Emergency Nursing

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By Craig Button Clinical Nurse Educator and current grad student
Patricia A Normandin, Stacey A Benotti, Mark A Mullins
No abstract text is available yet for this article.
January 2020: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
Raghad Saadi, Kristin Bohnenberger
No abstract text is available yet for this article.
January 2020: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
Maureen Judd
Nurses are responsible for ensuring that short-term enteral feeding tubes are placed correctly before using them for gastric emptying, enteral nutrition, or medication administration. This article reviews evidence-based methods for assessing tube placement and discusses the limitations of each method with a focus on nasogastric tube placement.
April 2020: Nursing
Mosopefoluwa S Oduyale, Nilesh Patel, Mark Borthwick, Sandrine Claus
BACKGROUND: Co-administration of multiple intravenous (IV) medicines down the same lumen of an IV catheter is often necessary in the intensive care unit (ICU) while ensuring medicine compatibility. AIMS AND OBJECTIVES: This study explores ICU nurses' views on the everyday practice surrounding co-administration of multiple IV medicines down the same lumen. DESIGN: Qualitative study using focus group interviews. METHODS: Three focus groups were conducted with 20 ICU nurses across two hospitals in the Thames Valley Critical Care Network, England...
January 16, 2020: Nursing in Critical Care
Helen Beckett
BACKGROUND: E-learning can provide nurses with the opportunity to undertake lifelong learning and continuing professional development (CPD) in a flexible, practical and engaging manner. However, much of the research focuses on pre-registration nursing students' experiences of e-learning, despite nursing students not always experiencing the same clinical demands as registered nurses. AIM: To explore the concept of e-learning and nurses' perception of its value for engaging with lifelong learning and CPD, as well as to determine attitudes towards e-learning, what influencing factors exist and how they affect the perceived value of e-learning...
March 10, 2020: Nursing Management (Harrow)
Barry Quinn
This article explores the concept of leadership in health and social care. All nurses have an important leadership role, which is reflected in the principles of the NHS Leadership Academy and in the new curriculum for nursing students. By critically applying the 'novice to expert' model of clinical competence to leadership, nurses are encouraged to consider the skills involved in moving from novice to expert alongside identifying the strengths and skills they wish to develop. Nurses are encouraged to reflect on leadership approaches operating in health and social care and to consider the type of leader they want to be...
March 13, 2020: Nursing Management (Harrow)
Allison Mikula
No abstract text is available yet for this article.
October 2019: Critical Care Nurse
Bachar Hamade, David T Huang
Procalcitonin is a biomarker that is generally elevated in bacterial infections. This review describes a conceptual framework for biomarkers using lessons from the history of troponin, applies this framework to procalcitonin with a review of observational studies and randomized trials in and out of the intensive care unit, and concludes with clinical recommendations and thoughts on how to test a test.
January 2020: Critical Care Clinics
Michael H E Hermans
GENERAL PURPOSE: The purpose of this learning activity is to provide an overview about burns and current burn care. TARGET AUDIENCE: This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and nurses with an interest in skin and wound care. LEARNING OBJECTIVES/OUTCOMES: After completing this continuing education activity, you should be better able to:1. List factors affecting the types, size, and depth of burns...
January 2019: Advances in Skin & Wound Care
Jeffrey R Stowell, Paul Pugsley, Heather Jordan, Murtaza Akhter
Introduction: The emergency department (ED) serves as the primary access point to the healthcare system. ED throughput efficiency is critical. The percentage of patients who leave before treatment completion (LBTC) is an important marker of department efficiency. Our study aimed to assess the impact of an ED phlebotomist, dedicated to obtaining blood specimen collection on waiting patients, on LBTC rates. Methods: This study was conducted as a retrospective observational analysis over approximately 18 months (October 5, 2015-March 31, 2017) for patients evaluated by a triage provider with a door-to-room (DtR) time of > 20 minutes (min)...
July 2019: Western Journal of Emergency Medicine
George M Dillon, Stacie Stevens, Wendy L Dusenbury, Lori Massaro, Florence Toy, Barbara Purdon
Alteplase is a tissue plasminogen activator approved for treating acute ischemic stroke (AIS), acute myocardial infarction (AMI), and acute massive pulmonary embolism. Two additional tissue plasminogen activators, tenecteplase and reteplase, are also approved for AMI treatment. However, neither tenecteplase nor reteplase is approved for AIS treatment. The U.S. Food and Drug Administration has received reports of accidental administration of tenecteplase or reteplase instead of alteplase in patients with AIS, which can lead to potential overdose...
July 2019: Advanced Emergency Nursing Journal
Ishan S Kamat, Vignesh Ramachandran, Harish Eswaran, Danielle Guffey, Daniel M Musher
Because of the diverse etiologies of community acquired pneumonia (CAP) and the limitations of current diagnostic modalities, serum procalcitonin levels have been proposed as a novel tool to guide antibiotic therapy. Outcome data from procalcitonin-guided therapy trials have shown similar mortality, but the essential question is whether the sensitivity and specificity of procalcitonin levels enable the practitioner to distinguish bacterial pneumonia, which requires antibiotic therapy, from viral pneumonia, which does not...
June 25, 2019: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
Matthew Tung, Jerome Cerullo Crowley
No abstract text is available yet for this article.
June 27, 2019: American Journal of Respiratory and Critical Care Medicine
Daisuke Kasugai, Akihiko Hirakawa, Masuyuki Ozaki, Kazuki Nishida, Takao Ikeda, Kunihiko Takahashi, Shigeyuki Matsui, Norimichi Uenishi
BACKGROUND: The management of refractory septic shock remains a major challenge in critical care and its early indicators are not fully understood. We hypothesized that the maximum norepinephrine dosage within 24 hours of intensive care unit (ICU) admission may be a useful indicator of early mortality in patients with septic shock. METHODS: In this retrospective single-center observational study, patients with septic shock admitted to the emergency ICU of an academic medical center between April 2011 and March 2017 were included...
June 27, 2019: Journal of Intensive Care Medicine
David L Threatt
BACKGROUND: Early recognition of sepsis in the emergency room (ER) has been shown to improve treatment intervention times and decrease mortality. LOCAL PROBLEM: Failure to recognize early signs and symptoms of sepsis in the ER has led to poor sepsis bundle completion times. METHODS: A comparison of preintervention and postintervention data was performed to determine whether sepsis bundle implementation times, mortality, and length of stay (LOS) improved...
April 2020: Journal of Nursing Care Quality
Milisa Manojlovich, Jessica M Ameling, Jane Forman, Samantha Judkins, Martha Quinn, Jennifer Meddings
BACKGROUND: Indwelling urinary and vascular catheters are a common cause of health care-associated infections. Interventions designed to reduce catheter use can be ineffective if they are not integrated into the workflow and communication streams of busy clinicians. OBJECTIVES: To characterize communication barriers between physicians and nurses and to understand how these barriers affect appropriate use and removal of indwelling urinary and vascular catheters. METHODS: Individual and small-group semistructured interviews were conducted with physicians and nurses in a progressive care unit of an academic hospital...
July 2019: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
Stephen D Hallisey, John C Greenwood
Patients in shock present frequently to the emergency department. The emergency physician must be skilled in the resuscitation of both differentiated and undifferentiated shock. Early, aggressive resuscitation of patients in shock is essential, using macrocirculatory, microcirculatory, and clinical end points to guide interventions. Therapy should focus on the restoration of oxygen delivery to match tissue demand. This article reviews the evidence supporting common end points of resuscitation for common etiologies of shock and limitations to their use...
August 2019: Emergency Medicine Clinics of North America
Massimo Girardis, Waleed Alhazzani, Bodil Steen Rasmussen
No abstract text is available yet for this article.
July 2019: Intensive Care Medicine
Bruno Levy, Julie Buzon, Antoine Kimmoun
PURPOSE OF REVIEW: Data and interventional trials regarding vasopressor and inotrope use during cardiogenic shock are scarce. Their use is limited by their side-effects and the lack of solid evidence regarding their effectiveness in improving outcomes. In this article, we review the current use of vasopressor and inotrope agents during cardiogenic shock. RECENT FINDINGS: Two recent Cochrane analyses concluded that there was not sufficient evidence to prove that any one vasopressor or inotrope was superior to another in terms of mortality...
August 2019: Current Opinion in Critical Care
Joseph Yard, Peter B Richman, Ben Leeson, Kimberly Leeson, Guy Youngblood, Jose Guardiola, Michael Miller
Background: Prior research has revealed that cervical collars elevate intracranial pressure (ICP) in patients with traumatic brain injury. Two recent small studies evaluated the change in optic sheath nerve diameter (ONSD) measured by ultrasound as a proxy for ICP following cervical collar placement in healthy volunteers. Objective: We sought to validate the finding that ONSD measured by ultrasound increases after cervical collar placement within an independent data set...
April 2019: Journal of Emergencies, Trauma, and Shock
2019-06-21 05:50:41
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