Journal of Emergency Nursing最新文献

{"title":"Walking in the Shoes of a Remote Area Nurse in Victoria, Australia","authors":"Sue Carroll RN, RM, RAN, RIPERN,&nbsp;Nancy Mannion DNP, RN, CEN, FAEN","doi":"10.1016/j.jen.2025.03.021","DOIUrl":"10.1016/j.jen.2025.03.021","url":null,"abstract":"<div><div>Bush nursing developed in the early part of the 20th century to address the burden of illness and injury in remote areas of Australia. The authors describe the history of bush nursing in Australia and the role of a bush nurse today, including educational and practice requirements. A case study exemplifies the skills and knowledge an emergency nurse would need to perform successfully as a bush nurse.</div></div>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"51 4","pages":"Pages 525-529"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144517320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Emergency Nursing Review Questions: July 2025","authors":"Benjamin E. Marett EdD, MSN, CEN, CCRN, COHN-S, NPD-C, NE-BC, TCRN, FAEN, FAHA,&nbsp;Terry M. Foster MSN, RN, CCRN, TCRN, CPEN, CEN, FAEN","doi":"10.1016/j.jen.2025.03.001","DOIUrl":"10.1016/j.jen.2025.03.001","url":null,"abstract":"","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"51 4","pages":"Pages 760-763"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144517355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Esophageal, Gastric, and Intestinal Pneumatosis With Intrahepatic Portal Venous Gas After Laparoscopic Jejunostomy","authors":"Jin Ruei Yang MD,&nbsp;Chang Wei Chen MD,&nbsp;Chih Hung Hsu MD, MS,&nbsp;Fang Ling Chiu MS,&nbsp;Jan Sing Hsieh PhD, MD","doi":"10.1016/j.jen.2025.02.004","DOIUrl":"10.1016/j.jen.2025.02.004","url":null,"abstract":"","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"51 4","pages":"Pages 572-574"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144517325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Board of Directors","authors":"","doi":"10.1016/S0099-1767(25)00179-5","DOIUrl":"10.1016/S0099-1767(25)00179-5","url":null,"abstract":"","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"51 4","pages":"Page A7"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144517313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"This Is Not a Drill","authors":"Zhaohui Su PhD","doi":"10.1016/j.jen.2025.03.004","DOIUrl":"10.1016/j.jen.2025.03.004","url":null,"abstract":"","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"51 4","pages":"Pages 570-571"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144517324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Novel Streamlined Triphasic Approach to Training Pediatric Emergency Staff for Ultrasound-Guided Peripheral Intravenous Access","authors":"Benjamin K. Nti MD, MSc,&nbsp;Pamela Soriano MD, MBA,&nbsp;Sean Mulligan MD,&nbsp;Emily Dever MSN, RN, PCNS-BC, CPEN,&nbsp;Tresanay Bentley NR-P, CPST-I,&nbsp;Elizabeth Weinstein MD","doi":"10.1016/j.jen.2025.02.009","DOIUrl":"10.1016/j.jen.2025.02.009","url":null,"abstract":"<div><h3>Introduction</h3><div>Ultrasound-guided peripheral intravenous access enhances the clinical management of pediatric patients with difficult intravenous access. However, the quality and depth of the training required to master this skill can vary significantly. We instituted a novel curriculum to streamline the training process using a simplified 3-phase approach.</div></div><div><h3>Methods</h3><div>This prospective observational study included emergency nurses and paramedics trained in ultrasound-guided peripheral intravenous placement from October 2020 to November 2021. Pediatric emergency nurses and paramedics with experience and proficiency in standard peripheral intravenous placement were included. The training curriculum included 3 phases: (1) 3 hours of didactics, machine, and phantom training; (2) at least 10 supervised cannulations; and (3) 10 unsupervised cannulations in patients with difficult intravenous access. Participants were assessed at each phase and 6 months after the initial training.</div></div><div><h3>Results</h3><div>Thirty participants completed the training. The average years of experience was 6.37 years (standard error of mean 1.17). Likert rating of comfort level with ultrasound machine competency, vascular anatomy, image acquisition, interpretation, and clinical integration respectively increased significantly between the pretraining survey and post-training survey [2.83 (0.29) vs 4.07 (0.12); 2.83 (0.29) vs 4.30 (0.12); 2.33 (0.23) vs 4.22 (0.13); and 3.00 (0.34) vs 4.22 (0.18); <em>P</em> &lt; .05]. This was sustained for more than 6 months after training. We observed a concomitant decrease in peripheral intravenous attempts (standard 2.86 ± 0.22 vs ultrasound-guided peripheral intravenous 1.2 ± 0.08). The training was valuable (4.9 ± 0.05) and changed clinical management (4.5 ± 0.20) of patients with difficult intravenous access.</div></div><div><h3>Discussion</h3><div>These findings support the integration of ultrasound-guided peripheral intravenous access as part of staff training to enhance pediatric emergency nurses’ paramedic cannulation skills and improve patient management.</div></div>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"51 4","pages":"Pages 666-674"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143712042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acute Delirium From Urinary Retention in Elderly Women With Alzheimer’s Disease: A Case of Female Cystocerebral Syndrome","authors":"Mang Ouyang MD,&nbsp;Yao Zeng MD","doi":"10.1016/j.jen.2025.02.015","DOIUrl":"10.1016/j.jen.2025.02.015","url":null,"abstract":"<div><h3>Introduction</h3><div>Delirium is a frequent and complex condition among elderly patients in emergency departments, often requiring rapid assessment and intervention. Emergency nurses are integral to identifying reversible causes of delirium, such as urinary retention.</div></div><div><h3>Case Presentation</h3><div><em>Cystocerebral syndrome</em>, a rare but significant condition predominantly observed in males, is characterized by delirium triggered by acute urinary retention and reversible with bladder decompression. This report details the first documented female case: an 80-year-old patient with Alzheimer’s disease presenting with hypoactive delirium, marked by reduced speech and mobility. Through comprehensive nursing assessment, bladder distention was identified as the underlying cause. After catheterization, the patient’s symptoms resolved within 10 minutes, confirming the diagnosis of <em>cystocerebral syndrome</em>.</div></div><div><h3>Conclusion</h3><div>This case underscores the critical role of emergency nursing in recognizing atypical presentations of delirium in elderly female patients and ensuring timely, targeted interventions to optimize outcomes.</div></div>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"51 4","pages":"Pages 661-665"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Manchester Triage System as a Predictive Model for Early Placement of Peripheral Venous Catheters in a Pediatric Emergency Department: A Cross-Sectional Study","authors":"Antonio Esteve-Ríos PhD, MSN, RN,&nbsp;Arturo Garcia-Garcia MSN, RN,&nbsp;Sofía García-Sanjuán PhD, MSN, RN,&nbsp;Irene Amorós-Vicente MSN, RN,&nbsp;Salima Serna-Martín MSN, RN,&nbsp;Jaime Falcó-Martínez MSN, RN,&nbsp;David Monasor-Ortolá MSN, RN","doi":"10.1016/j.jen.2025.02.003","DOIUrl":"10.1016/j.jen.2025.02.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Peripheral venous catheterization is a frequent procedure in pediatric emergency departments. However, a substantial percentage of these catheters remain unused and triage systems could potentially predict catheter utilization. Therefore, this study aimed to correlate the utilization of pediatric peripheral venous catheters with the reason for consultation and the priority level assigned according to the Manchester triage system.</div></div><div><h3>Methods</h3><div>A cross-sectional descriptive study was conducted in the emergency department of Vinalopó University Hospital, Elche, Spain. Medical records of patients aged 0 to 14 from 2010 to March 2024 were analyzed. The study included children who had a peripheral venous catheter placed during their stay in the department.</div></div><div><h3>Results</h3><div>In 45% of the cases, the peripheral venous catheter was not used after placement. Significant relationships were identified between the reason for consultation and the priority level with catheter utilization (<em>P</em>&lt;.001). Catheters were most frequently used in children presenting with “vomiting” (73.9%), “abdominal pain in children” (62%), and “limb problems” (59.1%). Regarding priority, catheters were more commonly used in children triaged as yellow (urgent priority) (56.2%).</div></div><div><h3>Discussion</h3><div>Nearly half of the peripheral venous catheters placed in pediatric emergency services may remain unused. Nevertheless, they are more frequently used in children triaged for the consultation reasons of “vomiting,” “abdominal pain in children,” and “limb problems” and those assigned a yellow priority.</div></div>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"51 4","pages":"Pages 742-748"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Disaster Nursing for Early Career Emergency Nurses","authors":"Jamla Rizek MBA, MSN, RN, CEN, CPEN, NHDP-BC, NRP","doi":"10.1016/j.jen.2025.03.020","DOIUrl":"10.1016/j.jen.2025.03.020","url":null,"abstract":"<div><div>Disaster nursing has emerged as a critical subspecialty within the nursing profession, addressing the rising frequency and severity of natural, environmental, and public health disasters. Recognizing its significance, disaster nursing competencies present an opportunity for further standardization within academic nursing programs. Key aspects include community health promotion, critical decision-making, and ethical navigation during crises.</div><div>Through a combination of literature review and personal experience, this article outlines foundational skills, competencies, and strategies for emergency nurses to develop expertise in disaster nursing. Key areas include essential skill sets, professional and volunteer opportunities, and mitigation strategies to overcome common challenges. Additionally, the article highlights the importance of resilience, adaptability, and continuous learning as central to disaster nursing practice.</div><div>Disaster nursing provides an opportunity for emergency nurses to develop diverse skills, navigate complex challenges, and make a meaningful difference in crisis situations. The field promotes growth through ongoing learning and commitment to public health. It not only strengthens clinical expertise but also deepens awareness of community needs and resilience. Nurses pursuing this path can contribute to disaster preparedness and response efforts, helping to build stronger systems and improve outcomes for vulnerable populations. With dedication and persistence, emergency nurses can thrive in this demanding yet rewarding field, creating lasting impacts on global health and safety.</div></div>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"51 4","pages":"Pages 537-547"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144517322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Role of the Nurses in the Use of Intraosseous Vascular Access Devices","authors":"Jean A. Proehl MN, RN, CEN, CPEN, TCRN, FAEN, FAAN,&nbsp;Cheryl Campos DNP, RN, NPD-BC, CEN, CPHQ, VA-BC","doi":"10.1016/j.jen.2025.03.014","DOIUrl":"10.1016/j.jen.2025.03.014","url":null,"abstract":"","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":"51 4","pages":"Pages 515-518"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144517407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}