Evidence and Practice

Clinical

Bone tumour

Assessing and investigating patients with a suspected bone tumour

Nurses working in ED need to know how to assess, manage and refer patients with a bone tumour

Zygomatic complex fractures in the emergency department: diagnosis and management

Zygomatic complex fractures in the emergency department: diagnosis and management

Zygomatic complex fractures can be missed on assessment and examination and left undiagnosed

Winged scapula: an overview of pathophysiology, diagnosis and management

Winged scapula: an overview of pathophysiology, diagnosis and management

Winged scapula can be painful and debilitating, resulting in loss of power and/or movement

Workplace violence: the experiences of emergency nurses in Indonesia

Managing workplace violence is crucial for the provision of high-quality nursing care

Staff education by the critical care outreach team: evaluating the effect of a study day on nurses’ knowledge levels

Staff education by the critical care outreach team: evaluating a study day

Effects of educational sessions designed and delivered by local critical care outreach teams

Carbon monoxide exposure

Screening and management of unintentional low-level carbon monoxide exposure in the ED

The pathophysiology, signs and symptoms of patients with low-level carbon monoxide exposure

CPD articles

How to get care right for people with learning disabilities in the emergency department

To get care and treatment right it is essential to ‘ask and engage’ people

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) .

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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