{"title":"A Life-Threatening Finding From Hypercoagulable States in DKA With Controversial Treatment: Erratum.","authors":"Erika Y Reid","doi":"10.1097/TME.0000000000000601","DOIUrl":"https://doi.org/10.1097/TME.0000000000000601","url":null,"abstract":"","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"47 4","pages":"365"},"PeriodicalIF":1.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145496585","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":"Central Serous Chorioretinopathy and Diagnostic Challenges in Emergency Settings.","authors":"Pedro A Colio, David Najafi","doi":"10.1097/TME.0000000000000589","DOIUrl":"10.1097/TME.0000000000000589","url":null,"abstract":"<p><p>Sudden visual disturbances are of significant concern and often among the most challenging scenarios for emergency providers in underserved communities without on-call ophthalmology services. Vulnerable areas in emergency training vary among nurse practitioners, physician assistants, and even physicians. Urgent and non-urgent ophthalmology disorders are commonly cited in the literature as one of the most challenging areas for emergency providers. Ophthalmology is frequently not included as a mandatory clinical rotation in medical school, resulting in limited exposure to this specialty. Similarly, anecdotal evidence suggests that nurse practitioner and physician assistant training often lack sufficient exposure to ophthalmology. The purpose of this emergency ophthalmology case study is to review the management of central serous chorioretinopathy, an acute and often benign eye disorder, and to examine how it escalated to a workup for a cerebrovascular accident in the absence of an ophthalmology consultation.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":" ","pages":"282-288"},"PeriodicalIF":1.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034376","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":"Borealpox: A Rare but Emerging Orthopoxvirus.","authors":"Michael D Gooch, Jessica Stadler","doi":"10.1097/TME.0000000000000590","DOIUrl":"10.1097/TME.0000000000000590","url":null,"abstract":"<p><p>Borealpox, formerly known as Alaskapox, is a novel zoonotic orthopoxvirus with a limited but concerning emergence in Alaska, part of the boreal ecosystem. To date, only 7 human cases have been confirmed, with transmission likely occurring from small wild mammals via intermediary domestic animals such as cats. While the illness is typically mild, it can lead to severe complications including death in immunocompromised patients. This case highlights the diagnostic and clinical challenges associated with orthopoxvirus infections in high-risk populations. Management is primarily supportive, with antiviral and immunoglobulin therapy reserved for severe presentations. Emergency clinicians, including advanced practice clinicians, should be familiar with the clinical manifestations, diagnostic approaches, and emerging treatment strategies for borealpox as cases are expected to increase. Early recognition, appropriate reporting, and interdisciplinary collaboration are essential to optimizing outcomes, particularly in vulnerable populations.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":" ","pages":"289-295"},"PeriodicalIF":1.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126294","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":"Post-Exposure Prophylaxis: For Sexual Exposure in the LGBTQIA+ Community.","authors":"DeSheena G Armstrong","doi":"10.1097/TME.0000000000000596","DOIUrl":"10.1097/TME.0000000000000596","url":null,"abstract":"<p><p>Human immunodeficiency viruses (HIV) and, subsequently, acquired immune deficiency syndrome emphasize the significance of prevention and treatment, especially among vulnerable populations. Some subgroups of the LGBTQIA+ community, namely men who have sex with men (MSM) and transgender individuals, can be disproportionately affected by this disease. As the health care community recognizes this health concern, post-exposure prophylaxis has become important in preventing HIV spread. The current practices depend on two-pill approaches that combine emtricitabine/tenofovir with either dolutegravir or raltegravir. However, the introduction of the one-pill bictegravir/emtricitabine/tenofovir alafenamide (BIC/FTC/TAF) improves the chances of receiving prophylactic treatment by people with serious renal health issues. The purpose of the clinical recommendation is to present MSM and transgender patients who might have contracted HIV with an alternative treatment of BIC/FTC/TAF that reduces renal side effects and requires a single pill a day.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":" ","pages":"346-352"},"PeriodicalIF":1.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145013419","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: Authorship, Accountability, and the Architecture of Best Practice in Healthcare Publications.","authors":"Nicole Martinez","doi":"10.1097/TME.0000000000000591","DOIUrl":"https://doi.org/10.1097/TME.0000000000000591","url":null,"abstract":"","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"47 4","pages":"261"},"PeriodicalIF":1.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145496742","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 Use of Tranexamic Acid for Acute Abnormal Uterine Bleeding in the Emergency Department.","authors":"Marlen Alvarez, Philip Davis","doi":"10.1097/TME.0000000000000592","DOIUrl":"10.1097/TME.0000000000000592","url":null,"abstract":"<p><p>Acute abnormal uterine bleeding is a frequent reason for emergency department visits and, in severe cases, can become life-threatening. Tranexamic acid is a potential treatment option. However, its use in this setting remains under-researched. The Research to Practice column critically evaluates a recent study and translates its findings, within the context of a clinical case, into actionable changes for emergency care. This article examines the conclusions drawn from a comprehensive literature review and an international expert panel, aiming to establish consensus recommendations for managing acute menorrhagia and providing evidence-based guidance to healthcare professionals.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":" ","pages":"262-268"},"PeriodicalIF":1.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034396","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":"Pharmacotherapy Management of Acute Migraine in the Emergency Department.","authors":"","doi":"10.1097/TME.0000000000000599","DOIUrl":"https://doi.org/10.1097/TME.0000000000000599","url":null,"abstract":"","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"47 4","pages":"E26"},"PeriodicalIF":1.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145496714","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 Manuel Gonzalez, Johis Ortega, John McFadden, Kenya Snowden, Catherine Nadeau, Lila de Tantillo, Michele Upvall
{"title":"Knowledge, Attitudes, and Practices of Nurses Addressing Social Determinants of Health in the Emergency Department.","authors":"Juan Manuel Gonzalez, Johis Ortega, John McFadden, Kenya Snowden, Catherine Nadeau, Lila de Tantillo, Michele Upvall","doi":"10.1097/TME.0000000000000594","DOIUrl":"10.1097/TME.0000000000000594","url":null,"abstract":"<p><strong>Background: </strong>The emergency department (ED) serves as a safety net for individuals with limited access to primary care. ED nurses are often the first point of contact for those with few resources. Literature shows a link between social determinants of health (SDoH) and frequent ED use.</p><p><strong>Purpose: </strong>This qualitative descriptive study explored ED nurses' knowledge, attitudes, and practices in addressing SDoH, aiming to better understand this issue and elevate nurses' voices.</p><p><strong>Methods: </strong>A qualitative descriptive design examined how ED nurses address SDoH and their related knowledge, attitudes, and practices.</p><p><strong>Results: </strong>Eighteen ED nurses participated in semi-structured interviews. Thematic analysis yielded 45 codes, 17 categories, and six themes: practical wisdom, navigating barriers, integrated solutions, professional and ethical stewardship, time constraints and institutional influences, and educational empowerment.</p><p><strong>Conclusions: </strong>Results highlight the complexity of addressing SDoH in the ED and the need for more resources, education, and research on interventions and long-term outcomes.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":" ","pages":"315-345"},"PeriodicalIF":1.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126284","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}