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Emergency Nurse最新文献

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Diagnostic and treatment dilemmas in well children with petechial rash in the emergency department. 急诊科瘀斑性皮疹患儿的诊断和治疗难题。
Q3 Nursing
Emergency Nurse
Pub Date : 2022-08-31 DOI: 10.7748/en.2022.e2138
Andriana Summers

This article presents a discussion based on a case study of an eight-month-old boy with petechial rash who presented at the emergency department (ED). Blood tests were obtained and intravenous antibiotics were administered. The patient was admitted to the children's ward and was discharged the next day. It was suspected that the rash was caused by a non-specific viral illness. Non-blanching rashes, such as petechial rash, in well children often lead to diagnostic and treatment dilemmas in the ED. Clinicians fear missing the diagnosis of invasive meningococcal disease, which results in blood tests, cannulation and early administration of antibiotics. Non-blanching rashes have many potential causes and extensive tests and antibiotic treatment may not always be necessary and have the potential to cause harm. A tailored approach to investigate, treat and discharge well children with petechial rash from the ED is advocated.

本文讨论了一个病例，该病例是一名八个月大的男童因瘀斑皮疹到急诊科就诊。患者接受了血液化验和静脉注射抗生素。患者住进了儿童病房，第二天就出院了。怀疑皮疹是由非特异性病毒性疾病引起的。健康儿童出现瘀斑疹等非褪色性皮疹时，往往会在急诊室造成诊断和治疗上的难题。临床医生担心漏诊侵袭性脑膜炎球菌病，因此需要进行血液化验、插管和尽早使用抗生素。不褪色的皮疹有很多潜在原因，因此不一定需要进行大量检查和抗生素治疗，而且还有可能造成伤害。我们提倡在急诊室对瘀斑性皮疹患儿进行有针对性的检查、治疗和出院。
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引用次数: 0
Children and smacking: what do the changes to the law mean for nurses? 孩子和体罚:法律的变化对护士意味着什么?
Q3 Nursing
Emergency Nurse
Pub Date : 2022-08-30 DOI: 10.7748/en.30.5.12.s6
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引用次数: 0
What to do if you suspect a fracture in the emergency department 如果你怀疑在急诊室发生骨折该怎么办
Q3 Nursing
Emergency Nurse
Pub Date : 2022-08-30 DOI: 10.7748/en.30.5.6.s2
R. Wood
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引用次数: 0
Quitting in the face of intolerable pressure 在无法忍受的压力面前辞职
Q3 Nursing
Emergency Nurse
Pub Date : 2022-08-30 DOI: 10.7748/en.30.5.11.s5
J. Buchan
Surveys are highlighting concerns about negative psychological effects of the pandemic – notably stress, burnout and post-traumatic stress disorder – on the UK nursing workforce. Another, published by the RCN, shows nursing staff in the UK are still being asked to keep going in the face of intolerable pressure.
调查强调了人们对疫情对英国护理人员负面心理影响的担忧，尤其是压力、倦怠和创伤后应激障碍。RCN发布的另一份报告显示，面对无法忍受的压力，英国的护理人员仍被要求继续工作。
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引用次数: 0
Abuse from patients is affecting nurses’ well-being 病人的虐待正在影响护士的健康
Q3 Nursing
Emergency Nurse
Pub Date : 2022-08-30 DOI: 10.7748/en.30.5.10.s4
I used to love my job, but recently I have had to brace myself before starting a shift, as I wonder 'how much abuse am I going to suffer today?'.
我曾经热爱我的工作，但最近我不得不在开始轮班前做好准备，因为我想知道“我今天会遭受多少虐待？”。
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引用次数: 0
We should change how we treat older people after a fall 跌倒后我们应该改变对待老年人的方式
Q3 Nursing
Emergency Nurse
Pub Date : 2022-08-30 DOI: 10.7748/en.30.5.9.s3
D. Clee
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引用次数: 0
Managing a patient presenting to the emergency department with upper gastrointestinal bleeding. 处理一个因上消化道出血而到急诊科就诊的病人。
Q3 Nursing
Emergency Nurse
Pub Date : 2022-08-30 Epub Date: 2022-01-25 DOI: 10.7748/en.2022.e2120
Sandra Michelle Haigh

Upper gastrointestinal (GI) bleeding is a common presentation in emergency departments (EDs). This medical emergency has a mortality rate of up to 14%, particularly in men and older people. The most frequent cause of upper GI bleeding is peptic ulcer disease. Management has not changed significantly in the past 50 years and there is ongoing debate in the literature about the most effective treatment protocols. This article uses a case study of a patient who presented to an ED with upper GI bleeding caused by peptic ulcer disease to examine the evidence on treatment and management. The article also discusses a care bundle that has been developed for rapid assessment and management of patients with acute upper GI bleeding.

上消化道(GI)出血是急诊科(EDs)的常见表现。这种医疗紧急情况的死亡率高达14%，尤其是男性和老年人。上消化道出血最常见的原因是消化性溃疡。在过去的50年里，治疗方法并没有发生显著的变化，关于最有效的治疗方案，文献中一直存在争论。本文使用一个病例研究的病人谁提出了上消化道出血引起的消化性溃疡疾病的急诊科检查治疗和管理的证据。本文还讨论了一种用于快速评估和管理急性上消化道出血患者的护理包。
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引用次数: 0
Why effective pain management continues to challenge nurses 为什么有效的疼痛管理继续挑战护士
Q3 Nursing
Emergency Nurse
Pub Date : 2022-08-30 DOI: 10.7748/en.30.5.5.s1
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引用次数: 0
Hypomagnesaemia: diagnosis and management in the emergency department. 低镁血症：急诊科的诊断和处理。
Q3 Nursing
Emergency Nurse
Pub Date : 2022-07-26 DOI: 10.7748/en.2022.e2141
Alexander Cushny, Rachel Rees

Magnesium is an intracellular electrolyte and is a vital element in human physiological functioning. A deficiency in magnesium, termed hypomagnesaemia, can affect the neuromuscular, cardiovascular and renal systems. Hypomagnesaemia may be more prevalent in patients with cancer than in the general population. The increasing numbers of cancer diagnoses in the UK means that emergency department (ED) nurses are likely to be involved in care of this population, including those with suspected hypomagnesaemia. This article describes some of the causes and signs and symptoms of hypomagnesaemia and outlines the diagnosis and clinical management of patients with the condition. The article includes a case study of a patient with cancer who was admitted to an ED with hypomagnesaemia.

镁是一种细胞内电解质，是人体生理功能的重要元素。缺镁（低镁血症）会影响神经肌肉、心血管和肾脏系统。低镁血症在癌症患者中的发病率可能高于普通人群。在英国，癌症确诊人数不断增加，这意味着急诊科（ED）护士很可能会参与这类人群的护理工作，包括那些疑似低镁血症患者。本文介绍了低镁血症的一些病因、体征和症状，并概述了该病症患者的诊断和临床治疗。文章还包括一个癌症患者的病例研究，该患者因低镁血症被急诊室收治。
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引用次数: 0
Could a job in the Royal Navy be the career for you? 皇家海军的一份工作适合你吗?
Q3 Nursing
Emergency Nurse
Pub Date : 2022-07-05 DOI: 10.7748/en.30.4.14.s5
Lieutenant Amy Phelps
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引用次数: 0
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