发布求助
文献互助 智能选刊 最新文献

Advanced Emergency Nursing Journal最新文献

筛选
英文 中文
Borealpox: A Rare but Emerging Orthopoxvirus. 北方痘：一种罕见但正在出现的正痘病毒。
IF 1
Advanced Emergency Nursing Journal Pub Date : 2025-09-18 DOI: 10.1097/TME.0000000000000590
Michael D Gooch, Jessica Stadler
{"title":"Borealpox: A Rare but Emerging Orthopoxvirus.","authors":"Michael D Gooch, Jessica Stadler","doi":"10.1097/TME.0000000000000590","DOIUrl":"https://doi.org/10.1097/TME.0000000000000590","url":null,"abstract":"<p><p>Borealpox, formerly known as Alaskapox, is a novel zoonotic orthopoxvirus with a limited but concerning emergence in Alaska, part of the boreal ecosystem. To date, only 7 human cases have been confirmed, with transmission likely occurring from small wild mammals via intermediary domestic animals such as cats. While the illness is typically mild, it can lead to severe complications including death in immunocompromised patients. This case highlights the diagnostic and clinical challenges associated with orthopoxvirus infections in high-risk populations. Management is primarily supportive, with antiviral and immunoglobulin therapy reserved for severe presentations. Emergency clinicians, including advanced practice clinicians, should be familiar with the clinical manifestations, diagnostic approaches, and emerging treatment strategies for borealpox as cases are expected to increase. Early recognition, appropriate reporting, and interdisciplinary collaboration are essential to optimizing outcomes, particularly in vulnerable populations.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126294","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
POCUS-Assisted Therapeutic Thoracentesis. pocus辅助治疗性胸穿刺。
IF 1
Advanced Emergency Nursing Journal Pub Date : 2025-09-16 DOI: 10.1097/TME.0000000000000595
Major William C Moreo, Kelly Ball
{"title":"POCUS-Assisted Therapeutic Thoracentesis.","authors":"Major William C Moreo, Kelly Ball","doi":"10.1097/TME.0000000000000595","DOIUrl":"https://doi.org/10.1097/TME.0000000000000595","url":null,"abstract":"<p><p>Therapeutic thoracentesis is an invasive procedure performed to relieve symptoms in patients with large pleural effusions identified on diagnostic imaging. Untreated effusions can lead to respiratory compromise or hemodynamic instability. Factors such as poor patient compliance, worsening disease progression, or limited outpatient follow-up availability may increase the need for therapeutic thoracentesis in the emergency department (ED). This article provides a comprehensive overview of the procedure with point-of-care ultrasound (POCUS) guidance and discusses indications, contraindications, and post-procedure care in the ED setting. Competence in thoracentesis and POCUS enables the emergency nurse practitioner to optimize procedural utilization and deliver safe, high-quality care for patients with significant pleural effusions.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126353","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
Knowledge, Attitudes, and Practices of Nurses Addressing Social Determinants of Health in the Emergency Department. 急诊科护士处理健康社会决定因素的知识、态度和实践。
IF 1
Advanced Emergency Nursing Journal Pub Date : 2025-09-11 DOI: 10.1097/TME.0000000000000594
Juan Manuel Gonzalez, Johis Ortega, John McFadden, Kenya Snowden, Catherine Nadeau, Lila de Tantillo, Michele Upvall
{"title":"Knowledge, Attitudes, and Practices of Nurses Addressing Social Determinants of Health in the Emergency Department.","authors":"Juan Manuel Gonzalez, Johis Ortega, John McFadden, Kenya Snowden, Catherine Nadeau, Lila de Tantillo, Michele Upvall","doi":"10.1097/TME.0000000000000594","DOIUrl":"https://doi.org/10.1097/TME.0000000000000594","url":null,"abstract":"<p><strong>Background: </strong>The emergency department (ED) serves as a safety net for individuals with limited access to primary care. ED nurses are often the first point of contact for those with few resources. Literature shows a link between social determinants of health (SDoH) and frequent ED use.</p><p><strong>Purpose: </strong>This qualitative descriptive study explored ED nurses' knowledge, attitudes, and practices in addressing SDoH, aiming to better understand this issue and elevate nurses' voices.</p><p><strong>Methods: </strong>A qualitative descriptive design examined how ED nurses address SDoH and their related knowledge, attitudes, and practices.</p><p><strong>Results: </strong>Eighteen ED nurses participated in semi-structured interviews. Thematic analysis yielded 45 codes, 17 categories, and six themes: practical wisdom, navigating barriers, integrated solutions, professional and ethical stewardship, time constraints and institutional influences, and educational empowerment.</p><p><strong>Conclusions: </strong>Results highlight the complexity of addressing SDoH in the ED and the need for more resources, education, and research on interventions and long-term outcomes.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126284","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
Pharmacotherapy Management of Acute Migraine in the Emergency Department. 急诊科急性偏头痛的药物治疗管理。
IF 1
Advanced Emergency Nursing Journal Pub Date : 2025-09-10 DOI: 10.1097/TME.0000000000000588
Kyle A Weant, Haili Gregory
{"title":"Pharmacotherapy Management of Acute Migraine in the Emergency Department.","authors":"Kyle A Weant, Haili Gregory","doi":"10.1097/TME.0000000000000588","DOIUrl":"https://doi.org/10.1097/TME.0000000000000588","url":null,"abstract":"<p><strong>Background: </strong>Migraine is an often-disabling condition and a common presentation to the Emergency Department (ED). Rapid and effective treatment are essential to reduce symptom burden, prevent recurrence, and improve patient outcomes. This review provides a comprehensive, evidence-based overview of the pharmacologic management of acute migraine in the ED, including first-line therapies, rescue medications, adjunctive care strategies, and considerations for special populations. First-line agents for acute migraine include dopamine antagonists, nonsteroidal anti-inflammatory drugs, and triptans, with treatment tailored to severity, comorbidities, and previous response. Rescue therapies such as dexamethasone, valproic acid, magnesium sulfate, and, in rare cases, dihydroergotamine and caffeine, are indicated for refractory or recurrent symptoms. Supportive interventions such as intravenous fluids and antiemetics can enhance treatment response. Special populations, including pregnant individuals, pediatric, and geriatric patients, as well as those with cardiovascular disease, require individualized management. It is critical for ED personnel to provide not only optimal pharmacotherapy but also safe medication administration, astute monitoring for adverse effects, and the provision of discharge education to prevent migraine recurrence and ensure outpatient follow-up.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034389","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
Central Serous Chorioretinopathy and Diagnostic Challenges in Emergency Settings. 中枢性浆液性脉络膜视网膜病变和急诊诊断挑战。
IF 1
Advanced Emergency Nursing Journal Pub Date : 2025-09-10 DOI: 10.1097/TME.0000000000000589
Pedro A Colio, David Najafi
{"title":"Central Serous Chorioretinopathy and Diagnostic Challenges in Emergency Settings.","authors":"Pedro A Colio, David Najafi","doi":"10.1097/TME.0000000000000589","DOIUrl":"https://doi.org/10.1097/TME.0000000000000589","url":null,"abstract":"<p><p>Sudden visual disturbances are of significant concern and often among the most challenging scenarios for emergency providers in underserved communities without on-call ophthalmology services. Vulnerable areas in emergency training vary among nurse practitioners, physician assistants, and even physicians. Urgent and non-urgent ophthalmology disorders are commonly cited in the literature as one of the most challenging areas for emergency providers. Ophthalmology is frequently not included as a mandatory clinical rotation in medical school, resulting in limited exposure to this specialty. Similarly, anecdotal evidence suggests that nurse practitioner and physician assistant training often lack sufficient exposure to ophthalmology. The purpose of this emergency ophthalmology case study is to review the management of central serous chorioretinopathy, an acute and often benign eye disorder, and to examine how it escalated to a workup for a cerebrovascular accident in the absence of an ophthalmology consultation.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034376","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
The Use of Tranexamic Acid for Acute Abnormal Uterine Bleeding in the Emergency Department. 氨甲环酸在急诊科急性异常子宫出血中的应用。
IF 1
Advanced Emergency Nursing Journal Pub Date : 2025-09-10 DOI: 10.1097/TME.0000000000000592
Marlen Alvarez, Philip Davis
{"title":"The Use of Tranexamic Acid for Acute Abnormal Uterine Bleeding in the Emergency Department.","authors":"Marlen Alvarez, Philip Davis","doi":"10.1097/TME.0000000000000592","DOIUrl":"https://doi.org/10.1097/TME.0000000000000592","url":null,"abstract":"<p><p>Acute abnormal uterine bleeding is a frequent reason for emergency department visits and, in severe cases, can become life-threatening. Tranexamic acid is a potential treatment option. However, its use in this setting remains under-researched. The Research to Practice column critically evaluates a recent study and translates its findings, within the context of a clinical case, into actionable changes for emergency care. This article examines the conclusions drawn from a comprehensive literature review and an international expert panel, aiming to establish consensus recommendations for managing acute menorrhagia and providing evidence-based guidance to healthcare professionals.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034396","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
Post-Exposure Prophylaxis: For Sexual Exposure in the LGBTQIA+ Community. 暴露后预防：LGBTQIA+社区的性暴露。
IF 1
Advanced Emergency Nursing Journal Pub Date : 2025-09-05 DOI: 10.1097/TME.0000000000000596
DeSheena G Armstrong
{"title":"Post-Exposure Prophylaxis: For Sexual Exposure in the LGBTQIA+ Community.","authors":"DeSheena G Armstrong","doi":"10.1097/TME.0000000000000596","DOIUrl":"10.1097/TME.0000000000000596","url":null,"abstract":"<p><p>Human immunodeficiency viruses (HIV) and, subsequently, acquired immune deficiency syndrome emphasize the significance of prevention and treatment, especially among vulnerable populations. Some subgroups of the LGBTQIA+ community, namely men who have sex with men (MSM) and transgender individuals, can be disproportionately affected by this disease. As the health care community recognizes this health concern, post-exposure prophylaxis has become important in preventing HIV spread. The current practices depend on two-pill approaches that combine emtricitabine/tenofovir with either dolutegravir or raltegravir. However, the introduction of the one-pill bictegravir/emtricitabine/tenofovir alafenamide (BIC/FTC/TAF) improves the chances of receiving prophylactic treatment by people with serious renal health issues. The purpose of the clinical recommendation is to present MSM and transgender patients who might have contracted HIV with an alternative treatment of BIC/FTC/TAF that reduces renal side effects and requires a single pill a day.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145013419","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
Crosswalk Analysis of Existing Nurse Practitioner Populations and Emergency Nurse Practitioner Competencies: An Executive Summary. 现有执业护士人群与急诊执业护士能力的交叉分析：执行摘要。
IF 1
Advanced Emergency Nursing Journal Pub Date : 2025-08-06 DOI: 10.1097/TME.0000000000000585
Jennifer Wilbeck, Wesley D Davis, Pamela Cromer, Autumn Henson, Christina Hicks, Jennifer Kim, Rene Love, Julie Stanik-Hutt, Suzanne Staebler, Malinda Teague
{"title":"Crosswalk Analysis of Existing Nurse Practitioner Populations and Emergency Nurse Practitioner Competencies: An Executive Summary.","authors":"Jennifer Wilbeck, Wesley D Davis, Pamela Cromer, Autumn Henson, Christina Hicks, Jennifer Kim, Rene Love, Julie Stanik-Hutt, Suzanne Staebler, Malinda Teague","doi":"10.1097/TME.0000000000000585","DOIUrl":"10.1097/TME.0000000000000585","url":null,"abstract":"<p><p>As the number of nurse practitioners working in emergency care (ENP) has grown over the past decade, the alignment of ENP knowledge, skills, and abilities with those of the NP populations has not been fully explored. To identify overlapping themes among the emergency nurse practitioner (ENP) specialty and the eight nurse practitioner population foci's knowledge, skills, and abilities, national leaders and expert faculty collaborated on a crosswalk analysis of NP competencies, certification examination content and procedures. This project revealed that the ENP specialty competencies, certification exam blueprint items, and procedures are not entirely subsumed within an existing nurse practitioner population focus.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800500","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
Guttate Psoriasis: Another Kid With an Itchy Rash. 斑疹型牛皮癣：另一个有痒疹的孩子。
IF 1
Advanced Emergency Nursing Journal Pub Date : 2025-07-01 Epub Date: 2025-07-31 DOI: 10.1097/TME.0000000000000576
Teresa Dodge
{"title":"Guttate Psoriasis: Another Kid With an Itchy Rash.","authors":"Teresa Dodge","doi":"10.1097/TME.0000000000000576","DOIUrl":"10.1097/TME.0000000000000576","url":null,"abstract":"<p><p>Guttate psoriasis (GP) is a variant of psoriasis. Approximately 2-4% of the world population is affected by psoriasis; of this, about 30% will be diagnosed with guttate psoriasis. GP primarily affects children and young adults. Like other psoriasis, guttate psoriasis is an immune-mediated dermatological disorder. GP is distinct, given it is classically an acute rash following a streptococcal infection.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":" ","pages":"193-197"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235430","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
Adrenal Insufficiency: A Case Study. 肾上腺功能不全：个案研究。
IF 1
Advanced Emergency Nursing Journal Pub Date : 2025-07-01 Epub Date: 2025-07-31 DOI: 10.1097/TME.0000000000000575
Catherine Kan
{"title":"Adrenal Insufficiency: A Case Study.","authors":"Catherine Kan","doi":"10.1097/TME.0000000000000575","DOIUrl":"10.1097/TME.0000000000000575","url":null,"abstract":"<p><p>Adrenal insufficiency is a disorder of the adrenal glands, where the glands fail to produce adequate mineralocorticoids, glucocorticoids, and adrenal androgens. The most common cause of primary adrenal insufficiency in developed countries is autoimmune; however, medications, infectious diseases, and trauma can also induce adrenal insufficiency. Exogenous steroid use is also a common cause of secondary adrenal insufficiency. Symptoms are related to alterations in the salt and water balance in the body and develop slowly over several months. Patients usually develop fatigue, nausea, vomiting, abdominal pain, myalgias, weight loss, and salt craving. Hyponatremia and hyperkalemia are common. Most patients eventually develop hyperpigmented skin and mucus membranes without treatment. Acute adrenal crisis is a medical emergency characterized by hypotension, lethargy, tachycardia, nausea and vomiting, and hypoglycemia. This requires prompt treatment with intravenous fluids, blood pressure support, and stress dosing of intravenous hydrocortisone. Patients who are correctly identified and treated can make a full recovery, although they will require lifelong replacement of mineralocorticoids and glucocorticoids. Patients who have stabilized their replacement regimens will also require increased doses during periods of illness or stress, such as viral infections or surgery. Emergency clinicians should be aware of the signs and symptoms of adrenal insufficiency and be ready to intervene to prevent life threatening complications.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":" ","pages":"186-192"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733806","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
下一页 尾页
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整，为了账户安全，请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们：info@booksci.cn Book学术提供免费学术资源搜索服务，方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号：604180095
Book学术官方微信