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
 

"The time is out of joint" --and so is my joint!

 But for the last, each of these YouTube videos demonstrates reduction of dislocations without complicating fracture, or other injury. Always verify validity and follow local protocols. 

                         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.

 

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Official Journal of the American Academy of Nurse Practitioners

 

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Clinical Tips from AENJ
# 119 A seeming semblance; Part I

Patients: 

A) A 44 yo alcoholic with occasional ETOH seizures, is "sleeping it off," and upon wakening has a mild left hemiparesis without altered mental status. 

B) A 29 yo ♂ who uses drugs is brought from an encampment where he has woken with an RUE monoparesis. Color and temperature of arm is normal. He is frightened, but mentation and speech are clear. 

C) A middle-aged woman is brought in whose eyes are open without engagement, who does not speak, and who doesn't move. During exam, you move the patient and she remains in the position left. 

D) A 24 yo ♀ is brought by ambulance EMTs who were instructed to undertake no interventions of an acutely mute and quadraparetic woman; there have been prior episodes like this. The patient can blink to yes or no questions.
 

Answers:

A) Probable unwitnessed seizure during night (binge ETOH & off meds) with Todd's Paralysis, resolving later in the day.
 

B) Brachial Plexus Neurapraxia from compression due to long sleep (drugged) in same position. 

C)  Catatonic Schizophrenia with "Waxy Flexibility;" cerea flexibilitas. 

D)  The crew was so instructed due to her known history of Basilar Migraine which produces her symptoms. 

Note: Commonality of these cases and theme of this episode of Clinical Tips is that all patients have mimics of stroke.

 

Walker, Richard A., MD, FACEP FAAEM "Identifying Diseases that Mimic Strokes."  JEMS - Journal of Emergency Medical Services - Feb 28, 2011. Accessed: 8/29/2015 

Huff, J. Stephen. (2014). Stroke Differential Diagnosis-Mimics and Chameleons. FERNE Foundation for Education and Research in Neurological Emergencies. Accessed: 8/29/2015 

Hand, P. J., Kwan, J., Lindley, R. I., Dennis, M. S., & Wardlaw, J. M. (2006). Distinguishing between stroke and mimic at the bedside the brain attack study. Stroke, 37(3), 769-775. Accessed 8/29/2015. 

Lo, Bruce, MD, RDMS. Stroke Mimickers and the Atypical Stroke Patient [ppt as pdf] September 20, 2012. Downloaded from American Heart Association.  Accessed: 8/29/2015. 

Frank, Jeffrey H., M.D. Stroke Mimics. [ppt as pdf]  6/18/10. Accessed: 8/29/2015. 

Johns Hopkins Peripheral Nerve Surgery Center. Brachial Plexus Injury (BPI). 2015-07-23. Accessed: 8/30/2015. 

cerea flexibilitas. (n.d.) Farlex Partner Medical Dictionary. (2012). Retrieved August 30 2015 from <http://medical-dictionary.thefreedictionary.com/cerea+flexibilitas>.

 

Click to download 2015's Collected Tips (#85->)

Click to download 2014's Collected Tips #34 -#84
Click to download 2013's Collected Tips (#1 - #33)
 

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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.