International emergency nursing
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Review
The patient experience in the emergency department: A systematic synthesis of qualitative research.
The aim of this study was to systematically review qualitative literature published between 1990 and 2006 exploring the patient experience within the emergency department (ED) with the intent of describing what factors influence the patient experience. Twelve articles were retrieved following combination of key words using five databases. ⋯ This was in contrast to the culture of the ED which emphasised "medical-technical" skill and efficiency. Satisfaction studies need to understand many factors and influences, qualitative methodologies have the ability to do so.
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To compare outcomes regarding splinting versus casting of paediatric torus fractures in the ED with the aim of establishing the preferred treatment. ⋯ Torus splints in all the studies were consistently better than plaster immobilisation in terms of clinical outcome, patient preference and cost, with the exceptions of young children or children with special needs who can easily remove the device. Splinting torus fractures may reduce cost, time and resource management if used instead of casting in the ED.
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Emergency rapid sequence induction (RSI) anaesthesia is the cornerstone of emergency airway management performed on patients in the emergency department (ED). The Royal College of Anaesthetists has stated that anaesthesia should not proceed without a skilled, dedicated assistant. It is essential that ED nurses are educated, skilled and competent to assist with RSI in the ED.
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Review Case Reports
Severe toxic methemoglobinemia mimicking septic shock in an infant.
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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.