Atypical Variant of Cutaneous Tuberculosis Presentation in an Adult HIV-Infected Patient in an Emergency Department in Haiti
The incidence of tuberculosis (TB) has increased in the 21st century due to a high prevalence of the human immunodeficiency virus (HIV) infection and multidrug-resistant (MDR) pulmonary TB. HIV infection, diabetes mellitus, and other immune deficiencies decrease cure rates, increase mortality, and increase the incidence of MDR pulmonary TB. Tuberculosis is the most virulent opportunistic pathogen worldwide for patients living with HIV. This case documents rare clinical manifestation of cutaneous tuberculosis (CTB) seen in an emergency department in Gonaives, Haiti. Cutaneous TB can occur either from the spread of TB from a...
Source: Advanced Emergency Nursing Journal - January 1, 2020 Category: Emergency Medicine Tags: DERMATOLOGY DILEMMAS Source Type: research
Marijuana Use: Early Recognition for a Cannabinoid Hyperemesis Syndrome
There is an emerging subset of patients who present to the emergency department (ED) with cannabinoid hyperemesis syndrome (CHS). Cannabinoid hyperemesis syndrome is a relatively new clinical condition and despite a long documented marijuana use in humans, little is known about the pathophysiology of this emerging problem. The focus of this article is to present a patient who presented with CHS. The clinical presentation, diagnostics, and treatment for this patient will be discussed. The nurse practitioner can anticipate high utilization of patients presenting to the ED with CHS. Nurse practitioners need to provide early r...
Source: Advanced Emergency Nursing Journal - January 1, 2020 Category: Emergency Medicine Tags: CASES OF NOTE Source Type: research
Management of Acute Idiopathic (Viral) Pericarditis in the Emergency Department: A Review for the Nursing Professional
No abstract available (Source: Advanced Emergency Nursing Journal)
Source: Advanced Emergency Nursing Journal - January 1, 2020 Category: Emergency Medicine Tags: CE Tests Source Type: research
Management of Acute Idiopathic (Viral) Pericarditis in the Emergency Department: A Review for the Nursing Professional
Acute pericarditis is an inflammatory disorder that contributes to chest pain admissions in the emergency department (ED). Nursing professionals can play a vital role in the differential, triage and management of acute pericarditis in the ED. First-line pharmacotherapy to specifically treat acute pericarditis of viral or idiopathic origin is paramount in improving patients' quality of life and reducing the risk of further recurrences of pericarditis and consists of combination therapy with aspirin (acetylsalicylic acid [ASA]) or a nonsteroidal anti-inflammatory drug (NSAID), in combination with colchicine. Corticosteroids ...
Source: Advanced Emergency Nursing Journal - January 1, 2020 Category: Emergency Medicine Tags: APPLIED PHARMACOLOGY Source Type: research
Fibromatosis Colli: A Case Report
Fibromatosis colli is a rare, usually self-limiting condition caused by a benign tumor in the sternocleidomastoid muscle. The tumor occurs most often during infancy and can be clinically associated with torticollis. Accurate diagnosis of fibromatosis colli is important to avoid unnecessary invasive interventions. Radiographic imaging is fundamental to differentiating this benign tumor from other causes of neck masses/swelling in infants. In this article, we discuss the case of a 4-month old child who presented with a head tilt and had imaging that favored a diagnosis of fibromatosis colli. (Source: Advanced Emergency Nursing Journal)
Source: Advanced Emergency Nursing Journal - January 1, 2020 Category: Emergency Medicine Tags: IMAGING Source Type: research
Acute Treatment of Pediatric Migraine: A Review of the Updated Guidelines
No abstract available (Source: Advanced Emergency Nursing Journal)
Source: Advanced Emergency Nursing Journal - January 1, 2020 Category: Emergency Medicine Tags: CE Tests Source Type: research
Acute Treatment of Pediatric Migraine: A Review of the Updated Guidelines
The purpose of the Research to Practice column is to review and critique current research articles that directly affect the practice of the advanced practice nurse (APN) in the emergency department. This review examines the findings of M. Oskoui et al. (2019) from their article, “Practice guideline update summary: Acute treatment of migraine in children and adolescents: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology and the American Headache Society.” The authors completed an extensive literature review and created eight recommendations for the a...
Source: Advanced Emergency Nursing Journal - January 1, 2020 Category: Emergency Medicine Tags: RESEARCH TO PRACTICE Source Type: research
AAENP Celebrates 5 Years!
No abstract available (Source: Advanced Emergency Nursing Journal)
Source: Advanced Emergency Nursing Journal - January 1, 2020 Category: Emergency Medicine Tags: FROM THE EDITOR Source Type: research
Nursemaid's Elbow Reduction
No abstract available (Source: Advanced Emergency Nursing Journal)
Source: Advanced Emergency Nursing Journal - October 1, 2019 Category: Emergency Medicine Tags: CE Tests Source Type: research
A Practical Guide for Managing Antibiotic Allergies in the Emergency Department
No abstract available (Source: Advanced Emergency Nursing Journal)
Source: Advanced Emergency Nursing Journal - October 1, 2019 Category: Emergency Medicine Tags: CE Tests Source Type: research
The Use of Ultrasonography in the Emergency Department to Screen Patients After Blunt and Penetrating Trauma: A Clinical Update for the Advanced Practice Provider
No abstract available (Source: Advanced Emergency Nursing Journal)
Source: Advanced Emergency Nursing Journal - October 1, 2019 Category: Emergency Medicine Tags: CE Tests Source Type: research
Leveraging a Public Health Framework and Community Advisory Board to Innovate Workplace Violence Intervention Strategies
Even with extensive evidence documenting the incidence, risk factors, and negative outcomes of workplace violence (WPV) against emergency department (ED) employees, there is a lack of intervention strategies reported that could be subjected to a clinical trial in the ED setting. The purpose of this article is to report the outcomes of a novel process adapted from the Framework for Program Evaluation in Public Health for soliciting intervention strategies from a WPV Community Advisory Board (CAB) organized by the U.S. Occupational Safety and Health Administration's WPV prevention guidelines. Ten professionals comprising bot...
Source: Advanced Emergency Nursing Journal - October 1, 2019 Category: Emergency Medicine Tags: PROCEDURAL COLUMN Source Type: research
Implementation of a Team-Focused High-Performance CPR (TF-HP-CPR) Protocol Within a Rural Area EMS System
Team-focused, high-performance cardiopulmonary resuscitation (TF-HP-CPR) improves the return of spontaneous circulation (ROSC) among patients with out-of-hospital cardiac arrest (OHCA) events. In 2010, the American Heart Association began endorsing TF-HP-CPR (Meaney et al., 2013). A rural-area Virginia emergency medical services (EMS) system receives assistant medical oversight from an emergency nurse practitioner (ENP). The ENP is responsible for assisting the physician medical director in promoting continuous quality improvement (QI) within the EMS system. In January 2018, a QI project implemented a TF-HP-CPR protocol. T...
Source: Advanced Emergency Nursing Journal - October 1, 2019 Category: Emergency Medicine Tags: PROCEDURAL COLUMN Source Type: research
Safe Management of Nausea and Vomiting During Pregnancy in the Emergency Department
This article discusses the incidence, prevalence, and economic costs regarding medical visits for pregnancy-associated nausea and vomiting. It also discusses ACOG guidelines and furthermore outlines special considerations, management, admission, and discharge criteria for pregnant patients presenting to the emergency department for nausea and vomiting. (Source: Advanced Emergency Nursing Journal)
Source: Advanced Emergency Nursing Journal - October 1, 2019 Category: Emergency Medicine Tags: PROCEDURAL COLUMN Source Type: research
Nursemaid's Elbow Reduction
This article explores epidemiology, pathophysiology, clinical presentation, reduction techniques, and parent education. (Source: Advanced Emergency Nursing Journal)
Source: Advanced Emergency Nursing Journal - October 1, 2019 Category: Emergency Medicine Tags: PROCEDURAL COLUMN Source Type: research
