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Advanced Emergency Nursing Journal最新文献

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Emergency Department Buprenorphine and Naloxone Prescribing Disparities Among Racial and Ethnic Minorities Presenting With an Opioid Overdose. 在出现阿片类药物过量的少数种族和族裔中，急诊科丁丙诺啡和纳洛酮处方存在差异。
IF 0.8
Advanced Emergency Nursing Journal Pub Date : 2024-07-01 Epub Date: 2024-08-01 DOI: 10.1097/TME.0000000000000519
Philip Davis, Dian Evans
{"title":"Emergency Department Buprenorphine and Naloxone Prescribing Disparities Among Racial and Ethnic Minorities Presenting With an Opioid Overdose.","authors":"Philip Davis, Dian Evans","doi":"10.1097/TME.0000000000000519","DOIUrl":"10.1097/TME.0000000000000519","url":null,"abstract":"<p><p>The aim of the Research to Practice column is to enhance the research critique abilities of both advanced practice registered nurses and emergency nurses (RNs), while also aiding in the translation of research findings into clinical practice. Each column focuses on a specific topic and research study. In this article, we used two patient scenarios as a framework to delve into the 2023 secondary analysis of Papp and Emerman's study on \"Disparities in Emergency Department Naloxone and Buprenorphine Initiation.\"</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"46 3","pages":"187-194"},"PeriodicalIF":0.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141879639","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
Hamate Fracture: A Common Presentation of an Uncommon Fracture. 锤骨骨折：不常见骨折的常见表现。
IF 0.8
Advanced Emergency Nursing Journal Pub Date : 2024-07-01 Epub Date: 2024-08-01 DOI: 10.1097/TME.0000000000000522
Nancy G Russell, Michael W Kessler
{"title":"Hamate Fracture: A Common Presentation of an Uncommon Fracture.","authors":"Nancy G Russell, Michael W Kessler","doi":"10.1097/TME.0000000000000522","DOIUrl":"https://doi.org/10.1097/TME.0000000000000522","url":null,"abstract":"<p><p>Hamate fractures are uncommon, but early and accurate diagnosis is critical to prevent negative outcomes. Hamate fractures may present initially to emergency departments, and diagnosis can be challenging. This case report of a common hamate fracture may aid in increasing emergency advanced practice nurse knowledge to identify these fractures in practice.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"46 3","pages":"228-233"},"PeriodicalIF":0.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141879572","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 of Cardioversion and Management of Atrial Flutter in the Emergency Department. 急诊科心房扑动的心脏转复和处理病例。
IF 0.8
Advanced Emergency Nursing Journal Pub Date : 2024-07-01 Epub Date: 2024-08-01 DOI: 10.1097/TME.0000000000000531
{"title":"A Case of Cardioversion and Management of Atrial Flutter in the Emergency Department.","authors":"","doi":"10.1097/TME.0000000000000531","DOIUrl":"https://doi.org/10.1097/TME.0000000000000531","url":null,"abstract":"","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"46 3","pages":"E6"},"PeriodicalIF":0.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141879635","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
Emergency Medicine Case Study on Local Anesthetic Systemic Toxicity. 局麻药全身中毒的急诊医学案例研究。
IF 0.8
Advanced Emergency Nursing Journal Pub Date : 2024-07-01 Epub Date: 2024-08-01 DOI: 10.1097/TME.0000000000000529
Haley Hays
{"title":"Emergency Medicine Case Study on Local Anesthetic Systemic Toxicity.","authors":"Haley Hays","doi":"10.1097/TME.0000000000000529","DOIUrl":"10.1097/TME.0000000000000529","url":null,"abstract":"<p><p>The purpose of this case study on local anesthetic systemic toxicity (LAST), a potentially life-threatening complication of local anesthetic, is to ensure that emergency nurse practitioners (ENPs) are knowledgeable on this disease process. Local anesthetics are used frequently, often daily, by ENPs, as well as multiple other health care providers for various procedures. They should be knowledgeable of the steps to resuscitate a patient who may have severe LAST. This case study reviews the emergency management of LAST, including pharmacologic treatment, deviations from routine advanced resuscitative guidelines, and disposition of the patient upon successful resuscitation. Additionally, risk assessment and clinical manifestations will be discussed. After reviewing this case study, ENPs should be able to recognize the presentation of LAST and provide emergent management to reduce complications, comorbidities, and death.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"46 3","pages":"234-240"},"PeriodicalIF":0.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141879641","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
Improving Nurse Practitioner Students' Knowledge and Confidence in the Identification and Management of Human Trafficking Victims. 提高执业护士学生在识别和管理人口贩运受害者方面的知识和信心。
IF 0.5
Advanced Emergency Nursing Journal Pub Date : 2024-04-01 Epub Date: 2024-05-09 DOI: 10.1097/TME.0000000000000515
Katherine D Shue-McGuffin, Kathleen S Jordan
{"title":"Improving Nurse Practitioner Students' Knowledge and Confidence in the Identification and Management of Human Trafficking Victims.","authors":"Katherine D Shue-McGuffin, Kathleen S Jordan","doi":"10.1097/TME.0000000000000515","DOIUrl":"10.1097/TME.0000000000000515","url":null,"abstract":"<p><p>Human trafficking is a global public health problem affecting millions of people worldwide. In the United States, many trafficking victims seek medical care for physical, sexual, and mental health concerns. Unfortunately, many of these individuals go unrecognized by health care providers as being victims of human trafficking and return to their trafficker without interventions for their safety and protection. To provide effective quality care for this patient population, health care providers must be knowledgeable regarding the identification of signs of trafficking, trauma-informed interventions to ensure the safety and protection of the victim(s), and methods to collaborate with interprofessional partners for the provision of appropriate medical and socioeconomic care following the exit from their trafficking situation. The purpose of this pilot study was to evaluate best practices in teaching Family Nurse Practitioner (FNP) students to identify and implement appropriate interventions for victims of human trafficking. The study was conducted in two phases using a mixed-method research design with repeated measures. In the first phase, education was provided through the validated HOPE Training modules produced by the Safe House Project using a pretest, posttest design. In the second phase, the students observed an interprofessional simulation followed by focus groups using a phenomenological approach to explore students' perceptions. Knowledge and confidence increased significantly following the implementation of this study. The results provide essential information regarding incorporating human trafficking education into FNP curricula. This study also contributes to the body of knowledge regarding the vital role that nurse practitioners play in the interprofessional management of human trafficking victims.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"46 2","pages":"158-168"},"PeriodicalIF":0.5,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140912864","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
All the Better to Taste You With, My Dear: ED Management of Mammalian Bites. 更适合品尝你的味道，亲爱的：哺乳动物咬伤的 ED 管理。
IF 0.5
Advanced Emergency Nursing Journal Pub Date : 2024-04-01 Epub Date: 2024-05-09 DOI: 10.1097/TME.0000000000000513
Ryan Holley-Mallo
{"title":"All the Better to Taste You With, My Dear: ED Management of Mammalian Bites.","authors":"Ryan Holley-Mallo","doi":"10.1097/TME.0000000000000513","DOIUrl":"10.1097/TME.0000000000000513","url":null,"abstract":"<p><p>Mammal bites account for over 5 million visits to Emergency Departments (EDs) annually. Nurse Practitioners (NPs) need to stay abreast of current guidelines, changes to antibiotic regimens that are now most effective, and understand in what circumstances collaboration with other specialists is indicated. It is not enough to care for the wound, itself, but rather understand in what presentations additional care may be needed despite the fact that there is no clear evidence at the time of evaluation of the need for advanced care. Additionally, NPs should understand what resources are available within their community for wound care that may exceed the scope and ability of the facility in which they practice. Health departments may need to be utilized in the care of ED patients who present with wounds that are suspicious for rabies. Finally understanding what constitutes a high, medium, and low risk bite will aide NPs in delivering optimal care within the communities they serve while also minimizing patient morbidity.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"46 2","pages":"118-125"},"PeriodicalIF":0.5,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140912821","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
Lumbar Puncture. 腰椎穿刺
IF 0.8
Advanced Emergency Nursing Journal Pub Date : 2024-04-01 Epub Date: 2024-05-09 DOI: 10.1097/TME.0000000000000511
Margaret J Carman
{"title":"Lumbar Puncture.","authors":"Margaret J Carman","doi":"10.1097/TME.0000000000000511","DOIUrl":"10.1097/TME.0000000000000511","url":null,"abstract":"<p><p>Lumbar puncture (LP) is a procedural skill that is required for practice in the emergency care setting, most often for diagnostic purposes. Rarely, it can also be used therapeutically, to alleviate the pain of patients presenting to the emergency department with acute headache from idiopathic intracranial hypertension. In either case, LP constitutes an invasive procedure in which the subarachnoid space is entered in order to obtain a sample of cerebrospinal fluid from one of the most vulnerable areas of the human anatomy. It is essential for the emergency clinician to carefully weigh the risks and benefits of LP, to ensure informed consent when possible, and to proceed in a manner that ensures optimal patient safety and effectiveness. This article reviews current recommendations and considerations around performing LP, in addition to the process for performing the procedure.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"46 2","pages":"141-148"},"PeriodicalIF":0.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140912834","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
Pharmacological Approach for Symptomatic Nonsustained Ventricular Tachycardia. 治疗症状性非持续性室性心动过速的药物疗法。
IF 0.8
Advanced Emergency Nursing Journal Pub Date : 2024-04-01 Epub Date: 2024-05-09 DOI: 10.1097/TME.0000000000000509
Ida Obeso-Martinez, Farshad Raissi
{"title":"Pharmacological Approach for Symptomatic Nonsustained Ventricular Tachycardia.","authors":"Ida Obeso-Martinez, Farshad Raissi","doi":"10.1097/TME.0000000000000509","DOIUrl":"10.1097/TME.0000000000000509","url":null,"abstract":"<p><p>Nonsustained ventricular tachycardia (NSVT) is a common arrhythmia associated with heart failure, cardiomyopathy, coronary artery disease, electrolyte imbalances, and congenital heart disorders (Foth et al., 2023). NSVT is often asymptomatic depending on its burden percentage. However, typical NSVT presentation in the emergency department (ED) includes palpitations, near-syncope, dizziness, skipped beats, chest pain, and/or dyspnea (Katritsis et al., 2012). In some instances, NSVT can present with elevated or slightly elevated troponin from demand ischemia. A definite diagnosis of NSVT is not of high complexity; nevertheless, it is not always identified on electrocardiogram (ECG) by the time the patient arrives to the ED. Identification of NSVT usually requires prolonged cardiac monitoring, mobile cardiac telemetry (MCT), and in some instances internal loop recorder placement. The purpose of this case is to discuss the typical presentation and pharmacological approach of patients with stable NSVT.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"46 2","pages":"149-157"},"PeriodicalIF":0.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140912840","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
Can Artificial Intelligence Be Utilized to Predict Real-Time Adverse Outcomes in Individuals Arriving at the Emergency Department With Hyperglycemic Crises?: Implications for APRN Practice. 人工智能能否用于预测急诊科高血糖危象患者的实时不良后果？对全科护士实践的意义。
IF 0.5
Advanced Emergency Nursing Journal Pub Date : 2024-04-01 Epub Date: 2024-05-09 DOI: 10.1097/TME.0000000000000508
Alisha Amin Bhimani, Tova Safier Frenkel, Adam Kaizer Hasham
{"title":"Can Artificial Intelligence Be Utilized to Predict Real-Time Adverse Outcomes in Individuals Arriving at the Emergency Department With Hyperglycemic Crises?: Implications for APRN Practice.","authors":"Alisha Amin Bhimani, Tova Safier Frenkel, Adam Kaizer Hasham","doi":"10.1097/TME.0000000000000508","DOIUrl":"10.1097/TME.0000000000000508","url":null,"abstract":"<p><p>This column on translating research into practice is crafted to offer advanced practice registered nurses an analysis of current research topics that hold practical relevance for emergency care settings. The article titled \"Using Artificial Intelligence to Predict Adverse Outcomes in Emergency Department Patients With Hyperglycemic Crises in Real Time,\" authored by C. Hsu et al. (2023), investigates through a randomized control trial, the effectiveness of artificial intelligence as a practical tool compared with the traditional predicting hyperglycemic crisis death score to clinically predict adverse outcomes in individuals presenting to the emergency department with hyperglycemic crises. The results are discussed in the context of averting adverse outcomes associated with sepsis/septic shock, intensive care unit admission, and all-cause mortality within a 1-month time frame.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"46 2","pages":"93-100"},"PeriodicalIF":0.5,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140912853","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
Fast-Track Training in Emergency Department During the COVID-19 Pandemic: Evaluation of a Hybrid Education Model. COVID-19 大流行期间急诊科的快速培训：混合教育模式评估。
IF 0.5
Advanced Emergency Nursing Journal Pub Date : 2024-04-01 Epub Date: 2024-05-09 DOI: 10.1097/TME.0000000000000516
Hui Grace Xu, Amy N B Johnston, Gillian Ray-Barruel
{"title":"Fast-Track Training in Emergency Department During the COVID-19 Pandemic: Evaluation of a Hybrid Education Model.","authors":"Hui Grace Xu, Amy N B Johnston, Gillian Ray-Barruel","doi":"10.1097/TME.0000000000000516","DOIUrl":"10.1097/TME.0000000000000516","url":null,"abstract":"<p><strong>Introduction: </strong>Emergency department (ED) fast track (FT) for the ambulatory, minor injury patient cohort requires rapid patient assessment, treatment, and turnover, yet specific nursing education is limited. The study aimed to test the feasibility and staff satisfaction of an education program to expand nursing skills and knowledge of managing FT patients during the COVID-19 pandemic.</p><p><strong>Methods: </strong>This quasi-experimental study, including self-rating surveys and interviews, assessed the pre- and postimplementation of an education program for nurses working in FT in a metropolitan hospital ED in Australia. Hybrid (face-to-face and Teams) education sessions on 10 topics of staff-perceived limited knowledge were delivered over 8 months.</p><p><strong>Results: </strong>Participants demonstrated higher knowledge scores after the implementation of short online education sessions to cover the core facets of minor injury management. Overall staff satisfaction with the program was high. Interview discussions involved three key themes, including \"benefits to staff learning,\" \"positive impact on patient care and flow,\" and \"preferred mode of delivery.\"</p><p><strong>Conclusiions: </strong>Recorded education sessions on minor injury topics for nurses working in FT have proved effective, and this program has now become a core facet of ED education in our hospital.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"46 2","pages":"169-181"},"PeriodicalIF":0.5,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140912856","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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