Advanced Emergency Nursing Journal最新文献

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Put It in the Air? Nebulized Opioids in the Emergency Department. 把它放在空中?急诊科的雾化阿片类药物。
IF 0.5
Advanced Emergency Nursing Journal Pub Date : 2023-10-01 DOI: 10.1097/TME.0000000000000491
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引用次数: 0
Recognition of Cutaneous Symptoms of Common Tick-Borne Illness in the Emergency Department. 急诊科常见蜱传疾病皮肤症状的识别。
IF 0.8
Advanced Emergency Nursing Journal Pub Date : 2023-10-01 DOI: 10.1097/TME.0000000000000488
Erica May
{"title":"Recognition of Cutaneous Symptoms of Common Tick-Borne Illness in the Emergency Department.","authors":"Erica May","doi":"10.1097/TME.0000000000000488","DOIUrl":"10.1097/TME.0000000000000488","url":null,"abstract":"<p><p>Tick-borne diseases occur throughout the United States, with a disease burden that ranges from mild to severe. As temperatures rise with climate change, the active season for ticks increases, and more tick-borne illness is seen (Centers for Disease Control and Prevention, 2022a). Many patients present to the ED for suspected tick bites, rashes, and generalized medical complaints that may be related to a tick-borne disease, so it is important for the emergency nurse practitioner (ENP) to accurately diagnose these conditions. Because of this increasing disease burden, it has become vital for these illnesses to be recognized early, as early diagnosis can reduce possible complications of chronic illness. Familiarity with the cutaneous rashes present in several tick-borne diseases can aid the ENP to effectively diagnose and treat these conditions.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"45 4","pages":"275-284"},"PeriodicalIF":0.8,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54231542","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
Ophthalmologic Emergencies: Assessment and Management. 眼科紧急情况:评估和管理。
IF 0.5
Advanced Emergency Nursing Journal Pub Date : 2023-10-01 DOI: 10.1097/TME.0000000000000492
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引用次数: 0
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 0.8
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, Dian Dowling Evans, 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":0.8,"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
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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 0.8
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, 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":0.8,"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
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
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 0.8
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, 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":0.8,"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
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 0.8
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, 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":0.8,"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
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 0.8
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":0.8,"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
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