Pub Date : 1993-06-01DOI: 10.5555/uri:pii:009917679390194X
J. E. George, M. S. Quattrone
{"title":"Trauma assessment of the injured child.","authors":"J. E. George, M. S. Quattrone","doi":"10.5555/uri:pii:009917679390194X","DOIUrl":"https://doi.org/10.5555/uri:pii:009917679390194X","url":null,"abstract":"","PeriodicalId":15691,"journal":{"name":"Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association","volume":"12 1","pages":"245"},"PeriodicalIF":0.0,"publicationDate":"1993-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91273579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1993-06-01DOI: 10.5555/URI:PII:009917679390165P
G. Lenehan
{"title":"ED noise: a legitimate patient care and staff stress issue.","authors":"G. Lenehan","doi":"10.5555/URI:PII:009917679390165P","DOIUrl":"https://doi.org/10.5555/URI:PII:009917679390165P","url":null,"abstract":"","PeriodicalId":15691,"journal":{"name":"Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association","volume":"138 1","pages":"181-2"},"PeriodicalIF":0.0,"publicationDate":"1993-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77402961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1993-06-01DOI: 10.5555/URI:PII:009917679390177U
R. Miller
{"title":"A 24-year-old woman with \"migraine headache\".","authors":"R. Miller","doi":"10.5555/URI:PII:009917679390177U","DOIUrl":"https://doi.org/10.5555/URI:PII:009917679390177U","url":null,"abstract":"","PeriodicalId":15691,"journal":{"name":"Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association","volume":"119 1","pages":"191-2"},"PeriodicalIF":0.0,"publicationDate":"1993-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76659516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1993-06-01DOI: 10.5555/URI:PII:0099176793901802
L. Beeler
NTP's superior safety and ease of use compared with other emergent pacing alternatives make it the emergency pacemaker choice for the acute stabilization of patients requiring pacing. The key to its success is timely use. The more quickly it is initiated, the more effective it will be. NTP represents a quick, effective treatment for asystole and symptomatic bradycardia. As emergency nurses, physicians, and paramedics become more experienced with its use, there is increased potential for enhanced survival rates for these patients.
{"title":"Noninvasive temporary cardiac pacing in the emergency department: a review and update.","authors":"L. Beeler","doi":"10.5555/URI:PII:0099176793901802","DOIUrl":"https://doi.org/10.5555/URI:PII:0099176793901802","url":null,"abstract":"NTP's superior safety and ease of use compared with other emergent pacing alternatives make it the emergency pacemaker choice for the acute stabilization of patients requiring pacing. The key to its success is timely use. The more quickly it is initiated, the more effective it will be. NTP represents a quick, effective treatment for asystole and symptomatic bradycardia. As emergency nurses, physicians, and paramedics become more experienced with its use, there is increased potential for enhanced survival rates for these patients.","PeriodicalId":15691,"journal":{"name":"Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association","volume":"6 1","pages":"202-5"},"PeriodicalIF":0.0,"publicationDate":"1993-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90905471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1993-06-01DOI: 10.5555/uri:pii:009917679390192V
J. Rowe
{"title":"Emergency skills checklist.","authors":"J. Rowe","doi":"10.5555/uri:pii:009917679390192V","DOIUrl":"https://doi.org/10.5555/uri:pii:009917679390192V","url":null,"abstract":"","PeriodicalId":15691,"journal":{"name":"Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association","volume":"91 1","pages":"234-40"},"PeriodicalIF":0.0,"publicationDate":"1993-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84012156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1993-06-01DOI: 10.5555/URI:PII:0099176793901972
S. Sheehy, F. Burkle, M. Kinney
{"title":"The personalized disaster plan narrative: an effective teaching tool for hospitals.","authors":"S. Sheehy, F. Burkle, M. Kinney","doi":"10.5555/URI:PII:0099176793901972","DOIUrl":"https://doi.org/10.5555/URI:PII:0099176793901972","url":null,"abstract":"","PeriodicalId":15691,"journal":{"name":"Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association","volume":"6 1","pages":"254-7"},"PeriodicalIF":0.0,"publicationDate":"1993-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78651359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1993-06-01DOI: 10.5555/URI:PII:0099176793902058
K. Anderson-Zott
{"title":"A 44-year-old woman with angioedema.","authors":"K. Anderson-Zott","doi":"10.5555/URI:PII:0099176793902058","DOIUrl":"https://doi.org/10.5555/URI:PII:0099176793902058","url":null,"abstract":"","PeriodicalId":15691,"journal":{"name":"Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association","volume":"42 1","pages":"264-5"},"PeriodicalIF":0.0,"publicationDate":"1993-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86953501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1993-06-01DOI: 10.5555/URI:PII:009917679390182S
K. Prilliman, G. Solis, M. Swartz, K. Conley
On the evening of April 26, 1991, between the hours of 2:30 PM and 11:30 PM, 11 tornadoes swept across 22 counties in Kansas. The most violent of these storms left a 75.mile path of death and destruction during the 70 minutes it was on the ground. According to the National Severe Storms Forecast Center, these tornadoes rated as an F5 on the Fujita Scale. The Fujita Scale rates tornadoes from FO to F5; F5 is the most severe. An F5 tornado has a rotational speed of 261 to 318 mph, with the power to hurl automobile-sized objects at 100 mph and the force to disintegrate homes (Figures 1 and a).’ As a result of the tornadoes, more than 5@l homes were destroyed, with damages estimated at $250 million. More than 1400 persons were left homeless, more than 200 sustained significant injuries, and 20 died.2 Wichita, the closest urban area, became the hub for patient transports from Harper, Sedqwick, and Butler counties. Wichita’s three major trauma centers and one smaller community hospital serve a community of approximately 350,000. These facilities worked cooperatively to ensure appropriate medical care during the disaster and collaborated afterward on this article to share the lessons learned.
{"title":"Disaster response: a review of the April 26, 1991, Kansas tornado.","authors":"K. Prilliman, G. Solis, M. Swartz, K. Conley","doi":"10.5555/URI:PII:009917679390182S","DOIUrl":"https://doi.org/10.5555/URI:PII:009917679390182S","url":null,"abstract":"On the evening of April 26, 1991, between the hours of 2:30 PM and 11:30 PM, 11 tornadoes swept across 22 counties in Kansas. The most violent of these storms left a 75.mile path of death and destruction during the 70 minutes it was on the ground. According to the National Severe Storms Forecast Center, these tornadoes rated as an F5 on the Fujita Scale. The Fujita Scale rates tornadoes from FO to F5; F5 is the most severe. An F5 tornado has a rotational speed of 261 to 318 mph, with the power to hurl automobile-sized objects at 100 mph and the force to disintegrate homes (Figures 1 and a).’ As a result of the tornadoes, more than 5@l homes were destroyed, with damages estimated at $250 million. More than 1400 persons were left homeless, more than 200 sustained significant injuries, and 20 died.2 Wichita, the closest urban area, became the hub for patient transports from Harper, Sedqwick, and Butler counties. Wichita’s three major trauma centers and one smaller community hospital serve a community of approximately 350,000. These facilities worked cooperatively to ensure appropriate medical care during the disaster and collaborated afterward on this article to share the lessons learned.","PeriodicalId":15691,"journal":{"name":"Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association","volume":"77 1","pages":"209-11"},"PeriodicalIF":0.0,"publicationDate":"1993-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90299164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1993-06-01DOI: 10.5555/URI:PII:009917679390183T
D. Eagle, E. Rideout, P. Price, C. McCann, E. Wonnacott
OBJECTIVE To determine the use pattern of the emergency department by people 65 years of age and older. DESIGN Cross-sectional survey from chart audits and personal interviews of all people older than 64 years attending an emergency department in a Canadian teaching hospital. PARTICIPANTS All patients older than 64 years attending the emergency department during the months of February, May, August, and November. Comparison samples of adults aged 16 to 64 years attending the same emergency department and patients older than 64 years attending the emergency department of a similar hospital during the same period were obtained. RESULTS Fifteen percent of the total population attending the emergency department in 1 year were 65 years of age and older (N = 1744). The average age was 75 years; 57% were female, 53% were married, and 40% were widowed. Eighty-four percent lived in their own homes and 6% lived in nursing homes. Twenty-two percent were classified as emergent, 75% as urgent, and 3% as deferrable; 45% were admitted. The discharge diagnoses were widely divergent, with the most common being soft-tissue injury (9.1%), fracture (7.1%), arteriosclerotic heart disease (6.1%), congestive heart failure (4.1%), and abdominal pain (3.4%). Patients tended to appear in the emergency department more frequently during the day shift (60%) and less frequently on weekends. Forty-five percent had never attended the emergency department or been admitted to hospital in the previous year; 30% had attended or been admitted once. CONCLUSION Elderly persons do not misuse the services of the emergency department. They come because they are acutely ill; they are not frequent attenders, and their presenting complaints do require intervention (frequently hospitalization). The study findings are generalizable to the older population in the Hamilton-Wentworth region and raise such questions as whether some hospital admissions could have been avoided by earlier interventions in the community.
{"title":"Misuse of the emergency department by the elderly population: myth or reality?","authors":"D. Eagle, E. Rideout, P. Price, C. McCann, E. Wonnacott","doi":"10.5555/URI:PII:009917679390183T","DOIUrl":"https://doi.org/10.5555/URI:PII:009917679390183T","url":null,"abstract":"OBJECTIVE\u0000To determine the use pattern of the emergency department by people 65 years of age and older.\u0000\u0000\u0000DESIGN\u0000Cross-sectional survey from chart audits and personal interviews of all people older than 64 years attending an emergency department in a Canadian teaching hospital.\u0000\u0000\u0000PARTICIPANTS\u0000All patients older than 64 years attending the emergency department during the months of February, May, August, and November. Comparison samples of adults aged 16 to 64 years attending the same emergency department and patients older than 64 years attending the emergency department of a similar hospital during the same period were obtained.\u0000\u0000\u0000RESULTS\u0000Fifteen percent of the total population attending the emergency department in 1 year were 65 years of age and older (N = 1744). The average age was 75 years; 57% were female, 53% were married, and 40% were widowed. Eighty-four percent lived in their own homes and 6% lived in nursing homes. Twenty-two percent were classified as emergent, 75% as urgent, and 3% as deferrable; 45% were admitted. The discharge diagnoses were widely divergent, with the most common being soft-tissue injury (9.1%), fracture (7.1%), arteriosclerotic heart disease (6.1%), congestive heart failure (4.1%), and abdominal pain (3.4%). Patients tended to appear in the emergency department more frequently during the day shift (60%) and less frequently on weekends. Forty-five percent had never attended the emergency department or been admitted to hospital in the previous year; 30% had attended or been admitted once.\u0000\u0000\u0000CONCLUSION\u0000Elderly persons do not misuse the services of the emergency department. They come because they are acutely ill; they are not frequent attenders, and their presenting complaints do require intervention (frequently hospitalization). The study findings are generalizable to the older population in the Hamilton-Wentworth region and raise such questions as whether some hospital admissions could have been avoided by earlier interventions in the community.","PeriodicalId":15691,"journal":{"name":"Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association","volume":"62 1","pages":"212-8"},"PeriodicalIF":0.0,"publicationDate":"1993-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79635271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1993-06-01DOI: 10.5555/URI:PII:009917679390208B
P. Birkland
{"title":"International update: two successful Canadian programs teach teenagers trauma prevention.","authors":"P. Birkland","doi":"10.5555/URI:PII:009917679390208B","DOIUrl":"https://doi.org/10.5555/URI:PII:009917679390208B","url":null,"abstract":"","PeriodicalId":15691,"journal":{"name":"Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association","volume":"30 2 1","pages":"35A-36A"},"PeriodicalIF":0.0,"publicationDate":"1993-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75756515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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