Advanced Emergency Nursing Journal最新文献_第10页

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.0000000000000470

Lucy Tucker, Emily Evans

{"title":"Heatstroke on the Rise: A Guide to Implementing Tarp-Assisted Cooling With Oscillation (TACO) in the Emergency Department.","authors":"Lucy Tucker, Emily Evans","doi":"10.1097/TME.0000000000000470","DOIUrl":"10.1097/TME.0000000000000470","url":null,"abstract":"Heat-related illnesses, namely, heatstroke is on the rise and is a public health concern nationally and internationally. Heatstroke is generally considered to be a core body temperature greater than 40 °C (104 °F) with dry, hot skin, and central nervous system manifestations. Heatstroke is characterized by a systemic inflammatory response that leads to multiple-organ dysfunction and ultimately death if not treated in a timely manner. Rapid recognition and cooling are imperative, as mortality is high, especially in the elderly. There are many cooling methods that have been studied that include cold-water immersion, tarp-assisted cooling with oscillation (TACO), evaporative cooling (misting/fanning), commercial ice packs, cooling vests and jackets, cold showers, and ice sheets. Although cold-water immersion is the fastest method for cooling, it is not usually feasible in an emergency department (ED). TACO is the most feasible and effective cooling method for EDs. It is vital that EDs have a specific plan in place before implementing TACO, as it requires 30-40 gallons of ice water, a tarp or waterproof sheet, core temperature monitoring, and an ample number of ED staff members to oscillate the water over the patient. Further research is needed to study TACO in the ED setting. As the incidence of heatstroke is expected to increase in the coming years, EDs must have a plan in place to rapidly recognize and treat patients with heatstroke so that patients will have improved outcomes and reduced mortality.","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"45 3","pages":"210-216"},"PeriodicalIF":0.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9886130","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

Education Improves Emergency Department Providers' Knowledge of Human Trafficking. 教育提高急诊科人员对人口贩运的认识。

IF 0.5

Advanced Emergency Nursing Journal Pub Date : 2023-04-01 DOI: 10.1097/TME.0000000000000455

Stephanie P Arceneaux

{"title":"Education Improves Emergency Department Providers' Knowledge of Human Trafficking.","authors":"Stephanie P Arceneaux","doi":"10.1097/TME.0000000000000455","DOIUrl":"https://doi.org/10.1097/TME.0000000000000455","url":null,"abstract":"The purpose of this quality improvement (QI) initiative was to implement a human trafficking (HT) education module for the emergency department (ED) staff and providers along with implementation of a policy and protocol for screening, identification, and referral of HT victims in the ED to increase provider knowledge of HT and ensure provider compliance with the HT protocol via documentation of red flags and screening questions in the electronic medical record along with social services referrals. The goal of the social services referral was to connect the HT victim with community resources that facilitated placement, food, and shelter in the event the trafficking victim accepted rescue. HT is a public health concern, globally, nationally, and at the state and local levels. ED providers, which include advanced practice registered nurses such as nurse practitioners and clinical nurse specialists, are positioned to be able to identify and treat victims of HT. Therefore, HT victims are being seen and treated in EDs; however, health care providers are not recognizing them. Project design was a QI initiative, which utilized a convenience sample of ED providers. All ED providers and staff completed the HT Education module in Health Stream with pretest/posttest assessments via the PROTECT instrument, which evaluated ED staff/provider knowledge, perceived, actual, and confidence of HT, demographics, previous contact with HT victims, and participant preference for future HT training. HT Education resulted in improved knowledge of participants' perceived, actual, and confidence of HT as demonstrated by statistical significance from pretest to posttest scores; therefore, the HT educational training proved to be beneficial.","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"45 2","pages":"138-144"},"PeriodicalIF":0.5,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9362253","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

Emergency Medicine Case Study on Giant Cell Arteritis. 巨细胞动脉炎急诊病例分析。

IF 0.5

Advanced Emergency Nursing Journal Pub Date : 2023-04-01 DOI: 10.1097/TME.0000000000000452

Davina L Vea, April T Hill

引用次数: 0

Guest Editorial: Nurse Practitioners in Emergency Care: The Evidence. 特邀社论：急诊护理中的执业护士：证据。

IF 0.8

Advanced Emergency Nursing Journal Pub Date : 2023-04-01 DOI: 10.1097/TME.0000000000000459

Wesley D Davis, Jennifer Wilbeck

引用次数: 0

Postpartum Preeclampsia: What Can Stories Posted on the Internet Tell Us? 产后子痫前期:网上的故事能告诉我们什么?

IF 0.5

Advanced Emergency Nursing Journal Pub Date : 2023-04-01 DOI: 10.1097/TME.0000000000000457

Cheryl Tatano Beck

引用次数: 1

The Use of Activated Charcoal in Toxicology and Implications for APRN Practice. 活性炭在毒理学中的使用及其对APRN实践的影响。

IF 0.5

Advanced Emergency Nursing Journal Pub Date : 2023-04-01 DOI: 10.1097/TME.0000000000000462

Alisha Bhimani, Tova Safier Frenkel, Dian Dowling Evans

{"title":"The Use of Activated Charcoal in Toxicology and Implications for APRN Practice.","authors":"Alisha Bhimani, Tova Safier Frenkel, Dian Dowling Evans","doi":"10.1097/TME.0000000000000462","DOIUrl":"https://doi.org/10.1097/TME.0000000000000462","url":null,"abstract":"This Research to Practice article is designed to help aid advanced practice registered nurses (APRNs) with up-to-date research guidelines in order to establish evidence-based changes in clinical practice within emergency medical care. The article, \"Activated Charcoal and Poisoning: Is It Really Effective?\" by Aksay et al. (2022), examines whether the usage of activated charcoal (AC) in current treatment protocols for ingested poisonings adds benefits, given recent controversies in its use. Study variables included clinical findings in relation to the drug being ingested, the frequency and usage of an antidote, the rate of being intubated, and the duration of being hospitalized comparing poisoned patients who received AC with those who did not. APRNs need to be aware of the current guidelines to help establish the appropriateness of use when administering AC and be able to evaluate patients during and after the administering of AC. Improved awareness and education regarding the different treatment modalities for toxicology patients such as AC can help with certain kinds of poisonings in the emergency department.","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"45 2","pages":"90-96"},"PeriodicalIF":0.5,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9368561","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: 1

Possible Case of Opioid-Induced Hypoglycemia and the Potential Role of Naloxone. 阿片类药物致低血糖的可能病例及纳洛酮的潜在作用。

IF 0.5

Advanced Emergency Nursing Journal Pub Date : 2023-04-01 DOI: 10.1097/TME.0000000000000463

引用次数: 0

Recognizing a Peritonsillar Abscess in Pediatric Patients. 小儿腹膜周围脓肿的识别。

IF 0.5

Advanced Emergency Nursing Journal Pub Date : 2023-04-01 DOI: 10.1097/TME.0000000000000454

Major Leila Joint

引用次数: 0

Computer-Generated ECG Interpretation Challenge. 计算机生成心电解释挑战赛。

IF 0.5

Advanced Emergency Nursing Journal Pub Date : 2023-04-01 DOI: 10.1097/TME.0000000000000461

Pedro A Colio, Vachaspathi Palakodeti

引用次数: 0

Emergency Severity Index Triage in Iran: A Comparison Between Age Groups in a Trauma Center. 伊朗紧急情况严重程度指数分类:创伤中心年龄组之间的比较

IF 0.5

Advanced Emergency Nursing Journal Pub Date : 2023-04-01 DOI: 10.1097/TME.0000000000000456

Shima Javidi, Mitra Movahedi, Amin Honarmand, Amirhossein Mirafzal

{"title":"Emergency Severity Index Triage in Iran: A Comparison Between Age Groups in a Trauma Center.","authors":"Shima Javidi, Mitra Movahedi, Amin Honarmand, Amirhossein Mirafzal","doi":"10.1097/TME.0000000000000456","DOIUrl":"https://doi.org/10.1097/TME.0000000000000456","url":null,"abstract":"There are concerns about the accuracy of Emergency Severity Index (ESI) triage system in the geriatric population. This study was performed to compare the correlation of ESI triage with injury severity score (ISS) between adults with trauma younger than 60 years and those 60 years of age and older and to determine the ability of ESI to predict an ISS of greater than 15 in these two age groups. This was an observational study performed in an academic trauma center in Kerman, Iran. A convenience sample of trauma patients older than 16 years was included. Five-level ESI triage was performed by nurses with 2-10 years of exclusive experience in triage. The ISS scores were calculated by the researchers. Both numerical and categorical (ISS >15) forms of the score were considered as outcomes. Ultimately, a total of 556 patients were enrolled in the study. No difference in undertriage was seen between the age groups (p = 0. 51). Spearman's correlation coefficient between ESI level and ISS was -0.69 and -0.77 in patients younger than 60 years and those aged 60 years or older, respectively (z = 1.20). The areas under the curves (AUCs) for prediction of ISS of greater than 15 were also similar between the two age groups (0.89 in less than 60 and 0.85 in 60 or more). In conclusion, the performance of ESI was similar between the two age groups. Therefore, the application of the ESI triage system for initial categorization of trauma patients seems to be a reliable and easy-to-learn method for the triage of elderly as well as younger age groups.","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"45 2","pages":"145-153"},"PeriodicalIF":0.5,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9368566","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