Editor-in-Chief: K. Sue Hoyt, PhD, RN, FNP-BC, CEN, FAEN, FAANP, FAAN
Jean A. Proehl, RN, MN, CEN, CPEN, FAEN
ISSN: 1931-4485
Online ISSN: 1931-4493
Frequency: 4 issues / year
Editors' Remarks

  Editor Karen Sue Hoyt


 Editor Jean A. Proehl

 Editor Karen Sue Hoyt


Editor Jean A. Proehl 

Editors' Remarks


Dear Colleague,

Welcome to the American Academy of Emergency Nurse Practitioners!


The newly formed American Academy of Nurse Practitioners (AAENP) has adopted the AENJ as their official journal. Both AENJ and the AAENP seek to promote high quality, evidence-based care so this relationship is a natural fit. There are many opportunities for collaboration and mutual gain which will translate into improved resources for ENPs and improved care for patients.

Members will have free on-line access to AENJ as a benefit of membership and may also subscribe the print journal at a deeply discounted rate.  AAENP Founder, Elda Ramirez, is a long-time AENJ board member and AENJ Editor, K. Sue Hoyt, is now an AAENP board member so our collegial relationship is well established.

If you're an ENP who doesn't already belong to AAENP, you can see what you're missing at www.aaenp-natl.org.

Sue and Jean

Online Editor's Suggestions

Useful links of interest …



                  Tom Trimble, RN CEN

                        All opinions are solely those of the author.
                             Users are responsible for the validity to their own practice.





Advanced Emergency Nursing Journal is always looking for authors, articles, and suggestions for topics that inform the work of our specialty and excite the readers. If you have an article or concept to propose, or suggestions and opinions that would help us meet your needs, please use our "Feedback" form to contact the Editors. It's a direct line of communication, and the free registration of your email allows us to respond to your suggestions, and makes the entire website and all other LWW Journals more useable and functional for you.


Current Issue Highlights



Official Journal of the American Academy of Nurse Practitioners



Clinical Tips from AENJ

# 141 Skin Marker and Scalpel on the Airway Tray? 

"There are some things for which there is no substitute." While that might describe your specialty coffee or other elegant object, when it comes to a bad airway — you don't want to have to be searching for things! 

One Attending Physician starts each shift by asking each provider if he or she  had a scalpel in the pocket. 

Q. Who can be the most critical person in an intubation?
A. The last person to stock/check the Airway Cart! 

Q. In the military, whose responsibility is it if the company cook makes everyone ill?
A. The Company Commander! This is the difference between authority to do something and responsibility to ensure that it's right.

Of course, you always check it yourself at the shift beginning, and before arrival of the patient. But, sometimes you just walk in and it's already chaos. 

"For want of a nail, the battle was lost." Great matters can hang upon small things and screw-ups. Prepare for error. 

Assess the airway. Give each patient a Laryngeal Handshake. If high potential for cricothyrotomy, Mark the incision point of the cricothyroid membrane, prep. Scalpel – Finger – Bougie – Tube. 

If you prep your tubes with a bougie instead of the usual stylet, you'll be able to see more and deal with a difficult tube placement with less help in a more self-reliant way; there are several different grips to control the proximal end. This can be done with the smaller (6.0 mm ID) ETT for cricothyrotomy. Either approach can give you tactile confirmation of tracheal rings.

Trimble, Tom. Fix This Airway! ©2006-2008 Emergency Nursing World ! 

Chow, Yen. Levitan, the "Laryngeal Handshake" and the "Cartilaginous Cage".  November 17, 2013. PHARM: Pre-Hospital and Retrieval Medicine

Levitan, RM. Cricothyrotomy with laryngeal handshake, sternal stabilization, tracheal hook as a place holder, Shiley insertion. 2015. Vimeo

Bryant, Rob. The Surgical Airway 2014. 

Weingart, Scott. EMCrit Podcast 131 – Cricothyrotomy – Cut to Air: Emergency Surgical Airway. August 26, 2014. EMCrit.org

Weingart, Scott. EMCrit Wee – Mind Blowing Cricothyrotomy Video. April 18, 2015. 

Cong, Minh Le. D grip bougie by Dr James Ducanto. 2013. PHARM: Pre-Hospital and Retrieval Medicine

Cong, Minh Le. DuCanto & Chow describe an improvement on the Kiwi & Pistol Bougie grips. 2013. PHARM: Pre-Hospital and Retrieval Medicine

Ducanto, James Twitter page. C.f., An alternative to D-Grip by Yen Chow @TBayEDguy 


 All Tips: 2013  2014  2015  2016 


Upcoming Conferences

AAEM 22nd Annual
Scientific Assembly
Las Vegas, NV
February 17th - 21st, 2016

American Association of
Nurse Practitioners
AANP - 2016 National Conference 
San Antonio, TX
June 21st – 26th, 2016 

EM Day of Service [Inaugural]
Your Community
TBA September 2016

ENA Emergency Nursing 2016
Los Angeles, CA
September 14th - 17th, 2016

ACEP 16 Scientific Assembly
Las Vegas, NV
October 19th - 21st, 2016





Contact us with information upon conferences of interest to the readership.
Author Alert!

Advanced Emergency Nursing Journal is seeking authors, articles, and topics. If you are interested in writing for publication, please check our current (2015)  "Topics of Interest" for your project. Please contact our Editors if you have an additional proposal or suggestion.