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American Journal of Nursing January 2012 Robert Allan Davis	The Big Chill: Accidental Hypothermia A potential cause of such emergent issues as cardiac arrhythmias, hypotension, and fluid and electrolyte shifts, accidental hypothermia can be deadly, is common among trauma patients, and is often difficult to recognize.
Nursing October 2010 Jeff Strickler	Traumatic hypovolemic shock: Halt the downward spiral This article discusses the causes, treatments, and nursing care for patients with traumatic hypovolemic shock.
American Family Physician December 15, 2004 McCullough & Arora	Diagnosis and Treatment of Hypothermia Although hypothermia is most common in patients who are exposed to a cold environment, it can develop secondary to toxin exposure, metabolic derangements, infections, and dysfunction of the central nervous and endocrine systems.
Nursing March 2011 Ali & Gray-Vickrey	Limiting the Damage From Acute Kidney Injury This article will discuss your role in early detection and management of AKI with an emphasis on care for older adults.
Nursing April 2010 Powers & Burchell	Sepsis alert: Avoiding the shock Early recognition of sepsis and early goal-directed therapy can sometimes halt the progression of sepsis to severe sepsis and septic shock. Rapid response and aggressive care can improve patient outcomes in a critical situation.
Nursing May 2012 Fay Mitchell-Brown	Malignant hyperthermia: Turn down the heat An inherited disorder, malignant hyperthermia is a life-threatening reaction to certain common inhalational anesthetic agents or the depolarizing skeletal muscle relaxant succinylcholine in susceptible people.
American Journal of Nursing July 2008 Kiekkas et al.	Physical Antipyresis in Critically Ill Adults Nurses use a variety of methods to cool critically ill patients, even though there are no guidelines for the treatment of temperature elevation in this population.
Nursing May 2008 Dawn M. Christensen	Extreme Heart Makeover: Understanding Mechanical Circulatory Support Learn about ventricular assist devices and total artificial hearts and how they affect patient care.
Nursing June 2010 Linda Laskowski-Jones	Summer emergencies: Can you take the heat? This article will review the most common summertime hazards, describe frontline emergency care interventions, and advise commonsense prevention strategies.
Nursing October 2009 John J. Gallagher	Taking aim at ARDS Among many complications that threaten a critically ill patient is a potentially fatal syndrome of lung inflammation and injury: acute respiratory distress syndrome.
Nursing March 2009 Mary G. McKinley	Recognizing and Responding to Acute Liver Failure By quickly recognizing the signs and symptoms of acute liver failure, you can help your patient improve his odds of surviving this often-deadly condition.
Nursing March 2011 Mink & Miller	Stroke, Part 2: Respond aggressively to hemorrhagic stroke Patients may arrive at the hospital any time from minutes to days after a hemorrhagic stroke, and nurses need to be prepared for the unique challenges associated with their care.
American Journal of Nursing November 2011 Christine L. Cutugno	The 'Graying' of Trauma Care: Addressing Traumatic Injury in Older Adults Evidence-based strategies for managing trauma and its complications in this population.
Nursing May 2008 Yantis & Velander	How to Recognize and Respond to Refeeding Syndrome If your patient is malnourished, you need to assess her carefully before she restarts nutrition by any route to avoid potentially lethal consequences.
American Family Physician June 1, 2005 James L. Glazer	Management of Heatstroke and Heat Exhaustion Heat exhaustion and heatstroke are part of a continuum of heat-related illness. Both are common and preventable conditions affecting diverse patients.
American Journal of Nursing May 2009 Kristen J. Overbaugh	Acute Coronary Syndrome Coronary artery disease, in which atherosclerotic plaque builds up inside the coronary arteries and restricts the flow of blood (and therefore the delivery of oxygen) to the heart, continues to be the number-one killer of Americans.
Nursing November 2011 Jeanne Held-Warmkessel	Taming Three High-Risk Chemotherapy Complications A review of three common chemotherapy-associated complications that can be serious enough to require hospitalization: febrile neutropenia, chemotherapy-related nephrotoxicity, and chemotherapy-related enterotoxicity.
Nursing March 2009 Kate J. Morse	Focusing on the Surgical Patient with Cardiac Problems Learn about the latest guidelines for assessing cardiac risk and protecting his heart during noncardiac surgery.
American Family Physician June 1, 2002 Randell K. Wexler	Evaluation and Treatment of Heat-Related Illnesses Although athletes are commonly thought to be most at risk for heat illnesses, children and the elderly are particularly vulnerable. It is important to be vigilant for heat illnesses because they occur insidiously but progress rapidly.
Nursing September 2009 AnneMarie Palatnik	Too fast, too slow, too ugly: Dysrhythmias that every nurse should recognize Learn how to recognize an abnormal cardiac rhythm and intervene appropriately.
Nursing April 2010 Michelle D. Smeltzer	Making a point about open fractures This article describes fractures, explains the difference between open and closed fractures, and tells how to care for a patient who's had an open fracture.
Nursing January 2010 Susan Simmons	Guillain-Barre syndrome: A nursing nightmare that usually ends well GBS is the leading cause of acute flaccid paralysis; its most common presentation is characterized by ascending, symmetric paralysis that usually affects the cranial nerves and the autonomic nervous system.
American Journal of Nursing June 2007 Baugh et al.	Wounds in Surgical Patients Who Are Obese Surgery, whether bariatric or not, puts this population at risk. Review the basics of prevention and care.
Nursing September 2010 Donna Nayduch	Back to basics: Identifying and managing acute spinal cord injury Spinal cord injuries involve damage to the neurons of the spinal cord. They're often devastating because they're associated with life-threatening complications and loss of functional independence.
American Family Physician July 15, 2000 Mitchell S. King	Preoperative Evaluation The purpose of a preoperative evaluation is not to "clear" patients for elective surgery, but rather to evaluate and, if necessary, implement measures to prepare higher risk patients for surgery...
Nursing October 2008 Mary Sieggreen	Understanding Critical Limb Ischemia Find out how to halt this progression of peripheral arterial disease before it jeopardizes life and limb.
Nursing February 2010 Jeanne Held-Warmkessel	How to prevent and manage Tumor lysis syndrome Potentially fatal, tumor lysis syndrome is a metabolic disturbance caused by the death of cancer cells during cancer treatment and the release of their intracellular components into the bloodstream.
Nursing Management May 2011 Kirsten Drake	SCIP core measures: Deep impact In August 2005, the SIP project grew to become a multiyear, national quality partnership of organizations called the Surgical Care Improvement Project, or SCIP, with the goal of decreasing surgical complication by 25% by 2010.
Nursing Management February 2010 Chuck Fort	So good it's unreal: The value of simulation education The advantages of simulation in healthcare education are many.
Nursing December 2010 Teresa E. Hills	Determining brain death: A review of evidence-based guidelines No true standardization of brain death criteria is accepted nationwide, and procedures and protocols vary significantly among facilities.
Nursing August 2010 Tracy E. Green	Pediatric burns: Initial response, lasting effects Pediatric burns are the third leading cause of injury-related deaths of children age 9 and younger.
Nursing February 2012 Pezzotti & Freuler	Using anticoagulants to steer clear of clots This article will review coagulation and provide important information about several commonly used anticoagulants and their reversal agents.
Nursing May 2010 Debra Castner	Understanding the stages of chronic kidney disease This article will help you to recognize CKD and understand its stages so you can help your patient to modify risk factors, prevent further kidney damage, and manage complications. First, consider the scope of the problem.
Nursing January 2012 Crawford & Harris	Fluid and Electrolyte Series Balancing act Calcium & phosphorus In this article, we review the roles of calcium and phosphorus, including assessment points and nursing considerations for patients experiencing imbalances of these important electrolytes.
Nursing April 2009 Pruitt & Lawson	What You Need to Know About Venous Thromboembolism Do you know how to recognize and respond to this potentially life-threatening emergency?
American Family Physician May 1, 2005 David E. Trachtenbarg	Diabetic Ketoacidosis Initial evaluation of patients with DKA includes diagnosis and treatment of precipitating factors. Education to prevent recurrence should be offered to all patients, including how to manage sick days and when to call a physician.
Nursing December 2009 Vincent M. Vacca	On the Alert for Pulmonary Arterial Hypertension Progressive and ultimately fatal, pulmonary arterial hypertension is a disease of the pulmonary arterial vasculature with no known cause.
American Family Physician October 15, 2005 Miller & Kruse	Evaluation of Syncope Though relatively common, syncope is a complex presenting symptom defined by a transient loss of consciousness, usually accompanied by falling, and with spontaneous recovery. Syncope must be carefully differentiated from other conditions that may cause a loss of consciousness or falling.
Nursing October 2005 Susan Simmons Holcomb	Detecting Thyroid Disease Thyroid dysfunction can mimic signs and symptoms of aging. Find out how to recognize problems early, then learn about treatment and ways to manage symptoms.
American Family Physician October 15, 2002 Mahesh Krishnan	Preoperative Care of Patients with Kidney Disease Preoperative attention to common medical problems that occur in patients with impaired renal function can lower some surgical risks.
Nursing November 2009 Christine Kessler	Glycemic control in the hospital: How tight should it be? Based on recent studies, the answer to that question remains controversial. This article will explore this issue and present current best practices for caring for a patient in the hospital who has diabetes or hyperglycemia.
Nursing August 2010 Bartley & Shiflett	Handle older trauma patients with care Your comprehensive understanding of how age-related changes can affect outcomes during and after trauma will help your patients recover to the fullest extent possible.
Nurse Practitioner July 2008 Lynn A. Kelso	Cirrhosis: Caring for Patients with End-stage Liver Failure Caring for patients with end-stage liver disease can be very challenging for NPs.
American Journal of Nursing November 2009	Trauma in Pregnancy A description of the mechanisms of traumatic injury during pregnancy includes a discussion of the normal changes of pregnancy and their implications in the care of pregnant trauma patients, and offers strategies for assessment and treatment.
American Family Physician March 1, 2007 Flood & Fleisher	Preparation of the Cardiac Patient for Noncardiac Surgery Perioperative myocardial infarction (MI) is a major cause of morbidity and mortality in patients who have noncardiac surgery.
American Journal of Nursing May 2012 Benson et al.	Original Research: The Effects of Active Warming on Patient Temperature and Pain After Total Knee Arthroplasty Total knee arthroplasty is a procedure with associated risks of inadvertent perioperative hypothermia and significant postoperative pain. Hypothermia may affect patients' experience of postoperative pain, although the link is not well understood.
American Family Physician April 1, 2004 Nina Solenski	Transient Ischemic Attacks: Part I. Diagnosis and Evaluation Transient ischemic attack (TIA) is no longer considered a benign event but, rather, a critical harbinger of impending stroke.
Nursing September 1, 2007 Mary Unruh Fagley	Taking Charge of Seizure Activity Learn what happens during a seizure when the brain's electric signals go awry and how you can help someone plagued by the disturbing effects.
American Journal of Nursing January 2010	Life-Support Interventions at the End of Life: Unintended Consequences Nurses need to be knowledgeable life-support interventions at the end of life and able to communicate what they know about those consequences to patients, family members, and others on the health care team, leading to better decision making at this difficult time.
Nursing June 2010 Daniel A. Hussar	New drugs 2010, part 2 In this article, you'll learn about 14 recently marketed new drugs.