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Advanced Emergency Nursing Journal最新文献

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Put It in the Air? Nebulized Opioids in the Emergency Department. 把它放在空中？急诊科的雾化阿片类药物。
IF 0.5
Advanced Emergency Nursing Journal Pub Date : 2023-10-01 DOI: 10.1097/TME.0000000000000480
Abby M Bailey, Kyle A Weant
{"title":"Put It in the Air? Nebulized Opioids in the Emergency Department.","authors":"Abby M Bailey, Kyle A Weant","doi":"10.1097/TME.0000000000000480","DOIUrl":"10.1097/TME.0000000000000480","url":null,"abstract":"<p><p>The emergency department (ED) is a frequent utilizer of alternative routes of medication administration (e.g., intranasal) for a variety of indications. Over the last several years, investigations into the use of medications via the nebulization route have greatly increased, with varying degrees of efficacy identified. This route has multiple theoretical advantages. Medications affecting bronchopulmonary function or secretions can be administered directly to the site of action, possibly utilizing a lower dose and hence minimizing side effects. It is also possible to have a faster onset of action compared with other routes, given the enhanced surface area for absorption. One group of medications that has been explored via this route of administration, and is frequently administered in EDs across the nation, is opioids, most notably fentanyl, hydromorphone, and morphine. However multiple questions exist regarding the implementation of these therapies via this route, including efficacy, dosing, and the functional aspects of medication administration that are more complex than that of more traditional routes. The intent of this review is to explore the supporting literature behind the use of nebulized opioids, most specifically fentanyl, hydromorphone, and morphine, in the ED for the treatment of acute pain presentations and provide the most up-to-date guidance for practitioners.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"45 4","pages":"260-269"},"PeriodicalIF":0.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54231540","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
Content Validation of an Emergency Department Skin Risk Assessment Instrument. 急诊科皮肤风险评估仪器的内容验证。
IF 0.5
Advanced Emergency Nursing Journal Pub Date : 2023-10-01 DOI: 10.1097/TME.0000000000000486
Kathleen Flarity, Wendy J Haylett, Melissa Childers
{"title":"Content Validation of an Emergency Department Skin Risk Assessment Instrument.","authors":"Kathleen Flarity,&nbsp;Wendy J Haylett,&nbsp;Melissa Childers","doi":"10.1097/TME.0000000000000486","DOIUrl":"10.1097/TME.0000000000000486","url":null,"abstract":"<p><p>Pressure injuries (PIs) are an important quality and patient safety metric for health care organizations. PI monitoring and treatment are often overlooked in the emergency department (ED). Emergency care professionals must be proactive about PI early identification and prevention strategies. A team at a Level 1 trauma center recognized the need for ED-friendly documentation and a validated ED skin risk assessment instrument. The Bjorklund 25-item ED Skin/Risk Assessment Tool was selected. However, because the tool was not fully validated, permission to validate/use was obtained from the author. The purpose of this research study was to determine the content validity of the Bjorklund Tool. Using a prospective survey design, content experts were recruited from wound, quality, and ED and participated in two rounds of content validation. The experts reviewed the Tool for relevance, clarity, and appropriateness for the ED population. Item-level content validity index (I-CVI) and scale-level CVI (S-CVI) were calculated, with 0.78 and 0.90 as the lower limits of acceptability for individual items and the overall scale, respectively. Of the first round I-CVI ratings, 24 of 75 were below 0.78, including 14 for relevance, four for clarity, and six for appropriateness. S-CVI was 0.7574 for relevance, 0.8809 for clarity, 0.8592 for appropriateness, and 0.8325 overall. The Bjorklund Tool was determined to be invalid in its current form. A novel tool was thus created in the second round per content experts' recommendations. After redesign and simplifying items and images, all I-CVIs rated above 0.78. S-CVI was 0.923 for relevance, 0.9743 for clarity, 0.9615 for appropriateness, and 0.9529 overall. These CVIs indicate excellent content validity of the new UCHealth ED Skin Risk Assessment Instrument. This research contributes to establishment of content validity of a skin risk assessment instrument which can be used in the unique ED setting.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"45 4","pages":"311-320"},"PeriodicalIF":0.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54231521","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
Ophthalmologic Emergencies: Assessment and Management. 眼科紧急情况：评估和管理。
IF 0.5
Advanced Emergency Nursing Journal Pub Date : 2023-10-01 DOI: 10.1097/TME.0000000000000490
Dian Dowling Evans, Karen Sue Hoyt
{"title":"Ophthalmologic Emergencies: Assessment and Management.","authors":"Dian Dowling Evans,&nbsp;Karen Sue Hoyt","doi":"10.1097/TME.0000000000000490","DOIUrl":"10.1097/TME.0000000000000490","url":null,"abstract":"<p><p>There are an estimated 2-3 million emergency department (ED) visits in the United States for eye complaints. Although most patients who present to the ED have nontraumatic eye complaints, many seek treatment for eye trauma, which is a leading cause of unilateral blindness and vison impairment. Given the prevalence of eye-related emergencies, it is imperative that emergency care providers understand how to recognize and treat eye complaints to prevent permanent vision loss and disability. This article covers basic eye anatomy and physiology, discusses a systematic approach to the eye examination, and presents the evidence-based treatment of selected, common nonemergent and emergent eye complaints. For each complaint, essential history questions, examination techniques, differentials, and emergency management have been presented.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"45 4","pages":"E9-E38"},"PeriodicalIF":0.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54231538","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
Re-expansion Pulmonary Edema: A Rare Complication of Chest Drain Insertion in Spontaneous Pneumothorax. 再膨胀性肺水肿：自发性胸腔引流管置入术的罕见并发症。
IF 0.5
Advanced Emergency Nursing Journal Pub Date : 2023-10-01 DOI: 10.1097/TME.0000000000000481
Mohammad Firdaus Bolong, Selvendra Shanmuga Ratnam, Raja Muhammad Burhanudeen Afiq Bin Raja Badrol Hisham, Nicholas Pang Tze Ping
{"title":"Re-expansion Pulmonary Edema: A Rare Complication of Chest Drain Insertion in Spontaneous Pneumothorax.","authors":"Mohammad Firdaus Bolong,&nbsp;Selvendra Shanmuga Ratnam,&nbsp;Raja Muhammad Burhanudeen Afiq Bin Raja Badrol Hisham,&nbsp;Nicholas Pang Tze Ping","doi":"10.1097/TME.0000000000000481","DOIUrl":"10.1097/TME.0000000000000481","url":null,"abstract":"<p><p>Re-expansion pulmonary edema (RPE) after chest drain insertion is rare. The objective of this clinical case report is to highlight the importance of this chest drain insertion complication. A 35-year-old man presented to the emergency department with a chief complaint of shortness of breath and pleuritic chest pain. Further physical examination and radiographic investigations showed a left-sided hemipneumothorax. A chest drain was inserted, but subsequently the patient developed worsening shortness of breath, desaturation, and coughed out pink frothy sputum. Repeated chest radiographic and computed tomographic thorax findings suggested RPE. A nonrebreathable mask with high-flow oxygen was given to the patient to maintain his oxygen saturation. The patient was referred to the cardiothoracic team and was admitted to the hospital. Despite conservative management in the ward, the patient underwent lung decortication. Postdecortication, the left-sided lung re-expanded well, and the patient was discharged home. This case highlighted this rare, potentially fatal complication of chest drain insertion for spontaneous pneumothorax.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"45 4","pages":"270-274"},"PeriodicalIF":0.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54231543","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
Cast Removal: Pearls and Methods. 铸件去除：珍珠和方法。
IF 0.5
Advanced Emergency Nursing Journal Pub Date : 2023-10-01 DOI: 10.1097/TME.0000000000000483
Brianne N Miller, Marcy C Purnell
{"title":"Cast Removal: Pearls and Methods.","authors":"Brianne N Miller,&nbsp;Marcy C Purnell","doi":"10.1097/TME.0000000000000483","DOIUrl":"10.1097/TME.0000000000000483","url":null,"abstract":"<p><p>Cast removal is a common procedure that can involve risks to the patient and should be done by a qualified and experienced provider. Indications for removal, assessment parameters, and careful procedural steps should be understood by all technicians, practitioners, and physicians who will participate in the removal of casting materials. Because this procedure can also produce anxiety for the patient and their family members, it is good practice to thoroughly inform the patient and answer any questions in advance to help reduce anxiety and promote cooperation from all during the process. This article describes common techniques for cast removal and provides tips to facilitate safe and efficient outcomes during this procedure.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"45 4","pages":"290-294"},"PeriodicalIF":0.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54231520","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: Is It Time for a New NP Population: The Emergency Nurse Practitioner? 客座编辑：是时候创造一个新的NP人群了吗：急诊执业护士？
IF 0.8
Advanced Emergency Nursing Journal Pub Date : 2023-10-01 DOI: 10.1097/TME.0000000000000478
Wesley D Davis, Melanie Gibbons Hallman
{"title":"Guest Editorial: Is It Time for a New NP Population: The Emergency Nurse Practitioner?","authors":"Wesley D Davis, Melanie Gibbons Hallman","doi":"10.1097/TME.0000000000000478","DOIUrl":"10.1097/TME.0000000000000478","url":null,"abstract":"","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"45 4","pages":"249-252"},"PeriodicalIF":0.8,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54231522","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
Incidental Finding of a Skene Gland Cyst in the Emergency Department. 急诊科偶然发现一个Skene腺囊肿。
IF 0.5
Advanced Emergency Nursing Journal Pub Date : 2023-10-01 DOI: 10.1097/TME.0000000000000482
Susan Hellier
{"title":"Incidental Finding of a Skene Gland Cyst in the Emergency Department.","authors":"Susan Hellier","doi":"10.1097/TME.0000000000000482","DOIUrl":"10.1097/TME.0000000000000482","url":null,"abstract":"<p><p>A Skene gland cyst is one of several benign anterior wall masses that may not be identified until a woman's first pelvic examination. The Skene gland cyst may confound emergency provider's differential diagnosis if the female patient presents with gynecological or urologic complaints. A patient with a Skene gland cyst is presented in this article. The purpose of this case study is to review information about the Skene gland to enable emergency providers to identify and consider the Skene gland cyst or abscess in the list of differential diagnoses for urological and gynecological symptoms or as an incidental finding that has no relationship to the presenting complaint. Accurate diagnosis of a Skene gland cyst, infected cyst, or another anterior vaginal wall mass allows the emergency provider to decide whether any immediate treatment is needed and appropriate gynecological referral for definitive treatment.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"45 4","pages":"285-289"},"PeriodicalIF":0.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54231524","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
Low-Dose Electrocution and Atrial Fibrillation. 低剂量电击与心房颤动。
IF 0.5
Advanced Emergency Nursing Journal Pub Date : 2023-10-01 DOI: 10.1097/TME.0000000000000484
Ida Obeso-Martinez
{"title":"Low-Dose Electrocution and Atrial Fibrillation.","authors":"Ida Obeso-Martinez","doi":"10.1097/TME.0000000000000484","DOIUrl":"10.1097/TME.0000000000000484","url":null,"abstract":"<p><p>Emergency electrocution incidents present with various injuries, which can range from minor to severe injuries including death. Cardiac-related complications have a higher mortality incidence among patients with low-voltage injuries (M. R. Zemaitis et al., 2023). When managing electrical injury patients, the literature recommends managing them as both trauma and cardiac cases. However, the diagnostic approach is based on each individual case and patient presentation. Electrical injury complications include arrhythmias, myocardial tissue damage, and conduction disturbances (Pilecky et al., 2019). The purpose of this case study is to discuss a postelectrocution atrial fibrillation case and common related arrhythmias associated with electrical injuries.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"45 4","pages":"295-300"},"PeriodicalIF":0.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54231537","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
Using Battlefield Acupuncture (BFA or Auricular Acupuncture) to Treat Primary Headaches in the Emergency Department. 运用战地针（BFA或耳针）治疗急诊科原发性头痛。
IF 0.5
Advanced Emergency Nursing Journal Pub Date : 2023-10-01 DOI: 10.1097/TME.0000000000000487
Fadzai Chiwandamira
{"title":"Using Battlefield Acupuncture (BFA or Auricular Acupuncture) to Treat Primary Headaches in the Emergency Department.","authors":"Fadzai Chiwandamira","doi":"10.1097/TME.0000000000000487","DOIUrl":"10.1097/TME.0000000000000487","url":null,"abstract":"<p><p>Patients with headaches who present to the emergency department (ED) need prompt pain management. Headaches are a common complaint in the ED. Urgent evaluation is critical to assess for life-threatening headache causes. Once the causes of secondary headaches are ruled out, various pain control modalities for primary headaches can be used. This article and case will illustrate the treatment of primary headaches using battlefield acupuncture (BFA) as it is effective, minimally invasive, and has minimal undesired side effects or interactions. BFA will continue to work after the patient has left the ED. Average pain relief can be 4-7 days but varies depending on etiology. BFA presents an opportunity to minimize costly resource overutilization while still providing an option for quick, safe, and effective pain control. The article will also briefly mention some crucial headache assessments (detailed education on headache assessment should be done separately by the reader).</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"45 4","pages":"321-326"},"PeriodicalIF":0.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54231544","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
Put It in the Air? Nebulized Opioids in the Emergency Department. 把它放在空中？急诊科的雾化阿片类药物。
IF 0.5
Advanced Emergency Nursing Journal Pub Date : 2023-10-01 DOI: 10.1097/TME.0000000000000491
{"title":"Put It in the Air? Nebulized Opioids in the Emergency Department.","authors":"","doi":"10.1097/TME.0000000000000491","DOIUrl":"10.1097/TME.0000000000000491","url":null,"abstract":"","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"45 4","pages":"E8"},"PeriodicalIF":0.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54231541","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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