{"title":"Ophthalmologic Emergencies: Assessment and Management.","authors":"Dian Dowling Evans, 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}
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, Selvendra Shanmuga Ratnam, Raja Muhammad Burhanudeen Afiq Bin Raja Badrol Hisham, 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}
{"title":"Cast Removal: Pearls and Methods.","authors":"Brianne N Miller, 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}
{"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}
{"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}
{"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}
{"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}
{"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}
{"title":"Recognition of Cutaneous Symptoms of Common Tick-Borne Illness in the Emergency Department.","authors":"Erica May","doi":"10.1097/TME.0000000000000488","DOIUrl":"10.1097/TME.0000000000000488","url":null,"abstract":"<p><p>Tick-borne diseases occur throughout the United States, with a disease burden that ranges from mild to severe. As temperatures rise with climate change, the active season for ticks increases, and more tick-borne illness is seen (Centers for Disease Control and Prevention, 2022a). Many patients present to the ED for suspected tick bites, rashes, and generalized medical complaints that may be related to a tick-borne disease, so it is important for the emergency nurse practitioner (ENP) to accurately diagnose these conditions. Because of this increasing disease burden, it has become vital for these illnesses to be recognized early, as early diagnosis can reduce possible complications of chronic illness. Familiarity with the cutaneous rashes present in several tick-borne diseases can aid the ENP to effectively diagnose and treat these conditions.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":"45 4","pages":"275-284"},"PeriodicalIF":0.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54231542","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}