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Advanced Emergency Nursing Journal最新文献

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Guest Editorial: Emergency Nurse Practitioner Scope and Standards of Practice. 特邀社论：急诊执业护士的执业范围和标准。
IF 0.8
Advanced Emergency Nursing Journal Pub Date : 2024-01-01 DOI: 10.1097/TME.0000000000000502
Wesley D Davis, Dian Dowling Evans
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引用次数: 0
Finger Thoracostomy for Tension Pneumothorax. 指状胸腔造口术治疗张力性气胸。
IF 0.5
Advanced Emergency Nursing Journal Pub Date : 2024-01-01 DOI: 10.1097/TME.0000000000000506
{"title":"Finger Thoracostomy for Tension Pneumothorax.","authors":"","doi":"10.1097/TME.0000000000000506","DOIUrl":"10.1097/TME.0000000000000506","url":null,"abstract":"","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"46 1","pages":"E2"},"PeriodicalIF":0.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139571700","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
It's Not a Spider Bite-It's MRSA! 这不是蜘蛛咬伤，而是 MRSA！
IF 0.5
Advanced Emergency Nursing Journal Pub Date : 2024-01-01 DOI: 10.1097/TME.0000000000000496
Kristine Anne Scordo
{"title":"It's Not a Spider Bite-It's MRSA!","authors":"Kristine Anne Scordo","doi":"10.1097/TME.0000000000000496","DOIUrl":"10.1097/TME.0000000000000496","url":null,"abstract":"<p><p>Although there is an increased awareness of community-acquired methicillin-resistant Staphylococcus aureus (MRSA), there remains a bias of the public and health-care workers to blame spiders as a cause of skin and soft tissue infection when there is no valid incriminated evidence for this assumption. MRSA is a formidable infection and remains a threat to human health. Recognition and proper treatment by practitioners remain of utmost importance to improve patient outcomes.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"46 1","pages":"33-37"},"PeriodicalIF":0.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139571702","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
An Evidence-Based Algorithm of Management of Heatstroke in the Emergency Department. 以证据为基础的急诊科中暑处理算法。
IF 0.5
Advanced Emergency Nursing Journal Pub Date : 2024-01-01 DOI: 10.1097/TME.0000000000000501
Philip Davis, Dian Evans
{"title":"An Evidence-Based Algorithm of Management of Heatstroke in the Emergency Department.","authors":"Philip Davis, Dian Evans","doi":"10.1097/TME.0000000000000501","DOIUrl":"10.1097/TME.0000000000000501","url":null,"abstract":"<p><p>Annual rates of heat illness and heat-related deaths have been increasing across the United States as more regions of the country have been experiencing heat waves of extreme ambient temperatures of prolonged durations. According to the Centers for Disease Control and Prevention, heat illnesses have become the leading cause of weather-related deaths. This article critiques and describes the findings of a systematic review by C. Rublee et al. (2021). The review was conducted to develop an evidence-based algorithm specific for management of heatstroke in the emergency department with implications for improving recognition, initiating rapid cooling, and providing supportive care to reduce patient mortality and morbidity.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"46 1","pages":"3-11"},"PeriodicalIF":0.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139571648","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
Acute Hyperkalemia Management in the Emergency Department. 急诊科的急性高钾血症处理。
IF 0.5
Advanced Emergency Nursing Journal Pub Date : 2024-01-01 DOI: 10.1097/TME.0000000000000504
Kyle A Weant, Haili Gregory
{"title":"Acute Hyperkalemia Management in the Emergency Department.","authors":"Kyle A Weant, Haili Gregory","doi":"10.1097/TME.0000000000000504","DOIUrl":"10.1097/TME.0000000000000504","url":null,"abstract":"<p><p>Acute hyperkalemia is characterized by high concentrations of potassium in the blood that can potentially lead to life-threatening arrhythmias that require emergent treatment. Therapy involves the utilization of a constellation of different agents, all targeting different goals of care. The first, and most important step in the treatment of severe hyperkalemia with electrocardiographic (ECG) changes, is to stabilize the myocardium with calcium in order to resolve or mitigate the development of arrythmias. Next, it is vital to target the underlying etiology of any ECG changes by redistributing potassium from the extracellular space with the use of intravenous regular insulin and inhaled beta-2 agonists. Finally, the focus should shift to the elimination of excess potassium from the body through the use of intravenous furosemide, oral potassium-binding agents, or renal replacement therapy. Multiple nuances and controversies exist with these therapies, and it is important to have a robust understanding of the underlying support and recommendations for each of these agents to ensure optimal efficacy and minimize the potential for adverse effects and medication errors.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"46 1","pages":"12-24"},"PeriodicalIF":0.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139571670","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
Odontoid/Dens Fractures. 舌骨/颌骨骨折
IF 0.5
Advanced Emergency Nursing Journal Pub Date : 2024-01-01 DOI: 10.1097/TME.0000000000000495
Anthony E Good, Denise R Ramponi
{"title":"Odontoid/Dens Fractures.","authors":"Anthony E Good, Denise R Ramponi","doi":"10.1097/TME.0000000000000495","DOIUrl":"10.1097/TME.0000000000000495","url":null,"abstract":"<p><p>Odontoid fractures remain the most common C2 fracture and of those individuals older than 65 years. The type of optimal management remains in question given comorbidities, risk of nonunion, and limitations in mobility when surgical fusion is the treatment selected. These fractures are of particular importance, given the high incident of morbidity and mortality following an odontoid fracture. Overall quality of life remains a significant consideration when selecting the best intervention following careful examination and confirmation with radiographic imaging. The literature continues with controversies in the best treatment interventions for these fractures, resulting in a case-by-case decision-making process.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"46 1","pages":"38-43"},"PeriodicalIF":0.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139571709","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
Acute Hyperkalemia Management in the Emergency Department. 急诊科的急性高钾血症处理。
IF 0.5
Advanced Emergency Nursing Journal Pub Date : 2024-01-01 DOI: 10.1097/TME.0000000000000505
{"title":"Acute Hyperkalemia Management in the Emergency Department.","authors":"","doi":"10.1097/TME.0000000000000505","DOIUrl":"10.1097/TME.0000000000000505","url":null,"abstract":"","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"46 1","pages":"E1"},"PeriodicalIF":0.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139571681","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
Occupational Stress of Pediatric Emergency Nurses in Greece During the COVID-19 Pandemic. 希腊儿科急诊护士在 COVID-19 大流行期间的职业压力。
IF 0.5
Advanced Emergency Nursing Journal Pub Date : 2024-01-01 DOI: 10.1097/TME.0000000000000499
Areti Kasidouli, Vasiliki Matziou, Sofia Zyga, Ioannis Kasimis, Varvara Boutopoulou, Efrosini Vlachioti, Charalampia Deli, Pantelis Perdikaris
{"title":"Occupational Stress of Pediatric Emergency Nurses in Greece During the COVID-19 Pandemic.","authors":"Areti Kasidouli, Vasiliki Matziou, Sofia Zyga, Ioannis Kasimis, Varvara Boutopoulou, Efrosini Vlachioti, Charalampia Deli, Pantelis Perdikaris","doi":"10.1097/TME.0000000000000499","DOIUrl":"10.1097/TME.0000000000000499","url":null,"abstract":"<p><p>During the COVID-19 pandemic, numerous studies have shown the high prevalence of occupational stress (OS) of health workers, affecting the quality of health care provided. To date, there is no study regarding OS of emergency care pediatric nurses working in Greece. This study aimed to examine the pediatric nurses' OS working in tertiary public hospitals in Greece. In this cross-sectional study, a total of 104 pediatric nurses were recruited randomly from summer 2020 to summer 2021. The Expanded Nursing Stress Scale (ENSS), which consists of 59 items grouped into nine categories, was used to assess nurses OS. The overall OS mean score was 141.04 (SD = 33.48), indicating mild stress. Among nine categories, pediatric nurses were more stressed about patients and families (mean = 22.83, SD = 5.71), as well as death and dying (mean = 19.33, SD = 5.22), whereas they were less stressed about discrimination (mean = 4.21, SD = 4.09) and problems with peer support (mean = 12.11, SD = 4.58). Sex, age, and shifts did not correlate with OS. Borderline correlation was present between age and inadequate emotional preparation for less experienced nurses (p = 0.047), while higher educated pediatric nurses were more stressed because of workload than lower educated pediatric nurses (p = 0.044). Greek pediatric nurses suffered mild OS during the COVID-19 pandemic. There is a great need for further research and implementation of supportive sustainable programs aimed to the minimization of OS and the optimization of health care provided during and after the COVID-19 pandemic.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"46 1","pages":"82-89"},"PeriodicalIF":0.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139571706","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
An Obstetric and Psychiatric Emergency: Managing Acute Agitation Among Pregnant Patients in the Emergency Department. 产科和精神科急诊：急诊科孕妇急性躁动的处理。
IF 0.5
Advanced Emergency Nursing Journal Pub Date : 2023-10-01 DOI: 10.1097/TME.0000000000000485
Mei Yan Woo, Raymund Gantioque
{"title":"An Obstetric and Psychiatric Emergency: Managing Acute Agitation Among Pregnant Patients in the Emergency Department.","authors":"Mei Yan Woo, Raymund Gantioque","doi":"10.1097/TME.0000000000000485","DOIUrl":"10.1097/TME.0000000000000485","url":null,"abstract":"<p><p>New onset of agitation during pregnancy is an obstetric and behavioral emergency that demands careful evaluation and prompt treatment. This article provides an overview of clinical evaluation and types of nonpharmacologic and pharmacologic interventions when managing acute agitation during pregnancy. Rapid clinical evaluation and behavioral management are keys to preventing detrimental maternal and fetal complications. Clinicians must seek out medical etiologies of agitation and always attempt verbal de-escalation before initiating chemical or physical restraints. Should medication be necessary, first-generation antipsychotics, second-generation antipsychotics, antihistamines, or benzodiazepines may be considered. Managing agitation in pregnancy is a challenging dilemma due to the fear of adverse maternal and neonatal outcomes as well as the legal risk involved. Nevertheless, clinicians should continue to assess the patient without delay, differentiate underlying causes of agitation, treat the mother and fetus aggressively, and consult obstetric and psychiatric services early.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"45 4","pages":"301-310"},"PeriodicalIF":0.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54231505","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 the Management of Adults With Mild Traumatic Brain Injury: An Initiative to Reduce Unnecessary Computed Tomographic Scans in the Emergency Department. 改善成人轻度颅脑损伤的管理：减少急诊科不必要的计算机断层扫描的举措。
IF 0.5
Advanced Emergency Nursing Journal Pub Date : 2023-10-01 DOI: 10.1097/TME.0000000000000489
Rachel Helms
{"title":"Improving the Management of Adults With Mild Traumatic Brain Injury: An Initiative to Reduce Unnecessary Computed Tomographic Scans in the Emergency Department.","authors":"Rachel Helms","doi":"10.1097/TME.0000000000000489","DOIUrl":"10.1097/TME.0000000000000489","url":null,"abstract":"<p><p>The overuse of computed tomographic (CT) scans for patients who present to the emergency department (ED) after mild traumatic brain injury (mTBI) has been well-documented. The Canadian Computed Tomography Head Rule (CCHR) is a validated tool to guide ED providers in determining the need for emergent CT of mTBI patients. The purpose of this project was to reduce radiation exposure and ED length of stay by using the CCHR to decrease unnecessary CT scans in adults with TBI. Cost of care was also estimated. The CCHR implementation strategy included an education program for ED staff. The use of the CCHR was promoted throughout the intervention period. The outcomes measured were the number of CT scans ordered, ED length of stay, and the cost of avoidable CT scans. Data were collected through medical record reviews completed by the project leader and were evaluated using the independent samples t test. A total of 600 medical records were reviewed. There was a significant difference between adherence to the CCHR before (M = 64.6%) and after provider education (M = 74.3%). The percentage of CT scans that could have been avoided significantly decreased from baseline (M = 0.63) after provider education (M = 0.46). Length of stay for mTBI patients who were managed based on the CCHR (M = 184.9) was significantly less than the length of stay for those who were not (M = 260.1). The cost of avoidable scans was decreased by 37% over the course of the project. There were no incidents of missed diagnosis found. By increasing awareness of the CCHR and promoting its use, the number of head CT scans ordered, cost of care, and ED length of stay for patients who present after mTBI were significantly improved.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"45 4","pages":"327-340"},"PeriodicalIF":0.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54231523","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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