Journal of emergency nursing : JEN : official publication of the Emergency Department Nurses Association
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Review Case Reports
Beyond the basics: monitoring with a pulmonary artery (Swan-Ganz) catheter.
Interpreting hemodynamic parameters requires both knowledge and practical experience. As emergency nurses care for more acutely ill patients during longer ED stays, an understanding of hemodynamic monitoring will be essential.
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We often think of research ethics mostly in connection with the processes of intervention, data collection, and analysis, but ethics does not stop there. The process of preparing publications involves a number of ethical considerations, including continued protection of the rights of human subjects; reporting findings truthfully, accurately, and completely and using one's own words to do so, or appropriately citing the work of others; and ensuring that authorship credit and acknowledgments accurately reflect the contributions of others. No foolproof way exists to ensure that only ethical publications see print; however, including content on publication ethics in all research courses, publishing clear policies related to ethical expectations in journals, and engaging in discussion of these issues with colleagues are a good start toward that goal.
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The combination of diabetes and alcohol poses a potentially serious threat for 16 million persons in the United States. With the prevalence of diabetes increasing, health care providers working in acute care settings need to be prepared to recognize alcohol-induced hypoglycemia quickly and respond with appropriate treatment. ⋯ S. Department of Health and Human Services Healthy People 2000 goal of decreasing diabetes-related deaths and complications.
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The overall prognosis for children who sustain a submersion incident is directly related to several variables including length of submersion, initial neurologic evaluation, time to first breath, initial pH, and others. Resuscitation after near-drowning is unsuccessful in terms of death and neurologic deficit in 30% of those children who are treated at our institution. ⋯ Therefore skilled attempts at resuscitation and management are mandatory. The understanding of the sequence of events that occur during the drowning process and the pathophysiologic consequence make it possible for health care personnel to provide aggressive therapeutic interventions that will enhance the likelihood of a normal recovery.