International emergency nursing
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Review Case Reports
Severe toxic methemoglobinemia mimicking septic shock in an infant.
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The Health Service Executive (HSE) highlights the need for effective patient throughput and management, whilst providing appropriate staffing and therapeutic interventions. It acknowledges that patient need is integral to the development of a nurse led service and advocates planning staffing levels to reflect arrival times of patients. An observational study of all patients who presented to the emergency department in July 2005 and February 2006 was undertaken (n=7768). ⋯ The findings of the study revealed that 73% of patients suitable for the ANP service presented between the hours of 0800 and 2000, of which 54% attended between 0800 and 1600 h. Sunday emerged as the busiest day in July 2005 whereas Monday was found to be the busiest day in February 2006. Friday was found to be consistently busy for both months.
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There is a growing body of evidence for computer-generated advice for many health behaviours. This study evaluated the implementation of a computerized concept to provide tailored advice on alcohol in a Swedish emergency department (ED). ⋯ A computerized concept for provision of alcohol advice can be implemented in an ED without unrealistic demands on staff and with limited external support to attain sustainability.
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Australian emergency nurses have a primary role in advanced airway management. Consequently, they need to be competent in, and have a systematic approach to, airway preparation, management and rescue. ⋯ Endotracheal intubation is a regular ED intervention. Emergency nurses need to have knowledge of airway management and rescue. A developed airway management algorithm and difficult airway equipment tray improved nursing confidence, expertise and response time in advanced airway interventions.
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Review
New and emerging roles in out of hospital emergency care: a review of the international literature.
The aim of the literature review was to identify new and emerging out of hospital emergency care roles and to describe their activity and impact. ⋯ Further work is required to fully understand the patient safety, clinical practice, professional role and financial implications of these new roles.