Advanced Emergency Nursing Journal最新文献_第2页

Arm Pain After a Fall: The Use of POCUS to Evaluate Fractures in the Emergency Department. 跌倒后手臂疼痛：在急诊科使用POCUS评估骨折。

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Advanced Emergency Nursing Journal Pub Date : 2026-04-01 DOI: 10.1097/TME.0000000000000622

Juan M Gonzalez, Catherine Nadeau, Nichole Crenshaw, Stephen McGhee, Johis Ortega

{"title":"Arm Pain After a Fall: The Use of POCUS to Evaluate Fractures in the Emergency Department.","authors":"Juan M Gonzalez, Catherine Nadeau, Nichole Crenshaw, Stephen McGhee, Johis Ortega","doi":"10.1097/TME.0000000000000622","DOIUrl":"https://doi.org/10.1097/TME.0000000000000622","url":null,"abstract":"Abstract: Falls are a leading cause of emergency department (ED) visits among older adults, often resulting in fractures. Point-of-care ultrasound (POCUS) has emerged as a valuable diagnostic tool for emergency nurse practitioners (ENPs), offering rapid, radiation-free evaluation of musculoskeletal injuries. This article examines the effectiveness of POCUS in detecting fractures, with evidence demonstrating high sensitivity and specificity, particularly for long-bone injuries. A case study of a patient with a humeral fracture highlights the utility of POCUS in diagnosis and expedited orthopedic referral. The article also discusses ultrasound physics, bone imaging techniques, and transducer selection for musculoskeletal assessments. Beyond clinical accuracy, POCUS use is associated with reduced ED length of stay and healthcare costs. While operator-dependent, structured training models are expanding ENP proficiency in POCUS. Integrating this modality into ED practice enhances timely triage and improves patient outcomes, particularly in resource-limited or high volume settings.","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"48 2","pages":"85-89"},"PeriodicalIF":1.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147821971","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

Syncope and Wellens Sign: A Case Report and Review of Precordial ST- and T-Wave Changes in the Emergency Department. 晕厥和韦伦斯征：急诊科心前ST波和t波变化的一例报告和回顾。

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Advanced Emergency Nursing Journal Pub Date : 2026-04-01 Epub Date: 2026-04-14 DOI: 10.1097/TME.0000000000000624

John Ramos

引用次数: 0

Pulse Points: Early Clues and Clinical Pearls in Cervical Artery Dissection. 脉穴：颈动脉夹层的早期线索和临床珍珠。

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Advanced Emergency Nursing Journal Pub Date : 2026-04-01 DOI: 10.1097/TME.0000000000000620

Haley M Hays, Jennifer Smith

引用次数: 0

Development of a Protocol for Use of a Vascular Access Protective Device to Prevent Self-Injection. 制定使用血管通路保护装置防止自我注射的规程。

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Advanced Emergency Nursing Journal Pub Date : 2026-01-01 Epub Date: 2026-01-27 DOI: 10.1097/TME.0000000000000609

Kara J Bragg, Michael M Mohseni, Michael Albus, David J Veres, Bryce J Everett, Leslie V Simon

{"title":"Development of a Protocol for Use of a Vascular Access Protective Device to Prevent Self-Injection.","authors":"Kara J Bragg, Michael M Mohseni, Michael Albus, David J Veres, Bryce J Everett, Leslie V Simon","doi":"10.1097/TME.0000000000000609","DOIUrl":"10.1097/TME.0000000000000609","url":null,"abstract":"Background: The opioid epidemic has created challenges in treating patients who inject drugs or those who are at risk of overdose due to psychiatric illnesses. Patients who self-inject into their vascular access devices (SIVADs) are at risk of infection, prolonged hospitalization, suboptimal care, overdose, or death. In response to incidents where patients have overdosed by SIVAD, the intravenous (IV) CareLock™ device was developed to prevent patients from accessing their IVs while still allowing providers to administer medications.Methods: We engaged a multidisciplinary team to analyze mitigation methods and perform a gap analysis to create a comprehensive protocol to reduce SIVAD.Results: A multidisciplinary protocol identified patients at risk of SIVAD to guide the use of our IV CareLock™ device. This protocol prevented SIVAD while allowing providers to continue using the IV.Conclusions: Our novel device and protocol allowed providers to safely care for at-risk patients, reducing the potential for adverse outcomes.","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":" ","pages":"32-38"},"PeriodicalIF":1.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145670237","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

Assessing Pulmonary Embolism in the Emergency Department: The Role of the YEARS Algorithm. 评估急诊科肺栓塞：YEARS算法的作用

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Advanced Emergency Nursing Journal Pub Date : 2026-01-01 Epub Date: 2026-01-27 DOI: 10.1097/TME.0000000000000605

Marlen Alvarez

引用次数: 0

Evaluating the Implementation of Biplane Ultrasound Probes for Guided Peripheral Intravenous Access in the Emergency Department. 评估双翼超声探头在急诊科引导外周静脉通路中的应用。

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Advanced Emergency Nursing Journal Pub Date : 2026-01-01 Epub Date: 2026-01-27 DOI: 10.1097/TME.0000000000000612

Ian Troupe, Pedro A Colio

{"title":"Evaluating the Implementation of Biplane Ultrasound Probes for Guided Peripheral Intravenous Access in the Emergency Department.","authors":"Ian Troupe, Pedro A Colio","doi":"10.1097/TME.0000000000000612","DOIUrl":"10.1097/TME.0000000000000612","url":null,"abstract":"Single-plane ultrasound (US) probes are commonly used to initiate ultrasound-guided peripheral intravenous (USGPIV) access for patients with difficult intravenous access (DIVA) in the emergency department (ED), although their use is not yet standardized across all EDs. This pilot project introduced the use of a biplane US probe for USGPIV access at a Level 1 Trauma Center ED. Following the training of 10 registered nurses (RNs) in the application of biplane US probes, the project aimed to decrease reliance on ED providers (e.g., NPs, PAs, and physicians) for USGPIV insertions in DIVA patients, allowing providers to focus on other critical tasks and improving patient care efficiency. Primary outcomes measured included the average number of attempts required, progression to critical care access devices, ED patient flow times, and RN utilization rates of the biplane US probe post-training. Results showed that the biplane method improved outcomes compared to the single-plane method, with a 23.8% decrease in the average number of attempts required to obtain access, an 80% decrease in subsequent critical care vascular access placement, and an increase in the rate of both single-plane and biplane US probe use after training compared to baseline. While ED flow rate did not improve, this pilot project demonstrated that biplane US probes for USGPIV access in the ED setting improve patient outcomes.","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":" ","pages":"54-59"},"PeriodicalIF":1.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145946523","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

Severe Aortic Stenosis: ECG Abnormalities as the First Clue in Emergency Care. 严重主动脉瓣狭窄：心电图异常作为急诊护理的第一线索。

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Advanced Emergency Nursing Journal Pub Date : 2026-01-01 Epub Date: 2026-01-27 DOI: 10.1097/TME.0000000000000610

Erika Y Reid, Pedro A Colio

引用次数: 0

Development of a Protocol for Use of a Vascular Access Protective Device to Prevent Self-injection. 制定使用血管通路保护装置防止自我注射的规程。

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Advanced Emergency Nursing Journal Pub Date : 2026-01-01 Epub Date: 2026-01-27 DOI: 10.1097/TME.0000000000000615

引用次数: 0

Continuing Medical Education Solutions: Building Access to Healthcare Knowledge in a Resource-Constrained Country. 继续医学教育解决方案：在资源有限的国家建立获得医疗保健知识的途径。

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Advanced Emergency Nursing Journal Pub Date : 2026-01-01 Epub Date: 2026-01-27 DOI: 10.1097/TME.0000000000000611

Frederick Barton, Buba Barrow, Manoj A Thomas, John George Johnson, Jessica Pelletier

{"title":"Continuing Medical Education Solutions: Building Access to Healthcare Knowledge in a Resource-Constrained Country.","authors":"Frederick Barton, Buba Barrow, Manoj A Thomas, John George Johnson, Jessica Pelletier","doi":"10.1097/TME.0000000000000611","DOIUrl":"https://doi.org/10.1097/TME.0000000000000611","url":null,"abstract":"Keeping up-to-date is imperative for healthcare workers, given the rapidly evolving nature of modern medicine. However, this task is logistically challenging in resource-constrained settings where electricity and internet access are unreliable. Continuing Medical Education Solutions is a series of technology solutions developed by Techies Without Borders (TWB) to bridge this gap. The technology enables improved access to high-quality medical education and point-of-care resources for healthcare professionals in low-resource settings worldwide. TWB has partnered with multiple healthcare institutions in The Gambia, a low-income country in West Africa, to enhance care quality by providing better access to evidence-based medical knowledge. In the Gambia, as with many resource-constrained nations, registered nurses are often the most qualified medical providers at a facility. They frequently function, essentially, as nurse practitioners. They are tasked with organizing community health initiatives, running clinics, and identifying and managing disease throughout the lifespan despite lacking the formal training as an advanced practice registered nurse. Given this, they benefit significantly from the increased educational materials provided by TWB. This article showcases the form and structure of the partnership between The Gambia and TWB. This relationship will continue to blossom and bear fruit in the form of improved patient outcomes and potentially pave the way for the formal implementation of nurse practitioners in a very low-resource setting, where access to essential resources is a critical public health problem.","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"48 1","pages":"45-47"},"PeriodicalIF":1.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146114591","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: Preprint and Publish-Ahead-of-Print. 嘉宾评论：预印本和印刷前出版。

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Advanced Emergency Nursing Journal Pub Date : 2026-01-01 Epub Date: 2026-01-27 DOI: 10.1097/TME.0000000000000604

Wesley D Davis

引用次数: 0