“The aim of the Research to Practice column is to enhance the research critique abilities of both advanced practice registered nurses and emergency nurses, while also aiding in the translation of research findings into clinical practice. Each column focuses on a specific topic and research study. In this article, we used a scenario of left upper quadrant pain to explore the study by de-Madaria et al., titled “Aggressive or moderate fluid resuscitation in acute pancreatitis”.
Wilson, M. P., et al (2017). American Association for Emergency Psychiatry Task Force on medical clearance of adult psychiatric patients. Part II: controversies over medical assessment, and consensus recommendations. Western Journal of Emergency Medicine, 18(4), 640. Free Full Text
Continue readingST-segment elevation myocardial infarction (STEMI) is a life-threatening disease that can result in irreversible myocardial damage when untreated. Delays in treatment, on the order of minutes are associated with increased mortality and worsening cardiac functional outcomes.To facilitate rapid treatment, international guidelines recommend that out-of-hospital clinicians refer patients with symptoms suggestive of STEMI to an emergency department directly or via emergency medical service(EMS) transport.These guidelines recommend the acquisition and diagnostic interpretation of an ECG within 10 minutes of emergency department (ED) arrival.”
Continue readingCho, G., Anie, K., Buckton, J., Kiilu, P., Layton, M., Alexander, L., . . . Meredith. (2016). SWIM (sickle with ibuprofen and morphine) randomised controlled trial fails to recruit: Lessons learnt. BMJ Open., 6(6), E011276.
Kavanagh, P., Sprinz, P., Wolfgang, T., Killius, K., Champigny, M., Sobota, A., . . . Moses, J. (2015). Improving the Management of Vaso-Occlusive Episodes in the Pediatric Emergency Department. Pediatrics /, 136(4), E1016-E1025.
Telfer, P., Bahal, N., Lo, A., & Challands, J. (n.d.). Management of the acute painful crisis in sickle cell disease- a re-evaluation of the use of opioids in adult patients. British Journal of Haematology., 166(2), 157-164.
Uprety, D., Baber, A., & Foy, M. (n.d.). Ketamine infusion for sickle cell pain crisis refractory to opioids: A case report and review of literature. Annals of Hematology., 93(5), 769-771.
Emergency provider analgesic practices and attitudes toward patients with sickle cell disease. (2013). Annals of Emergency Medicine : Journal of the American College of Emergency Physicians., 62(4), Annals of emergency medicine : journal of the American College of Emergency Physicians. , 2013, Vol.62(4).
Click here to view a collection of articles on this topic.
Concussion and mild traumatic brain injury. In: DynaMed.
The Guidelines section includes guidelines and their accompanying references to primary literature…
Evaluation and Management of Mild Traumatic Brain Injury, Eastern Association for the Surgery of Trauma
This is a recent (within past 2 years) guideline that summarizes evidence on practices for diagnostic workup, home care (eg, return to work and driving), and management of special populations, such as patients on warfarin.
American College of Emergency Physicians. Clinical Policy: Neuroimaging and Decisionmaking in Adult Mild Traumatic Brain Injury in the Acute Setting.
This is an older but still relevant guideline (2008) that presents evidence to answers the questions of when to order a non-contrast head CT; what is the role for head MRI in the ED, are there serum biormarkers.
Care of the patient with mild traumatic brain injury. Glenview (IL): American Association of Neuroscience Nurses, Association of Rehabilitation Nurses
Summarizes evidence of management of patients with mild traumatic brain injury
PubMed
A search of Clinical Queries provides systematic reviews that may provide more recent appraisal of evidence. These searches identify evidence on treatment and follow-up provided by the emergency department. References to individual studies are in the left column; this list can be modified by changing the study category and scope. References to systematic reviews are in the center column.
Clinical Queries: concussion AND emergency department
Clinical Queries: concussion AND (post-concussion syndrome OR self care OR monitoring)
Evidence Matters 