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July/September 2019 - Volume 41 - Issue 3

  • 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 2019-15 {October 13th, 2019} 

Dr. Vekram Simbasivam. 30 Second Drills for Intubation. Greater Sydney Area Helicopter Emergency Medical Services. October 3rd, 2019.

Dr.Natalie May. AiR – Learning from the Airway Registry (September 2019) Greater Sydney Area Helicopter Emergency Medical Services. September 21st, 2019. {Monthly compendium of airway videos and discussion from actual experiences.}

Alex Chen. Managing Massive Hemoptysis. October 4th, 2019. Derived from: Kevin Davidson, MD, Samira Shojaee, MD, MPH. Managing Massive Hemoptysis. Chest. 2019 Jul 30. pii: S0012-3692(19)31386-8. [Epub ahead of print] {Abstract & Paywall}
PMID: 31374211 DOI:10.1016/j.chest.2019.07.012

Alex Chen. Risk of Meningitis in Infants with UTI. October3rd, 2019. Derived from: Testing for Meningitis in Febrile Well-Appearing Young Infants With a Positive Urinalysis. Pediatrics. 2019 Aug 8. pii: e20183979. [Epub ahead of print]
DOI: 10.1542/peds.2018-3979 

Clay Smith, MD. How to Work Up TASER Shocks. October 2nd, 2019. Derived from: Emergency Department Evaluation After Conducted Energy Weapon Use: Review of the Literature for the Clinician. J Emerg Med. 2019 Sep 6. pii: S0736-4679(19)30553-0. [Epub ahead of print] {Abstract & Paywall} DOI: 10.1016/j.jemermed.2019.06.037 

Orhan‐Sungur, M., Altun, D., Özkan‐Seyhan, T., Aygün, E., Koltka, K., & Çamcı, E. (2019). Learning Curve of Ultrasound Measurement of Subglottic Diameter for Endotracheal Tube Selection in Pediatric PatientsPediatric Anesthesia. [Accepted Article in press] First published: 04 October 2019.

Koylu Gencay, Z., Begec, Z., Ozgul, U., & Colak, C. (2019). The Effect of Placement of a Support Under the Shoulders on Laryngeal Visualization with a CMac Miller Video Laryngoscope in Children Younger than Two Years of Age. Clinical trial number: (NCT03709979) Pediatric Anesthesia. Volume 29, Issue 8. First published: 18 June 2019. {Abstract & Paywall}

Boriosi, J. P., Zhao, Q., Preston, A., & Hollman, G. A. (2019). The utility of the pretracheal stethoscope in detecting ventilatory abnormalities during propofol sedation in children. Pediatric Anesthesia. First published: 23 February 2019.

Conclusion: A pretracheal stethoscope in conjunction with capnography and pulse oximetry detects most sedation‐related adverse events first. Auscultation performed best at detecting upper airway obstruction but capnography and pulse oximetry performed best at detecting hypoventilation.


Clay Smith, MD. MRI vs CT for TBI in Children. October 11th, 2019. Derived from: Feasibility and Accuracy of Fast MRI Versus CT for Traumatic Brain Injury in Young Children. Pediatrics. 2019 Sep 18. pii: e20190419. [Epub ahead of print]
DOI: 10.1542/peds.2019-0419

Clay Smith, MD. BRUE - A Game Changer? . October 9th, 2019. Derived from: Changes in the Management of Children With Brief Resolved Unexplained Events (BRUEs). Pediatrics. 2019 Sep 5. pii: e20190375. [Epub ahead of print]
DOI: 10.1542/peds.2019-0375

Josh Farkas , MD. IBCC asthma chapter post-publication peer review by Weingart. October 11th, 2019. {Webpage, Podcast, & Guest Reviews] Reviews: Josh Farkas , MD. Internet Book of Critical Care (IBCC): Asthma. Asthma.  January 28th, 2017.

Calyn Crawford, MD. X-ray Vision - Shoulders and Elbows. October 13th, 2019. Radiography of UE injuries. [Webpage]

Vicki Parikh, MD. Board Review: Revive Me! (Refractory V. Fib.) October 12th, 2019.

                   Tom Trimble, RN

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Users are responsible for the validity to their own practice.
Suggestion does not equal endorsement.

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