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October/December 2019 - Volume 41 - Issue 4

  • K. Sue Hoyt, PhD, RN, FNP-BC, ENP-C, FAEN, FAANP, FAAN
  • 1931-4485
  • 1931-4493
  • 4 issues / year

 Editor Karen Sue Hoyt

Two Great Opportunities for APRN Continuing Education

There are two wonderful opportunities for APRN continuing education this Fall 2019. And, for those APRNs who are Emergency Nurse Practitioner. Certified (ENP-C) and will need to plan ahead for ENP-C  renewal, the following programs are approved for procedural continuing education credits as well.

ENA Annual Conference – Austin, Texas
The American Academy of Emergency Nurse Practitioners  (AAENP) and the Emergency Nurses Association (ENA) have partnered to provide pre-conference workshops at the ENA Annual Conference in Austin, Texas beginning September 29, 2019.  A point-of-care ultrasound (POCUS) workshop will be given along with a procedural workshop that will incorporate skills required for practice in emergency care settings [e.g. central venous access, lumbar puncture, advanced airway management, chest tube insertion and ear, nose, and throat (ENT) procedures]. Doctor of Nursing Practice (DNP) presenters will also share their DNP “journeys” to prospective DNP students. Over 20 hours of advanced practice continuing education will awarded. See

AAENP Western Regional Conference – Las Vegas, Nevada
AAENP will be sponsoring the Western Regional Conference from November 1-3, 2019 in Las Vegas, Nevada at the Clinical Simulation Center of Las Vegas. On November 1st, two options are offered at the preconference session. Option 1 consists of leadership skills for the ENP and will comprise Item Writing for the ENP Certification Exam, How to Get Published,  and Surpassing Barriers to Practice at the State Regulatory Level for ENPs. Option 2 is Ultrasound Skills for the ENP (Ultrasound Guided Lumbar Puncture, Ultrasound Guided Central Line Placement (IJ/Femoral), and Foreign Body Detection with Ultrasound eFAST. On Saturday, November 2nd, skills will include advanced Intubation techniques, surgical airway, chest tube Insertion, ultrasound guided thoracentesis, and arthrocentesis with ultrasound guidance precipitous delivery simulations. On Sunday, November 3rd the keynote address titled, Trauma Care for Vulnerable Populations: Challenges and Opportunities for the Emergency Nurse Practitioner” will be presented by Dr. Robin Lawson, Senior Associate Dean for Academic Programs at The University of Alabama Capstone College of Nursing. Other important topics covered on this day are Trauma Informed Care for Behavioral Emergencies, Show Me the Money: A Procedural RVU How To,  and Order from Chaos: Trauma-Informed Leadership During the October 1 Las Vegas Mass Casualty Incident. Up to 16 hours of advanced practice continuing education will awarded. See

Additionally, the Advanced Emergency Nursing Journal contributes at least two continuing education unit (CEU) offerings each issue. Please avail yourselves of these amazing CEU opportunities.

Welcome to Fall!

K. Sue Hoyt

SUGGESTIONS 2019-16 {October 28th, 2019}

Giri, J., Sista, A. K., Weinberg, I., Kearon, C., Kumbhani, D. J., Desai, N. D., ... & Kabrhel, C. (2019). Interventional Therapies for Acute Pulmonary Embolism: Current Status and Principles for the Development of Novel Evidence: A Scientific Statement From the American Heart Association. Circulation, CIR-0000000000000707.  [Epub ahead of print] [Free Access] [PDF] PMID: 31585051 DOI: 10.1161/CIR.0000000000000707

Petris, A. O., Konstantinides, S., Tint, D., Cimpoesu, D., & Pop, C. (2019). Therapeutic Advances in Emergency Cardiology: Acute Pulmonary Embolism. American journal of therapeutics26(2), e248-e256. PMID: 30839373  DOI: 10.1097/MJT.0000000000000917

Rencuzogullari, I., Çağdaş, M., Karabağ, Y., Karakoyun, S., Çiftçi, H., Gürsoy, M. O., ... & Hamideyin, Ş. (2019). A novel ECG parameter for diagnosis of acute pulmonary embolism: RS time: RS time in acute pulmonary embolism. The American journal of emergency medicine, July 2019. Volume 37, Issue 7, Pages 1230–1236. {Abstract & Paywall} DOI:

Metlay, J. P., Waterer, G. W., Long, A. C., Anzueto, A., Brozek, J., Crothers, K., ... & Griffin, M. R. (2019). Diagnosis and Treatment of Adults with Community-acquired Pneumonia. An Official Clinical Practice Guideline of the American Thoracic Society and Infectious Diseases Society of America. American Journal of Respiratory and Critical Care Medicine, [Free Access & Print one copy] [PDF] October 1st, 2019. Vol. 200, No. 7, e45-e67. PubMed: 31573350  DOI:

Abuzeid, A. M., & O'Keeffe, T. (2019). Review of massive transfusion protocols in the injured, bleeding patient. Current Opinion in Critical Care. 2019 Sep 30. [Epub ahead of print] PMID: 31574016  DOI: 10.1097/MCC.0000000000000668

 Dalbir Bahga, MD. EM@3AM: Placental Abruption. October 19th, 2019.

Anson Dinh. CanadiEM MVP Infographic Series – CCR vs NLC in Patients with Trauma. October 18th, 2019. An 'Infographic' is presented summarizing Stiell's 2003 article:
Stiell IG, Clement CM, McKnight RD, et al. The Canadian C-Spine Rule versus the NEXUS Low-Risk Criteria in Patients with Trauma. N Engl J Med. December 2003:2510-2518. doi:10.1056/nejmoa031375

Sewalt CA, Venema E, Wiegers EJA, et al. Trauma models to identify major trauma and mortality in the prehospital setting. Br J Surg. 2019 Sep 10. [PDF] DOI: 10.1002/bjs.11304. (Original study)  Resuscitation+ from McMaster University provides an abstract and rating of the above article.

Pickens. Slit Lamp Anatomy. February 7th, 2016.

Vicki Parikh, MD. Board Review: Revive Me! EMDaily. October 19th, 2019. Syncope in a patient with an LVAD.

Subramaniam, S., Chen, A. E., Khwaja, A., & Rempell, R. (2019). Identifying infant hydrocephalus in the emergency department with transfontanellar POCUS. The American journal of emergency medicine2019 Jan;37(1), 127-132. [PDF]  {Free Access} PMID:30366745  DOI:

Yee, N. P., Kashani, S., Mailhot, T., & Omer, T. (2019). More than meets the eye: point-of-care ultrasound diagnosis of acute optic neuritis in the emergency department. The American journal of emergency medicine2019 Jan;37(1), 177-e1. [PDF] {Free Access}
PMID: 30314903  DOI: 10.1016/j.ajem.2018.10.001

Dubosh, N. M., Edlow, J. A., Goto, T., Camargo Jr, C. A., & Hasegawa, K. (2019). Missed Serious Neurologic Conditions in Emergency Department Patients Discharged With Nonspecific Diagnoses of Headache or Back Pain. Annals of emergency medicine. October 2019. Volume 74, Issue 4, Pages 549–561. [PDF] [Free Access] DOI:

Wolf, Stephen J.Godwin, Steven A. et al. Clinical Policy: Critical Issues in the Evaluation and Management of Adult Patients Presenting to the Emergency Department With Acute Headache. Approved by the ACEP Board of Directors June 26, 2019 Clinical Policy Endorsed by the Emergency Nurses Association (July 31, 2019). Annals of Emergency Medicine, October 2019. Volume 74, Issue 4, Pages e41–e74 [PDF] {Free Access} DOI:

Wolf, Stephen J.Godwin, Steven A. et al. Clinical Policy: Critical Issues in the Evaluation and Management of Adult Patients Presenting to the Emergency Department With Acute Headache (Executive Summary). Annals of Emergency Medicine, October 2019. Volume 74, Issue 4, Pages 578–579. [PDF] {Free Access}

Tom Sewatsky, MD. Mechanical Ventilation Alarms: High Airway Pressure. October 11th, 2019.

Justin Morgenstern, MD. Management of postpartum hemorrhage. September 30th, 2019.

Peter Kas, MBBS March BArch FACEM. Diagnosing Ventricular Tachycardia in 5 easy steps. © Copyright 2019 Resus.

Peter Kas, MBBS March BArch FACEM. Non-Sustained Ventricular Tachycardia; What Would You Do? © Copyright 2019 Resus.

Peter Kas, MBBS March BArch FACEM. The Lewis Lead. © Copyright 2019 Resus.

Rozenfeld, M., Givon, A., Rivkind, A., Bala, M., Peleg, K., Alfici, R., ... & Klein, Y. (2019). New trends in terrorism-related injury mechanisms: is there a difference in injury severity? Annals of emergency medicine. Volume 74, Issue 5, November 2019, Pages 697-705.

                   Tom Trimble, RN

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Suggestion does not equal endorsement.

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