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Advanced Emergency Nursing Journal最新文献

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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,&nbsp;Tova Safier Frenkel,&nbsp;Dian Dowling Evans","doi":"10.1097/TME.0000000000000462","DOIUrl":"https://doi.org/10.1097/TME.0000000000000462","url":null,"abstract":"<p><p>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.</p>","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
{"title":"Possible Case of Opioid-Induced Hypoglycemia and the Potential Role of Naloxone.","authors":"","doi":"10.1097/TME.0000000000000463","DOIUrl":"https://doi.org/10.1097/TME.0000000000000463","url":null,"abstract":"","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"45 2","pages":"E4"},"PeriodicalIF":0.5,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9368562","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
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
{"title":"Recognizing a Peritonsillar Abscess in Pediatric Patients.","authors":"Major Leila Joint","doi":"10.1097/TME.0000000000000454","DOIUrl":"https://doi.org/10.1097/TME.0000000000000454","url":null,"abstract":"<p><p>A peritonsillar abscess (PTA) is a localized collection of pus in the peritonsillar space, between the palatine tonsillar capsule and the superior pharyngeal constrictor muscle (G. Gupta & R. McDowell, 2022). It is the most commonly occurring abscess in the head and neck region. Patient presentation usually includes odynophagia, unilateral otalgia, trismus, and voice changes. Managing a pediatric patient may be challenging, as children may not be able to describe their history of illness and symptoms. The management of a PTA can also differ between pediatric and adult patients (S. Ahmed Ali et al., 2018). It is important for practitioners to consider all aspects when providing treatment. This article describes the encounter and individualized treatment plan of an 11-year-old nonverbal autistic child who presented with fever, decreased oral intake, and left neck swelling. It also provides a general overview of PTAs and procedural steps to perform drainage through needle aspiration and incision and drainage.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"45 2","pages":"123-130"},"PeriodicalIF":0.5,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9368559","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
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
{"title":"Computer-Generated ECG Interpretation Challenge.","authors":"Pedro A Colio,&nbsp;Vachaspathi Palakodeti","doi":"10.1097/TME.0000000000000461","DOIUrl":"https://doi.org/10.1097/TME.0000000000000461","url":null,"abstract":"<p><p>The predictive accuracy of 12-lead electrocardiogram (ECG) machines is often challenged across all clinical settings. Emergency clinicians must beware of computer-generated ECG reports specifically during the initial medical screening process. Blindly trusting computer-generated reports may delay care for patients with an acute cardiac disorder. Cardiology consultation is always advised, and there should be no hesitation when it comes to abnormal ECGs. However, cardiologists are often consulted on patients based on incorrect ECG interpretation, misdiagnosis, or overdiagnosis by computer-generated reports. The following 12-lead ECGs should encourage emergency providers to take caution and challenge computer-generated reports. The purpose of this exercise is to carefully review a set of 12-lead ECGs and determine whether the computer-generated interpretations are accurate.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"45 2","pages":"131-137"},"PeriodicalIF":0.5,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9368564","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 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,&nbsp;Mitra Movahedi,&nbsp;Amin Honarmand,&nbsp;Amirhossein Mirafzal","doi":"10.1097/TME.0000000000000456","DOIUrl":"https://doi.org/10.1097/TME.0000000000000456","url":null,"abstract":"<p><p>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.</p>","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
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.0000000000000464
{"title":"Recognizing a Peritonsillar Abscess in Pediatric Patients.","authors":"","doi":"10.1097/TME.0000000000000464","DOIUrl":"https://doi.org/10.1097/TME.0000000000000464","url":null,"abstract":"","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"45 2","pages":"E5"},"PeriodicalIF":0.5,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9738562","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
Perilunate and Lunate Dislocations. 月周围和月骨脱位。
IF 0.5
Advanced Emergency Nursing Journal Pub Date : 2023-04-01 DOI: 10.1097/TME.0000000000000453
Denise R Ramponi, Anthony E Good
{"title":"Perilunate and Lunate Dislocations.","authors":"Denise R Ramponi,&nbsp;Anthony E Good","doi":"10.1097/TME.0000000000000453","DOIUrl":"https://doi.org/10.1097/TME.0000000000000453","url":null,"abstract":"<p><p>Lunate and perilunate dislocations, although somewhat uncommon, are serious injuries and can be easily missed. The mechanism of injury is hyperextension of the wrist, often associated with a fall on the outstretched hand (FOOSH) injury, falls from height, or motor vehicle crash with a high-energy traumatic injury to the wrist. Perilunate dislocations typically present with pain and swelling over both the dorsal and volar aspects of the wrist and limited range of motion of the wrist. Perilunate dislocations result in disruption of the relationship between the lunate and the capitate, whereas lunate dislocations result in a disruption of the lunate bone, both from the radius and the capitate, primarily diagnosed on the lateral view of the wrist radiograph. These injuries require emergent reduction and stabilization either via a closed or open surgical reduction by an orthopedic specialist. Lunate dislocations can lead to long-term pain and disability if overlooked in their initial assessments.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"45 2","pages":"119-122"},"PeriodicalIF":0.5,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9362250","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: 135
Mpox Masquerading as Secondary Syphilis. 猴痘伪装成继发性梅毒。
IF 0.5
Advanced Emergency Nursing Journal Pub Date : 2023-04-01 DOI: 10.1097/TME.0000000000000458
Candice Whealon
{"title":"Mpox Masquerading as Secondary Syphilis.","authors":"Candice Whealon","doi":"10.1097/TME.0000000000000458","DOIUrl":"10.1097/TME.0000000000000458","url":null,"abstract":"<p><p>Mpox is a great masquerader requiring emergency nurse practitioners to rely on their clinical acumen to accurately diagnose and treat this public health emergency. The disease is nearly indistinguishable from other pox viruses and similar in presentation to several viral and bacterial infections associated with enanthems and exanthems. The most recent outbreak disproportionally affects men who have sex with men, particularly those individuals with HIV. Early recognition and intervention are key; however, clinicians' lack of knowledge, limited access to testing, and unfamiliarity with appropriate medications and vaccines historically reserved for smallpox create a barrier to treatment. Emergency nurse practitioners must gain an understanding of this disease to provide the care and anticipatory guidance to prevent associated morbidity, mortality, and spread of mpox.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"45 2","pages":"109-118"},"PeriodicalIF":0.5,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9362251","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 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.0000000000000460
Kyle A Weant, Kyle E Embertson, Daniel W Fisher
{"title":"A Possible Case of Opioid-Induced Hypoglycemia and the Potential Role of Naloxone.","authors":"Kyle A Weant,&nbsp;Kyle E Embertson,&nbsp;Daniel W Fisher","doi":"10.1097/TME.0000000000000460","DOIUrl":"https://doi.org/10.1097/TME.0000000000000460","url":null,"abstract":"<p><p>Literature has found that individuals with opioid use disorders have increased fasting insulin levels and that antagonism of the μ-receptor with naloxone blunted this hypoglycemic effect. We describe a 35-year-old woman with no history of diabetes who presented after being found unconscious where she was given naloxone and became awake and combative. Her blood glucose (BG) on presentation was 175 mg/dl, which declined to 40 mg/dl, and dextrose was administered. Subsequently, it declined to 42 mg/dl and was again given dextrose. Later her BG fell to 67 mg/dl and she was given dextrose and started on a dextrose infusion. She was then administered IV naloxone and 1 hr later the infusion was discontinued and she had no further hypoglycemic events. Clinicians should consider altering monitoring parameters in the setting of acute overdoses to include repeated glucose assessment to ensure early identification of hypoglycemia and the potential influence of naloxone.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"45 2","pages":"97-102"},"PeriodicalIF":0.5,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9738563","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
Promoting ENP Research. 推动环境政策研究。
IF 0.5
Advanced Emergency Nursing Journal Pub Date : 2023-01-01 DOI: 10.1097/TME.0000000000000449
Dian Dowling Evans
{"title":"Promoting ENP Research.","authors":"Dian Dowling Evans","doi":"10.1097/TME.0000000000000449","DOIUrl":"https://doi.org/10.1097/TME.0000000000000449","url":null,"abstract":"","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"45 1","pages":"1-2"},"PeriodicalIF":0.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9287275","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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