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International Emergency Nursing

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https://www.readbyqxmd.com/read/28082072/early-neurological-deterioration-in-older-adults-with-traumatic-brain-injury
#1
Linda J Scheetz, Michael A Horst, Richard B Arbour
INTRODUCTION: Traumatic brain injuries (TBIs) and resulting fatalities among older adults increased considerably in recent years. Neurological deterioration often goes unrecognized at the injury scene and patients arrive at emergency departments with near-normal Glasgow Coma Scale (GCS) scores. This study examined the proportion of older adults experiencing early neurological deterioration (prehospital to emergency department), associated factors, and association of the magnitude of neurological deterioration with TBI severity...
January 9, 2017: International Emergency Nursing
https://www.readbyqxmd.com/read/27979607/psychometric-properties-of-the-management-of-aggression-and-violence-attitude-scale-in-hong-kong-s-emergency-care-setting
#2
Wai Kit Wong, Wai Tong Chien
BACKGROUND: Emergency unit is one of the most high-risk areas for patient violence. However, in Hong Kong, little research has been test psychometric properties of assessment tool of Emergency unit nurses' attitude toward violence. METHODS: The Management of Aggression and Violence Attitude Scale's (MAVASs) Scale- and Item-Content Validity Index were established by 5-experts panel. A convenience sample of 123 nurses working in 4 public Emergency Department in Hong Kong was recruited...
December 12, 2016: International Emergency Nursing
https://www.readbyqxmd.com/read/27956149/pain-management-of-trauma-patients-in-the-emergency-department-a-study-in-a-public-hospital-in-iran
#3
Negin Masoudi Alavi, Mohammad Sadegh Aboutalebi, Zohreh Sadat
BACKGROUND: Pain is a common problem which the patients in emergency departments (ED) face, especially trauma patients under treatment may suffer from physical, psychological and ethical issues. The purpose of this study was to evaluate traumatic pain management in the emergency department at a public hospital in Iran in 2014. METHODS: This observational prospective study was conducted on 450 trauma patients admitted to a trauma emergency department. The tool used in this study has three parts: demographic data, data of trauma, and VRS (Verbal Rating Scales) score at a 7-point scale-at the arrival time to 4h later...
December 9, 2016: International Emergency Nursing
https://www.readbyqxmd.com/read/27919622/workplace-aggression-as-cause-and-effect-emergency-nurses-experiences-of-working-fatigued
#4
Lisa A Wolf, Cydne Perhats, Altair M Delao, Paul R Clark
INTRODUCTION: Emergency nursing requires acute attention to detail to provide safe and effective care to potentially unstable or critically ill patients; this requirement may be significantly impaired by physical and mental fatigue. There is a lack of evidence regarding the effects of fatigue caused by factors other than a sleep deficit (e.g., emotional exhaustion). Fatigue affects nurses' ability to work safely in the emergency care setting and potentially impacts their health and quality of life outside of work...
December 2, 2016: International Emergency Nursing
https://www.readbyqxmd.com/read/27915124/a-literature-review-examining-the-barriers-to-the-implementation-of-family-witnessed-resuscitation-in-the-emergency-department
#5
REVIEW
Catherine Johnson
BACKGROUND: Caring for people near death in the Emergency Department (ED) is challenging for professionals, duty bound to respond to the needs of the dying. Family witnessed resuscitation (FWR) is practiced internationally, allowing relatives to be present at the time of a patient's death, offering comfort to the dying and aiding the bereaved along a healthy grief trajectory. AIM: The literature review elicits barriers to the implementation of FWR in the ED, examining why practice is sporadic despite numerous professional bodies calling for implementation...
November 30, 2016: International Emergency Nursing
https://www.readbyqxmd.com/read/27894784/hospital-admission-in-older-persons-presenting-with-dizziness-in-the-emergency-department
#6
Anna Ekwall, Johanna Schrab, Karolina Runesson, Måns Magnussons
One of the most frequent chief complaints among older persons presenting in the emergency department (ED) is dizziness. Nurses in the ambulance and in the ED play an important role in managing these patients. The challenge in the ED or ambulance is to, with limited diagnostic equipment; decide the correct level of care. The aim of this study was to identify factors that differed between those who were admitted to hospital and those who were not among older persons (65+) presenting in the ED with dizziness. The method was a retrospective journal audit...
November 25, 2016: International Emergency Nursing
https://www.readbyqxmd.com/read/27839784/teamwork-what-should-we-measure-and-how-should-we-measure-it
#7
EDITORIAL
Simon Cooper
No abstract text is available yet for this article.
November 7, 2016: International Emergency Nursing
https://www.readbyqxmd.com/read/28029612/what-are-the-most-common-domains-of-the-core-competencies-of-disaster-nursing-a-scoping-review
#8
REVIEW
Abdullelah Al Thobaity, Virginia Plummer, Brett Williams
AIM: Scoping review was conducted to identify the most common domains of the core competencies of disaster nursing. BACKGROUND: Nurses play an essential role in all phases of disaster management. For nurses to respond competently, they must be equipped with the skills to provide comprehensive and holistic care to the populations affected by or at risk of disasters. METHODS: A scoping review was conducted using the Joanna Briggs Institute methodology...
October 28, 2016: International Emergency Nursing
https://www.readbyqxmd.com/read/27776980/why-are-we-waiting-patients-perspectives-for-accessing-emergency-department-services-with-non-urgent-complaints
#9
Maria Unwin, Leigh Kinsman, Scott Rigby
[Background] Emergency departments world-wide report service demands which exceed resource availability. Themes such as crowding, non-urgent presentations, ambulance diversion and access block have been linked to complications in care, poorer patient outcomes, increased morbidity and staff burnout. People attending the emergency department with problems perceived as non-urgent are frequently attributed blame for increased service demand, yet little is known from the patients' perspective. [Method] This project utilised a descriptive cross-sectional waiting room survey of non-urgent patients to identify factors contributing to their decision making process to access ED services at a regional hospital in Tasmania, Australia...
October 21, 2016: International Emergency Nursing
https://www.readbyqxmd.com/read/26657803/a-review-of-factors-affecting-patient-satisfaction-with-nurse-led-triage-in-emergency-departments
#10
REVIEW
Salma Abdul Rehman, Parveen Azam Ali
AIM: To determine the factors that affect patient satisfaction with nurse-led-triage in EDs using a systematic review. BACKGROUND: Nurses' involvement in the triage services provided in the Emergency Department has been an integral part of practice for several decades in some countries. Although studies exploring patient satisfaction with nurse-led ED triage exist, no systematic review of this evidence is available. METHODS: MEDLINE, CINAHL, PsycInfo, EMBASE, the Cochrane Library, Joanna Briggs Library and Google Scholar were searched (January 1980-June 2013)...
November 2016: International Emergency Nursing
https://www.readbyqxmd.com/read/27773602/anterior-process-of-the-calcaneum-not-to-be-missed
#11
Lynda Gibbons, Patricia Cunningham
No abstract text is available yet for this article.
October 20, 2016: International Emergency Nursing
https://www.readbyqxmd.com/read/27765469/patellar-dislocation-not-the-bees-knees
#12
Martin Duignan, Mary McGibney
BACKGROUND: Patellar dislocations are common, particularly in the adolescent polulation. Registered Advanced Nurse Practitioners are healthcare professionals who can appropriately manage these injuries to minimise the risk of chronicity. METHODS: This is a case study which uses a clinical examplar from the authors practice focusing on the assessment, diagnosis and managment of patellar dislocations. Particular reference is made of the significance of the MPFL. RESULTS: This paper highlights the importance of recognition of appropriate management of patellar dislocations in the ED setting...
October 17, 2016: International Emergency Nursing
https://www.readbyqxmd.com/read/27743877/emergency-department-utilisation-among-older-people-with-acute-and-or-chronic-conditions-a-multi-centre-retrospective-study
#13
Margaret Fry, Lesley Fitzpatrick, Julie Considine, Ramon Z Shaban, Kate Curtis
INTRODUCTION: Older persons aged over 65years represent up to 41% of Australian Emergency Department (ED) presentations. Older persons present with acute and/or chronic conditions, have more Emergency Department visits, hospital admissions and readmissions than other age groups. However, little is known about the characteristics and trends of acute illness and chronic presentations and whether frailty changes these dimensions within this cohort. METHODS: A 12-month retrospective medical record audit of persons over 65years presenting to four EDs...
October 12, 2016: International Emergency Nursing
https://www.readbyqxmd.com/read/27729217/triage-is-easy-said-no-triage-nurse-ever
#14
Enrico Dippenaar, Stevan Bruijns
No abstract text is available yet for this article.
October 8, 2016: International Emergency Nursing
https://www.readbyqxmd.com/read/27727139/focusing-on-families-in-the-emergency-department
#15
Petra Brysiewicz, Waheedha Emmamally
No abstract text is available yet for this article.
October 7, 2016: International Emergency Nursing
https://www.readbyqxmd.com/read/27697403/the-helicopter-as-a-caring-context-experiences-of-people-suffering-trauma
#16
Linda Sandström, Carina Nilsson, Päivi Juuso, Åsa Engström
INTRODUCTION: When emergency medical services (EMS) are needed, the choice of transport depends on several factors. These may include the patient's medical condition, transport accessibility to the accident site and the receiving hospital's resources. Emergency care research is advancing, but little is known about the patient's perspective of helicopter emergency medical services (HEMS). AIM: The aim of this study was to describe trauma patients' experiences of HEMS...
September 30, 2016: International Emergency Nursing
https://www.readbyqxmd.com/read/27665426/managing-stress-in-prehospital-care-strategies-used-by-ambulance-nurses
#17
Dan Bohström, Eric Carlström, Nils Sjöström
BACKGROUND: Ambulance nurses display stress symptoms, resulting from their work with patients in an emergency service. Certain individuals seem, however, to handle longstanding stress better than others and remain in exposed occupations such as ambulance services for many years. This paper examines stress inducing and stress defusing factors among ambulance nurses. METHODS: A qualitative descriptive design using critical incident technique was used. A total of 123 critical incidents were identified, and a total of 61 strategies dealing with stress were confirmed...
September 21, 2016: International Emergency Nursing
https://www.readbyqxmd.com/read/27640310/-care-in-a-chair-the-impact-of-an-overcrowded-emergency-department-on-the-time-to-treatment-and-length-of-stay-of-self-presenting-patients-with-abdominal-pain
#18
Ben Smith, Stephane Bouchoucha, Elizabeth Watt
OBJECTIVES: The aim in this study was to investigate the impact of overcrowding on the Australasian Triage Score's (ATS) time to treatment target and the National Emergency Access Target (NEAT) for patients who self-present to the Emergency Department (ED) with abdominal pain. BACKGROUND: The causes and effects of ED overcrowding have been well described in the literature. It is a widespread phenomenon throughout the world and it can cause serious harm to patients and have a negative impact on access to emergency care...
September 15, 2016: International Emergency Nursing
https://www.readbyqxmd.com/read/27222012/spontaneous-resolving-s1q3t3-in-pulmonary-embolism-a-case-report-and-literature-review-on-prognostic-value-of-electrocardiography-score-for-pulmonary-embolism
#19
Lukasz D Cygan, Moshe Weizberg, Barry Hahn
BACKGROUND: Electrocardiography findings in patients with pulmonary embolism have been investigated since 1935. As medicine has evolved, more effective modalities have surpassed the electrocardiogram in diagnostic utility. Despite the advent of these other modalities, the diagnosis of pulmonary embolism remains elusive and the prognosis is variable amongst each clinical presentation of its pathology. CASE REPORT AND LITERATURE REVIEW: After presenting a case of a resolving S1Q3T3 in subsequent electrocardiogram findings of a patient with pulmonary embolism, this literature review will provide information on a 21-point electrocardiogram scoring system that helps the emergency physician stratify the risk of a patient with an acute presentation of pulmonary embolism...
September 2016: International Emergency Nursing
https://www.readbyqxmd.com/read/27160352/is-lactate-an-effective-clinical-marker-of-outcome-for-children-with-major-trauma-a-literature-review
#20
REVIEW
Lorrie Lawton, Rob Crouch, David Voegeli
INTRODUCTION: The assessment and treatment of children with major injury is fraught with difficulty - differences in anatomy and physiology mean that children that have suffered trauma can be over or under assessed. In recent years, there has been an increase in the use of biochemical markers, such as haematocrit, to assist the clinician in determining severity of injury. This paper examines the evidence surrounding lactate as a marker in paediatric trauma. METHOD: A literature search was completed on Medline, CINAHL, Ovid and Science...
September 2016: International Emergency Nursing
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