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Knowledge, Attitudes, and Beliefs: Advanced Practice Providers and Transgender Adult Patients in the Emergency Department. 知识、态度和信念：急诊科的高级实践提供者和变性成人患者。
IF 1
Advanced Emergency Nursing Journal Pub Date : 2025-07-01 Epub Date: 2025-07-31 DOI: 10.1097/TME.0000000000000580
Kelly Goszkowicz, Philip Davis, Dian Evans
{"title":"Knowledge, Attitudes, and Beliefs: Advanced Practice Providers and Transgender Adult Patients in the Emergency Department.","authors":"Kelly Goszkowicz, Philip Davis, Dian Evans","doi":"10.1097/TME.0000000000000580","DOIUrl":"10.1097/TME.0000000000000580","url":null,"abstract":"<p><p>Transgender individuals face significant discrimination in daily life and disproportionately high health disparities compared to the general population, including elevated rates of poverty, substance abuse, and mental health challenges. When seeking emergency department care in the United States, they encounter additional barriers such as stigma, lack of provider cultural competence, and limited clinical experience with transgender patients. These barriers often lead transgender people to delay or avoid emergency healthcare, resulting in poorer health outcomes.This study aimed to examine the knowledge, attitudes, and beliefs of Advanced Practice Providers toward transgender adult patients, comparing those with less than three years of ED experience to those with more. A qualitative, 20-question Likert-scale KAB survey was conducted online to assess differences between groups. Primary findings revealed differences in perceptions that could inform transgender-focused educational initiatives within healthcare institutions, guide practice modifications among APPs, and improve outcomes for transgender patients in emergency care settings.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"47 3","pages":"224-231"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144805030","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: Live from Dallas: Listening, Learning, and Looking Ahead With AAENP. 嘉宾评论：达拉斯现场：AAENP的倾听、学习和展望。
IF 0.6
Advanced Emergency Nursing Journal Pub Date : 2025-07-01 Epub Date: 2025-07-31 DOI: 10.1097/TME.0000000000000573
Judson Smith
{"title":"Guest Editorial: Live from Dallas: Listening, Learning, and Looking Ahead With AAENP.","authors":"Judson Smith","doi":"10.1097/TME.0000000000000573","DOIUrl":"10.1097/TME.0000000000000573","url":null,"abstract":"","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"47 3","pages":"169"},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144805029","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.0000000000000572
Haili Gregory, Kylee N Wiemer, Daniel B Park
{"title":"Pain Management in Pediatric Trauma: A Multidisciplinary, Patient-Centered Approach.","authors":"Haili Gregory, Kylee N Wiemer, Daniel B Park","doi":"10.1097/TME.0000000000000572","DOIUrl":"10.1097/TME.0000000000000572","url":null,"abstract":"<p><p>Pain in pediatric trauma patients is difficult to assess and manage, with far-reaching consequences if not treated adequately. How we as a healthcare team approach treating pain in pediatric trauma patients can be the difference between achieving meaningful recovery versus unintentionally causing fear, anxiety, and psychological discomfort for our patients. Emergency medicine and trauma teams need to be well-versed in the many treatment options of pediatric pain to both obtain a thorough trauma exam as well as maintain the patient's comfort in a safe and effective manner. This article aims to discuss the many advantages of a multidisciplinary approach to managing pain in pediatric trauma patients, including the use of pharmacotherapy and non-pharmacotherapy-based treatment approaches.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":" ","pages":"177-185"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235431","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
Pacemaker Dependence Masking Atrial Fibrillation in a Case of Infective Endocarditis. 感染性心内膜炎1例起搏器依赖掩盖心房颤动。
IF 1
Advanced Emergency Nursing Journal Pub Date : 2025-07-01 Epub Date: 2025-07-31 DOI: 10.1097/TME.0000000000000579
Pedro A Colio, Ida Obeso
{"title":"Pacemaker Dependence Masking Atrial Fibrillation in a Case of Infective Endocarditis.","authors":"Pedro A Colio, Ida Obeso","doi":"10.1097/TME.0000000000000579","DOIUrl":"10.1097/TME.0000000000000579","url":null,"abstract":"<p><p>Pacemaker dependence can complicate the diagnosis of underlying arrhythmias, posing a significant challenge for emergency providers, especially when atrial fibrillation (AF) is masked by pacemaker activity. This is particularly concerning in patients with a history of cardiac surgery, such as tissue aortic valve replacement, and those presenting with potential infective endocarditis (IE). This case study examines a patient who presented to the emergency department with symptoms suggestive of endocarditis following recent dental work, but whose new-onset AF went undiagnosed due to pacemaker settings and dependence. This case highlights the diagnostic challenges posed by pacemaker-dependent rhythms and underscores the importance of emergency department pacemaker interrogations and comprehensive evaluation in patients with complex cardiac histories. Additionally, it raises awareness of the need for heightened suspicion for both arrhythmias and infections in such patients, particularly in resource-limited settings where specialized consultations may not be readily available.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":" ","pages":"215-223"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733811","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
A Life-Threatening Finding From Hypercoagulable States in DKA With Controversial Treatment. DKA患者高凝状态对生命的威胁，治疗方法存在争议。
IF 1
Advanced Emergency Nursing Journal Pub Date : 2025-07-01 Epub Date: 2025-07-31 DOI: 10.1097/TME.0000000000000581
Erika Y Reid
{"title":"A Life-Threatening Finding From Hypercoagulable States in DKA With Controversial Treatment.","authors":"Erika Y Reid","doi":"10.1097/TME.0000000000000581","DOIUrl":"10.1097/TME.0000000000000581","url":null,"abstract":"<p><p>Diabetic Ketoacidosis (DKA) is a severe complication typically observed in individuals with type 1 diabetes, but it can also occur with type 2 diabetes under certain circumstances. It is characterized by insulin deficiency leading to hyperglycemia, ketosis, and metabolic acidosis, necessitating immediate medical intervention to prevent severe complications and possible death. This article presents a case report of a 76-year-old man with no prior history of diabetes who presented in DKA with a thrombotic complication at the emergency department. The vascular endothelium serves as a barrier against thrombosis but is also a primary target of hyperglycemia. The presence of high glucose levels triggers adverse intracellular processes, leading to endothelial dysfunction. Hyperglycemia and insulin resistance contribute to increased platelet sensitivity, coagulation factor abnormalities, and impaired fibrinolysis (Li et al., 2021). This article delves into the identification and treatment of DKA complicated by the pro-thrombotic state, presenting a contentious treatment approach.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"47 3","pages":"232-240"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144805027","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
Fluid Resuscitation in the Treatment of Acute Pancreatitis: Rate and Volume Controversies. 液体复苏治疗急性胰腺炎：率和量的争议。
IF 0.8
Advanced Emergency Nursing Journal Pub Date : 2025-04-01 Epub Date: 2025-03-07 DOI: 10.1097/TME.0000000000000569
Philip Davis, Dian Evans
{"title":"Fluid Resuscitation in the Treatment of Acute Pancreatitis: Rate and Volume Controversies.","authors":"Philip Davis, Dian Evans","doi":"10.1097/TME.0000000000000569","DOIUrl":"10.1097/TME.0000000000000569","url":null,"abstract":"<p><p>The aim of the Research to Practice column is to enhance the research critique abilities of both advanced practice registered nurses and emergency nurses, while also aiding in the translation of research findings into clinical practice. Each column focuses on a specific topic and research study. In this article, we used a scenario of left upper quadrant pain to explore the study by de-Madaria et al., titled \"Aggressive or moderate fluid resuscitation in acute pancreatitis\".</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":" ","pages":"88-95"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143664731","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: Predatory Journals: Safeguarding the Integrity of Nursing Publications. 客座社论：掠夺性期刊：维护护理出版物的完整性。
IF 0.6
Advanced Emergency Nursing Journal Pub Date : 2025-04-01 Epub Date: 2025-04-30 DOI: 10.1097/TME.0000000000000560
Wesley D Davis
{"title":"Guest Editorial: Predatory Journals: Safeguarding the Integrity of Nursing Publications.","authors":"Wesley D Davis","doi":"10.1097/TME.0000000000000560","DOIUrl":"10.1097/TME.0000000000000560","url":null,"abstract":"","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"47 2","pages":"85-87"},"PeriodicalIF":0.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055716","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
ECG Changes and High Sensitivity Troponin I in Acute Cholecystitis. 急性胆囊炎的心电图变化与高敏感性肌钙蛋白I。
IF 0.8
Advanced Emergency Nursing Journal Pub Date : 2025-04-01 Epub Date: 2025-04-30 DOI: 10.1097/TME.0000000000000570
{"title":"ECG Changes and High Sensitivity Troponin I in Acute Cholecystitis.","authors":"","doi":"10.1097/TME.0000000000000570","DOIUrl":"https://doi.org/10.1097/TME.0000000000000570","url":null,"abstract":"","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"47 2","pages":"E4"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144038974","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
Button Battery Ingestion: A Tiny Object with the Potential for a Catastrophic Outcome. 纽扣电池误食：一个可能导致灾难性后果的微小物体。
IF 0.8
Advanced Emergency Nursing Journal Pub Date : 2025-04-01 Epub Date: 2025-04-30 DOI: 10.1097/TME.0000000000000565
Kathleen S Jordan, Cody Carpenter, Sara H Steelman
{"title":"Button Battery Ingestion: A Tiny Object with the Potential for a Catastrophic Outcome.","authors":"Kathleen S Jordan, Cody Carpenter, Sara H Steelman","doi":"10.1097/TME.0000000000000565","DOIUrl":"10.1097/TME.0000000000000565","url":null,"abstract":"<p><p>Foreign body ingestion is a common complaint encountered in the emergency department among both adults and children. Children under the age of 6 years are at especially high risk of foreign body ingestion, including coins, toys, jewelry and batteries. The button battery is the most common battery ingested and has the highest potential for serious and fatal injuries in infants and children. Over the past decade there has been a dramatic increase in the incidence of button battery ingestions directly related to the widespread expansion and availability of common consumer electronics powered by button batteries. Most ingested foreign bodies pass through the gastrointestinal system spontaneously and without complications. However a button battery that becomes lodged in the nasopharynx, oropharynx, trachea, esophagus, or any part of the gastrointestinal tract is associated with an exceptionally high rate of complications, including death. Button batteries lodged in the esophagus are especially dangerous and require immediate removal as serious tissue damage may occur in as little as 2 hours. Emergency care providers must maintain a high index of suspicion and be fully aware of the dangers of button battery ingestion. Initial symptoms may be variable nonspecific symptoms including fussiness, decreased appetite or refusal to eat or drink, drooling, difficulty swallowing, hematemesis or abdominal pain. Obtaining plain radiographs for foreign body ingestion should not be delayed. In addition, emergency care providers can be advocates for the safety and protection of button battery ingestions through knowledge dissemination and public advocacy.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":" ","pages":"122-128"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143664659","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
Fifth Metacarpal Fracture in 65-Year-Old Female. 65岁女性第5例掌骨骨折。
IF 0.8
Advanced Emergency Nursing Journal Pub Date : 2025-04-01 Epub Date: 2025-04-16 DOI: 10.1097/TME.0000000000000564
Denise R Ramponi, Patricia K Strobehn
{"title":"Fifth Metacarpal Fracture in 65-Year-Old Female.","authors":"Denise R Ramponi, Patricia K Strobehn","doi":"10.1097/TME.0000000000000564","DOIUrl":"10.1097/TME.0000000000000564","url":null,"abstract":"<p><p>Metacarpal fractures account for 30% to 40% of all hand fractures. These fractures usually occur in adolescents and young adults. The mechanism of injury is often direct trauma, but can also occur with an axial load or torsional loading (twisting). Fractures of the metacarpals are subdivided into the metacarpal head, neck, shaft, and base. The most common metacarpal fractures involve the neck of the fifth metacarpal, known as the boxer fracture. Fifth metacarpal fractures can involve the head, neck, shaft, or base. This article highlights a patient with a fifth metacarpal fracture near the base with 40 degrees of angulation.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"47 2","pages":"116-121"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053406","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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