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Advanced Emergency Nursing Journal

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https://www.readbyqxmd.com/read/30365447/nonstandard-advance-health-care-directives-in-emergency-departments-ethical-and-legal-dilemma-or-reality-a-narrative-review
#1
Julia Gilbert, Jane Boag
People have tattooed themselves for thousands of years, and it remains popular with various groups across mainstream society. Although many people choose tattoos that express their life philosophy, epic events in their life, or their personal mantra, the use of tattooing in medicine such as a "do not resuscitate" tattoo is increasingly becoming more common (; ). As these tattoos do not meet the legal requirements for an advance health directive, they are at best a guide to the person's wishes and at worst a useless, painful exercise...
October 2018: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/30365446/emergency-patients-and-family-members-experiences-of-nonconveyance-situations-and-counseling-received-from-care-providers
#2
Päivi Leikkola, Riitta Mikkola, Mari Salminen-Tuomaala, Eija Paavilainen
Making nonconveyance decisions can be demanding for care providers in prehospital emergency services. Studies have found homecare instructions and counseling of patients and family members partly insufficient. A descriptive cross-sectional design was applied for this pilot study to explore emergency patients' and family members' experiences of nonconveyance situations and counseling. Data were collected by questionnaires from acutely ill patients (n = 97) treated on-site and not transported to hospital and from their family members (n = 72) in 2015-2016...
October 2018: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/30365445/implementation-of-an-sexually-transmitted-disease-screening-protocol-in-an-emergency-department-a-quality-improvement-project-to-increase-std-screenings-in-young-adults-aged-15-29-years-with-urinary-symptoms
#3
Binnara Yoo, Brigit Vangrafeiland
Urinary symptoms, such as dysuria, urinary urgency, frequency, and suprapubic pain, are frequent complaints made in the emergency department (ED; ). Although it is easy to relate urinary symptoms with a urinary tract infection (UTI), both UTI and sexually transmitted disease (STD) can share same urinary symptoms that mask each other from detection. It presents challenges for ED clinicians to precisely distinguish between two infections, causing misdiagnosis and mistreatment, resulting in patient morbidity and high health care costs...
October 2018: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/30365444/point-of-care-ultrasound-for-skin-and-soft-tissue-infections
#4
Amanda B Comer
Skin and soft tissue infections are a common complaint seen in the emergency setting, with diagnosis traditionally made by history and physical examination alone. Cellulitis and cutaneous abscesses are often misdiagnosed. Because cellulitis and cutaneous abscesses can appear similar in presentation, they are often misdiagnosed and thus treated inappropriately. To improve accuracy of diagnosis and thus treatment, evidence now supports the use of point-of-care ultrasound for diagnosis of skin and soft tissue infections...
October 2018: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/30365443/herpes-zoster-in-the-emergency-department-potential-for-severe-outcomes
#5
Nicole Martinez, Serena Arts
An estimated one million cases of herpes zoster are reported in the United States annually. Although most cases of herpes zoster are self-limiting and require little interventions, some occurrences can result in potentially debilitating and/or life-threatening outcomes. The purpose of this article is to discuss the incidence, potential complications, treatment, and preventive measures of herpes zoster. A case report is utilized to emphasize the importance of a thorough evaluation and consideration of complications...
October 2018: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/30365442/evaluation-of-pain-in-the-cognitively-impaired-patient-in-the-emergency-department
#6
Philip Davis, Paula Tucker
The Research to Practice column is intended to improve the research critique skills of the advanced practice registered nurse and the emergency nurse, and to assist with the translation of research into practice. For each column, a topic and a research study are selected. The stage is set with a case presentation. The research article is then reviewed and critiqued, and the findings are discussed in relation to the case presented. In the current column, we examine the findings of A. from their article titled "An Iceberg Phenomenon in Dementia: Pain...
October 2018: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/30365441/treatment-of-life-threatening-ace-inhibitor-induced-angioedema
#7
(no author information available yet)
No abstract text is available yet for this article.
October 2018: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/30365440/treatment-of-life-threatening-ace-inhibitor-induced-angioedema
#8
RaeAnn Hirschy, Tanvi Shah, Tamara Davis, Megan A Rech
Incidence of angioedema associated with angiotensin-converting enzyme inhibitors (ACE-I) has been estimated at 0.1%-2.2% of patients receiving treatment. Despite the potential severity of this disease state, standardized treatment is lacking. Traditional pharmacotherapy options include medications that target inflammatory mediators and the angiotensin pathway. However, because ACE-I-induced angioedema is caused by accumulation of bradykinin, these medications fail to target the underlying pathophysiology. Recently, novel therapies that target the kallikrein-bradykinin pathway have been studied...
October 2018: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/30365439/emergency-department-presentation-of-a-new-onset-seizure-a-case-report
#9
Benjamin J Miller
A seizure is a symptom of brain dysfunction, resulting in 1.6 million emergency department visits each year. The evaluation of new seizures in the emergency department is a process looking for triggers of seizures such as toxins, mass lesions, or metabolic derangements. Maintaining a broad differential diagnosis is essential to prevent premature closure of the diagnostic evaluation. Timing of neurologic imaging and electroencephalogram depends on the clinical situation. In this case, a young woman presents with a "new-onset" seizure with subsequent elevation of white blood cells and serum lactate levels...
October 2018: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/30365438/pulmonary-arterial-hypertension-emergency-complications-and-evaluation-practical-guide-for-the-advanced-practice-registered-nurses-in-the-emergency-department
#10
Robin Hohsfield, Christine Archer-Chicko, Traci Housten, Stephanie Harris Nolley
Pulmonary hypertension (PH) complicates common diseases and can lead to worsening symptoms and increased mortality. A specific group of PH, pulmonary arterial hypertension (PAH), World Health Organization Group 1, may present to the emergency department (ED). We review common ED presentations of patients with PAH such as cardiac arrest/sudden death, right ventricular failure, syncope, hypoxemic respiratory failure, arrhythmias, hemoptysis, pulmonary embolism, chest pain/left main compression syndrome, infection, and considerations for PAH medication administration...
October 2018: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/30365437/practice-standards-for-the-emergency-nurse-practitioner-specialty
#11
Theresa M Campo, Amanda Comer, Dian Dowling Evans, Kyle Kincaid, LaMon Norton, Elda G Ramirez, Eric Roberts, Andrea Smith, Ken Stackhouse, Jennifer Wilbeck
No abstract text is available yet for this article.
October 2018: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/30365436/from-enp-competencies-to-enp-practice-standards
#12
(no author information available yet)
No abstract text is available yet for this article.
October 2018: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/30059378/synthesis-of-research-articles-to-examine-reporting-of-the-educational-preparation-and-practice-parameters-of-emergency-nurse-practitioners
#13
REVIEW
Gloria I Smith, Marilyn J Hodgins
It has been reported that the outcomes of care are affected not only by the educational preparation and experience of the practitioner but also by the parameters of his or her practice. Given differences that exist internationally in the enactment of the emergency nurse practitioner (ENP) role, a synthesis of research articles was conducted to examine the educational preparation and experience of ENPs, the role(s) they assume as determined by their patient population, and the outcomes used to evaluate their practice...
July 2018: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/30059377/exploring-the-sexual-assault-response-team-perception-of-interprofessional-collaboration-implications-for-emergency-department-nurses
#14
Phyllis Adams, Linda Hulton
There is little research on the dynamics of the sexual assault response team (SART) members' interprofessional collaboration (IPC) practice. The study purposes were to (1) explore the perceptions of IPC among SART members; (2) evaluate the use of Perception of Interprofessional Collaboration Model Questionnaire with the SART; and (3) discuss the implications of the Interprofessional Core Competencies for emergency department nurses and sexual assault nurse examiners. This cross-sectional mixed-methods study (n = 49) was implemented using 4 SART teams in a mid-Atlantic state...
July 2018: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/30059376/implementation-of-a-smoking-cessation-education-program-in-the-emergency-department
#15
Juan M González, Lila de Tantillo, Kenya Snowden, Karina Gattamorta, Johis Ortega
Tobacco use is a major threat to public health. Current guidelines suggest that healthcare professionals in the emergency department provide routine smoking cessation screening and interventions. Evidence suggests that an educational intervention among registered nurses in the emergency department may increase education and referral for smoking cessation of patients who use tobacco products. An educational module regarding smoking cessation counseling was provided to registered nurses in the emergency department at a private hospital in South Florida...
July 2018: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/30059375/interdisciplinary-design-to-improve-fast-track-in-the-emergency-department
#16
Carol Anne Celona, Andrew Amaranto, Robin Ferrer, Matt Wieland, Stacy Abrams, Farley Obusan, Sharon LoPuzzo, Valsamma Joy
Delays in medical care will increase risks for patients. For this reason, timeliness of care is a public health priority and the one of the missions for this facility. The goal of this process improvement project was to enhance timeliness of care by restructuring fast track. Door-to-provider time, treat and release time, and the number of patients who left without being seen by a provider were monitored. Nurse practitioners were introduced into advanced practice provider mix and the development of care teams was implemented...
July 2018: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/30059374/educational-innovations-for-continuing-education-jumpstart-modules-for-advanced-practice-providers
#17
REVIEW
Jennifer Wilbeck, Margaret Betsy Babb Kennedy
There is increasing interest and evidence for the "flipped classroom" as a learner-centered approach to promote active engagement and enhance translation of knowledge into practice. However, there is little published work regarding application of the pedagogical approach to continuing education (CE) for advanced practice providers. The goal of CE is for providers to stay up-to-date with current best practices and skills, yet most CE activities employ teacher-centered, lecture-based methods focused on transmission of knowledge rather than application of knowledge...
July 2018: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/30059373/maximizing-success-with-rapid-sequence-intubations
#18
REVIEW
Tony L Smith, Jessica Van Meter
Within emergency care settings, rapid sequence intubation (RSI) is frequently used to secure a definitive airway (i.e., endotracheal tube) to provide optimal oxygenation and ventilation in critically ill patients of all ages. For providers in these settings, a deeper understanding of the indications, associated medications, and adjunctive techniques may maximize success with this common procedure. Identification of difficult airways, using mnemonics and standardized criteria prior to the procedure allows, the clinician additional time for assimilation of additional resources and tools to increase the likelihood of first-pass success with intubation...
July 2018: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/30059372/stevens-johnson-syndrome-a-challenging-diagnosis
#19
Wesley D Davis, Phillip A Schafer
Stevens-Johnson syndrome is a rare, yet life-threatening, delayed-type hypersensitivity reaction characterized by mucocutaneous epidermal necrolysis. Toxic epidermal necrolysis is a severe manifestation of Stevens-Johnson syndrome, defined as greater than 30% skin detachment. Stevens-Johnson syndrome with toxic epidermal necrolysis is characterized as an adverse cutaneous drug reaction and is associated with the use of sulfonamides, antiepileptics, and some classes of nonsteroidal anti-inflammatory drugs. The case presented in this report is that of a 17-year-old female who presented to her primary care provider with a chief complaint of headache; she was initially diagnosed with a urinary tract infection and prescribed nitrofurantoin (Macrobid)...
July 2018: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/30059371/a-20-year-old-trauma-patient-with-suspected-malignant-hyperthermia-following-induction-with-succinylcholine-a-case-study
#20
Kaitlyn Luckey-Smith, Kevin High
Malignant hyperthermia (MH) is a life-threatening hypermetabolic state that can occur following induction with depolarizing neuromuscular blockade and volatile anesthesia gases. Because succinylcholine is a common choice for prehospital and emergency department inductions, it is important for staff to be able to recognize and effectively treat an MH crisis. This case study highlights a 20-year-old male trauma patient who presented to a Level I trauma center and was intubated for declining mental status. He developed suspected MH following his anesthetic induction with succinylcholine...
July 2018: Advanced Emergency Nursing Journal
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