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Advanced Emergency Nursing Journal最新文献

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Is Ketamine an Effective Treatment of Acute Agitation in the Emergency Department? Implications for APRN Practice. 氯胺酮是急诊科治疗急性躁动的有效药物吗？APRN实践的启示。
IF 0.5
Advanced Emergency Nursing Journal Pub Date : 2023-10-01 DOI: 10.1097/TME.0000000000000479
Andrea C Brown, Dian Dowling Evans, Paula Tucker
{"title":"Is Ketamine an Effective Treatment of Acute Agitation in the Emergency Department? Implications for APRN Practice.","authors":"Andrea C Brown,&nbsp;Dian Dowling Evans,&nbsp;Paula Tucker","doi":"10.1097/TME.0000000000000479","DOIUrl":"10.1097/TME.0000000000000479","url":null,"abstract":"<p><p>This article reviews the results of a randomized controlled trial, \"Rapid Agitation Control with Ketamine in the Emergency Department: A Blinded, Randomized Controlled Trial\" by D. Barbic et al. (2021), comparing time to sedation, level of sedation, and adverse outcomes between intramuscular ketamine versus intramuscular midazolam and haloperidol among acutely agitated patients presenting to the emergency department (ED). The findings are discussed in the context of practice change for patient stabilization within the ED. Emergency department nurse practitioners must employ continuing education and remain current with clinical practices and treatment options to ensure that patients receive optimal safe care. Although the use of midazolam and haloperidol has historically been the first-line treatment for the acutely agitated patient, use of ketamine shows promise in providing a safe alternative for expedited patient stabilization for acutely agitated patients presenting to the ED.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"45 4","pages":"253-259"},"PeriodicalIF":0.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54231525","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 Potential Utility of Single-Dose Long-Acting Intravenous Antibiotics for Acute Bacterial Skin and Skin-Structure Infections in the Emergency Department. 单剂量长效静脉抗生素在急诊科急性细菌性皮肤和皮肤结构感染中的潜在用途。
IF 0.5
Advanced Emergency Nursing Journal Pub Date : 2023-07-01 DOI: 10.1097/TME.0000000000000476
{"title":"The Potential Utility of Single-Dose Long-Acting Intravenous Antibiotics for Acute Bacterial Skin and Skin-Structure Infections in the Emergency Department.","authors":"","doi":"10.1097/TME.0000000000000476","DOIUrl":"10.1097/TME.0000000000000476","url":null,"abstract":"","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"45 3","pages":"E6"},"PeriodicalIF":0.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9883612","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
Catamenial Pneumothorax: An Unusual Cause of Abdominal Pain. 白内障性胸腔积液：腹部疼痛的一种罕见原因。
IF 0.5
Advanced Emergency Nursing Journal Pub Date : 2023-07-01 DOI: 10.1097/TME.0000000000000469
Amanda Page, Dian Dowling Evans
{"title":"Catamenial Pneumothorax: An Unusual Cause of Abdominal Pain.","authors":"Amanda Page,&nbsp;Dian Dowling Evans","doi":"10.1097/TME.0000000000000469","DOIUrl":"10.1097/TME.0000000000000469","url":null,"abstract":"<p><p>A catamenial pneumothorax is a very rare condition resulting in spontaneous and recurrent pneumothoraces that occur in relationship with menses (T. Marjański et al., 2016). Although rare, emergency providers should consider this condition when female patients present to the emergency department with chest discomfort and dyspnea during menstruation. This case describes a patient who presented to the emergency department with abdominal pain who was incidentally found to have a catamenial pneumothorax on diagnostic imaging for her complaint of acute abdominal pain.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"45 3","pages":"206-209"},"PeriodicalIF":0.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9886127","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 Potential Utility of Single-Dose Long-Acting Intravenous Antibiotics for Acute Bacterial Skin and Skin-Structure Infections in the Emergency Department. 单剂量长效静脉抗生素在急诊科急性细菌性皮肤和皮肤结构感染中的潜在用途。
IF 0.5
Advanced Emergency Nursing Journal Pub Date : 2023-07-01 DOI: 10.1097/TME.0000000000000467
Kyle A Weant, Haili Gregory
{"title":"The Potential Utility of Single-Dose Long-Acting Intravenous Antibiotics for Acute Bacterial Skin and Skin-Structure Infections in the Emergency Department.","authors":"Kyle A Weant,&nbsp;Haili Gregory","doi":"10.1097/TME.0000000000000467","DOIUrl":"10.1097/TME.0000000000000467","url":null,"abstract":"<p><p>Acute bacterial skin and skin-structure infections (ABSSSIs) are frequent clinical presentations to emergency departments (EDs) across the nation that can require substantial resources to treat due to several factors. These include an increasing prevalence of methicillin-resistant Staphylococcus aureus (MRSA) as the causative organism, limited availability of oral antibiotics that treat ABSSSIs secondary to MRSA, absorption and pharmacodynamic concerns with oral therapy, and regimen adherence. In patients who are unable to tolerate oral therapy, or are unable to adhere to prescribed antibiotics, inpatient admission for intravenous (IV) antibiotics may be necessary. Although inpatient IV antibiotics used to treat MRSA, such as vancomycin, are relatively inexpensive, hospital admission itself incurs significant associated costs. The introduction of the long-acting lipoglycopeptides, dalbavancin and oritavancin, has many potential advantages for the treatment of ABSSSIs including one- or two-dose regimens, allowing patients to receive their dose in the ED or infusion center and avoid inpatient admission altogether. Existing data have borne out these results, demonstrating that these agents can significantly reduce the length of hospital stay and the overall treatment cost of ABSSSIs. However, as these agents have nontraditional therapeutic regimens compared with alternative IV and oral agents that require consistent dosing, it is imperative to have decision support tools in place to ensure that this therapy is utilized in appropriate patients with ABSSSIs and that its true benefits can be realized for both the patient and the health care system.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"45 3","pages":"177-186"},"PeriodicalIF":0.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9883611","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
Guest Editorial: Exposing Research Misconduct and Data Misrepresentation Targeting Nurse Practitioners in Emergency Care. 客座编辑：揭露针对急诊科执业护士的研究不端行为和数据失实。
IF 0.8
Advanced Emergency Nursing Journal Pub Date : 2023-07-01 DOI: 10.1097/TME.0000000000000466
Wesley D Davis, Lorna Schumann, Dian Dowling Evans, Elda Ramirez, Jennifer Wilbeck
{"title":"Guest Editorial: Exposing Research Misconduct and Data Misrepresentation Targeting Nurse Practitioners in Emergency Care.","authors":"Wesley D Davis, Lorna Schumann, Dian Dowling Evans, Elda Ramirez, Jennifer Wilbeck","doi":"10.1097/TME.0000000000000466","DOIUrl":"10.1097/TME.0000000000000466","url":null,"abstract":"","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"45 3","pages":"165-168"},"PeriodicalIF":0.8,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9886125","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
Sleep Disturbance and Occupational Fatigue in Emergency Nurses of Public Hospitals in Greece: A Cross-Sectional Study. 希腊公立医院急诊护士的睡眠障碍和职业疲劳：一项横断面研究。
IF 0.5
Advanced Emergency Nursing Journal Pub Date : 2023-07-01 DOI: 10.1097/TME.0000000000000473
Ioannis Kasimis, Panteleimon Perdikaris, Varvara Boutopoulou, Arsenia Tsanaka, Theodora Mantziou, Alexandra Skodra, Vlachioti Effrosyni, Vasiliki Matziou
{"title":"Sleep Disturbance and Occupational Fatigue in Emergency Nurses of Public Hospitals in Greece: A Cross-Sectional Study.","authors":"Ioannis Kasimis,&nbsp;Panteleimon Perdikaris,&nbsp;Varvara Boutopoulou,&nbsp;Arsenia Tsanaka,&nbsp;Theodora Mantziou,&nbsp;Alexandra Skodra,&nbsp;Vlachioti Effrosyni,&nbsp;Vasiliki Matziou","doi":"10.1097/TME.0000000000000473","DOIUrl":"10.1097/TME.0000000000000473","url":null,"abstract":"<p><p>The emergency department (ED) is a stressful workplace for nurses, due to heavy workload and work shifts, which affect sleep quality, causing occupational fatigue. As a result, nurses burn out and turn over and quality of care is impaired. The aim of this study was to investigate sleep disturbance (SD) and occupational fatigue (OF) in emergency nurses of public hospitals in Greece. This descriptive cross-sectional study was conducted in the ED of tertiary public hospitals in Greece from September 2019 to October 2021, after the approval from the scientific and ethical committee of hospitals and the full informed consent of participants. The Standard Shift work Index (SSI) questionnaire was used, which includes 12 question groups about sleep habits and OF evaluation for shift workers, as nurses. Two hundred and ten ED nurses were recruited for the purpose of the study. In this research their quality of life, sleep completeness, and fatigue levels were studied. A moderate level of SD (total score = 70.54) of nurses was found that was related to marital status, presence of children, and underlying diseases (p = 0.012, p = 0.024, and p = 0.002, respectively). OF was assessed at low levels (score = 27.34) and was mainly related to age, with younger nurses reporting less fatigue compared with older nurses. The effect of work shifts in SD and OF of ED nurses was well documented. ED nurses' OF was correlated with increased SD, age, and marital status. Further research is needed for a better assessment and understanding of the factors that influence SD and OF of ED nurses to plan a strategy to optimize sleep patterns of work shift ED nurses.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"45 3","pages":"230-239"},"PeriodicalIF":0.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9880818","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
Mycoplasma Genitalium: A Lesser-Known Cause of Pelvic Inflammatory Disease. 生殖支原体：盆腔炎的一个鲜为人知的病因。
IF 0.5
Advanced Emergency Nursing Journal Pub Date : 2023-07-01 DOI: 10.1097/TME.0000000000000472
Crystle Harcar
{"title":"Mycoplasma Genitalium: A Lesser-Known Cause of Pelvic Inflammatory Disease.","authors":"Crystle Harcar","doi":"10.1097/TME.0000000000000472","DOIUrl":"10.1097/TME.0000000000000472","url":null,"abstract":"<p><p>Mycoplasma genitalium (MG) is a bacterium that can be spread through sexual contact with another person who is infected. If misdiagnosed and left untreated, this newer, emerging sexually transmitted infection (STI) can cause complications such as urethritis and pelvic inflammatory disease (PID) in both men and women. In males, MG can be asymptomatic and undetectable. In females, MG may present with nonspecific symptoms, such as dysuria, vaginal discharge, and/or pelvic pain. In addition to chlamydia and gonorrhea, MG may result in PID. Due to the complications of MG, health care providers in the emergency department setting need to consider this as a differential diagnosis when performing STI and vaginitis screenings on sexually active patients who may present with urinary or vaginal complaints. As patients with pelvic pain are frequently seen in the emergency department, providers need to be aware of the role that MG may play in STIs and the subsequent sequelae if not treated properly.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"45 3","pages":"222-229"},"PeriodicalIF":0.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9886129","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
Atopic Dermatitis: A Common Pediatric Diagnosis That Is Not Just Another Rash. 特应性皮炎：一种常见的儿科诊断，而不仅仅是另一种皮疹。
IF 0.5
Advanced Emergency Nursing Journal Pub Date : 2023-07-01 DOI: 10.1097/TME.0000000000000468
Michael D Gooch, Kathleen S Jordan
{"title":"Atopic Dermatitis: A Common Pediatric Diagnosis That Is Not Just Another Rash.","authors":"Michael D Gooch,&nbsp;Kathleen S Jordan","doi":"10.1097/TME.0000000000000468","DOIUrl":"10.1097/TME.0000000000000468","url":null,"abstract":"<p><p>Emergency nurse practitioners are expected to assess and manage a variety of patients. These patients may present with urgent care-type complaints to severe life-threatening illnesses or injuries. For some, dermatological problems can sometimes be just as challenging as a critically ill patient. Atopic dermatitis (AD) is one, if not, the most common chronic inflammatory disease. Its presentation can vary depending on the age of the patient, the patient's skin tone, and other comorbidities. Patients often seek emergency care related to the condition itself or associated complications. This article includes a review of the pathophysiology, clinical manifestations, and standard management of AD. Finally, the potential complications of AD are discussed. A better understanding of AD will allow emergency nurse practitioners to properly identify and treat this chronic condition, as well as its complications.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"45 3","pages":"195-205"},"PeriodicalIF":0.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9886131","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
Heatstroke on the Rise: A Guide to Implementing Tarp-Assisted Cooling With Oscillation (TACO) in the Emergency Department. 中暑加剧：急诊科实施焦油辅助振荡冷却（TACO）指南。
IF 0.5
Advanced Emergency Nursing Journal Pub Date : 2023-07-01 DOI: 10.1097/TME.0000000000000477
{"title":"Heatstroke on the Rise: A Guide to Implementing Tarp-Assisted Cooling With Oscillation (TACO) in the Emergency Department.","authors":"","doi":"10.1097/TME.0000000000000477","DOIUrl":"10.1097/TME.0000000000000477","url":null,"abstract":"","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"45 3","pages":"E7"},"PeriodicalIF":0.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9883610","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 Diagnostic Challenge of an Older Adult With Epigastric Pain in the Emergency Department: High Risk and High Volume. 急诊科老年人上腹痛的诊断挑战：高风险和高容量。
IF 0.5
Advanced Emergency Nursing Journal Pub Date : 2023-07-01 DOI: 10.1097/TME.0000000000000475
Karen Sue Hoyt, Kathleen S Jordan
{"title":"The Diagnostic Challenge of an Older Adult With Epigastric Pain in the Emergency Department: High Risk and High Volume.","authors":"Karen Sue Hoyt,&nbsp;Kathleen S Jordan","doi":"10.1097/TME.0000000000000475","DOIUrl":"10.1097/TME.0000000000000475","url":null,"abstract":"<p><p>Epigastric pain is a common complaint in patients who present to the emergency department (ED); abdominal pain is the most common chief complaint in older adult patients who request treatment by a provider (A. B. Friedman et al., 2022). These patients may experience atypical presentations, which can result in delayed or missed diagnosis altogether, increasing morbidity, and mortality. This is the case of an older adult man who presented with chest and epigastric pain. The clinical presentation, atypical signs, and symptoms of gangrenous gallbladder are presented herein along with the differential diagnoses and diagnostics for this patient. The care for and the \"what not to miss\" in the management of this patent are also examined in this article. It is imperative that ED providers diagnose gangrenous gallbladder early on, especially in the older adult population, who may present with covert signs and symptoms to prevent complications and avoid poor outcomes including death in this age group.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"45 3","pages":"187-194"},"PeriodicalIF":0.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9883613","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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