{"title":"Using the Loop Drainage Procedure to Manage Cutaneous Abscesses.","authors":"Mary Lou Surber, Rachael Sweeney","doi":"10.1097/TME.0000000000000623","DOIUrl":"10.1097/TME.0000000000000623","url":null,"abstract":"<p><strong>Abstract: </strong>Skin and soft tissue infections, known as cutaneous abscesses, are a frequent problem seen in primary and acute care settings. The gold standard of treatment for cutaneous abscesses is conventional incision and drainage (CID). The loop drainage technique (LDT) is a safe and effective alternative to CID to avoid premature closure, pain from packing and repacking, and reducing the need for follow-up medical care. Utilization of LDT also requires smaller incisions, resulting in smaller scars, which is particularly important for cosmetic outcomes. LDT offers a patient-centered, cosmetically favorable, and efficient alternative to CID, with improvements in comfort, adherence, and outcomes across care settings, while representing a practical option for emergency clinicians managing cutaneous abscesses.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"48 2","pages":"90-94"},"PeriodicalIF":0.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147821924","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}
Kara J Bragg, Michael M Mohseni, Mason Bonner, Charles Graham
{"title":"Reframing the Role of Advanced Practice Providers in Emergency Medicine: A Response to ACEP and AAEM Position Statements.","authors":"Kara J Bragg, Michael M Mohseni, Mason Bonner, Charles Graham","doi":"10.1097/TME.0000000000000626","DOIUrl":"10.1097/TME.0000000000000626","url":null,"abstract":"<p><strong>Abstract: </strong>Advanced practice providers (APPs), including nurse practitioners (NPs) and physician assistants (PAs), play a vital role in emergency medicine (EM), addressing workforce shortages and enhancing patient care. Despite their growing presence, position statements from the American College of Emergency Physicians (ACEP) and the American Academy of Emergency Medicine (AAEM) challenge APP autonomy and scope of practice. This article critically examines the educational pathways, clinical competencies, and certification standards of APPs, highlighting disparities in recognition and misrepresentation of training. It explores the historical context of EM specialization, the evolution of APP roles, and the impact of restrictive policies-particularly in underserved areas. The authors propose actionable solutions, including standardized credentialing, formal recognition of postgraduate training, and policy reform to support full practice authority. Emphasizing collaboration over division, the article advocates for a team-based approach to emergency care that values the contributions of all provider types and promotes equitable integration.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"48 2","pages":"112-118"},"PeriodicalIF":0.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147821921","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":"The ENP as a New APRN Population: Navigating the LACE Framework.","authors":"Wesley D Davis, Jennifer Wilbeck","doi":"10.1097/TME.0000000000000614","DOIUrl":"10.1097/TME.0000000000000614","url":null,"abstract":"","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":" ","pages":"119-142"},"PeriodicalIF":0.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147436313","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":"Anaphylaxis to Antivenom in a Patient With Asymptomatic Alpha- Gal IgE Antibodies: A Case Report.","authors":"","doi":"10.1097/TME.0000000000000629","DOIUrl":"10.1097/TME.0000000000000629","url":null,"abstract":"","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"48 2","pages":"e3"},"PeriodicalIF":0.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147821993","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":"A Tribute to Dr. Kathleen Sanders Jordan: June 1, 1956 - December 31, 2025.","authors":"K Sue Hoyt","doi":"10.1097/TME.0000000000000617","DOIUrl":"https://doi.org/10.1097/TME.0000000000000617","url":null,"abstract":"","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"48 2","pages":"61-64"},"PeriodicalIF":1.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147821973","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":"A Tribute to Dr. Kathleen Sanders Jordan: June 1, 1956 - December 31, 2025.","authors":"K Sue Hoyt","doi":"10.1097/TME.0000000000000617","DOIUrl":"https://doi.org/10.1097/TME.0000000000000617","url":null,"abstract":"","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"48 2","pages":"61-64"},"PeriodicalIF":0.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148833540","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":"Evidence-Based Practice Versus Evidence-Informed Practice in Nursing: Pearls, Practice & Policy.","authors":"Pedro Colio, Julie-Kathryn Graham","doi":"10.1097/TME.0000000000000618","DOIUrl":"10.1097/TME.0000000000000618","url":null,"abstract":"<p><strong>Aim: </strong>The authors sought to clarify the difference between evidence-based versus evidence-informed practice by providing historical descriptions and practical applications for Advanced Practice Nurses from the literature.</p><p><strong>Method: </strong>For this review, the database PubMed was searched using the following terms: evidence-based practice, evidence-informed practice, and nursing. Evidence within five years was preferred; however, owing to limitations in the available literature, articles were considered if they had been published post-2000.</p><p><strong>Findings: </strong>Twenty-one articles were retrieved using these search terms. The authors present the articles beginning with a historical perspective and a contrast with current practice.</p><p><strong>Conclusion: </strong>This article describes the difference between evidence-based practice, a scientific methodology of applying evidence to practice, and evidence-informed practice, using evidence and clinical judgment in making care decisions, with historical context and relevant examples. This important distinction must be understood by Advanced Practice Registered Nurses to not only advance patient outcomes but to distinguish Advanced Practice Registered Nurses as having expertise in these elements, as implementation science (practice, education, and dissemination) is a core feature of advanced nursing preparation.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":" ","pages":"65-69"},"PeriodicalIF":0.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147634432","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}
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":"10.1097/TME.0000000000000622","url":null,"abstract":"<p><strong>Abstract: </strong>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.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"48 2","pages":"85-89"},"PeriodicalIF":0.6,"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}
{"title":"Syncope and Wellens Sign: A Case Report and Review of Precordial ST- and T-Wave Changes in the Emergency Department.","authors":"John Ramos","doi":"10.1097/TME.0000000000000624","DOIUrl":"10.1097/TME.0000000000000624","url":null,"abstract":"<p><strong>Abstract: </strong>Characteristic ST- and T-wave changes in the precordial electrocardiogram leads may indicate acute coronary syndrome, cardiomyopathies, channelopathies, catecholamine surge states, or perimyocarditis. This case presented involves a man who presented after sudden loss of consciousness. The patient's electrocardiogram was concerning for Type B Wellens sign, and cardiac biomarkers were low. Coronary artery occlusion was considered despite an absence of chest pain and the presence of left ventricular hypertrophy. Cardiac testing revealed pathognomonic obstruction of the left anterior descending artery associated with Wellens syndrome.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":" ","pages":"95-107"},"PeriodicalIF":0.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147783644","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}