Advanced emergency nursing journal
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Case Reports Randomized Controlled Trial
Rehydration of children with gastroenteritis.
Review of recent evidence with translation to practice for the advanced practice nurse role is presented using a case study module for "Intravenous Dextrose for Children With Gastroenteritis and Dehydration: A Double-Blind Randomized Controlled Trial." The study results showed that 35% of the children who received dextrose in normal saline (D5NS) were hospitalized as compared with 44% who received normal saline. The implications and clinical relevance of these findings for advanced practice nurses are discussed highlighting best evidence.
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Trauma-related deaths represent a leading cause of mortality among persons younger than 45 years. A significant percentage of these are secondary to hemorrhage. In trauma, massive and rapid loss of blood creates an imbalance in hemostasis. ⋯ Tranexamic acid has been prospectively proven to reduce mortality in trauma-related hemorrhage. Its use will likely expand into such areas as resuscitation and massive transfusion protocols and the prehospital setting. Therefore, it is critical for emergency medicine providers to be familiar with appropriate use of tranexamic acid in order to maximize efficacy and decrease the potential adverse events.