journal
https://read.qxmd.com/read/38285426/occupational-stress-of-pediatric-emergency-nurses-in-greece-during-the-covid-19-pandemic
#1
JOURNAL ARTICLE
Areti Kasidouli, Vasiliki Matziou, Sofia Zyga, Ioannis Kasimis, Varvara Boutopoulou, Efrosini Vlachioti, Charalampia Deli, Pantelis Perdikaris
During the COVID-19 pandemic, numerous studies have shown the high prevalence of occupational stress (OS) of health workers, affecting the quality of health care provided. To date, there is no study regarding OS of emergency care pediatric nurses working in Greece. This study aimed to examine the pediatric nurses' OS working in tertiary public hospitals in Greece. In this cross-sectional study, a total of 104 pediatric nurses were recruited randomly from summer 2020 to summer 2021. The Expanded Nursing Stress Scale (ENSS), which consists of 59 items grouped into nine categories, was used to assess nurses OS...
January 2024: Advanced Emergency Nursing Journal
https://read.qxmd.com/read/38285425/ethics-crisis-standards-of-care-simulation
#2
JOURNAL ARTICLE
Diane Fuller Switzer, Suzan Griffis Knowles
Ethical dilemmas exist with decision-making regarding resource allocations, such as critical care, ventilators and other critical equipment, and pharmaceuticals during pandemics. Triage artificial intelligence (AI) algorithms based on prognostication tools exist to guide these decisions; however, implicit bias may affect the decision-making process leading to deviation from the algorithm recommendations. Conflict within the ethical domain may be affected as well. A knowledge gap was identified within the Adult-Gerontology Acute Care Nurse Practitioner (AG-ACNP) curriculum regarding ethics in crisis standards of care (CSC) medical decision-making...
January 2024: Advanced Emergency Nursing Journal
https://read.qxmd.com/read/38285424/managing-diabetes-mellitus-in-the-emergency-department
#3
JOURNAL ARTICLE
Caitlin Burnett, Dian Dowling Evans, Kenneth Mueller
Diabetes mellitus (DM) is a chronic medical condition that continues to increase in prevalence. Complications of DM, including diabetic ketoacidosis and hyperglycemic hyperosmolar state, often present in the emergency department requiring emergent management. Prompt assessment, diagnosis, evaluation of laboratory values, treatment, monitoring, and strict follow-up education are essential to the successful management of this complex disease. Common medications and management strategies are key elements to control DM...
January 2024: Advanced Emergency Nursing Journal
https://read.qxmd.com/read/38285423/assessment-of-the-diagnostic-accuracy-and-reliability-of-the-heart-score-calculated-by-ambulance-nurses-versus-emergency-physicians
#4
JOURNAL ARTICLE
Nancy W P L van der Waarden, G Sander de Wolf, Kirsten F van Meerten, Barbra E Backus
Chest pain is a common complaint for consultation of emergency medical services worldwide. Currently, ambulance nurses (AN) base their decision to transport a patient to the hospital on their own professional experience. The HEART score could improve prehospital risk stratification and patient treatment. The aim of this study is to investigate the interrater reliability and predictive accuracy of the HEART score between AN and emergency physicians (EP). A retrospective analysis on data of 569 patients 18 years and older included in two prehospital HEART score studies...
January 2024: Advanced Emergency Nursing Journal
https://read.qxmd.com/read/38285422/finger-thoracostomy-for-tension-pneumothorax
#5
JOURNAL ARTICLE
(no author information available yet)
No abstract text is available yet for this article.
January 2024: Advanced Emergency Nursing Journal
https://read.qxmd.com/read/38285421/finger-thoracostomy-for-tension-pneumothorax
#6
REVIEW
Tony Smith, Jennifer Wilbeck
One of the injuries associated with chest trauma is pneumothorax, a condition where air accumulates between the parietal and visceral pleura in the chest leading to collapse of the lung due to pressure. Left untreated, a tension pneumothorax may develop leading to cardiovascular collapse. This article reviews the development of a tension pneumothorax, discusses the clinical recognition of the diagnosis, and outlines the procedure for performing a finger (or simple) thoracostomy. A simple mnemonic for the procedure is offered as a memory aid to reduce cognitive load for this procedure...
January 2024: Advanced Emergency Nursing Journal
https://read.qxmd.com/read/38285420/odontoid-dens-fractures
#7
JOURNAL ARTICLE
Anthony E Good, Denise R Ramponi
Odontoid fractures remain the most common C2 fracture and of those individuals older than 65 years. The type of optimal management remains in question given comorbidities, risk of nonunion, and limitations in mobility when surgical fusion is the treatment selected. These fractures are of particular importance, given the high incident of morbidity and mortality following an odontoid fracture. Overall quality of life remains a significant consideration when selecting the best intervention following careful examination and confirmation with radiographic imaging...
January 2024: Advanced Emergency Nursing Journal
https://read.qxmd.com/read/38285419/it-s-not-a-spider-bite-it-s-mrsa
#8
JOURNAL ARTICLE
Kristine Anne Scordo
Although there is an increased awareness of community-acquired methicillin-resistant Staphylococcus aureus (MRSA), there remains a bias of the public and health-care workers to blame spiders as a cause of skin and soft tissue infection when there is no valid incriminated evidence for this assumption. MRSA is a formidable infection and remains a threat to human health. Recognition and proper treatment by practitioners remain of utmost importance to improve patient outcomes.
January 2024: Advanced Emergency Nursing Journal
https://read.qxmd.com/read/38285418/priapism-in-a-young-adult-with-sickle-cell-disease
#9
JOURNAL ARTICLE
Catherine Frank, Kimberly P Toole
This article presents a case study focusing on priapism in a patient with sickle cell disease, with repeated emergency department (ED) visits and hospitalizations. The patient was successfully identified and treated by the ED nurse practitioner (NP) with aspiration of the corpus cavernosum. Priapism is a persistent penile erection that continues for an extended time. There is some argument about what that length of time is, but generally, the consensus is more than 4 hr beyond sexual stimulation or unrelated to sexual stimulation or sexual interest (Bivalacqua et al...
January 2024: Advanced Emergency Nursing Journal
https://read.qxmd.com/read/38285417/acute-hyperkalemia-management-in-the-emergency-department
#10
JOURNAL ARTICLE
(no author information available yet)
No abstract text is available yet for this article.
January 2024: Advanced Emergency Nursing Journal
https://read.qxmd.com/read/38285416/acute-hyperkalemia-management-in-the-emergency-department
#11
JOURNAL ARTICLE
Kyle A Weant, Haili Gregory
Acute hyperkalemia is characterized by high concentrations of potassium in the blood that can potentially lead to life-threatening arrhythmias that require emergent treatment. Therapy involves the utilization of a constellation of different agents, all targeting different goals of care. The first, and most important step in the treatment of severe hyperkalemia with electrocardiographic (ECG) changes, is to stabilize the myocardium with calcium in order to resolve or mitigate the development of arrythmias. Next, it is vital to target the underlying etiology of any ECG changes by redistributing potassium from the extracellular space with the use of intravenous regular insulin and inhaled beta-2 agonists...
January 2024: Advanced Emergency Nursing Journal
https://read.qxmd.com/read/38285415/an-evidence-based-algorithm-of-management-of-heatstroke-in-the-emergency-department
#12
JOURNAL ARTICLE
Philip Davis, Dian Evans
Annual rates of heat illness and heat-related deaths have been increasing across the United States as more regions of the country have been experiencing heat waves of extreme ambient temperatures of prolonged durations. According to the Centers for Disease Control and Prevention, heat illnesses have become the leading cause of weather-related deaths. This article critiques and describes the findings of a systematic review by C. Rublee et al. (2021). The review was conducted to develop an evidence-based algorithm specific for management of heatstroke in the emergency department with implications for improving recognition, initiating rapid cooling, and providing supportive care to reduce patient mortality and morbidity...
January 2024: Advanced Emergency Nursing Journal
https://read.qxmd.com/read/38285414/guest-editorial-emergency-nurse-practitioner-scope-and-standards-of-practice
#13
JOURNAL ARTICLE
Wesley D Davis, Dian Dowling Evans
No abstract text is available yet for this article.
January 2024: Advanced Emergency Nursing Journal
https://read.qxmd.com/read/37885089/ophthalmologic-emergencies-assessment-and-management
#14
JOURNAL ARTICLE
(no author information available yet)
No abstract text is available yet for this article.
October 2023: Advanced Emergency Nursing Journal
https://read.qxmd.com/read/37885088/ophthalmologic-emergencies-assessment-and-management
#15
JOURNAL ARTICLE
Dian Dowling Evans, Karen Sue Hoyt
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...
October 2023: Advanced Emergency Nursing Journal
https://read.qxmd.com/read/37885087/improving-the-management-of-adults-with-mild-traumatic-brain-injury-an-initiative-to-reduce-unnecessary-computed-tomographic-scans-in-the-emergency-department
#16
JOURNAL ARTICLE
Rachel Helms
The overuse of computed tomographic (CT) scans for patients who present to the emergency department (ED) after mild traumatic brain injury (mTBI) has been well-documented. The Canadian Computed Tomography Head Rule (CCHR) is a validated tool to guide ED providers in determining the need for emergent CT of mTBI patients. The purpose of this project was to reduce radiation exposure and ED length of stay by using the CCHR to decrease unnecessary CT scans in adults with TBI. Cost of care was also estimated. The CCHR implementation strategy included an education program for ED staff...
October 2023: Advanced Emergency Nursing Journal
https://read.qxmd.com/read/37885086/using-battlefield-acupuncture-bfa-or-auricular-acupuncture-to-treat-primary-headaches-in-the-emergency-department
#17
JOURNAL ARTICLE
Fadzai Chiwandamira
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...
October 2023: Advanced Emergency Nursing Journal
https://read.qxmd.com/read/37885085/content-validation-of-an-emergency-department-skin-risk-assessment-instrument
#18
JOURNAL ARTICLE
Kathleen Flarity, Wendy J Haylett, Melissa Childers
Pressure injuries (PIs) are an important quality and patient safety metric for health care organizations. PI monitoring and treatment are often overlooked in the emergency department (ED). Emergency care professionals must be proactive about PI early identification and prevention strategies. A team at a Level 1 trauma center recognized the need for ED-friendly documentation and a validated ED skin risk assessment instrument. The Bjorklund 25-item ED Skin/Risk Assessment Tool was selected. However, because the tool was not fully validated, permission to validate/use was obtained from the author...
October 2023: Advanced Emergency Nursing Journal
https://read.qxmd.com/read/37885084/an-obstetric-and-psychiatric-emergency-managing-acute-agitation-among-pregnant-patients-in-the-emergency-department
#19
JOURNAL ARTICLE
Mei Yan Woo, Raymund Gantioque
New onset of agitation during pregnancy is an obstetric and behavioral emergency that demands careful evaluation and prompt treatment. This article provides an overview of clinical evaluation and types of nonpharmacologic and pharmacologic interventions when managing acute agitation during pregnancy. Rapid clinical evaluation and behavioral management are keys to preventing detrimental maternal and fetal complications. Clinicians must seek out medical etiologies of agitation and always attempt verbal de-escalation before initiating chemical or physical restraints...
October 2023: Advanced Emergency Nursing Journal
https://read.qxmd.com/read/37885083/low-dose-electrocution-and-atrial-fibrillation
#20
JOURNAL ARTICLE
Ida Obeso-Martinez
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...
October 2023: Advanced Emergency Nursing Journal
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