Abstract：
:This clinical policy focuses on critical issues concerning the management of adult patients presenting to the emergency department (ED) with acute symptomatic carbon monoxide (CO) poisoning. The subcommittee reviewed the medical literature relevant to the questions posed. The critical questions are: Should hyperbaric oxygen (HBO(2)) therapy be used for the treatment of patients with acute CO poisoning; and Can clinical or laboratory criteria identify CO-poisoned patients who are most or least likely to benefit from this therapy? Recommendations are provided on the basis of the strength of evidence of the literature. Level A recommendations represent patient management principles that reflect a high degree of clinical certainty; Level B recommendations represent patient management principles that reflect moderate clinical certainty; and Level C recommendations represent other patient management strategies that are based on preliminary, inconclusive, or conflicting evidence, or based on committee consensus. This clinical policy is intended for physicians working in hospital-based EDs.
journal_name
J Emerg Nursjournal_title
Journal of emergency nursingauthors
Wolf SJ,Lavonas EJ,Sloan EP,Jagoda AS,American College of Emergency Physicians Clinical Policies Subcommittee (Writing Committee) on Critical Issues in the Management of Adult Patients Presenting to the Emergency Department with Carbon Monoxidedoi
10.1016/j.jen.2008.02.009subject
Has Abstractpub_date
2008-04-01 00:00:00pages
e19-32issue
2eissn
0099-1767issn
1527-2966pii
S0099-1767(08)00054-8journal_volume
34pub_type
杂志文章abstract：OBJECTIVE:The primary purpose of this study was to compare the rate of hemolysis in blood samples obtained by an i.v. catheter versus the rate in samples obtained by venipuncture (Vacutainer tubes and needles; Becton Dickinson Vacutainer Systems, Franklin Lakes, N.J.). Subsequently, variance in i.v. catheter diameter w...
journal_title：Journal of emergency nursing
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/s0099-1767(96)80213-3
更新日期：1996-12-01 00:00:00
abstract：:Care of the patient with MI who receives thrombolytic therapy is an exciting challenge for the emergency nurse. By interrupting the process of cellular ischemia and necrosis, thrombolysis can salvage jeopardized myocardial tissue and lead to better patient outcome. Nursing interventions can help prevent possible compl...
journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：
更新日期：1989-03-01 00:00:00
abstract：INTRODUCTION:This study examined the safety, tolerability, and efficacy of iontophoresis with 30 mA of lidocaine for dermal anesthesia in children younger than 84 months in the emergency department and the usefulness of a modified version of the Pre-verbal, Early Verbal Pediatric Pain Scale (M-PEPPS). METHODS:Three ex...
journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：10.1067/men.2002.125791
更新日期：2002-08-01 00:00:00
abstract：:Trauma nurse experts often are included on the professional teams who survey hospitals for trauma center designation. Evaluation of trauma nursing care includes interviews with staff and review of policies, procedures, and other documents. Medical records are reviewed to validate the verbal reports and examine complia...
journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：
更新日期：1989-09-01 00:00:00
abstract：UNLABELLED:Indwelling urinary catheters (IUCs) are placed frequently in older adults in the emergency department (ED). Though often a critical intervention, IUCs carry significant risks. Our objective was to examine current knowledge, attitudes, and practice of emergency nurses and other providers regarding IUC placeme...
journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：10.1016/j.jen.2015.02.013
更新日期：2015-09-01 00:00:00
abstract：:The purpose of this facility-level case report was to describe our facility's leadership process of applying the Donabedian model to structure an early response to the coronavirus disease pandemic relative to emergency care. Using the Donabedian model as a guide, both structure and process changes were implemented to ...
journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：10.1016/j.jen.2020.10.008
更新日期：2020-12-11 00:00:00
abstract：:Herbal therapies are very safe, and side effects are uncommon. Side effects requiring ED treatment are rare and would most likely involve an allergic reaction or toxic effect from improper administration of the herb. However, a working knowledge of possible side effects of herbal therapies can be helpful in those rare...
journal_title：Journal of emergency nursing
pub_type： 杂志文章,评审
doi：10.1016/s0099-1767(98)70037-6
更新日期：1998-12-01 00:00:00
abstract：INTRODUCTION:The breath-actuated nebulizer (BAN) and the handheld nebulizer (HHN) are 2 nebulizers used in the ED of Cooper University Hospital. The purpose of this study was to compare the nebulizers to identify which device resulted in a resolution of symptoms with fewer treatments. The primary hypothesis was that ad...
journal_title：Journal of emergency nursing
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.jen.2012.10.006
更新日期：2014-03-01 00:00:00
abstract：INTRODUCTION:The objective of this study was to evaluate whether screening, brief intervention, and referral to treatment (SBIRT) could be incorporated into the emergency nursing workflow using a computerized physician order entry/clinical decision support system. We report demographic and operational factors associate...
journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：10.1016/j.jen.2013.10.007
更新日期：2014-11-01 00:00:00
abstract：OBJECTIVE:The purpose of this study was to assess the need for home health care referral screening for elderly patients after ED discharge. The specific research question addressed was: Is there a need for home care referral screenings for elderly patients discharged from the emergency department? DESIGN:A nonexperime...
journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：10.1016/s0099-1767(98)90014-9
更新日期：1998-04-01 00:00:00
abstract：:The rise in ED utilization among older adults is a nursing concern, because emergency nurses are uniquely positioned to have a positive impact on the care of older adults. Symptoms have been associated with ED utilization; however, it remains unclear whether symptoms are the primary reason for ED utilization. The purp...
journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：10.1016/j.jen.2016.10.001
更新日期：2017-01-01 00:00:00
abstract：INTRODUCTION:There are significant and negative psychological effects that can occur in nursing staff caring for pediatric patients experiencing critical incidents. Debriefings can provide relief from the stressors caused by critical incidents. Adapting a pre-existing critical incident stress debriefing (CISD) process ...
journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：10.1016/j.jen.2018.11.009
更新日期：2019-07-01 00:00:00
abstract：INTRODUCTION:The purpose of this study was to describe characteristics, insights, and decision making of expert emergency nurses practicing in a triage environment. METHODS:A qualitative, descriptive study design was used. A purposive sample of 10 expert nurses from 2 midwestern emergency departments was recruited for...
journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：10.1067/men.2002.127513
更新日期：2002-10-01 00:00:00
abstract：INTRODUCTION:Pediatric emergency nurses who are directly involved in clinical care are in key positions to identify the needs and concerns of patients and their families. The 2010 Institute of Medicine report on the future of nursing supports the active participation of nurses in the design and implementation of soluti...
journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：10.1016/j.jen.2019.07.014
更新日期：2019-11-01 00:00:00
abstract：INTRODUCTION:Emergency nurses routinely treat a wide variety of animal-related injuries, yet the trauma literature rarely addresses injuries associated with livestock. METHODS:The purpose of this retrospective, descriptive study was to examine the incidence, demographics, severity, and other factors associated with tr...
journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：10.1067/men.2001.114583
更新日期：2001-04-01 00:00:00
abstract：UNLABELLED:More than 6 million people present to emergency departments across the United States annually with symptoms of acute myocardial infarction (AMI). Of the 1 million patients with AMI, 350,000 die during the acute phase. Accurate ED triage can reduce mortality and morbidity, yet accuracy rates are low. In this ...
journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：10.1016/j.jen.2015.12.011
更新日期：2016-07-01 00:00:00
abstract：INTRODUCTION:New Zealand has an ethnically diverse population and continues to host immigrants from different countries. The present study aimed to examine the factors associated with ED use among new Asian immigrants in New Zealand. METHODS:A secondary analysis of 2016-2017 New Zealand Health Survey database. Univari...
journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：10.1016/j.jen.2020.07.011
更新日期：2021-01-01 00:00:00
abstract：INTRODUCTION:Workplace violence is a significant occupational hazard in health care. As the largest group of employees in health care, nurses are particularly vulnerable to workplace violence, with those who work in emergency departments being especially at risk. The purpose of this research was to study the phenomenon...
journal_title：Journal of emergency nursing
pub_type： 杂志文章,多中心研究
doi：10.1016/j.jen.2005.07.008
更新日期：2005-12-01 00:00:00
abstract：:The diagnosis of cancer or its recurrence is often emotionally devastating for patients and those close to them. People may have a great deal of difficulty accepting the diagnosis and may seek others' opinions about the best course of treatment. When a physician projects that there is no hope, or if a cure is no longe...
journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：
更新日期：1991-02-01 00:00:00
abstract：INTRODUCTION:As a result of Hurricane Katrina on August 29, 2005, ED nurses were faced with chaos during and after the storm. The purpose of this pilot study was to determine if emergency nurses have experienced signs and symptoms of post-traumatic stress disorder (PTSD) as a result of working in an emergency departmen...
journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：10.1016/j.jen.2007.01.008
更新日期：2007-08-01 00:00:00
abstract：:Agitated patients may come to the emergency department because of flares of a psychiatric illness, drug withdrawal, or reaction to a medical condition or trauma. Pharmacologic agents such as lorazepam may offer benefits to these patients, regardless of the cause of their symptoms. It is important to be familiar with t...
journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：
更新日期：1993-10-01 00:00:00
abstract：INTRODUCTION:Patient satisfaction, an important measurable outcome, allows nurses to assess what can be improved in nursing practice. The purpose of this study is to compare expectations of patients and nurses using 3 nursing care attributes: 1) friendliness, courtesy, and respectfulness; 2) comfort measures; and 3) de...
journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：10.1016/j.jen.2013.02.010
更新日期：2014-07-01 00:00:00
abstract：:Teddy bear/doll clinics continue to offer a feasible, effective opportunity to reach the community's children and their health information needs. Many thanks to Sunny B. Lee, RN, BS (Swedish Covenant Hospital, Chicago), and Kathy Powell, RN, PhD, and Barb Pierce, RN, MS (Children's Hospital, Birmingham). ...
journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：10.1016/s0099-1767(97)90060-x
更新日期：1997-02-01 00:00:00
abstract：:People who are emotionally distraught or mentally ill are rarely predictable. A calm, reassuring, but firm and decisive manner is most effective in dealing with out-of-control patients. Staff members should be careful to never position themselves with a potentially violent or distraught patient between them and the do...
journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：
更新日期：1991-10-01 00:00:00
abstract：:The National Institutes of Health Stroke Scale (NIHSS) is commonly used in Comprehensive Stroke Centers, but it has not been easily implemented in smaller centers. The aim of this study was to assess whether nurse providers who were naive to stroke assessment scales could obtain accurate stroke severity scores using o...
journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：10.1016/j.jen.2016.09.002
更新日期：2017-05-01 00:00:00
abstract：INTRODUCTION:Patient experience ratings are important to health care organizations from both a clinical and financial perspective. Studies examining the relationship between patient experience and nurse staffing are prevalent in the inpatient setting, but not as much is known about how staffing affects these ratings in...
journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：10.1016/j.jen.2018.01.001
更新日期：2018-07-01 00:00:00
abstract：INTRODUCTION:Family-centered care recognizes the integral role of the family in the health and well-being of the pediatric patient. However, implementing a family-centered care approach often requires significant philosophical, practice, and environmental changes. A self-assessment inventory of family-centered practice...
journal_title：Journal of emergency nursing
pub_type： 杂志文章,多中心研究
doi：10.1067/men.2001.115285
更新日期：2001-06-01 00:00:00
abstract：INTRODUCTION:Geriatric trauma, mainly as a result of motor vehicle crashes (MVCs), has been a persistent and serious problem for those older than 65 years of age. Because of physiological changes and pre-existing disease, older adults present a unique clinical challenge to emergency nurses and staff. "Are older adults ...
journal_title：Journal of emergency nursing
pub_type： 杂志文章,评审
doi：10.1016/j.jen.2009.06.008
更新日期：2010-01-01 00:00:00
abstract：PROBLEM:A 7.2% increase in patient volume from 130,700 to 140,800 in 2012 prompted St Joseph's Regional Medical Center Emergency Department to review existing triage processes to decrease turnaround time. "Pivot triage" is a new, efficient intake process that entails use of 4 rather than 8 determinants to identify acui...
journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：10.1016/j.jen.2015.07.014
更新日期：2016-09-01 00:00:00
abstract：:Testicular torsion is a surgical emergency and requires prompt recognition and treatment. Health care personnel often forget this differential diagnosis in males who present with abdominal pain as their only complaint. There is a 4- to 6-hour window from the onset of symptoms to the surgical intervention to salvage th...
journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：10.1016/j.jen.2020.09.006
更新日期：2021-01-01 00:00:00
