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It seems like a no-brainer: When ED nurses perform procedural sedation, patients get pain relief quicker. However, several organizations, including the American Society of Anesthesiologists and the American Association of Nurse Anesthetists, have approached state nursing regulators looking to put a stop to this practice.
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A 30-year-old man complained of chest pain to ED nurses at Cleveland Clinic and reported no history of cardiac disease or hypertension, but he said he was a current smoker.
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Shortness of breath is a common complaint in the ED, but often is misdiagnosed, according to a new study of 592 patients.1 For 185 patients, there was clinical indecision as to the correct diagnosis, and 103 of this group had acutely destabilized heart failure.
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A patient complaining of shortness of breath may "look good," but the history and pulse oximetry reading may tell a different story, warns Angela Westergard, RN, manager of emergency services at Mercy Medical Center in Oshkosh, WI.
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A Hispanic 13-year old girl with abdominal pain is accompanied by her father, who offers to act as a translator. An Asian woman says she has severe pain, but her facial expression and body language appear calm and serene. An African-American woman is experiencing pressure across her chest, but only tells you that she has a feeling of dread.
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SAN FRANCISCO "It's not buying a car it's the driving that makes the difference."
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ALEXANDRIA, Virginia Cartoonist and author Scott Adams of "Dilbert" fame is credited with having said that some of the "nutty methods" for predicting the future include reading tarot cards and tea leaves. Or, "you can put well-researched facts into sophisticated computer models more commonly referred to as 'a complete waste of time."
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Don't put all your eggs in one basket or so the saying goes.
