||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
Useful links of interest …
- *Excellent column on emDocs regarding safer discharge of patients who cause concern.
Long, Britt, MD. The worrisome discharged patient: What do we miss, and how can we do better? January 23, 2016. emDocs.
- Nice case example on 60secondEM of a post-trauma finding of significance!
Brady, Mark P., MS, PA-C. Is this on your radar ? Case # 1. January 23, 2016. 60secondEM.
- Also from emDocs, is a quick summary on Myxedema.
Koyfman, Alex, MD. Myxedema (aka decompensated hypothyroidism): An EM Primer January 23, 2016. emDocs.
- ALiEM has a way of keeping you from being bitten.
Toles, K. Trick of the Trade: Extra-oral reduction technique of anterior mandible dislocation. 2016. ALiEM.com.
- Helman, Anton. Episode 1: Occult Fractures and Dislocations. Emergency Medicine Cases. (No Date) (Article and Podcast).
Reposted at EmDocs January 27, 2016, by Manpreet Singh.
- Helman, Anton. Episode 52: Commonly Missed Uncommon Orthopedic Injuries. (PDF Summaries and Podcast). (No Date, ~2014) Emergency Medicine Cases.
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.
Advanced Emergency Nursing Blog
What does "Remember me" mean?
By checking this box, you'll stay logged in until you logout. You'll get easier access to your articles, collections,
media, and all your other content, even if you close your browser or shut down your
To protect your most sensitive data and activities (like changing your password),
we'll ask you to re-enter your password when you access these services.
What if I'm on a computer that I share with others?
If you're using a public computer or you share this computer with others, we recommend
that you uncheck the "Remember me" box.
Clinical Tips from AENJ
# 141 Skin Marker and Scalpel on the Airway Tray?
"There are some things for which there is no substitute." While that might describe your specialty coffee or other elegant object, when it comes to a bad airway — you don't want to have to be searching for things!
One Attending Physician starts each shift by asking each provider if he or she had a scalpel in the pocket.
Q. Who can be the most critical person in an intubation?
A. The last person to stock/check the Airway Cart!
Q. In the military, whose responsibility is it if the company cook makes everyone ill?
A. The Company Commander! This is the difference between authority to do something and responsibility to ensure that it's right.
Of course, you always check it yourself at the shift beginning, and before arrival of the patient. But, sometimes you just walk in and it's already chaos.
"For want of a nail, the battle was lost." Great matters can hang upon small things and screw-ups. Prepare for error.
Assess the airway. Give each patient a Laryngeal Handshake. If high potential for cricothyrotomy, Mark the incision point of the cricothyroid membrane, prep. Scalpel – Finger – Bougie – Tube.
If you prep your tubes with a bougie instead of the usual stylet, you'll be able to see more and deal with a difficult tube placement with less help in a more self-reliant way; there are several different grips to control the proximal end. This can be done with the smaller (6.0 mm ID) ETT for cricothyrotomy. Either approach can give you tactile confirmation of tracheal rings.
Trimble, Tom. Fix This Airway! ©2006-2008 Emergency Nursing World !
Chow, Yen. Levitan, the "Laryngeal Handshake" and the "Cartilaginous Cage". November 17, 2013. PHARM: Pre-Hospital and Retrieval Medicine.
Levitan, RM. Cricothyrotomy with laryngeal handshake, sternal stabilization, tracheal hook as a place holder, Shiley insertion. 2015. Vimeo.
Bryant, Rob. The Surgical Airway 2014.
Weingart, Scott. EMCrit Podcast 131 – Cricothyrotomy – Cut to Air: Emergency Surgical Airway. August 26, 2014. EMCrit.org.
Weingart, Scott. EMCrit Wee – Mind Blowing Cricothyrotomy Video. April 18, 2015.
Cong, Minh Le. D grip bougie by Dr James Ducanto. 2013. PHARM: Pre-Hospital and Retrieval Medicine.
Cong, Minh Le. DuCanto & Chow describe an improvement on the Kiwi & Pistol Bougie grips. 2013. PHARM: Pre-Hospital and Retrieval Medicine.
Ducanto, James Twitter page. C.f., An alternative to D-Grip by Yen Chow @TBayEDguy
All Tips: 2013 2014 2015 2016
Guidelines & Scientific Statements
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.