Advanced Emergency Nursing Journal最新文献_第8页

Mycoplasma Genitalium: A Lesser-Known Cause of Pelvic Inflammatory Disease. 生殖支原体：盆腔炎的一个鲜为人知的病因。

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Advanced Emergency Nursing Journal Pub Date : 2023-07-01 DOI: 10.1097/TME.0000000000000472

Crystle Harcar

引用次数: 0

Atopic Dermatitis: A Common Pediatric Diagnosis That Is Not Just Another Rash. 特应性皮炎：一种常见的儿科诊断，而不仅仅是另一种皮疹。

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Advanced Emergency Nursing Journal Pub Date : 2023-07-01 DOI: 10.1097/TME.0000000000000468

Michael D Gooch, Kathleen S Jordan

引用次数: 0

Heatstroke on the Rise: A Guide to Implementing Tarp-Assisted Cooling With Oscillation (TACO) in the Emergency Department. 中暑加剧：急诊科实施焦油辅助振荡冷却（TACO）指南。

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Advanced Emergency Nursing Journal Pub Date : 2023-07-01 DOI: 10.1097/TME.0000000000000477

引用次数: 0

The Diagnostic Challenge of an Older Adult With Epigastric Pain in the Emergency Department: High Risk and High Volume. 急诊科老年人上腹痛的诊断挑战：高风险和高容量。

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Advanced Emergency Nursing Journal Pub Date : 2023-07-01 DOI: 10.1097/TME.0000000000000475

Karen Sue Hoyt, Kathleen S Jordan

引用次数: 0

Spontaneous Pneumothorax: Controversies in Treatment. 自发性胸腔积液：治疗中的争议。

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Advanced Emergency Nursing Journal Pub Date : 2023-07-01 DOI: 10.1097/TME.0000000000000465

Marlen Alvarez, Dian Dowling Evans, Paula Tucker

引用次数: 0

Intracranial Hemorrhage Presenting With ST-Segment Elevation and T-Wave Inversion Concerning for Acute Myocardial Infarction. 急性心肌梗死并发ST段抬高和T波倒置的颅内出血。

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Advanced Emergency Nursing Journal Pub Date : 2023-07-01 DOI: 10.1097/TME.0000000000000471

Evan Rusoja, Amandeep Singh

引用次数: 0

Splint Quality Assessment and Improvement Among Emergency Department Staff. 急诊科工作人员分流质量评估与改进。

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Advanced Emergency Nursing Journal Pub Date : 2023-07-01 DOI: 10.1097/TME.0000000000000474

Jason Cucchiara, Julie Thompson, Michael Zychowicz, Adam McHone, Robert Williamson

{"title":"Splint Quality Assessment and Improvement Among Emergency Department Staff.","authors":"Jason Cucchiara, Julie Thompson, Michael Zychowicz, Adam McHone, Robert Williamson","doi":"10.1097/TME.0000000000000474","DOIUrl":"10.1097/TME.0000000000000474","url":null,"abstract":"The purpose of this quality improvement project is to assess and improve the quality of splint application in the emergency department (ED), as well as the splint application confidence level of the ED staff. Consistent and high-quality splint application is critical in fracture stabilization and prevention of further injury. Significantly high turnover and a lack of formal training of ED staff has led to poor splint application, and in some cases, patient injuries related to the splints themselves. These injuries include pain, edema, and skin complications (A. P. Carino, 2017). A random, Likert-based analysis was performed on 20 ED-applied splints. Once analysis was complete, training courses were implemented to improve splint application techniques. Using the same Likert-based tool, applications of 20 posttraining splints were analyzed. In addition, ED staff confidence levels were scored before and after the training courses. Overall, statistically significant improvement was achieved in splint application quality and staff confidence. Correct splint applications increased from 50% to 95% after the educational sessions. Staff confidence in splint application also increased, from 35% to 77.1%. Quality splint application affects all patients. The higher risk population is more likely to suffer the consequences of poor splint application. This project had a positive impact on the region's marginalized patient population. These patients have limited resources, including lack of transportation, financial limitations, and typically are at higher risk for complications due to comorbidities.","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9886128","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

Heatstroke on the Rise: A Guide to Implementing Tarp-Assisted Cooling With Oscillation (TACO) in the Emergency Department. 中暑加剧：急诊科实施焦油辅助振荡冷却（TACO）指南。

IF 0.5

Advanced Emergency Nursing Journal Pub Date : 2023-07-01 DOI: 10.1097/TME.0000000000000470

Lucy Tucker, Emily Evans

{"title":"Heatstroke on the Rise: A Guide to Implementing Tarp-Assisted Cooling With Oscillation (TACO) in the Emergency Department.","authors":"Lucy Tucker, Emily Evans","doi":"10.1097/TME.0000000000000470","DOIUrl":"10.1097/TME.0000000000000470","url":null,"abstract":"Heat-related illnesses, namely, heatstroke is on the rise and is a public health concern nationally and internationally. Heatstroke is generally considered to be a core body temperature greater than 40 °C (104 °F) with dry, hot skin, and central nervous system manifestations. Heatstroke is characterized by a systemic inflammatory response that leads to multiple-organ dysfunction and ultimately death if not treated in a timely manner. Rapid recognition and cooling are imperative, as mortality is high, especially in the elderly. There are many cooling methods that have been studied that include cold-water immersion, tarp-assisted cooling with oscillation (TACO), evaporative cooling (misting/fanning), commercial ice packs, cooling vests and jackets, cold showers, and ice sheets. Although cold-water immersion is the fastest method for cooling, it is not usually feasible in an emergency department (ED). TACO is the most feasible and effective cooling method for EDs. It is vital that EDs have a specific plan in place before implementing TACO, as it requires 30-40 gallons of ice water, a tarp or waterproof sheet, core temperature monitoring, and an ample number of ED staff members to oscillate the water over the patient. Further research is needed to study TACO in the ED setting. As the incidence of heatstroke is expected to increase in the coming years, EDs must have a plan in place to rapidly recognize and treat patients with heatstroke so that patients will have improved outcomes and reduced mortality.","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9886130","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

Education Improves Emergency Department Providers' Knowledge of Human Trafficking. 教育提高急诊科人员对人口贩运的认识。

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Advanced Emergency Nursing Journal Pub Date : 2023-04-01 DOI: 10.1097/TME.0000000000000455

Stephanie P Arceneaux

{"title":"Education Improves Emergency Department Providers' Knowledge of Human Trafficking.","authors":"Stephanie P Arceneaux","doi":"10.1097/TME.0000000000000455","DOIUrl":"https://doi.org/10.1097/TME.0000000000000455","url":null,"abstract":"The purpose of this quality improvement (QI) initiative was to implement a human trafficking (HT) education module for the emergency department (ED) staff and providers along with implementation of a policy and protocol for screening, identification, and referral of HT victims in the ED to increase provider knowledge of HT and ensure provider compliance with the HT protocol via documentation of red flags and screening questions in the electronic medical record along with social services referrals. The goal of the social services referral was to connect the HT victim with community resources that facilitated placement, food, and shelter in the event the trafficking victim accepted rescue. HT is a public health concern, globally, nationally, and at the state and local levels. ED providers, which include advanced practice registered nurses such as nurse practitioners and clinical nurse specialists, are positioned to be able to identify and treat victims of HT. Therefore, HT victims are being seen and treated in EDs; however, health care providers are not recognizing them. Project design was a QI initiative, which utilized a convenience sample of ED providers. All ED providers and staff completed the HT Education module in Health Stream with pretest/posttest assessments via the PROTECT instrument, which evaluated ED staff/provider knowledge, perceived, actual, and confidence of HT, demographics, previous contact with HT victims, and participant preference for future HT training. HT Education resulted in improved knowledge of participants' perceived, actual, and confidence of HT as demonstrated by statistical significance from pretest to posttest scores; therefore, the HT educational training proved to be beneficial.","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9362253","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

The Use of Activated Charcoal in Toxicology and Implications for APRN Practice. 活性炭在毒理学中的使用及其对APRN实践的影响。

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Advanced Emergency Nursing Journal Pub Date : 2023-04-01 DOI: 10.1097/TME.0000000000000462

Alisha Bhimani, Tova Safier Frenkel, Dian Dowling Evans

{"title":"The Use of Activated Charcoal in Toxicology and Implications for APRN Practice.","authors":"Alisha Bhimani, Tova Safier Frenkel, Dian Dowling Evans","doi":"10.1097/TME.0000000000000462","DOIUrl":"https://doi.org/10.1097/TME.0000000000000462","url":null,"abstract":"This Research to Practice article is designed to help aid advanced practice registered nurses (APRNs) with up-to-date research guidelines in order to establish evidence-based changes in clinical practice within emergency medical care. The article, \"Activated Charcoal and Poisoning: Is It Really Effective?\" by Aksay et al. (2022), examines whether the usage of activated charcoal (AC) in current treatment protocols for ingested poisonings adds benefits, given recent controversies in its use. Study variables included clinical findings in relation to the drug being ingested, the frequency and usage of an antidote, the rate of being intubated, and the duration of being hospitalized comparing poisoned patients who received AC with those who did not. APRNs need to be aware of the current guidelines to help establish the appropriateness of use when administering AC and be able to evaluate patients during and after the administering of AC. Improved awareness and education regarding the different treatment modalities for toxicology patients such as AC can help with certain kinds of poisonings in the emergency department.","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9368561","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: 1