Advanced Emergency Nursing Journal via MedWorm.com

Unexpected Birth in the Emergency Department: The Role of the Advanced Practice Nurse.

Advanced Emergency Nursing Journal — Sat, 23 May 2009 03:53:20 +0100

Page: 170DOI: 10.1097/TME.0b013e3181a4154eAuthors: Schorn, Mavis N. PhD, CNM; Wilbeck, Jennifer MSN, APRN-BC, CEN (Source: Advanced Emergency Nursing Journal)

Noninvasive Ventilation in Emergency Care.

Advanced Emergency Nursing Journal — Sat, 23 May 2009 03:53:20 +0100

Page: 161DOI: 10.1097/TME.0b013e3181a72818Authors: Wilbeck, Jennifer MSN, APRN-BC, CEN; Fischer, Michael RRT (Source: Advanced Emergency Nursing Journal)

Methylbromide Intoxication: A Clinical Case Study.

Advanced Emergency Nursing Journal — Sat, 23 May 2009 03:53:20 +0100

Page: 153DOI: 10.1097/TME.0b013e31819dca1bAuthors: Breeman, Wim M-ANP, RN, RPN, CFRN, CRNA (Source: Advanced Emergency Nursing Journal)

Pediatric Sexual Abuse: Emergency Department Evaluation and Management.

Advanced Emergency Nursing Journal — Sat, 23 May 2009 03:53:20 +0100

Page: 140DOI: 10.1097/TME.0b013e31819ca035Authors: Matkins, Preeti Patel MD, FAAP, FSAM; Jordan, Kathleen S. MS, RN, FNP-BC, SANE-P (Source: Advanced Emergency Nursing Journal)

Identifying Transverse Myelitis in the Emergency Care Arena.

Advanced Emergency Nursing Journal — Sat, 23 May 2009 03:53:20 +0100

Page: 131DOI: 10.1097/TME.0b013e3181a2957eAuthors: Waldrup, Bridgette C. CGRN, ADN (Source: Advanced Emergency Nursing Journal)

Ovarian Torsion in a 23-Year-Old Female With Pelvic Pain.

Advanced Emergency Nursing Journal — Sat, 23 May 2009 03:53:20 +0100

Page: 123DOI: 10.1097/TME.0b013e3181a1b585Authors: Campo, Theresa M. DNP, RN, NP-C (Source: Advanced Emergency Nursing Journal)

Selecting Antibiotics for Community-Acquired Skin and Skin Structure Infections in the Emergency Department: Erratum.

Advanced Emergency Nursing Journal — Sat, 23 May 2009 03:53:20 +0100

Page: 122DOI: 10.1097/TME.0b013e3181ae2189 (Source: Advanced Emergency Nursing Journal)

Selecting Antibiotics for Community-Acquired Respiratory Infections in the Emergency Department.

Advanced Emergency Nursing Journal — Sat, 23 May 2009 03:53:20 +0100

Page: 117DOI: 10.1097/TME.0b013e3181a2c747Authors: Francis, Kerry E. PharmD (Source: Advanced Emergency Nursing Journal)

Introduction to Reading and Clearing Cervical Spines for Advanced Practice Nurses, Part I.

Advanced Emergency Nursing Journal — Sat, 23 May 2009 03:53:20 +0100

Page: 115DOI: 10.1097/01.TME.0000352204.71431.d8 (Source: Advanced Emergency Nursing Journal)

Introduction to Reading and Clearing Cervical Spines for Advanced Practice Nurses, Part I.

Advanced Emergency Nursing Journal — Sat, 23 May 2009 03:53:20 +0100

Page: 101DOI: 10.1097/TME.0b013e3181a42093Authors: Flarity, Kathleen ARNP, PhD, CFRN, FAEN; Ramirez, Elda PhD, RN, FNP-BC, FAANP (Source: Advanced Emergency Nursing Journal)

Workplace Violence.

Advanced Emergency Nursing Journal — Sat, 23 May 2009 03:53:20 +0100

Page: 94DOI: 10.1097/TME.0b013e3181a34a14Authors: Howard, Patricia Kunz PhD, RN, CEN, FAEN; Gilboy, Nicki MS, RN, CEN, FAEN (Source: Advanced Emergency Nursing Journal)

Competencies and Certification for Advanced Practice Nurses in Emergency Care.

Advanced Emergency Nursing Journal — Fri, 22 May 2009 23:44:04 +0100

Page: 91DOI: 10.1097/TME.0b013e3181a2e402Authors: Hoyt, Karen Sue RN, PhD, FNP-BC, CEN, FAEN, FAANP; Proehl, Jean A. RN, MN, CEN, CCRN, CPEN FAEN (Source: Advanced Emergency Nursing Journal)

Pediatric Sexual Abuse: Emergency Department Evaluation and Management

Advanced Emergency Nursing Journal — Tue, 31 Mar 2009 23:00:00 +0100

This article presents the essential information required to assume a leadership role in the medical management of the sexually abused child/adolescent in the ED, including mandatory reporting, triage, assessment, treatment, and follow-up. (C) 2009 Lippincott Williams & Wilkins, Inc. (Source: Advanced Emergency Nursing Journal)

Introduction to Reading and Clearing Cervical Spines for Advanced Practice Nurses, Part I

Advanced Emergency Nursing Journal — Tue, 31 Mar 2009 23:00:00 +0100

No abstract available (Source: Advanced Emergency Nursing Journal)

Noninvasive Ventilation in Emergency Care

Advanced Emergency Nursing Journal — Tue, 31 Mar 2009 23:00:00 +0100

This article provides an overview of the types and potential uses of noninvasive ventilation, the risks and benefits of its use, and current evidence to support its use in specific patient populations. Guidelines for appropriate selection of patients for noninvasive ventilation therapy are provided. Management considerations, assessment techniques, troubleshooting, and transportation of patients receiving noninvasive ventilation are also discussed. Advanced practice nurses in the emergency department can provide leadership and advocacy for its use in appropriate patients, and this article provides the foundational knowledge to do so. (C) 2009 Lippincott Williams & Wilkins, Inc. (Source: Advanced Emergency Nursing Journal)

Introduction to Reading and Clearing Cervical Spines for Advanced Practice Nurses, Part I

Advanced Emergency Nursing Journal — Tue, 31 Mar 2009 23:00:00 +0100

This article is Part I of a two-part series and will focus on the key concepts of radiographic interpretation, functional cervical anatomy, and the interpretation and clearance of cervical spines in emergency care. In the subsequent issue, Part II will cover the additional epidemiology of cervical-spine injuries, specific injuries, case studies, and advanced diagnostic imaging. (C) 2009 Lippincott Williams & Wilkins, Inc. (Source: Advanced Emergency Nursing Journal)

Identifying Transverse Myelitis in the Emergency Care Arena

Advanced Emergency Nursing Journal — Tue, 31 Mar 2009 23:00:00 +0100

The objective of this article is to educate emergency nurses and nurse practitioners about how to recognize, diagnose, and treat TM. A comparison of the neurological findings of TM and Guillain-Barre syndrome is presented. In addition, this article will include an algorithm and specific diagnostic criteria to assist in the diagnosis of acute idiopathic TM. (C) 2009 Lippincott Williams & Wilkins, Inc. (Source: Advanced Emergency Nursing Journal)

Methylbromide Intoxication: A Clinical Case Study

Advanced Emergency Nursing Journal — Tue, 31 Mar 2009 23:00:00 +0100

The port of Rotterdam, The Netherlands, is the world's largest container port. In 2006, one of these containers caused a chemical incident. Methylbromide is used in some countries as a pesticide for the fumigation of maritime containers. Because of an insufficiently performed detoxification, this insecticide intoxicated several employees and some of the ambulance crew and Mobile Medical Team (MMT). The victims displayed symptoms of sore throat, irritated eyes, and hypersalivation. One of the victims suffered from multiple epileptic seizures. Two victims were admitted to the intensive care unit for respiratory support. Three other employees showed milder symptoms and received supportive care but were not admitted to the hospital. This complicated case shows that the safety of the ambulance ...

Unexpected Birth in the Emergency Department: The Role of the Advanced Practice Nurse

Advanced Emergency Nursing Journal — Tue, 31 Mar 2009 23:00:00 +0100

Emergency department (ED) births are relatively uncommon, but when they occur, the advanced practice nurse is in a unique position to assist the mother through unexpected vaginal delivery in the ED. The purpose of this article is to guide the advanced practice nurse through the process of care for a woman giving birth in the emergency department. Anticipation, preparation, "the catch," the newborn, the placenta, stabilization, and transport are the individual steps reviewed in this article. The focus of this manuscript is also to discuss the management of a mother and neonate during and following an unexpected vaginal birth. (C) 2009 Lippincott Williams & Wilkins, Inc. (Source: Advanced Emergency Nursing Journal)

Selecting Antibiotics for Community-Acquired Respiratory Infections in the Emergency Department

Advanced Emergency Nursing Journal — Tue, 31 Mar 2009 23:00:00 +0100

Annually, millions of patients are treated in emergency departments across the country for upper and lower respiratory infections. The purpose of this article was to articulate optimal antibiotic therapy for community-acquired respiratory infections. A table format has been selected to serve as a direct reference for nurse practitioners and physician assistants. In addition, background, common pathogens, and follow-up are discussed for each disease state. (C) 2009 Lippincott Williams & Wilkins, Inc. (Source: Advanced Emergency Nursing Journal)

Workplace Violence

Advanced Emergency Nursing Journal — Tue, 31 Mar 2009 23:00:00 +0100

The purpose of this study is to investigate emergency department (ED) workplace violence and assess staff perceptions of safety. Healthcare workers, in particular emergency care professionals, are often the recipients of workplace violence. The majority of staff (73%) reported that they felt safe most of the time or always, and 8% responded that they never or rarely felt physically safe in the ED. Most of the sites (94%) reported the presence and availability of in-hospital security 24 hr per day. In total, more than 3,461 attacks were reported by the respondents over 5 years, with a median of 11 incidences of physical violence per site for the 5-year period. (C) 2009 Lippincott Williams & Wilkins, Inc. (Source: Advanced Emergency Nursing Journal)

Ovarian Torsion in a 23-Year-Old Female With Pelvic Pain

Advanced Emergency Nursing Journal — Tue, 31 Mar 2009 23:00:00 +0100

Ovarian torsion is infrequently seen in the emergency department, however, a delay in diagnosis and treatment can lead to necrosis and loss of the ovary (E. D. Shraga & M. Blanda, 2008). A patient with pelvic pain diagnosed with ovarian torsion is presented in this article. The diagnosis and treatment of ovarian torsion is discussed to help the advanced practice nurse gain a better understanding of this frequently missed problem. (C) 2009 Lippincott Williams & Wilkins, Inc. (Source: Advanced Emergency Nursing Journal)

Competencies and Certification for Advanced Practice Nurses in Emergency Care

Advanced Emergency Nursing Journal — Tue, 31 Mar 2009 23:00:00 +0100

No abstract available (Source: Advanced Emergency Nursing Journal)

Asthma Education Delivered in an Emergency Department and an Asthma Education Center: A Feasibility Study.

Advanced Emergency Nursing Journal — Sun, 22 Feb 2009 14:12:02 +0100

Page: 73DOI: 10.1097/TME.0b013e31818bf23dAuthors: Szpiro, Kim A. RN, MSc; Harrison, Margaret B. RN, PhD; VanDenKerkhof, Elizabeth G. RN, DrPH; Lougheed, M. Diane MD, MSc, FRCPC (Source: Advanced Emergency Nursing Journal)

Cardiovascular Health in Women: An Overview of Gender-Related Issues.

Advanced Emergency Nursing Journal — Sun, 22 Feb 2009 14:12:02 +0100

Page: 63DOI: 10.1097/TME.0b013e318195ef15Authors: Franceski, Barbara D. RN, MSN, NP-C (Source: Advanced Emergency Nursing Journal)

Mitochondria: The Hemi of the Cell.

Advanced Emergency Nursing Journal — Sun, 22 Feb 2009 14:12:02 +0100

Page: 54DOI: 10.1097/TME.0b013e3181956200Authors: Cusimano, Elizabeth M. BSN, RN; Knight, Amanda R. BA; Slusser, Joyce G. PhD; Clancy, Richard L. PhD; Pierce, Janet D. DSN, ARNP, CCRN (Source: Advanced Emergency Nursing Journal)

Emergency Department Adult Asthma Care Pathway: Healthcare Providers' Perceived Utility and Barriers to Implementation.

Advanced Emergency Nursing Journal — Sun, 22 Feb 2009 14:12:02 +0100

Page: 44DOI: 10.1097/TME.0b013e3181946f76Authors: Olajos-Clow, Jennifer RN, MSc, CAE, APN; Szpiro, Kim RN, MSc; Julien, Brianna BSc; Minard, Janice RN, MSc; Lougheed, M. Diane MD, MSc, FRCPC (Source: Advanced Emergency Nursing Journal)

Management of Acute Cardiogenic Pulmonary Edema: A Literature Review.

Advanced Emergency Nursing Journal — Sun, 22 Feb 2009 14:12:02 +0100

Page: 36DOI: 10.1097/TME.0b013e3181946fd8Authors: Johnson, Jeremy M. MS, RN, CEN, CCRN (Source: Advanced Emergency Nursing Journal)

Patient With a Globe Rupture.

Advanced Emergency Nursing Journal — Sun, 22 Feb 2009 14:12:02 +0100

Page: 34DOI: 10.1097/01.TME.0000346652.44604.66 (Source: Advanced Emergency Nursing Journal)

Patient With a Globe Rupture.

Advanced Emergency Nursing Journal — Sun, 22 Feb 2009 14:12:02 +0100

Page: 27DOI: 10.1097/TME.0b013e31818fda76Authors: Paniagua, Carmen T. EdD, RN, CPC, ANP, ACNP-BC; Gunter, Connie M. BSN, MS; Casciano, Jonathan D. MD; Maddox, Randy P. MD (Source: Advanced Emergency Nursing Journal)

Selecting Antibiotics for Community-Acquired Skin and Skin Structure Infections in the Emergency Department.

Advanced Emergency Nursing Journal — Sun, 22 Feb 2009 14:12:02 +0100

Page: 19DOI: 10.1097/TME.0b013e31819adabaAuthors: Francis, Kerry E. PharmD (Source: Advanced Emergency Nursing Journal)

Erratum.

Advanced Emergency Nursing Journal — Sun, 22 Feb 2009 14:12:02 +0100

Page: 18DOI: 10.1097/TME.0b013e31819fa92c (Source: Advanced Emergency Nursing Journal)

Patient With Intracranial Subarachnoid Hemorrhage Requiring an Endovascular Coiling Procedure.

Advanced Emergency Nursing Journal — Sun, 22 Feb 2009 14:12:02 +0100

Page: 12DOI: 10.1097/TME.0b013e3181921d86Authors: Norton, Colleen K. PhD, RN, CCRN; Linenfelser, Paula MSN, RN (Source: Advanced Emergency Nursing Journal)

Comprehension of Discharge Instructions.

Advanced Emergency Nursing Journal — Sun, 22 Feb 2009 14:12:02 +0100

Page: 4DOI: 10.1097/TME.0b013e318196e839Authors: Gilboy, Nicki RN, MS, CEN, FAEN; Howard, Patricia Kunz PhD, RN, CEN, FAEN (Source: Advanced Emergency Nursing Journal)

Too Much Information.

Advanced Emergency Nursing Journal — Sun, 22 Feb 2009 00:37:48 +0100

Page: 1DOI: 10.1097/TME.0b013e3181968555Authors: Proehl, Jean A. RN, MN, CEN, CCRN, FAEN; Hoyt, K. Sue RN, PhD, FNP-BC, CEN, FAEN, FAANP (Source: Advanced Emergency Nursing Journal)

Selecting Antibiotics for Community-Acquired Skin and Skin Structure Infections in the Emergency Department

Advanced Emergency Nursing Journal — Thu, 01 Jan 2009 00:00:00 +0100

The number of patients treated in emergency departments across the United States for community-acquired skin and soft tissue infections is on the rise. The purpose of this article is to articulate optimal antibiotic therapy for community-acquired skin and soft tissue infections. A table format has been selected to serve as a direct reference for nurse practitioners and physician assistants. In addition, background, common pathogens, and follow-up are discussed for each disease state as well as how cost might affect nurse practitioner's and physician assistant's antibiotic selection. (C) 2009 Lippincott Williams & Wilkins, Inc. (Source: Advanced Emergency Nursing Journal)

Patient With Intracranial Subarachnoid Hemorrhage Requiring an Endovascular Coiling Procedure

Advanced Emergency Nursing Journal — Thu, 01 Jan 2009 00:00:00 +0100

A 53-year-old man with a sudden onset of visual disturbances and a severe headache is transported to the emergency department, triaged as emergent, and seen immediately. His care is described on the basis of embolization and coiling in interventional radiology. Prioritization and nursing management postprocedure are discussed, and the importance of astute nursing interventions in the emergency department is presented. (C) 2009 Lippincott Williams & Wilkins, Inc. (Source: Advanced Emergency Nursing Journal)

Patient With a Globe Rupture

Advanced Emergency Nursing Journal — Thu, 01 Jan 2009 00:00:00 +0100

This article presents a case of a patient with an open eye globe rupture and discusses the assessment, diagnosis, and management for this patient. (C) 2009 Lippincott Williams & Wilkins, Inc. (Source: Advanced Emergency Nursing Journal)

Comprehension of Discharge Instructions

Advanced Emergency Nursing Journal — Thu, 01 Jan 2009 00:00:00 +0100

The Research to Practice column attempts to serve two purposes: (1) fine-tune the research critique skills of advanced practice nurses and (2) suggest strategies to translate findings from a research study into bedside practice. For each column, a topic and a particular research study are selected. The stage is set by introducing the importance of the topic. The research paper is then reviewed and critiqued, and finally, the implications for translation into practice are discussed. This particular column reviews the article: Engel, K., Heisler, M., Smith, D., Robinson, C., Forman, J., & Ubel, P. (in press). Patient comprehension of emergency department care and instructions: Are patients aware of when they do not understand? Annals of Emergency Medicine. (C) 2009 Lippincott Williams & Wilk...

Asthma Education Delivered in an Emergency Department and an Asthma Education Center: A Feasibility Study

Advanced Emergency Nursing Journal — Thu, 01 Jan 2009 00:00:00 +0100

This study aimed to describe the feasibility and impact of a brief evidence-based asthma education intervention delivered in the ED and an asthma education center (AEC) on asthma knowledge and perceived control. The educational intervention was easily integrated into routine care in the ED. Participants were similar except for age and current state of anxiety. At follow-up, both groups showed a significant increase in asthma knowledge (ED, n = 3.1, SD = 2.1, p < .01; AEC, n = 2.6, SD = 2.7, p = .01). Perceived control improved significantly in the ED (n = 2.6, SD = 3.9; p = .01). Despite higher state anxiety scores in the ED setting, a brief asthma educational intervention resulted in a short-term increase in asthma knowledge and perceived control. Asthma knowledge also increased after the...

Emergency Department Adult Asthma Care Pathway: Healthcare Providers' Perceived Utility and Barriers to Implementation

Advanced Emergency Nursing Journal — Thu, 01 Jan 2009 00:00:00 +0100

Clinical pathways provide an outline for evidence-based care and can reduce variation of care across many healthcare settings including the emergency department (ED). The purpose of this study was to examine healthcare providers' perceptions of an ED Asthma Care Pathway (EDACP) and identify barriers to implementation. Following a 6-month pilot implementation of the EDACP, healthcare providers (physicians, nurses, respiratory therapists, and administrators) at 5 Ontario EDs were surveyed about the content, format, and usefulness of the pathway, as well as barriers to implementation. A focus group was convened to further explore these factors. In total, 207 of 338 mailed surveys were returned. Approximately 60% of respondents felt that the pathway was a useful tool, which enabled adherence w...

Management of Acute Cardiogenic Pulmonary Edema: A Literature Review

Advanced Emergency Nursing Journal — Thu, 01 Jan 2009 00:00:00 +0100

Acute cardiogenic pulmonary edema (CPE) is a pathology frequently seen in patients presenting to emergency departments (EDs) and can usually be attributed to preexisting cardiovascular disease. Heart failure alone accounts for more than 1 million hospital admissions annually and has one of the highest ED morbidity and mortality to date ( Hunt et al., 2005). Historically, CPE has been managed by the treating clinician in a manner that is based largely on anecdotal evidence. Furosemide (Lasix), morphine, and nitroglycerin have historically been the baseline standard for drug therapy in CPE management. A lack of drastic improvement in the patient's condition over the course of the ED visit may reflect a management style that results in higher morbidity and mortality for CPE patients. Several ...

Mitochondria: The Hemi of the Cell

Advanced Emergency Nursing Journal — Thu, 01 Jan 2009 00:00:00 +0100

There are many organelles within a cell, each with individual responsibilities required for life. Of these organelles, the mitochondria are the hemi of the cell, producing the energy necessary for cell function. Reactive oxygen species can cause mitochondrial dysfunction and contribute to many diseases often seen in emergency departments. When reactive oxygen species are produced, the mitochondria undergo functional and structural changes causing the release of cytochrome c. Cytochrome c is responsible for activating apoptotic pathways leading to cell death. Apoptosis, or programmed cell death, is needed to maintain homeostasis in the body; however, when this occurs prematurely by an increase in reactive oxygen species production, many pathological conditions can occur. Clinicians in emerg...

Over-the-Counter Overdoses: A Review of Ibuprofen, Acetaminophen, and Aspirin Toxicity in Adults.

Advanced Emergency Nursing Journal — Thu, 27 Nov 2008 09:25:39 +0100

Page: 369DOI: 10.1097/TME.0b013e31818c06f9Authors: Johnson, Jeremy M. BSN, MS, RN, CEN, CCRN (Source: Advanced Emergency Nursing Journal)

A Pharyngitis-Delegated Medical Function in the Emergency Department: The Preimplementation Process.

Advanced Emergency Nursing Journal — Thu, 27 Nov 2008 09:25:39 +0100

Page: 357DOI: 10.1097/TME.0b013e31818c06e6Authors: Houk, Shauna RN, BScN; Macdonald, Marilyn RN, PhD (Source: Advanced Emergency Nursing Journal)

Methicillin-Resistant Staphylococcus aureus Colonization: A Review of the Literature on Prevention and Eradication.

Advanced Emergency Nursing Journal — Thu, 27 Nov 2008 09:25:39 +0100

Page: 344DOI: 10.1097/TME.0b013e31818bcf45Authors: Ro, Kumhee MN, ARNP (Source: Advanced Emergency Nursing Journal)

Developing a MASH (Management of Acute pSychiatric Health) Task Force in the Emergency Department.

Advanced Emergency Nursing Journal — Thu, 27 Nov 2008 09:25:39 +0100

Page: 339DOI: 10.1097/TME.0b013e31818c0751Authors: Zavotsky, Kathleen Evanovich MS, RN, CCRN, CEN, ACNS-BC; Scipione, Katherine MS, RN (Source: Advanced Emergency Nursing Journal)

Medication Reconciliation Practices and Perceptions in the Emergency Department.

Advanced Emergency Nursing Journal — Thu, 27 Nov 2008 09:25:39 +0100

Page: 333DOI: 10.1097/TME.0b013e31818c070dAuthors: Walker-Cillo, Gayle MSN/Ed, RN, CEN; Fowler, Susan B. RN, PhD, CNRN, FAHA (Source: Advanced Emergency Nursing Journal)

Therapeutic Hypothermia in the Postresuscitation Patient: The Development and Implementation of an Evidence-Based Protocol for the Emergency Department.

Advanced Emergency Nursing Journal — Thu, 27 Nov 2008 09:25:39 +0100

Page: 331DOI: 10.1097/01.ANS.0000342292.59268.bf (Source: Advanced Emergency Nursing Journal)

Therapeutic Hypothermia in the Postresuscitation Patient: The Development and Implementation of an Evidence-Based Protocol for the Emergency Department.

Advanced Emergency Nursing Journal — Thu, 27 Nov 2008 09:25:39 +0100

Page: 319DOI: 10.1097/TME.0b013e31818c073fAuthors: Koran, Zeb RN, APN, DNP, CEN, CCRN (Source: Advanced Emergency Nursing Journal)

A Case of Primary Syphilis: Emergency Department Evaluation and Management.

Advanced Emergency Nursing Journal — Thu, 27 Nov 2008 09:25:39 +0100

Page: 310DOI: 10.1097/TME.0b013e31818c06d1Authors: Reinisch, Courtney Elizabeth DNP; Smolowitz, Janice L. EdD, DNP, APN (Source: Advanced Emergency Nursing Journal)

Management of Serotonin Syndrome: Clinical Considerations.

Advanced Emergency Nursing Journal — Thu, 27 Nov 2008 09:25:39 +0100

Page: 303DOI: 10.1097/TME.0b013e31818c0728Authors: Aykroyd, Laura PharmD, BCPS; Walker, Pamela L. PharmD, BCPS (Source: Advanced Emergency Nursing Journal)

Interpreting Noncontrast Head CT.

Advanced Emergency Nursing Journal — Thu, 27 Nov 2008 09:25:39 +0100

Page: 297DOI: 10.1097/01.ANS.0000342291.74516.24Authors: Deshmukh, Monica MD; Yafai, Sherry MD (Source: Advanced Emergency Nursing Journal)

Management of Emergency Department Patients With Boxer's Fractures: Functional Treatment or Immobilization?.

Advanced Emergency Nursing Journal — Thu, 27 Nov 2008 09:25:39 +0100

Page: 289DOI: 10.1097/TME.0b013e31818c06b8Authors: Heins, Kaye MSN, RN; Heins, Alan MD (Source: Advanced Emergency Nursing Journal)

From the editors.

Advanced Emergency Nursing Journal — Thu, 27 Nov 2008 01:15:24 +0100

Page: 287DOI: 10.1097/TME.0b013e31818c2832Authors: Hoyt, K. Sue RN, PhD, FNP-BC, CEN, FAEN, FAANP; Proehl, Jean A. RN, MN, CEN, CCRN, FAEN (Source: Advanced Emergency Nursing Journal)

Developing a MASH (Management of Acute pSychiatric Health) Task Force in the Emergency Department

Advanced Emergency Nursing Journal — Tue, 30 Sep 2008 23:00:00 +0100

The purpose of this article is to show how one emergency department (ED) came up with strategies for management of the acutely ill psychiatric patient. A task force was formed that was named the Management of Acute pSychiatric Health (MASH). The MASH task force was convened by the ED clinical nurse specialist in response to staff dissatisfaction with the current management of the psychiatric patient. Members helped develop all goals, policies, and procedures and carry out the education of the staff by utilization of psychiatric mock codes. (C) 2008 Lippincott Williams & Wilkins, Inc. (Source: Advanced Emergency Nursing Journal)

Over-the-Counter Overdoses: A Review of Ibuprofen, Acetaminophen, and Aspirin Toxicity in Adults

Advanced Emergency Nursing Journal — Tue, 30 Sep 2008 23:00:00 +0100

There are several different forms of nonsteroidal anti-inflammatory drugs and they are classified on the basis of their chemical structure. The 3 most popular forms are ibuprofen, acetaminophen, and aspirin. These medications are of the most commonly self-administered medications to date, not only alone but found as ingredients in combination medications (e.g., sleep aids and prescription narcotics). It is imperative that the clinician can recognize the signs and symptoms of acute ingestion and quickly prescribe the appropriate treatment. Moreover, many of the signs and symptoms are not initially evident when the patient with toxic syndrome presents to the emergency department. For this reason, once the diagnosis has been established, the clinician should be able to recognize and predict f...

Management of Emergency Department Patients With Boxer's Fractures: Functional Treatment or Immobilization?

Advanced Emergency Nursing Journal — Tue, 30 Sep 2008 23:00:00 +0100

This evidence-based review evaluates immobilization versus functional treatment of fifth metacarpal fractures. A systematic search of MEDLINE, Google Scholar, and The Cochrane Library was performed. The evidence of five papers, four randomized controlled trials and one systematic review, was evaluated to produce a clinical recommendation. Each paper compared immobilization and functional treatment and found no differences in outcomes. Unfortunately, the methodology of the randomized trial was weak, limiting the strength of the recommendation. On the basis of the review of the evidence it is recommended that the advanced emergency nurse use functional treatment for treatment of fifth metacarpal fractures. (C) 2008 Lippincott Williams & Wilkins, Inc. (Source: Advanced Emergency Nursing Journ...

Methicillin-Resistant Staphylococcus aureus Colonization: A Review of the Literature on Prevention and Eradication

Advanced Emergency Nursing Journal — Tue, 30 Sep 2008 23:00:00 +0100

The emergence of colonized methicillin-resistant Staphylococcus aureus (MRSA) carriers is a great threat to the health of communities nationwide. Unrecognized MRSA carriers not only have greater risk for the recurrent development of MRSA infections but these carriers also contribute to transmission in noncolonized patients. Because an increasing number of patients are diagnosed with MRSA infections in the emergency department, the purpose of this review was to determine the potential benefits and efficacy of MRSA prevention and eradication with intranasal mupirocin (Bactroban) and/or chlorhexidine (Hibiclens) body wash among colonized patients. The search results included articles published on evidence-based practice for the prevention of MRSA from 1998 to 2008. Twelve studies met the incl...

Interpreting Noncontrast Head CT

Advanced Emergency Nursing Journal — Tue, 30 Sep 2008 23:00:00 +0100

This article offers a review of brain anatomy via CT scan and a basic interpretation of the acute neurologic emergencies (e.g., intracranial hemorrhage and infarction) that present in emergency care settings. (C) 2008 Lippincott Williams & Wilkins, Inc. (Source: Advanced Emergency Nursing Journal)

Radiation Exposure and Computed Tomography in the Emergency Department.

Advanced Emergency Nursing Journal — Tue, 19 Aug 2008 09:36:53 +0100

Page: 271DOI: 10.1097/01.TME.0000334379.67399.4dAuthors: Rhoda, June E. BS, MSN, RN (Source: Advanced Emergency Nursing Journal)

The Effect of ACT-SMART on Nurses' Perceived Level of Confidence Toward Managing the Aggressive and Violent Patient.

Advanced Emergency Nursing Journal — Tue, 19 Aug 2008 09:36:53 +0100

Page: 269DOI: 10.1097/01.TME.0000334378.90270.be (Source: Advanced Emergency Nursing Journal)

The Effect of ACT-SMART on Nurses' Perceived Level of Confidence Toward Managing the Aggressive and Violent Patient.

Advanced Emergency Nursing Journal — Tue, 19 Aug 2008 09:36:53 +0100

Page: 252DOI: 10.1097/01.TME.0000334377.82646.04Authors: Cahill, Donna RN, MSN, CNS, CEN (Source: Advanced Emergency Nursing Journal)

Treatment of Asymptomatic Severe Hypertension in the Emergency Department: An Acute Finding of a Chronic Condition.

Advanced Emergency Nursing Journal — Tue, 19 Aug 2008 09:36:53 +0100

Page: 242DOI: 10.1097/01.TME.0000334376.82646.4dAuthors: Hanzik, Jolene RN, MSN, FNP (Source: Advanced Emergency Nursing Journal)

Assessment of Emergency Nursing Practice During Critical Pediatric Medication Administration in a Simulated Resuscitation Using the "Color Coding Kids Hospital System": A Multisite Trial.

Advanced Emergency Nursing Journal — Tue, 19 Aug 2008 09:36:53 +0100

Page: 233DOI: 10.1097/01.TME.0000334375.44529.09Authors: Hohenhaus, Susan M. MA, RN, FAEN; Cadwell, Sue M. RN, BSN, CNAB; Stone-Griffith, Suzanne RN, MSN, CNAA; Sears-Russell, Nancy RN, MS, CEN; Baxter, Todd RN, MHA, CEN; Hicks, William RN, BSN; Maples, Lisa RN, BSN, MSHSA; Kleja, Kacie MS (Source: Advanced Emergency Nursing Journal)

Evidence-Based Practice for Advanced Practice Emergency Nurses, Part III: Planning, Implementing, and Evaluating an Evidence-Based Small Test of Change.

Advanced Emergency Nursing Journal — Tue, 19 Aug 2008 09:36:53 +0100

Page: 222DOI: 10.1097/01.TME.0000334374.36905.69Authors: Shapiro, Susan E. RN, PhD; Donaldson, Nancy A. RN, DNS, FAAN (Source: Advanced Emergency Nursing Journal)

A Case of Pruritic Urticarial Papules and Plaques of Pregnancy.

Advanced Emergency Nursing Journal — Tue, 19 Aug 2008 09:36:53 +0100

Page: 218DOI: 10.1097/01.TME.0000334373.59776.daAuthors: Shea, Sheila Sanning MSN, RN, NP, CEN (Source: Advanced Emergency Nursing Journal)

Community-Acquired Pneumonia: A Review of Current Practice Guidelines.

Advanced Emergency Nursing Journal — Tue, 19 Aug 2008 09:36:53 +0100

Page: 209DOI: 10.1097/01.TME.0000334372.59776.93Authors: Anderson, Emily M. PharmD, BCPS; Spencer, Dustin D. PharmD, BCPS; Walroth, Todd A. PharmD, BCPS (Source: Advanced Emergency Nursing Journal)

Management of Calcaneus Fractures in Emergency Care.

Advanced Emergency Nursing Journal — Tue, 19 Aug 2008 09:36:53 +0100

Page: 201DOI: 10.1097/01.TME.0000334371.52152.34Authors: Ramirez, Elda G. PhD, RN, FNP-BC, FAANP (Source: Advanced Emergency Nursing Journal)

Compliance With Hand Hygiene Guidelines.

Advanced Emergency Nursing Journal — Tue, 19 Aug 2008 09:36:53 +0100

Page: 193DOI: 10.1097/01.TME.0000334370.14034.fcAuthors: Gilboy, Nicki RN, MS, CEN, FAEN; Howard, Patricia K. PhD, RN, CEN (Source: Advanced Emergency Nursing Journal)

From the editors.

Advanced Emergency Nursing Journal — Mon, 18 Aug 2008 23:33:24 +0100

Page: 191DOI: 10.1097/01.TME.0000334369.14034.2aAuthors: Proehl, Jean A. RN, MN, CEN, CCRN, FAEN; Hoyt, K. Sue RN, PhD, FNP-BC, CEN, FAEN, FAANP (Source: Advanced Emergency Nursing Journal)

Community-Acquired Pneumonia: A Review of Current Practice Guidelines

Advanced Emergency Nursing Journal — Mon, 30 Jun 2008 23:00:00 +0100

Community-acquired pneumonia is a considerable cause of morbidity and mortality and contributes significantly to healthcare resource utilization worldwide. Clinical practice guidelines developed by international societies have been published to improve the diagnosis, management, and prevention of community-acquired pneumonia. This review of current guidelines is aimed at choosing an appropriate therapeutic approach including local considerations, site of care decisions, diagnostic testing, antimicrobial therapy, and prevention. (C) 2008 Lippincott Williams & Wilkins, Inc. (Source: Advanced Emergency Nursing Journal)

Evidence-Based Practice for Advanced Practice Emergency Nurses, Part III: Planning, Implementing, and Evaluating an Evidence-Based Small Test of Change

Advanced Emergency Nursing Journal — Mon, 30 Jun 2008 23:00:00 +0100

In this article, we describe the steps involved in implementing an evidence-based practice change in an emergency department. Using the hypothetical case of changing from a 3-tier to a 5-tier triage system, we present an overview of change theory, microsystem analysis, and rapid cycle change. We then provide practical as well as theoretical suggestions for planning, implementing, and evaluating an evidence-based practice change. We also provide practical tools for conducting a gap analysis and creating a project plan that advanced practice emergency nurses will find useful as they take on this leadership role in their department. (C) 2008 Lippincott Williams & Wilkins, Inc. (Source: Advanced Emergency Nursing Journal)

Treatment of Asymptomatic Severe Hypertension in the Emergency Department: An Acute Finding of a Chronic Condition

Advanced Emergency Nursing Journal — Mon, 30 Jun 2008 23:00:00 +0100

Severely elevated blood pressure (greater than 180/110 mmHg) is a common finding encountered in the emergency department. This blood pressure level has traditionally been categorized as hypertensive urgency when there is no target organ damage or a hypertensive emergency when target organ damage is present. Asymptomatic severely elevated blood pressure is the preferred term instead of hypertensive urgency, as it does not imply a crisis exists. The assessment and management of patients with elevated blood pressure has been extensively studied in the primary care environment. However, most of the guidelines are not for patients with acute illness. Current guidelines are being challenged as not being evidence-based, impractical, and cost-inefficient when applied in the emergency department se...

Compliance With Hand Hygiene Guidelines

Advanced Emergency Nursing Journal — Mon, 30 Jun 2008 23:00:00 +0100

The Research to Practice column attempts to serve 2 purposes: (1) fine-tune the research critique skills of advanced practice nurses and (2) suggest strategies to translate findings from a research study into bedside practice. For each column, a topic and a particular research study are selected. The stage is set by introducing the importance of the topic. The research paper is then reviewed and critiqued, and finally, the implications for translation into practice are discussed. In this column, T. Eckmans, J. Bessert, M. Behnke, P. Gastmeir, and R. Henning (2006) investigate the effect of having a trained observer assess for compliance with antiseptic hand rub use in intensive care units. The implications of these findings for advanced practice nurses are discussed. (C) 2008 Lippincott Wi...

The Effect of ACT-SMART on Nurses' Perceived Level of Confidence Toward Managing the Aggressive and Violent Patient

Advanced Emergency Nursing Journal — Mon, 30 Jun 2008 23:00:00 +0100

Aggression and violence, a healthcare problem of international proportions, creates a significant risk for nurses and results in an unsafe work environment. Education can make a difference. Nurses need a level of knowledge and confidence to effectively identify, communicate, and intervene with the patient or family member displaying behaviors associated with escalation and aggression. ACT-SMART (Attitudes and Communication Techniques for Scripps Mercy Aggression Reduction Training) provides nurses theory and specific communication skills. Program evaluation was determined by nurses' self-rated confidence and attitudes in managing aggressive situations. Evaluation was conducted with a quasi-experimental study using a pretest-posttest design with control group. In a convenience sample (N = 6...

Management of Calcaneus Fractures in Emergency Care

Advanced Emergency Nursing Journal — Mon, 30 Jun 2008 23:00:00 +0100

Calcaneus fractures occur when a large amount of force is placed on the hind portion of the foot. Jumping off of high places is a common presentation. The force of such injury may affect the spine. The skeletal anatomy of the foot and the many compartments it contains make this injury highly complicated especially if the injury is intra-articular. The mechanism of injury, clinical presentation, treatment methodologies, and long-term rehabilitation of the calcaneus fracture are reviewed. (C) 2008 Lippincott Williams & Wilkins, Inc. (Source: Advanced Emergency Nursing Journal)

A Case of Pruritic Urticarial Papules and Plaques of Pregnancy

Advanced Emergency Nursing Journal — Mon, 30 Jun 2008 23:00:00 +0100

Pruritic urticarial papules and plaques of pregnancy (PUPPP) is a benign, uncomfortable condition most commonly associated with the late gestational period in primagravidas. This self-limiting dermatosis usually resolves in the early postpartum period. The etiology is not well understood and there are no specific laboratory tests. Pruritic urticarial papules and plaques of pregnancy are not associated with maternal or fetal complications and require only supportive management. Early identification will facilitate the initiation of timely comfort measures and an opportunity to provide reassurance and patient education. (C) 2008 Lippincott Williams & Wilkins, Inc. (Source: Advanced Emergency Nursing Journal)

Where There Is Smoke[horizontal ellipsis] Inhalation Injuries, Carbon Monoxide, and Cyanide Poisoning.

Advanced Emergency Nursing Journal — Wed, 21 May 2008 15:25:04 +0100

Page: 180DOI: 10.1097/01.TME.0000319928.43215.29Authors: Sahjian, Michael RN, BSN, CFRN, CCRN, EMTP; Frakes, Michael A. APRN, CCNS, CFRN, CCRN, EMTP (Source: Advanced Emergency Nursing Journal)

Adrenal Insufficiency.

Advanced Emergency Nursing Journal — Wed, 21 May 2008 15:25:04 +0100

Page: 171DOI: 10.1097/01.TME.0000319927.05097.a4Authors: Ruszala, Michael W. RN, BSN, CCRN, EMT-B (Source: Advanced Emergency Nursing Journal)

Nurse Practitioners Performing Procedures With Confidence and Independence in the Emergency Care Setting.

Advanced Emergency Nursing Journal — Wed, 21 May 2008 15:25:04 +0100

Page: 153DOI: 10.1097/01.TME.0000319926.97473.8dAuthors: Campo, Theresa DNP, RN, APN, C; McNulty, Rita DNP, RN, CNP; Sabatini, Michelle DNSc, RN, APN, C; Fitzpatrick, Joyce PhD, MBA, RN, FAAN (Source: Advanced Emergency Nursing Journal)

Evidence-Based Practice for Advanced Practice Emergency Nurses, Part II: Critically Appraising the Literature.

Advanced Emergency Nursing Journal — Wed, 21 May 2008 15:25:04 +0100

Page: 151DOI: 10.1097/01.TME.0000319925.20344.d8 (Source: Advanced Emergency Nursing Journal)

Evidence-Based Practice for Advanced Practice Emergency Nurses, Part II: Critically Appraising the Literature.

Advanced Emergency Nursing Journal — Wed, 21 May 2008 15:25:04 +0100

Page: 139DOI: 10.1097/01.TME.0000319924.12721.23Authors: Shapiro, Susan E. PhD, RN, CEN; Donaldson, Nancy A. RN, DNS, FAAN (Source: Advanced Emergency Nursing Journal)

Emergency Management of Asthma Exacerbations.

Advanced Emergency Nursing Journal — Wed, 21 May 2008 15:25:04 +0100

Page: 122DOI: 10.1097/01.TME.0000319923.74602.9cAuthors: House, David T. RN, BSN, CEN; Ramirez, Elda G. PhD, RN, FNP-BC, FAANP (Source: Advanced Emergency Nursing Journal)

Hydroxocobalamin (Cyanokit): A New Antidote for Cyanide Toxicity.

Advanced Emergency Nursing Journal — Wed, 21 May 2008 15:25:04 +0100

Page: 112DOI: 10.1097/01.TME.0000319922.66978.96Authors: Jones, Karrie R. PharmD, BCPS (Source: Advanced Emergency Nursing Journal)

Mandibular Fractures.

Advanced Emergency Nursing Journal — Wed, 21 May 2008 15:25:04 +0100

Page: 102DOI: 10.1097/01.TME.0000319921.89849.94Authors: Hoyt, K. Sue RN, PhD, FNP-BC, CEN, FAEN; Gerhart, Ann E. RN, MSN, FNP-BC, CEN (Source: Advanced Emergency Nursing Journal)

Recovering and Reporting Medical Errors in the Emergency Department.

Advanced Emergency Nursing Journal — Wed, 21 May 2008 15:25:04 +0100

Page: 93DOI: 10.1097/01.TME.0000319920.89849.ddAuthors: Gilboy, Nicki RN, MS, CEN, FAEN; Tanabe, Paula PhD, MPH, RN (Source: Advanced Emergency Nursing Journal)

Healthcare in the United States: Can It Be Reformed?.

Advanced Emergency Nursing Journal — Tue, 20 May 2008 23:31:05 +0100

Page: 91DOI: 10.1097/01.TME.0000319919.44108.4fAuthors: Hoyt, K. Sue RN, PhD, FNP-BC, CEN, FAEN; Proehl, Jean A. RN, MN, CEN, CCRN, FAEN (Source: Advanced Emergency Nursing Journal)

Evidence-Based Practice for Advanced Practice Emergency Nurses, Part II: Critically Appraising the Literature

Advanced Emergency Nursing Journal — Mon, 31 Mar 2008 23:00:00 +0100

This article, the second in a series designed to acquaint the advanced practice emergency nurses with essential knowledge and skills for implementing evidence-based practice, focuses on the process of critical appraisal. In this article, we purposefully differentiate critical appraisal from research critique and illustrate how it relates to implementing evidence-based practices. This article provides tools to assist the advance practice emergency nurse in answering 3 fundamental questions: (a) When is the evidence good enough to use the results? (b) Are the findings applicable in my setting? and (c) If I adopt this practice, what will it mean to my patients? The article ends with an introduction to the process of synthesizing evidence, determined through appraisal to be important and usefu...

Hydroxocobalamin (Cyanokit): A New Antidote for Cyanide Toxicity

Advanced Emergency Nursing Journal — Mon, 31 Mar 2008 23:00:00 +0100

Nurse Practitioners Performing Procedures With Confidence and Independence in the Emergency Care Setting

Advanced Emergency Nursing Journal — Mon, 31 Mar 2008 23:00:00 +0100

This study was conducted to describe the procedures and education being used by NPs in the ECS and the level of independence and confidence NPs report about performing these procedures. The research, based on the Strong Model of Advanced Practice, was a cross-sectional, descriptive design that used survey methodology. The Activities and Procedures Instrument was used to assess procedures, independence, education, and confidence. A list of NPs (n = 1,799) currently licensed and practicing in the ECS in the United States was obtained from the American Academy of Nurse Practitioners (AANP) member database. These NPs were contacted electronically yielding a 23.5% response rate for study sample (n = 423). Participants were NPs who primarily practice in both the main emergency department and fas...

Mandibular Fractures

Advanced Emergency Nursing Journal — Mon, 31 Mar 2008 23:00:00 +0100

Mandibular fractures occur primarily as the result of blunt trauma (e.g., motor vehicular crashes, assaults). Patients not only sustain single-system injuries but they must also be managed as multisystem trauma patients. The purpose of this article is to present a case of a patient with a mandibular fracture due to a fall. Patient assessment and management issues have been addressed in this article along with the imaging modalities utilized in the diagnosis of this patient with a mandibular fracture. (C) 2008 Lippincott Williams & Wilkins, Inc. (Source: Advanced Emergency Nursing Journal)

Emergency Management of Asthma Exacerbations

Advanced Emergency Nursing Journal — Mon, 31 Mar 2008 23:00:00 +0100

This article examines the pathophysiology and epidemiology of asthma and the presentation, differential diagnoses, diagnostic tests, and treatment modalities as proposed by the 2007 NAEPP EPR-3. (C) 2008 Lippincott Williams & Wilkins, Inc. (Source: Advanced Emergency Nursing Journal)

Salicylate Poisoning.

Advanced Emergency Nursing Journal — Sat, 16 Feb 2008 08:36:26 +0100

Page: 75DOI: 10.1097/01.TME.0000311548.33774.18Authors: Phillips, Maureen BSN, RN, CSPI (Source: Advanced Emergency Nursing Journal)

Sexually Transmitted Infections: A Major Public Health Challenge for Advanced Practice Nurses.

Advanced Emergency Nursing Journal — Sat, 16 Feb 2008 08:36:26 +0100

Page: 63DOI: 10.1097/01.TME.0000311547.88032.44Authors: Jordan, Kathleen S. RN, MS, FNP, APRN, BC (Source: Advanced Emergency Nursing Journal)

Wolff-Parkinson-White Syndrome.

Advanced Emergency Nursing Journal — Sat, 16 Feb 2008 08:36:26 +0100

Page: 61DOI: 10.1097/01.TME.0000311546.88032.0d (Source: Advanced Emergency Nursing Journal)

Wolff-Parkinson-White Syndrome.

Advanced Emergency Nursing Journal — Sat, 16 Feb 2008 08:36:26 +0100

Page: 50DOI: 10.1097/01.TME.0000311545.80409.36Authors: Bowman, Andrew J. MSN, RN, APRN, BC, CEN, CTRN, CCRN-CMC, CVN-I, BC, NREMT-P (Source: Advanced Emergency Nursing Journal)

Patient Education in the Emergency Department: A Systematic Review of Interventions and Outcomes.

Advanced Emergency Nursing Journal — Sat, 16 Feb 2008 08:36:26 +0100

Page: 34DOI: 10.1097/01.TME.0000311544.03280.79Authors: Szpiro, Kim A. MSc, RN; Harrison, Margaret B. PhD, RN; Van Den Kerkhof, Elizabeth G. DrPH, RN; Lougheed, M. Diane MD, MSc, FRCP(C) (Source: Advanced Emergency Nursing Journal)

Acute Leukemia in a 26-Week Gravid Patient.

Advanced Emergency Nursing Journal — Sat, 16 Feb 2008 08:36:26 +0100

Page: 27DOI: 10.1097/01.TME.0000311543.95656.dbAuthors: Slentz, Sean MSN, APRN, BC (Source: Advanced Emergency Nursing Journal)

Pharmacologic Strategies for the Treatment of Elevated Intracranial Pressure: Focus on Osmotherapy.

Advanced Emergency Nursing Journal — Sat, 16 Feb 2008 08:36:26 +0100

Page: 17DOI: 10.1097/01.TME.0000311542.95656.92Authors: Weant, Kyle A. PharmD, BCPS; Cook, Aaron M. PharmD, BCPS (Source: Advanced Emergency Nursing Journal)

Initial Assessment of the Hemodynamically Unstable Pelvic Fracture.

Advanced Emergency Nursing Journal — Sat, 16 Feb 2008 08:36:26 +0100

Page: 11DOI: 10.1097/01.TME.0000311541.57538.3dAuthors: Halpern, Alan A. MD, MBA (Source: Advanced Emergency Nursing Journal)

Who Is Leaving the Emergency Department Without Being Seen?.

Advanced Emergency Nursing Journal — Sat, 16 Feb 2008 08:36:26 +0100

Page: 03DOI: 10.1097/01.TME.0000311540.49914.bfAuthors: Gilboy, Nicki MS, RN, CEN, FAEN; Tanabe, Paula PhD, MPH, RN (Source: Advanced Emergency Nursing Journal)

From the editors.

Advanced Emergency Nursing Journal — Sat, 16 Feb 2008 00:46:22 +0100

Page: 1DOI: 10.1097/01.TME.0000311539.72785.f2Authors: Hoyt, K. Sue; Proehl, Jean A. (Source: Advanced Emergency Nursing Journal)

Patient Education in the Emergency Department: A Systematic Review of Interventions and Outcomes

Advanced Emergency Nursing Journal — Tue, 01 Jan 2008 00:00:00 +0100

Patient education is a key component for the management of many acute and chronic conditions. Presentation to the emergency department (ED) may offer an opportunity for patient education. The purpose of this review was to explore and analyze the type of interventions and outcomes used in this setting and to determine whether there is emerging evidence of effectiveness of these interventions. This systematic review was guided by an explicit search strategy, retrieval procedures, and appraisal process. An initial search was done using the key words "emergency" and "patient education." Data sources included articles published between 1966 and 2005. Synthesis tables were created using Weston and Cranton's adaptation of Bloom's Taxonomy of Learning Domains as a framework. Nineteen studies met t...

Salicylate Poisoning

Advanced Emergency Nursing Journal — Tue, 01 Jan 2008 00:00:00 +0100

This article discusses the clinical aspects of acute and chronic salicylate poisoning so as to assist the advanced practice nurse in the early identification and management of patients with salicylate poisoning. (C) 2008 Lippincott Williams & Wilkins, Inc. (Source: Advanced Emergency Nursing Journal)

Management of Deep Vein Thrombosis With Concurrent ITP.

Advanced Emergency Nursing Journal — Sat, 17 Nov 2007 01:27:31 +0100

Page: 370DOI: 10.1097/01.TME.0000300119.62937.32Authors: Chmielewski, Nicholas Alen MSN, RN (Source: Advanced Emergency Nursing Journal)

Mastoiditis Masquerading as Otitis Media.

Advanced Emergency Nursing Journal — Sat, 17 Nov 2007 01:27:31 +0100

Page: 356DOI: 10.1097/01.TME.0000300118.55314.63Authors: Hoyt, K. Sue RN, PhD, FNP, APRN, BC, CEN, FAEN; Giglio-Siudzinski, Elisa MSN, BA, RN, CCRN (Source: Advanced Emergency Nursing Journal)

Perceptions of Individuals Who Are Homeless: Healthcare Access and Utilization in San Diego.

Advanced Emergency Nursing Journal — Sat, 17 Nov 2007 01:27:31 +0100

Page: 346DOI: 10.1097/01.TME.0000300117.17196.f1Authors: Haley, Rhoberta Jones PhD, RN, FNP; Woodward, Kristin R. BSN, RN (Source: Advanced Emergency Nursing Journal)

The Impact of an Admission Unit on Failure- and Late-to-Rescue Rates in the Emergency Department.

Advanced Emergency Nursing Journal — Sat, 17 Nov 2007 01:27:31 +0100

Page: 339DOI: 10.1097/01.TME.0000300116.17196.b8Authors: Koran, Zeb MSN, RN, APN, DNP (Source: Advanced Emergency Nursing Journal)

Evidence-Based Practice for Advanced Practice Emergency Nurses.

Advanced Emergency Nursing Journal — Sat, 17 Nov 2007 01:27:31 +0100

Page: 331DOI: 10.1097/01.TME.0000300115.09572.f8Authors: Shapiro, Susan E. PhD, RN, CEN (Source: Advanced Emergency Nursing Journal)

Homeless Patient With Tuberculosis in the Emergency Department.

Advanced Emergency Nursing Journal — Sat, 17 Nov 2007 01:27:31 +0100

Page: 321DOI: 10.1097/01.TME.0000300114.32443.97Authors: Faragher, Mary E. MSN, ARNP; Hayes, Karen PhD, ARNP, BC, FNP, ACNP (Source: Advanced Emergency Nursing Journal)

Pharmacologic Strategies for the Treatment of Elevated Intracranial Pressure: Focus on Metabolic Suppression.

Advanced Emergency Nursing Journal — Sat, 17 Nov 2007 01:27:31 +0100

Page: 319DOI: 10.1097/01.TME.0000300113.32443.59 (Source: Advanced Emergency Nursing Journal)

Pharmacologic Strategies for the Treatment of Elevated Intracranial Pressure: Focus on Metabolic Suppression.

Advanced Emergency Nursing Journal — Sat, 17 Nov 2007 01:27:31 +0100

Page: 309DOI: 10.1097/01.TME.0000300112.24819.5cAuthors: Cook, Aaron M. PharmD, BCPS; Weant, Kyle A. PharmD, BCPS (Source: Advanced Emergency Nursing Journal)

Diagnostic Modalities for the Detection of Soft Tissue Foreign Bodies.

Advanced Emergency Nursing Journal — Sat, 17 Nov 2007 01:27:31 +0100

Page: 297DOI: 10.1097/01.TME.0000300111.86701.9bAuthors: Shepherd, Matt MD; Lee, Jonathan MD; McGahon, Michele C. MD (Source: Advanced Emergency Nursing Journal)

Can the Use of Ultrasound Technology or Bladder Scanning Prevent Unnecessary Pediatric Urethral Catheterizations?.

Advanced Emergency Nursing Journal — Sat, 17 Nov 2007 01:27:31 +0100

Page: 289DOI: 10.1097/01.TME.0000300110.79077.d2Authors: Tanabe, Paula PhD, MPH, RN; Gilboy, Nicki RN, MS, CEN, FAEN (Source: Advanced Emergency Nursing Journal)

FROM THE Editors.

Advanced Emergency Nursing Journal — Sat, 17 Nov 2007 01:27:31 +0100

Page: 287DOI: 10.1097/01.TME.0000300109.79077.04Authors: Hoyt, K. Sue RN, PhD, FNP, APRN, BC, CEN, FAEN; Proehl, Jean A. RN, MN, CEN, CCRN, FAEN (Source: Advanced Emergency Nursing Journal)

Erratum.

Advanced Emergency Nursing Journal — Sat, 17 Nov 2007 00:42:41 +0100

DOI: 10.1097/01.TME.0000300108.01949.c7 (Source: Advanced Emergency Nursing Journal)

Management of Deep Vein Thrombosis With Concurrent ITP

Advanced Emergency Nursing Journal — Sun, 30 Sep 2007 23:00:00 +0100

No abstract available (Source: Advanced Emergency Nursing Journal)

Can the Use of Ultrasound Technology or Bladder Scanning Prevent Unnecessary Pediatric Urethral Catheterizations?

Advanced Emergency Nursing Journal — Sun, 30 Sep 2007 23:00:00 +0100

No abstract available (Source: Advanced Emergency Nursing Journal)

Mastoiditis Masquerading as Otitis Media

Advanced Emergency Nursing Journal — Sun, 30 Sep 2007 23:00:00 +0100

Mastoiditis represents one of the most clinically challenging diagnoses encountered by advanced practice nurses in emergency care. Malignant mastoiditis is a potentially fatal infection that invades and destroys underlying structures ( Nuber & Muller, 2000). Management of patients with mastoiditis includes correction of underlying conditions, ear hygiene, cultures for the identification of pathogens, appropriate antibiotic therapy, and surgical intervention in selected cases. The purpose of this article is to discuss the assessment, differential diagnoses, and management of patients who present with a high index of suspicion for mastoiditis using an actual case presentation. Failure to recognize this disease may results in increased morbidity and even mortality, especially in immunocomprom...

Evidence-Based Practice for Advanced Practice Emergency Nurses

Advanced Emergency Nursing Journal — Sun, 30 Sep 2007 23:00:00 +0100

Evidence-based practice is the conscientious, explicit, and judicious use of the best available evidence, in combination with the professional's clinical expertise and the patient's preferences, in making decisions about care. Advanced practice emergency nurses are in the ideal position to model and conduct evidence-based practice, and therefore need to master the process of taking a practice-related question or issue and formulating, implementing, and evaluating an evidence-based solution. This is the first in a series of articles describing the essential components of this process. Subsequent articles will focus on critically appraising and synthesizing the literature, then implementing and evaluating an evidence-based practice change. (C) 2007 Lippincott Williams & Wilkins, Inc. (Source...

Pharmacologic Strategies for the Treatment of Elevated Intracranial Pressure: Focus on Metabolic Suppression

Advanced Emergency Nursing Journal — Sun, 30 Sep 2007 23:00:00 +0100

Elevations in intracranial pressure often occur after traumatic brain injury. A limited array of medications is available for the treatment of intracranial hypertension. Metabolic suppression agents may be used in this situation to suppress electrical activity in the brain, diminish the cerebral metabolic rate of oxygen consumption, and, as a consequence, decrease cerebral blood volume and intracranial pressure. Propofol and pentobarbital have unique characteristics that make each desirable, yet difficult to use in the setting of traumatic brain injury. The subject of this review is to discuss the role of these agents in treating refractory elevated intracranial pressure through metabolic suppression. (C) 2007 Lippincott Williams & Wilkins, Inc. (Source: Advanced Emergency Nursing Journal)

Combat Commander's Observations.