administered. The patient was admitted to the children's ward and was discharged the next day. It was suspected that the rash was caused by a non-specific viral illness. Non-blanching rashes, such as petechial rash, in well children often lead to diagnostic and treatment dilemmas in the ED. Clinicians fear missing the diagnosis of invasive meningococcal disease, which results in blood tests, cannulation and early administration of antibiotics. Non-blanching rashes have many potential causes and extensive tests and antibiotic treatment may not always be necessary and have the potential to cause harm. A tailored approach to investigate, treat and discharge well children with petechial rash from the ED is advocated.</p>","PeriodicalId":35711,"journal":{"name":"Emergency Nurse","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40333017","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}
引用次数: 0
Children and smacking: what do the changes to the law mean for nurses? 孩子和体罚:法律的变化对护士意味着什么?
Emergency Nurse Pub Date : 2022-08-30 DOI: 10.7748/en.30.5.12.s6
{"title":"Children and smacking: what do the changes to the law mean for nurses?","authors":"","doi":"10.7748/en.30.5.12.s6","DOIUrl":"https://doi.org/10.7748/en.30.5.12.s6","url":null,"abstract":"","PeriodicalId":35711,"journal":{"name":"Emergency Nurse","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42024344","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}
引用次数: 0
What to do if you suspect a fracture in the emergency department 如果你怀疑在急诊室发生骨折该怎么办
Emergency Nurse Pub Date : 2022-08-30 DOI: 10.7748/en.30.5.6.s2
R. Wood
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引用次数: 0
Quitting in the face of intolerable pressure 在无法忍受的压力面前辞职
Emergency Nurse Pub Date : 2022-08-30 DOI: 10.7748/en.30.5.11.s5
J. Buchan
{"title":"Quitting in the face of intolerable pressure","authors":"J. Buchan","doi":"10.7748/en.30.5.11.s5","DOIUrl":"https://doi.org/10.7748/en.30.5.11.s5","url":null,"abstract":"Surveys are highlighting concerns about negative psychological effects of the pandemic – notably stress, burnout and post-traumatic stress disorder – on the UK nursing workforce. Another, published by the RCN, shows nursing staff in the UK are still being asked to keep going in the face of intolerable pressure.","PeriodicalId":35711,"journal":{"name":"Emergency Nurse","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49119865","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}
引用次数: 0
Abuse from patients is affecting nurses’ well-being 病人的虐待正在影响护士的健康
Emergency Nurse Pub Date : 2022-08-30 DOI: 10.7748/en.30.5.10.s4
{"title":"Abuse from patients is affecting nurses’ well-being","authors":"","doi":"10.7748/en.30.5.10.s4","DOIUrl":"https://doi.org/10.7748/en.30.5.10.s4","url":null,"abstract":"I used to love my job, but recently I have had to brace myself before starting a shift, as I wonder 'how much abuse am I going to suffer today?'.","PeriodicalId":35711,"journal":{"name":"Emergency Nurse","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44589151","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}
引用次数: 0
We should change how we treat older people after a fall 跌倒后我们应该改变对待老年人的方式
Emergency Nurse Pub Date : 2022-08-30 DOI: 10.7748/en.30.5.9.s3
D. Clee
{"title":"We should change how we treat older people after a fall","authors":"D. Clee","doi":"10.7748/en.30.5.9.s3","DOIUrl":"https://doi.org/10.7748/en.30.5.9.s3","url":null,"abstract":"","PeriodicalId":35711,"journal":{"name":"Emergency Nurse","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46054474","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}
引用次数: 0
Managing a patient presenting to the emergency department with upper gastrointestinal bleeding. 处理一个因上消化道出血而到急诊科就诊的病人。
Emergency Nurse Pub Date : 2022-08-30 Epub Date: 2022-01-25 DOI: 10.7748/en.2022.e2120
Sandra Michelle Haigh
{"title":"Managing a patient presenting to the emergency department with upper gastrointestinal bleeding.","authors":"Sandra Michelle Haigh","doi":"10.7748/en.2022.e2120","DOIUrl":"https://doi.org/10.7748/en.2022.e2120","url":null,"abstract":"<p><p>Upper gastrointestinal (GI) bleeding is a common presentation in emergency departments (EDs). This medical emergency has a mortality rate of up to 14%, particularly in men and older people. The most frequent cause of upper GI bleeding is peptic ulcer disease. Management has not changed significantly in the past 50 years and there is ongoing debate in the literature about the most effective treatment protocols. This article uses a case study of a patient who presented to an ED with upper GI bleeding caused by peptic ulcer disease to examine the evidence on treatment and management. The article also discusses a care bundle that has been developed for rapid assessment and management of patients with acute upper GI bleeding.</p>","PeriodicalId":35711,"journal":{"name":"Emergency Nurse","volume":"30 5","pages":"17-23"},"PeriodicalIF":0.0,"publicationDate":"2022-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39857261","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}
引用次数: 0
Why effective pain management continues to challenge nurses 为什么有效的疼痛管理继续挑战护士
Emergency Nurse Pub Date : 2022-08-30 DOI: 10.7748/en.30.5.5.s1
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引用次数: 0
Hypomagnesaemia: diagnosis and management in the emergency department. 低镁血症：急诊科的诊断和处理。
Emergency Nurse Pub Date : 2022-07-26 DOI: 10.7748/en.2022.e2141
Alexander Cushny, Rachel Rees
{"title":"Hypomagnesaemia: diagnosis and management in the emergency department.","authors":"Alexander Cushny, Rachel Rees","doi":"10.7748/en.2022.e2141","DOIUrl":"10.7748/en.2022.e2141","url":null,"abstract":"<p><p>Magnesium is an intracellular electrolyte and is a vital element in human physiological functioning. A deficiency in magnesium, termed hypomagnesaemia, can affect the neuromuscular, cardiovascular and renal systems. Hypomagnesaemia may be more prevalent in patients with cancer than in the general population. The increasing numbers of cancer diagnoses in the UK means that emergency department (ED) nurses are likely to be involved in care of this population, including those with suspected hypomagnesaemia. This article describes some of the causes and signs and symptoms of hypomagnesaemia and outlines the diagnosis and clinical management of patients with the condition. The article includes a case study of a patient with cancer who was admitted to an ED with hypomagnesaemia.</p>","PeriodicalId":35711,"journal":{"name":"Emergency Nurse","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40538186","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}
引用次数: 0
Could a job in the Royal Navy be the career for you? 皇家海军的一份工作适合你吗?
Emergency Nurse Pub Date : 2022-07-05 DOI: 10.7748/en.30.4.14.s5
Lieutenant Amy Phelps
{"title":"Could a job in the Royal Navy be the career for you?","authors":"Lieutenant Amy Phelps","doi":"10.7748/en.30.4.14.s5","DOIUrl":"https://doi.org/10.7748/en.30.4.14.s5","url":null,"abstract":"","PeriodicalId":35711,"journal":{"name":"Emergency Nurse","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42073818","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}
引用次数: 0
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