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Advanced Emergency Nursing Journal最新文献

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Vibrio vulnificus: A Highly Virulent Bacterium on the Rise. 创伤弧菌：一种正在崛起的高毒力细菌。
IF 1
Advanced Emergency Nursing Journal Pub Date : 2026-04-01 DOI: 10.1097/TME.0000000000000621
Diane Kathleen Fuller Switzer
{"title":"Vibrio vulnificus: A Highly Virulent Bacterium on the Rise.","authors":"Diane Kathleen Fuller Switzer","doi":"10.1097/TME.0000000000000621","DOIUrl":"https://doi.org/10.1097/TME.0000000000000621","url":null,"abstract":"<p><strong>Abstract: </strong>Vibrio vulnificus is a highly virulent gram-negative aquatic bacterium found in warm brackish waters and in molluscum shellfish worldwide that can cause sepsis after ingestion of raw oysters or undercooked molluscum shellfish as well as deadly skin and soft-tissue infections from immersion in contaminated seawater. Populations at a higher risk of infections are men older than 60 years with diabetes mellitus, liver cirrhosis, renal disease, or elevated iron levels and those who are immunocompromised. Three severe syndromes caused by V. vulnificus are gastroenteritis, primary septicemia, and wound infections. Gastroenteritis caused by ingestion is self-limited; however, sepsis can develop rapidly with a mean survival rate of 50%, and wound infections can progress to necrotizing skin and soft-tissue infections with 24 hours. Early identification, prevention of hypotension, initiation of antibiotics, and surgical debridement of necrotic wound tissue is paramount to survival. Public education and awareness of this deadly pathogen is necessary to prevent exposure and improve clinical outcomes, especially for high-risk populations.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"48 2","pages":"81-84"},"PeriodicalIF":1.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822049","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
Anaphylaxis to Antivenom in a Patient With Asymptomatic Alpha-Gal IgE Antibodies: A Case Report. 无症状α -半乳糖IgE抗体患者抗蛇毒血清过敏反应：1例报告。
IF 1
Advanced Emergency Nursing Journal Pub Date : 2026-04-01 Epub Date: 2026-04-06 DOI: 10.1097/TME.0000000000000619
Jason S Bryant, Matthew D Scott, Charles J Gerardo, Thomas A E Platts-Mills
{"title":"Anaphylaxis to Antivenom in a Patient With Asymptomatic Alpha-Gal IgE Antibodies: A Case Report.","authors":"Jason S Bryant, Matthew D Scott, Charles J Gerardo, Thomas A E Platts-Mills","doi":"10.1097/TME.0000000000000619","DOIUrl":"10.1097/TME.0000000000000619","url":null,"abstract":"<p><strong>Abstract: </strong>Snakebite envenoming affects an estimated 10,000 people annually in the United States. Two FDA-approved antivenoms, ANAVIP® (equine F(ab') 2 ) and CroFab® (ovine Fab), are standard treatments. However, higher-than-expected adverse reactions to ANAVIP have been reported in the southeastern United States, paralleling the regional prevalence of alpha-gal syndrome (AGS), an IgE-mediated allergy induced by lone star tick ( Amblyomma americanum ) bites. Although AGS typically manifests after ingestion of mammalian meat, parenteral exposure to alpha-gal-containing biologics may trigger immediate hypersensitivity. We describe a patient in central North Carolina who developed severe hypotensive anaphylaxis shortly after ANAVIP initiation for copperhead ( Agkistrodon contortrix ) envenomation. Despite elevated alpha-gal-specific IgE, he reported tolerating mammalian meat and subsequently received ovine Fab antivenom without complication. This case underscores the need for clinicians in alpha-gal-endemic regions to anticipate antivenom-associated hypersensitivity and be prepared for rapid recognition and management.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":" ","pages":"70-74"},"PeriodicalIF":1.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147634411","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
Cannabis Hyperemesis Syndrome: Diagnosis and Care in the Emergency Department. 大麻呕吐综合征：急诊科的诊断和护理
IF 1
Advanced Emergency Nursing Journal Pub Date : 2026-04-01 DOI: 10.1097/TME.0000000000000625
Colleen K Norton, Heather Norton Benedetto, Margaret Harvey Granitto
{"title":"Cannabis Hyperemesis Syndrome: Diagnosis and Care in the Emergency Department.","authors":"Colleen K Norton, Heather Norton Benedetto, Margaret Harvey Granitto","doi":"10.1097/TME.0000000000000625","DOIUrl":"https://doi.org/10.1097/TME.0000000000000625","url":null,"abstract":"<p><strong>Abstract: </strong>The recreational use of cannabis is a significant (and growing) contemporary public health issue, confounded by the rapidly changing state and federal marijuana regulation and legislation. As of 2025, 24 states and the District of Columbia have legalized cannabis for medicinal and recreational use, and 39 of the 50 states have legalized it for medicinal use. With the increased use of recreational and medicinal marijuana, there has been an uptick in emergency department (ED) visits for cannabis-related illnesses, including gastrointestinal, cardiac, and mental health disorders. Nausea and vomiting, which are the hallmarks of cannabinoid hyperemesis syndrome (CHS), have been reported as the most common reasons for cannabis-related ED visits in nationwide ED data set analysis. Emergency department staff need to be familiar with CHS, its presentation, pathophysiology, and treatments to quickly recognize, diagnose, and triage/treat patients suffering from this acute cannabis-related GI illness.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"48 2","pages":"108-111"},"PeriodicalIF":1.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147821934","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
Anaphylaxis to Antivenom in a Patient With Asymptomatic Alpha- Gal IgE Antibodies: A Case Report. 无症状α -半乳糖IgE抗体患者抗蛇毒血清过敏反应：1例报告。
IF 1
Advanced Emergency Nursing Journal Pub Date : 2026-04-01 DOI: 10.1097/TME.0000000000000629
{"title":"Anaphylaxis to Antivenom in a Patient With Asymptomatic Alpha- Gal IgE Antibodies: A Case Report.","authors":"","doi":"10.1097/TME.0000000000000629","DOIUrl":"https://doi.org/10.1097/TME.0000000000000629","url":null,"abstract":"","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"48 2","pages":"e3"},"PeriodicalIF":1.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147821993","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
Reframing the Role of Advanced Practice Providers in Emergency Medicine: A Response to ACEP and AAEM Position Statements. 重构急诊医学高级实践提供者的角色：对ACEP和AAEM立场声明的回应。
IF 1
Advanced Emergency Nursing Journal Pub Date : 2026-04-01 DOI: 10.1097/TME.0000000000000626
Kara J Bragg, Michael M Mohseni, Mason Bonner, Charles Graham
{"title":"Reframing the Role of Advanced Practice Providers in Emergency Medicine: A Response to ACEP and AAEM Position Statements.","authors":"Kara J Bragg, Michael M Mohseni, Mason Bonner, Charles Graham","doi":"10.1097/TME.0000000000000626","DOIUrl":"https://doi.org/10.1097/TME.0000000000000626","url":null,"abstract":"<p><strong>Abstract: </strong>Advanced practice providers (APPs), including nurse practitioners (NPs) and physician assistants (PAs), play a vital role in emergency medicine (EM), addressing workforce shortages and enhancing patient care. Despite their growing presence, position statements from the American College of Emergency Physicians (ACEP) and the American Academy of Emergency Medicine (AAEM) challenge APP autonomy and scope of practice. This article critically examines the educational pathways, clinical competencies, and certification standards of APPs, highlighting disparities in recognition and misrepresentation of training. It explores the historical context of EM specialization, the evolution of APP roles, and the impact of restrictive policies-particularly in underserved areas. The authors propose actionable solutions, including standardized credentialing, formal recognition of postgraduate training, and policy reform to support full practice authority. Emphasizing collaboration over division, the article advocates for a team-based approach to emergency care that values the contributions of all provider types and promotes equitable integration.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"48 2","pages":"112-118"},"PeriodicalIF":1.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147821921","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
Using the Loop Drainage Procedure to Manage Cutaneous Abscesses. 应用循环引流术治疗皮肤脓肿。
IF 1
Advanced Emergency Nursing Journal Pub Date : 2026-04-01 Epub Date: 2026-04-28 DOI: 10.1097/TME.0000000000000623
Mary Lou Surber, Rachael Sweeney
{"title":"Using the Loop Drainage Procedure to Manage Cutaneous Abscesses.","authors":"Mary Lou Surber, Rachael Sweeney","doi":"10.1097/TME.0000000000000623","DOIUrl":"https://doi.org/10.1097/TME.0000000000000623","url":null,"abstract":"<p><strong>Abstract: </strong>Skin and soft tissue infections, known as cutaneous abscesses, are a frequent problem seen in primary and acute care settings. The gold standard of treatment for cutaneous abscesses is conventional incision and drainage (CID). The loop drainage technique (LDT) is a safe and effective alternative to CID to avoid premature closure, pain from packing and repacking, and reducing the need for follow-up medical care. Utilization of LDT also requires smaller incisions, resulting in smaller scars, which is particularly important for cosmetic outcomes. LDT offers a patient-centered, cosmetically favorable, and efficient alternative to CID, with improvements in comfort, adherence, and outcomes across care settings, while representing a practical option for emergency clinicians managing cutaneous abscesses.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"48 2","pages":"90-94"},"PeriodicalIF":1.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147821924","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 ENP as a New APRN Population: Navigating the LACE Framework. ENP作为一个新的APRN人口：导航LACE框架。
IF 1
Advanced Emergency Nursing Journal Pub Date : 2026-04-01 Epub Date: 2026-03-09 DOI: 10.1097/TME.0000000000000614
Wesley D Davis, Jennifer Wilbeck
{"title":"The ENP as a New APRN Population: Navigating the LACE Framework.","authors":"Wesley D Davis, Jennifer Wilbeck","doi":"10.1097/TME.0000000000000614","DOIUrl":"10.1097/TME.0000000000000614","url":null,"abstract":"","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":" ","pages":"119-142"},"PeriodicalIF":1.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147436313","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 Tribute to Dr. Kathleen Sanders Jordan: June 1, 1956 - December 31, 2025. 致敬凯瑟琳·桑德斯·乔丹博士：1956年6月1日- 2025年12月31日。
IF 1
Advanced Emergency Nursing Journal Pub Date : 2026-04-01 DOI: 10.1097/TME.0000000000000617
K Sue Hoyt
{"title":"A Tribute to Dr. Kathleen Sanders Jordan: June 1, 1956 - December 31, 2025.","authors":"K Sue Hoyt","doi":"10.1097/TME.0000000000000617","DOIUrl":"https://doi.org/10.1097/TME.0000000000000617","url":null,"abstract":"","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"48 2","pages":"61-64"},"PeriodicalIF":1.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147821973","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
Evidence-Based Practice Versus Evidence-Informed Practice in Nursing: Pearls, Practice & Policy. 循证护理实践与循证知情护理实践珍珠，实践与政策。
IF 1
Advanced Emergency Nursing Journal Pub Date : 2026-04-01 Epub Date: 2026-04-03 DOI: 10.1097/TME.0000000000000618
Pedro Colio, Julie-Kathryn Graham
{"title":"Evidence-Based Practice Versus Evidence-Informed Practice in Nursing: Pearls, Practice & Policy.","authors":"Pedro Colio, Julie-Kathryn Graham","doi":"10.1097/TME.0000000000000618","DOIUrl":"10.1097/TME.0000000000000618","url":null,"abstract":"<p><strong>Aim: </strong>The authors sought to clarify the difference between evidence-based versus evidence-informed practice by providing historical descriptions and practical applications for Advanced Practice Nurses from the literature.</p><p><strong>Method: </strong>For this review, the database PubMed was searched using the following terms: evidence-based practice, evidence-informed practice, and nursing. Evidence within five years was preferred; however, owing to limitations in the available literature, articles were considered if they had been published post-2000.</p><p><strong>Findings: </strong>Twenty-one articles were retrieved using these search terms. The authors present the articles beginning with a historical perspective and a contrast with current practice.</p><p><strong>Conclusion: </strong>This article describes the difference between evidence-based practice, a scientific methodology of applying evidence to practice, and evidence-informed practice, using evidence and clinical judgment in making care decisions, with historical context and relevant examples. This important distinction must be understood by Advanced Practice Registered Nurses to not only advance patient outcomes but to distinguish Advanced Practice Registered Nurses as having expertise in these elements, as implementation science (practice, education, and dissemination) is a core feature of advanced nursing preparation.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":" ","pages":"65-69"},"PeriodicalIF":1.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147634432","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
Utilizing the Loop Drainage Procedure to Manage Cutaneous Abscesses. 利用循环引流术治疗皮肤脓肿。
IF 1
Advanced Emergency Nursing Journal Pub Date : 2026-04-01 DOI: 10.1097/TME.0000000000000627
{"title":"Utilizing the Loop Drainage Procedure to Manage Cutaneous Abscesses.","authors":"","doi":"10.1097/TME.0000000000000627","DOIUrl":"https://doi.org/10.1097/TME.0000000000000627","url":null,"abstract":"","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"48 2","pages":"e4"},"PeriodicalIF":1.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822063","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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