Evidence and Practice
Zygomatic complex fractures can be missed on assessment and examination and left undiagnosed
Winged scapula can be painful and debilitating, resulting in loss of power and/or movement
Managing workplace violence is crucial for the provision of high-quality nursing care
Effects of educational sessions designed and delivered by local critical care outreach teams
The pathophysiology, signs and symptoms of patients with low-level carbon monoxide exposure
To get care and treatment right it is essential to ‘ask and engage’ people
The care needs of homeless people attending EDs are frequently misunderstood
CPD article on the pathophysiology, signs, symptoms, diagnosis and management of mallet finger injuries
Sepsis is a medical emergency that should always be considered in acutely unwell patients
This article aims to increase emergency nurses’ knowledge of acute aortic dissection
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) .
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.