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,

The Advanced Emergency Nursing Journal (AENJ) has a newly enhanced online presence! This creates new possibilities for connecting, networking, and discovering information about advanced practice emergency nursing.   In addition to Current Edition Highlights previously provided, we have added the following sections:

·       Online Editor's Suggestions

·       Most Popular

·       Guidelines and Scientific Statements

·       Upcoming Conferences

·       Quick Poll

You can even follow us on Twitter via a link on the page J.

We would like to take this opportunity to introduce Tom Trimble, our Online Editor.  Tom was an internet pioneer in emergency nursing having established "Emergency Nursing World !" [http://ENW.org] on July 4, 1996 and the very first emergency nursing discussion list (Em-Nsg-L: The Emergency Nursing List).  He is helping us establish and expand our cyber-presence and we are fortunate to have him on our team.

Now, we would like to hear from you. Do you have suggestions for things you would find useful online? Please let us know and send us any new resources or helpful links you would like added to this site.

Sue and Jean

Online Editor's Suggestions
Those whose practice is guided by United Kingdom guidelines should look to the new website of the Difficult Airway Society for its 2014 DAS Guidelines; a new free app for iOS and Android incorporating those guidelines for quick use.

Brent Thoma at Boring EM blog does a nice review of the Precordial Thump.

Long history, but mostly anecdotal. Studies show low efficacy, theoretical risk. ACLS recommendation is limited. Sometimes it may be the only “technology” present other than BCLS. 

It reminds one of some classic jokes:
**Large numbers are statistics; a personal incidence is a tragedy,

**Like the prizewinning news photographer’s peak of action picture, “It’s just f. 11, and be there!.”

My two anecdotes are complete success in observed sudden cardiac arrest without monitor and without life signs. The second was witnessed/monitored monomorphic VT on oxygen –>VF, with SCA, thumped without conversion, but came back after 90” CPR, given Lidocaine, awoke en route to hospital: full recovery. Personal Batting Average for The Thump: .500; but two out of the park saves for witnessed SCA.

My anecdotes beat your statistics, at least, for those two people. NNT incalculable since so many in my career did not qualify for a thump. I wouldn’t throw out the baby with the bath water, however. 

EM Blog Mayo Clinic has an excellent piece on “The Killer Rashes” from their pediatrics folks. Free registration is necessary. Daniel Cabrera, MD, is Editor-in-Chief. There are other useful articles, as well, so let them know what you like.

             Sincerely,                  Tom Trimble, RN CEN

                   All opinions are solely those of the author.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

Actions
View
Actions
View

 

Advanced Emergency Nursing Blog
Login

Clinical Tips from AENJ

# 88 When the chest is in the way of the laryngoscope handle

We shall feature in the Blog: "Emergencies of the Third Trimester." Additionally, some gravid females may be morbidly obese. Some males may be morbidly obese, have a "no neck," or have an increased anteroposterior chest diameter so that the chest physically blocks the laryngoscope handle.

Firstly, assure that the patient is ramped at a 25 degree head-up angle. This gives increased functional reserve capacity, if adequately preoxygenated and a NODESAT technique is used, increased safe apnea time will result. Aspiration is less likely. Your ability to visualize improves, and physical work is decreased. The facial plane should be parallel to the ceiling. The "earhole" should be above the level of the sternum at the notch.

Turn the handle and blade at a right angle to insert. If not successful, separate the blade from the handle; insert into the mouth; reconnect the handle; and proceed. if available, a shorter "half-handle", or "stubby handle" can be used.


 

 

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
 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 newest (9-2013)"Topics of Interest" for your project. Please contact our Editors if you have an additional proposal or suggestion.