ENA Clinical Practice Guideline Synopsis: Family Presence During Resuscitation and Invasive Procedures
Does family presence have a positive or negative influence on the patient, family, and staff during invasive procedures and resuscitation? (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - May 1, 2024 Category: Nursing Authors: Judith Young Bradford, Alison Camarda, Lisa Gilmore, Ann E. Horigan, Janet Kaiser, Robin MacPherson-Dias, Andrea Perry, Andrew Slifko, Andrea Slivinski, Kathy Van Dusen, Jessica Bishop-Royse, Altair M. Delao Tags: Clinical Practice Guideline Source Type: research
Substance Use Disorders and Addiction in the Emergency Care Setting
According to the American Society of Addiction Medicine, substance use disorder (SUD) is described as a “cluster of cognitive, behavioral, and physiological symptoms indicating that the individual continues to use alcohol, nicotine, and/or other drugs despite significant related problems” (the American Society of Addiction Medicine national practice guideline for the treatment of opioid use disord er: 2020 focused update, 2020, p. 7). Even with extensive evidence of the devastation that substance abuse has on lives and livelihood and the impact use, abuse, and addiction have on our emergency departments, substance use ...
Source: Journal of Emergency Nursing: JEN - May 1, 2024 Category: Nursing Authors: Dawn Peta Tags: ENA Position Statement Source Type: research
Trauma Diamond of Death: Adding Calcium to the Lethal Triad
In trauma patients, the triad of hypothermia, acidosis, and coagulopathy has been shown to cause an increase in morbidity and mortality. This lethal combination was first named the “bloody vicious cycle” in 1982 by the American Trauma Society when it was noted that the triad caused worsening hemorrhage and death.1 The triad is now used as the basis for damage control resuscitation in critically ill trauma patients. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - May 1, 2024 Category: Nursing Authors: Jessica Dawkins Mills Tags: Trauma Notebook Source Type: research
Local Anesthetic Systemic Toxicity (LAST): More Common Than You Think
The number of anesthetic body procedures in the United States is rapidly increasing, with many being performed on an outpatient basis. These procedures are advertised as being safe, and many times the serious complications may not be discussed. Although local anesthetic systemic toxicity is a rare complication, it is associated with an increase in morbidity. The emergency department staff should be aware of the possibility of this rare complication, as well as the variety of resulting symptoms (from minor to severe), potential sequelae, and appropriate management for patients who have undergone an outpatient anesthetic bod...
Source: Journal of Emergency Nursing: JEN - May 1, 2024 Category: Nursing Authors: Nancy J. Denke Tags: Pharm/Tox Corner Source Type: research
Where Is the Humanity for Nurses? A Love Letter to My Fellow Nurse
Ask any nurse why they chose this profession and an altruistic vision to care for others usually follows or a heart-centered story is shared, yet the type of collateral paid in efforts to provide patient care often leaves nurses experiencing moral distress, post-traumatic stress disorder, burnout, and even suicide.1,2 To cope, nurses learn how to shift into survival mode1 through a process of depersonalization,2 making way for feelings of numbness and emptiness. Particularly in emergency nursing, an endless barrage of patients, many critical and sometimes violent, leaves nurses in a consistent state of high alert that requ...
Source: Journal of Emergency Nursing: JEN - May 1, 2024 Category: Nursing Authors: Kaija Freborg Tags: Guest Editorial Source Type: research
The Leader Behind. How Can Someone Who Is Behind Lead Effectively, You Ask? Well, Let Us Chat
Professor Linda Hill1 writes in the Harvard Business Review that “leading from behind does not mean abrogating your leadership responsibilities. The shepherd makes sure that the flock stays together.” Shepherds nudge and prod if the flock strays. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - May 1, 2024 Category: Nursing Authors: Chris Dellinger Tags: President's Message Source Type: research
Table of Contents
(Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - May 1, 2024 Category: Nursing Source Type: research
Editorial Board
(Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - May 1, 2024 Category: Nursing Source Type: research
Board of Directors
(Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - May 1, 2024 Category: Nursing Source Type: research
Information for Readers
(Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - May 1, 2024 Category: Nursing Source Type: research
A Direct Assessment of Noninvasive Continuous Blood Pressure Monitoring in the Emergency Department and Intensive Care Unit
Noninvasive continuous blood pressure monitoring has the potential to improve patient treatment in the hospital setting. Such noninvasive devices can be applied earlier in the treatment process to empower nurses and clinicians to react more quickly to patient deterioration with the added benefit of eliminating the risks associated with invasive monitoring. However, emerging technologies must be capable of r eproducing current clinical measures for medical decision making. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - April 18, 2024 Category: Nursing Authors: Landon D. Hamilton, Scott Binns, Kim McFann, Nick Nudell, Julie A. Dunn Tags: Research Source Type: research
A Rare Cause of Coagulopathy in the Emergency Department: Cefoperazone Use
Cefoperazone (CPZ) is an antibiotic widely used for moderate to severe infections, especially in countries where resources are difficult to access. This case report aimed to draw attention to coagulopathy, a potential side effect of CPZ. This side effect can cause high mortality and morbidity in patients. In the mechanism of CPZ causing coagulopathy, it is reported that effects such as binding to vitamin K, disrupting vitamin K metabolism, and preventing platelet aggregation are responsible. In this presentation, a case who came to the emergency department with the complaint of hematuria caused by coagulopathy after the us...
Source: Journal of Emergency Nursing: JEN - April 18, 2024 Category: Nursing Authors: Metin Ocak, Hatice Y ıldız, Metin Yadigaroğlu, Murat Yücel, Murat Güzel Tags: Case Review Source Type: research
Development and Implementation of a Pediatric Nursing Emergency Behavioral Health Assessment Tool
The national pediatric mental and behavioral health crisis dramatically increased emergency department mental and behavioral health visits and changed emergency nursing practice. Acuity assessment determines patient severity level and supports appropriate resources and interventions. There are no established nursing tools that assess pediatric mental or behavioral health acuity in the emergency department setting. Our goal was to develop and implement the novel pediatric emergency nurse Emergency Behavioral Health Acuity Assessment Tool. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - April 10, 2024 Category: Nursing Authors: Ryan O ’Donnell, Katherine A. Hinderer, Daniel Belanger, Danielle Chenard, Erin Boyle, Kevin Borrup, Meghan Fish, Michael Brimacombe, Steven Rogers Tags: Practice Improvement Source Type: research
Stroke Screening Process for Spanish-Speaking Patients
The Balance Eyes Face Arms Speech Time stroke screening tool may have limitations for Spanish-speaking individuals. The purpose of this study is to identify potential screen failure events during evaluation for intervenable acute ischemic stroke events among Spanish-speaking patients. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - April 10, 2024 Category: Nursing Authors: Lauren Diercks, Theresa Sonka, Daiwai Olson, D. Mark Courtney Tags: Research Source Type: research
Does Mixing Activated Charcoal With Cola Improve Tolerability Without Affecting Pharmacokinetics? A Randomized Controlled Crossover Trial
Activated charcoal is the most common form of gastrointestinal decontamination used for the poisoned patient. One limitation to its use is patient tolerability due to palatability. Some recommend mixing activated charcoal with cola to improve palatability. An important question is whether mixing activated charcoal with cola affects the ability of the activated charcoal to adsorb xenobiotic. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - April 6, 2024 Category: Nursing Authors: Michael Keenan, Susan Wojcik, Brian M. Clemency, Jeanna Marraffa Tags: Research Source Type: research
