Evidence and Practice

Clinical

Expanding the emergency nurse role to meet demand: nurse and physician perspectives

Attitudes towards an expanded role for registered nurses in the emergency department

Analysing ambulance data to ascertain the prevalence and demographics of individuals who have died by suicide

Analysing ambulance data to ascertain the prevalence and demographics of individuals...

Service evaluation data collected by the North West Ambulance Service (NWAS) NHS Trust

Management of cardiac arrest following blunt trauma: a critical evaluation of resuscitative thoracotomy

Management of cardiac arrest following blunt trauma

A critical evaluation of resuscitative thoracotomy

Medicine wastage in a thromboprophylaxis protocol for ambulatory trauma patients

Medicine wastage in a thromboprophylaxis protocol for ambulatory trauma patients

Investigating the waste and cost with suggestions for changing dispensing practice

Treating buckle fractures in children with a soft cast and home removal: a quality improvement initiative

Treating buckle fractures in children with a soft cast and home removal

A quality improvement initiative introduced by advanced nurse practitioners

Exploring patients and family members’ experiences of care in the emergency department

Exploring patients and family members’ experiences of care in the emergency department

An investigation of patients and family members’ experiences of care in one ED in Iran

CPD articles

Meeting the needs of homeless people attending the emergency department

Meeting the needs of homeless people attending the emergency department

The care needs of homeless people attending EDs are frequently misunderstood

Mallet finger injuries: the signs, symptoms, diagnosis and management

Mallet finger injuries: the signs, symptoms, diagnosis and management

CPD article on the pathophysiology, signs, symptoms, diagnosis and management of mallet finger injuries

Sepsis: an overview of the signs, symptoms, diagnosis, treatment and pathophysiology

Sepsis: an overview of the signs, symptoms, diagnosis, treatment and pathophysiology

Sepsis is a medical emergency that should always be considered in acutely unwell patients

Nursing patients with acute aortic dissection in emergency departments

Nursing patients with acute aortic dissection in emergency departments

This article aims to increase emergency nurses’ knowledge of acute aortic dissection

Asthma

Nursing management of paediatric asthma in emergency departments

Childhood asthma is a complex disease which may be resistant to treatment and varies in its clinical presentation. The number of children admitted to emergency departments (EDs) with acute exacerbation of asthma is high and many are managed solely in the department. The correct assessment of the severity of an exacerbation can be achieved through competent history taking, examination and accurate recording of observations. Nurses working in EDs should be able to recognise the clinical signs and symptoms of acute asthma, assess severity and advise on appropriate management. Nurses should have some knowledge of first-line management and how and when to help deliver these therapies. They should also be able to guide patients in discharge and follow-up care, develop a rapport with families and educate them on topics such as trigger avoidance. The assessment and management of these patients as outlined in this article is based on the British Thoracic Society/Scottish Intercollegiate Network guidelines ( BTS/SIGN) (2016) .

Lyme disease: recognition and management for emergency nurses

Lyme disease: recognition and management for emergency nurses

Over the past ten years there has been a significant rise in the number of people who present to emergency departments with Lyme disease. Although some patients remain asymptomatic many present with a rash around a previous tick bite and others may present with a range of debilitating symptoms that can be problematic if left untreated. Due to the growing prevalence of Lyme disease in the UK and the US this article gives an overview of the vector-borne condition and provides emergency nurses with information about the pathophysiology, prevention, presenting signs and symptoms and management.

How to

Reflective discussion

How to improve patient care by learning from mistakes

Mistakes made in healthcare settings and the challenges to staff that arise from them can harm service users, consume time and money, and often receive bad publicity. However, by learning from these mistakes and meeting these challenges, practitioners can improve the quality of the care they provide. This article explores what is meant by mistakes and challenges in the context of health care. It suggests that front line managers are best placed to prevent and learn from mistakes, and thereby improve care for patients.

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