发布求助
文献互助 智能选刊 最新文献

Advanced Emergency Nursing Journal最新文献

筛选
英文 中文
Button Battery Ingestion: A Tiny Object with the Potential for a Catastrophic Outcome. 纽扣电池误食：一个可能导致灾难性后果的微小物体。
IF 0.8
Advanced Emergency Nursing Journal Pub Date : 2025-04-01 Epub Date: 2025-04-30 DOI: 10.1097/TME.0000000000000571
{"title":"Button Battery Ingestion: A Tiny Object with the Potential for a Catastrophic Outcome.","authors":"","doi":"10.1097/TME.0000000000000571","DOIUrl":"https://doi.org/10.1097/TME.0000000000000571","url":null,"abstract":"","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"47 2","pages":"E3"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143986956","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 Case Study of Euglycemic Diabetic Ketoacidosis. 糖尿病酮症酸中毒1例。
IF 0.8
Advanced Emergency Nursing Journal Pub Date : 2025-04-01 Epub Date: 2025-04-16 DOI: 10.1097/TME.0000000000000562
Christy C Greenhalgh, Amy Bigham, Tonya D Shanahan
{"title":"A Case Study of Euglycemic Diabetic Ketoacidosis.","authors":"Christy C Greenhalgh, Amy Bigham, Tonya D Shanahan","doi":"10.1097/TME.0000000000000562","DOIUrl":"10.1097/TME.0000000000000562","url":null,"abstract":"<p><p>Diabetic ketoacidosis (DKA), seen with relative frequency in the emergency department, is a potentially life-threatening complication of both type I diabetes mellitus and type II diabetes mellitus (T2DM) characterized by hyperglycemia, ketosis, and acidosis. However, an uncommon variation of DKA, termed euglycemic diabetic ketoacidosis (euDKA) has been increasing in frequency due to the abundance of patients with T2DM being managed on sodium-glucose cotransporter-2 inhibitors, which pose an increased risk of euDKA. The diagnosis of euDKA can be elusive as the typical presentation of substantial hyperglycemia is absent, which can lead to delayed diagnosis and treatment. This case study highlights the clinical presentation and management of euDKA patients to help increase awareness.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"47 2","pages":"103-107"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055646","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
Early Recognition of Sepsis in Prehospital Settings: A Review of Screening Tools and Practices. 院前脓毒症的早期识别：筛选工具和实践的回顾。
IF 0.8
Advanced Emergency Nursing Journal Pub Date : 2025-04-01 DOI: 10.1097/TME.0000000000000561
William C Tirado
{"title":"Early Recognition of Sepsis in Prehospital Settings: A Review of Screening Tools and Practices.","authors":"William C Tirado","doi":"10.1097/TME.0000000000000561","DOIUrl":"10.1097/TME.0000000000000561","url":null,"abstract":"<p><p>Sepsis remains a global health challenge, with millions affected and high mortality rates. Early recognition is critical for improving outcomes, particularly in prehospital settings where timely interventions can significantly impact patient survival. This literature review examines screening tools used in prehospital environments, focusing on their predictive abilities, ease of use, and limitations in detecting sepsis. Tools such as the quick Sequential Organ Failure Assessment (qSOFA), National Early Warning Score (NEWS), National Early Warning Score 2 (NEWS2), Systemic Inflammatory Response Syndrome, and Monocyte Distribution Width offer varied strengths and applications in identifying sepsis. Research shows that NEWS and NEWS2 demonstrate higher sensitivity for predicting mortality, while qSOFA offers simplicity but may lack sensitivity outside of acute care settings. Differential diagnoses, such as pulmonary embolism and adrenal crisis, can mimic sepsis, making accurate assessment essential. The review highlights the role of Emergency Medical Services (EMS) and Family Nurse Practitioners in early detection and emphasizes the importance of evidence-based practices and clear protocols. This review aims to provide EMS and Nurse Practitioners with the knowledge and tools to recognize sepsis early, ensuring appropriate referrals and improving patient outcomes.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":" ","pages":"152-167"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765279","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
From History Books to Headlines: Plague in Modern Times. 从历史书到头条新闻：现代的瘟疫。
IF 0.8
Advanced Emergency Nursing Journal Pub Date : 2025-04-01 DOI: 10.1097/TME.0000000000000568
Mindy Johnson, Michael D Gooch
{"title":"From History Books to Headlines: Plague in Modern Times.","authors":"Mindy Johnson, Michael D Gooch","doi":"10.1097/TME.0000000000000568","DOIUrl":"10.1097/TME.0000000000000568","url":null,"abstract":"<p><p>Although often considered a historical disease, plague remains a modern-day public health concern with global relevance. Caused by the bacterium Yersinia pestis and transmitted to humans primarily through infected flea bites or contact with infected animals, plague persists worldwide, including parts of the southwestern United States. The disease presents in three main forms: bubonic, septicemic, and pneumonic. Bubonic plague, the most common form, is characterized by painful swollen lymph nodes known as buboes. Septicemic plague occurs when the infection enters the blood stream, while pneumonic plague, the most virulent and transmissible form, poses a serious bioterrorism threat due to its ability to spread via respiratory droplets and high fatality rate. Though rare today, with an average of seven cases annually in the U.S., plague still demands awareness and preparedness by emergency nurse practitioners and other clinicians. Early diagnosis, timely antibiotic treatment, and vigilant public health measures are critical to reducing its morbidity and mortality.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":" ","pages":"137-144"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765281","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
ECG Changes and High Sensitivity Troponin I in Acute Cholecystitis. 急性胆囊炎的心电图变化与高敏感性肌钙蛋白I。
IF 0.8
Advanced Emergency Nursing Journal Pub Date : 2025-04-01 Epub Date: 2025-04-16 DOI: 10.1097/TME.0000000000000566
Pooja Kumar, Pedro Colio
{"title":"ECG Changes and High Sensitivity Troponin I in Acute Cholecystitis.","authors":"Pooja Kumar, Pedro Colio","doi":"10.1097/TME.0000000000000566","DOIUrl":"10.1097/TME.0000000000000566","url":null,"abstract":"<p><p>Abdominal pain is a common chief complaint in Emergency departments (EDs) nationwide which presents a wide array of potential etiologies including acute coronary syndrome ( Daniels et al., 2020 ). High-sensitivity troponin I (hs-TnI), a biomarker traditionally linked to cardiac injury, can also be elevated in noncardiac conditions, such as acute cholecystitis. This case study underscores the advantages of hs-TnI over conventional troponin tests, specifically among patients with abnormal ECGs. This case also highlights the hs-TnI superior sensitivity in detecting or excluding subtle myocardial injuries that may arise from conditions like acute cholecystitis ( Babic et al., 2012 ). By integrating hs-TnI into the diagnostic workup, advanced practice registered nurses can more effectively stratify patient risk, thereby enhancing the quality of early diagnosis and management of acute cholecystitis.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"47 2","pages":"129-136"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144003935","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
ED Nurse-Led Code Sepsis to Reduce Time to Antibiotics. 急诊室护士主导的败血症代码，缩短使用抗生素的时间。
IF 0.8
Advanced Emergency Nursing Journal Pub Date : 2025-01-01 Epub Date: 2024-12-20 DOI: 10.1097/TME.0000000000000551
Leslie Gomez, Kelli LeClair, Danisha Jenkins, Mary Ann David, Jillian Downing, Julie Graham
{"title":"ED Nurse-Led Code Sepsis to Reduce Time to Antibiotics.","authors":"Leslie Gomez, Kelli LeClair, Danisha Jenkins, Mary Ann David, Jillian Downing, Julie Graham","doi":"10.1097/TME.0000000000000551","DOIUrl":"10.1097/TME.0000000000000551","url":null,"abstract":"<p><strong>Background: </strong>Delays in sepsis recognition contribute to delays in antibiotic administration, which lead to increased morbidity and mortality in patients with sepsis. Our objective was to create an Emergency Department (ED) Code Sepsis Nurse-led team to reduce the time to antibiotics and mortality in patients with sepsis.</p><p><strong>Methods: </strong>This initiative was implemented at a community hospital in Southern California in response to previous undesirable sepsis outcomes. In fiscal year 2021, the ED Sepsis Nursing Team was launched with the goal of improving sepsis-related outcomes. The following interventions were implemented: First, a group of dedicated Sepsis Nurses with training specific to sepsis recognition was created, and an electronic ED-sepsis screening tool was developed and implemented. Next, the dedicated sepsis nurses designed and educated to a \"Code Sepsis\" activation process. The code triggered a multidisciplinary response and implementation of standing orders for blood cultures, lactate, complete blood count, complete metabolic panel, and chest x-ray or urinalysis if indicated. Finally, the Sepsis Team Registered Nurse (RN) Captain led house-wide monthly Sepsis Task Force meetings to improve unit-level engagement and to allow the team to have ownership over sharing wins and losses.</p><p><strong>Results: </strong>By Quarter 4 (Q4) of Fiscal Year 2021, door-to-antibiotic time for sepsis patients dropped from 196.7 min (Q1) to 144.7 (Q4). Additionally, mortality dropped below the health system average (10.4% vs. 13.5%), and Fiscal Year 2021 surpassed the readmissions benchmark of <1.0 at a rate of 0.5.</p><p><strong>Conclusion: </strong>An RN-led, interprofessional response to accepted sepsis identification criteria enhanced staff and physician engagement and improved sepsis outcomes for patient mortality and hospital reporting outcomes. The process was adopted with very few obstacles that were easily overcome as the understanding of the role and its significance was realized.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":" ","pages":"64-74"},"PeriodicalIF":0.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142869714","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
It's Probably Just Heart Burn! A Case of Pregnancy-Associated Spontaneous Coronary Artery Dissection. 可能只是烧心！一例与妊娠相关的自发性冠状动脉夹层。
IF 0.8
Advanced Emergency Nursing Journal Pub Date : 2025-01-01 Epub Date: 2024-11-25 DOI: 10.1097/TME.0000000000000550
Catherine Nadeau, Juan M Gonzalez, Christina Cardy, Mary A Cain, Daniela Crousillat
{"title":"It's Probably Just Heart Burn! A Case of Pregnancy-Associated Spontaneous Coronary Artery Dissection.","authors":"Catherine Nadeau, Juan M Gonzalez, Christina Cardy, Mary A Cain, Daniela Crousillat","doi":"10.1097/TME.0000000000000550","DOIUrl":"10.1097/TME.0000000000000550","url":null,"abstract":"<p><p>Pregnancy-associated spontaneous coronary artery dissection (P-SCAD) poses a rare yet critical concern among postpartum individuals, increasingly recognized as a significant trigger for acute myocardial infarction. Timely identification, accurate diagnosis, and prompt treatment are paramount for clinicians confronted with this condition. Patients with P-SCAD commonly manifest signs and symptoms akin to acute coronary syndrome but have different etiology and treatment. SCAD is defined as a non-traumatic, non-iatrogenic separation of the coronary artery wall, not associated with atherosclerosis. The predominant mechanism of myocardial injury is coronary artery obstruction caused by an intramural hematoma or intimal disruption compromising the lumen at the site of dissection. Diagnosis is made with a comprehensive history and physical examination, cardiac biomarkers, a 12-lead ECG, transthoracic echocardiogram, and confirmed with coronary angiography. Stable patients are managed medically, while more severe cases may require additional intervention.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":" ","pages":"55-63"},"PeriodicalIF":0.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142732656","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
Dream of the Endless: Special Considerations in Procedural Sedation. 无尽之梦：程序性镇静的特殊考虑。
IF 0.8
Advanced Emergency Nursing Journal Pub Date : 2025-01-01 Epub Date: 2025-01-29 DOI: 10.1097/TME.0000000000000558
{"title":"Dream of the Endless: Special Considerations in Procedural Sedation.","authors":"","doi":"10.1097/TME.0000000000000558","DOIUrl":"https://doi.org/10.1097/TME.0000000000000558","url":null,"abstract":"","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"47 1","pages":"E1"},"PeriodicalIF":0.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068627","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
Dog Bites With Resultant Periorbital Cellulitis. 狗咬伤导致眼眶周围蜂窝织炎。
IF 0.8
Advanced Emergency Nursing Journal Pub Date : 2025-01-01 Epub Date: 2024-11-28 DOI: 10.1097/TME.0000000000000548
Julie-Kathryn Graham, Pedro A Colio
{"title":"Dog Bites With Resultant Periorbital Cellulitis.","authors":"Julie-Kathryn Graham, Pedro A Colio","doi":"10.1097/TME.0000000000000548","DOIUrl":"10.1097/TME.0000000000000548","url":null,"abstract":"<p><p>This case study examines the delayed presentation of a facial dog bite, an uncommon occurrence in the periorbital area. Initially perceived as a minor injury, the wound was disregarded in its early stages. However, as the infection progressed, prompting urgent evaluation in the emergency department (ED) as the severity became evident. The patient was diagnosed with an acute facial infection carrying the potential for periorbital cellulitis and abscess formation, necessitating immediate imaging. Prompt evaluation of penetrating animal bites, particularly dog bites, is crucial due to their high infection risk. As emphasized by Hamed-Assam et al., immediate attention and prophylactic antibiotics are advised for such cases, preferably broad-spectrum antibiotics with anaerobic coverage. The patient underwent treatment in the ED approximately a day after the incident, receiving antibiotics and subsequently discharged following advanced diagnostic imaging. This case underscores the importance of recognizing and promptly addressing delayed dog bites, emphasizing the significance of immediate medical intervention post-penetrating animal bites.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":" ","pages":"31-36"},"PeriodicalIF":0.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142786362","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
Point of Care Ultrasonography for the Evaluation of Ocular Emergencies. 眼急诊点超声检查的评价。
IF 0.8
Advanced Emergency Nursing Journal Pub Date : 2025-01-01 Epub Date: 2025-01-29 DOI: 10.1097/TME.0000000000000557
{"title":"Point of Care Ultrasonography for the Evaluation of Ocular Emergencies.","authors":"","doi":"10.1097/TME.0000000000000557","DOIUrl":"https://doi.org/10.1097/TME.0000000000000557","url":null,"abstract":"","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"47 1","pages":"E2"},"PeriodicalIF":0.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068635","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
首页 上一页 下一页 尾页
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整，为了账户安全，请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们：info@booksci.cn Book学术提供免费学术资源搜索服务，方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号：481959085
Book学术官方微信