Pain management of trauma patients in the emergency department: a study in a public hospital in Iran
Acute pain is a general reason that brings patients to the emergency department (ED) for help. More than 78% of the patients waiting in emergency departments complain of pain [11]. Patients with acute trauma pain, especially musculoskeletal trauma, are usually triaged with a less urgent category which typically results in an extended waiting time for pain relief. A review showed that nurses underestimate the pain intensity of musculoskeletal pain in 95% of the patients, resulting in insufficient pain relief [19]. (Source: International Emergency Nursing)
Source: International Emergency Nursing - October 31, 2016 Category: Nursing Authors: Negin Masoudi Alavi, Mohammad Sadegh Aboutalebi, Zohreh Sadat Source Type: research
Editorial board
(Source: International Emergency Nursing)
Source: International Emergency Nursing - October 31, 2016 Category: Nursing Source Type: research
Pain management of trauma patients in the emergency department; an experiment in a public hospital in Iran
Acute pain is a general reason that brings patients to the emergency department (ED) for help. More than 78% of the patients waiting in emergency departments complain of pain [11]. Patients with acute trauma pain, especially musculoskeletal trauma, are usually triaged with a less urgent category which typically results in an extended waiting time for pain relief. A review showed that nurses underestimate the pain intensity of musculoskeletal pain in 95% of the patients, resulting in insufficient pain relief [19]. (Source: International Emergency Nursing)
Source: International Emergency Nursing - October 31, 2016 Category: Nursing Authors: Negin Masoudi Alavi, Mohammad Sadegh Aboutalebi, Zohre Sadat Source Type: research
Teamwork: What should we measure and how should we measure it?
In the clinical world teamwork skills are often referred to as ‘non-technical skills’ and include leadership, teamwork, decision making and situation awareness. The term ‘non-technical’ implies that the lack of ‘technical’ equates to inferiority; when clearly teamwork skills are an essential component of our working lives and of patient safety. For these reasons the term ‘teamwork’ is a better all-encompassing term, as leadership, the ability to make decisions, and an awareness of ones situation are inherent components of teamwork. (Source: International Emergency Nursing)
Source: International Emergency Nursing - October 19, 2016 Category: Nursing Authors: Simon Cooper Tags: Editorial Source Type: research
What Are the Most Common Domains of the Core Competencies of Disaster Nursing? A Scoping Review
A disaster can be defined as significant damage to property and people ’s lives caused by an event that overwhelms the local community’s human resources (Veenema, 2012). Both natural and manmade disasters have significant effects on the health and the physical, emotional and psychological states of community members (Powers and Daily, 2010). To control the possible negative effects of a disaster, a disaster management strategy must be implemented. The four main stages of providing proper disaster management are mitigation, preparedness, response and recovery (Coppola, 2011). (Source: International Emergency Nursing)
Source: International Emergency Nursing - October 17, 2016 Category: Nursing Authors: Abdullelah AlThobaity, Virginia Plummer, Brett Williams Tags: Review Source Type: research
Comment on: “A review of factors affecting patient satisfaction with nurse led triage in emergency departments” by Rehman SA and Ali PA
I recently read with great interest the paper in the International Emergency Nursing Journal titled “A review of factors affecting patient satisfaction with nurse led triage in emergency departments” (Abdul Rehman and Azam Ali, 2015). (Source: International Emergency Nursing)
Source: International Emergency Nursing - October 5, 2016 Category: Nursing Authors: Amir Mirhaghi Tags: Letter to the Editor Source Type: research
Does rapid blood sampling affect the retention time of patients with low-acuity complaints in the emergency department?
Overcrowding in emergency departments (EDs) is central issue in the United States and many other parts of the world, including some Asian countries [4,7,14]. ED overcrowding is the result of various factors which are overall increase in patient volume, lack of beds for patients admitted to the hospital, shortage of nursing staff, prolonged length of stay (LOS), delays in service provided by radiology, laboratory, and ancillary services [6,8]. Emergency department LOS is perceived as an important component of ED overcrowding [3,9]. (Source: International Emergency Nursing)
Source: International Emergency Nursing - October 3, 2016 Category: Nursing Authors: Ju Young Lee, Sang Hoon Oh, Kyu Nam Park, Jee Yong Lim, Jung Min Lee, Hyun Suk Park, Han Joon Kim Source Type: research
Emergency department utilisation among older people with acute and/or chronic conditions: A multi-centre retrospective study
The World Health Organization [1] predicts a 21% increase of people aged 65years and over by 2050. The ageing demographic creates major structural challenges with service demand for Emergency Departments (EDs) that will require a new strategic approach to maintain an effective health system [2,3]. It is essential to understand the current trends and characteristics of ED use by older people for better allocation of limited health resources and workforce management [2]. (Source: International Emergency Nursing)
Source: International Emergency Nursing - September 16, 2016 Category: Nursing Authors: Margaret Fry, Lesley Fitzpatrick, Julie Considine, Ramon Z. Shaban, Kate Curtis Source Type: research
Emergency department utilisation among older persons with acute and/or chronic conditions: A multi-centre retrospective study
The World Health Organization [1] predicts a 21% increase of people aged 65 years and over by 2050. The ageing demographic creates major structural challenges with service demand for Emergency Departments (EDs) that will require a new strategic approach to maintain an effective health system [2,3]. It is essential to understand the current trends and characteristics of ED use by older people for better allocation of limited health resources and workforce management [2]. (Source: International Emergency Nursing)
Source: International Emergency Nursing - September 15, 2016 Category: Nursing Authors: Margaret Fry, Lesley Fitzpatrick, Julie Considine, Ramon Z. Shaban, Kate Curtis Tags: Case study Source Type: research
Triage is easy, said no triage nurse ever
Triage is not a new concept. The historic principle of triage is associated with the French physician, Baron Dominique Jean Larrey, who served as Napoleon ’s Chief Surgeon after joining the Army of the Rhine in 1792. Larrey prioritised the medical needs of military casualties by using his own conceptual sorting system. This sorting system was described in his report during the Russian campaign: “Those who are dangerously wounded must be attended t o first, entirely without regard to rank or distinction. (Source: International Emergency Nursing)
Source: International Emergency Nursing - September 15, 2016 Category: Nursing Authors: Enrico Dippenaar, Stevan Bruijns Tags: Editorial Source Type: research
The helicopter as a caring context: Experiences of people suffering trauma
Suffering a trauma results in a sudden change to one ’s everyday life and, initially, not knowing the extent of one’s injuries (O’Brien and Fothergill-Bourbonnais, 2004). Injury due to trauma may require emergency medical services (EMS) to assist in transferring the victim from the pre-hospital location to a hospital, as he or she may require sp ecialist care and specific medical technology (Gupta and Rao, 2003). EMS-assisted transfers are done mostly with help from ground ambulances (SweTrau, 2015), but centralization of highly specialized care is expected to increase the need for airborne transport (Sweden’s muni...
Source: International Emergency Nursing - September 15, 2016 Category: Nursing Authors: Linda Sandstr öm, Carina Nilsson, Päivi Juuso, Åsa Engström Tags: Case study Source Type: research
Anterior Process of the Calcaneum – Not to be missed
Calcaneal fractures usually occur following a traumatic event and are frequently managed in the Emergency Department (ED) by Registered Advanced Nurse Practitioners (RANPs) who are recognised in Ireland as senior clinical decision makers (Appendix 1) within the ED team (Duignan and Jamal 2015). Fractures of the calcaneus usually result from an axial load being applied to the foot that forces the talus to compress into the calcaneus resulting from heavy deceleration, such as a fall from a height or motor vehicle accidents with the foot pressed firmly against a pedal (Sanders 2000). (Source: International Emergency Nursing)
Source: International Emergency Nursing - September 13, 2016 Category: Nursing Authors: Lynda Gibbons, Patricia Cunningham Tags: Case study Source Type: research
Patellar Dislocation: Not the Bees Knees
Registered Advanced Nurse Practitioners (RANP) working in Irish Emergency Departments (ED) are increasingly central to the management of injuries that do not threaten life or limb. RANP ’s engage in complex decision making and practice at a standard of clinical proficiency which enables them to manage complex injuries in the ED (Appendix 1). For certain injuries RANP’s must be cognisant that there is an increased risk of future instability and chronicity (Wang et al., 2015) and therefore the initial management of these injuries must be optimised to mitigate the risk. (Source: International Emergency Nursing)
Source: International Emergency Nursing - September 13, 2016 Category: Nursing Authors: Duignan Martin, McGibney Mary Tags: Case study Source Type: research
Why are we waiting? Patients ’ perspectives for accessing emergency department services with non-urgent complaints
Crowding in emergency departments (EDs) has become an international dilemma and the subject of much research and discussion. Increasing numbers of presentations continue to be reported with a variety of contributing factors and adverse outcomes. A growing body of literature links issues such as access block, aging population, increased demand for complex chronic disease management and decreased service availability as contributing factors to the crowding dilemma (Ackroyd-Stolarz et al., 2011; Bullard et al., 2009; Schull et al., 2001; Richardson et al., 2009; Richardson and Mountain, 2009; Moskop et al., 2009; Lowthian et ...
Source: International Emergency Nursing - September 12, 2016 Category: Nursing Authors: Maria Unwin, Leigh Kinsman, Scott Rigby Tags: Case study Source Type: research
