While the specific target organ that is affected may dictate some specifics of treatment, rapid lowering of blood pressure is the mainstay of therapy for hypertensive emergencies. The goal would be to lower the mean arterial pressure by 20% to 25% within the first 1 to 2 hours. Several agents can be used, but the unifying characteristics are that they are rapidly acting and easily titratable. For this reason, oral medications, such as clonidine and nifedipine, play no role in the immediate management of a hypertensive emergency. Intravenous vasoactive drips such as labetalol, esmolol, nicardipine, and nitroglycerin are typically effective options.[5][8]
Preeclampsia is a particularly troubling and difficult to manage hypertensive emergency since there are two patients to consider. The first-line therapy is magnesium sulfate, administered as a 4 g to 6 g loading dose followed by 1 g to 2 g/hour infusion. Care must be taken to monitor urine output, deep tendon reflexes, and respiratory status. If further antihypertensives are needed, beta-blockers can be used, but only to treat SBP higher than 160 mmHg. Hydralazine was once touted as the preferred agent in pregnant patients; however, its delayed onset of action, prolonged duration, and unpredictable hypotensive effects make it a less than ideal choice. Regardless of the agent, the patient is likely to need close monitoring in a critical care setting.
Since the first edition of Textbook of Adult Emergency Medicine was published twenty years ago, there has been enormous change in the way emergency care is delivered. This has occurred both in countries where emergency medicine was originally developed and in those where its application was limited because of cost. Emergency medicine is now perceived as the cornerstone of response to acute illness regardless of resources.
"This is an excellent evidence based textbook suitable for exam preparation or for reference, which takes you through the complete management of all emergency medicine conditions. I would strongly recommend it to all emergency medicine trainees."
Associate Clinical Professor and Doctor of Nursing Practice (DNP) Program Director Nicole Martinez has published a textbook chapter in the first edition of Emergency Nurse Practitioner Core Curriculum.
Manual: The manual provides fundamental pediatric emergency nursing content with expanded information including dermatologic and environmental emergencies, human trafficking, food allergies and more. A valuable resource for future reference!
I wanted to be prepared and start reading and learning about things pertaining to the ED. I've done research on this site, and a lot of people recommended the Sheehy's manual of emergency care and Sheehy's Emergency nursing: Principles and Practice.[h=1][/h]What are the differences between the two books? Which one should I get ?! What content does each book contain ?! (finicially I want to get one first that will help me become a better more knowledgeable ED nurse)
I would suggest the Manual of Emergency Care. It's a summarized approach to assessing and treating the various derangements that present to the ED whereas the other is a textbook more suitable to a class in nursing school.
Nursing is a complicated profession, and nurses must master both technical and human aspects of healthcare. Mostly written by or for nurses, the books in this list feature historical insights, advice on getting through nursing school and the first year of nursing, inspiring and uplifting stories from nurses, thought-provoking ethical explorations, and quick reference tools.
Florence Nightingale is credited with inventing modern nursing, training nurses as healthcare professionals, proving the importance of sanitation and fresh air, and advocating for nursing as a vital profession. Dr. Jenna Liphart Rhoads describes Nightingale's book, the profession's first body of knowledge, as "a must-read for any nurse who wishes to truly understand the passion of Florence Nightingale."
The first year at any profession presents challenges and opportunities. This book is full of insights into choosing a specialty, working as part of a healthcare team, and avoiding burnout. Rhoads recommends it as "a great read for nursing students or new nurses to help get past some of the stumbling blocks that nurses experience early in their practice."
Initial Course
The Emergency Medical Responder is the first medically trained person to arrive on the scene of an emergency. The initial care given by an EMR is essential because it usually is available sooner than advanced emergency care. This 44-hour hour course will teach you the basics of good patient care & the skills you need to deliver appropriate care to the victim of an accident or sudden illness until advanced trained personnel arrive. You will learn how to examine patients and learn basic emergency medical skills for both trauma patients & patients suffering from serious medical problems. This course is designed to follow the standards set forth by the Minnesota EMS Regulatory Board and the National Education Standards. BLS certification is part of this course. Successful completion of this class will certify you as an EMR in the state.
Refresher Course
16 hours of education, which includes a BLS update. Proof of current EMR certification is necessary. Course books are available but are not mandatory.
Register Online
ENPC, the premier evidence-based emergency nursing pediatric education course, developed by pediatric emergency nurses, provides a standardized body of pediatric emergency nursing knowledge to improve the care of pediatric patients. It provides early intervention and expert care for patients from birth to adolescence.
ENPC uses a systematic approach to the initial assessment with the Pediatric Assessment Triangle and A-I mnemonic tools. This two-day hands-on intensive course combines classroom learning with interactive scenarios.
Verification of successful course completion is based on passing both the written exam and skill-based hands-on assessment.
Register Online
Simmons Direct Textbooks is a new course material model that lowers the cost of materials for students and ensures students have access to all their required textbooks and courseware on or before the first day of class. Through this new program, physical books will be conveniently packaged and provided to students on a rental basis, and digital materials will be delivered directly within moodle.simmons.edu. Costs, at a rate of $22/per credit, will be included as a charge on your student billing statement. At the end of the term, students will receive email reminders to return their textbooks and courseware to the bookstore.
Dr. Tintinalli is currently a professor and Chair Emeritus of Emergency Medicine at the University of North Carolina. In addition to teaching in the emergency medicine department, she is an adjunct professor at the UNC Gillings School of Global Public, and a frequent lecturer in the School of Journalism and Mass Communication. Dr. Tintinalli is double boarded in emergency medicine and internal medicine. She was the founder and first president of the Council of Emergency Medicine Residency Directors. She is a former president of ABEM as well as the Association of Academic Chairs in Emergency Medicine. She is a past winner of ACEP's James Mills award as well as ACEP's National Education Award. And of course, she is the Editor-in-Chief of 7 editions of her eponymous textbook, which is arguably the best-known EM text in the world.
Recognizing the need for a course in pediatric emergency nursing, the Emergency Nurses Association developed the Emergency Nursing Pediatric Course (ENPC). Designed with the belief that knowledge and preparation are the core of any discipline, ENPC was developed to educate nurses on caring for acutely ill and injured children.
The course teaches participants to recognize the ill or injured child and identify significant, yet subtle changes in the less acute child. Additionally, the course teaches all aspects of pediatric emergency nursing, including, but not limited to pediatric trauma or resuscitation. The ultimate goal of the course is to improve the care of the pediatric patient by increasing the knowledge, skill, and confidence of emergency nurses.
ENPC is the first course of it's kind offered on an international level, and is the only pediatric emergency nursing course written by pediatric nurse experts. It is also the only course that carries the endorsement of a major nursing specialty organization with the purpose of providing a consistent and standardized knowledge base and approach among nurses caring for the pediatric patient.
ENA's Emergency Nursing Pediatric Course provides participants the opportunity to strengthen and develop their pediatric emergency nursing skills while expanding their personal growth by collaborating with nurses from a variety of practice settings.
Unlike most textbooks or certification review books.... this entertaining and informative review book is written in the "way we really think and talk in the Emergency Department" It includes over 1200 questions, and nearly 800 pages of easy to read and remember material. Written by the author of the first available CPEN review book Scott DeBoer, RN, MSN, CPEN, CEN, CFRN.
The 4th Edition (released January 2021) of this innovative review book is designed to reflect the updated Board of Certification for Emergency Nursing (BCEN) content outline for the Certified Pediatric Emergency Nurse (CPEN) examination. It will make the review of essential aspects of pediatric emergency nursing much simpler by offering multiple choice questions broken down into 12 chapters with easy to remember rationales. This engaging and informative review book offers a step-by-step approach to pediatric emergencies and is designed to review essential material for individuals preparing to take and pass the CPEN Exam.
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