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September 2007, Volume 37 Number 9 , p 72 - 72


  • Vincent M. Vacca RN, CCRN, MSN


Vacca, Vincent M. Jr. RN, CCRN, MSN

Clinical Nurse Educator, Neuroscience Intensive Care Unit, Brigham and Women's Hospital, Boston, Mass. Nursing2007 (ISSN 0360-4039; online ISSN 1538-8689) is published monthly by Lippincott Williams & Wilkins, with editorial, publishing, and advertising headquarters at 323 Norristown Rd., Suite 200, Ambler, PA 19002-2758. Periodical postage paid at Ambler, PA 19002 and additional offices. Copyright © 2007 by Wolters Kluwer Health | Lippincott Williams & Wilkins. All world rights reserved. Postmaster: Send changes of address to Nursing2007 , P.O. Box 55332, Boulder, CO 80322. Ride-along postage paid on the student edition.

ACCOMPANIED BY A FRIEND, Tyler Matthews, 23, arrives at your ED complaining of sudden onset of a pounding headache and blurred vision. Mr. Matthews, who'd suffered a spinal cord injury (SCI) several months earlier, is awake, alert, and oriented but extremely anxious. As you administer 2 L/minute of supplemental oxygen via nasal cannula, ...

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