International Emergency Nursing
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Index to Volume
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(Source: International Emergency Nursing)
Source: International Emergency Nursing - September 25, 2009 Category: Nursing Source Type: journals
Thank you to all the reviewers
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(Source: International Emergency Nursing)
Source: International Emergency Nursing - September 25, 2009 Category: Nursing Source Type: journals
News and Notices
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(Source: International Emergency Nursing)
Source: International Emergency Nursing - September 25, 2009 Category: Nursing Source Type: journals
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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 c...
Source: International Emergency Nursing - September 25, 2009 Category: Nursing Authors: Carole Rush Tags: Book Reviews Source Type: journals
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Mastering the interpretation of ECG‘s is something most Emergency Nurses want to grasp. It can be a very frustrating process; fortunately there are many books on the market to help. However they can be as daunting as the ECG’s themselves! I recently reviewed the ECG workbook. (Source: International Emergency Nursing)
Source: International Emergency Nursing - September 25, 2009 Category: Nursing Authors: Joanna Jarvis Tags: Book Reviews Source Type: journals
Medial tibial stress syndrome – A case report
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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)
Source: International Emergency Nursing - September 25, 2009 Category: Nursing Authors: Matthew Crabtree Source Type: journals
Working with Manchester triage – Job satisfaction in nursing
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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)
Source: International Emergency Nursing - September 25, 2009 Category: Nursing Authors: Susanne Forsgren, Berit Forsman, Eric D. Carlström Source Type: journals
Post-cardiac arrest syndrome: Epidemiology, pathophysiology, treatment, and prognostication: A Scientific Statement from the International Liaison Committee on Resuscitation; the American Heart Association Emergency Cardiovascular Care Committee; the Council on Cardiovascular Surgery and Anesthesia; the Council on Cardiopulmonary, Perioperative, and Critical Care; the Council on Clinical Cardiology; the Council on Stroke (Part 1)
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Conclusions: A growing body of knowledge suggests that the individual components of the postcardiac arrest syndrome are potentially treatable. (Source: International Emergency Nursing)
Source: International Emergency Nursing - September 25, 2009 Category: Nursing Authors: Jerry P. Nolan, Robert W. Neumar, Christophe Adrie, Mayuki Aibiki, Robert A. Berg, Bernd W. Bbttiger, Clifton Callaway, Robert S.B. Clark, Romergryko G. Geocadin, Edward C. Jauch, Karl B. Kern, Ivan Laurent, W.T. Longstreth, Raina M. Merchant, Peter Morle Source Type: journals
Thrombolysis administration by nurses: An evolving UK evidence base?
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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 appr...
Source: International Emergency Nursing - September 25, 2009 Category: Nursing Authors: M. Sloman, G.R. Williamson Source Type: journals
Spreading the word – post-cardiac arrest syndrome
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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)
Source: International Emergency Nursing - September 25, 2009 Category: Nursing Authors: Heather McClelland Source Type: journals
Editorial board
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(Source: International Emergency Nursing)
Source: International Emergency Nursing - September 25, 2009 Category: Nursing Source Type: journals
News and Notices
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(Source: International Emergency Nursing)
Source: International Emergency Nursing - June 30, 2009 Category: Nursing Source Type: journals
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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 o...
Source: International Emergency Nursing - June 30, 2009 Category: Nursing Authors: Heather McClelland Tags: Book Review Source Type: journals
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This book is aimed at nursing staff at all levels and focuses, in this 6th edition, on contemporary nursing research issues. The book is well constructed with a logical flow of chapters and topics and sufficient depth for undergraduates, postgraduates and clinicians. (Source: International Emergency Nursing)
Source: International Emergency Nursing - June 30, 2009 Category: Nursing Authors: Jo Porter, Simon Cooper Tags: Book Review Source Type: journals
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This book has been written as an accessible and easily read clinical guide for the management of the acutely ill, highly dependent child or infant, being managed in the hospital environment. The aim of the book is to review and discuss the specific nursing skills to manage these children, whether it is a child who requires more acute care, in respect of clinical presentation/dependency, or those requiring post ICU/HDU care on a general paediatric ward. (Source: International Emergency Nursing)
Source: International Emergency Nursing - June 30, 2009 Category: Nursing Authors: Ian Melling Tags: Book Review Source Type: journals
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The style of this book lends itself to facilitating student learning. In a positive sense, it sets out to introduce and establish the basic principles of anatomy and physiology but also includes maths, chemistry and additional topic areas. What is particularly appealing is its introduction to the life skills that can be considered essential to a healthcare professional; appreciating types of learning styles, time management ideas, managing different methods of study approaches and includes some preparation as to how to read a text book or examination paper in a clear and structured manner. (Source: International Emergency Nursing)
Source: International Emergency Nursing - June 30, 2009 Category: Nursing Authors: Annie Jenkin Tags: Book Review Source Type: journals
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‘Emergency Care of the Abused’ is an easy to read, practical reference guide for use by staff in the management of the acute care of the abused patient. It covers a wide range of abuse topics across the spectrum. It also covers topics that are not always covered during doctors’/nurses’ training such as ‘Immigrants and ethnic minority populations’, ‘Care of victims of torture’, and ‘Trafficking victims’ which the reader will find extremely useful. (Source: International Emergency Nursing)
Source: International Emergency Nursing - June 30, 2009 Category: Nursing Authors: Una Marren Tags: Book Review Source Type: journals
Research review
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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)
Source: International Emergency Nursing - June 30, 2009 Category: Nursing Authors: Felicity Johnson Source Type: journals
Severe toxic methemoglobinemia mimicking septic shock in an infant
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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)
Source: International Emergency Nursing - June 30, 2009 Category: Nursing Authors: Monia Khemiri, Aymen Labassi, Yemen Tlili, Sihem Barsaoui Source Type: journals
Film quiz
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(Source: International Emergency Nursing)
Source: International Emergency Nursing - June 30, 2009 Category: Nursing Authors: Sara Lawrence, Jane Sacks Source Type: journals
Splinting versus casting of “torus” fractures to the distal radius in the paediatric patient presenting at the emergency department (ED): A literature review
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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)
Source: International Emergency Nursing - June 30, 2009 Category: Nursing Authors: Fiona Firmin, Robert Crouch Source Type: journals
Minor injury attendance times to the ED
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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 al...
Source: International Emergency Nursing - June 30, 2009 Category: Nursing Authors: Ciaran Conlon, Cora O’Connor, Paula Mc Brearty, Bernadette Carpenter Source Type: journals
Rapid sequence induction anaesthesia: A guide for nurses in the emergency department
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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)
Source: International Emergency Nursing - June 30, 2009 Category: Nursing Authors: Bruce Armstrong, Cliff Reid, Peter Heath, Howard Simpson, John Kitching, Justin Nicholas, Louisa Chan, John Taylor, Helen Rush Source Type: journals
Emergency department management of penetrating eye injuries
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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)
Source: International Emergency Nursing - June 30, 2009 Category: Nursing Authors: Dan Lindfield, Raja Das-Bhaumik Source Type: journals
Nurse specialist treatment of eye emergencies: Five year follow up study of quality and effectiveness
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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)
Source: International Emergency Nursing - June 30, 2009 Category: Nursing Authors: John Cameron Buchan, Aruna Ashiq, Neil Kitson, Julie Dixon, Andy Cassels-Brown, John A. Bradbury Source Type: journals
Manchester Triage in Sweden – Interrater reliability and accuracy
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Conclusions: Patients in need of urgent care were identified in more than nine out of 10 cases. The high level of over-triage and under-triage in the less urgent categories resulted in low agreement and accuracy. This may suggest that the resources of emergency departments can be overused for non-urgent patients. (Source: International Emergency Nursing)
Source: International Emergency Nursing - June 30, 2009 Category: Nursing Authors: Pia Olofsson, Martin Gellerstedt, Eric D. Carlström Source Type: journals
Safeguarding vulnerable adults in the emergency department
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Jack Troy has presented to the Emergency Department as a concerned neighbour has not seen him about for a few days. He has been brought to the ED by the ambulance crew although it took much persuasion by the crew to get him into the ambulance. On arrival he is undressed by the ED staff as his clothes are soiled with urine and faeces. His GCS=15 and he wants to go home. On further examination he is found to have a Grade 4 pressure ulcer on his sacrum. The ambulance crew noted a number of empty bottles of vodka in the flat. He has also been recently visited by the District Nurse team. (Source: International Emergency Nursing)
Source: International Emergency Nursing - June 30, 2009 Category: Nursing Authors: Nick Hale, Jane Tippett Source Type: journals
Protection of Vulnerable Adults
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We use the term ‘vulnerable’ in a vast range of contexts, whether talking about patients, systems or, indeed, whole populations. The central meaning is the same, i.e. being at risk of abuse, or injury, or damage. If we think of the populations living on flood plains or fault lines, whole communities are vulnerable to massive devastation, and change at a global level. If national intelligence systems are vulnerable, the data of individuals and populations will at risk of abuse. As emergency nurses these global vulnerabilities are rarely our major concern, but the authors of our guest editorial very clearly demonstrate j...
Source: International Emergency Nursing - June 30, 2009 Category: Nursing Authors: Heather McClelland Source Type: journals
Editorial board
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(Source: International Emergency Nursing)
Source: International Emergency Nursing - June 30, 2009 Category: Nursing Source Type: journals
News and Notices
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(Source: International Emergency Nursing)
Source: International Emergency Nursing - April 1, 2009 Category: Nursing Source Type: journals
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Were you to judge a book by the cover, not to mention the price tag, you might be forgiven for thinking that this one is purely for the medics. Closer inspection, however, reveals a veritable explosion of materials, all relevant to emergency nurses, and all revealing the finer points of pain management in utterly glorious technicolour. (Source: International Emergency Nursing)
Source: International Emergency Nursing - April 1, 2009 Category: Nursing Authors: Lorna McInulty Tags: Book Review Source Type: journals
Research review
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This article examines the effect of the implementation of the 4-h waiting time policy on the older person presenting to the emergency department. The author, a final-year student nurse in London, carried out a reasonably comprehensive review of the relevant literature. The findings from this review were that while the policy is apparently successful in reducing ED waiting times, it has a negative impact at some point on the older patient’s trajectory through the health care system. Specifically, discharges are being delayed, causing bed-access blocks for older patients and CDUs are being used as ‘holding bays’, resul...
Source: International Emergency Nursing - April 1, 2009 Category: Nursing Authors: Felicity Johnson Source Type: journals
Film quiz
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This 84 year old lady attended the Emergency Department. She had slipped down the stairs and landed awkwardly on her left foot. She was unable to weight bear due to acute pain. (Source: International Emergency Nursing)
Source: International Emergency Nursing - April 1, 2009 Category: Nursing Authors: Sara Lawrence, Jane Sacks Source Type: journals
Reply from the Lead Author
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This is to express my sincere thanks to the editor and correspondents (Drs. P. Barss and M. Grivna) for the feedback on our paper . I am really concerned about the clarification and would like to correct inadvertent errors in methods and results so that readers will have a correct picture about childhood injury in UAE. (Source: International Emergency Nursing)
Source: International Emergency Nursing - April 1, 2009 Category: Nursing Authors: Abdulbari Bener Source Type: journals
Letter to Editor – Trends in childhood injury mortality in a developing country: United Arab Emirates
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Having taken note in your journal of the following paper Bener A, Hyder AA, Schenk E. Trends in childhood injury mortality in a developing country: United Arab Emirates, Accident Emergency Nursing 2007, we are concerned that readers could be misled and hence draw attention to errors in the methods and results. (Source: International Emergency Nursing)
Source: International Emergency Nursing - April 1, 2009 Category: Nursing Authors: Peter Barss, Michal Grivna Source Type: journals
Foreign body in the hip joint – An unusual presentation in a child
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Penetrating injuries can quite easily be confused with ordinary lacerated wounds. The management of the two, of course, should be different. Superficial assessment and normal wound management would suffice in ordinary wounds, but for penetrating injuries an exploration or further assessment may be essential. (Source: International Emergency Nursing)
Source: International Emergency Nursing - April 1, 2009 Category: Nursing Authors: A. Malviya, P.R. Glithero Source Type: journals
Managing aggression in the emergency department: Promoting an interdisciplinary approach
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Abstract: Incidents of aggression are frequent occurrences in hospitals, particularly the emergency department. Aggression creates instability in the environment, impacts on patient care outcomes and leads to increased levels of stress in staff. Regular exposure to aggression in the workplace can have detrimental effects on health professionals’ ongoing quality of life. The emergency department is a gateway to care and is heavily populated 24h a day. Therefore, it is essential that all health professionals are confident and well prepared to manage aggression.Based upon a review of the literature this paper outlines the c...
Source: International Emergency Nursing - April 1, 2009 Category: Nursing Authors: Yvonne Rintoul, Dianne Wynaden, Sunita McGowan Source Type: journals
Implementation of a computerized alcohol advice concept in routine emergency care
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Conclusion: A computerized concept for provision of alcohol advice can be implemented in an ED without unrealistic demands on staff and with limited external support to attain sustainability. (Source: International Emergency Nursing)
Source: International Emergency Nursing - April 1, 2009 Category: Nursing Authors: Per Nilsen, Karin Festin, Karin Guldbrandsson, Siw Carlfjord, Marika Holmqvist, Preben Bendtsen Source Type: journals
A 12 month retrospective study of airway management practices
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Conclusion: Endotracheal intubation is a regular ED intervention. Emergency nurses need to have knowledge of airway management and rescue. A developed airway management algorithm and difficult airway equipment tray improved nursing confidence, expertise and response time in advanced airway interventions. (Source: International Emergency Nursing)
Source: International Emergency Nursing - April 1, 2009 Category: Nursing Authors: Margaret Fry, Kate Ruperto Source Type: journals
The use of topical anaesthesia during repair of minor lacerations in Departments of Emergency Medicine: A literature review
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Conclusion: The literature has shown that the induction of anaesthesia in lacerations has remained largely unchanged over the past few years, with lidocaine infiltration still the preferred method. Many reasons have been put forward as to why topical anaesthetics are not commonly used in the UK. Perhaps it would be beneficial to carry out work in relation to alternative formulations as opposed to overcoming the difficulties associated with formulations that are already available. (Source: International Emergency Nursing)
Source: International Emergency Nursing - April 1, 2009 Category: Nursing Authors: Carol Little, Oonagh J. Kelly, Mark G. Jenkins, Diarmaid Murphy, Paul McCarron Source Type: journals
New and emerging roles in out of hospital emergency care: A review of the international literature
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Conclusion: Further work is required to fully understand the patient safety, clinical practice, professional role and financial implications of these new roles. (Source: International Emergency Nursing)
Source: International Emergency Nursing - April 1, 2009 Category: Nursing Authors: Simon JR Cooper, Julie Grant Source Type: journals
Factors influencing decision making among ambulance nurses in emergency care situations
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Abstract: The aim of this study was to investigate which factors that influences decision making among Swedish ambulance nurses in emergency care situations. Nurses in ambulance are sometimes forced to make decisions without adequate information. Data collected from interviews with 14 ambulance nurses was analyzed. The informants described 30 incidents during which they had to make fast decisions. A qualitative content analysis of the text was made, from which different categories were identified. It was found that when nurses are called to an emergency, the extent and degree of difficulty of the incident is decisive for h...
Source: International Emergency Nursing - April 1, 2009 Category: Nursing Authors: B.-M. Gunnarsson, M. Warrén Stomberg Source Type: journals
Learning and contributing
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No-one knows everything, but we all know something. Together we can know more. A statement made recently by Professor Tony Redmond, Professor in International Emergency Medicine at Manchester University during a visit to China, reminding us that everyone has something to learn, but more importantly, something to contribute. (Source: International Emergency Nursing)
Source: International Emergency Nursing - April 1, 2009 Category: Nursing Authors: Heather McClelland Source Type: journals
Editorial board
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(Source: International Emergency Nursing)
Source: International Emergency Nursing - April 1, 2009 Category: Nursing Source Type: journals
Learning and contributing.
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PMID: 19341992 [PubMed - in process] (Source: International Emergency Nursing)
Source: International Emergency Nursing - April 1, 2009 Category: Nursing Authors: McClelland H Tags: Int Emerg Nurs Source Type: journals
Factors influencing decision making among ambulance nurses in emergency care situations.
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The aim of this study was to investigate which factors that influences decision making among Swedish ambulance nurses in emergency care situations. Nurses in ambulance are sometimes forced to make decisions without adequate information. Data collected from interviews with 14 ambulance nurses was analyzed. The informants described 30 incidents during which they had to make fast decisions. A qualitative content analysis of the text was made, from which different categories were identified. It was found that when nurses are called to an emergency, the extent and degree of difficulty of the incident is decisive for how dec...
Source: International Emergency Nursing - April 1, 2009 Category: Nursing Authors: Gunnarsson BM, Warrén Stomberg M Tags: Int Emerg Nurs Source Type: journals
New and emerging roles in out of hospital emergency care: a review of the international literature.
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CONCLUSION: Further work is required to fully understand the patient safety, clinical practice, professional role and financial implications of these new roles.
PMID: 19341994 [PubMed - in process] (Source: International Emergency Nursing)
Source: International Emergency Nursing - April 1, 2009 Category: Nursing Authors: Cooper S, Grant J Tags: Int Emerg Nurs Source Type: journals
The use of topical anaesthesia during repair of minor lacerations in Departments of Emergency Medicine: a literature review.
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CONCLUSION: The literature has shown that the induction of anaesthesia in lacerations has remained largely unchanged over the past few years, with lidocaine infiltration still the preferred method. Many reasons have been put forward as to why topical anaesthetics are not commonly used in the UK. Perhaps it would be beneficial to carry out work in relation to alternative formulations as opposed to overcoming the difficulties associated with formulations that are already available.
PMID: 19341995 [PubMed - in process] (Source: International Emergency Nursing)
Source: International Emergency Nursing - April 1, 2009 Category: Nursing Authors: Little C, Kelly OJ, Jenkins MG, Murphy D, McCarron P Tags: Int Emerg Nurs Source Type: journals
A 12 month retrospective study of airway management practices.
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CONCLUSION: Endotracheal intubation is a regular ED intervention. Emergency nurses need to have knowledge of airway management and rescue. A developed airway management algorithm and difficult airway equipment tray improved nursing confidence, expertise and response time in advanced airway interventions.
PMID: 19341996 [PubMed - in process] (Source: International Emergency Nursing)
Source: International Emergency Nursing - April 1, 2009 Category: Nursing Authors: Fry M, Ruperto K Tags: Int Emerg Nurs Source Type: journals
Implementation of a computerized alcohol advice concept in routine emergency care.
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CONCLUSION: A computerized concept for provision of alcohol advice can be implemented in an ED without unrealistic demands on staff and with limited external support to attain sustainability.
PMID: 19341997 [PubMed - in process] (Source: International Emergency Nursing)
Source: International Emergency Nursing - April 1, 2009 Category: Nursing Authors: Nilsen P, Festin K, Guldbrandsson K, Carlfjord S, Holmqvist M, Bendtsen P Tags: Int Emerg Nurs Source Type: journals
