by Kevin McFarlane RN & Dr. Lisa Wolf
HNTKYP is a series that address symptomatic presentation and how to move to a working diagnosis and plan for patient care. Kevin McFarlane and Lisa Wolf cover red flags, cognitive pitfalls, and ways to make sure your patients survive their encounter with the health system.
Language
🇺🇲
Publishing Since
2/27/2022
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Phone Numbers
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April 18, 2025
<p class="MsoNormal">Measles: It’s Back, It’s Contagious, and You Probably Haven’t Seen It Before</p> <p class="" data-start="117" data-end="481">In this episode, Kevin and Dr. Lisa Wolf dig into the return of a disease we thought had been eradicated in 2000. In case you missed it—we're in the middle of a national measles outbreak, and chances are high you've never actually seen a real case. Measles is back, and we need to be on high alert, as it remains one of the most contagious diseases in the world.</p> <p class="" data-start="483" data-end="846">What happens when a patient with a suspicious rash sits in your waiting room for hours? How long does measles hang in the air? (Spoiler: it’s longer than you think.) From triage missteps to public health policies, this episode walks through how to identify, isolate, and respond to highly contagious diseases—especially when you've never seen them in real life.</p> <p class="" data-start="848" data-end="978">We also bust the autism myth (again), talk about vaccine hesitancy, and explore what your ED should be doing to prepare right now.</p> <h3 class="" data-start="179" data-end="207"><strong data-start= "186" data-end="207">Measles Resources</strong></h3> <p class="" data-start="209" data-end="401">Centers for Disease Control and Prevention. (2023, September 6). Measles signs and symptoms. U.S. Department of Health & Human Services. https://www.cdc.gov/measles/signs-symptoms/index.html</p> <p class="" data-start="403" data-end="587">Centers for Disease Control and Prevention. (2023, September 6). Photos of measles. U.S. Department of Health & Human Services. <a href= "https://www.cdc.gov/measles/signs-symptoms/photos.html">https://www.cdc.gov/measles/signs-symptoms/photos.html</a></p> <p class="" data-start="403" data-end="587">Child Vaccination Schedule</p> <p class="p1"><a href= "https://www.cdc.gov/vaccines/hcp/imz-schedules/child-adolescent-age.html"> https://www.cdc.gov/vaccines/hcp/imz-schedules/child-adolescent-age.html</a></p> <hr class="" data-start="589" data-end="592" /> <h3 class="" data-start="594" data-end="628"><strong data-start= "601" data-end="628">Vaccinations and Autism</strong></h3> <p class="" data-start="630" data-end="824">Eggertson, L. (2010). Lancet retracts 12-year-old article linking autism to MMR vaccines. CMAJ: Canadian Medical Association Journal, 182(4), E199–E200. https://doi.org/10.1503/cmaj.109-3179</p> <p class="" data-start="826" data-end="1042">Hviid, A., Hansen, J. V., Frisch, M., & Melbye, M. (2019). Measles, mumps, rubella vaccination and autism: A nationwide cohort study. Annals of Internal Medicine, 170(8), 513–520. https://doi.org/10.7326/M18-2101</p> <p class="" data-start="1044" data-end="1173">Tanne, J. H. (2002). MMR vaccine is not linked with autism, says Danish study. BMJ: British Medical Journal, 325(7373), 1134.</p> <hr class="" data-start="1175" data-end="1178" /> <h3 class="" data-start="1180" data-end="1219"><strong data-start= "1187" data-end="1219">Immune Memory Loss & Measles</strong></h3> <p class="" data-start="1221" data-end="1433">Cohen, J. (2019, May 1). How measles causes the body to ‘forget’ past infections by other microbes. Science. https://www.science.org/content/article/how-measles-causes-body-forget-past-infections-other-microbes</p>
March 26, 2025
<p class="MsoNormal">In this episode, Kevin and Dr. Wolf delve into a critical but often underestimated condition: alcohol withdrawal syndrome (AWS). They challenge the assumptions and biases emergency nurses may bring to patient care, particularly in identifying withdrawal symptoms in individuals who don’t fit the "typical" profile.</p> <p class="MsoNormal">The discussion emphasizes the importance of early recognition, exploring how biases can cloud clinical judgment and hinder effective decision-making. Kevin and Dr. Wolf also provide essential insights into screening, scoring, and treating AWS, equipping emergency nurses with the knowledge needed to improve patient outcomes for this potentially life-threatening condition.</p> <p class="MsoNormal">MD Calc CIWA -AR<br /> <a href= "https://www.mdcalc.com/calc/1736/ciwa-ar-alcohol-withdrawal">https://www.mdcalc.com/calc/1736/ciwa-ar-alcohol-withdrawal</a></p> <p class="MsoNormal">Prediction of Alcohol Withdrawal Severity Scale<br /> <a href= "https://www.mdcalc.com/calc/10102/prediction-alcohol-withdrawal-severity-scale#pearls-pitfalls"> https://www.mdcalc.com/calc/10102/prediction-alcohol-withdrawal-severity-scale#pearls-pitfalls</a> </p> <p>Follow us on:</p> <p> Facebook: https://www.facebook.com/Art-of-Emergency-Nursing-276898616569046/</p> <p> YouTube: https://www.youtube.com/channel/UCJTnz4phtCTjojTIDJo2afA?view_as=subscriber</p> <p>Twitter: @AoenPodcast</p> <p> Instagram: https://www.instagram.com/artofemergencynursing/</p> <p>To support the show:</p> <ul> <li>Leave an honest review on iTunes. Your ratings and reviews greatly contribute to the success of the podcast, and I appreciate each and every one of them.</li> <li>Subscribe on Apple Podcasts, Google Podcasts, or your preferred podcast platform to never miss an episode.</li> </ul> <p>Thank you for being a part of our AOEN community!</p>
February 13, 2025
<p class="MsoNormal" style= "mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; line-height: normal;"> <span style= "font-family: 'Times New Roman', serif; font-size: 12pt;">In this episode, Kevin and Dr. Wolf dive deep into the critical role that leadership plays in communicating change.<span style= "mso-spacerun: yes;"> </span> Dr. Wolf, shares insights from a soon to be published study on how emergency nurses are being left in the dark regarding changes in practice laws, particularly around pregnancy complications in states with restrictive abortion policies. We explore the consequences of silence, including fear, uncertainty, and potential patient harm. <br /> <br /> The full article will be out in the April Journal of Nursing Administration JONA</span></p> <p><span style="font-size: 12pt;">Follow us on:</span></p> <p><span style= "font-size: 12pt;">Facebook: https://www.facebook.com/Art-of-Emergency-Nursing-276898616569046/</span></p> <p><span style= "font-size: 12pt;">YouTube: https://www.youtube.com/channel/UCJTnz4phtCTjojTIDJo2afA?view_as=subscriber</span></p> <p><span style="font-size: 12pt;">Twitter: @AoenPodcast</span></p> <p><span style= "font-size: 12pt;">Instagram: https://www.instagram.com/artofemergencynursing/</span></p> <p><span style="font-size: 12pt;">To support the show:</span></p> <ul> <li style="font-size: 12pt;"><span style="font-size: 12pt;">Leave an honest review on iTunes. Your ratings and reviews greatly contribute to the success of the podcast, and I appreciate each and every one of them.</span></li> <li style="font-size: 12pt;"><span style= "font-size: 12pt;">Subscribe on Apple Podcasts, Google Podcasts, or your preferred podcast platform to never miss an episode.</span></li> </ul> <p><span style="font-size: 12pt;">Thank you for being a part of our AOEN community!</span></p>
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