||K. Sue Hoyt, PhD, RN, FNP-BC, CEN, FAEN, FAANP, FAAN
Jean A. Proehl, RN, MN, CEN, CPEN, FAEN
||4 issues / year
Editor Karen Sue Hoyt
Editor Jean A. Proehl
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
BAC & Drunkeness:
Olson, K. N., Smith, S. W., Kloss, J. S., Ho, J. D., & Apple, F. S. (2013).
Relationship between blood alcohol concentration and observable symptoms of intoxication in patients presenting to an emergency department. Alcohol and alcoholism, 48(4), 386-389.
Relationship Between Blood Alcohol Concentration and Observable Symptoms of Intoxication
Woo, S. H., Lee, W. J., Jeong, W. J., Kyong, Y. Y., & Choi, S. M. (2013). Blood alcohol concentration and self-reported alcohol ingestion in acute poisoned patients who visited an emergency department. Scandinavian journal of trauma, resuscitation and emergency medicine, 21(1), 24.
DeLaney, M. Is the Patient Sober? Clinical Sobriety versus Blood Alcohol Concentration. March 6th, 2014. Academic Life in Emergency Medicine [ALiEM].
Nagashima, G., Kamimura, M., Kato, A., Fukuda, Y., Noda, M., Morishima, H., ... & Umano, Y. (2014). A case of self‐harm by alcohol intoxication resulted in unintended in‐hospital death. Clinical case reports, 2(2), 45-47.
Touquet, R., Csipke, E., Holloway, P., Brown, A., Patel, T., Seddon, A. J., ... & Crawford, M. J. (2008). Resuscitation room blood alcohol concentrations: one-year cohort study. Emergency Medicine Journal, 25(11), 752-756.
Barry, A. E., & Dennis, M. E. (2014). Methodological and practical limitations to visually determining intoxication. Addiction, 109(5), 851-853.
Tõnisson, M., Tillmann, V., Kuudeberg, A., Lepik, D., & Väli, M. (2013). Acute alcohol intoxication characteristics in children. Alcohol and alcoholism, 48(4), 390-395.
Tom Trimble, RN
All opinions are solely those of the respective authors.
Readers must verify 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.
Advanced Emergency Nursing Blog
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Clinical Tips from AENJ
# 153 Empty the tavern; fill the ward
Every ED treats drunks. Some are incidental to a nice party. For others, as one chronic inebriate said: "I'm not an alcoholic. I'm a Drunk! It's a Lifestyle! If you're an alcoholic, you have to go to meetings."
All inebriates need thorough standardized exam. Beware of hypoglycemia, hypothermia, co-intoxicants, concealed and confounding conditions, and deeper trauma. All should be nursed and supervised continuously in a high-visibility area; unless some are mutual combatants, they should be cohorted together for nursing ease. Aspiration and falls are continuing risks.
"Regulars" should have Case Management available to them for consistency of care and coordination of public services. All should get "brief interventions" to encourage change towards sobriety.
Youthful drinkers should be talked with, not only about this episode, but how it was mere luck that they avoided accidental injury, death, or "what's worse than death —survival in a state of dependency or vegetative existence; victimization by others bent on theft, sexual crimes, or worse predation. Attempts should be made as to identifying precipitating events or life problems driving this behavior. Emphasize the importance of remaining in control of self and able to make safe decisions that avoid victimization potential.
Always maintain a positive outlook and encouragement for detoxification and rehabilitation. "The Drunk" above, and others, despite years of public drunkenness achieved life-changing sobriety. It was worth it! To see "regulars" whom everyone knew on a first-name basis resume productive and satisfying lives is truly a great reward.
Levine, Michael D., MD. Alcohol Toxicity Treatment & Management. Mar 25, 2015. Medscape.
Scott R. Snyder, BS, NREMT-P, Sean M. Kivlehan, MD, MPH, NREMT-P, Kevin T. Collopy, BA, FP-C, CCEMT-P, NREMT-P, WEMT. Acute Alcohol Poisoning. Mar 1, 2014. EMSWORLD.
Meehan, Timothy J. 5 Minute Emergency Consult. Alcohol Poisoning. (sample). No Date. Emergency Central at Unbound Medicine.
Verelst, S., Moonen, P. J., Desruelles, D., & Gillet, J. B. (2012). Emergency department visits due to alcohol intoxication: characteristics of patients and impact on the emergency room. Alcohol and alcoholism, 47(4), 433-438.
All Tips: 2013 2014 2015 2016
Guidelines & Scientific Statements
Mass Gathering Medical Summit
New York City, NY
April 21st & 22nd, 2016
Society for Academic
New Orleans, LA
May 19th - 13th, 2016
AANP - 2016
American Association of
San Antonio, TX
June 21st – 26th, 2016
EM Day of Service [Inaugural]
TBA September 2016
ENA Emergency Nursing 2016
Los Angeles, CA
September 14th - 17th, 2016
ACEP 16 Scientific Assembly
Las Vegas, NV
October 19 th - 21st, 2016
Contact us with information upon conferences of interest to the readership.
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.