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Advanced Emergency Nursing Journal最新文献

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Predicting Pulmonary Complications Using Two Clinical Decision Tools in an Emergency Department Sample of Chest Trauma Patients. 用两种临床决策工具预测急诊科胸外伤患者的肺部并发症
IF 0.6
Advanced Emergency Nursing Journal Pub Date : 2026-10-13 DOI: 10.1097/TME.0000000000000644
Philip Davis, Dian Evans, Donna L Agan
{"title":"Predicting Pulmonary Complications Using Two Clinical Decision Tools in an Emergency Department Sample of Chest Trauma Patients.","authors":"Philip Davis, Dian Evans, Donna L Agan","doi":"10.1097/TME.0000000000000644","DOIUrl":"https://doi.org/10.1097/TME.0000000000000644","url":null,"abstract":"","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149196907","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
Incision and Drainage of Acute Paronychia in the Emergency Department. 急诊科急性甲沟炎的切开与引流。
IF 0.6
Advanced Emergency Nursing Journal Pub Date : 2026-10-13 DOI: 10.1097/TME.0000000000000647
Erica May, Lucy Tucker
{"title":"Incision and Drainage of Acute Paronychia in the Emergency Department.","authors":"Erica May, Lucy Tucker","doi":"10.1097/TME.0000000000000647","DOIUrl":"https://doi.org/10.1097/TME.0000000000000647","url":null,"abstract":"<p><strong>Abstract: </strong>Paronychia is a common emergency department presentation, representing up to 35% of hand infections. Standard of care involves incision and drainage, with systemic antibiotic therapy dependent upon the severity of the presentation. The treating emergency nurse practitioner (ENP) should consider factors that may impact wound healing, medications, comorbidities, and perform a thorough history and physical examination to properly address this common infection. This article describes a case of a 43-year-old female with about four weeks of gradually developing paronychia that presented to a community emergency department (ED) for treatment. This article will review the patient's case, including history and management to increase the skills of Emergency Advanced Practice Registered Nurses.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149184783","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
Slipped Capital Femoral Epiphysis (SCFE). 股骨头骨骺滑动(SCFE)。
IF 0.6
Advanced Emergency Nursing Journal Pub Date : 2026-10-01 DOI: 10.1097/TME.0000000000000646
Anthony Good, Kelsey Meuser, Jessica Gregg, Denise R Ramponi
{"title":"Slipped Capital Femoral Epiphysis (SCFE).","authors":"Anthony Good, Kelsey Meuser, Jessica Gregg, Denise R Ramponi","doi":"10.1097/TME.0000000000000646","DOIUrl":"https://doi.org/10.1097/TME.0000000000000646","url":null,"abstract":"<p><strong>Abstract: </strong>Slipped capital femoral epiphysis (SCFE) is one of the most common pediatric hip disorders and a frequent cause of diagnostic delay due to its variable and nonspecific presentation. Children often present with groin, thigh, or knee pain, gait abnormalities, or minor trauma, which can obscure early recognition. This case report describes a 10-year-old female who presented to an urgent care setting with hip, groin, and lower extremity pain following minor trauma and was diagnosed with SCFE based on physical examination and radiographic findings. Despite conservative pain management, persistent gait disturbance and limited range of motion prompted further evaluation, revealing posterior and caudal displacement of the proximal femoral epiphysis. This case highlights the importance of maintaining a high index of suspicion for SCFE in pediatric patients with lower-extremity pain and gait abnormalities. Early diagnosis and prompt orthopedic referral are critical to preventing complications such as avascular necrosis, chondrolysis, and early-onset osteoarthritis.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116187","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
Accuracy of Signal-to-Noise in Novel Electrocardiogram Technology Versus Standard Electrocardiogram Technology: A Literature Review. 新型心电图技术与标准心电图技术的信噪比准确性：文献综述。
IF 0.6
Advanced Emergency Nursing Journal Pub Date : 2026-07-01 DOI: 10.1097/TME.0000000000000636
Genevieve Massey, Tanna Thomason, Julie-Kathryn Graham, Pedro Colio
{"title":"Accuracy of Signal-to-Noise in Novel Electrocardiogram Technology Versus Standard Electrocardiogram Technology: A Literature Review.","authors":"Genevieve Massey, Tanna Thomason, Julie-Kathryn Graham, Pedro Colio","doi":"10.1097/TME.0000000000000636","DOIUrl":"10.1097/TME.0000000000000636","url":null,"abstract":"<p><strong>Abstract: </strong>Patients presenting to the emergency department (ED) with suspected acute coronary syndrome (ACS) require immediate acquisition of a 12-lead electrocardiogram (ECG) to support early diagnosis and clinical decision making. Acute coronary syndrome includes ST-elevation myocardial infarction, non-ST-elevation myocardial infarction, and unstable angina. However, symptoms consistent with ACS may also include arrhythmias, such as premature ventricular contractions, atrial fibrillation, or supraventricular tachycardia. Accurate and timely ECG interpretation is essential for prompt risk stratification and initiation of appropriate management of the detected arrhythmia. The diagnostic accuracy of the ECG is highly dependent on signal quality, particularly the signal-to-noise ratio and the presence of artifacts from patient movement and monitoring equipment. Poor signal fidelity may contribute to misinterpretation and false-positive coronary activation. This literature review examines studies published over the past 5 years that evaluate advancements in ECG electrode technology and artifact-reduction strategies, including algorithm-based approaches, relative to conventional ECG systems. A review of current best practices for skin electrode optimization is also summarized.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":" ","pages":"173-184"},"PeriodicalIF":0.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148377605","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
Quality and Safety Implications of Boarding Geriatric and High Acuity Patients in the Emergency Department: A Literature Review. 急诊科老年和高敏度患者住院的质量和安全意义：文献综述。
IF 0.6
Advanced Emergency Nursing Journal Pub Date : 2026-07-01 Epub Date: 2026-07-08 DOI: 10.1097/TME.0000000000000639
Karen R Brandt-Mayo, Gabriella Malagon-Maldonado, Julie-Kathryn Graham
{"title":"Quality and Safety Implications of Boarding Geriatric and High Acuity Patients in the Emergency Department: A Literature Review.","authors":"Karen R Brandt-Mayo, Gabriella Malagon-Maldonado, Julie-Kathryn Graham","doi":"10.1097/TME.0000000000000639","DOIUrl":"10.1097/TME.0000000000000639","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this narrative review was to review existing literature to determine a consensus of established best practices to mitigate the risks of boarding geriatric and high acuity patients.</p><p><strong>Methods: </strong>The PubMed database was searched using the following key terms: quality care, inpatient boarding, emergency department, nursing care, and access block.</p><p><strong>Results: </strong>Fourteen articles were reviewed, identifying quality and safety concerns, organizational imperatives, and potential solutions.</p><p><strong>Conclusion: </strong>The care of boarding patients poses unique challenges for hospitals, physicians, and nurses. Organizational priorities should include strategies to minimize boarding in the ED and interventions to improve the quality and consistency of care when boarding cannot be avoided. Discharge lounges, a popular alternative, fail to demonstrate a return on investment or improved throughput.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":" ","pages":"200-206"},"PeriodicalIF":0.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148346476","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
A Novel 4-Point Approach to Mask Ventilation. 一种新的四点面罩通气方法。
IF 0.6
Advanced Emergency Nursing Journal Pub Date : 2026-07-01 Epub Date: 2026-06-22 DOI: 10.1097/TME.0000000000000635
David B Sanford, Christy C Greenhalgh
{"title":"A Novel 4-Point Approach to Mask Ventilation.","authors":"David B Sanford, Christy C Greenhalgh","doi":"10.1097/TME.0000000000000635","DOIUrl":"10.1097/TME.0000000000000635","url":null,"abstract":"<p><strong>Abstract: </strong>Mask ventilation is a foundational skill for health care providers in all environments. Despite the critical role for this technique, effective mask ventilation remains a challenge for many clinicians. This article introduces a novel mask holding technique that can improve efficacy and be employed in a broad spectrum of scenarios.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":" ","pages":"169-172"},"PeriodicalIF":0.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279212","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
A Novel 4-Point Approach to Mask Ventilation. 一种新的四点面罩通气方法。
IF 0.6
Advanced Emergency Nursing Journal Pub Date : 2026-07-01 DOI: 10.1097/TME.0000000000000642
{"title":"A Novel 4-Point Approach to Mask Ventilation.","authors":"","doi":"10.1097/TME.0000000000000642","DOIUrl":"10.1097/TME.0000000000000642","url":null,"abstract":"","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"48 3","pages":"e6"},"PeriodicalIF":0.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621933","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
Fomepizole as an Adjunct in Severe Acetaminophen Poisoning: Highlighting Its Use in High-Risk Ingestions. 福美唑作为严重对乙酰氨基酚中毒的辅助药物：强调其在高风险摄入中的使用。
IF 0.6
Advanced Emergency Nursing Journal Pub Date : 2026-07-01 Epub Date: 2026-07-14 DOI: 10.1097/TME.0000000000000632
Ramiel N Ngeve
{"title":"Fomepizole as an Adjunct in Severe Acetaminophen Poisoning: Highlighting Its Use in High-Risk Ingestions.","authors":"Ramiel N Ngeve","doi":"10.1097/TME.0000000000000632","DOIUrl":"10.1097/TME.0000000000000632","url":null,"abstract":"<p><strong>Background: </strong>Acetaminophen overdose remains one of the leading causes of both intentional and unintentional medication-related liver injury and acute liver failure in both adults and children. Although N-acetylcysteine remains the standard of care and is highly effective when administered early, massive ingestions and delayed presentation cases may exceed its ability to prevent hepatocellular injury. Fomepizole, a CYP2E1 inhibitor traditionally used for toxic alcohol poisoning, has emerged as a potential adjunctive therapy for high-risk acetaminophen overdoses.</p><p><strong>Objective: </strong>This article reviews the mechanism of action of acetaminophen, the pathophysiology of acetaminophen-induced hepatotoxicity, outlines current management strategies, and examines the emerging role of fomepizole as an adjunctive therapy. Added focus is given to implications for nursing practice, including safe preparation, administration, and monitoring.</p><p><strong>Summary: </strong>Acetaminophen toxicity develops when glutathione stores become depleted, leading to accumulation of the toxic metabolite N-acetyl-p-benzoquinone imine. N-acetylcysteine replenishes glutathione and mitigates early injury; however, extremely high acetaminophen concentrations can overwhelm detoxification pathways. Fomepizole inhibits CYP2E1 and reduces conversion of acetaminophen to N-acetyl-p-benzoquinone imine, potentially limiting hepatic damage. Evidence from animal studies and small human case series suggests benefit in massive ingestions, although large, randomized-controlled trials are lacking.</p><p><strong>Implications: </strong>Further research is needed to establish and standardize protocols and further clarify the role of fomepizole in the management of acetaminophen overdose cases.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":" ","pages":"147-153"},"PeriodicalIF":0.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148449870","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
Fomepizole as an Adjunct in Severe Acetaminophen Poisoning: Highlighting its Use in High-Risk Ingestions. 福美唑作为严重对乙酰氨基酚中毒的辅助药物：强调其在高风险摄入中的使用。
IF 0.6
Advanced Emergency Nursing Journal Pub Date : 2026-07-01 DOI: 10.1097/TME.0000000000000641
{"title":"Fomepizole as an Adjunct in Severe Acetaminophen Poisoning: Highlighting its Use in High-Risk Ingestions.","authors":"","doi":"10.1097/TME.0000000000000641","DOIUrl":"10.1097/TME.0000000000000641","url":null,"abstract":"","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"48 3","pages":"e5"},"PeriodicalIF":0.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621878","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
Examining the Lived Experience of Secondary Traumatic Stress in Emergency Department Nurses. 急诊科护士继发性创伤应激的生活经验调查。
IF 0.6
Advanced Emergency Nursing Journal Pub Date : 2026-07-01 Epub Date: 2026-07-10 DOI: 10.1097/TME.0000000000000638
Mary Frazier
{"title":"Examining the Lived Experience of Secondary Traumatic Stress in Emergency Department Nurses.","authors":"Mary Frazier","doi":"10.1097/TME.0000000000000638","DOIUrl":"10.1097/TME.0000000000000638","url":null,"abstract":"<p><strong>Abstract: </strong>Emergency department (ED) nurses care for patients during critical times: violence, trauma, death, etc. Continuous exposure increases risk for secondary traumatic stress (STS): negative reaction experienced by someone with an indirect exposure to trauma. This impairs their ability to cope, increases levels of anxiety/depression, and increases attrition. Using a phenomenological design, the researcher interviewed 23 bedside ED nurses in Missouri and/or Illinois, USA. Five themes emerged: patient care, relationships at work, life outside the hospital, impacting on a personal level, and residual stress. Three themes emerged related to coping strategies: positive, dysfunctional, and debriefing as a coping strategy. Nurses are impacted by STS in numerous areas of their lives and rely on both positive and negative coping strategies to help mitigate the negative effects. Hospitals should introduce the concept of STS during nursing orientation so nurses may be able to implement coping strategies before negative effects are experienced.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":" ","pages":"190-199"},"PeriodicalIF":0.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425382","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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