International Emergency Nursing最新文献

{"title":"Concordance with routine Clinical Frailty Scale screening in the frailty in European emergency departments (FEED) study","authors":"Georgia Eagleton ,&nbsp;Ramazan Güven ,&nbsp;Thordis Thorsteinsdóttir ,&nbsp;Evgeny Mirkes ,&nbsp;James D. van Oppen ,&nbsp;On behalf of the European Taskforce on Geriatric Emergency Medicine collaborators","doi":"10.1016/j.ienj.2024.101565","DOIUrl":"10.1016/j.ienj.2024.101565","url":null,"abstract":"<div><h3>Background</h3><div>Frailty screening determines who receive geriatric emergency medicine interventions that are of high importance for patient outcomes. However, post-implementation evaluations show around 50% older Emergency Department (ED) attenders to receive screening. Why and who are omitted from screening remains largely unstudied. This study gave opportunity to compare normal screening status to data from a targeted screening study.</div></div><div><h3>Methods</h3><div>The parent Frailty in European Emergency Departments (FEED) study administered the Clinical Frailty Scale (CFS) to consecutive ED attenders on 04 July 2023. This present study considered a subset of sites which provided retrievable CFS data from a “normal day” two weeks prior. Symmetry and dependency of missing CFS entries with observed variables were assessed. The frailty distribution was then compared with the parent FEED study data.</div></div><div><h3>Results</h3><div>A minority of sites (5/62) recorded CFS in retrievable format. 55 % “normal day” CFS entries were missing compared with 14 % consecutive attenders during the parent FEED study. While no pattern was evident in the FEED cohort, “normal day” CFS entries were more frequently missing with non-white ethnic group (76 %, vs 52 % with white group), self-presentation (68 %), and discharge home from ED (59 %). CFS distributions differed between the routine and research day datasets (p = 0.009).</div></div><div><h3>Conclusion</h3><div>Our findings suggest systematic, non-random omission of CFS in normal screening practice, disproportionately affecting people with non-white ethnic group and self-presentation. This raises concern for limitations when routine CFS data are analysed and prompts study and improvement of concordance with screening.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"78 ","pages":"Article 101565"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to the editor regarding “Construction of the discomfort assessment scale for immobilised trauma victims (DASITV)”","authors":"Patricia Pontifice-Sousa,&nbsp;Veronica Chaica","doi":"10.1016/j.ienj.2024.101562","DOIUrl":"10.1016/j.ienj.2024.101562","url":null,"abstract":"","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"78 ","pages":"Article 101562"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of the COVID-19 pandemic on cardiac related emergency department presentations: A scoping review","authors":"Emma J. Hall ,&nbsp;Jamie Ranse ,&nbsp;Gerben Keijzers ,&nbsp;Julia Crilly","doi":"10.1016/j.ienj.2025.101574","DOIUrl":"10.1016/j.ienj.2025.101574","url":null,"abstract":"<div><h3>Background</h3><div>Acute cardiac conditions require timely assessment and management to optimise patient outcomes. It is important to understand whether changes in acute cardiac ED visits occurred in relation to the COVID-19 pandemic.</div></div><div><h3>Objective</h3><div>To provide a comprehensive synthesis of published articles regarding the impact of the pandemic on acute cardiac-related ED presentations in terms of rates, patient demographics, ED clinical characteristics, and outcomes.</div></div><div><h3>Methods</h3><div>A scoping review using the Joanna Briggs Institute methodology was undertaken. Four databases (Ovid MEDLINE, CINAHL, Scopus, and the Public Health Database (ProQuest)) were searched for articles published in English between 1 January 2020 and 30 April 2022 that reported on acute cardiac-related ED presentation rates, comparing COVID-19 pandemic and non-pandemic time periods, for adult patients (18 years and over), and demographics, and/or presentation characteristics, and/or outcomes.</div></div><div><h3>Results</h3><div>Sixteen articles met the inclusion criteria. There was a significant decline in ED presentations for heart failure and myocardial infarction during 2020. Demographic, presentation characteristics and outcomes were inconsistently reported.</div></div><div><h3>Conclusion</h3><div>While there is variation and heterogeneity in the current available evidence, this data is helpful for informing clinicians and policy makers for future pandemics as well as providing a reference point for COVID-19 related research.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"79 ","pages":"Article 101574"},"PeriodicalIF":1.8,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143075982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A systematic review on suction-based airway clearance devices for foreign body airway obstruction","authors":"Miguel Angel Paludi ,&nbsp;Natalino Palermo ,&nbsp;Francesco Limonti ,&nbsp;Angelica Semeraro ,&nbsp;Daniele Ermanno ,&nbsp;Sandro Ganzino ,&nbsp;Nicola Ramacciati","doi":"10.1016/j.ienj.2025.101575","DOIUrl":"10.1016/j.ienj.2025.101575","url":null,"abstract":"<div><h3>Objective</h3><div>The objective of this systematic review is to comprehensively evaluate the effectiveness and safety of negative pressure, anti-choking devices (ACDs) in managing severe foreign body airway obstructions (FBAO) compared to traditional techniques such as the Heimlich maneuver.</div></div><div><h3>Methods</h3><div>A comprehensive literature search was conducted in major databases to identify studies published within the past five years. Eligible studies were appraised for quality using the Critical Appraisal and Data Extraction Tool. Data on study design, outcomes, and safety parameters were extracted and analyzed.</div></div><div><h3>Results</h3><div>The review identified studies evaluating various ACDs, including LifeVac and DeChoker, in different settings and populations. Results from retrospective studies and trials on mannequins or cadavers suggested promising outcomes for ACDs in relieving FBAO, with success rates ranging from 71% to 99%. However, concerns regarding usability, training, and adverse events were raised, emphasizing the need for further research.</div></div><div><h3>Conclusions</h3><div>Review emphasizes traditional maneuvers (thrusts/blows) for all rescuers. ACDs show promise, but further research is needed to determine their role alongside established methods. LifeVac’s design may offer advantages in terms of ease of use, potentially requiring less dexterity compared to Dechoker. Regardless of the device, proper training remains crucial for optimal effectiveness and safe use. Combining ACDs with traditional methods like abdominal thrusts and back blows may be a promising approach for improving airway obstruction management.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"79 ","pages":"Article 101575"},"PeriodicalIF":1.8,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Paediatric traumatic brain injuries: A descriptive analysis of incidence, visits, cause, and admission rates in Iceland from 2010 to 2021","authors":"Svana Katla Thorsteinsdottir ,&nbsp;Thordis Thorsteinsdottir ,&nbsp;Karl F. Gunnarsson","doi":"10.1016/j.ienj.2025.101572","DOIUrl":"10.1016/j.ienj.2025.101572","url":null,"abstract":"<div><h3>Background</h3><div>Traumatic brain injuries (TBI) are common in emergency departments (ED) and may cause long-term negative outcomes but knowledge on how the first assessment of children with TBI may predict outcomes is lacking. This study aimed to expand the knowledge by describing the incidence, visits, causes, and outcomes of TBI in children in Iceland.</div></div><div><h3>Methods</h3><div>A retrospective descriptive data analysis was conducted on electronic medical records of children aged 0–17 that visited Landspitali EDs due to a traumatic head injury in 2010–2021. Cases were based on registered ICD-10 diagnosis and data was collected on demographics, causes, triage, length of stay (LOS), admissions and mortality rates. Descriptive statistics were calculated, and associations of variables tested for significance.</div></div><div><h3>Results</h3><div>The study sample included 30,014 emergency visits. The majority involved boys (61.21 %) and children under 6 years old (57.99 %, <em>M</em> = 5.98 years). Girls had a significantly lower mean age (5.75 years vs 6.13 years, <em>p</em> &lt; 0.001). The highest incidence was in one-year olds (729 per 100,000) and was on average 310 per 100,000 children of all ages. Total yearly visits decreased throughout the study period (<em>M</em> = 2,501). Emergency Severity Index (ESI) of 4 (50.77 %) was the most common, with 59.6 % of ESI = 1 cases admitted (<em>p</em> &lt; 0.001). The average LOS was 2.2 h and 1.05 % were admitted. Falls (43.62 %) and soft tissue injuries (73.68 %) were the most common, with intracranial injuries (42.57 %) being the most common in ED observations and admissions. Throughout the study period, 30 (0.10 %) died, thereof three within a week post-injury. In total, 26.64 % of children had at least one revisit to the ED with a traumatic head injury.</div></div><div><h3>Conclusions</h3><div>Children commonly visit EDs due to TBI, mostly with mild injuries but one fourth revisited with a new head injury. There may be groups of children that require specialised follow-up care and assessment to detect and prevent further complications of TBI. Paediatric emergency nurses may be in a key position in identifying children in need of follow-up care. Further research is needed to enhance knowledge of outcomes of TBI in children and to reflect the important role of nurses in paediatric TBI care.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"79 ","pages":"Article 101572"},"PeriodicalIF":1.8,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ultrasound-guided peripheral intravenous access in adults: A randomized crossover controlled trial","authors":"Chia-Chi Kuo ,&nbsp;Wei-Jing Lee ,&nbsp;Ya-Ting Ke","doi":"10.1016/j.ienj.2025.101571","DOIUrl":"10.1016/j.ienj.2025.101571","url":null,"abstract":"<div><h3>Background</h3><div>Peripheral intravenous access is a common invasive clinical procedure, and difficult peripheral intravenous access is a common problem in the care of emergency and critically ill patients. The timeliness of immediate treatment is affected by the difficulty of intravenous access in clinical practice, which endangers patient safety. Repeated injections increase the pressure on nursing staff, consume more nursing hours, and incur higher medical costs.</div></div><div><h3>Purpose</h3><div>This study aimed to develop an evidence-based ultrasound-guided peripheral intravenous access protocol and evaluate the effectiveness of ultrasound guidance on difficult peripheral intravenous access.</div></div><div><h3>Methods</h3><div>This was a randomized crossover study. This study enrolled 36 adult volunteers with difficult peripheral intravenous access at a medical center in southern Taiwan via convenience sampling. A randomized block design was used to generate random sequences. Each participant underwent ultrasound-guided and traditionally blind peripheral intravenous access. Ultrasound-guided peripheral intravenous access was performed using a high-frequency 12-MHz-ultrasound probe, and a two-person, dynamic, longitudinal, and transverse scanning method was adopted to help locate the position, direction, and depth of the peripheral veins. In this study, the chi-square test, Fisher’s exact test, and independent <em>t</em>-test were used to compare post-test differences between the two groups.</div></div><div><h3>Results</h3><div>Ultrasound guidance significantly improved the first attempt success rate (odds ratio = 10.97, <em>p</em> &lt; 0.0001) and overall success rate (odds ratio = 49.67, <em>p</em> &lt; 0.0001) and reduced the number of attempts (mean difference = −0.50 attempts, <em>p</em> &lt; 0.0001) in difficult peripheral intravenous access.</div></div><div><h3>Conclusions/implications for practice</h3><div>The ultrasound-guided peripheral intravenous access protocol developed in this study can significantly improve injection effectiveness in adults for whom intravenous access is difficult. A two-person, dynamic, longitudinal, and transverse scanning method is recommended in clinical practice to perform intravenous cannulation through rigorous ultrasound operation training to resolve the clinical problem of difficult intravenous access, reduce pressure on nursing staff, and improve the quality of clinical care.</div><div><strong>Trial registration</strong>: ISRCTN18025891.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"79 ","pages":"Article 101571"},"PeriodicalIF":1.8,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“There are two of us“: Registered nurses’ experience of teamwork and working alone in the Swedish ambulance service—a qualitative interview study","authors":"Ellen Malmsten ,&nbsp;Hanna Hammarström ,&nbsp;Jenny Hallgren ,&nbsp;Maria Snögren","doi":"10.1016/j.ienj.2024.101550","DOIUrl":"10.1016/j.ienj.2024.101550","url":null,"abstract":"<div><h3>Introduction</h3><div>In ambulance services, personnel often work together in teams. There are two personnel in ambulances, at least one of whom is a registered nurse. Besides leading nursing work, the registered nurse should be able to lead and work in teams. The registered nurse develops an intuitive approach through work experience, enabling them to act without analysing their actions.</div></div><div><h3>Aim</h3><div>This study illuminates registered nurses’ perceptions of factors affecting teamwork and solo work in ambulance care.</div></div><div><h3>Method</h3><div>The sample consisted of ten registered nurses from ambulance stations in western Sweden. Semi-structured individual interviews were analysed using qualitative content analysis, according to Graneheim and Lundman (2004).</div></div><div><h3>Results</h3><div>Ambulance healthcare nurses emphasise continuous teamwork, where clear roles and effective communication are key. Team continuity fosters trust among colleagues for a safer work environment. Striking a balance between new and experienced staff is crucial. Experience and reflection are vital for building professional knowledge, instilling confidence, and fostering an intuitive approach.</div></div><div><h3>Conclusion</h3><div>Secure teamwork and solo work require experience, continuity, distinct roles, communication, and reflection.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"78 ","pages":"Article 101550"},"PeriodicalIF":1.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142756759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient complaints are not common in emergency medical services: A mixed methods study","authors":"Sonja Mehtonen ,&nbsp;Tuukka Puolakka ,&nbsp;Jouni Kurola ,&nbsp;Paulus Torkki","doi":"10.1016/j.ienj.2024.101552","DOIUrl":"10.1016/j.ienj.2024.101552","url":null,"abstract":"<div><h3>Introduction</h3><div>Patient safety has become a central research theme in emergency medical services (EMS). The population age structure is changing in high-income countries, potentially causing increases in the need for EMS. As the number of EMS missions is growing, the safety of non-conveyance has become the topic of wide discussion. Managing adverse events is part of quality management and safety improvement. This study aimed to examine the incidence, reasons, and process of complaints related to EMS.</div></div><div><h3>Methods</h3><div>A retrospective mixed methods study was conducted on EMS-related complaints that were evaluated by Regional State Administrative Agency during 2013–2019. The data was classified according to conveyance and authority’s decision, and finally analysed thematically.</div></div><div><h3>Results</h3><div>The data included 73 complaints, 39 of which were included in the study. There were more complaints related to non-conveyance than conveyance. The authority provided administrative guidance in approximately half of the cases in both groups. One of the most common event types in both groups was related to ethical competence and conduct.</div></div><div><h3>Conclusions</h3><div>The number of complaints was very low. A considerable portion of the complaints related to paramedics’ behavior and patient treatment. Respecting and actively listening to patients may further decrease these complaints. No administrative caveats to paramedics were observed in our data.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"78 ","pages":"Article 101552"},"PeriodicalIF":1.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142756762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Caring for trafficked patients in the emergency department: A call to action","authors":"Sharon Pang,&nbsp;Annie Lewis-O’Connor,&nbsp;Andrea MacDonald,&nbsp;Amanda Berger,&nbsp;Hanni Stoklosa","doi":"10.1016/j.ienj.2024.101519","DOIUrl":"10.1016/j.ienj.2024.101519","url":null,"abstract":"","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"77 ","pages":"Article 101519"},"PeriodicalIF":1.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A shoulder pain: Not so minor – An emergency department case report study","authors":"Joshi Dookhy ,&nbsp;Barry McBrien","doi":"10.1016/j.ienj.2024.101548","DOIUrl":"10.1016/j.ienj.2024.101548","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Shoulder pain frequently presents as a low priority case in the Emergency Department (ED). However, this is associated with many potential aetiologies, including sickle cell crisis. A thorough history taking and comprehensive assessment, along with an open-minded approach can enhance clinical decision-making processes when caring for patients presenting with shoulder pain.</div></div><div><h3>Case presentation</h3><div>A 35-year-old male presented to the ED with left shoulder pain. He was given a low priority score as he did not report any significant previous history or trauma, appeared well, and reported a low pain score at the time of presentation.</div></div><div><h3>Clinical discussion</h3><div>The open-minded approach by the Advanced Nurse Practitioner led to an appropriate diagnosis, pain management, care, and follow up for the patient.</div></div><div><h3>Conclusion</h3><div>This case underscored the critical importance of <em>‘probe and probe again’</em> until a clear rationale emerged for the aetiology of the shoulder pain experienced by a young and healthy patient.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"78 ","pages":"Article 101548"},"PeriodicalIF":1.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142756760","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}