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

Want to exceed 8%? You may need to provide ECMO Life Support!

Over several years, there's been a growth in extreme resuscitation with the application of extracorporeal life support to cases of prolonged resuscitation or that are complicated by hypothermia, pulmonary embolus, or trauma. In Scott Weingart's phrase: "bringing upstairs care downstairs." In some places, it is even brought out into the field or to air retrieval services!

Clearly, capability, availability, transport, system organization are resource intensive, and not suited for all areas. And, high-quality public CPR cannot be lessened in emphasis. 

Read and analyze these, you may find yourself in agreement: "We can't accept 8% anymore!" 

Groups: 

ED ECMO.org. "Resuscitationist-initiated Extra-Corporeal Life Support and Enhanced CPR." 

Extracorporeal REsuscitation ConsorTium. Emergency Department ECMO Collaborative.

 

Articles of interest, and Resources, by date. 

Weingart, Scott. Podcast 057 – Resuscitative Extra-Corporeal Life Support (ECMO). September 26, 2011. EMCrit.org

Reid, Cliff. ECMO retrieval. SydneyHEMS.com. October 20, 2011. 

Singer, Ben & McCreary, David. LTC Podcast 6 Prehospital ECMO. Royal College of Emergency Medicine FOAMed. March 12, 2015. Reporting on prehospital endovascular treatments discussed at London Trauma Conference, 2014. 

Eyre, Dr. Michael. 'Coolest car in London' saves lives. BBC Health Check. 3 November 2014. 

Salm, Leopold, et al. Meeting Abstracts: London Trauma Conference 2014. (9-12 December 2014). Published 11 September 2015. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2015, Volume 23 Suppl 2.  

Plaster, Logan. French Connection: Vive le SAMU!. Emergency Physicians Monthly. December 23, 2015. {Physician-led prehospital response to terrorism, and dedicated prehospital ECMO response.} 

Stark, Christopher, MD. ECMO in the Emergency Department. Penn State Hershey. PDF hand-out of presentation discussing controversies in ED ECMO. [No Date.] 

Mosier, J. M., Kelsey, M., Raz, Y., Gunnerson, K. J., Meyer, R., Hypes, C. D., ... & Spaite, D. W. (2015). Extracorporeal membrane oxygenation (ECMO) for critically ill adults in the emergency department: history, current applications, and future directions. Critical Care, 19(1), 1. [PDF.

Leeuwenburg, Tim. Keeping It Real – Forget ECMO, Crowdsourced Community CPR Is Needed. KIDocs.org.  January 5, 2016. {A pragmatic view looking askance at field ECMO.} 

Sweeney, Brett. Extracorporeal Membrane Oxygenation (ECMO) in the Emergency Department. January 21, 2016. emDocs

Heightman, A.J., MPA, EMT-P. Young Man Saved by ECMO after Being Found Frozen. JEMS Journal of Emergency Medical Services. January 21, 2016. {Flash Video of news report provided.} 

"Dr. Swadon", Bypass the OR: ECMO in the ED. April 4, 2016. 

Shaw, Gina. Special Report: ECMO in the ED: 'We Can't Accept 8% Anymore.' Emergency Medicine News. August 2016 - Volume 38 - Issue 8 - p 24–25.  

Kloepping, Klint W., FP-C, NRP, C-NPT, AAS. Thoughts from a Clinician: ECMO in Out Of Hospital Cardiac Arrest! FlightBridgeED.com. August 28, 2016. 

Wang, Yan. ECMO in Emergency Medicine. Open Access Journal of Surgery. V1, No. 3. September 2016. 

ECPR by Vincent Pellegrino. Resuscitationist's Awesome Guide to Everything (RagePodcast.com). September 25, 2016. 

Tonna, J. E., Johnson, N. J., Greenwood, J., Gaieski, D. F., Shinar, Z., Bellezo, J. M., ... & Fair, J. F. (2016). Practice characteristics of Emergency Department extracorporeal cardiopulmonary resuscitation (eCPR) programs in the United States: The current state of the art of Emergency Department extracorporeal membrane oxygenation (ED ECMO). Resuscitation, 107, 38-46. October 2016. {abstract, paywall} 

Guthrie, Kane. Own the ECMO. Three videos comprising talk by Dr. Hergen Buescher for the Intensive Care Network. Life in the FastLane.com. November 13, 2016.
  

        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

# 185 Giving evidence. 

The following is not legal advice. The writer is not an attorney. Rules vary in different jurisdictions. It is based on a general understanding of American law. If you are involved in a legal proceeding, obtain your own competent advice. 

You may be asked or required to give testimony in a legal case, as a witness, to defend your actions, or to comment as an expert to the court. If so, be well prepared. 

If your actions are questioned, you have no friend in the room but your own hired attorney. It is possible that the 'insurance lawyer' or 'hospital lawyer' may protect their interests better than your own. 

Be familiar with the case and records. Dress neatly. Be polite, and calm. Speak clearly without rushing. Do not volunteer information. Take care not to be provoked. Let facts speak for themselves. If cut off, say that "I have not completed my statement." Minimize technical jargon, and explain simply. Do not speculate beyond your expertise. Leave the courtroom when excused by the court. 

If you've agreed to review the case or to give testimony for a fee, expect this to be brought up in court and to answer questions as to your qualifications and work done. Consider taking a preparatory course before starting a business of consultation.

Be sure that you understand the question, and its reasonable intent, before answering; if uncertain, ask for clarification. The lawyer is unlikely to ask a question for which he does not already know the answer and what he wishes to do with it. 

Lawyers are expert at arguing, at words, and meanings. Do not try to 'game' them. Good ones will be as well-prepared in the medical matters at hand as yourself. They are also skilled in spotting responses and non-verbal communications. Stick to the facts, as known, and any necessary opinion that the court requires and permits. It's ok to take a few moments to collect your thoughts (or give an opportunity for counsel to object), then give your reply.  

If there is a pre-trial conference, discuss any questions or anxieties. You may be asked in court if you were "coached as to what to say;" you simply discussed what to expect and to speak the truth.  

A defendant caregiver does not have to be "right" in all that was done, but that another reasonable equivalently-experienced and knowledgeable person is likely to have made that choice given the same circumstances.


 All Tips: 2013  2014  2015  2016  

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