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                <text>International Emergency Nursing Vol. 67 March 2023&#13;
What are the needs of frail older patients in the emergency department? A qualitative study</text>
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                <text>Background: There is an increase in the number of frail elderly patients presenting to the emergency department. Diagnosis and treatment for this patient group is challenging due to multimorbidity, a-typical presentation and polypharmacy and requires specialised knowledge and competencies from healthcare professionals. We aim to explore the needs and preferences regarding emergency care in frail older patients based on their experiences with received care during Emergency Department admission.&#13;
Method: A qualitative study design was used, and semi-structured interviews were conducted after discharge with twelve frail older patients admitted to emergency departments in the Netherlands. Data collection and analysis were performed iteratively, and data were thematically analysed.&#13;
Results: The analysis enfolded the following themes; feeling disrupted, expecting to be cared for, suppressing their needs and wanting to be seen. These themes indicated a need for situational awareness by healthcare professionals when taking care of the participants and were influenced by the participants’ life experiences.&#13;
Conclusion: Frail older patients feel disrupted when admitted to the emergency department. Because of this, they expect to be cared for, lessen their own needs and want to be seen as human beings. The impact of the admission is influenced by the extent to which healthcare professionals show situational awareness.</text>
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                <text>International Emergency Nursing Vol. 67 March 2023&#13;
Urgent hospital transfers – The experiences and required skills of paramedics</text>
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                <text>Introduction: Global changes in the health and social care sector have centralized the treatment of emergency patients, leading to an increase of urgent hospital transfers. The aim of this study is to describe paramedics’ experiences gained while working in prehospital emergency care, regarding urgent hospital transfers and the skills that performing urgent hospital transfers requires.&#13;
Methods: Twenty paramedics with experience in urgent hospital transfers participated in this qualitative study. The data collected via individual interviews were analyzed using inductive content analysis.&#13;
Results: Paramedics’ experiences of urgent hospital transfers resulted in two upper categories: Factors related to paramedics, and factors related to transfer, conditions, and technology. The upper categories were grouped from six subcategories. Paramedics’ experiences of skills required in urgent hospital transfers resulted in two upper categories: Professional competence, and interpersonal skills. The upper categories were grouped from six subcategories.&#13;
Conclusions: Organizations should support and promote training related to urgent hospital transfers to enhance the quality of care and patient safety. Paramedics play a key role in successful transfer and collaboration, and thus the required professional competences and interpersonal skills should be addressed in their education.&#13;
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                <text>International Emergency Nursing Vol. 67 March 2023&#13;
The effectiveness of online Visually Enhanced Mental Simulation in&#13;
developing casualty triage and management skills of paramedic program students: A quasi-experimental research study</text>
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                <text>Background: Paramedics who perform patient triaging in case of a mass casualty incident generally receive triage training during their undergraduate educational program. Triage training can be facilitated using various simulation modalities together with theoretical training.&#13;
Objectives: The aim of this study is to determine the effectiveness of online scenario-based Visually Enhanced Mental Simulation (VEMS) on developing the casualty triage and management skills of paramedic students.&#13;
Design: The study was conducted using a single-group pre-test/post-test quasi-experimental design. Settings and participants: The study was carried out in October 2020 with 20 volunteer students studying in the First and Emergency Aid program of a university in Turkey.&#13;
Methods: After the online theoretical crime scene management and triage course, students completed a demographic questionnaire and a pre-VEMS assessment. They then took part in the online VEMS training and eventually completed the post-VEMS assessment. At the end of the session, they filed an online survey concerning&#13;
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Results: There is a statistically significant increase in the scores obtained by the students between the pre- and post-educational intervention assessment (p &lt; 0.05). The majority of the students gave positive feedback concerning VEMS as an educational approach.&#13;
Conclusion: The results show that online VEMS is effective in helping paramedic students acquire casualty triage&#13;
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                <text>International Emergency Nursing Vol. 67 March 2023&#13;
Editorial Board</text>
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                <text>Sri Wahyuni</text>
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                <text>International Emergency Nursing Vol. 67 March 2023</text>
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