Advanced Emergency Nursing Journal高级急诊护理杂志
Advanced Emergency Nursing Journal(英文缩写 ADV EMERG NURS J),ISSN 1931-4485,eISSN 1931-4493,中文译名:高级急诊护理杂志 是一本学术期刊。本页汇总该期刊的最新影响因子、分区信息以及最新收录于 PubMed 的文献,帮助您快速了解期刊全貌。
发文量统计区间：2025-10-01 至 2026-09-30，按本站收录文献的发表日期统计。
期刊介绍
历年影响因子趋势
| JCR 数据年份 | 影响因子 | JCR 分区 |
|---|---|---|
| 2021 | 未收录 | N/A |
| 2022 | 0.500 | N/A |
| 2023 | 0.800 | Q4 |
| 2024 | 1.000 | Q3 |
| 2025 | 0.600 | Q4 |
Advanced Emergency Nursing Journal 最新收录文献
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1. Slipped Capital Femoral Epiphysis (SCFE).
PMID:日期:2026-10-01Slipped capital femoral epiphysis (SCFE) is one of the most common pediatric hip disorders and a frequent cause of diagnostic delay due to its variable and nonspecific presentation. Children often present with groin, thigh, or knee pain, gait abnormalities, or minor trauma, which can obscure early recognition. This case report describes a 10-year-old female who presented to an urgent care setting with hip, groin, and lower extremity pain following minor trauma and was diagnosed with SCFE based on physical examination and radiographic findings. Despite conservative pain management, persistent gait disturbance and limited range of motion prompted further evaluation, revealing posterior and caudal displacement of the proximal femoral epiphysis. This case highlights the importance of maintaining a high index of suspicion for SCFE in pediatric patients with lower-extremity pain and gait abnormalities. Early diagnosis and prompt orthopedic referral are critical to preventing complications such as avascular necrosis, chondrolysis, and early-onset osteoarthritis.
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2. Fomepizole as an Adjunct in Severe Acetaminophen Poisoning: Highlighting Its Use in High-Risk Ingestions.
2. 福美匹唑作为严重对乙酰氨基酚中毒的辅助药物：强调其在高风险摄入中的使用PMID:日期:2026-07-14Acetaminophen overdose remains one of the leading causes of both intentional and unintentional medication-related liver injury and acute liver failure in both adults and children. Although N-acetylcysteine remains the standard of care and is highly effective when administered early, massive ingestions and delayed presentation cases may exceed its ability to prevent hepatocellular injury. Fomepizole, a CYP2E1 inhibitor traditionally used for toxic alcohol poisoning, has emerged as a potential adjunctive therapy for high-risk acetaminophen overdoses. This article reviews the mechanism of action of acetaminophen, the pathophysiology of acetaminophen-induced hepatotoxicity, outlines current management strategies, and examines the emerging role of fomepizole as an adjunctive therapy. Added focus is given to implications for nursing practice, including safe preparation, administration, and monitoring. Acetaminophen toxicity develops when glutathione stores become depleted, leading to accumulation of the toxic metabolite N-acetyl-p-benzoquinone imine. N-acetylcysteine replenishes glutathione and mitigates early injury; however, extremely high acetaminophen concentrations can overwhelm detoxification pathways. Fomepizole inhibits CYP2E1 and reduces conversion of acetaminophen to N-acetyl-p-benzoquinone imine, potentially limiting hepatic damage. Evidence from animal studies and small human case series suggests benefit in massive ingestions, although large, randomized-controlled trials are lacking. Further research is needed to establish and standardize protocols and further clarify the role of fomepizole in the management of acetaminophen overdose cases.
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3. Measles: A Global Public Health Emergency!
PMID:日期:2026-07-13Measles is a highly contagious vaccine-preventable disease that was once controlled with measles, mumps, and rubella vaccinations but has reemerged in the United States and globally as a public health emergency. Despite availability of a safe and effective vaccine, declining vaccination rates driven by vaccine hesitancy, access issues, and clustering of unvaccinated individuals have led to measles outbreaks. Since January 2026 in the United States, both the International Vaccine Access Center (IVAC; 1,654 cases) and the Centers for Disease Control (CDC; 1,671 cases) have reported a high number of cases (IVAC, March 27, 2026; CDC, April 3, 2026) that will exceed the reported cases (2,286) in 2025 (CDC, April 3, 2026). The Pan American Health Organization (PAHO) reported an epidemiological alert on measles in the Americas Region (PAHO, February 3, 2026). Emergency Nurse Practitioners must identify, manage, and initiate control measures. This review covers clinical manifestations, vaccination guidelines, management, and complications of measles.
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4. An Unusual Case of Chest Pain in a 16-Year-Old Male.
PMID:日期:2026-07-10Hamman sign is a rare clinical finding characterized by a crunching or clicking sound synchronous with the cardiac cycle, typically heard over the precordium. It is most commonly associated with pneumomediastinum or, less frequently, pneumothorax. Although often subtle and transient, its presence can provide an important early clue to underlying thoracic air leakage, especially in young patients without a history of trauma. This case illustrates how timely identification of Hamman sign, followed by appropriate diagnostic imaging-most notably chest radiography or computed tomography-is vital for recognizing this clinical finding and guiding effective management. In addition, increased clinician awareness can facilitate earlier intervention and reduce the risk of complications.
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5. Examining the Lived Experience of Secondary Traumatic Stress in Emergency Department Nurses.
PMID:日期:2026-07-10Emergency department (ED) nurses care for patients during critical times: violence, trauma, death, etc. Continuous exposure increases risk for secondary traumatic stress (STS): negative reaction experienced by someone with an indirect exposure to trauma. This impairs their ability to cope, increases levels of anxiety/depression, and increases attrition. Using a phenomenological design, the researcher interviewed 23 bedside ED nurses in Missouri and/or Illinois, USA. Five themes emerged: patient care, relationships at work, life outside the hospital, impacting on a personal level, and residual stress. Three themes emerged related to coping strategies: positive, dysfunctional, and debriefing as a coping strategy. Nurses are impacted by STS in numerous areas of their lives and rely on both positive and negative coping strategies to help mitigate the negative effects. Hospitals should introduce the concept of STS during nursing orientation so nurses may be able to implement coping strategies before negative effects are experienced.
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6. Quality and Safety Implications of Boarding Geriatric and High Acuity Patients in the Emergency Department: A Literature Review.
PMID:日期:2026-07-08The purpose of this narrative review was to review existing literature to determine a consensus of established best practices to mitigate the risks of boarding geriatric and high acuity patients. The PubMed database was searched using the following key terms: quality care, inpatient boarding, emergency department, nursing care, and access block. Fourteen articles were reviewed, identifying quality and safety concerns, organizational imperatives, and potential solutions. The care of boarding patients poses unique challenges for hospitals, physicians, and nurses. Organizational priorities should include strategies to minimize boarding in the ED and interventions to improve the quality and consistency of care when boarding cannot be avoided. Discharge lounges, a popular alternative, fail to demonstrate a return on investment or improved throughput.
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7. Accuracy of Signal-to-Noise in Novel Electrocardiogram Technology Versus Standard Electrocardiogram Technology: A Literature Review.
PMID:日期:2026-07-01Patients presenting to the emergency department (ED) with suspected acute coronary syndrome (ACS) require immediate acquisition of a 12-lead electrocardiogram (ECG) to support early diagnosis and clinical decision making. Acute coronary syndrome includes ST-elevation myocardial infarction, non-ST-elevation myocardial infarction, and unstable angina. However, symptoms consistent with ACS may also include arrhythmias, such as premature ventricular contractions, atrial fibrillation, or supraventricular tachycardia. Accurate and timely ECG interpretation is essential for prompt risk stratification and initiation of appropriate management of the detected arrhythmia. The diagnostic accuracy of the ECG is highly dependent on signal quality, particularly the signal-to-noise ratio and the presence of artifacts from patient movement and monitoring equipment. Poor signal fidelity may contribute to misinterpretation and false-positive coronary activation. This literature review examines studies published over the past 5 years that evaluate advancements in ECG electrode technology and artifact-reduction strategies, including algorithm-based approaches, relative to conventional ECG systems. A review of current best practices for skin electrode optimization is also summarized.
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8. Retention Matters: Translating Outpatient Culturally Responsive Retention Strategies to Emergency Care Teams in Underserved Communities.
PMID:日期:2026-07-01Outpatient settings, including emergency departments, urgent care centers, and primary care clinics in underserved communities, face persistent workforce instability because of high patient volumes, limited resources, and burnout. This qualitative single-site case study explored retention strategies as perceived by Hispanic Generation Z employees working in a rural primary care clinic near the US-Mexico border. Semi-structured interviews were conducted with 12 medical assistants and analyzed using thematic analysis. Four themes influencing retention emerged: feeling appreciated and recognized, psychologically safe workplace relationships, flexibility with opportunities for professional growth, and cultural affirmation and belonging. Although conducted in an outpatient setting, the findings have conceptual relevance to the broader direct patient-care workforce. Results underscore the importance of relational, cultural, and developmental factors often overlooked in retention strategies that emphasize structural or operational solutions. Culturally responsive approaches may enhance workforce well-being, improve team stability, and support sustainable care delivery in underserved communities.
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9. Utilizing the Loop Drainage Procedure to Manage Cutaneous Abscesses: Erratum.
PMID:日期:2026-06-25该文献暂无摘要。
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10. Anisocoria in Focus: A Case of Patient Distress When the Mirror Signals Trouble.
PMID:日期:2026-06-23Anisocoria, characterized by unequal pupil diameters typically ranging from 0.3 mm to over 2.0 mm, represents a clinically significant finding that requires thorough evaluation in the emergency department. This asymmetry may indicate dysfunction of the cranial nerves or iris musculature, thereby providing valuable insight into the integrity of the autonomic nervous system. Although anisocoria may be physiologic or benign, it can also serve as a warning sign of severe neurologic or ophthalmologic pathology, including intracranial hemorrhage, oculomotor nerve palsy, or Horner syndrome. In the absence of overt trauma, the diagnostic process may be complicated by a lack of clear clinical indicators, potentially delaying appropriate intervention. Timely recognition and accurate differentiation between benign and pathologic causes are critical, given the association of anisocoria with high-risk neurologic emergencies, pharmacologic influences, and considerable patient distress. This case report details the presentation of a previously healthy 40-year-old man who arrived at the emergency department with acute-onset anisocoria. It includes a comprehensive review of the underlying pathophysiology, clinical manifestations, diagnostic algorithms, and therapeutic considerations. Particular emphasis is placed on the role of a meticulous history and focused physical examination in guiding prompt and effective clinical decision making.