Hypoglycaemia and brief interventions in the emergency department - a systematic review
Episodes of hypoglycaemia defined as a glucose level of 3.9 mmol/L or lower [1], are usually independently managed by the patient or their family members and friends [2]. However, despite this approach, severe hypoglycaemia is the commonest reason for people with diabetes to require emergency medical assistance [2]. A recently published US study estimated 97,648 annual emergency department (ED) visits for insulin-related hypoglycaemia and related hypo errors between 2007 and 2011 and nearly one third of these patients were hospitalised [3]. (Source: International Emergency Nursing)
Source: International Emergency Nursing - April 10, 2017 Category: Nursing Authors: Anita Keller-Senn, Geraldine Lee, Lorenz Imhof, Jackie Sturt Source Type: research
The knowledge desired by emergency medical service managers of their ambulance clinicians – a modified Delphi study
Ambulance services provide advanced care to out-of-hospital patients (Edwards et al., 2014; O ’Hara et al., 2014), with focus on medical assessment and treatment (Wireklint Sundström and Dahlberg, 2012). Usually a Swedish team of ambulance clinicians (ACs) consists of two Registered Nurses (with or without specialist training in ambulance care) or one Registered Nurse and one Emergency Me dical Technician (with a different level of training). Williams et al. (2014) found in a study with paramedic students that being an AC was described as involving a high degree of expertise and knowledge. (Source: International Emergency Nursing)
Source: International Emergency Nursing - April 5, 2017 Category: Nursing Authors: Mats Holmberg, Ingegerd Fagerberg, Anna Carin Wahlberg Source Type: research
Long-term benefits of education by emergency care nurses at discharge of patients with atrial fibrillation
Atrial fibrillation (AF) is frequently encountered in clinical practice, involves 1% to 3% of the patient population, has a growing prevalence [1 –3], and is associated with high morbidity and mortality because of the possible complications of this arrhythmia, among them heart failure and arterial embolism [4–6]. Adequate early treatment can prevent or attenuate complications, since antiarrhythmic drugs help to avoid tachymyocardiopathy a nd anticoagulants decrease the risk of embolism substantially [7,8]. (Source: International Emergency Nursing)
Source: International Emergency Nursing - April 4, 2017 Category: Nursing Authors: Carolina Fuenzalida, Gritzel Hern ández, Inés Ferro, Carme Siches, Àngels Ambrós, Blanca Coll-Vinent Source Type: research
Female Athlete Triad: At Breaking Point
A 29 year old female (Ms. Jones) presented to the Emergency Department (ED) with left lower leg pain which developed while she was out running the previous day. The triage nurse streamed the patient to the Registered Advanced Nurse Practitioner (RANP) (Appendix 1) in the ambulatory care area (ACA) for assessment. The patient was mobilising independently with a fluid gait. (Source: International Emergency Nursing)
Source: International Emergency Nursing - March 30, 2017 Category: Nursing Authors: Martin Duignan, Mr. Niall O'Connor Source Type: research
Building Workforce Capacity to Detect and Respond to Child Abuse and Neglect Cases: A Training Intervention for Staff Working in Emergency Settings in Vietnam
The timely detection and appropriate response to cases of child abuse and neglect (CAN) presents a global challenge. Up to seven percent of paediatric injury presentations to emergency care settings are a result of CAN, making the emergency care setting an ideal environment for child abuse detection and management [1,2,3,4,5,6,7]. A widespread situation of under-recognition and under-reporting of abuse in emergency care settings poses a significant challenge to the accurate measurement and interpretation of this phenomenon. (Source: International Emergency Nursing)
Source: International Emergency Nursing - March 25, 2017 Category: Nursing Authors: Tara Flemington, Jennifer Fraser Source Type: research
The perception of the patient safety climate by professionals of the Emergency Department
Brazil is a developing country with a current population of approximately 200 million inhabitants (Brazil, 2011). Currently the prevailing diseases are chronic-degenerative in nature; also, the increase in external causes of mortality is highlighted, due to the growth of violence and traffic accidents, which culminates in a greater number of emergency room visits (Nardi et al., 2015; Serbim et al., 2013). (Source: International Emergency Nursing)
Source: International Emergency Nursing - March 12, 2017 Category: Nursing Authors: Mayara Carvalho Godinho Rigobello, Fernanda Raphael Escobar Gimenes, Rhanna Emanuela Fontenele Lima de Carvalho, Juliana Magalh ães Guerreiro, Ana Paula Gobbo Motta, Elizabeth Atila Source Type: research
Creating authentic video scenarios for use in prehospital research
Children can become sick or injured at home, school or in a public place which can result in an ambulance being called. Paramedics caring for these children formulate a plan of care which may involve performing a clinical procedure such as blood sampling, wound dressing or the administration of medicines. Clinical procedures can cause children to become upset or distressed (Shockey et al 2013; Craske et al 2013), which may lead them to be un-cooperative and held by a parent against their will so the procedure can be carried out thereby heightening the child ’s distress. (Source: International Emergency Nursing)
Source: International Emergency Nursing - March 9, 2017 Category: Nursing Authors: Christopher Preston, Bernie Carter, Barbara Jack, Lucy Bray Source Type: research
Patients ’ experience of trauma care in the emergency department of a major trauma centre in the UK
Trauma is the fourth leading cause of death in western countries and the leading cause of death in people under 40 years old (National Confidenti [20]). There has been focus on developing trauma care in the last few years with the National Health Service (NHS) Outcomes Framework (Department of Healt [7]) Domain 3 being focused on survival for major trauma. Major trauma describes serious and often multiple injuries where there is a strong possibility of death or disability [19]. (Source: International Emergency Nursing)
Source: International Emergency Nursing - March 6, 2017 Category: Nursing Authors: Imogen Skene, Jason Pott, Eamonn McKeown, Imogen Skene Tags: Case study Source Type: research
The importance of facts in this ‘fake news’ era
Over the past few months, we are being told about ‘fake news’ and ‘alternative facts’ and it seems that for some people, truth is no longer a virtue. So, it is quite ironic that we have lost one of the world’s most renowned public health statisticians. Hans Rosling was a Swedish international expert who battled ignorance around health-rel ated issues, in particular, the long-term good news trends around fewer infant deaths, longer lives and better health. The BBC podcast ‘More or Less’ made a tribute programme to him and it is well worth a listen. (Source: International Emergency Nursing)
Source: International Emergency Nursing - February 28, 2017 Category: Nursing Authors: Geraldine Lee Tags: Editorial Source Type: research
Editorial board
(Source: International Emergency Nursing)
Source: International Emergency Nursing - February 28, 2017 Category: Nursing Source Type: research
The effects of interprofessional education – self-reported professional competence among prehospital emergency care nursing students on the point of graduation- A cross-sectional study
In the 1980s, the World Health Organisation raised the issue of interprofessional education (IPE) and said that it would be an advantage for undergraduate students to train together since they would work together in their professional lives (WHO, 2010). Students who participate in IPE strengthen their professional identity, gain a deeper understanding of the importance of teamwork, and acquire increased capability in interdisciplinary communication (Baker et al., 2008; Darlow et al., 2015; Morphet et al., 2014). (Source: International Emergency Nursing)
Source: International Emergency Nursing - February 27, 2017 Category: Nursing Authors: M. Castr èn, M. Mäkinen, J. Nilsson, V. Lindström Source Type: research
The information needs of patients receiving procedural sedation in a hospital emergency department
It is often necessary to perform procedures that can cause pain to patients in hospital and in recent years it has become common place to provide procedural sedation in these situations within the Emergency Department (ED) setting (O ’Connor et al., 2011). Procedural sedation, alternatively known as conscious sedation, is acknowledged as being on a sedation/anaesthesia continuum, with the level of sedation dependant on the choice of agent and on the individual patient’s response. The American College of Emergency Physicians (ACEP) (Godwin et al., 2005) define procedural sedation as “the technique of administering sed...
Source: International Emergency Nursing - February 15, 2017 Category: Nursing Authors: Sue Revell, Judy Searle, Shona Thompson Source Type: research
Physicians ’ and nurses’ perceptions of patient safety risks in the emergency department
The emergency department (ED) has been described as a high-risk area where errors commonly occur (Camargo et al., 2012,Fordyce et al.; 2003., Forster et al., 2007). An error is defined as a failure made in the process of care that results in, or has the potential to result in harm to patients (Kohn LT, 1999). Working conditions in the ED such as a high workload and staff shortages have been identified in surveys and interviews with ED staff members as common stressors and described as important patient safety concerns (Flowerdew et al., 2012a; Sklar et al., 2010). (Source: International Emergency Nursing)
Source: International Emergency Nursing - February 15, 2017 Category: Nursing Authors: Ann-Sofie K ällberg, Anna Ehrenberg, Jan Florin, Jan Östergren, Katarina E Göransson Source Type: research
Early prehospital assessment of non-urgent patients and outcomes at the appropriate level of care: A prospective exploratory study
The Ambulance Organization of Sweden provides qualified medical assessment and treatment by ambulance nurses[1]. Standard procedure for a mission is transport to an Accident and Emergency Ward (A&E), regardless of the patient ’s medical condition [2]. However, patients with non-urgent medical conditions constitute both a significant proportion of ambulance transports to an A&E, and a significant challenge to the healthcare system, regarding the appropriate level of care. [3]. (Source: International Emergency Nursing)
Source: International Emergency Nursing - February 14, 2017 Category: Nursing Authors: Glenn Larsson, Anders Holmen, Kristina Ziegert Source Type: research
Psychometric properties of the Chinese version of the attitudes towards cardiopulmonary resuscitation with defibrillation (ACPRD-C) among female hospital nurses in Taiwan
Approximately 192,000 cases of in-hospital cardiac arrest are reported in the United States annually (Merchant et al., 2011). Survival to hospital discharge among patients who had an in-hospital cardiac arrest was estimated to be between 15% to 20% (Sandroni et al, 2007). In typical hospital settings, nurses are often the first to arrive at a scene of cardiac emergencies. Early cardiopulmonary resuscitation (CPR) and rapid defibrillation are correlated with higher cardiac arrest survival rates. A retrospective study of 1570 calls for rescue team in response to in-hospital cardiac arrests in a Swedish hospital showed that t...
Source: International Emergency Nursing - February 11, 2017 Category: Nursing Authors: Hsing-Long Lin, Mei-Hsiang Lin, Chao-Chung Ho, Chin-Hua Fu, Malcolm Koo Source Type: research
