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Thank you to those who attended the 2022 American Academy of Emergency Nurse Practitioners’ EmergNP Virtual Conference! Over 200 emergency medicine professionals from across the country gathered online to increase their knowledge, make new connections and learn how to develop patient-centered, efficient, team-based care in the emergency department.
A special thank you to the EmergNP 2022 sponsors who helped make this year’s event possible:
Platinum Sponsors:
Chiesi, USA
DispatchHealth
Silver Sponsors:
Rescue, Expedition & Disaster Medicine (part of SOS Medical Services Ltd)
Rosh Review
TeamHealth
The Laceration Course
For those who were unable to attend, an option to purchase access to conference content will be available on the AAENP learning management system in late summer.
Stay tuned for announcements regarding EmergNP 2023 soon!
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In support of improving patient care, this activity has been planned and implemented by Northwell Health and American Academy of Emergency Nurse Practitioners (AAENP). Northwell Health is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE) and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.
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AENJ/AAENP Journal Club
Quarterly on the second Tuesday of May, August, November and February at 8 PM EST
SAVE THE DATE
August 9th
November 8th
February 14th
Keep an eye out for registration instructions.
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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 https://www.aaenp-natl.org/get-involved
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Spotlight on the EMS SIG
An exciting new opportunity for Emergency Nurse Practitioners is developing at a rapid pace in the field of Emergency Medical Services. Did you know this past year the National Association of EMS Physicians formed an Advanced Practice Provider task force to draft a position statement on the utilization of NPs and PAs working in EMS? There is already a growing number of EMS systems starting to utilize NPs in a variety of clinical and leadership roles. Be on the front lines as AAENP helps shape this emerging role by joining our Pre-hospital/EMS SIG!
The EMS SIG was instrumental in the leadership and authorship of AAENP’s newest position statement – Check Out the Statement regarding the Role of Nurse Practitioners in Emergency Medical Services
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Have you tried ROSH Review ? Here’s a Sample of the content…
A 78-year-old man presents to the emergency department with a right-sided nosebleed for the past hour. He has tried compression and leaning forward without reported success. On exam, his vital signs are normal, and he has visible oozing to Kiesselbach area in the right nare. There does not appear to be a significant amount of blood to the posterior oropharynx. What would be the next step in this patient’s care?
A) Anterior nasal packing
B) Oxymetazoline and compression
C) Posterior nasal packing
D) Topical tranexamic acid
Correct Answer (B)
Explanation:
This patient is presenting with a relatively short-lived, unilateral, anterior epistaxis. Direct compression is required for at least 15 minutes in an attempt at hemostasis, as this area is largely comprised of small, anastomotic arteries. While most patients presenting with uncontrolled epistaxis will report not having success with pressure, the vast majority have not applied pressure for an uninterrupted 15 minutes. The clinician should first apply topical oxymetazoline, followed by compression for a full 15 minutes. This will achieve hemostasis in the majority of patients presenting with an anterior epistaxis and without hypertension.
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Anterior nasal packing (A) should be anticipated if no other hemostatic modalities are successful in controlling this bleed. Posterior nasal packing (C) is not indicated in this patient, as the bleeding area is anterior. Topical tranexamic acid (D) can be used prior to nasal packing if oxymetazoline and compression are not successful.
One Step Further
Question: What additional modality can be attempted if a source of anterior nasal bleeding is visually identified? Answer: Electric or chemical cautery.
Rapid Review
Epistaxis
● Most common source
● Anterior bleeds: Kiesselbach plexus
● Posterior bleeds: sphenopalatine artery
● Treatment
● Anterior bleeding: direct pressure, topical vasoconstriction (oxymetazoline), chemical cautery with silver nitrate (if vessel visualized), packing
● Posterior bleeding: packing (nasal balloon or foley catheter)
● Admit patients with posterior packing to a monitored bed
● Possible complications: septal necrosis (if both sides of septum cauterized), toxic shock syndrome (prolonged packing), infection
References:
- Alter H. Approach to the adult with epistaxis. Post TW, ed. UpToDate. UpToDate Inc. Accessed June 25, 2020.
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Have news to share??? Send any member updates (e.g., completion of degrees, kudos, program updates, etc) to be featured in upcoming newsletters to info@aaenp-natl.org
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