Top Emergency Care Today Wellness Fractures Content for Wed.Jul 31, 2024

Wed.Jul 31, 2024

ETM Podcast – The SABRE Trial – Chris Partyka

ETM Course

JULY 31, 2024

In this episode of the ETM Course Podcast we talk to Dr Chris Partyka, Emergency Physician and Prehospital and Retrieval Specialist from Sydney and lead author for the recently published SABRE trial which compared Serratus Anterior Plane Blocks to a standard analgesia package for patients with rib fractures. Also available on Apple Spotify YouTube iHeart Podchaser PlayerFM This was a really well designed and executed study, and the results will be practice changing for anyone who treats trauma p

Fractures

Fractures Wellness

Acupuncture and Evidence Based Medicine

Science Based Medicine

JULY 31, 2024

Over the last few decades there has been a steady infiltration of acupuncture into Western mainstream medicine. It is not unreasonable to conclude that acupuncture’s journey from an exotic Eastern practice to a fringe treatment to mainstream acceptance has been complete. Knowledgeable proponents of science based medicine (SBM) who remain skeptical of acupuncture now find themselves on the fringe.

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A New Series on the "Back to Sleep" Recommendation to Reduce SIDS

Sensible Medicine

JULY 31, 2024

Hi everyone. It is John. I am pleased to once again feature writer and economist Elizabeth Fama, PhD , who delved into the evidence underpinning the recommendation to place babies on their back to sleep. Her critical appraisal is a tour de force in everything we love here at Sensible Medicine. I had no idea how weak the evidence was for this recommendation.

Research

Research Pediatrics Outcomes Wellness

Emergency Department Length of Stay: A Community Hospital Initiative

AENJ: Current Issue

JULY 31, 2024

Objective: This quality improvement initiative was conducted to determine if a provider in triage and split flow model could decrease the length of stay (LOS) of discharged patients seen in a community hospital emergency department (ED). Background: Extended LOSs within the ED lead to delays in the care of patients, increase the number of patients who leave without being seen by a provider, decrease patient satisfaction, and cause a loss of revenue for health care organizations.

Emergency Department

Emergency Department Hospitals EKG/ECG

Grand Rounds Recap 7.24.24

Taming the SRU

JULY 31, 2024

morbidity and mortality - faculty case follow-up - R4 Capstone - high-risk, low prevalence diseases in pediatrics morbidity and mortality WITH dr. moulds Syncope Complete heart block is a rare but important cause of syncope P waves outnumbering QRS complexes should clue to you to high grade heart block Triage EKGs are often obtained to screen for cardiac ischemia, but bradycardia or tachycardia require a closer look to evaluate for underlying arrhythmias Checklists can aid in EKG interpretation

EKG/ECG

EKG/ECG Sepsis Documentation/Coding Stroke

Emergency Medicine Case Study on Local Anesthetic Systemic Toxicity

AENJ: Current Issue

JULY 31, 2024

The purpose of this case study on local anesthetic systemic toxicity (LAST), a potentially life-threatening complication of local anesthetic, is to ensure that emergency nurse practitioners (ENPs) are knowledgeable on this disease process. Local anesthetics are used frequently, often daily, by ENPs, as well as multiple other health care providers for various procedures.

Emergency Nursing

Emergency Nursing Resuscitation Wellness

Bullying, anorexia and depression: boom in requests for help from the under-30s

Emergency Live

JULY 31, 2024

Di Liegro Foundation, requests for help with mental health problems from under-30s increased Generation Z is raising a cry of alarm. According to data from the Don Luigi di Liegro Foundation, over the past six months, requests for help with mental health problems from those under 30 have increased exponentially. Thirty-four percent of calls to […] The post Bullying, anorexia and depression: boom in requests for help from the under-30s appeared first on Emergency Live.

Emergency Department Buprenorphine and Naloxone Prescribing Disparities Among Racial and Ethnic Minorities Presenting With an Opioid Overdose

AENJ: Current Issue

JULY 31, 2024

The aim of the Research to Practice column is to enhance the research critique abilities of both advanced practice registered nurses and emergency nurses (RNs), while also aiding in the translation of research findings into clinical practice. Each column focuses on a specific topic and research study. In this article, we used two patient scenarios as a framework to delve into the 2023 secondary analysis of Papp and Emerman’s study on “Disparities in Emergency Department Naloxone and Buprenorphin

Emergency Department

Emergency Department Emergency Nursing Research

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Emergency Department Buprenorphine and Naloxone Prescribing Disparities Among Racial and Ethnic Minorities Presenting With an Opioid Overdose

AENJ: Current Issue

JULY 31, 2024

Emergency Department

Emergency Department Emergency Nursing Research

Accelerated development of mRNA vaccine against avian influenza (H5N1)

Emergency Live

JULY 31, 2024

Sinergium Biotech has launched a project to accelerate the development of mRNA vaccines against avian flu Argentine company Sinergium Biotech recently launched a new project to accelerate the development of mRNA vaccines against human avian influenza (H5N1). This initiative, supported by the World Health Organization (WHO) and the Medicines Patent Pool (MPP), aims to strengthen […] The post Accelerated development of mRNA vaccine against avian influenza (H5N1) appeared first on Emergency L

Culturally Competent Care for Diverse Populations: A Review of Transcultural Nursing Education

AENJ: Current Issue

JULY 31, 2024

Transcultural nursing is a discipline that emphasizes culturally competent care for diverse populations, recognizing the influence of culture on health beliefs, values, practices, and outcomes. It requires nurses to respect cultural differences and similarities, but faces challenges in curriculum design, faculty development, and student assessment. This paper explores transcultural nursing education’s current state and future directions, addressing the American Association of Colleges of Nursing

Evidence-Based Practice

Evidence-Based Practice Emergency Department Outcomes EKG/ECG

Addictive food: how the ultra-processed manipulate our brains

Emergency Live

JULY 31, 2024

Candy and chips like cigarettes. Ultra-processed foods trigger addiction Have you ever tried to stop eating chips once you open the package? Or resist the lure of a freshly baked dessert? Behind this irresistible attraction lies sophisticated food engineering. In fact, the food industry has developed techniques to make ultra-processed foods especially palatable, cleverly combining […] The post Addictive food: how the ultra-processed manipulate our brains appeared first on Emergency Live.

The Resurgence of Measles: A Rash From the Past

AENJ: Current Issue

JULY 31, 2024

Measles, or rubeola, remains a highly contagious infectious disease with a concerning resurgence in the United States. Despite previous control efforts, the number of reported cases continues to rise, surpassing the total for the previous year in just the first quarter of 2024 (CDC, 2024a). Emergency nurse practitioners and other emergency clinicians are likely to encounter patients presenting with concerns of or exposure to measles.

Infectious Diseases

Infectious Diseases CDC Emergency Nursing

The invisible scars of the pandemic in the U.S.

Emergency Live

JULY 31, 2024

America is still dealing with the scars of the pandemic. Loneliness, anxiety and the burden of a new normal The COVID-19 pandemic has left an indelible imprint not only on our physical health, but also on our psyche. The restrictions, isolation and uncertainty have triggered a range of emotional reactions, from fear to anxiety, from […] The post The invisible scars of the pandemic in the U.S. appeared first on Emergency Live.

SANE Knowledge of HIV nPEP: Identifying Deficits

AENJ: Current Issue

JULY 31, 2024

Background: Discussing the risk of exposure to human immunodeficiency virus (HIV) and assessing the need for HIV nonoccupational postexposure prophylaxis (nPEP) are essential components of providing care to victims of sexual assault. Current literature on the topic of HIV nPEP for victims of sexual assault surrounds risk of exposure, patient adherence, access and barriers, current practices, and standardized order sets.

Sexual Assault

Sexual Assault Evidence-Based Practice Research EKG/ECG

Evidence Mounting for the Green Whistle

Emergency Medicine News

JULY 31, 2024

An abstract is unavailable.

A Case of Cardioversion and Management of Atrial Flutter in the Emergency Department

AENJ: Current Issue

JULY 31, 2024

Atrial flutter is a supraventricular cardiac arrhythmia commonly characterized by two or three rapid atrial contractions for every ventricular contraction and a rapid ventricular rate that can be identified by a sawtooth pattern on an electrocardiogram. Patients often present with symptoms of heart failure and face the risk of atrial thrombus with a potential for systemic embolization.

Emergency Department

Emergency Department EKG/ECG

Why Does No One Care about the Crisis in Rural Emergency Medicine?

Emergency Medicine News

JULY 31, 2024

An abstract is unavailable.

An Atypical Presentation of Ischemic Stroke in a Middle-Aged Adult

AENJ: Current Issue

JULY 31, 2024

Stroke-like symptoms are a common complaint in the emergency department; however, signs of an acute cerebrovascular event in a patient under the age of 50 can be both alarming and unexpected. In this case, a 41-year-old male presented to the emergency department with vague symptoms of intermittent weakness and paresthesias for 4 days. Originally deemed a “stroke code” in the field, the patient was immediately transferred to the computerized tomography scanner.

Stroke

Stroke Documentation/Coding Emergency Department Wellness

Aortic Dissection is a Difficult Diagnosis, Despite Widespread CTA Usage

Emergency Medicine News

JULY 31, 2024

An abstract is unavailable.

Dream of the Endless: Updates in Agents for Procedural Sedation

AENJ: Current Issue

JULY 31, 2024

Procedural sedation and analgesia is an essential activity in the emergency department for managing pain and anxiety during a variety of medical procedures. Various pharmacotherapy options, including opioid analgesics, antiemetics, anticholinergics, sedatives, and ketamine have been utilized, all with their unique efficacy and safety profiles. This review highlights the challenges associated with using certain agents and discusses emerging trends such as the use of newer synthetic opioids and th

Emergency Department

GRACE-4 as a Call to Action

Emergency Medicine News

JULY 31, 2024

An abstract is unavailable.

Hamate Fracture: A Common Presentation of an Uncommon Fracture

AENJ: Current Issue

JULY 31, 2024

Hamate fractures are uncommon, but early and accurate diagnosis is critical to prevent negative outcomes. Hamate fractures may present initially to emergency departments, and diagnosis can be challenging. This case report of a common hamate fracture may aid in increasing emergency advanced practice nurse knowledge to identify these fractures in practice.

Fractures

Fractures Emergency Department Outcomes