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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 https://www.ena.org/events/emergency-nursing-2019

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 https://www.aaenp-natl.org/aaenp-western-regional-conference

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 2019-12  {8-7-2019} 

Ken Milne, MD. Fentanyl Versus Ketamine for Intranasal Pain Relief. ACEPNow. March 12th, 2019.

David R. Santiago-Dieppa, M.D. & Michael L. Levy, M.D., Ph.D.  [Images In Clinical Medicine] Obstructive Hydrocephalus. August 1st, 2019. New England Journal of Medicine 2019; 381:e10
DOI: 10.1056/NEJMicm1815973

Sickle Cell News for August 2019– To join or leave the listserv visit http://scinfo.org/newsletter/
Monthly email list newsletter of developments in Sickle Cell Disease. This issue has 17 listed findings and a number of events, including AENJournal.com's article.

Adv Emerg Nurs J. 2019 Jul/Sep;41(3):261-270. doi: 10.1097/TME.0000000000000256.

Improving the Care of Individuals With Sickle Cell Disease in the Emergency Department Using a Quality Improvement Framework: The Emergency Department Sickle Cell Assessment of Needs and Strengths (ED-SCANS).

Brennan-Cook J1Bonnabeau EHarris-Bloom HTanabe P.

Abstract

Sickle cell disease (SCD) is a severe chronic disease that leads to premature mortality caused by serious complications of the disease such as acute chest syndrome, stroke, and sepsis. Patients presenting to the emergency department (ED) with pain due to vaso-occlusive crisis (VOC) are at a higher risk for complications, making it imperative that emergency nurses, nurse practitioners, and physicians are knowledgeable about SCD and understand the other associated complications besides VOC. Because of the complexity of disease and misperceptions about SCD among ED nurses, physicians, and nurse practitioners, a quality improvement (QI) framework for treatment of adults with SCD in EDs was developed. The Emergency Department Sickle Cell Assessment of Needs and Strengths (ED-SCANS) is a research-based QI framework consisting of 7 distinct algorithms that serve to guide all ED team members in assessment and management of the complexity of care that patients with SCD require.

PMID: 31356252

Carin A. Hagberg, MD, FASA. Current Concepts In the Management of The Difficult Airway. Volume 16, Number 1. Anesthesiology News. May 13th, 2019. [PDF] {Annual Review of Trends, Techniques, and Products, by an acknowledged expert and leader in the field.}

William H. Rosenblatt, MD. Airway on Demand: Refusing Awake Tracheostomy for Awake Intubation. Anesthesiology News. "Airway on Demand." July 4th, 2019. "AirwayOnDemand" from Dr. Will Rosenblatt [YouTube Channel]. Anesthesiology News may require login (Registration is free.) "A new episode of the AOD video series will be posted every other Thursday at www.AnesthesiologyNews.com/Multimedia."

Stephen Richardson, MD & Ratan K. Banik, MD, PhD. Profound Lip and Tongue Swelling After Anesthesia Induction. Anesthesiology News. July 10th, 2019.
{Quoted Conclusion (Emphasis, Mine) There are multiple etiologies for isolated tongue swelling, including mechanical trauma, venous/lymphatic outflow obstruction, anaphylaxis, and localized application of chemicals. None but anaphylaxis is associated with hypotension.} {N.B. Note, also, use of POCUS to rule out Tension Pneumothorax, before portable chest X-Ray.}

William H. Rosenblatt, MD. Airway on Demand: Demonstrating Cuff Inflation for Nasal Intubation. Anesthesiology News. "Airway on Demand." July 18th, 2019. "AirwayOnDemand" from Dr. Will Rosenblatt [YouTube Channel]. Anesthesiology News may require login (Registration is free.) "A new episode of the AOD video series will be posted every other Thursday at www.AnesthesiologyNews.com/Multimedia."

Jed Wolpaw, MD, M.Ed. ACCRaC Episode 128: Opioid-Induced Respiratory Depression. Anesthesiology News. July 31st, 2019. [Podcast] 

Fulforth, J. M., Chen, A. J., & Falvey, J. D. (2019). Early referral for endoscopy is the most appropriate management strategy in cases of food bolus obstruction. Emergency Medicine Australasia.  [Abstract & Paywall] "First published: 04 February 2019." https://doi.org/10.1111/1742-6723.13238 

Professor Simon Carley MB ChB, PGDip, DipIMC (RCS Ed), FRCS (Ed)(1998), FHEA, FAcadMed, FRCEM, MPhil, MD, PhD. JC: Lower GI bleeding guidance. St Emlyn's. St. Emlyn's Blog. August 7th, 2019. Introduces and discusses:

Oakland, K., Chadwick, G., East, J. E., Guy, R., Humphries, A., Jairath, V., ... & Tham, T. (2019). Diagnosis and management of acute lower gastrointestinal bleeding: guidelines from the British Society of Gastroenterology." Gut68(5), 776-789. [PDF] ["Currently Open Access"]
DOI: http://dx.doi.org/10.1136/gutjnl-2018-317807

Ashley Voss-Liebig, RN, BSN, CCRN. Psychological performance in the resus room. Ashley Liebig at #stemlynsLIVE. St. Emlyn's Blog. July 23rd, 2019.

Rory Spiegel, MD. (From The Hospitalist & The Resuscitationist 2019 Conference)  H&R2019 Lecture Series: Rory Spiegel on Acid Base! #FOAMed, #FOAMer. {YouTube Link} ThinkingCriticalCare.com. August 7th, 2019.      

Laura Duggan, MD. (From The Hospitalist & The Resuscitationist 2019 Conference)   H&R2019 Lecture Series: Salvage the Airway! by Laura Duggan. #FOAMed, #FOAMcc, #FOAMer. {YouTube Link} ThinkingCriticalCare.com. July 23rd, 2019.

VENN OF EMERGENCY MEDICINE. Blogsite by three PGY-1s. (UCLA Olive View; Mount Sinai Med. Ctr.; UNC) Interesting topics.

"MAXBRONDFIELD" VA PEARLS: ALL ABOUT ENTRESTO. UCSF Internal Medicine Chief Resident Hub. August 7th, 2019.


Sincerely,
                   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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