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April/June 2019 - Volume 41 - Issue 2

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

 Editor Karen Sue HoytEmergency Nurse Practitioner (ENP) Organization Releases Specialty Practice Standards in Effort to Establish
National Clinical Guidelines

Scottsdale, Arizona - The American Academy of Emergency Nurse Practitioners (AAENP) has defined practice standards that establish national clinical guidelines based on practice analysis data completed by the American Academy of Nurse Practitioner Certifying Board (AANPCB, 2016).  The practice standards identified describe emergency nurse practitioners' clinical knowledge, skills and competencies, and serve as the foundation for the ENP certification by examination established in 2017.  The full document is available at:

"These standards encompass competencies, clinical guidelines, and evaluation details for our industry and together provide the underpinnings for educational curricula (graduate and post-graduate fellowships) for ENPs," says Andrea Smith-Brooks, DNP, FNP-BC, and President Elect of AAENP. "We are delighted that these practice standards are now complete and available to ENPs nationwide."

Further, specialty practice standards define the provision of competent care and foundations of patient care management for specialty practice and support evaluation of clinical proficiencies by measurable outcomes that can be used to assess evolving clinical abilities (AAENP, 2018).

Eric Roberts, DNP, FNP-BC, ENP-BC, Chairman of AAENP says, "Practice standards may be utilized in many ways: in hospital credentialing for delineation of privileges, by department leaders and quality reviewers for individual assessment of performance, by State Boards of Nursing for licensure, graduate faculty curricula developers, and clinical leaders developing post-graduate training programs." Delineation of ENP practice standards establishes a baseline for clinical ENP privileges, organizational on-boarding, evaluation, education, and training for hospitals, clinical practice leaders and quality assurance teams. 

About AAENP: 

AAENP is the specialty organization representing the approximately 16,000 nurse practitioners in the emergency setting nationwide (AANP, 2019).  The organization's commitment to promote high quality, evidenced-based practice for nurse practitioners providing emergency care within an interdisciplinary team is demonstrated in the development of specialty practice standards. 

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For more information contact Anna Jovel at or 480-585-6105

SUGGESTIONS 2019-10 {June 24th, 2019}


Journal of Emergency Medical Services. JEMS Webcasts: Unlearning Cardiac Arrest – What You Thought You Knew. **Be Surprised!

Garrett Thompson, AEMT, BS, MPH , Lethu Ntshinga NREMT, AB. The Cutting Edge of Adult Cricothyrotomy: Are EMS Protocols Keeping Up? Journal of Emergency Medical Services. June 14th, 2019. [Webcast | 1:08.46 ] **Authority, Guidance, Capability, are not what you think!

Babar Fiza, Vanessa Moll, Natalie Ferrero; The Lung Point: Early Identification of Pneumothorax on Point of Care Ultrasound. Anesthesiology June 11, 2019. {Abstract & Paywall} doi: 10.1097/ALN.0000000000002843

Loran Hatch, DO. What's the Diagnosis? By Dr. Loran Hatch. EMDaily. June 12th, 2019. ("A 43 yo intoxicated male presents after he was struck by vehicle while riding a bicycle.")

Brit Long, MD. EM@3AM: Le Fort Fractures. June 15th, 2019.

Dr. Mike Cadogan. History of cardiopulmonary resuscitation. LITFL; Life In the Fast Lane. Last Update: June 13th, 2019.

Saran S. Pillai, MBBS & Sameer Desai, MD. Basilar Skull Fracture: Basics & Beyond. June 6th, 2019.

Shyam Murali, MD. Airway Management in Cardiac Arrest. June 3rd, 2019.

Dr Chris Nickson. Massive Transfusion Protocol. LITFL: Life In The Fast Lane. April 23rd, 2019.

Helman, A. Electrical Injuries – The Tip of the Iceberg. Emergency Medicine Cases. June, 2019.

Emily Willingham, PhD. Neonatal intubation: these factors affect adverse events. Univadis® December 12th, 2018. Derived from:
Foglia EE, Ades A, Sawyer T, Glass KM, Singh N, Jung P, Quek BH, Johnston LC, Barry J, Zenge J, Moussa A, Kim JH, DeMeo SD, Napolitano N, Nadkarni V, Nishisaki A; NEAR4NEOS Investigators. Neonatal Intubation Practice and Outcomes: An International Registry Study. Pediatrics. January 2019;143(1):e20180902. DOI: 10.1542/peds.2018-0902. {Abstract & Paywall}

Heather Alva, MD, Nicholas Goyeneche, MD, Matthew Fletcher, MD, Raj Warrier, MD, FAAP. Sports Injury or Venous Thrombosis? Clinical Pediatrics. First Published May 29, 2019. {Preview (one page) & Paywall – Case 1 viewable; Case 2 truncated}
DOI: 10.1177/0009922819850468

Dillan Radomske. CRACKcast E202 – Cyanosis. [An updated podcast episode of CRACKCast reviews Rosen's Chapter 011, Cyanosis (9th Ed.). Webpage includes study questions] June 3rd, 2019.

Shyam Murali, MD. Airway Management in Cardiac Arrest. June 3rd, 2019.

Alex Koyfman, MD. EM Thinker #3: Pearls From The Frontlines. June 4th, 2019.

Jeffrey Shih, MD, RDMS. ALiEM's Greatest Hits for Interns: A Curated Collection of High-Yield Topics. ALiEM: Academic Life in Emergency Medicine. July 21st, 2017.

Clay Smith, MD. Journal Feed Weekly Wrap-Up. June 22nd, 2019. Includes: #1: Can You Spot Hyper-K on ECG? #2: Tramadol Isn't Addictive, Right?
#3: ACEP Unscheduled Sedation Guidelines.

Anthony DeVivo, DO. Unlocking Common ED Procedures – Cutting Through the Triangle: A Review of Tube Thoracostomy in the ED. June 20th, 2019. **Thorough, excellent review.

David Cisewski, MD & Andres Arredondo, MD MSc. Pain Profiles – Nerve Block Tips & Tricks: Sterility, Safety, Simulation. June 13th, 2019.

Professor Simon Carley MB ChB, PGDip, DipIMC (RCS Ed), FRCS (Ed)(1998), FHEA, FAcadMed, FRCEM, MPhil, MD, PhD. JC: Can we really use IO blood for analysis? St Emlyn's. St. Emlyn's Blog. June 22nd, 2019.

Akkan, S., Çorbacıoğlu, Ş. K., Aytar, H., Emektar, E., Dağar, S., & Çevik, Y. (2019). Evaluating Effectiveness of Nasal Compression With Tranexamic Acid Compared With Simple Nasal Compression and Merocel Packing: A Randomized Controlled TrialAnnals of emergency medicine. [In Press] {Abstract & Paywall} DOI:

Long, B., & Gottlieb, M. (2019). Is Glucagon Effective for Relieving Acute Esophageal Foreign Bodies and Food Impactions? Annals of emergency medicine. [In Press] {Abstract & Paywall} DOI:

Caputo, N. D., Oliver, M., West, J. R., Hackett, R., & Sakles, J. C. (2019). Use of End Tidal Oxygen Monitoring to Assess Preoxygenation During Rapid Sequence Intubation in the Emergency Department. Annals of emergency medicine. Annals of emergency medicine. [In Press] {Abstract & Paywall} DOI:

Shokoohi, H., Boniface, K. S., Kulie, P., Long, A., & McCarthy, M. (2019). The Utility and Survivorship of Peripheral Intravenous Catheters Inserted in the Emergency Department. Annals of emergency medicine. [In Press] {Abstract & Paywall}

Gottlieb, M., Jani, V. P., & Purim-Shem-Tov, Y. A. (2019). How Effective Are Epinephrine and Vasopressin for Improving Survival Among Patients in Cardiac Arrest? Annals of emergency medicine. [In Press] {Abstract & Paywall} DOI:

Josh Farkas, MD. IBCC chapter & cast: Serotonin syndrome. June 13th, 2019.

Justin Morgenstern, MD. (Best Evidence in Emergency Medicine) BEEM Cases 1 – Pediatric Minor Head Injury.  Emergency Medicine Cases. (Adapted from the BEEM Course. January 12th, 2016.)

                   Tom Trimble, RN

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