Implementing Safe and Effective Pediatric Procedural Sedation in the Emergency Department
No abstract available (Source: Advanced Emergency Nursing Journal)
Source: Advanced Emergency Nursing Journal - October 1, 2021 Category: Emergency Medicine Tags: NCPD Tests Source Type: research
Implementing Safe and Effective Pediatric Procedural Sedation in the Emergency Department
There has been a great increase in the number of diagnostic and therapeutic procedures performed in the emergency department (ED) setting over the past several decades. Most of these procedures are unscheduled, unplanned, and much more likely to be successful and result in a positive outcome when the child's pain, fear, anxiety, and movement are controlled. To promote patient quality and safety, increase the effectiveness and efficiency of care, and improve patient and caregiver satisfaction, there has been a proportionate increase in the number of pediatric procedural sedations performed in the ED. With proper education a...
Source: Advanced Emergency Nursing Journal - October 1, 2021 Category: Emergency Medicine Tags: PROCEDURAL COLUMN Source Type: research
Point-of-Care Lung Ultrasonography: A Clinical Update for the Emergency Nurse Practitioner
Since the introduction of ultrasonography, clinicians have discovered different uses for embedding this technology in the clinical setting. The use of point-of-care ultrasonography has gained a lot of interest in the emergency department. It is a procedure that a clinician can rapidly utilize to triage, risk stratify, evaluate, and monitor the patient's condition. The COVID-19 pandemic has highlighted the significance and application of ultrasonography in identifying and managing patients presenting with lung pathology in the emergency setting. (Source: Advanced Emergency Nursing Journal)
Source: Advanced Emergency Nursing Journal - October 1, 2021 Category: Emergency Medicine Tags: IMAGING Source Type: research
Bullous Pemphigoid: A Multifactorial Review of a Dermatologic Mystery
Bullous pemphigoid is the most common autoimmune bullous skin disease and primarily affects patients older than 60 years. This chronic disease can lead to significant morbidity characterized by spontaneous remissions and exacerbations. Although the etiopathogenesis is uncertain, it is proposed that certain drugs (especially polypharmacy), vaccinations, infections, and exposures precede the dermatological presentation. Bullous pemphigoid patients initially present with moderate-to-severe pruritis with or without eczematous or urticarial lesions, followed by the development of cutaneous bullae weeks to months later testing w...
Source: Advanced Emergency Nursing Journal - October 1, 2021 Category: Emergency Medicine Tags: DERMATOLOGY DILEMMAS Source Type: research
Shear Stress Causing Hemolytic Anemia and Congestive Heart Failure as an Initial Presentation of Cor Triatriatum in an Infant
Among congenital cardiac defects, cor triatriatum sinistrum is a rare formation of 3 distinct atrial chambers in the heart. Depending on the size of the defect in the membranous septum, the symptoms can range from asymptomatic to severe pulmonary hypertension. Individuals can go years, sometimes to the second and third decades of life, before presenting with symptoms. Although it is well known to be associated with pulmonary veno-occlusive disease, the association with hemolytic anemia is much less well known. Identifying the subtle signs and symptoms of cor triatriatum in the emergency department can save a life. Here, we...
Source: Advanced Emergency Nursing Journal - October 1, 2021 Category: Emergency Medicine Tags: CASES OF NOTE Source Type: research
The Influence of Age on Propofol Dosing Requirements During Procedural Sedation in the Emergency Department
No abstract available (Source: Advanced Emergency Nursing Journal)
Source: Advanced Emergency Nursing Journal - October 1, 2021 Category: Emergency Medicine Tags: NCPD Tests Source Type: research
The Influence of Age on Propofol Dosing Requirements During Procedural Sedation in the Emergency Department
The objective of this analysis was to ascertain the effect age may have on the propofol dose required during procedural sedation in the ED. This retrospective study was conducted at a Level 1 academic medical center ED and included patients 18 years or older who received propofol for procedural sedation from 2015 to 2017. Those patients who were 18–64 years of age were compared with those 65 years or older. Between the two groups, total and weight-based propofol requirements for sedation, opioid doses, and adverse events were compared. This analysis included 101 procedural sedations. The median induction dose and opioid ...
Source: Advanced Emergency Nursing Journal - October 1, 2021 Category: Emergency Medicine Tags: APPLIED PHARMACOLOGY Source Type: research
ACEP Emergency Department COVID-19 Management Tool: A Review of the Updated Guidelines
This review examines the American College of Emergency Physicians' (ACEP) Emergency Department COVID-19 Management Tool (2021). The authors and contributors developed a tool to provide a framework to assist with severity classification, risk assessment, diagnostic workup, disposition, and treatment of patients with suspected or confirmed COVID-19 in the emergency department. By utilizing the tool from this study, the emergency nurse practitioner can confidently treat COVID-19 and reduce patient risks from unnecessary treatments or unneeded admissions. (Source: Advanced Emergency Nursing Journal)
Source: Advanced Emergency Nursing Journal - October 1, 2021 Category: Emergency Medicine Tags: RESEARCH TO PRACTICE Source Type: research
Supporting ENP Program Growth: AAENP Resources
No abstract available (Source: Advanced Emergency Nursing Journal)
Source: Advanced Emergency Nursing Journal - October 1, 2021 Category: Emergency Medicine Tags: FROM THE EDITOR Source Type: research
Improving Communication Between Hospital and Outpatient Psychiatric Providers
Patients suffering from mental illness are often less likely to engage in treatment at an outpatient level. Lack of communication and coordination of care between providers has negative results for the health system and the patient. Improved communication has shown improved satisfaction of providers in health care. Using prior research, an electronic reminder and standardized documentation of communication was added to the health system's electronic health record. The aim of this quality improvement (QI) project was to compare pre-/postintervention communication and satisfaction between emergency department and outpatient ...
Source: Advanced Emergency Nursing Journal - July 1, 2021 Category: Emergency Medicine Tags: ECG CASES COLUMN Source Type: research
The Efficacy of Lavender Aromatherapy in Reducing the Overcrowding-Related Anxiety in Health Care Workers
In general, emergency departments (EDs) are stressful workplaces with excessive workloads and time pressures. Crowding, which is an important problem worldwide disrupting ED functions, leads further increases in the stressors which health care workers are exposed to. Long-term exposure to stressors can lead to anxiety in health care workers. The aim of this study was to determine the effect of aromatherapy on crowding-related anxiety in ED health care workers. Crowding was measured simultaneously with the National Emergency Department Overcrowding Scale objectively and the Health Care Workers' Crowding Perception Evaluatio...
Source: Advanced Emergency Nursing Journal - July 1, 2021 Category: Emergency Medicine Tags: ECG CASES COLUMN Source Type: research
The Effect of a Nurse Initiated Therapeutic Conversation Compared to Standard Care for Patients With Acute Pain in the ED: A Randomized Controlled Trial
This study suggests that patient satisfaction with pain management in the ED is multifactorial and complex. Further research should investigate additional methods of integrating nurse-led interventions into the care of patients in acute pain. (Source: Advanced Emergency Nursing Journal)
Source: Advanced Emergency Nursing Journal - July 1, 2021 Category: Emergency Medicine Tags: ECG CASES COLUMN Source Type: research
Electrocardiographic Findings Associated With Neurological Pathology and Other T-Wave Catastrophes
An 87-year-old female patient presented with altered mental status. During the routine workup for altered mental status, an electrocardiogram (ECG) was obtained. The ECG showed T-wave morphology known to be consistent with myocardial infarction. Although the ECG is a crucial diagnostic tool to recognize myocardial ischemia and infarction promptly, it must be understood that T-wave abnormalities can represent noncardiac pathology. A case presentation illustrates a unique ECG change whose presence is associated with catastrophic central nervous system diseases that cause increased intracranial pressure. (Source: Advanced Eme...
Source: Advanced Emergency Nursing Journal - July 1, 2021 Category: Emergency Medicine Tags: ECG CASES COLUMN Source Type: research
INSTRUCTIONS: Lip Laceration and Vermilion Border Repair
No abstract available (Source: Advanced Emergency Nursing Journal)
Source: Advanced Emergency Nursing Journal - July 1, 2021 Category: Emergency Medicine Tags: NCPD Tests Source Type: research
Lip Laceration and Vermilion Border Repair
Lacerations to the face and lips are commonly seen in the emergency setting from dog bites, falls, and blunt trauma (motor vehicle crash, strike with an object, etc.). Lip lacerations, especially involving the vermilion border, can be most challenging and deforming, especially when greater than 25% of the lip is involved. These lacerations require preciseness for a good cosmetic outcome. Lips are a highly visible facial structure and consist of 3 layers: skin, muscle, and oral mucosa. They are used for speech, food consumption, and tactile sensation (Lammers & Scrimshaw, 2019; Lent, 2020). (Source: Advanced Emergency Nursing Journal)
Source: Advanced Emergency Nursing Journal - July 1, 2021 Category: Emergency Medicine Tags: PROCEDURAL COLUMN Source Type: research
