{"title":"From Classroom to Practice: Boosting ENP Proficiency With Online POCUS Training.","authors":"Andrew Walsh, Pedro A Colio, Sukhdeep Singh","doi":"10.1097/TME.0000000000000583","DOIUrl":"10.1097/TME.0000000000000583","url":null,"abstract":"<p><p>Point of Care Ultrasound (POCUS) is increasingly integrated into emergency medicine to improve clinical decision-making and patient outcomes. While POCUS training is a standard component of emergency medicine fellowship programs, training for Emergency Nurse Practitioners (ENPs) remains underdeveloped and lacks standardized competency assessment. The American College of Emergency Physicians (ACEP) recommends online didactic training to supplement in-person sessions focused on image acquisition and interpretation. This pilot project aimed to enhance POCUS training for ENPs by incorporating ACEP's online modules into the existing ENP sonogram program. Former and current ENP students completed a confidence survey based on their sonogram skills, with former students receiving traditional in-person training and current students completing online didactic modules before their lab sessions. Results indicated a significant increase in confidence across several ultrasound applications, including Extended Focused Assessment with Sonography in Trauma (eFAST) and echocardiograms. The addition of online training resulted in increased confidence in performing eFAST (28.57% increase), focused echocardiograms (25% increase), ocular sonograms (41.67% increase), but a decrease was seen in vascular access by 16% due to limited time spent on this exam. Students who completed the new training method demonstrated higher proficiency in performing eFAST exams on live models. Integrating online modules into ENP sonogram training is a cost-effective method for delivering didactic content, allowing more time for hands-on practice.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":" ","pages":"250-259"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733809","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}
{"title":"To Treat or Not to Treat: Managing Markedly Elevated, Asymptomatic Hypertension in the Emergency Department.","authors":"Philip Davis, Dian Evans","doi":"10.1097/TME.0000000000000574","DOIUrl":"10.1097/TME.0000000000000574","url":null,"abstract":"<p><p>The Research to Practice column focuses on improving the research critique skills and translation of research findings into emergency care clinical practice. In this issue, we discuss the findings of Chaudry et al. (2024) on risk factors associated with major adverse cardiovascular events after discharge in emergency department patients with markedly elevated blood pressures without evidence of target organ injury. The investigators conclude that there are a number of clinical characteristics and symptoms that build on the clinical policy recommendations by the American College of Emergency Physicians on which patients should receive routine diagnostic screening or antihypertensive treatment while in the emergency department to reduce their risk of adverse outcomes.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"47 3","pages":"170-176"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144805032","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}
Anthony Good, Emmanuel Coroneos, John Cherian, Cherian John, Denise R Ramponi
{"title":"Alternative Anticoagulation Therapy in Tunnel Dialysis Catheter Septic Thrombus.","authors":"Anthony Good, Emmanuel Coroneos, John Cherian, Cherian John, Denise R Ramponi","doi":"10.1097/TME.0000000000000577","DOIUrl":"10.1097/TME.0000000000000577","url":null,"abstract":"<p><p>Patients may have tunnel dialysis catheters utilized for chronic maintenance hemodialysis. Patients can develop infected thrombi with the catheter which can further result in the development of septicemia. This case illustrates a patient who was sent to the Emergency department due to fever, chills, hypotension and significant mental status changes. He was successfully treated with appropriate intravenous antibiotics utilizing culture results and combined use of activated factor Xa inhibitors (Apixaban) to provide early resolution of infected thrombi bacteremia.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":" ","pages":"198-202"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733807","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}
{"title":"Epistaxis Management in an Emergency Department.","authors":"Arnaldo Vivanco","doi":"10.1097/TME.0000000000000578","DOIUrl":"10.1097/TME.0000000000000578","url":null,"abstract":"<p><p>Epistaxis is a common nasal emergency with an estimated 1.7 per 1,000 visits annually to emergency departments. Treatment options depend on the severity of epistaxis, frequency, and equipment availability in the provider's setting. In addition, the treating provider should look at comorbidities, medications, and perform a thorough history and physical exam to attempt visualization of the source of epistaxis. Managing epistaxis should begin with the least to most invasive options, beginning with pressure and application of topical vasoconstrictors and moving to more invasive procedures should hemostasis not be achieved. This article describes a case of a 76-year-old male with a new onset of epistaxis that presents to an emergency department. This article will review the patient's emergency department visit, two follow-up visits, and epistaxis to increase the skills of emergency Advanced Practice Registered Nurses.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":" ","pages":"203-214"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733808","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}
{"title":"Increasing Awareness of Self-managed Abortions: A Clinical Case.","authors":"Alexyss Capestany","doi":"10.1097/TME.0000000000000582","DOIUrl":"10.1097/TME.0000000000000582","url":null,"abstract":"<p><p>The political climate after the overturning of Roe V. Wade in 2022 has made abortion care difficult to obtain in some regions, causing concern for a potential uprising of self-managed abortions. Most visits to emergency departments for complications related to induced abortions occurred in southern states where abortion bans are the strictest. Following the overturning of Roe V. Wade internet searches for abortion medications notably increased. To increase access to care, telehealth has expanded to include medication abortion services. This has contributed to an observable trend toward greater utilization of medication abortion. As medication abortions increase in availability, emergency providers should prepare themselves to manage potential complications. A case is presented about an adult female who obtained misoprostol from an online pharmacy to terminate a pregnancy at home.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":" ","pages":"241-249"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733810","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}
{"title":"Guest Editorial: Live from Dallas: Listening, Learning, and Looking Ahead With AAENP.","authors":"Judson Smith","doi":"10.1097/TME.0000000000000573","DOIUrl":"10.1097/TME.0000000000000573","url":null,"abstract":"","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"47 3","pages":"169"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144805029","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}
{"title":"Knowledge, Attitudes, and Beliefs: Advanced Practice Providers and Transgender Adult Patients in the Emergency Department.","authors":"Kelly Goszkowicz, Philip Davis, Dian Evans","doi":"10.1097/TME.0000000000000580","DOIUrl":"10.1097/TME.0000000000000580","url":null,"abstract":"<p><p>Transgender individuals face significant discrimination in daily life and disproportionately high health disparities compared to the general population, including elevated rates of poverty, substance abuse, and mental health challenges. When seeking emergency department care in the United States, they encounter additional barriers such as stigma, lack of provider cultural competence, and limited clinical experience with transgender patients. These barriers often lead transgender people to delay or avoid emergency healthcare, resulting in poorer health outcomes.This study aimed to examine the knowledge, attitudes, and beliefs of Advanced Practice Providers toward transgender adult patients, comparing those with less than three years of ED experience to those with more. A qualitative, 20-question Likert-scale KAB survey was conducted online to assess differences between groups. Primary findings revealed differences in perceptions that could inform transgender-focused educational initiatives within healthcare institutions, guide practice modifications among APPs, and improve outcomes for transgender patients in emergency care settings.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"47 3","pages":"224-231"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144805030","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}
{"title":"Pain Management in Pediatric Trauma: A Multidisciplinary, Patient-Centered Approach.","authors":"Haili Gregory, Kylee N Wiemer, Daniel B Park","doi":"10.1097/TME.0000000000000572","DOIUrl":"10.1097/TME.0000000000000572","url":null,"abstract":"<p><p>Pain in pediatric trauma patients is difficult to assess and manage, with far-reaching consequences if not treated adequately. How we as a healthcare team approach treating pain in pediatric trauma patients can be the difference between achieving meaningful recovery versus unintentionally causing fear, anxiety, and psychological discomfort for our patients. Emergency medicine and trauma teams need to be well-versed in the many treatment options of pediatric pain to both obtain a thorough trauma exam as well as maintain the patient's comfort in a safe and effective manner. This article aims to discuss the many advantages of a multidisciplinary approach to managing pain in pediatric trauma patients, including the use of pharmacotherapy and non-pharmacotherapy-based treatment approaches.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":" ","pages":"177-185"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235431","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}