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Advanced Emergency Nursing Journal最新文献

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Wound Assessment and Management: Key Concepts in Laceration Repair. 伤口评估与处理：撕裂伤修复的关键概念。
IF 1
Advanced Emergency Nursing Journal Pub Date : 2025-10-01 Epub Date: 2025-11-04 DOI: 10.1097/TME.0000000000000598
Pedro A Colio, Michael D Gooch, Karen Sue Hoyt, Ann E Gerhart
{"title":"Wound Assessment and Management: Key Concepts in Laceration Repair.","authors":"Pedro A Colio, Michael D Gooch, Karen Sue Hoyt, Ann E Gerhart","doi":"10.1097/TME.0000000000000598","DOIUrl":"10.1097/TME.0000000000000598","url":null,"abstract":"<p><p>The purpose of this article is to discuss wound assessment and management for advanced practice registered nurses (APRNs). Skin anatomy is reviewed, and the stages and methods of wound healing are also addressed. Common types of wound/skin disruption are listed. The importance of a thorough and meticulous history and physical exam outlining the appropriate initial evaluation of wounds and including the identification of potential complications such as infection, retained foreign bodies, and neurovascular injuries are also considered. Clinical decision-making and the formulation of differential diagnoses for patients presenting with wounds will be discussed along with a management plan for patients requiring laceration repair. Information regarding the procedural phase of care [e.g., anesthesia use, common wound closure techniques (e.g., suture, tissue adhesives, staples)], offering guidance on technique selection based on wound characteristics and location will also be given. A comprehensive plan of care including patient disposition, and referral and documentation exemplars with practical pearls to avoid litigation will also be provided. APRNs will also be offered evidence-based strategies to deliver safe and effective wound care and management.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"47 4","pages":"E7-E25"},"PeriodicalIF":1.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145496738","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
Guttate Psoriasis: Another Kid With an Itchy Rash. 斑疹型牛皮癣：另一个有痒疹的孩子。
IF 1
Advanced Emergency Nursing Journal Pub Date : 2025-07-01 Epub Date: 2025-07-31 DOI: 10.1097/TME.0000000000000576
Teresa Dodge
{"title":"Guttate Psoriasis: Another Kid With an Itchy Rash.","authors":"Teresa Dodge","doi":"10.1097/TME.0000000000000576","DOIUrl":"10.1097/TME.0000000000000576","url":null,"abstract":"<p><p>Guttate psoriasis (GP) is a variant of psoriasis. Approximately 2-4% of the world population is affected by psoriasis; of this, about 30% will be diagnosed with guttate psoriasis. GP primarily affects children and young adults. Like other psoriasis, guttate psoriasis is an immune-mediated dermatological disorder. GP is distinct, given it is classically an acute rash following a streptococcal infection.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":" ","pages":"193-197"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235430","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
Adrenal Insufficiency: A Case Study. 肾上腺功能不全：个案研究。
IF 1
Advanced Emergency Nursing Journal Pub Date : 2025-07-01 Epub Date: 2025-07-31 DOI: 10.1097/TME.0000000000000575
Catherine Kan
{"title":"Adrenal Insufficiency: A Case Study.","authors":"Catherine Kan","doi":"10.1097/TME.0000000000000575","DOIUrl":"10.1097/TME.0000000000000575","url":null,"abstract":"<p><p>Adrenal insufficiency is a disorder of the adrenal glands, where the glands fail to produce adequate mineralocorticoids, glucocorticoids, and adrenal androgens. The most common cause of primary adrenal insufficiency in developed countries is autoimmune; however, medications, infectious diseases, and trauma can also induce adrenal insufficiency. Exogenous steroid use is also a common cause of secondary adrenal insufficiency. Symptoms are related to alterations in the salt and water balance in the body and develop slowly over several months. Patients usually develop fatigue, nausea, vomiting, abdominal pain, myalgias, weight loss, and salt craving. Hyponatremia and hyperkalemia are common. Most patients eventually develop hyperpigmented skin and mucus membranes without treatment. Acute adrenal crisis is a medical emergency characterized by hypotension, lethargy, tachycardia, nausea and vomiting, and hypoglycemia. This requires prompt treatment with intravenous fluids, blood pressure support, and stress dosing of intravenous hydrocortisone. Patients who are correctly identified and treated can make a full recovery, although they will require lifelong replacement of mineralocorticoids and glucocorticoids. Patients who have stabilized their replacement regimens will also require increased doses during periods of illness or stress, such as viral infections or surgery. Emergency clinicians should be aware of the signs and symptoms of adrenal insufficiency and be ready to intervene to prevent life threatening complications.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":" ","pages":"186-192"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733806","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
From Classroom to Practice: Boosting ENP Proficiency With Online POCUS Training. 从课堂到实践：通过在线POCUS培训提高ENP水平。
IF 1
Advanced Emergency Nursing Journal Pub Date : 2025-07-01 Epub Date: 2025-07-31 DOI: 10.1097/TME.0000000000000583
Andrew Walsh, Pedro A Colio, Sukhdeep Singh
{"title":"From Classroom to Practice: Boosting ENP Proficiency With Online POCUS Training.","authors":"Andrew Walsh, Pedro A Colio, Sukhdeep Singh","doi":"10.1097/TME.0000000000000583","DOIUrl":"10.1097/TME.0000000000000583","url":null,"abstract":"<p><p>Point of Care Ultrasound (POCUS) is increasingly integrated into emergency medicine to improve clinical decision-making and patient outcomes. While POCUS training is a standard component of emergency medicine fellowship programs, training for Emergency Nurse Practitioners (ENPs) remains underdeveloped and lacks standardized competency assessment. The American College of Emergency Physicians (ACEP) recommends online didactic training to supplement in-person sessions focused on image acquisition and interpretation. This pilot project aimed to enhance POCUS training for ENPs by incorporating ACEP's online modules into the existing ENP sonogram program. Former and current ENP students completed a confidence survey based on their sonogram skills, with former students receiving traditional in-person training and current students completing online didactic modules before their lab sessions. Results indicated a significant increase in confidence across several ultrasound applications, including Extended Focused Assessment with Sonography in Trauma (eFAST) and echocardiograms. The addition of online training resulted in increased confidence in performing eFAST (28.57% increase), focused echocardiograms (25% increase), ocular sonograms (41.67% increase), but a decrease was seen in vascular access by 16% due to limited time spent on this exam. Students who completed the new training method demonstrated higher proficiency in performing eFAST exams on live models. Integrating online modules into ENP sonogram training is a cost-effective method for delivering didactic content, allowing more time for hands-on practice.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":" ","pages":"250-259"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733809","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
Epistaxis Management in an Emergency Department. 急诊科鼻出血的处理
IF 1
Advanced Emergency Nursing Journal Pub Date : 2025-07-01 Epub Date: 2025-07-31 DOI: 10.1097/TME.0000000000000586
{"title":"Epistaxis Management in an Emergency Department.","authors":"","doi":"10.1097/TME.0000000000000586","DOIUrl":"10.1097/TME.0000000000000586","url":null,"abstract":"","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"47 3","pages":"E6"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144805028","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
Pain Management in Pediatric Trauma: A Multidisciplinary, Patient-Centered Approach. 儿童创伤中的疼痛管理：多学科、以患者为中心的方法。
IF 1
Advanced Emergency Nursing Journal Pub Date : 2025-07-01 Epub Date: 2025-07-31 DOI: 10.1097/TME.0000000000000587
{"title":"Pain Management in Pediatric Trauma: A Multidisciplinary, Patient-Centered Approach.","authors":"","doi":"10.1097/TME.0000000000000587","DOIUrl":"10.1097/TME.0000000000000587","url":null,"abstract":"","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"47 3","pages":"E5"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144805031","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
To Treat or Not to Treat: Managing Markedly Elevated, Asymptomatic Hypertension in the Emergency Department. 治疗或不治疗：处理急诊科明显升高的无症状高血压。
IF 1
Advanced Emergency Nursing Journal Pub Date : 2025-07-01 Epub Date: 2025-07-31 DOI: 10.1097/TME.0000000000000574
Philip Davis, Dian Evans
{"title":"To Treat or Not to Treat: Managing Markedly Elevated, Asymptomatic Hypertension in the Emergency Department.","authors":"Philip Davis, Dian Evans","doi":"10.1097/TME.0000000000000574","DOIUrl":"10.1097/TME.0000000000000574","url":null,"abstract":"<p><p>The Research to Practice column focuses on improving the research critique skills and translation of research findings into emergency care clinical practice. In this issue, we discuss the findings of Chaudry et al. (2024) on risk factors associated with major adverse cardiovascular events after discharge in emergency department patients with markedly elevated blood pressures without evidence of target organ injury. The investigators conclude that there are a number of clinical characteristics and symptoms that build on the clinical policy recommendations by the American College of Emergency Physicians on which patients should receive routine diagnostic screening or antihypertensive treatment while in the emergency department to reduce their risk of adverse outcomes.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"47 3","pages":"170-176"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144805032","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
Alternative Anticoagulation Therapy in Tunnel Dialysis Catheter Septic Thrombus. 隧道透析导管感染性血栓的替代抗凝治疗。
IF 1
Advanced Emergency Nursing Journal Pub Date : 2025-07-01 Epub Date: 2025-07-31 DOI: 10.1097/TME.0000000000000577
Anthony Good, Emmanuel Coroneos, John Cherian, Cherian John, Denise R Ramponi
{"title":"Alternative Anticoagulation Therapy in Tunnel Dialysis Catheter Septic Thrombus.","authors":"Anthony Good, Emmanuel Coroneos, John Cherian, Cherian John, Denise R Ramponi","doi":"10.1097/TME.0000000000000577","DOIUrl":"10.1097/TME.0000000000000577","url":null,"abstract":"<p><p>Patients may have tunnel dialysis catheters utilized for chronic maintenance hemodialysis. Patients can develop infected thrombi with the catheter which can further result in the development of septicemia. This case illustrates a patient who was sent to the Emergency department due to fever, chills, hypotension and significant mental status changes. He was successfully treated with appropriate intravenous antibiotics utilizing culture results and combined use of activated factor Xa inhibitors (Apixaban) to provide early resolution of infected thrombi bacteremia.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":" ","pages":"198-202"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733807","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
Increasing Awareness of Self-managed Abortions: A Clinical Case. 提高自我管理堕胎的意识：一个临床病例。
IF 1
Advanced Emergency Nursing Journal Pub Date : 2025-07-01 Epub Date: 2025-07-31 DOI: 10.1097/TME.0000000000000582
Alexyss Capestany
{"title":"Increasing Awareness of Self-managed Abortions: A Clinical Case.","authors":"Alexyss Capestany","doi":"10.1097/TME.0000000000000582","DOIUrl":"10.1097/TME.0000000000000582","url":null,"abstract":"<p><p>The political climate after the overturning of Roe V. Wade in 2022 has made abortion care difficult to obtain in some regions, causing concern for a potential uprising of self-managed abortions. Most visits to emergency departments for complications related to induced abortions occurred in southern states where abortion bans are the strictest. Following the overturning of Roe V. Wade internet searches for abortion medications notably increased. To increase access to care, telehealth has expanded to include medication abortion services. This has contributed to an observable trend toward greater utilization of medication abortion. As medication abortions increase in availability, emergency providers should prepare themselves to manage potential complications. A case is presented about an adult female who obtained misoprostol from an online pharmacy to terminate a pregnancy at home.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":" ","pages":"241-249"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733810","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
Epistaxis Management in an Emergency Department. 急诊科鼻出血的处理
IF 1
Advanced Emergency Nursing Journal Pub Date : 2025-07-01 Epub Date: 2025-07-31 DOI: 10.1097/TME.0000000000000578
Arnaldo Vivanco
{"title":"Epistaxis Management in an Emergency Department.","authors":"Arnaldo Vivanco","doi":"10.1097/TME.0000000000000578","DOIUrl":"10.1097/TME.0000000000000578","url":null,"abstract":"<p><p>Epistaxis is a common nasal emergency with an estimated 1.7 per 1,000 visits annually to emergency departments. Treatment options depend on the severity of epistaxis, frequency, and equipment availability in the provider's setting. In addition, the treating provider should look at comorbidities, medications, and perform a thorough history and physical exam to attempt visualization of the source of epistaxis. Managing epistaxis should begin with the least to most invasive options, beginning with pressure and application of topical vasoconstrictors and moving to more invasive procedures should hemostasis not be achieved. This article describes a case of a 76-year-old male with a new onset of epistaxis that presents to an emergency department. This article will review the patient's emergency department visit, two follow-up visits, and epistaxis to increase the skills of emergency Advanced Practice Registered Nurses.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":" ","pages":"203-214"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733808","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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