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

Useful Gleanings:

Long, Brit, MD. "Transplant Emergencies Part I: Infection, Rejection, and Medication Effects." September 5, 2016. emDocs.net

Long, Brit, MD. "Transplant Emergencies Part II: Organ Specific Complications." September 8, 2016. emDocs.net

Simon, Erica, DO MHA. "The Dialysis Patient: Managing Fistula Complications in the Emergency Department." September 18, 2016. emDocs.net

How to Use a Magnet for Pacemakers + ICDs – CORE EM – Vimeo

Defibrillator Pad Placement + Dual Sequential Defibrillation – CORE EM – Vimeo

Ballard, Dustin MD. "Medically Clear: Distinguishing the 'Mercury Cure' from 'Germ Theory'". Emergency Medicine News. August 2016 - Volume 38 - Issue 8 - p 21–22. doi: 10.1097/01.EEM.0000490524.84139.35. {Also includes miasma, Icatibant for ACE-I Angioedema, Implicit Bias in Evaluations, and opioid prescribing.} 

Joyce Lee, MD, MPH. "The Sad State of Product Design and Innovation in Healthcare". The Doctor as Designer. Retweeting Rasu Shrestha. August 6, 2016. The UxBlog.com

Walrath, Jessica. "Clinical Practices: Use of Ultrasound to Confirm Endotracheal Tube Placement." August 2016. YaleEM.org

Mellick, Larry, MD. How to use the ring cutter. January 8, 2011. Youtube.com

Mellick, Larry, MD. The Championship Ring. Youtube.com

Carley, Simon, Dr; Ring removal technique: Using an oxygen mask strap. [Youtube] 2012. Reported and hosted at Academic Life in Emergency Medicine. Caveats at The undertaker's ring method. St.Emlyn's. 

Peters, Brandon, MD. 10 Surprising Signs of Sleep Apnea 10 Surprising Signs of Sleep Apnea. August 12, 2015. verywell.com

May, Natalie, MBCHB MPHE. Myths in Emergency Medicine: Sense and Sensitivity: Ectopic Pregnancy and Beta hCG. Emergency Medicine News: September 2016 - Volume 38 - Issue 9 - p 21 doi: 10.1097/01.EEM.0000499533.27241.77.



                   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.

Current Issue Highlights


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Official Journal of the American Academy of Nurse Practitioners



Clinical Tips from AENJ

# 178 Making light of work


"Clean and Jerk" is an Olympic weightlifting style. Jerking the patient from one bed to another is neither acceptable nor harmless. Poor lifting methods may injure both lifters and patient. Never have there been so many lifting aids available. Even with little or no equipment, the transfer to bed should be smooth, and scarcely perceptible by the patient.


In past years, an ambulance crew might transfer the patient with a pole and canvas stretcher, remove the poles from their sleeves and leave the canvas under the patient. Latterly, they might use a breakaway stretcher or a scoop stretcher; either gives a simpler transfer and is disassembled from the patient.


Hospital staff don't do as well as EMS teams, as staffing varies frequently each shift, and there is generally no group practice to be a team. With a higher proportion of female staff and mismatched heights and strength, the load is not well distributed. Most transfers being lateral, from beds alongside each other, the forward lean by staff is greatly damaging to backs. This causes a "get-it-over-and-done-with" mentality that fosters speed over quality. Few career-long bedside nurses escape having musculoskeletal issues.


Awake patients should be given a distracting task ("hold your elbows" or purse), and to "take a deep breath, and blow all the way out." At the end-expiration, the prepared team (with straight arms and straight backs, using their weight to shift the patient) glides the patient over. There is no muscular tension fighting them at end-expiration. With very difficult moves, it is worth a few moments time to rehearse the transfer.


A clinical leader should establish an ethos and expectation of smooth moves, always, in the department. Equipment should be provided in sufficient number, and maintained at hand, so that career-ending and patient-damaging short-cuts need not be taken. All providers and staff need to be trained, and expected to help. There are no degrees or certifications that exempt one from providing assistance. Slackers should be disciplined. Low-friction transfer sheets, mechanical lifts, air-hover devices are all available. A light-hearted team-felt joy in providing an imperceptible lift and transfer should be the order of every day's work.


Trimble, Tom. No "Dr. Benton's" Here, Please! From "Tips & Tricks" in Emergency Nursing World ! [http://ENW.org] © 1998-2016 Tom Trimble, RN.

 All Tips: 2013  2014  2015  2016  

Upcoming Conferences

EM Day of Service

Your Community
TBA September 2016 

AAENP 3rd Annual General Assembly
Mandalay Bay Resort & Casino 
3950 S Las Vegas  Blvd, Las Vegas, NV 89009

October 14th, 2016
(11:00 AM to 8:00 PM)                                        

ACEP 16 Scientific Assembly
Las Vegas, NV
October 19 th - 21st, 2016

Contact us with information upon conferences of interest to the readership.

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.