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March 17, 2022

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The 2022 AAENP National Conference, EmergNP, will be held virtually May 5 – 7, 2022. The conference will promote high quality, evidence-based practice for nurse practitioners providing emergency care and those on their interdisciplinary team. Don’t miss this unique opportunity to collaborate and learn with your peers!

The full conference agenda will be shared soon, but you can expect two full days of education on Thursday and Friday of the event, plus a morning of procedural sessions on Saturday, May 7, 2022.

Conference topics will include: Resiliency in Emergency Medicine | Complex Laceration Repair | Social Resources Protocol | Pediatric Respiratory Emergencies | ENP Fellowships | LGBTQI Care | The RAST-NP Pilot | Sepsis Updates | Peripheral Nerve Blocks | and much more.

A special thank you to those who responded to the EmergNP 2022 call for content and submitted an abstract. We had an exceptionally large number of quality submissions - more than we could accommodate for this year’s conference! Continue to be engaged, respond to future calls for content, and grow the ENP profession.

See you at EmergNP 2022!   


AAENP Wellness Survey

AAENP is exploring member needs related to stress and burnout so that appropriate meaningful resources may be made available to our members. Please participate in this 2 minute AAENP Membership Wellbeing Survey to guide future resource development.  


Congratulations to AAENP members who have assumed new roles with our organizational journal, Advanced Emergency Nursing Journal.

AAENP President Wesley Davis, DNP, ENP-C, FNP-C, AGACNP-BC, CEN, FAANP, FAEN and AAENP Member Nicole Martinez, PhD, RN, FNP-BC, ENP-C, PHN have been named inaugural AENJ Associate Editors.   


Additionally, Pedro Colio, PhD(c), DNP, ENP-C, FNP-C, has been appointed as the new ECG Column Editor and Southeastern Regional Director Michael D. Gooch, DNP, APRN, CCP, ACNP-BC, FNP-BC, ENP-C has agreed to serve as the new Dermatology Dilemmas Column Editor.   


Also note that AENJ will soon be launching a journal club – stay tuned for more details! As AAENP members, you have free access to the journal and journal club! These podcasts promise to offer lively discussion on current topics which promote research and scholarship, and will be moderated by the new Associate Editors. One hour of continuing education will be awarded from AENJ. Be watching for the First Podcast in May 2022!

The Importance of Sleep during a Public Health Emergency

Public health recommendations meant to control virus transmission and decrease one's risk of infection during the COVID-19 pandemic include wearing masks, getting tested, practicing hand hygiene...

Get Involved

Looking for a way to get involved at AAENP? State Representatives are needed for the following states: Alaska, Connecticut, Delaware, Maine, Minnesota, Mississippi, Montana, Nevada, New Jersey, North Dakota, Rhode Island, South Carolina, & Washington D.C.  If interested, please apply through the AAENP website at



EM Wellness Week is April 3-9! During the month of March and into the first week of April, AAENP encourages posting on social media a picture of yourself engaging in activities which support your overall well-being and resilience.

Please include #AAENP on your social media posting, along with any strategies or comments you want to share.  

Emergency Medicine Nurse Practitioner and Physician Assistant Burnout, Perceived Stress, and Utilization of Wellness Resources during 2020 in a Large Urban Medical Center

The objectives of this study were to measure perceived stress, burnout, and utilization and perceived benefit of wellness practices among emergency medicine (EM) nurse practitioners (NPs) and physician assistants...

Emotional PPE

As a reminder, free access to mental health providers in your area may be found at


Clinical Pearl: Using thiazides with loop diuretics for improved diuresis in hypervolemia Benjamin Woodard, DNP, ENP-C, FNP-C, FAWM

The Problem -Here comes that readmission…that 68 year old gentleman with CHF who is back in your ED after Octoberfest, and for some reason, it is getting harder and harder to treat him! He has had a 10 kg weight gain since his last visit with his PCP, is in clear respiratory distress and has a O2sat of 85%. What now? Have you had the challenge of treating a hypervolemic CHF patient who takes heroic doses of diuretics that clearly aren’t working?

In addition to tools like BiPap, our goals in initial management often focus on the imperative of reducing intravascular and extravascular volume. However, among “loop tolerant” patients, medications like furosemide, torsemide, and bumetanide may have limited utility. Diuretic tolerance is thought to stem from rebound sodium retention, which can lead to distal nephron sodium reabsorption, and hypertrophy and hyperfunction of the distal tubule cells, resulting in in increased sodium reabsorption (Jentzer, Dewald & Hernandez, 2010).

While long-term management goals include achieving euvolemia, preventing cardiac remodeling, blood pressure control, and preservation of renal function, the emergently hypervolemic and hypoxic patient requires rapid diuresis and careful monitoring.

A Solution - One innovative way to achieve this in loop-tolerant patients is administering a thiazide, such as chlorothiazide 500 mg IV or metolazone, before administration of a loop diuretic. This closes the sodium channels in the distal convoluted tubule, which prevents reabsorption as the loop is causing inhibition of sodium and potassium reabsorption in the loop of Henle. This can result in a dramatically increased natriuresis and increase in urine output.     

Discussion - Given that the mechanism involves output of potassium and sodium, the ED clinician needs to anticipate hyponatremia and hypokalemia and should proactively consider repletion.

Likewise, given the speed of volume loss, relative hypotension should be considered and these patients should be monitored. Data on long term implications of renal function to date suggest a possible impact on short term renal function, for which hospitalized patients should be carefully monitored (Kissling & Pickworth, 2014).


Jentzer, J. C., DeWald, T. A., & Hernandez, A. F. (2010). Combination of loop diuretics with thiazide-type diuretics in heart failure. Journal of the American College of Cardiology, 56(19), 1527–1534. 

Kissling, K. T., & Pickworth, K. K. (2014). Comparison of the effects of combination diuretic therapy with oral hydrochlorothiazide or intravenous chlorothiazide in patients receiving intravenous furosemide therapy for the treatment of heart failure. Pharmacotherapy, 34(8), 882–887. 

Fliser, D., Schröter, M., Neubeck, M., & Ritz, E. (1994). Coadministration of thiazides increases the efficacy of loop diuretics even in patients with advanced renal failure. Kidney international, 46(2), 482–488.

Shah, N., Madanieh, R., Alkan, M., Dogar, M. U., Kosmas, C. E., & Vittorio, T. J. (2017). A perspective on diuretic resistance in chronic congestive heart failure. Therapeutic advances in cardiovascular disease, 11(10), 271–278.   


Have news to share??? Send any member updates (e.g., completion of degrees, kudos, program updates, etc) to be featured in upcoming newsletters to    


ICYMI – AAENP welcomed two new Board members for a term which began this year

Dr. April Turner Hill, DNP, FNP-C, ENP-C received her Doctor of Nursing Practice degree from Arizona State University in Phoenix, Arizona following a Master of Science in Nursing (Family/Emergency Nurse Practitioner) from Emory University in Atlanta, Georgia. She has nearly 20 years of emergency care experience.

April’s passion for the role of the emergency nurse practitioner inspired her development of the first Emergency Nurse Practitioner program in the state of Arizona at Arizona State University. She is a Clinical Instructor and Specialty Coordinator of the Emergency Nurse Practitioner program at ASU. In addition, she maintains a clinical practice within local Emergency Departments.

Dr. Hill is actively involved in advancing ENP practice and was a content expert for the first ENP board certification with American Nurses Credentialing Center. She serves on several boards within the American Academy of Emergency Nurse Practitioners and is the AAENP Arizona state representative.
Cindy Kumar, MSN, ENP-C, FNP-BC, AGACNP-BC has over 20 years of healthcare experience which covers the lifespan and includes intermediate care, urgent care, emergency department and trauma nursing. Cindy received her Master of Science of Nursing from Vanderbilt University’s Emergency Nurse Practitioner (ENP) Program. Ms. Kumar is a triple board-certified Family, Adult-Gerontology Acute Care and Emergency Nurse Practitioner. She currently is a full-time clinician in a Level II trauma center in Austin, Texas.

Cindy is also a member of the American Academy of Emergency Nurse Practitioners’ Validation Committee. She is an item writer for the Emergency Nurse Practitioner certification exam with the American Academy of Nurse Practitioners Certification Board (AANPCB). Cindy is interested in the standardizing of the ENP education process. She is also driven to see that Emergency Nurse Practitioners are utilizing up-to-date guidelines, evidence-based practices and appropriate skill sets to increase access to emergency care while practicing to the fullest extent of their licensure and education.

The AAENP Career Center: Connecting Talent With Opportunity
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