Editor-in-Chief: K. Sue Hoyt, PhD, RN, FNP-BC, CEN, FAEN, FAANP, FAAN
Jean A. Proehl, RN, MN, CEN, CPEN, FAEN
ISSN: 1931-4485
Online ISSN: 1931-4493
Frequency: 4 issues / year

Editors' Remarks

  Editor Karen Sue Hoyt

 

 Editor Jean A. Proehl

 Editor Karen Sue Hoyt

 

Editor Jean A. Proehl 

Editors' Remarks

   

Dear Colleague,

Welcome to the American Academy of Emergency Nurse Practitioners!

 

The newly formed American Academy of Nurse Practitioners (AAENP) has adopted the AENJ as their official journal. Both AENJ and the AAENP seek to promote high quality, evidence-based care so this relationship is a natural fit. There are many opportunities for collaboration and mutual gain which will translate into improved resources for ENPs and improved care for patients.

Members will have free on-line access to AENJ as a benefit of membership and may also subscribe the print journal at a deeply discounted rate.  AAENP Founder, Elda Ramirez, is a long-time AENJ board member and AENJ Editor, K. Sue Hoyt, is now an AAENP board member so our collegial relationship is well established.

If you're an ENP who doesn't already belong to AAENP, you can see what you're missing at www.aaenp-natl.org.

Sue and Jean

Online Editor's Suggestions

Medically Curious About the Olympics?

The International Olympic Committee Medical and Scientific Commission

World Anti-Doping Agency International Standard Prohibited List 2016

IOC Needle Policy for the Games of the XXXI Olympiad in Rio 2016

IOC Policy Regarding Certain NOC Scientific and Medical Equipment for the games of the XXXI Olympiad in Rio 2016

IOC Statement on Zika

Encyclopaedia of Sports Medicine – An IOC Medical Commission Publication

GE Healthcare Centricity is Olympic EHR

US State Department Advice for Travelers to the Olympics

CDC Health Advice for Travelers to the Olympics

How Prepared Are Hospitals In Rio For The Olympics – Stock News USA

Rio Olympic Games Medical Services

Annemiek van Vleuten in intensive care after horrific crash in road race

Some NBC employees opting out of going to Rio Olympics

EMS at the London 2012 Olympics

Beijing Prepares Emergency Medicine Supply for Olympics [2008]


I wasn't able to locate any open source information with useful data on responders, EMS, trauma preparations, etc. There may be an embargo for operational security. No televised coverage of the two cycling accidents; response did not seem to be immediate. Lesser injuries are probably taken care of, in part, by team physicians and trainers, then the polyclinic in the Olympic Village.   

 

        Sincerely,

                   Tom Trimble, RN
                        
                        All opinions are solely those of the author.
                        Users are responsible for the validity to their own practice.

 

Advanced Emergency Nursing Journal is always looking for authors, articles, and suggestions for topics that inform the work of our specialty and excite the readers. If you have an article or concept to propose, or suggestions and opinions that would help us meet your needs, please use our "Feedback" form to contact the Editors. It's a direct line of communication, and the free registration of your email allows us to respond to your suggestions, and makes the entire website and all other LWW Journals more useable and functional for you.

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Clinical Tips from AENJ

# 174 Warm Weather Outdoor Intubation

 

Daniel, Habas, & Cruc in a new article, describe an incident on a "scorching" day in Djibouti, give advice of the difficulty they had from solar glare, softening of ETTs and in using color-changers to check for CO2. They suggest shading, stylets or bougies, and syringe-checks. 

Other possibilities come to mind. Just as infants have been burned by overheated laryngoscope bulbs, bulbs or blades that have been too long in the sun might burn tissues. 

There is plenty of literature support for bougies improving view, tactile confirmation of tracheal placement, and making awkward intubations less clumsy and safer; it is reasonable to have as routine backup or because any outdoor intubation is awkward.

I recall, too, having to discard my IV cannula and re-prep the site because sweat from my face had dropped onto the cannula. (Tennis wristbands might have helped.) I've also had irrigation fluids needed to splash a heat stroke patient having become hot stored in the ambulance. Still, it was wet and did still cool, (wasn't scalding hot) and conducts heat 10X>air, especially if air is forced over for evaporation and convection (We did.). If no ice, a thermal cooler might have delayed absorbing ambient temperature.
 

In a heat stress casualty, the increased capacitance of dilated vessels, coupled with dehydration, may make it hard to find a vein. Dependency of the extremity and a blood pressure cuff tourniquet may help, particularly if hands can help blood to pool. The old trick of having a helper raise the legs into the air may help. Intraosseous access would be rapid, reliable, and would not require the set-up of a cut-down or central line placement.

While you're out in a hot sunny clime, remember to wear a high-crowned broad-brimmed hat to shade your eyes and keep you 10°-15° F cooler. Water supply, breakdown kit, communications and air-signaling gear, subsistence, all need to be considered. It's easy to drive farther than you can hike out, especially if having to stretcher-carry or man-pack a casualty with you.


Daniel, Y., Habas, S., & Cruc, M. (2016). Prehospital Endotracheal Intubation in Warm Climates: Caution is Required. The Journal of Emergency Medicine.

Koh TH, Coleman R. Oropharyngeal burn in a newborn baby: new complication of light-bulb laryngoscopes. Anesthesiology. 2000 Jan;92(1):277-9. No abstract available. PMID: 10638930

 All Tips: 2013  2014  2015  2016  

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Author Alert!

Advanced Emergency Nursing Journal is seeking authors, articles, and topics. If you are interested in writing for publication, please check our current (2015)  "Topics of Interest" for your project. Please contact our Editors if you have an additional proposal or suggestion.