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

Palliative Care; Elder Care; Poorly Reported Anaphylaxis issues; Vascular Access.


Viewpoint: The Silver Hour by Sheri Knepel, MD; from Emergency Medicine News, on palliative care in the ED highlights end-of-life care as it effects us. Read, also, the Advanced Emergency Nursing Blog on elder care. 

Recently, we posted a link to the new recommendations for anaphylaxis. Here's an earlier report on public reaction to poorly written news alleging that epinephrine is not correctly used by EDs. 

The 10 Commandments of Phlebotomy by Dennis J. Ernst, MT(ASCP) 

AIUM Practice Guideline for the Use of Ultrasound to Guide Vascular Access Procedures. © 2012 by the American Institute of Ultrasound in Medicine. 

The Speed of Sound: Prevent Catastrophe: Don't Rely on One Method for Central Line Placement is the latest EMN column by Dr. Christine Butts. 36 others await you. 

IV-Therapy.net is a useful site, habituated by IV Teams, PICC-placers, and vascular access specialists, that should be read by ED folk (for whom, much of what is done requires IV access now and before admission). Authoritative answers can be found for those recurring niggling questions. Recent topics:

McNichol, L., Lund, C., Rosen, T., & Gray, M. (2013). Medical adhesives and patient safety: state of the science: consensus statements for the assessment, prevention, and treatment of adhesive-related skin injuries. Journal of the Dermatology Nurses' Association, 5(6), 323-338. [Or here]




                  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

# 124 Injuries to Equestrians 

Magnificent steeds, companionable travels, and the thrill of speed have fascinated man for millennia. From Pony Books, to first horse, to Olympic victory, the challenge of teaming with an equine athlete brings joy and occasional injury. 

Try to get the best witness evidence of mechanism of injury. Ask also about alcohol.

The mass and quickness of a horse’s natural “prey animal” instincts can lead to injury from shying, running, rearing, kicking, even just shifting weight. Small children’s lack of fear, and story-book expectations, can put them at risk when close to an animal. 

Horses have strong jaw muscles for grazing; they can give substantial bites with the leverage of their teeth. C.f., Weese, below. 

Stepped on? Look for fractures and crush injury. 

Head Injuries are common due to the rider’s height above ground, falls, striking things, or being kicked. Helmets help. Cervical Spine Injury, e.g., Christopher Reeve, is less common. 

Trampled? Look for rib fractures; pelvic or extremity injuries; blunt trauma to head, chest, or abdomen. Strongly consider FAST exam and CT. Jockeys and rodeo performers wear Kevlar™ vests. 

Dragged? Thorough musculoskeletal exam. Rule out head and neck injury. Cleanse all “trail rash.” 

Always review Tetanus immunizations` status. 

Remember that even in conurbations and suburbia that there are still horses about.


Statistics & FactsRiders4Helmets.com ©2015 [no author] 

Cooke, Sonia van Gilder. Equestrian Eventing: The Olympics’ Most Dangerous Sport? The slightest miscalculation in the cross country can cost medals, as well as possibly lives. TIME magazine. July 28, 2012. 

Strickland, Charlene. Equine-Related Human Injuries The Horse Your Guide To Equine Health Care. TheHorse.com Oct 1, 2000. 

Centers for Disease Control. Alcohol Use and Horseback-Riding-Associated Fatalities -- North Carolina, 1979-1989. MMWR – Morbidity & Mortality Weekly Report. May 15, 1992 / 41(19);335,341-342. 

Weese, Scott, DVM. "Horse bites."  Worms & Germs Blog. September 2, 2009. Published by University of Guelph Centre for Public Health & Zoonoses. Ontario Veterinary College, University of Guelph.

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

2nd Annual AAENP
General Assembly

October 24th, 2015
Boston Convention Center

Boston, Massachusetts

ACEP Scientific Assembly

October 26th, 2015
Boston Convention Center
Boston, Massachusetts

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.