MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'International Emergency Nursing' source. Wed, 08 Feb 2012 21:54:37 +0100 http://www.medworm.com/index.php?rid=5585011&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X11001340%2Fabstract%3Frss%3Dyes (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5585011 Sun, 01 Jan 2012 05:00:00 +0100 5585011 http://www.medworm.com/index.php?rid=5585006&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X11000279%2Fabstract%3Frss%3Dyes Abstract: The patient’s voice has not been present to the same degree as the professional perspective in caring research in a pre-hospital context. In order to further develop and improve pre-hospital care, it is therefore important to explore patients’ situations not only in life threatening but also in non-traumatic situations. This is especially important as these patients might be defined as inappropriate attendees of ambulance services. The aim of this study was to interpret and explain experiences of caring in pre-hospital care situations that are not defined as traumatic or life threatening.Twenty informants aged between 34 and 82years were interviewed. The design of the study was exploratory, and it used an interpretative approach in order to understand the meaning of pre-hospi... International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5585006 Sun, 01 Jan 2012 05:00:00 +0100 5585006 http://www.medworm.com/index.php?rid=5585001&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X11001170%2Fabstract%3Frss%3Dyes ‘The more things change...’ A new year always brings the ideas of a fresh start or change in our lives. We make resolutions about the things we want to achieve, how we are going to get fitter, eat better, sort out all those things we have been putting off, start all the things we have been avoiding. And the list goes on. Emergency care is in a constant state of change, whether its new initiatives to bring waiting times down or the introduction of new roles to improve patient flow. Like resolutions some last for weeks before we fall back into our old habits, but others will become embedded and create a long-lasting shift in practice. (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5585001 Sun, 01 Jan 2012 05:00:00 +0100 5585001 http://www.medworm.com/index.php?rid=5585000&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X11001248%2Fabstract%3Frss%3Dyes (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5585000 Sun, 01 Jan 2012 05:00:00 +0100 5585000 http://www.medworm.com/index.php?rid=5585008&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X11001133%2Fabstract%3Frss%3Dyes The objective of this paper was to investigate whether nurses performing triage were able to accurately predict the need for admission of patients attending the emergency department (ED) and therefore support effective hospital bed management. (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5585008 Thu, 24 Nov 2011 05:00:00 +0100 5585008 http://www.medworm.com/index.php?rid=5287814&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X11001029%2Fabstract%3Frss%3Dyes (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5287814 Sat, 01 Oct 2011 04:00:00 +0100 5287814 http://www.medworm.com/index.php?rid=5287813&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X11001005%2Fabstract%3Frss%3Dyes (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5287813 Sat, 01 Oct 2011 04:00:00 +0100 5287813 http://www.medworm.com/index.php?rid=5287807&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X1100098X%2Fabstract%3Frss%3Dyes This 68year old male attended the Emergency Department following a fall from a ladder onto his back. The patient presented with shoulder tenderness and reduced range of movement. (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5287807 Sat, 01 Oct 2011 04:00:00 +0100 5287807 http://www.medworm.com/index.php?rid=5287806&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X11000814%2Fabstract%3Frss%3Dyes Abstract: There are constant challenges in developing a workforce fit to deliver care to children and young people requiring emergency or urgent care. These challenges are often compounded when the care setting for children and young people is within a general Emergency Department. This paper will review contemporary issues around who should deliver emergency care to children in these settings; reasoned debate is required to ensure that we have a workforce fit for purpose. (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5287806 Sat, 01 Oct 2011 04:00:00 +0100 5287806 http://www.medworm.com/index.php?rid=5287797&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X11000917%2Fabstract%3Frss%3Dyes Bob Wright, the creator and first editor of this journal (as Accident & Emergency Nursing), has died peacefully at home with his family. His death brings to an end a lifetime of work in, and passion for, emergency care. (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5287797 Sat, 01 Oct 2011 04:00:00 +0100 5287797 http://www.medworm.com/index.php?rid=5287796&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X11000905%2Fabstract%3Frss%3Dyes (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5287796 Sat, 01 Oct 2011 04:00:00 +0100 5287796 http://www.medworm.com/index.php?rid=5287795&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X1100084X%2Fabstract%3Frss%3Dyes (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5287795 Sat, 01 Oct 2011 04:00:00 +0100 5287795 http://www.medworm.com/index.php?rid=5287812&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X11000723%2Fabstract%3Frss%3Dyes The current APLS ‘bible’ has been completely revised and updated in light of new emerging clinical practice in emergency paediatrics and the ILCOR resuscitation guidelines 2010. (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5287812 Mon, 19 Sep 2011 04:00:00 +0100 5287812 http://www.medworm.com/index.php?rid=5287798&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X11000796%2Fabstract%3Frss%3Dyes For a recent conference, I was asked to address the issue of the Accident and Emergency (A&E) nurse being ‘Jack of all trades, master of none’. The suggestion was that because we need to know about such a wide range of conditions, we cannot really master any of them. (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5287798 Thu, 15 Sep 2011 04:00:00 +0100 5287798 http://www.medworm.com/index.php?rid=5287808&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X11000474%2Fabstract%3Frss%3Dyes This excellent book is now in its third edition and the readers will benefit from the concise presentation of skills and knowledge required for holistic evidence-based care for children and young people. The emphasis is once again placed upon age appropriate intervention and skills, and the book begins by setting the scene with introductory perspectives for example: key concepts, communication, legal and ethical frameworks, whilst also continuing with the theme of caring for children and young people in both acute and community settings. (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5287808 Mon, 12 Sep 2011 04:00:00 +0100 5287808 http://www.medworm.com/index.php?rid=5287804&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X11000760%2Fabstract%3Frss%3Dyes Abstract: Although emergency nurses receive education and training in performing comprehensive and rapid assessment, pediatric patients may prove to be challenging due to dynamic growth, development and maturation. If the emergency department (ED) has limited exposure to pediatric patients, performing assessments and prompt interventions may be daunting. Neonates, infants and young children with illness or trauma have unique and often times subtle signs and symptoms that can change rapidly. Although the neurological exam for older children may be similar to that of an adult, there are significant differences based on maturation. The neurologic exam for neonates and infants provides the nurse with even more opportunity to be familiar with developmental differences. Therefore, it is importan... International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5287804 Mon, 29 Aug 2011 04:00:00 +0100 5287804 http://www.medworm.com/index.php?rid=5287805&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X11000656%2Fabstract%3Frss%3Dyes Abstract: Basal skull fractures, although rare, do occur and a high index of suspicion for high velocity injuries, should be at the forefront of the clinicians mind, particularly those from a golf club. Head injury in children is a common presentation to any Paediatric Emergency Department. With effective examination skills, recognition of signs of basal skull fracture such as haemotympanum, even in the absence of altered neurological findings, ensures safe and effective practice enabling correct and justifiable clinical decisions to be made. This is vital to ensure not only the correct investigative procedure is requested and performed, but also on discussion with the appropriate specialists, the correct treatment is also prescribed.This case study examines the use of computed tomography ... International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5287805 Wed, 24 Aug 2011 04:00:00 +0100 5287805 http://www.medworm.com/index.php?rid=5287800&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X11000280%2Fabstract%3Frss%3Dyes Conclusion: This study suggests that, of patients who LWBS, those who receive counseling by a nurse have less return visits in the following 48h. (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5287800 Wed, 24 Aug 2011 04:00:00 +0100 5287800 http://www.medworm.com/index.php?rid=5585007&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X11000097%2Fabstract%3Frss%3Dyes The findings and conclusions of were weakened or contradicted by several factors. First, due to the non-probability sampling nature of the survey method, only 87% of the selected participants responded to the survey, with 13% not responding. No reason was given for the 13% who did not participate, so the possibility exists that they had either extremely good or bad experiences with self-harming patients and decided to skip the survey. Although 87% is higher than many studies, the missing 13% could have thus changed the results if they had participated. (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5585007 Mon, 08 Aug 2011 04:00:00 +0100 5585007 http://www.medworm.com/index.php?rid=5287809&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X11000486%2Fabstract%3Frss%3Dyes This book has been written by a multidisciplinary group of professionals and covers a wide perspective on communication issues with children and young people. The notion of children being involved in decisions about their healthcare has been actively encouraged in recent years and this book is a valuable resource to inform practice for the novice and will challenge practice for the more experienced practitioner. (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5287809 Mon, 08 Aug 2011 04:00:00 +0100 5287809 http://www.medworm.com/index.php?rid=5287803&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X11000632%2Fabstract%3Frss%3Dyes Abstract: Approximately 4 million children attend emergency departments (ED) in England, United Kingdom, per annum. It is important for children and young people to have an active say in their assessment and treatment during each emergency care episode. However the reality of hearing the child or young person’s voice within active participation in health care consultations remains low at approximately 6% of voices recorded. In the context of policy drivers and patient benefits, there is a need to increase the level of participation by children and young people within the emergency care environment. However, noise, child and parental anxiety and distress, professional time pressure, and severity of child illness or injury add to the inherent complexity of triadic communication (parent, ch... International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5287803 Mon, 25 Jul 2011 04:00:00 +0100 5287803 http://www.medworm.com/index.php?rid=5287802&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X11000681%2Fabstract%3Frss%3Dyes Conclusion: Most eye injuries in children are preventable so this reflects the importance of health education, adult supervision and application of appropriate measures that is necessary for reducing the incidence and severity of trauma. (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5287802 Mon, 25 Jul 2011 04:00:00 +0100 5287802 http://www.medworm.com/index.php?rid=5287799&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X11000644%2Fabstract%3Frss%3Dyes Abstract: Many children receive urgent care within emergency departments. Children are at increased risk from the use of medicines for a number of reasons, including the need to calculate a weight or age-based dose or administration of a fraction or proportion of an adult formulation of medicine. Aspects of good practice from the English National Service Framework (NSF) for Children, Young People and Maternity Services are highlighted. The importance of good medicines reconciliation is discussed. Websites that support emergency care practitioners to address medicines adherence and counselling of parents and children on use of medicines are presented. The drug related needs of children and young people must be assessed on an individual basis. Guidelines are outlined to support safe prescrib... International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5287799 Mon, 25 Jul 2011 04:00:00 +0100 5287799 http://www.medworm.com/index.php?rid=5287811&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X11000620%2Fabstract%3Frss%3Dyes This is a very valuable text for practitioners working predominantly with or spending a lot of time caring for and managing acutely ill children. The book is clearly set out and well signposted throughout, with competencies attached to each chapter to support learning. The unusual approach taken, of focusing on ‘symptoms and signs’ rather than ‘diseases’, aids strongly the practical focus of the book. The inclusion of ‘key points’ and ‘clues to..’ boxes usefully guides the reader to key facts that will support clinical decision making and the use of colour, pictures, charts, text boxes and diagrams makes the content easily accessible. (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5287811 Mon, 18 Jul 2011 04:00:00 +0100 5287811 http://www.medworm.com/index.php?rid=4924852&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X11000541%2Fabstract%3Frss%3Dyes (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4924852 Tue, 14 Jun 2011 01:01:16 +0100 4924852 http://www.medworm.com/index.php?rid=4924851&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X11000462%2Fabstract%3Frss%3Dyes (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4924851 Tue, 14 Jun 2011 01:01:16 +0100 4924851 http://www.medworm.com/index.php?rid=4924848&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X1100053X%2Fabstract%3Frss%3Dyes Begley AM. (2011) The good, the bad and the ‘not so bad’: reflecting on moral appraisal in practice.Nursing Inquiry,18, (1), 21–28 This paper aimed to facilitate reflection on nurses’ moral merit in various nursing practice situations and was based on the philosophers Aristotle’s and Kant’s beliefs on moral character. A number of scenarios were proposed, including the following of interest to emergency nurses: ‘There has been a devastating gas explosion in a small town. Disaster plans are put into operation and calls for off-duty staff to volunteer their services are broadcast on television and radio. Liz, Bronagh, Susan, John and Fiona are emergency nurses in the local ED who although currently on leave, would be expected to respond during such a disaster’. These were the... International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4924848 Tue, 14 Jun 2011 01:01:15 +0100 4924848 http://www.medworm.com/index.php?rid=4924847&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X11000450%2Fabstract%3Frss%3Dyes (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4924847 Tue, 14 Jun 2011 01:01:15 +0100 4924847 http://www.medworm.com/index.php?rid=4924840&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X11000528%2Fabstract%3Frss%3Dyes (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4924840 Tue, 14 Jun 2011 01:01:14 +0100 4924840 http://www.medworm.com/index.php?rid=4924839&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X11000346%2Fabstract%3Frss%3Dyes (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4924839 Tue, 14 Jun 2011 01:01:14 +0100 4924839 http://www.medworm.com/index.php?rid=5287810&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X11000498%2Fabstract%3Frss%3Dyes This is a comprehensive text that details all possible paediatric presentations to emergency and urgent care. The layout of the chapters lends itself well to reading about specific presentations and will be an invaluable text whilst revising for assessments and examinations due to the structure of the book. For the day to day clinicians it may be a little hefty however the chapters do include sections on differential diagnoses and diagnostic criteria in tabulated form that guide the clinicians with diagnostic dilemmas. The focus on Emergency Department management and admission/discharge criteria are useful to guide the more junior clinicians in the ED but should always be used in conjunction with local policies in recognition that this is a US text. This should become a core text for those... International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5287810 Fri, 03 Jun 2011 04:00:00 +0100 5287810 http://www.medworm.com/index.php?rid=5585005&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X1000087X%2Fabstract%3Frss%3Dyes Conclusions: Our results indicate a low level of BLS knowledge among the study participants. Having an occasional refresher BLS course, or prior experience in BLS, does not affect the level of knowledge. (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5585005 Wed, 18 May 2011 04:00:00 +0100 5585005 http://www.medworm.com/index.php?rid=5585004&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X10000868%2Fabstract%3Frss%3Dyes Conclusion: This audit quantifies the number of patient encounters where written information changes or is lost when care is passed from pre-hospital to hospital staff in the resuscitation room. We have not investigated other parts of the ED or the verbal transfer of information. Further work investigating the causes of these changes in information, any impact on patient care and whether this occurs in other parts of an ED is suggested. (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5585004 Wed, 18 May 2011 04:00:00 +0100 5585004 http://www.medworm.com/index.php?rid=5585003&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X11000024%2Fabstract%3Frss%3Dyes Conclusion: Knowledge, skills, and disaster preparedness need continual reinforcement to improve self efficacy for disaster management.Recommendations: There is a need for a consistent national nursing curriculum for disaster preparedness and nationwide drills to increase disaster knowledge, skills, preparedness, and confidence. (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5585003 Wed, 18 May 2011 04:00:00 +0100 5585003 http://www.medworm.com/index.php?rid=5585002&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X10000571%2Fabstract%3Frss%3Dyes Abstract: The emergency department is an important gateway for the treatment of self-harm patients. Nurses’ attitudes towards patients who self-harm can be negative and often nurses experience frustration, helplessness, ambivalence and antipathy. Patients are often dissatisfied with the care provided, and meeting with positive or negative attitudes greatly influences whether they seek additional help.A quantitative design was utilised to measure emergency department nurses’ attitudes towards deliberate self-harm. The ‘Self-Harm Antipathy Scale’, a validated questionnaire, was administered to a random sample of nurses in four emergency departments in the Republic of Ireland. A total of 87 questionnaires were returned (87% response rate). Results reveal that nurses show slightly nega... International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5585002 Wed, 18 May 2011 04:00:00 +0100 5585002 http://www.medworm.com/index.php?rid=5287801&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X1100005X%2Fabstract%3Frss%3Dyes Conclusions: Findings indicate that the M-PEPPS instrument is reliable when used by emergency nurses to measure pediatric pain. The single-factor common factor solution provides support for the scale as measuring the single construct of pain. Additional research is necessary to establish the degree of change in score required for a clinically meaningful reduction in pain to be present. (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=5287801 Wed, 18 May 2011 04:00:00 +0100 5287801 http://www.medworm.com/index.php?rid=4924850&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X10000844%2Fabstract%3Frss%3Dyes I was excited to read this book, as I was hoping for some guidance on a successful transition from bedside emergency nurse to a clinical leadership role. Although this book has assisted me in that quest, I had to wait until the end of the book for the most useful information. (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4924850 Tue, 17 May 2011 23:00:00 +0100 4924850 http://www.medworm.com/index.php?rid=4924846&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X10000546%2Fabstract%3Frss%3Dyes Abstract: In 2005, we presented a manuscript about the use of aspirin (ASA) in the setting of the Emergency Department (ED). We now write to report recent developments in our understanding about ASA and individual responses to the medication. The phenomenon of aspirin resistance is explored. (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4924846 Tue, 17 May 2011 23:00:00 +0100 4924846 http://www.medworm.com/index.php?rid=4924845&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X10000558%2Fabstract%3Frss%3Dyes Abstract: Nurses in the emergency department will regularly encounter individuals with a learning disability in their day to day work. Admission to hospital and especially the emergency department can be very problematic for people with a learning disability. For a number of reasons the health, safety and welfare of this group of patients may be seriously compromised. An awareness of the risks associated with hospital care for these patients, along with an understanding of their specific needs, will help to minimise the potential for problems to occur. (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4924845 Tue, 17 May 2011 23:00:00 +0100 4924845 http://www.medworm.com/index.php?rid=4924844&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X11000085%2Fabstract%3Frss%3Dyes Abstract: A recent paper claimed in its classification of harmful substances, that alcohol is more dangerous than heroin. This paper aims to weigh up some of the evidence in the literature on the physical, social and financial effects of alcohol and the associated disease burden. We will also explore alcohol within the context of emergency department (ED) presentations.Reasons for ED attendance can be overtly and directly alcohol related such as alcohol intoxication, assaults, injuries and falls and indirectly such as child neglect, psychological problems and chronic diseases. Alcohol is often viewed as an isolated incident or factor for ED presentations but there are data that refute this perception.In ED, the priority is to treat the patient and their primary complaint, however it may be... International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4924844 Tue, 17 May 2011 23:00:00 +0100 4924844 http://www.medworm.com/index.php?rid=4924843&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X10000856%2Fabstract%3Frss%3Dyes Conclusion: There is general agreement that non-medical roles help to reduce waiting times in emergency departments, as well as attracting a high level of patient satisfaction, confidence and acceptance of these roles. Several issues were identified which warrant further study; including the current UK evidence surrounding the limited scope of practice of these roles. (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4924843 Tue, 17 May 2011 23:00:00 +0100 4924843 http://www.medworm.com/index.php?rid=4924842&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X10000807%2Fabstract%3Frss%3Dyes We examined the ability of ED nurses to sonographically detect long bone fractures using a recently described training model. The fracture model consisted of a turkey long bone within a firm gelatin matrix. Emergency nurses examined five fracture models with a portable ultrasound machine to determine the presence or absence of a fracture. Overall accuracy was compared via chi-square analysis to the ability of physicians to complete the same assessment. Thirty nurses sonographically assessed the models. An overall sensitivity of 98% (95% confidence interval: 92–99%) and specificity of 93% (95% confidence interval: 76–99%) was observed for the detection of a fractured model. No difference in fracture detection accuracy (p>0.05) was revealed compared to an evaluation by 30 ED physicians. ... International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4924842 Tue, 17 May 2011 23:00:00 +0100 4924842 http://www.medworm.com/index.php?rid=4924841&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X1000056X%2Fabstract%3Frss%3Dyes This study has a health care science approach and explores pre-hospital emergency care with emphasis on assessment. Health care science is focused on the patient with the general aim to describe care that strengthens and supports health. Assessment in the ambulance services has not been explored earlier from this perspective, despite the emphasis on ‘coming close’ to the acute suffering patient. The aim of the study is to describe and analyse assessment in caring situations. Data was collected by participant observations. The major findings point out the importance of professional carers’ recognition of the patient’s lifeworld as an essential part of assessment. The carers’ openness to the situation and to the patient’s suffering and needs vary from being of minor interest to c... International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4924841 Tue, 17 May 2011 23:00:00 +0100 4924841 http://www.medworm.com/index.php?rid=4823625&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X1100019X%2Fabstract%3Frss%3Dyes (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4823625 Thu, 31 Mar 2011 23:00:00 +0100 4823625 http://www.medworm.com/index.php?rid=4672684&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X11000206%2Fabstract%3Frss%3Dyes (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4672684 Thu, 31 Mar 2011 23:00:00 +0100 4672684 http://www.medworm.com/index.php?rid=4672683&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X10000534%2Fabstract%3Frss%3Dyes This book is an authorised adaptation of the North American text ‘Effective Leadership and Management in Nursing’ by the same author, and the reworking toward the UK gives it a contemporary relevance to those practicing in the National Health Service. It draws together leadership and management theory and practical examples of their application into a very readable and relevant text. (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4672683 Thu, 31 Mar 2011 23:00:00 +0100 4672683 http://www.medworm.com/index.php?rid=4672681&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X11000218%2Fabstract%3Frss%3Dyes (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4672681 Thu, 31 Mar 2011 23:00:00 +0100 4672681 http://www.medworm.com/index.php?rid=4672680&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X10000339%2Fabstract%3Frss%3Dyes Conclusion: There is an urgent need to standardise national planning, training and evaluation of NHS staff who are expected to respond to CRBNe and other emergencies. Further research is needed to identify training and response templates so that lessons can be learned from these experiences and fed back to improve future response. (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4672680 Thu, 31 Mar 2011 23:00:00 +0100 4672680 http://www.medworm.com/index.php?rid=4672679&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X10000510%2Fabstract%3Frss%3Dyes Abstract: Psychological strain due to the work environment is common, especially in those occupations which involve working in critical situations. Working as a police officer seems to increase the risk of psychological problems such as symptoms of stress and post traumatic stress disorders. The aim of this study was to describe male police officers’ experiences of traumatic situations when caring for victims of traffic accidents, and to reflect the results through the perspective of gender theories. Nine police officers were asked to narrate and reflect upon their experiences in taking care of people who had been severely injured in traffic accidents. The interviews were analysed with qualitative content analysis. The findings are presented in three themes: “being secure with the supp... International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4672679 Thu, 31 Mar 2011 23:00:00 +0100 4672679 http://www.medworm.com/index.php?rid=4672678&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X10000315%2Fabstract%3Frss%3Dyes Conclusion: The present study shows that patients within ambulance care in the region of southern Sweden were pleased with the care received and the competence of the ambulance staff, and the patients experienced a high level of psychological and physical sense of security. (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4672678 Thu, 31 Mar 2011 23:00:00 +0100 4672678 http://www.medworm.com/index.php?rid=4672677&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X10000327%2Fabstract%3Frss%3Dyes Abstract: Unified Modelling Language (UML) models of the patient journey in a regional Australian emergency department (ED) were used to develop an accurate, complete representation of ED processes and drive the collection of comprehensive quantitative and qualitative service delivery and patient treatment data as an evidence base for hospital service planning. The focus was to identify bottle-necks that contribute to over-crowding. Data was collected entirely independently of the routine hospital data collection system. The greatest source of delay in patient flow was the waiting time from a bed request to exit from the ED for hospital admission. It represented 61% of the time that these patients occupied ED cubicles. The physical layout of the triage area was identified as counterproduct... International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4672677 Thu, 31 Mar 2011 23:00:00 +0100 4672677 http://www.medworm.com/index.php?rid=4672676&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X10000261%2Fabstract%3Frss%3Dyes Abstract: Social scientific and nursing studies, and the experiences of emergency department staff, have attested to the complex organisational and communicative work that accompanies emergency clinical work. Yet, little attention has been paid to developing a research framework to examine and develop communicative and organisational work in emergency departments (EDs). This paper explores the role of nurses in plugging gaps in the care of ED patients, and summarises the findings of a large, 3-year ethnographic study comprising 12months of ethnography in two EDs in Sydney, Australia, and 2years of analysis. The findings of the large study are summarised and exemplified here as part of a broader conceptual argument for the importance of ethnographic research in EDs. Ethnography involves cap... International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4672676 Thu, 31 Mar 2011 23:00:00 +0100 4672676 http://www.medworm.com/index.php?rid=4672675&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X1100019X%2Fabstract%3Frss%3Dyes (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4672675 Thu, 31 Mar 2011 23:00:00 +0100 4672675 http://www.medworm.com/index.php?rid=4672674&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X11000188%2Fabstract%3Frss%3Dyes (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4672674 Thu, 31 Mar 2011 23:00:00 +0100 4672674 http://www.medworm.com/index.php?rid=4672673&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X11000127%2Fabstract%3Frss%3Dyes (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4672673 Thu, 31 Mar 2011 23:00:00 +0100 4672673 http://www.medworm.com/index.php?rid=4364843&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X10001060%2Fabstract%3Frss%3Dyes (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4364843 Sat, 01 Jan 2011 00:00:00 +0100 4364843 http://www.medworm.com/index.php?rid=4364842&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X10001023%2Fabstract%3Frss%3Dyes (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4364842 Sat, 01 Jan 2011 00:00:00 +0100 4364842 http://www.medworm.com/index.php?rid=4364841&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X10000376%2Fabstract%3Frss%3Dyes More nurses are seeking to develop their clinical examination skills as they strive to extend their ability to assess patients and assist in diagnosis. There is a growing pressure to drive nurses to develop these skills and to integrate them with their nursing expertise to a role in advancing practice. Whilst the ability to clinically assess a patient has been traditionally seen as a doctor’s role, integrating this within nursing practice has been a driver for the expansion of health assessment courses. (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4364841 Sat, 01 Jan 2011 00:00:00 +0100 4364841 http://www.medworm.com/index.php?rid=4364839&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X10001072%2Fabstract%3Frss%3Dyes (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4364839 Sat, 01 Jan 2011 00:00:00 +0100 4364839 http://www.medworm.com/index.php?rid=4364838&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X10000236%2Fabstract%3Frss%3Dyes An 84-year old female presented to the Emergency Department (ED) complaining of a shoulder injury following a fall from a commode 1week previously. Over the past week the shoulder had become increasing painful with an associated decrease in range of movement. She had been advised to attend the ED for an X-ray by her GP. She had a previous medical history of rheumatoid arthritis and had been prescribed prednisolone. (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4364838 Sat, 01 Jan 2011 00:00:00 +0100 4364838 http://www.medworm.com/index.php?rid=4364837&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X10000248%2Fabstract%3Frss%3Dyes Abstract: Stroke is a frequent emergency faced by Emergency Department (ED) staff. Evidence produced from significant trials has led to the introduction of stroke thrombolysis across the world. Campaigns to increase public awareness that ‘stroke is a medical emergency,’ have led to emergency departments facing necessary adjustment, re-allocation of resources and education of staff. From a review of the associated literature, barriers to implementation of the service include; non-recognition of stroke, inappropriate triage of these patients by both ED staff and ambulance personnel, delays in obtaining neuro-imaging, and inefficient processes of in-hospital emergency stroke care. Further study is required to review the educational needs and resource management, as well as the efficacy of... International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4364837 Sat, 01 Jan 2011 00:00:00 +0100 4364837 http://www.medworm.com/index.php?rid=4364836&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X0900113X%2Fabstract%3Frss%3Dyes Conclusions: This survey was an important step towards the goal of empowering ED nurses to clinically clear the c-spine of alert and stable trauma patients. There was a high rate of endorsement of facilitators and a low rate of endorsement of barriers. We found variation between hospitals, emphasizing the importance of understanding local beliefs when seeking to change clinical practice. We are conducting an implementation trial based on this feedback. (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4364836 Sat, 01 Jan 2011 00:00:00 +0100 4364836 http://www.medworm.com/index.php?rid=4364835&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X10000054%2Fabstract%3Frss%3Dyes Conclusions: The results of this study show that a number of various educational and practical strategies may be used to encourage the population to donate blood. These include: reducing perceived barriers, directing interventions specifically at the population most likely to donate blood and forming a reserve of regular donors. (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4364835 Sat, 01 Jan 2011 00:00:00 +0100 4364835 http://www.medworm.com/index.php?rid=4364834&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X1000025X%2Fabstract%3Frss%3Dyes Conclusion: There is a need for ED professionals to develop family-oriented services, and a need for further training and research on how to deal with women exposed to IPV. (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4364834 Sat, 01 Jan 2011 00:00:00 +0100 4364834 http://www.medworm.com/index.php?rid=4364833&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X10000030%2Fabstract%3Frss%3Dyes This study affords healthcare professionals working in the emergency department, the opportunity to reflect upon current practice and highlight the value of their role in the provision of optimal care for this patient population. (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4364833 Sat, 01 Jan 2011 00:00:00 +0100 4364833 http://www.medworm.com/index.php?rid=4364832&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X09000986%2Fabstract%3Frss%3Dyes Conclusion: In the context of the Emergency Department where patients present with a range of diagnoses and behaviours, it is unlikely that the issue of patient-related violence can be totally eliminated. However it can be prevented or managed more effectively on many occasions. Strategies to support staff and prevent and manage violence effectively should be a priority to provide a safe working environment and occupational health and safety for staff. (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4364832 Sat, 01 Jan 2011 00:00:00 +0100 4364832 http://www.medworm.com/index.php?rid=4364831&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X10000066%2Fabstract%3Frss%3Dyes Abstract: Although acts of threats and violence are problems that have received increased attention in recent years within Swedish pre-hospital care, only a handful of scientific studies have been carried out in this field. Threats and violence have a negative influence on the well-being of ambulance personnel. The aim in this study was both to investigate the incidents of threats and violence within the Swedish ambulance service and to describe these situations.Data was collected with questionnaires answered by 134 registered nurses and paramedics from 11 ambulance stations located in four counties. The respondents’ experiences of pre-hospital care varied from 3months to 41years (mean=12years, median=8years). The results showed that 66% of the ambulance personnel experienced threats and... International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4364831 Sat, 01 Jan 2011 00:00:00 +0100 4364831 http://www.medworm.com/index.php?rid=4364830&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X10000972%2Fabstract%3Frss%3Dyes (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4364830 Sat, 01 Jan 2011 00:00:00 +0100 4364830 http://www.medworm.com/index.php?rid=4364829&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X10000960%2Fabstract%3Frss%3Dyes (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4364829 Sat, 01 Jan 2011 00:00:00 +0100 4364829 http://www.medworm.com/index.php?rid=4364828&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X1000090X%2Fabstract%3Frss%3Dyes (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4364828 Sat, 01 Jan 2011 00:00:00 +0100 4364828 http://www.medworm.com/index.php?rid=4007460&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X10000832%2Fabstract%3Frss%3Dyes (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4007460 Wed, 29 Sep 2010 16:23:30 +0100 4007460 http://www.medworm.com/index.php?rid=4007459&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X10000820%2Fabstract%3Frss%3Dyes (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4007459 Wed, 29 Sep 2010 16:23:30 +0100 4007459 http://www.medworm.com/index.php?rid=4007458&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X10000741%2Fabstract%3Frss%3Dyes (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4007458 Wed, 29 Sep 2010 16:23:30 +0100 4007458 http://www.medworm.com/index.php?rid=4007457&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X10000789%2Fabstract%3Frss%3Dyes Witsil J., Roshanak A., Umbreen I.M., Hays D. and Rollin J.F. (2010) Strategies for implementing emergency department pharmacy services: Results from the 2007 ASHP Patient Care Impact Program. American Journal of Health-System Pharmacy, 67, (5), 375–379 (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4007457 Wed, 29 Sep 2010 16:23:30 +0100 4007457 http://www.medworm.com/index.php?rid=4007456&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X10000352%2Fabstract%3Frss%3Dyes This article is aimed at those new to writing for publication and also provides guidance for those wanting to publish dissertations and theses. The article outlines why publishing is so important for the development of emergency care knowledge and also identifies what material can be published. In particular, the steps for converting a whole range of academic course work into publishable material is outlined. (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4007456 Wed, 29 Sep 2010 16:23:30 +0100 4007456 http://www.medworm.com/index.php?rid=4007455&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X10000042%2Fabstract%3Frss%3Dyes Abstract: Management of battlefield casualties in Iraq and Afghanistan has seen considerable development in damage control resuscitation, which aims to address the risk of haemorrhage, initially due to mechanical damage; and thereafter due to the development of life-threatening coagulopathy.Damage control resuscitation combines a variety of techniques, such as the use of the combat application tourniquet and novel haemostatics, through to ground-breaking developments in transfusion protocols. These practical aspects of the doctrine are combined with an ethos which sees consultant-led care implemented from as close to the point of wounding as is possible. Meticulous trauma audit is included in this process and has allowed for rapid translation of knowledge into practice. The main elements o... International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4007455 Wed, 29 Sep 2010 16:23:30 +0100 4007455 http://www.medworm.com/index.php?rid=4007454&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X09000974%2Fabstract%3Frss%3Dyes Conclusion: Knowledge gaps exist concerning handover information, consequences of poor handover, transfer of responsibility, staff perception of handovers, staff training and evaluation of recommended strategies to improve clinical handover. Evidence of strategies being implemented and further research is required to examine the ongoing effects of implementing the strategies. (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4007454 Wed, 29 Sep 2010 16:23:30 +0100 4007454 http://www.medworm.com/index.php?rid=4007453&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X10000029%2Fabstract%3Frss%3Dyes This study was carried out among adult patients who had received care at the Accident and Emergency unit of the hospital. We used the priority index (calculated by combining the mean score on all items and correlated weight) to identify areas of emergency services in need of urgent improvement. There were 250 respondents; 147 males and 103 females. Six (6.4%) patients declined to answer the questionnaire. Time to surgical intervention was the item with the highest priority for change. This was followed by three indicators of caregiver conduct: showing genuine concern by health workers, attitude of nurses, and courtesy by health workers. Females rated all indices of satisfaction lower than males. Surgical and gynecological patients were also less satisfied with their care than their medical... International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4007453 Wed, 29 Sep 2010 16:23:30 +0100 4007453 http://www.medworm.com/index.php?rid=4007452&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X09000998%2Fabstract%3Frss%3Dyes Conclusion: Participants were satisfied with the experience of attending the physiotherapist in the emergency department and commented the blend of skills of the physiotherapists enhanced the service provision and self reported patient outcomes. (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4007452 Wed, 29 Sep 2010 16:23:30 +0100 4007452 http://www.medworm.com/index.php?rid=4007451&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X09000901%2Fabstract%3Frss%3Dyes This study investigates the comparative effectiveness of Senior House Officers (SHOs) and Emergency Nurse Practitioners (ENPs) in the application of the Ottawa ankle rules, in a large inner city Emergency Department in the United Kingdom (UK). Sixty patients with ankle injuries were randomly included in this study which took place in the minor injuries unit of the ED over a 12month period.Data were obtained retrospectively from the patients records relating to six individual aspects of the Ottawa ankle rules. Sixty patients were selected and divided equally between the ENPs and SHOs.The results show a variation between the ENPs and SHOs in application of individual criteria of the Ottawa ankle rules. ENPs more commonly documented bony tenderness to lateral and/or medial malleoli than the S... International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4007451 Wed, 29 Sep 2010 16:23:30 +0100 4007451 http://www.medworm.com/index.php?rid=4007450&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X09000895%2Fabstract%3Frss%3Dyes As in many countries, emergency departments (EDs) in Australia have become much busier, providing care to more complex patients in greater numbers than ever before. In 2007–2008, there were over seven million presentations to EDs in Australian public hospitals (). The first contact many patients have with a hospital is via the ED, which unlike a hospital’s reception area, can be a highly charged environment, perceived as ‘chaotic’ and frightening for patients and their families. The targets by which ED performance is measured in Australia (for example waiting times) places an even greater burden on hospitals and staff, as failure to meet targets is often sensationalised by the media. This paper will examine some of the challenges which impact on the ED nursing workforce and evaluat... International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4007450 Wed, 29 Sep 2010 16:23:30 +0100 4007450 http://www.medworm.com/index.php?rid=4007449&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X08001274%2Fabstract%3Frss%3Dyes Abstract: Previous parts to this series on thoracic and neck trauma discussed the anatomy and physiology of the thorax, assessment and initial nursing interventions, imaging and adjuncts to diagnosis. Part 2 described specific chest wall and lung injuries, types of pneumothoraces and their diagnosis and management. Section 3 examined other types of thoracic injuries and their management, such as trauma to the diaphragm and heart. This final part provides a brief but concise overview of neck anatomy, trauma and management. (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4007449 Wed, 29 Sep 2010 16:23:30 +0100 4007449 http://www.medworm.com/index.php?rid=4007448&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X10000704%2Fabstract%3Frss%3Dyes How do we, in an age of improvement theory and patient-centred care, prove that we are achieving just that? Understanding the patient perspective of services has long been accepted as pivotal to development of patient-centred, quality services. Two papers in this issue discuss patient satisfaction, and although this is only one aspect of overall experience both studies provide an insight into the use of patient perspective on service delivery. Patient experience is a central tenet of improvement theory in healthcare, and in the wider world of customer service, and is increasingly important in service commissioning. By measuring patient experience we should be better able to build services that respond to their needs. And understanding the patient’s perspective can be amazing. It is grea... International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4007448 Wed, 29 Sep 2010 16:23:30 +0100 4007448 http://www.medworm.com/index.php?rid=4007447&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X10000601%2Fabstract%3Frss%3Dyes (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=4007447 Wed, 29 Sep 2010 16:23:30 +0100 4007447 http://www.medworm.com/index.php?rid=3661038&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X10000479%2Fabstract%3Frss%3Dyes (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=3661038 Tue, 15 Jun 2010 13:51:42 +0100 3661038 http://www.medworm.com/index.php?rid=3661037&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X09000962%2Fabstract%3Frss%3Dyes The subject of cardiopulmonary resuscitation is important to all healthcare professionals in all areas of clinical practice. Therefore, it is good to see a book that can be used by all healthcare professionals to further enhance their knowledge and understanding of resuscitation. The book is structured in an easy-to-navigate manner and is divided into six sections: professional issues, prevention and preparation, adult basic life support, advanced life support and further considerations in resuscitation. Each section is easy to follow, clear and applicable to a wide range of healthcare professionals, including nurses, paramedics and allied health professionals. (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=3661037 Tue, 15 Jun 2010 13:51:42 +0100 3661037 http://www.medworm.com/index.php?rid=3661035&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X10000340%2Fabstract%3Frss%3Dyes This 5year old male attended the Emergency Department following a fall onto his forearm. He presented with a swollen tender mid radius.What is your diagnosis? The x-rays show a slightly angulated fracture to the midshaft of the ulna and anterior dislocation of the radial head. This is a Monteggia fracture dislocation (note the radio-capitellar line on the lateral projection does not bisect the capitellum).The forearm is composed of the radius and ulna, joined by proximal and distal radio-ulnar joints and intraosseous ligament. (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=3661035 Tue, 15 Jun 2010 13:51:42 +0100 3661035 http://www.medworm.com/index.php?rid=3661034&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X09001104%2Fabstract%3Frss%3Dyes How well do vital signs identify children with serious infections in paediatric emergency care? Thompson, M., Coad, N., Harnden, A., Mayon-White, R., Perera, R., Mant, D., 2009. Archives of Disease in Childhood 94, 888–893 (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=3661034 Tue, 15 Jun 2010 13:51:42 +0100 3661034 http://www.medworm.com/index.php?rid=3661033&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X08001262%2Fabstract%3Frss%3Dyes Abstract: Previous parts to this series on thoracic and neck trauma discussed the anatomy and physiology of the thorax, assessment and initial nursing interventions, imaging and adjuncts to diagnosis. Part 2 describes specific chest wall and lung injuries, types of pneumothoraces and their diagnosis and management. This section, part 3 of 4, discusses other types of thoracic injuries and their management, such as trauma to the diaphragm and heart. (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=3661033 Tue, 15 Jun 2010 13:51:42 +0100 3661033 http://www.medworm.com/index.php?rid=3661032&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X09000913%2Fabstract%3Frss%3Dyes This article will examine on the two main guidelines on activated charcoal, one produced by the National Institute for Clinical Excellence and the second produced by American Academy of Clinical Toxicology. It will discuss the methods of administration on activated charcoal, contraindications and the difficulties or challenges in adhering to these guidelines in the clinical setting. (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=3661032 Tue, 15 Jun 2010 13:51:42 +0100 3661032 http://www.medworm.com/index.php?rid=3661031&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X09000858%2Fabstract%3Frss%3Dyes Conclusion: This survey revealed a myriad of barriers to role sustainability and progression. These barriers need to be explored and progressed if the NP role is to continue to develop and expand (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=3661031 Tue, 15 Jun 2010 13:51:41 +0100 3661031 http://www.medworm.com/index.php?rid=3661030&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X09000585%2Fabstract%3Frss%3Dyes This study evaluates a computerized alcohol intervention implemented in a Swedish emergency department (ED) with regard to the effectiveness of two different types of tailored brief feedback on patients’ drinking patterns and the reach of the intervention.Methods: The study was a prospective, randomized controlled trial of ED patients. The designated target population was the ED population aged 18–69years who registered at the triage room before receiving care. Patients who were categorized as risky drinkers and completed the computerized test were randomized to either a long or a short feedback. The feedback was tailored on the basis of the individual patient’s responses to questions on their drinking patterns.Results: The computerized intervention reached 41% of the target populati... International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=3661030 Tue, 15 Jun 2010 13:51:41 +0100 3661030 http://www.medworm.com/index.php?rid=3661029&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X09000366%2Fabstract%3Frss%3Dyes Abstract: The aim of this study was to develop a systematic review using international research to describe the role of teamwork and communication in the emergency department, and its relevance to physiotherapy practice in the emergency department. Searches were conducted of CINAHL, Academic Search Premier, Scopus, Cochrane, PEDro, Medline, Embase, Amed and PubMed. Selection criteria included full-text English language research papers related to teamwork and/or communication based directly in the emergency department, involvement of any profession in the emergency department, publication in peer-reviewed journals, and related to adult emergency services. Studies were appraised using a validated critical appraisal tool. Fourteen eligible studies, all of mid-range quality, were identified. T... International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=3661029 Tue, 15 Jun 2010 13:51:41 +0100 3661029 http://www.medworm.com/index.php?rid=3661028&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X0900086X%2Fabstract%3Frss%3Dyes Abstract: Background: The researcher’s interest in spiritual care arose during clinical experience in an emergency department. Over a 10-year period, I have observed, that in midst of a busy and increasingly overcrowded setting, nurses find time to provide spiritual care. Although this dimension of nursing practice is not explicitly labelled as spiritual care, it is apparent that interventions such as active listening, touch and ultimately connecting with the patient has, on most occasions, positive effects on the patient’s spiritual dimension. Subsequently, this has provided the momentum to carry out a study on how nurses provide spiritual care, in an emergency setting. The findings revealed that participants regarded spiritual care to be an integral component of their role. In additi... International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=3661028 Tue, 15 Jun 2010 13:51:41 +0100 3661028 http://www.medworm.com/index.php?rid=3661027&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X10000388%2Fabstract%3Frss%3Dyes Anyone who has ever looked at or listened to a patient complaint will understand just how important the most basic elements of care are to our patients. Never mind the highly technical equipment, or the latest diagnostic test, it is often the time taken to explain a procedure or a hand on an arm in time of distress that the patient remembers. McBrien’s paper (119–126) describes these very issues in his exploratory examination of spiritual care in the emergency department. Dealing with the patient’s (or family’s) psychological distress, and their spiritual needs is an essential component of high quality patient care, is as important as their physical care, and may have greater long-term impact. (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=3661027 Tue, 15 Jun 2010 13:51:41 +0100 3661027 http://www.medworm.com/index.php?rid=3661026&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X10000418%2Fabstract%3Frss%3Dyes (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=3661026 Tue, 15 Jun 2010 13:51:40 +0100 3661026 http://www.medworm.com/index.php?rid=3458738&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X10000182%2Fabstract%3Frss%3Dyes (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=3458738 Wed, 31 Mar 2010 23:00:00 +0100 3458738 http://www.medworm.com/index.php?rid=3458737&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X09000548%2Fabstract%3Frss%3Dyes This American book is aimed squarely at those individuals that are completing their Certified Paediatric Emergency Nursing (CPEN) course, and consequently is focused on providing questions that may come up within the examination. The book comprises of differing sections of questions and answers covering emergency care, eyes, ears, nose and throat, respiratory, cardiovascular, neurological, psychiatric, environmental, abdominal, perinatal, endocrine, orthopaedic, pain and miscellaneous question. Within each section there are questions followed by the answers, also included is an appendix section which additional information. For example, at the end of the section on orthopaedic and pain there is an appendix covering pain rating scales and differing types available. This is useful as an addi... International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=3458737 Wed, 31 Mar 2010 23:00:00 +0100 3458737 http://www.medworm.com/index.php?rid=3458735&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X08001250%2Fabstract%3Frss%3Dyes Abstract: In the previous part of this four part series on thoracic trauma the anatomy and physiology of the thorax, assessment and initial nursing interventions, imaging and adjuncts to diagnosis were discussed. Part 2 describes specific chest wall and lung injuries, types of pneumothoraces and their diagnosis and management. Sections 3 and 4 will examine other types of thoracic injuries and their management, such as trauma to the diaphragm and heart. The final part provides a brief but concise overview of neck anatomy, trauma and management. (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=3458735 Wed, 31 Mar 2010 23:00:00 +0100 3458735 http://www.medworm.com/index.php?rid=3458734&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X09000809%2Fabstract%3Frss%3Dyes Abstract: Alcohol abuse is a major cause of morbidity and mortality and subsequently presents a substantial burden on the NHS. Whether presentations are directly or indirectly linked, the emergency department (ED) holds a predominant role in dealing with this matter. Alcohol withdrawal syndrome is a common complication of alcohol misuse. Given its pathophysiology and manifestation of symptoms, early recognition and treatment is paramount in preventing a medical emergency. From a review of the associated literature, a standardised protocol for its management in ED is consequently advocated. This includes: Identification of those at risk via routine screening; Monitoring progression and severity using an alcohol withdrawal scale; Implementation of symptom-triggered therapy on the basis of ob... International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=3458734 Wed, 31 Mar 2010 23:00:00 +0100 3458734 http://www.medworm.com/index.php?rid=3458733&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X09000342%2Fabstract%3Frss%3Dyes Abstract: The aim of this study was to systematically review qualitative literature published between 1990 and 2006 exploring the patient experience within the emergency department (ED) with the intent of describing what factors influence the patient experience. Twelve articles were retrieved following combination of key words using five databases. The overarching categories developed from this integration of literature were; emotional impact of emergency, staff–patient interactions, waiting, family in the emergency department, and emergency environment. The patient experience issue given most emphasis by the articles under review was the caring or lack of caring regarding the patients’ psychosocial and emotional needs. This was in contrast to the culture of the ED which emphasised “... International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=3458733 Wed, 31 Mar 2010 23:00:00 +0100 3458733 http://www.medworm.com/index.php?rid=3458732&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X09000500%2Fabstract%3Frss%3Dyes This study demonstrated that the only group that shows body core temperature below 36°C, was the outdoor intoxication-group during the winter-period (35.7±1.3°C). We conclude that intoxicated patients are at higher risk for hypothermia than minor trauma patients. (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=3458732 Wed, 31 Mar 2010 23:00:00 +0100 3458732 http://www.medworm.com/index.php?rid=3458731&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X09000883%2Fabstract%3Frss%3Dyes This study aimed to examine attitudes of staff towards the use of a nursing care plan in the emergency department. The sample comprised the total population (n=38) of all nursing staff working in an emergency department at one regional general hospital in the Republic of Ireland. The method adopted was a survey approach which employed the use of standardised questionnaires comprising both open and closed questioning styles. Raw statistical data were analysed using SPSS for Windows while the qualitative data arising from the open-ended questions were manually analysed for themes. The data obtained in this study identified that care plans were valued by respondents, stating that they contribute to holism, increased nurse/patient contact time and better communication. The findings also identi... International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=3458731 Wed, 31 Mar 2010 23:00:00 +0100 3458731 http://www.medworm.com/index.php?rid=3458730&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X09000573%2Fabstract%3Frss%3Dyes Abstract: This prospective study compared pre- and post-class performance in basic life support (BLS) on a recording manikin in a convenience sample of 34 health care workers undertaking a two-hour class provided by a hospital resuscitation department teaching the 2005 Resuscitation Council (UK) guidelines.On completion of training there were significant improvements in the proportion of subjects correctly performing a safe approach (14/34 vs. 25/33, 95%CI +11 to +55%, p=0.004), checking for response (17/34 vs. 24/32, 95%CI +1 to +46%, p=0.029), shouting for help (18/34 vs. 28/32, 95%CI +13 to +54%, p=0.002), opening the airway (6/34 vs. 26/32, 95%CI +42 to +79%, p (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=3458730 Wed, 31 Mar 2010 23:00:00 +0100 3458730 http://www.medworm.com/index.php?rid=3458729&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X10000169%2Fabstract%3Frss%3Dyes South Africa is a country of unenviable violence and injury statistics, with large numbers of clients seeking treatment for mild, moderate and severe injuries, as well as having the added burden of infectious diseases, most notably HIV/AIDS and tuberculosis. Working in the South African emergency department is highly stressful for the emergency staff. Added to this, there is a lack of role clarification and scope of practice for the emergency nurses in South Africa, and as yet there is no clearly defined advanced nurse practitioner role. There are also very few institutions throughout the country offering emergency nursing training, and thus very few trained emergency nurses in the country. (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=3458729 Wed, 31 Mar 2010 23:00:00 +0100 3458729 http://www.medworm.com/index.php?rid=3458728&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X10000212%2Fabstract%3Frss%3Dyes On first glance it would seem that emergency care has very little in common with industry or car manufacturing. We all recognise the importance and significance of individualised and holistic care. Have you ever stopped and thought ‘why do we do this in this way?’ or ‘if only we could just cut out the layers of bureaucracy and make things more straightforward for our patients?’ If so then you are ready for the Lean management principles! (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=3458728 Wed, 31 Mar 2010 23:00:00 +0100 3458728 http://www.medworm.com/index.php?rid=3458727&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X10000108%2Fabstract%3Frss%3Dyes (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=3458727 Wed, 31 Mar 2010 23:00:00 +0100 3458727 http://www.medworm.com/index.php?rid=3140597&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X09001098%2Fabstract%3Frss%3Dyes (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=3140597 Fri, 01 Jan 2010 00:00:00 +0100 3140597 http://www.medworm.com/index.php?rid=3140596&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X09000937%2Fabstract%3Frss%3Dyes This year’s ECA conference was held in Harrogate, a change from its long history at the Daresbury Hotel in Cheshire. The conference, held over 2 days was attended by over 170 delegates from the UK and abroad. I found it a very stimulating 2 days and it was heartening to hear about so much innovation, passion about our speciality and commitment to improve services despite the daily pressure we are all under. Here are a few highlights. (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=3140596 Fri, 01 Jan 2010 00:00:00 +0100 3140596 http://www.medworm.com/index.php?rid=3140595&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X08001249%2Fabstract%3Frss%3Dyes Abstract: This is the first of a four part series discussing thoracic trauma. Part one discusses the anatomy and physiology of the thorax, assessment and initial nursing interventions, imaging and adjuncts to diagnosis. Part 2 describes specific chest wall and lung injuries, types of pneumothoraces and their diagnosis and management. Section 3 examined other types of thoracic injuries and their management, such as trauma to the diaphragm and heart. The final part provides a brief but concise overview of neck anatomy, trauma and management. (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=3140595 Fri, 01 Jan 2010 00:00:00 +0100 3140595 http://www.medworm.com/index.php?rid=3140594&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X09000925%2Fabstract%3Frss%3Dyes This 26year old male presented to the Emergency Department following a ‘twisting’ injury whilst playing rugby. His knee was swollen and painful.What is your diagnosis? There is an avulsion fracture of the tibial spine with evidence of lipohaemarthrosis.It is important to view the images in the same orientation as they have been obtained. Trauma knees should be obtained in a horizontal beam position to demonstrate the presence of an effusion or lipohaemarthrosis in the supra-patellar region. A lipohaemarthrosis indicates the presence of an intra-articular fracture causing a fat-fluid level within the joint capsule. (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=3140594 Fri, 01 Jan 2010 00:00:00 +0100 3140594 http://www.medworm.com/index.php?rid=3140593&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X09000305%2Fabstract%3Frss%3Dyes Between 10% and 20% of pregnant women suffer bleeding during the early gestational period (). It is estimated that ectopic pregnancy is a feature of approximately 1.1 pregnancies in every 100 in the United Kingdom (UK) (). This incidence is not markedly different to other countries such as Norway which has a rate of 1.4 in 100 pregnancies and Australia with a rate of approximately 1.6 in 100 (). Ectopic pregnancy is the leading cause of first trimester maternal death in the United States (). Ectopic pregnancy caused 11 deaths in the UK between 2000 and 2002 and most of these have been attributed to delay in diagnosis or misdiagnosis in the emergency department (). There is an increased prevalence of ectopic pregnancy in women receiving assisted reproduction techniques () with rates reporte... International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=3140593 Fri, 01 Jan 2010 00:00:00 +0100 3140593 http://www.medworm.com/index.php?rid=3140592&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X09000871%2Fabstract%3Frss%3Dyes Conclusions: Patients were generally satisfied with the reception and care given by the triage nurses, but less satisfied about information about expected waiting time. We suggest therefore, that patients should be routinely informed about their estimated waiting time to be seen by the doctor in addition to their triage level. (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=3140592 Fri, 01 Jan 2010 00:00:00 +0100 3140592 http://www.medworm.com/index.php?rid=3140591&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X09000354%2Fabstract%3Frss%3Dyes Conclusion: Although ED nurses in this study hold positive attitudes, ongoing continuing education, which was identified as a key theme in the study, remains an important strategy to maintain and further improve attitudes. The need for research into aspects of care such as knowledge, awareness and empathy is recommended, as is the need to evaluate the extent to which the National Strategy for Suicide Prevention 2005–2014 recommendations [Department of Health and Children, Health Service Executive, National Suicide Review Group 2005. Reach Out – Irish National Strategy for Action on Suicide Prevention 2005–2014. (accessed 22.02.08)] have been implemented. (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=3140591 Fri, 01 Jan 2010 00:00:00 +0100 3140591 http://www.medworm.com/index.php?rid=3140590&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X09000536%2Fabstract%3Frss%3Dyes Conclusions: A growing body of knowledge suggests that the individual components of the postcardiac arrest syndrome are potentially treatable. (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=3140590 Fri, 01 Jan 2010 00:00:00 +0100 3140590 http://www.medworm.com/index.php?rid=3140589&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X0900055X%2Fabstract%3Frss%3Dyes Abstract: The aim of this research plan was identification and development of core competencies for emergency trauma nurses in Thailand. The research plan was undertaken in three phases. Phase I: a national survey of the critical dimensions of care; Phase II: development of a 64 item tool; and Phase III: efficiency study with emergency nurses representing Level-1, Regional, Community and Rural facilities. Six dimensions of competency were identified: cooperation, decision-making, leadership, problem-solving, teamwork, and technical knowledge with a content validity index (CVI) of 1.00 and internal consistency (Cronbach’s α) of 0.98 (N=485 RNs in 29 hospitals). Analysis of the first year pilot study data using a 5 point likert scale (N=285 RNs in 16 hospitals), nurses rated themselves as... International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=3140589 Fri, 01 Jan 2010 00:00:00 +0100 3140589 http://www.medworm.com/index.php?rid=3140588&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X09001001%2Fabstract%3Frss%3Dyes There is little doubt that emergency nursing is a skilful and technical specialty. An efficient patient journey through the emergency department is dependent on a wide range of interventions, investigations and treatments. As such, emergency nurses must learn, and become competent in, a variety of skills; from cannulation to application of Plaster of Paris, and from preparation for thoracotomy to ankle splinting. However, excellence in emergency care is not just about technical expertise. It is essential that the staff are competent in undertaking observations, but if they do not know what to do with the information, or are not confident enough to discuss their findings with a colleague, then the patient is still at significant clinical risk. I am really enthusiastic about expanding the nu... International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=3140588 Fri, 01 Jan 2010 00:00:00 +0100 3140588 http://www.medworm.com/index.php?rid=3140587&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X09001037%2Fabstract%3Frss%3Dyes (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=3140587 Fri, 01 Jan 2010 00:00:00 +0100 3140587 http://www.medworm.com/index.php?rid=2830366&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X09000792%2Fabstract%3Frss%3Dyes (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=2830366 Fri, 25 Sep 2009 16:54:23 +0100 2830366 http://www.medworm.com/index.php?rid=2830365&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X09000615%2Fabstract%3Frss%3Dyes (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=2830365 Fri, 25 Sep 2009 16:54:23 +0100 2830365 http://www.medworm.com/index.php?rid=2830364&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X09000627%2Fabstract%3Frss%3Dyes (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=2830364 Fri, 25 Sep 2009 16:54:23 +0100 2830364 http://www.medworm.com/index.php?rid=2830363&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X09000330%2Fabstract%3Frss%3Dyes This excellent text has been revised since its original publication in 2000. Although its main objective is a comprehensive overview of acute trauma care practice in the UK and Europe, the manual includes global perspectives and global statistics on the ‘epidemic’ of trauma. Universal priorities of Airway, Breathing, Circulation, Disability, Environmental Control are quite standard in many trauma manuals and courses. Trauma Care Manual has taken a bold step in stressing that control of external, exsanguinating haemorrhage has to be the first priority; the mneumonic now used is (C) ABCDE. A whole chapter is devoted to control of catastrophic haemorrhage, including the use of tourniquets and topical haemostatic agents. Specific chapters on gunshot wounds and blast injuries are a sign of ... International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=2830363 Fri, 25 Sep 2009 16:54:23 +0100 2830363 http://www.medworm.com/index.php?rid=2830361&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X09000238%2Fabstract%3Frss%3Dyes The role of the Emergency Nurse Practitioner (ENP) is an ongoing educational one for the nurse. The practitioner will at some point encounter situations and cases that they have had little or no experience of before in their career. This case report is an example of just such a presentation for the author who examined a patient with Medial Tibial Stress Syndrome (MTSS) who came to an ENP led minor injury unit (MIU) in Bristol. (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=2830361 Fri, 25 Sep 2009 16:54:23 +0100 2830361 http://www.medworm.com/index.php?rid=2830360&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X09000263%2Fabstract%3Frss%3Dyes Conclusions: The rational modelling structure by which the triage method is constructed is unable to distinguish all the parameters that an experienced nurse takes into account. When the model is allowed to take precedence over experience, it can be of hindrance and contribute to certain estimates not corresponding with the patient’s needs. The participants requested regular exercises solving and discussing patient scenarios. They also wanted to participate on a regular basis in the development of the instrument. (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=2830360 Fri, 25 Sep 2009 16:54:23 +0100 2830360 http://www.medworm.com/index.php?rid=2830359&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X09000020%2Fabstract%3Frss%3Dyes Conclusions: A growing body of knowledge suggests that the individual components of the postcardiac arrest syndrome are potentially treatable. (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=2830359 Fri, 25 Sep 2009 16:54:22 +0100 2830359 http://www.medworm.com/index.php?rid=2830358&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X09000032%2Fabstract%3Frss%3Dyes Conclusions: Although the evidence retrieved does not rate highly in the accepted hierarchy of evidence, nurses can be accurate and safe in diagnosis and treatment of acute myocardial infarction; nurse-led thrombolysis reduces door-to-drug times; and these services are supported by other professionals. Local clinical leadership and local thrombolysis protocols have provided the greatest improvements. Managing acute myocardial infarction including primary angioplasty facilities and administering early thrombolysis are clearly core elements of emergency care that need to be provided on a full 24h, 7 days a week basis by appropriate frontline clinical staff. (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=2830358 Fri, 25 Sep 2009 16:54:22 +0100 2830358 http://www.medworm.com/index.php?rid=2830357&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X09000561%2Fabstract%3Frss%3Dyes Cardiac arrest is a truly global term. We all understand immediately what is meant by it, and with the creation of international committees on resuscitation, we increasingly agree how it should be managed. (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=2830357 Fri, 25 Sep 2009 16:54:22 +0100 2830357 http://www.medworm.com/index.php?rid=2830356&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X09000652%2Fabstract%3Frss%3Dyes (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=2830356 Fri, 25 Sep 2009 16:54:22 +0100 2830356 http://www.medworm.com/index.php?rid=2565796&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X09000457%2Fabstract%3Frss%3Dyes (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=2565796 Tue, 30 Jun 2009 23:00:00 +0100 2565796 http://www.medworm.com/index.php?rid=2565795&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X09000287%2Fabstract%3Frss%3Dyes This is a fascinating book, relevant to every emergency nurse. We regularly work with patients who abuse, or are dependent on, alcohol, so we are in a great position to learn about identification and treatment of dependency. The book is divided into six sections looking at identification, medical intervention, psychological interventions, contemporary issues, clients with complex needs, and specific reproductive/developmental issues. Each section deals with a range of issues, most of which are relevant to the emergency nurse, whether in everyday practice or if studying the subject in detail. Each chapter contains a range of content, including plain text, tables and diagrams, which make them easy to ‘dip’ into, or read as a whole. I found myself reading not only those chapters that were... International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=2565795 Tue, 30 Jun 2009 23:00:00 +0100 2565795 http://www.medworm.com/index.php?rid=2565790&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X09000317%2Fabstract%3Frss%3Dyes This comprehensive review of the relevant literature, carried out by two eminent North American emergency physicians, identified that although pain is the most common reason why people visit emergency departments, pain management in the ED is generally poor. Despite over 25 years of research and subsequent guidelines on pain management, ED staff still struggle to resolve the problem of ‘oligoanalgesia’ in EDs. (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=2565790 Tue, 30 Jun 2009 23:00:00 +0100 2565790 http://www.medworm.com/index.php?rid=2565789&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X09000044%2Fabstract%3Frss%3Dyes Infants younger than six months of age are at an increased risk of methemoglobinemia (MTH) (). However, severe toxic MTH with a methemoglobin rate exceeding 60% has been rarely reported in the pediatric literature. The diagnosis may be unrecognized in infants, with a life-threatening condition due to multivisceral tissue hypoxia. We illustrate with the following case the occurrence of a central cyanosis associated to neurological distress and cardiovascular shock, due to a severe MTH in a young infant exposed to nitrites. (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=2565789 Tue, 30 Jun 2009 23:00:00 +0100 2565789 http://www.medworm.com/index.php?rid=2565788&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X09000251%2Fabstract%3Frss%3Dyes (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=2565788 Tue, 30 Jun 2009 23:00:00 +0100 2565788 http://www.medworm.com/index.php?rid=2565787&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X0900024X%2Fabstract%3Frss%3Dyes Conclusion: Torus splints in all the studies were consistently better than plaster immobilisation in terms of clinical outcome, patient preference and cost, with the exceptions of young children or children with special needs who can easily remove the device. Splinting torus fractures may reduce cost, time and resource management if used instead of casting in the ED. (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=2565787 Tue, 30 Jun 2009 23:00:00 +0100 2565787 http://www.medworm.com/index.php?rid=2565786&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X08001523%2Fabstract%3Frss%3Dyes Abstract: The Health Service Executive (HSE) highlights the need for effective patient throughput and management, whilst providing appropriate staffing and therapeutic interventions. It acknowledges that patient need is integral to the development of a nurse led service and advocates planning staffing levels to reflect arrival times of patients.An observational study of all patients who presented to the emergency department in July 2005 and February 2006 was undertaken (n=7768). The study identified 1577 patients suitable for treatment by the Advanced Nurse Practitioner (ANP) in these two months, which represents 20% of all patient attendances to the ED in this time period. A data collection tool was devised collectively by the ANPs to identify appropriate patients.The findings of the stud... International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=2565786 Tue, 30 Jun 2009 23:00:00 +0100 2565786 http://www.medworm.com/index.php?rid=2565785&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X0800133X%2Fabstract%3Frss%3Dyes Abstract: Emergency rapid sequence induction (RSI) anaesthesia is the cornerstone of emergency airway management performed on patients in the emergency department (ED). The Royal College of Anaesthetists has stated that anaesthesia should not proceed without a skilled, dedicated assistant. It is essential that ED nurses are educated, skilled and competent to assist with RSI in the ED. (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=2565785 Tue, 30 Jun 2009 23:00:00 +0100 2565785 http://www.medworm.com/index.php?rid=2565784&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X09000056%2Fabstract%3Frss%3Dyes Abstract: Penetrating injuries are rare but important for the patient both visually and socioeconomically. This guide intends to provide a structure for emergency department personnel to enable targeted history taking, effective examination, appropriate investigation and timely referral for those presenting with penetrating eye trauma. (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=2565784 Tue, 30 Jun 2009 23:00:00 +0100 2565784 http://www.medworm.com/index.php?rid=2565783&cid=s_37278_27_f&fid=37278&url=http%3A%2F%2Fwww.internationalemergencynursing.com%2Farticle%2FPIIS1755599X08001353%2Fabstract%3Frss%3Dyes Abstract: The role of specialist nurses in triage, diagnosis and management of emergency eye conditions is well established, and encouraging reports of the safety and effectiveness of such services have been published. Specialist nurses in an emergency eye clinic in the UK seeing >7000 patients per year had been found at initial evaluation to treat 22% of the 1976 patients seen over a three month period without referring on to an ophthalmologist. A repeat of this evaluation five years later found this proportion had dropped to 17% (χ2 = 16.7, p (Source: International Emergency Nursing) International Emergency Nursing journals http://www.medworm.com/rss/comments.php?id=2565783 Tue, 30 Jun 2009 23:00:00 +0100 2565783