Critical Care

New microscopy technique can be used to study the progression of wound healing

A new microscope developed by researchers at the DSK Center for Optical Molecular Imaging has the ability to track collagen that helps in wound healing and can visualize blood vessel distribution around the wound. The...

Myocarditis

Early recognition may help save a life. Takeaways: Nurses should have a high suspicion for serious illness such as myocarditis in pediatric patients who present with respiratory distress that fails to respond to standard treatment. ...

Reducing hemolysis rates

An emergency department’s quality improvement project aims to reduce errors and improve care. Takeaways: Rates of hemolysis decrease with the implementation of proper blood draw procedures. Using venipuncture for blood draws reduces medical errors and...

A COVID-19 story

There was little information about COVID-19 when the pandemic began, but one important piece of information we did have was that the virus was not causing children to become critically ill. This particular fact...

Opioid-induced respiratory depression

Be prepared and know the risks. Takeaways: Risk factors for opioid-induced respiratory depression include impaired rental clearance, high opioid tolerance, and sleep apnea history. Tools for assessing patient sedation levels include Richmond Agitation-Sedation Scale and...

Unplanned Extubation: Eliminating preventable deaths

Know the risk factors and take steps to prevent harm. Takeaways: Unplanned extubations (UEs) can be reduced through the implementation of standardization of best practices, policies and procedures for institution-wide reliability for airway management safety. ...
nurse teamwork at work

Strategies for improving the nurse work environment during the COVID-19 pandemic

I will never forget the first time I called a code blue for a patient under my direct care as a critical care nurse in an adult medical-surgical ICU over a decade ago. I remember...
Rapid response

Rhabdomyolysis

Quick symptom recognition is key. Takeaways: Rhabdomyolysis is a complex medical condition caused by direct trauma, physical exertion, illness, infection, sepsis, congenital or metabolic abnormalities, prolonged seizures, or drugs. It manifests from rapid destruction of...
sharps

Sharps injury prevention

A look at safety 20 years after legislation passes. The year 2020 gives nurses the opportunity to reflect on past successes and opportunities so that we can best plan where to focus efforts ahead. A...
mydocardial infarction

Recognizing and Managing Complications of Acute Myocardial Infarction

Please visit the ANA's website to take the CE: https://www.nursingworld.org/continuing-education/recognizing-and-managing-complications-of-acute-my/ Good outcomes require early identification and prompt treatment. Takeaways: Early reperfusion and medical therapy have drastically reduced acute myocardial infarction complications. Despite advanced therapies, complications continue...

Rapid Response: Supraventricular tachycardia

A quick response ensures good outcome. Takeaways: Supraventricular tachycardia is a broad term describing a fast regular rhythm originating above the atrioventricular (AV) node. A narrow complex and regular rhythm would suggest AV nodal reentrant...

Study fails to show benefit of adding vitamin C to treatment of septic shock

A study recently published in the Journal of the American Medial Association aimed to examine if a treatment combination of vitamin C, hydrocortisone, and thiamine would lead to a “rapid resolution of septic shock”...

Promoting safe use of parenteral anticoagulants

Nurses can take the lead in preventing harm related to heparin administration. Takeaways Parenteral anticoagulants require appropriate patient teaching to enhance adherence to medication administration. Use of unfractionated heparin/low-molecular weight heparins prevent adverse effects from...