Addressing Fall Risk From the Emergency Department: What Are We Missing?
The Research to Practice column focuses on improving the research critique skills of emergency nurses and advanced practice providers to assist with the translation of research into practice. In this issue, we discuss the findings of a secondary data analysis conducted by K. Davenport, M. Alazemi, J. Sri-On, and S. Liu (2020) that examined emergency department provider identification of modifiable risk factors when assessing older adults who present after a fall. The results found that providers frequently miss identifying and intervening in modifiable risk factors that contribute to adverse outcomes and readmissions follo...
Source: Advanced Emergency Nursing Journal - January 1, 2021 Category: Emergency Medicine Tags: RESEARCH TO PRACTICE Source Type: research
Reenvisioning the Emergency Nurse Practitioner Role
No abstract available (Source: Advanced Emergency Nursing Journal)
Source: Advanced Emergency Nursing Journal - January 1, 2021 Category: Emergency Medicine Tags: FROM THE EDITOR Source Type: research
Rapid Assessment of Adults With Traumatic Brain Injuries
The aim of this evidence-based project was to improve the medical screening process, enhance medical decision-making, and standardize the utilization of an adult traumatic brain injury (TBI) neuroimaging guideline among advanced practice providers (APPs) in an urban emergency department (ED). Neuroimaging, specifically computed tomography (CT), helps identify life-threatening intracranial injuries when clinically appropriate. The literature supports the utilization of neuroimaging guidelines, clinical examinations, and provider expertise when identifying the need for a head CT scan. Although head CT scans are clinically us...
Source: Advanced Emergency Nursing Journal - October 1, 2020 Category: Emergency Medicine Tags: PROCEDURAL COLUMN Source Type: research
Comparison of High-Sensitivity Troponin T Assay to Conventional Troponin T Assay for Rule Out of Acute Coronary Syndrome in the Emergency Department
Approximately 5% of all emergency department (ED) visits require evaluation of chest pain and atypical symptoms for diagnosis or exclusion of myocardial infarction or acute coronary syndrome (ACS) (P. Rui, K. Kang, & J. J. Ashman, 2016). Health care providers rely on effective tests and assessment protocols for definitive diagnosis of ACS. Cardiac biomarkers in troponin T assays enable rapid exclusion of ACS. This project compared high-sensitivity troponin T assay to conventional troponin T assay in reducing unnecessary stress tests for ACS exclusion, length of stay in the ED, and rate of readmissions within 30 days after ...
Source: Advanced Emergency Nursing Journal - October 1, 2020 Category: Emergency Medicine Tags: PROCEDURAL COLUMN Source Type: research
Health Literacy and Emergency Department Utilization Among Community Adults With Mental and Chronic Health Conditions
This study investigated the association between health literacy and ED utilization among a community sample of adults with common mental and chronic health conditions. Cross-sectional health interview survey data from Schenectady, New York, were used. Adults (aged ≥18 years) who were diagnosed with anxiety/emotional disorders, depression, asthma, or diabetes were included in the study. Health literacy was assessed using the three-question screener developed and validated by L. D. Chew et al. (2004). ED visits in the previous 12 months specific to these health conditions were analyzed. Multivariable regression models were...
Source: Advanced Emergency Nursing Journal - October 1, 2020 Category: Emergency Medicine Tags: PROCEDURAL COLUMN Source Type: research
Rapid Ultrasound for Shock and Hypotension: A Clinical Update for the Advanced Practice Provider: Part 2
No abstract available (Source: Advanced Emergency Nursing Journal)
Source: Advanced Emergency Nursing Journal - October 1, 2020 Category: Emergency Medicine Tags: CE Tests Source Type: research
Rapid Ultrasound for Shock and Hypotension: A Clinical Update for the Advanced Practice Provider: Part 2
The Rapid Ultrasound for Shock and Hypotension (RUSH) examination is used for patients with hypotension without clear cause or undifferentiated hypotension. In the emergency department setting, clinicians may perform the RUSH examination to supplement the physical assessment and differentiate the diagnosis of hypovolemic, obstructive, cardiogenic, and distributive forms of shock. The key elements of the RUSH examination are the pump, tank, and pipes, meaning potentially causes of the hypotension are examined within the heart, vascular volume and integrity, and the vessels themselves. Clinicians follow a systemic protocol t...
Source: Advanced Emergency Nursing Journal - October 1, 2020 Category: Emergency Medicine Tags: PROCEDURAL COLUMN Source Type: research
Rapid Ultrasound for Shock and Hypotension: A Clinical Update for the Advanced Practice Provider: Part 1
No abstract available (Source: Advanced Emergency Nursing Journal)
Source: Advanced Emergency Nursing Journal - October 1, 2020 Category: Emergency Medicine Tags: CE Tests Source Type: research
Rapid Ultrasound for Shock and Hypotension: A Clinical Update for the Advanced Practice Provider: Part 1
The Rapid Ultrasound for Shock and Hypotension (RUSH) examination is used for patients with hypotension without clear cause or undifferentiated hypotension. In the emergency department setting, clinicians may perform the RUSH examination to supplement the physical assessment and differentiate the diagnosis of hypovolemic, obstructive, cardiogenic, and distributive forms of shock. The key elements of the RUSH examination are the pump, tank, and pipes, meaning potentially causes of the hypotension are examined within the heart, vascular volume and integrity, and the vessels themselves. Clinicians follow a systemic protocol t...
Source: Advanced Emergency Nursing Journal - October 1, 2020 Category: Emergency Medicine Tags: IMAGING Source Type: research
Impetigo
is a common superficial bacterial infection of the skin, with a global disease burden of greater than 140 million. Children are more affected than adults and incidence decreases with age. Principal pathogens implicated include Staphylococcus aureus and Streptococcus pyogenes. There are two common variants of impetigo: nonbullous (70%) and bullous (30%). Nonbullous impetigo is caused by S. aureus and S. pyogenes whereas bullous impetigo is caused by S. aureus. The classic appearance of distinctive honey-colored, crusted legions aids in diagnosis, which is most often based on clinical presentation. The disease is generally ...
Source: Advanced Emergency Nursing Journal - October 1, 2020 Category: Emergency Medicine Tags: DERMATOLOGY DILEMMAS Source Type: research
Viral Meningitis: A Pediatric Case Study
Meningitis is a significant viral, bacterial, or fungal infection of the meninges that cover and protect the brain and the spinal cord. Symptoms of meningitis may present rapidly or develop gradually over a period of days, manifesting with common prodromal flu-like symptoms of headache, photophobia, fever, nuchal rigidity, myalgias, and fatigue. Character and significance of symptoms vary by patient age. Symptoms of infection may improve spontaneously or worsen, becoming potentially lethal. Early recognition and treatment of meningitis are crucial to prevent morbidity and mortality. The case reviewed in this article focuse...
Source: Advanced Emergency Nursing Journal - October 1, 2020 Category: Emergency Medicine Tags: CASES OF NOTE Source Type: research
Valproic Acid in the Treatment of Migraines
No abstract available (Source: Advanced Emergency Nursing Journal)
Source: Advanced Emergency Nursing Journal - October 1, 2020 Category: Emergency Medicine Tags: CE Tests Source Type: research
Valproic Acid in the Treatment of Migraines
This article briefly summarizes the therapies considered first line for abortive treatment in the setting of migraines and provides an overview of the primary literature describing the use of valproic acid in these patients. (Source: Advanced Emergency Nursing Journal)
Source: Advanced Emergency Nursing Journal - October 1, 2020 Category: Emergency Medicine Tags: APPLIED PHARMACOLOGY Source Type: research
Mild Traumatic Brain Injury in the Emergency Department: A Clinical Practice Gap
This article, “Concussion Care in the Emergency Department: A Prospective Observational Brief Report,” by Koval et al. (2019) seeks to examine current clinician practice patterns related to the evaluation and management of patients identified as at risk for a sustained mild traumatic brain injury (mTBI). The findings are discussed in the context of an evaluation and management gap surrounding mTBI care among emergency department (ED) providers at a Level I trauma and emergency care center. Although variabilities exist among mTBI care in the ED, provider education, standardization of guidelines, and implementation pract...
Source: Advanced Emergency Nursing Journal - October 1, 2020 Category: Emergency Medicine Tags: RESEARCH TO PRACTICE Source Type: research
Ensuring Relevance and Currency for the Emergency Nurse Practitioner Profession: A Call for Collaboration
No abstract available (Source: Advanced Emergency Nursing Journal)
Source: Advanced Emergency Nursing Journal - October 1, 2020 Category: Emergency Medicine Tags: FROM THE EDITOR Source Type: research
