Accident and emergency nursing
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Randomized Controlled Trial Clinical Trial
The use of oral midazolam in accident and emergency to reduce anxiety in children.
The injured child can react to a visit to the Accident and Emergency (A & E) department in many ways. The strange noise, people, environment or their frightened parents may be overwhelming for the child. The screaming, uncooperative child can be as hard to manage as the silent unpredictable child, and there are also the smiling, laughing 'you can do anything to me within reason' children. ⋯ The pharmacology of midazolam will be briefly looked at, within this article further detail is not necessary. The main discussion will be the introduction and the current use of oral midazolam in A & E at Leeds General Infirmary (LGI, UK). Some concerns and worries will be considered.
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This paper addresses the potential for complementary therapies in the Accident and Emergency (A & E) department. It is suggested that whilst there are a number of therapies which may be efficacious in emergency settings, nurses need to consider the broader implications of their use in the A & E department. ⋯ The use of complementary therapies as techniques enhancing therapeutic care may, in the short term, be beneficial, however nurses need to reflect and reappraise what it is they are actually doing and the extent to which they can reconcile two apparently opposite paradigms of health care. The use of complementary therapy techniques have considerable potential in the care of clients attending A & E departments and examples of therapies and conditions for which it could be used are given.
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The presence of family members in the resuscitation room of an Emergency Department (ED) is a controversial issue. This has been the subject of discussion in recent years and has received a lot of publicity. Allowing family to be present with their relative in the time leading up to their dying moments may help initiate the grieving process and dealings with subsequent death. ⋯ These issues must be addressed in order to gain commitment and support from staff. The main concerns are discussed and possible solutions suggested. Ideas for developing guidelines to prepare staff and possible visitors into the resuscitation room are included for those wishing to develop and pilot such a project in their own department.
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Continuing from the previous issue, this paper discusses the process of developing the content of new courses under the umbrella of the Graduate Diploma/Masters in Emergency Care Nursing offered at Griffith University Gold Coast, Australia. Part 2 of this paper includes information on course structure, implementation, content, assessing methods and competences and the logistics of the course.