Can Artificial Intelligence Be Utilized to Predict Real-Time Adverse Outcomes in Individuals Arriving at the Emergency Department With Hyperglycemic Crises?: Implications for APRN Practice

This column on translating research into practice is crafted to offer advanced practice registered nurses an analysis of current research topics that hold practical relevance for emergency care settings. The article titled "Using Artificial Intelligence to Predict Adverse Outcomes in Emergency Department Patients With Hyperglycemic Crises in Real Time," authored by C. Hsu et al. (2023), investigates through a randomized control trial, the effectiveness of artificial intelligence as a practical tool compared with the traditional predicting hyperglycemic crisis death score to clinically predict adverse outcomes in individuals presenting to the emergency department with hyperglycemic crises. The results are discussed in the context of averting adverse outcomes associated with sepsis/septic shock, intensive care unit admission, and all-cause mortality within a 1-month time frame.

The Use of Activated Charcoal in Toxicology and Implications for APRN Practice

This Research to Practice article is designed to help aid advanced practice registered nurses (APRNs) with up-to-date research guidelines in order to establish evidence-based changes in clinical practice within emergency medical care. The article, "Activated Charcoal and Poisoning: Is It Really Effective?" by Aksay et al. (2022), examines whether the usage of activated charcoal (AC) in current treatment protocols for ingested poisonings adds benefits, given recent controversies in its use. Study variables included clinical findings in relation to the drug being ingested, the frequency and usage of an antidote, the rate of being intubated, and the duration of being hospitalized comparing poisoned patients who received AC with those who did not. APRNs need to be aware of the current guidelines to help establish the appropriateness of use when administering AC and be able to evaluate patients during and after the administering of AC. Improved awareness and education regarding the different treatment modalities for toxicology patients such as AC can help with certain kinds of poisonings in the emergency department.

Ruling Out a Myocardial Infarction Safely in 30 Minutes: Implications for APRN Practice

This Research to Practice column assists to provide emergency advanced practice registered nurses an exploration of current evidence to establish implications for practice change within emergency care settings. The article, "Rapid Rule-Out of Myocardial Infarction After 30 Minutes as an Alternative to 1 Hour: The RACING-MI Cohort Study" by Bang et al. (2022), seeks to examine whether non-ST-segment elevation myocardial infarction identified on an electrocardiogram can be safely ruled out among a population of low-risk patients who present to the emergency department (ED) with undifferentiated acute chest pain. The study uses an accelerated 30-min testing algorithm of high-sensitivity troponin I markers as opposed to a traditional 1-hr high-sensitivity troponin I testing algorithm. The study results are presented to understand the factors of managing myocardial infarction (MI) and reducing patient length of stay surrounding MI care among ED providers at an emergency care center.