Advanced Emergency Nursing Journal is a peer-reviewed journal designed to meet the needs of advanced practice clinicians, clinical nurse specialists, nurse practitioners, healthcare professionals, and clinical and academic educators in emergency nursing. Articles contain evidence-based material that can be applied to daily practice. Continuing Education opportunities are available in each issue. Feature articles focus on in-depth, state of the science content relevant to advanced practice nurses and experienced clinicians in emergency care.    Ongoing Departments Include:   Cases of Note   Radiology Rounds   Research to Practice   Applied Pharmacology

The Advanced Emergency Nursing Journal is a peer-reviewed journal designed to meet the needs of advanced practice clinicians, clinical nurse specialists, nurse practitioners, healthcare professionals, and clinical and academic educators in emergency nursing. The articles contain evidence-based material that can be applied to daily practice. Continuing education opportunities are available in each issue. Feature articles focus on in-depth, state-of-the-science content relevant to advanced practice nurses and experienced clinicians in emergency care. Ongoing departments include: Cases of Note, Radiology Rounds, Research to Practice, and Applied Pharmacology.

《Advanced Emergency Nursing Journal》是一本同行评审的期刊，旨在满足高级实践临床医生、临床护理专家、护理从业者、医疗保健专业人员以及急救护理领域的临床和学术教育者的需求。期刊中的文章包含可应用于日常实践的循证材料。每期提供继续教育机会。特色文章专注于与高级实践护士和经验丰富的急救护理临床医生相关的深入科学内容。持续的栏目包括：重要案例、放射学讨论、研究与实践、应用药理学。

Advanced Emergency Nursing Journal

Studies have shown that therapeutic hypothermia (TH) improves outcomes in patients who have experienced a cardiac arrest (Bernard et al., 2002; Hypothermia After Cardiac Arrest Study Group, 2002). This article discusses TH and the process used by one emergency department to develop and implement an evidence-based protocol on TH for the postresuscitation patient.

Zeb Koran

Therapeutic Hypothermia in the Postresuscitation Patient

复苏后患者的治疗性低温疗法

Background: Delays in sepsis recognition contribute to delays in antibiotic administration, which lead to increased morbidity and mortality in patients with sepsis. Our objective was to create an Emergency Department (ED) Code Sepsis Nurse-led team to reduce the time to antibiotics and mortality in patients with sepsis. Methods: This initiative was implemented at a community hospital in Southern California in response to previous undesirable sepsis outcomes. In fiscal year 2021, the ED Sepsis Nursing Team was launched with the goal of improving sepsis-related outcomes. The following interventions were implemented: First, a group of dedicated Sepsis Nurses with training specific to sepsis recognition was created, and an electronic ED-sepsis screening tool was developed and implemented. Next, the dedicated sepsis nurses designed and educated to a “Code Sepsis” activation process. The code triggered a multidisciplinary response and implementation of standing orders for blood cultures, lactate, complete blood count, complete metabolic panel, and chest x-ray or urinalysis if indicated. Finally, the Sepsis Team Registered Nurse (RN) Captain led house-wide monthly Sepsis Task Force meetings to improve unit-level engagement and to allow the team to have ownership over sharing wins and losses. Results: By Quarter 4 (Q4) of Fiscal Year 2021, door-to-antibiotic time for sepsis patients dropped from 196.7 min (Q1) to 144.7 (Q4). Additionally, mortality dropped below the health system average (10.4% vs. 13.5%), and Fiscal Year 2021 surpassed the readmissions benchmark of &lt;1.0 at a rate of 0.5. Conclusion: An RN-led, interprofessional response to accepted sepsis identification criteria enhanced staff and physician engagement and improved sepsis outcomes for patient mortality and hospital reporting outcomes. The process was adopted with very few obstacles that were easily overcome as the understanding of the role and its significance was realized.

Leslie Gomez

Kelli LeClair

Danisha Jenkins

Mary Ann David

Jillian Downing

Julie Graham

ED Nurse-Led Code Sepsis to Reduce Time to Antibiotics

急诊护士主导的脓毒症代码以减少抗生素使用时间

Advanced Emergency Nursing Journal: January/March 2022 - Volume 44 - Issue 1 - p E2 doi: 10.1097/TME.0000000000000398

Ankle-Brachial Index for the Assessment of Peripheral Arterial Disease in the Emergency Department

踝肱指数在急诊科评估外周动脉疾病中的应用

Peripheral arterial disease, both acute and chronic ischemia, is a clinical diagnosis encountered in the emergency department setting. The emergency nurse practitioner should be able to recognize the clinical presentation, understand the diagnostic tools available to make an appropriate clinical diagnosis, and know how to coordinate the appropriate treatment plan with a vascular surgeon. Timely and appropriate diagnosis of limb-threatening arterial disease is imperative to restore arterial perfusion and prevent the loss of the lower extremity.

Tiffany K. Street

Ankle–Brachial Index for the Assessment of Peripheral Arterial Disease in the Emergency Department

This case study examines the delayed presentation of a facial dog bite, an uncommon occurrence in the periorbital area. Initially perceived as a minor injury, the wound was disregarded in its early stages. However, as the infection progressed, prompting urgent evaluation in the emergency department (ED) as the severity became evident. The patient was diagnosed with an acute facial infection carrying the potential for periorbital cellulitis and abscess formation, necessitating immediate imaging. Prompt evaluation of penetrating animal bites, particularly dog bites, is crucial due to their high infection risk. As emphasized by Hamed-Assam et al., immediate attention and prophylactic antibiotics are advised for such cases, preferably broad-spectrum antibiotics with anaerobic coverage. The patient underwent treatment in the ED approximately a day after the incident, receiving antibiotics and subsequently discharged following advanced diagnostic imaging. This case underscores the importance of recognizing and promptly addressing delayed dog bites, emphasizing the significance of immediate medical intervention post-penetrating animal bites.

Julie-Kathryn Graham

Pedro A. Colio

Dog Bites With Resultant Periorbital Cellulitis

眼周蜂窝织炎的犬咬伤

In the United States and the United Kingdom, where the author resides, many Emergency Departments utilize nerve blocks for fractures waiting to be seen by orthopedic surgery. As emergency nurses, be it advance practice nurse or staff nurse, it is our professional responsibility to be aware of emergencies that can result from these nerve blocks, namely local anesthetic toxicity (LAT). In the United Kingdom, there are protocols and guidelines for the treatment of this adverse event, which are shared in this article as a knowledge base for identifying and treating LAT. This paper also discusses the similarities in symptoms of LAT and anaphylaxis.

BJ Olsen

ED Regional Anesthesia Practice and the Basics on Local Anesthesia Toxicity

ED区域麻醉实践与局部麻醉毒性基础

Ocular point-of-care ultrasound (POCUS) has emerged as a pivotal tool in evaluating ocular emergencies in the emergency department (ED), addressing millions of annual visits for eye complaints in the United States. Compared to traditional imaging methods, ocular POCUS’s advantages include efficiency, repeatability, and safety. Adequate patient preparation, positioning, and transducer selection are essential for obtaining high-quality images. Ocular POCUS offers static and dynamic imaging,aiding in diagnosing conditions like retinal detachment and increased intracranial pressure. Emergency nurse practitioners (ENPs) can use ocular POCUS to expedite diagnosis and interventions, improving patient outcomes. Overall, ocular POCUS represents a rapid, non-invasive, and effective means of evaluating ocular emergencies in the ED, promising improved diagnostic accuracy, treatment initiation, and, ultimately, enhanced patient care.

Juan M. Gonzalez

Johis Ortega

Kenya Snowden

Patricia Larrieu-Jimenez

Nichole Crenshaw

Catherine Nadeau

Stephen McGhee

Point of Care Ultrasonography for the Evaluation of Ocular Emergencies

眼科急诊的床旁超声评估

Fever is the most common complaint for children of all ages who present to an emergency department (ED) for evaluation and treatment. Although most children with fever have a self-limiting viral illness, the infant less than 60 days of age with fever poses a higher risk for an underlying serious bacterial illness (SBI) including urinary tract infections, bacteremia and bacterial meningitis, or an invasive bacterial infection (IBI) including bacteremia. This case is a discussion of a high-risk febrile infant that was evaluated in the emergency department and was ultimately diagnosed with Streptococcus B meningitis. This case emphasizes the importance of heightened vigilance in this high-risk age group for the risk of infection. To prevent mortality and long term morbidities that may result from inadequate treatment or delayed diagnosis and treatment, it is critical to know and strictly adhere to the clinical practice guidelines.

Abbreviation	Adv. Emerg. Nurs. J.
Journal Impact	0.61
Quartiles(Global)	NURSING(Q4)

ISSN	1931-4485, 1931-4493
h-index	22

Publication Information	Publisher: Lippincott Williams and Wilkins Ltd.，Publishing cycle: ，Journal Type: journal，Open Access Journals: No
Basic data	Year of publication: 2006，Proportion of original research papers: 95.12%，Self Citation Rate:0.00%， Gold OA Rate: 2.59%

Advanced Emergency Nursing Journal

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Share Submission Experience

Therapeutic Hypothermia in the Postresuscitation Patient

ED Nurse-Led Code Sepsis to Reduce Time to Antibiotics

Ankle-Brachial Index for the Assessment of Peripheral Arterial Disease in the Emergency Department

Ankle–Brachial Index for the Assessment of Peripheral Arterial Disease in the Emergency Department

Dog Bites With Resultant Periorbital Cellulitis

ED Nurse-Led Code Sepsis to Reduce Time to Antibiotics

ED Regional Anesthesia Practice and the Basics on Local Anesthesia Toxicity

Point of Care Ultrasonography for the Evaluation of Ocular Emergencies

Reducing the Risk

Dog Bites With Resultant Periorbital Cellulitis