Emergency Nursing at a Glance

Natalie Holbery, Lecturer/Practitioner Emergency Care, St George's University Hospital NHS Foundation Trust, Kingston University and St George's, University of LondonPaul Newcombe, Associate Professor, Kingston University and St George’s, University of London

• Contributors viiPreface viiiAcknowledgements viiiAbout the Companion Website ixPart 1 Initial patient assessment 11 The context of emergency nursing 22 Pre-hospital care 43 Triage 64 The ‘ABCDE’ approach 85 Track and trigger systems 106 Pain 12Part 2 Airway and breathing 157 Airway assessment and management 168 Assessment of breathing 189 Oxygen therapy 2010 Respiratory conditions 22Part 3 Circulation 2511 Assessment of circulation 2612 Circulation interventions 2813 Shock 3014 12-lead electrocardiogram (ECG) 3215 Cardiac arrhythmias 3416 Acute coronary syndromes (ACS) 3617 Heart failure 3818 Advanced life support (ALS) 40Part 4 Disability 4319 Assessment of neurological function 4420 The unconscious patient 4621 Stroke 4822 Seizures 5023 Headache 52Part 5 Emergency presentations and conditions 5524 Abdominal pain 5625 Gastrointestinal bleed 5826 Genitourinary conditions 6027 Acute kidney injury (AKI) 6228 Diabetic emergencies 6429 Obstetrics and gynaecology 66Part 6 Poisoning and overdose 7130 Poisoning: Assessment and management 7231 Poisoning: Prescription and non-prescription drugs 7432 Poisoning: Other substances 7633 Alcohol misuse 78Part 7 Infectious diseases 8134 Infectious diseases 8235 Notifiable diseases 8436 Sexually transmitted infections (STI) 86Part 8 Vulnerable patient groups 8937 Domestic abuse 9038 Sexual assault 9239 The mental health patient in the emergency department (ED) 9440 Risk assessment, self-harm and suicide 9641 Common mental health problems 9842 The patient with dementia 10043 The patient with an intellectual disability 102Part 9 Children in the emergency department 10544 Children in the emergency department (ED) 10645 Safeguarding children 10846 Recognising the sick child 11047 Common illnesses in children 11248 Paediatric advanced life support 114Part 10 Minor injuries and conditions 11749 Minor injuries in children 11850 Lower limb injuries 12051 Upper limb injuries 12252 Wounds 12453 Eye conditions 12654 Ear, nose and throat conditions 128Part 11 Major Trauma 13155 Trauma in context 13256 Primary survey 13457 Head and spinal injury 13658 Chest trauma 13859 Limb injuries 14060 Abdominal and pelvic trauma 14261 Massive haemorrhage 14462 Burns 14663 Trauma: Special circumstances 14864 Trauma in children 15065 Major incident 152Part 12 Patient transfer and end of life care 15566 Patient transfer 15667 End of life care 158Further reading/references 161Index 165

This is an excellent resource for emergency nurses of all levels. It highlights common presentations to the emergency department (ED) from wounds to poisoning to cardiac arrests....It should be mandatory reading for all nurses starting a career in the ED (Nursing Standard- Sept 2016)