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 Largest Organ . . .


We live within a remarkably intelligent and protective bag of tissues, without which we could not exist, that protects us from many illnesses and injuries, and helps maintain our homeostasis. It provides our external appearance and contributes to our sense of self, and although subject to some afflictions, it can be a window of internal health; ---yet is little thought of by most, and few realize that it is the largest organ of our body.


… and by a sleep to say we end
The heart-ache and the thousand natural shocks

 That flesh is heir to Hamlet Act 3, scene 1. Wm. Shakespeare

A gateway to the killer rashes | EM Blog Mayo Clinic


Melanoma Skin Cancer | American Cancer Society


Burns | MedlinePlus


Burns | World Health Organization


Dermatology Section | Medscape Emergency Medicine


Dermatology Articles | Medscape


Morgellons Disease, or Delusional Parasitosis? | CNN Health


A Family Scabies Infestation | Larry Mellick, MD - YouTube


Lyme Disease | CDC


Common Adult Skin Problems Pictures slideshow | MedicineNet


Dermatology Practice Today | Advance Healthcare Network


Solving Skin Rash in Primary Care; use of a diagnostic decision tree | Advance Healthcare Network


Clinical Update: Skin Infections | Lippincott Nursing Center




                        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


Advanced Emergency Nursing Blog

Clinical Tips from AENJ
# 104 Two years below the masthead 

With apologies to Richard Henry Dana, Jr., we’d like to point out, with pride, that “# 104” above means that this Clinical Tips episode marks the two-year anniversary of the column. While not “before the mast,” it is definitely two years below the website’s masthead. 

This is the most active section of the website; weekly postings of practical tips, hints, and links.
You are invited to send and share your own tips and be credited!

# 104-A  Taking the pain and fear away 

Fast, effective, analgesia is not only kind, it is a patient/customer satisfier. It builds trust and confidence. It fixes a basic human need. Absent special knowledge, patients are known to delay care for serious conditions if “well, it wasn’t hurting.” They will tolerate longer stays, or more specific treatment, if they are comfortable. 

Review Clinical Tip #47 The old “One-Two Punch”. Quick and easy, if patient is calm: put a flush syringe on a winged-needle; inject a vein, give a decent dose of fentanyl; flush; give ketorolac; flush; remove needle. Minimal equipment cost. Veins have minimal pain versus IM injections.

Patients fear dental regional blocks; yet the relief is excellent. Ease it, by swabbing the site with topical lidocaine; wait for effect; as the mouth opens to insert the syringe, grasp the contralateral cheek firmly between thumb and index finger. This helps you sense and control pull-away, and steadies the approach. A moment before, and during the injection, give the cheek a firm continuous wiggle!. This distracts, and diffuses sensation, from the small gauge needle injection; and the “shot” is hardly felt, but for taste and numbing. You will have a pleased patient.

Have to divide a large volume injectate for pediatrics? Two injections given simultaneously are felt as only one.

One patient, (104 surgeries) showed me that scratching her skin ~2" away (3 cm) from the injection site before and during the injection distracted greatly from the sensation of the needle and the chemical.

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
Upcoming Conferences
NCNP - National Conference for Nurse Practitioners
May 6th - 9th, 2015
Philadelphia Downtown Marriott
NPACE Primary Care Conference
May 11th - 14th, 2015
Austin, Texas
AANP - 2015 National ConferenceJune 9th- 14th, 2015 
Ernest N. Morial Convention Center
New Orleans, Louisiana
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.