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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

Online Editor Tom Trimble   

Radiology Issues: 

The two principal organizations for the specialty are American College of Radiology [Wikipedia] and Radiological Society of North America [Wikipedia]. 

ACR CT Guidelines 

ACR Appropriateness Criteria® 

Tired of trying to guess Rads’ take on contrast for the patient? Review their own reference from ACR: Manual on Contrast Media v9. 

ACR’s Safety & Quality list of “Choosing Wisely Resources.”
Brochure: What Parents Should Know About CT Scans for Children

The presentation, https://rsna.org/uploadedFiles/RSNA/Content/Science_and_Education/Quality/Griffith.pdf examines lessening overuse of C-Spine scans

A British poster from Cambridge examining abdominal CT. 

Radiology Cases in Pediatric Emergency Medicine, an Internet classic, is an excellent, free, seven volume collection of cases and imaging from Loren Yamamoto, MD, at the University of Hawaii, and can be downloaded or ordered in different formats.

RadiologyEducation.com provides a wide variety of cases, references, and resources in radiology. Curated by Michael P. D'Alessandro, MD.

Life in the Fast Lane ,in the January 13, 2014 issue, lauds the contribution of Radiology to the Emergency Department and shares useful tips. Check out the "Winking Owl Sign."

The Radiological Society of North America published for its members useful information for “Medical Response to a Major Radiologic Emergency: A Primer for Medical and Public Health Practitioners” in its March 2010 issue of Radiology.

Medical Response to a Major Radiologic Emergency: A Primer for Medical and Public Health Practitioners

Anthony B. Wolbarst, Albert L. Wiley, Jr, Jeffrey B. Nemhauser, Doran M. Christensen, and William R. Hendee

Radiology 2010 254:3, 660-677 

From ACR is their 2006 “Disaster Preparedness for Radiology Professionals.” 

More on this topic in the 2005 review: Medical Treatment of Radiological Casualties: Current Concepts, from Koenig, KL & Goans, R, et al, in Ann Emerg Med. 2005;45:643-652. 

Helpful links from the University of Toronto’s Emergency Medicine Radiology Database (EMRaD). 

The excellent Michelle Lin, MD, from the faculty of UCSF at San Francisco General Hospital and of Life in the Fast Lane, packages tips to avoid  Missed Radiologic Injuries in this outline. 

OncallRadiology.com has interactive cases and resources.

The American Society of Emergency Radiology provides an outline of “Core Curriculum in Emergency Radiology” with some references, which may be useful in selecting areas for personal review. 


Tom Trimble, RN CEN 

Opinions in this column 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



Advanced Emergency Nursing Blog

Clinical Tips from AENJ

#47 The old “One-Two Punch” 

When you are treating severe pain which is susceptible to NSAID, e.g., renal colic, musculoskeletal, or inflammatory injuries, try the one-two punch combination of Fentanyl and Ketorolac. Prompt relief with prolonged effect from complementary onset and offset times. Even if supplementation is needed, the opioid-sparing effects of the NSAID will minimize supplementation to a reasonable oral dose. 

If a patient comes in with a painful burn or scald, immerse in lukewarm water to exclude air (and cooling any residual stored heat in the tissues) and provide for exam and cleansing. Give an adequate dose of rapid opioid and NSAID, dress the burn after appropriate treatment with an occlusive dressing (sufficient to keep air from irritating the nociceptors), and your patient will depart pain-free and happy. 

#48 Ears, Burs, & Bugs 

A man arrived in misery with a foxtail in his ear from romping in grass with his dog.  The point went in first, so that withdrawing would be like drawing an umbrella backwards. A few light spritzes with 10% Lidocaine eased distress (feels warm). Short work with Hartman’s forceps; it’s out, and patient is joyous. 

A Veterinarian friend suggests (assuming the TM is intact) when a dog has a foxtail in the ear, to fill the ear with mineral oil. This soothes, softens, and allows the foxtail to float out or be shaken out. 

This is in line with traditional first aid recommendations for bugs in the ear to stifle them and float them out. Mineral oil, or even olive oil could be used; slightly warm (like a baby bottle) avoids the surprise of ambient temperature oil in the ear.

Click to download 2014's Collected Tips (#34 ->)
Click to download 2013's Collected Tips (#1 - #33)


Guidelines & Scientific Statements
Upcoming Conferences
AANP 2014 National ConferenceJune 17th - 22nd, 2014
Gaylord Opryland Resort & Convention Center
Nashville, Tennessee
ENA Annual Conference
October 7th - 11th, 2014
Indianapolis, Indiana
Indiana Convention Center
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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.