Implementation of a "Serenity Room": Promoting resiliency in the ED.

Work-related stress is common within the nursing profession, especially in the ED. Studies have shown that interventions to improve hospital working environments positively impact retention and help prevent burnout. This nursing practice innovation project describes the development, implementation, and evaluation of a restorative space (the "Serenity Room") in a busy regional ED. The evaluation of this project focused on the effectiveness of the room at reducing stress and the value ED staff place on having access to a restorative space. Data were gathered through pre- and postimplementation surveys.

Management of acute aortic occlusion in the setting of necrotizing pancreatitis with covered endovascular reconstruction of the aortic bifurcation.

Acute aortic occlusion represents a rare, life-threatening condition associated with significant morbidity and mortality. Here, we present a case of acute aortic occlusion in the setting of necrotizing pancreatitis, successfully managed with covered endovascular reconstruction of the aortic bifurcation. Traditionally, treatment options for acute aortic occlusion have included thromboembolectomy, aortobifemoral bypass, and axillary bifemoral bypass. Our report demonstrates covered endovascular reconstruction of the aortic bifurcation as a viable in-line treatment option for acute aortic occlusion, particularly in patients with challenging concomitant abdominal pathology.