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Advanced Emergency Nursing Journal

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https://www.readbyqxmd.com/read/28463871/antiemetic-use-in-the-emergency-department
#1
(no author information available yet)
No abstract text is available yet for this article.
April 2017: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/28463870/the-utility-of-point-of-care-testing-at-emergency-department-triage-by-nurses-in-simulated-scenarios
#2
Jesse M Pines, Mark S Zocchi, Mary Elizabeth Buchanan, Manish N Shah, Debbie Travers
We developed and tested simulated patient scenarios to assess how normal or abnormal point-of-care (POC) test results at triage change prioritization decisions. This was a cross-sectional study where our team developed simulated scenarios and presented them to triage nurses from 3 academic medical centers. Twenty-four scenarios were constructed on the basis of 12 clinical indications from a protocol previously developed by our team. In each scenario, nurses were presented with 2 patients with the same Emergency Severity Index Version 4 (ESI v...
April 2017: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/28463869/emergency-nurse-practitioner-core-educational-content
#3
Jennifer Wilbeck, Eric Roberts, Susanna Rudy
Increasing numbers of patients are presenting to national emergency departments (EDs). This is occurring simultaneously with reductions in providers along with ED closures, creating a significant gap in emergency care. According to the advanced practice registered nurse consensus model, specialty-specific knowledge and practice build upon generalist nurse practitioner (NP) population foci. Although the National Organization of Nurse Practitioner Faculties provides guidelines for educational programs at the NP population level, determination of core specialty knowledge lies with specialty organizations...
April 2017: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/28463868/application-of-primary-care-guideline-for-chronic-low-back-pain-in-the-emergency-department
#4
Rebeca M Tacy, Sherry Donaworth, Kathleen Ballman
Chronic low back pain (CLBP) is a primary care condition that overflows into the emergency department (ED). No ED-specific practice guideline exists for the management of patients with CLBP in the ED setting. Back pain is a common chief complaint, with cases of CLBP making up to 50% of the patients seen with back pain in an urban, freestanding ED affiliated with a multicampus health system in the Midwest where 25% of patients live below the poverty line and 21.8% do not have primary care. Kolcaba's Theory of Comfort guides the implementation of an evidence-based practice application project...
April 2017: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/28463867/measuring-fatigue-in-triage-a-pilot-study
#5
Bryn McMahon, John Hudson, Judy Prewitt, Margaret J Carman, Monica Engleson
: Given the critical nature of triage in facilitating emergency department (ED) functions, an understanding of the factors that impact triage nurses' ability to accurately assign triage scores and the ways in which these factors may affect various patient outcomes is extremely important; yet, there exists a paucity of such research in the literature. To further develop this knowledge base, an investigation of triage nurse fatigue and the role it may play in the ability to accurately assign triage scores was developed...
April 2017: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/28463866/a-case-of-exertional-rhabdomyolysis-when-exertion-exceeds-capacity
#6
Kathleen S Jordan, Sarah E Mannle
The purpose of this article is to present a discussion of a young adult patient with exertional rhabdomyolysis. Rhabdomyolysis is the process of muscle tissue destruction and damage to the cell membrane, with subsequent release of the intracellular myocyte contents into the systemic circulation. This leads to the potential for the life-threatening systemic complications of electrolyte abnormalities, cardiac dysrhythmias, acute kidney injury, compartment syndrome, and disseminated intravascular coagulopathy...
April 2017: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/28463865/antiemetic-use-in-the-emergency-department
#7
Kyle A Weant, Abby M Bailey, Regan A Baum, Stephanie B Justice, Chara D Calhoun
Nausea and vomiting are 2 of the most common complaints of patients presenting to the emergency department (ED). In addition, antiemetics are the most commonly prescribed medications in the ED behind analgesics. Treating these conditions can be complex, especially as one considers that nausea and/or vomiting could be the primary presenting illness or simply a symptom of a more complex etiology. Although there is a wide variety of pharmacotherapeutic options in the armamentarium to treat these conditions, very few consensus recommendations exist to help guide the use of antiemetic agents in the ED, leading to wide variability in medication use...
April 2017: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/28463864/management-of-hand-injuries-part-iii
#8
K Sue Hoyt, Elda G Ramirez
Assessment of Acute Hand Injuries was discussed in Part I (). Part I reviewed approaches to the assessment of the patient with a hand injury and established a process for basic identification of the hand structures and function. Approaches to history taking and specific evaluations for the hand were discussed, and examples of the assessments were provided. Diagnostic approaches to support physical findings were discussed, and methods of radiological assessment provided assistance to the audience in making appropriate diagnosis in relation to hand injuries...
April 2017: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/28463863/is-subdissociative-ketamine-as-safe-and-effective-as-morphine-for-pain-management-in-the-emergency-department
#9
Patricia Kunz Howard, Christine M Gisness
: Review of recent evidence with translation to practice for the advanced practice nurse (APN) role is presented using a case study module for "Intravenous Subdissociative-Dose Ketamine Versus Morphine for Analgesia in the Emergency Department: A Randomized Controlled Trial." This prospective, randomized controlled inquiry enrolled 90 patients into 2 groups (ketamine vs. morphine) for patients seeking care in an emergency department with acute pain. Data regarding pain scores were collected at baseline, 15, 30, 60, 90, and 120 min...
April 2017: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/28463862/making-a-case-for-entrustable-professional-activities-for-nurse-practitioners-in-emergency-care
#10
K Sue Hoyt, Elda G Ramirez, Jean A Proehl
No abstract text is available yet for this article.
April 2017: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/28141613/identification-and-management-of-human-trafficking-victims-in-the-emergency-department
#11
(no author information available yet)
No abstract text is available yet for this article.
January 2017: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/28141612/emergency-nurses-as-second-victims-of-error-a-qualitative-study
#12
Mehdi Ajri-Khameslou, Abbas Abbaszadeh, Fariba Borhani
There are many nurses who are victims of errors in the hospital environment. It is quite essential to perceive the outcome of mistakes in nurses' profession. The aim of this scientific study was to interpret the causes that place nurses in danger of errors in emergency departments and also the consequences resulting from confronting the errors in the job environment. This research was designed to pursue a qualitative approach following content analysis. Through the purposeful sampling, 18 emergency nurses were selected to participate in this study...
January 2017: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/28141611/an-exemplar-interprofessional-academic-emergency-nurse-practitioner-program-a-blueprint-for-success
#13
Dian Dowling Evans, Meredith Pollock Ashooh, Laura P Kimble, Katherine L Heilpern
Emergency department census rates and manpower gaps have continued to rise over the past decade, creating a demand for well-prepared emergency nurse practitioners (ENPs). The implementation of the consensus model for advanced practice nurses has brought acknowledgment by leading health care, physician, and nursing organizations of the ENP specialty as critical to building a high-quality emergency care workforce. Recognition of the ENP's unique skill set, and therefore need of specialty certification, has led to a growing interest in the expansion of nurse practitioner curricula in emergency care...
January 2017: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/28141610/initiation-of-therapeutic-hypothermia-in-the-emergency-department-a-quality-improvement-project
#14
Cody Yochum, Rose Utley
Therapeutic hypothermia (TH) postresuscitation has been recommended by the American Heart Association (AHA) since 2005. Early initiation of TH and fast achievement of goal temperatures have been associated with better neurological outcomes. The objective of this study was to evaluate the effectiveness of a specific TH protocol for the emergency department (ED) in increasing ED use of TH and decreasing the time from return of spontaneous circulation (ROSC) to initiation of cooling measures. An ED protocol for TH as recommended by the AHA was implemented...
January 2017: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/28141609/identification-and-management-of-human-trafficking-victims-in-the-emergency-department
#15
REVIEW
Lisa M Hachey, Julia C Phillippi
Health care practitioners serve an important role in identification and assistance of human trafficking victims. Advanced practice registered nurses, including certified nurse midwives, clinical nurse specialists, and nurse practitioners, are in a unique position to interact with persons trafficked and seen in the clinical setting, yet they require knowledge to identify the signs of human trafficking. Lack of training and education has been identified as a barrier for health care professionals to recognize human trafficking victims and implement needed health care services (; )...
January 2017: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/28141608/metformin-associated-lactic-acidosis-an-atypical-presentation
#16
Martin R Hevesy
Many Type 2 diabetic patients take metformin for its safety profile and lack of hypoglycemia. Although this drug is safe in those without renal dysfunction, lactic acidosis may rarely occur. Metformin-associated lactic acidosis is a potentially fatal yet rare diagnosis. Prompt recognition of even subtle symptoms can reduce mortality and preserve homeostasis.
January 2017: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/28141607/chemotherapy-in-the-emergency-department-there-is-a-role-for-that-methotrexate-for-ectopic-pregnancy
#17
REVIEW
Kyle A Weant, Abby M Bailey, Regan A Baum, Stephanie B Justice, Chara D Calhoun
Approximately 1.6% of all emergency department (ED) visits in the United States are for vaginal bleeding in early pregnancy, translating to around 500,000 ED visits per year. A potentially life-threatening condition, ectopic pregnancy occurs in 1.5%-2% of pregnancies. Many patients will require either surgical or pharmacological intervention following a positive diagnosis. With regard to pharmacological options, methotrexate, largely known for its use in the oncology arena, has emerged as the most effective nonsurgical option and the pharmacological agent of choice...
January 2017: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/28141606/an-unusual-case-of-chest-pain-in-an-adolescent-male-important-cues-to-differential-diagnosis
#18
Kathleen S Jordan, Sarah E Mannle
Chest pain is a common presenting symptom in the pediatric population, and in contrast to adults, the etiology is rarely cardiac or life-threatening. The majority of chest pain complaints in children and adolescents are benign and can be managed with reassurance and follow-up. The emergency care provider must obtain a comprehensive history and physical examination, as the differential diagnosis of pediatric chest pain is extensive and serious underlying organic pathology may be present. This article describes the case of an adolescent male with an unusual case of chest pain with a serious underlying medical condition...
January 2017: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/28141605/caring-for-young-children-exposed-to-marijuana
#19
Natasha M Ruiz, Susan E Shapiro
This article reviews the research report, Marijuana Exposure Among Children Younger Than Six Years in the United States (), and, using a case study approach, applies the findings to advanced practice registered nurses. B. extracted data from the National Poison Data System showing an increasing trend in marijuana exposure in children, especially in states where marijuana has been legalized for either medicinal use or recreational use. Advanced practice registered nurses need to be comfortable recognizing and managing marijuana intoxication in the pediatric population, as well as educating parents in providing safe environments for their children...
January 2017: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/28141604/integrity-and-transparency-in-reporting-clinical-trials
#20
Jean A Proehl, Susan Alexander, Anne P Manton
No abstract text is available yet for this article.
January 2017: Advanced Emergency Nursing Journal
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