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

Online Takes on Clinical Problems . . .

 

Inconsolable Infant  -  Pediatric EM Morsels

Large Bore IV Access Showdown:
Do you know which IV cannula can deliver fluid to your patient the fastest?
 -  ETMCourse

Large bore vascular access devices  -  ETMCourse

Pacemaker and AICD management in the Emergency Department  -  emDocs

The Approach to the Poisoned Patient  - emDocs
Acute Headache in the Emergency Department  -  emDocs

Management of the Trauma Patient’s Airway – Pearls and Pitfalls  -  emDocs

Roc Rocks and Sux Sucks! Why Rocuronium is the Agent of Choice for RSI  - emDocs

Awake Endotracheal Intubation  - emDocs

Should we stop looking at first look intubation rates?  - Careflight Collective


Furosemide in the Treatment of Acute Pulmonary Edema   - emDocs

Are You a Good or Bad Pimp?  EM Didactic

                              Sincerely,                         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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Clinical Tips from AENJ

# 115 Bring in the fans

In the Northern Hemisphere, these are the warmest months. With drought, global warming, wildfires, and an increasingly urbanized populace no longer in tune with the wisdom of rural elders in coping with weather stress, we face the likelihood of more heat illnesses and EDs with older physical plants less able to cope with inundations of "heat wave" victims. The new issue of AENJ has a nice article to see. Heat Illnesses in the Emergency Department: A Hot Topic. 

In "# 14 A Fresh Breeze", we commented on several aspects of fan usage in the ED (q.v.).  So, round up as many fans as you can obtain from the hospital, or buy more (but be sure they're inspected or modified by Hospital Engineering for electrical ground safety, hospital grade connecting plugs, or double-insulated casings, adequate finger guards, and screws securing the cage.)  

If you delay obtaining enough, when everyone else wants a fan, there will not be enough to go around. Moving air can do much to abate stifling heat when the air conditioning (if you have any) is overwhelmed. Remember, A/C is like a heater in reverse, it can only transfer so many BTUs of heat elsewhere. If there is an electrical brownout, or heat exceeds your BTU transfer capability, or there is additional heat from severe weather or human overcrowding, you will be glad for the low demand of fans and the comfort they provide. 

Remind Housekeeping to wipe down the screens daily to decrease accumulating dust. You will need to avoid dust being blown onto a sterile procedure, e.g., a central line. In "# 60 It’s a gas, under there …" (q.v.), you'll find out how to use suction or compressed air to make the patient under the procedural drapes more comfortable. 

The "sensible" solution in overwhelming heat, is to keep the air moving so that it can be "sensed" by the patient (easing distress, and for evaporative cooling) for greater comfort.  

If "Heat Stroke" (hyperthermia, with altered sensorium and inability to regulate body temperature) is present, expose the patient as much as possible, use wet towels on exposed body surfaces (especially head and torso) upon which moving air from the fans can play, and place ice packs in the groin and axillae, as your initial measures while monitoring temperature and response and fluid infusion.

 

 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)
 

Guidelines & Scientific Statements
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.