Round-off decision-making: Why do triage nurses assign STEMI patients with an average priority?
Patients with suspected ST elevation myocardial infarction should be classified with a high-priority triage level in the Emergency Department. Accurate triage can reduce mortality and morbidity in ST elevation myocardial infarction patients. Yet, half of these patients were given a low-priority score, especially the average classification (P3 on a P1 –P5 scale). (Source: International Emergency Nursing)
Source: International Emergency Nursing - July 7, 2018 Category: Nursing Authors: Mor Saban, Lev Zaretsky, Heli Patitio, Rabia Salama, Aziz Darawsha Source Type: research

Information and Communication in the Emergency Department
Communication between healthcare providers and patients is important for patient-centred care and a positive patient experience[16]and represents an important caveat in healthcare, both nationally and internationally. Patient-specific information, particularly in the ED, is an essential component of the patient pathway, patient-physician relationship and nursing practice (Jones, 2012). It is essential to effective team working[6], and enabling patients to make informed decisions (DH, 2012). Ineffective communication has been associated with dissatisfaction and frustration[13]and feeling ill informed at discharge is a commo...
Source: International Emergency Nursing - July 7, 2018 Category: Nursing Authors: Joanna blackburn, Karen Ousey, Emma Goodwin Source Type: research

Nurse-initiated oral opioid pain protocol improves the quality of musculoskeletal pain management in the emergency department
Pain, due to a wide variety of underlying etiologies, is one of the most common patient complaints, representing up to 80 per cent of emergency department (ED) visits [1]. The early and effective management of acute pain is of critical importance in the short and the long term [2,3]. Although the importance of timely pain management in the ED has been acknowledged, it has also been recognized that there are barriers to effective pain relief, such as inadequate inter- and multidisciplinary communication, workload and attitude problems, lack of patient input, knowledge deficits, and misconceptions on the need for effective p...
Source: International Emergency Nursing - July 7, 2018 Category: Nursing Authors: Sigalit Caspi, Ronit Meidan, Elad Peless, Ela Raizman Source Type: research

Nurses ’ Experiences of Prehospital Care Encounters with Children in Pain
Pain is a common reason why parents seek prehospital emergency care for their children. Paediatric pain is often caused by some form of trauma such as accidents or burns. Nurses with prehospital paediatric care encounters report that the experiences can be multifaceted and stressful [1]. (Source: International Emergency Nursing)
Source: International Emergency Nursing - July 7, 2018 Category: Nursing Authors: Malin Rising Holmstr öm, Lena Junehag, Sofie Velander, Susanna Lundberg, Bosse Ek LicD, Marie Häggström Source Type: research

Assessing prognosis with modified early warning score, rapid emergency medicine score and worthing physiological scoring system in patients admitted to intensive care unit from emergency department
Emergency departments are the main gates of the health care system. The increasing number of emergency patients, the prolongation of emergency patients' stay in emergency departments and the overcrowding in emergency departments make critical patient detection important (Olsson and Lind, 2003). In recent years, scoring systems have been proposed to determine which patients need intensive observation, treatment, and nursing care, which patients should be monitored and supported in intensive care conditions, and how to make this distinction in a quality and effective manner (Olsson and Lind, 2003; Baines and Kanagasundaram, ...
Source: International Emergency Nursing - July 6, 2018 Category: Nursing Authors: Raziye Gizem Y üksel Gök, Ulas Karaoglu, Alper Gök, Mehtap Bulut Source Type: research

Mobile Emergency Care Service: a time-course assessment and characterization of demand
In Brazil, prehospital care is defined as any medical attention provided outside the hospital environment in order to best respond to the demands of the care-seeking population. Prehospital emergency care in the country has the specific mandate of reaching the victim as early as possible to provide care and/or adequate transportation to a health facility, maintaining a coherent continuum of care that is hierarchically integrated within the national Unified Health System (Sistema Único de Saúde, SUS).(Marques et al., 2011) (Source: International Emergency Nursing)
Source: International Emergency Nursing - July 2, 2018 Category: Nursing Authors: Geiza Costa, Olavo Cabral, Eduardo Santana, Glaucia Lima, Israel Figueiredo Source Type: research

Educational interventions promoting evidence-based practice among emergency nurses: A systematic review
Because of the dynamic nature of the clinical environment, emergency nurses are expected to keep pace with advances in research and ensure that their practice is evidence-based. Little is known about how evidence-based practice (EBP) is integrated within emergency nurses ’ practice. However, two qualitative studies have revealed potential challenges. Bigham and colleagues [1] studied (n=176) barriers that delayed the adoption of practices for improving survival rates after out-of-hospital cardiac arrest based on guidelines published by the American Heart Associati on. (Source: International Emergency Nursing)
Source: International Emergency Nursing - June 25, 2018 Category: Nursing Authors: Elina Koota, Maria K ääriäinen, Hanna-Leena Melender Tags: Review Source Type: research

An examination of the profile and journey of patients with mental illness in the Emergency Department
Hospital emergency departments (EDs) play a role in treating people with mental illness [1,2]. Despite efforts to care for people with mental illness in the community, away from hospitals, people with mental illness continue to present to EDs with both emergency and non-emergency mental health problems [3 –5]. EDs are used by people seeking mental health (MH) services for the first time as well as those already receiving MH care in the community who require an urgent or immediate response [2,3]. The way in which mental health care is provided in EDs can vary significantly, and different models of c are exist (for a revie...
Source: International Emergency Nursing - June 22, 2018 Category: Nursing Authors: Dominiek Coates, Michael David, Ben Roberts, David Duerden Source Type: research

Editorial Board
(Source: International Emergency Nursing)
Source: International Emergency Nursing - June 18, 2018 Category: Nursing Source Type: research

Editorial: Who cares for the carers? Looking after emergency healthcare professionals
The pressures placed on emergency departments and their staff on a daily basis is a worldwide phenomenon. In the UK over the past month, we have had the one-year anniversary of the Manchester Arena, Westminster Bridge and London Bridge terrorist attacks. This has placed renewed attention on emergency services who treated people at the scene and at the various emergency departments who received the injured. However, sometimes the day-to-day stresses of emergency work are often overlooked where pre-hospital and emergency staff are threatened, verbally and physically abused and in some instances assaulted. (Source: Internatio...
Source: International Emergency Nursing - June 18, 2018 Category: Nursing Authors: Geraldine Lee Source Type: research

Professional Resilience among Nurses Working in an Overcrowded Emergency Department in Taiwan
When emergency department (ED) overcrowding becomes unavoidable, registered nurses (RN) confront a great amount of stress, such as limited care time for patients, heavy workloads, and psychosocial issues [1 –3]. These negative stress outcomes significantly impact the wellbeing of RNs and are a major patient safety concern associated with poor patient outcomes [4–5]. During ED overcrowding, positive coping strategies may not be enough to reduce the negative effects of stress from a hazardous work en vironment. (Source: International Emergency Nursing)
Source: International Emergency Nursing - June 1, 2018 Category: Nursing Authors: Chun-Chih Lin, Hwey-Fang Liang, Chin-Yen Han, Li-Chin Chen, Chun-Lan Hsieh Source Type: research

Emergency nursing students ’ and nurse educators’ perception of care delivery: A comparison study of self-assessment ratings.
Patient presentations to emergency departments (ED) for critically unwell patients are increasing [1,2]. Australian EDs manage the care of almost 7.5 million presentations per annum, with 72% of patients spending 4 hours or less in the ED [1]. The requirement for emergency nurses to comprehensively assess and manage patients in a timely manner is important. (Source: International Emergency Nursing)
Source: International Emergency Nursing - June 1, 2018 Category: Nursing Authors: Rachel Cross, Julia Morphet, Charne Miller Source Type: research

Healthcare professionals ’ experiences and attitudes towards family-witnessed resuscitation: a cross-sectional study
Family-witnessed resuscitation (FWR) offers the option for patients ’ family members to be present during a cardiac arrest. This has been proven to help them in their grieving process after witnessing an in-hospital cardiac arrest (IHCA) [1] and also resulted in less symptoms of post-traumatic stress, depression and anxiety when compared to a control group with an out-of-hospital cardiac arrest (OHCA) [2,3]. The first paper on this topic was introduced 30 years ago [4]. Since then little has changed in clinical practice, despite the introduction of international guidelines that recommend that family members should be off...
Source: International Emergency Nursing - June 1, 2018 Category: Nursing Authors: Annette Waldemar, Ingela Thylen Source Type: research

Characteristics of patients with ankle sprain presenting to an emergency department in the south of England (UK): A seven-month review
Acute ankle sprain is an injury affecting the capsular ligament complex of the ankle joint within 72 hours of occurrence [7,16]. A systematic review and meta-analysis of prospective epidemiological studies found ankle sprain a very common injury among sport and general populations with a pooled cumulative incidence rate of 11.55 per 1,000 exposures [3,12]. They also calculated a higher incidence of ankle sprain in women compared with men (13.6 vs 6.94 per 1,000 exposures), in children compared with adolescents (2.85 vs 1.94 per 1,000 exposures), adolescents compared with adults (1.94 vs 0.72 per 1,000 exposures) and indoor...
Source: International Emergency Nursing - June 1, 2018 Category: Nursing Authors: Saed Al Bimani, Lucy S. Gates, Martin Warner, Sean Ewings, Robert Crouch, Catherine Bowen Source Type: research

Prediction of Clinical Deterioration after Admission from the Pediatric Emergency Department
Patient safety and quality improvement remain paramount concerns for health care organizations, regulatory agencies, insurance companies, the lay media, and the public [1]. An ongoing threat to hospitalized patients is delayed recognition of clinical deterioration and its association with increased morbidity and mortality [2 –3]. Following admission to the hospital from the Pediatric Emergency Department (PED), some patients soon require unanticipated transfer to a higher level of care. Mechanisms to temper this risk include strategic appropriation of critical care beds, timely intervention for patients with worsening cl...
Source: International Emergency Nursing - May 31, 2018 Category: Nursing Authors: Stacy M. Tarango, Phung K. Pham, Dayun Chung, Ara Festekjian Source Type: research