Evidence and Practice

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Clinical

Comparing the hair apposition technique with traditional closure in scalp lacerations:...

Why you should read this article: • To identify the clinical outcomes for patients with scalp lacerations using the hair apposition technique (HAT) in comparison to the traditional options for wound closure in the emergency department • To recognise that further research is required to support the existing evidence on the use of HAT for scalp lacerations • To be aware that emergency nurses must undertake appropriate education and clinical skills practice before implementation of HAT in their setting This literature review aimed to explore the clinical outcomes for adult and child patients with scalp lacerations using the hair apposition technique (HAT) compared with the traditional options of sutures and staples for wound closure in the emergency department (ED). Although the research is scant, in the studies examined HAT was received positively by patients, had limited complications, was cost-effective and was suitable for use in the age ranges that met the criteria for its application. Further research is required to support the existing evidence, but the use of HAT for low-risk scalp lacerations in the ED should be considered and is within the scope of all healthcare professionals who undertake appropriate practice of this clinical skill.

Diagnostic and treatment dilemmas in well children with petechial rash in the emergency department

Diagnostic and treatment dilemmas in well children with petechial rash in the ED

Tailoring the investigation, treatment and discharge of well children with petechial rash

Pain assessment tools for use with children in acute pain in the emergency department

Pain assessment tools for use with children in acute pain in the emergency department

Triage nurses are required to use an appropriate, validated tool to assess acute pain

Engaging nurses in patient recruitment to research trials in the emergency department

Engaging nurses in patient recruitment to research trials in the emergency department

The challenges of undertaking a feasibility trial in a city centre emergency department

Hypomagnesaemia: diagnosis and management in the emergency department

Hypomagnesaemia: diagnosis and management in the emergency department

Enhance your knowledge of the clinical management of patients with a deficiency in magnesium

Researching nurses’ adherence to patient safety guidelines in emergency departments

Researching nurses’ adherence to patient safety guidelines in emergency departments

Increase your awareness of the Joint Commission International’s six patient safety goals

CPD articles

Ensuring effective intercultural communication in the emergency department

Ensuring effective intercultural communication in the emergency department

This can be achieved by nurses developing cultural knowledge and interpersonal skills

Assessing and managing people with sickle cell disease presenting with vaso-occlusive crisis in the emergency department

Assessing people with sickle cell disease presenting with vaso-occlusive crisis

Understand how to assess and manage patients with vaso-occlusive crisis in the ED

Breaking bad news to patients in the emergency department

Breaking bad news to patients in the emergency department

Preparing autonomous practitioners to break news of serious and new diagnoses

Health promotion in emergency care: rationale, strategies and activities

Health promotion in emergency care: rationale, strategies and activities

Concept of health promotion and its relevance to nurses working in the emergency department

Managing violence and aggression in the emergency department

Managing violence and aggression in the emergency department

Featuring a successful small-scale trial of body-worn cameras at an East London ED

How to get care right for people with learning disabilities in the emergency department

To get care and treatment right it is essential to ‘ask and engage’ people

How to

Reflective discussion

How to improve patient care by learning from mistakes

Mistakes made in healthcare settings and the challenges to staff that arise from them can harm service users, consume time and money, and often receive bad publicity. However, by learning from these mistakes and meeting these challenges, practitioners can improve the quality of the care they provide. This article explores what is meant by mistakes and challenges in the context of health care. It suggests that front line managers are best placed to prevent and learn from mistakes, and thereby improve care for patients.

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