Strategies for Alcohol Screening, Brief Intervention, and Referral to Treatment Sustainability in the Emergency Department
Alcohol misuse remains the fourth leading cause of preventable death in the United States, with nearly 90,000 deaths occurring annually as a consequence of alcohol misuse. Screening, brief intervention, and referral to treatment (SBIRT) is an evidence-based strategy that includes initial screening using a valid tool, determining the need for intervention, a brief motivational interview, and referral to treatment leading to follow-up care when necessary. Although an abundance of evidence-based practices now exist as a guideline for quality patient care, an inconsistency persists between protocols supported by research and t...
Source: Advanced Emergency Nursing Journal - July 1, 2020 Category: Emergency Medicine Tags: PROCEDURAL COLUMN Source Type: research
Bringing Palliative Care Downstairs: A Case-Based Approach to Applying Palliative Care Principles to Emergency Department Practice
This article presents case vignettes of 4 commonly encountered ED patient types to examine how palliative care principles might be applied in the ED. (Source: Advanced Emergency Nursing Journal)
Source: Advanced Emergency Nursing Journal - July 1, 2020 Category: Emergency Medicine Tags: PROCEDURAL COLUMN Source Type: research
Frequency of Opioid Prescribing for Acute Low Back Pain in a Rural Emergency Department
National guidelines created by the Agency for Healthcare Research and Quality (AHRQ), the American College of Emergency Physicians (ACEP), and the American College of Physicians (ACP) support the use of nonsteroidal anti-inflammatory drugs (NSAIDs) over opioids when treating acute low back pain (AHRQ, 2016; Harrison, 2017; Qaseem, Wilt, McLean, Forciea, & Clinical Guidelines Committee of the American College of Physicians, 2017). Opioids not only have many more side effects than NSAIDs but also carry the risk of opioid abuse and overdose (Qaseem et al., 2017). The purpose of this study was to determine whether emergency de...
Source: Advanced Emergency Nursing Journal - July 1, 2020 Category: Emergency Medicine Tags: PROCEDURAL COLUMN Source Type: research
Preventing Cauliflower Ear
Traumatic auricular hematomas may be encountered in emergency care settings due to blunt trauma such as assaults or contact sports. Emergency nurse practitioners should be able to recognize and treat this injury to prevent complications. Treatment usually consists of evacuation of the hematoma by aspiration or incision and drainage using local or regional anesthesia, followed by the application of a pressure dressing or suturing. Without proper evacuation and steps to prevent reaccumulation, tissue necrosis and deformity (i.e., cauliflower ear) may occur. (Source: Advanced Emergency Nursing Journal)
Source: Advanced Emergency Nursing Journal - July 1, 2020 Category: Emergency Medicine Tags: PROCEDURAL COLUMN Source Type: research
Skin and Soft-Tissue Infections: It's More Than Just Skin Deep
This article reviews 3 SSTIs—cellulitis, abscess, and necrotizing fasciitis—and presents a common case study for consideration. (Source: Advanced Emergency Nursing Journal)
Source: Advanced Emergency Nursing Journal - July 1, 2020 Category: Emergency Medicine Tags: DERMATOLOGY DILEMMAS Source Type: research
A Case of Nonfatal Strangulation Associated With Intimate Partner Violence
No abstract available (Source: Advanced Emergency Nursing Journal)
Source: Advanced Emergency Nursing Journal - July 1, 2020 Category: Emergency Medicine Tags: CE Tests Source Type: research
A Case of Nonfatal Strangulation Associated With Intimate Partner Violence
Intimate partner violence (IPV) is a significant public health problem that has profound effects on the physical and psychological well-being of millions of Americans. It is known that strangulation is one of the most lethal forms of IPV. Frequently, a lack of visible external trauma is present, and attempted strangulation may be accompanied by other more severe injuries to the head and face; thus, the signs and symptoms of nonfatal strangulation may be overlooked. Because the emergency department (ED) is frequently the first point of contact for an individual who has experienced any type of IPV, it is imperative that prov...
Source: Advanced Emergency Nursing Journal - July 1, 2020 Category: Emergency Medicine Tags: CASES OF NOTE Source Type: research
Emergency Department Management of Recent-Onset Atrial Fibrillation
No abstract available (Source: Advanced Emergency Nursing Journal)
Source: Advanced Emergency Nursing Journal - July 1, 2020 Category: Emergency Medicine Tags: CE Tests Source Type: research
Emergency Department Management of Recent-Onset Atrial Fibrillation
Atrial fibrillation (AF) is the most common tachyarrhythmia managed in the emergency department (ED). Visits to the ED for a presentation of AF have been increasing in recent years, with an admission rate that exceeds 60% in the United States and contributes substantially to health care costs. Recent-onset AF—defined as symptom onset less than 48 hr—is a common ED presentation for which rate control or acute electrical or pharmacological cardioversion may be appropriate treatment modalities depending on patient-specific circumstances. The focus of this review is to discuss the current recommendations regarding the mana...
Source: Advanced Emergency Nursing Journal - July 1, 2020 Category: Emergency Medicine Tags: APPLIED PHARMACOLOGY Source Type: research
Proper Placement of Tubes on Chest Radiographs
No abstract available (Source: Advanced Emergency Nursing Journal)
Source: Advanced Emergency Nursing Journal - July 1, 2020 Category: Emergency Medicine Tags: CE Tests Source Type: research
Proper Placement of Tubes on Chest Radiographs
This article will discuss how to assess for proper placement of endotracheal, nasogastric, and chest tubes. (Source: Advanced Emergency Nursing Journal)
Source: Advanced Emergency Nursing Journal - July 1, 2020 Category: Emergency Medicine Tags: IMAGING Source Type: research
Are Antibiotics Useful in Acute Chronic Obstructive Pulmonary Disease Exacerbations? Implications for APRN Practice
The Research to Practice column aims to provide advanced practice registered nurses (APRNs) with an analysis of current research topics with implications for practice change within emergency care settings. The article, “Antibiotics for Exacerbations of Acute Chronic Obstructive Pulmonary Disease?” conducted by D. Vollenweider, A. Frei, C. Streurer-Stey, J. Garcia-Aymerich, and M.A. Puhan (2018), examines a Cochrane systematic review and meta-analysis of randomized controlled trials. The investigators evaluate the findings that compare clinical outcomes including adverse events, re-exacerbation, treatment failure, and m...
Source: Advanced Emergency Nursing Journal - July 1, 2020 Category: Emergency Medicine Tags: RESEARCH TO PRACTICE Source Type: research
Leading Through Crisis
No abstract available (Source: Advanced Emergency Nursing Journal)
Source: Advanced Emergency Nursing Journal - July 1, 2020 Category: Emergency Medicine Tags: FROM THE EDITOR Source Type: research
The Metrics of Acute Care Reentry and Emergency Department Visits by Recently Discharged Inpatients
Research on acute care reentry by recently discharged inpatients has generally focused on hospital readmissions, with less attention given to presentations to the emergency department (ED). This omission results in underestimation of the extent of reentry and its impact on ED patient volumes and flow. This project involved an analysis of administrative data to examine the rate of ED presentations by recently discharged inpatients using 3 time metrics—within 0–3 days, 0–7 days, and 0–30 days of discharge. Descriptive-correlational analyses were conducted to examine the rates of reentry and ability to predict ED pres...
Source: Advanced Emergency Nursing Journal - April 1, 2020 Category: Emergency Medicine Tags: PROCEDURAL COLUMN Source Type: research
Iranian Nurses' Experiences of Workplace Violence in Prehospital Emergency Care: A Qualitative Study
Prehospital emergency care nurses experience severe workplace violence. However, despite the widespread violence they experience, this phenomenon has not been well studied among these nurses. Therefore, the purpose of this study was to explore the experiences of Iranian nurses working in prehospital setting regarding workplace violence with a focus on the factors leading to such violence. In this qualitative descriptive study, 23 prehospital nurses participated purposefully. The data were collected by individual face-to-face semistructured interviews and analyzed using content analysis methodology. Data analysis led to the...
Source: Advanced Emergency Nursing Journal - April 1, 2020 Category: Emergency Medicine Tags: PROCEDURAL COLUMN Source Type: research
