An excellent article on what it takes to become a Forensics Nurse

I had actually had the training to become a legal nurse consultant via paralegal training in a post-baccalaureate program at Duquesne University.  I ended up going back to clinical nursing after my training.  If I had it to do all over again, I would have been happier if I had gone into the patient-care aspect of it instead of the legal system side.  Ah well, live and learn.


A CEU course on ACEs from the CDC: Adverse Childhood Experiences

ACEs can affect children to a great extent:  emotionally, physically, and socially.  This is a great resource from the CDC for anyone who works with children.  Plus, there are CEU’s to be had — how awesome is that?!

Dementia Symptoms, Causes, Types, Stages, and Treatments; PLUS: The difference between Delirium & Dementia


The subject that has always confused me a bit is differentiating between DEMENTIA and DELIRIUM, so here is an article to define these differences and elucidate the reader:

Overview of Delirium and Dementia

By Juebin Huang, MD, PhD, Assistant Professor, Department of Neurology, Memory Impairment and Neurodegenerative Dementia (MIND) Center, University of Mississippi Medical Center

Last full review/revision March 2018 by Juebin Huang, MD, PhD

Huang, J. (2018).  Overview of Delirium and Dementia.  Merk  (Mar). Retrieved from

Differences Between Delirium and Dementia*







Sudden, with a definite beginning point


Slow and gradual, with an uncertain beginning point




Days to weeks, although it may be longer


Usually permanent




Almost always another condition (eg, infection, dehydration, use or withdrawal of certain drugs)


Usually a chronic brain disorder (eg, Alzheimer diseaseLewy body dementiavascular dementia)




Usually reversible


Slowly progressive


Effect at night


Almost always worse


Often worse




Greatly impaired


Unimpaired until dementia has become severe


Level of consciousness


Variably impaired


Unimpaired until dementia has become severe


Orientation to time and place






Use of language


Slow, often incoherent, and inappropriate


Sometimes difficulty finding the right word






Lost, especially for recent events


Need for medical attention




Required but less urgently


Signs and Symptoms of a Concussion: A Review

  1. Headache — especially if it is someplace different than where the trauma occurred.
  2. Uneven, dilated pupil on one side. (EMERGENCY SIGN!)
  3. Feeling dizzy or lightheaded
  4. Nausea — warning sign
  5. Loss of consciousness (does not have to happen with a concussion)
  6. Vomiting (EMERGENCY SIGN!)
  7. Poor balance
  8. Sensitivity to light
  9. Confusion; poor concentration
  10. Blurred/Double vision
  11. Bruising at the base of the skull (sign of a basilar fracture of the skull — a medical emergency)
  12. Drainage coming from the ears
  13. Any of the above symptoms can occur immediately or several hours later
  14. Symptoms of concussion usually fall into four categories:

    Physical Emotional/
    Difficulty thinking clearly Headache

    Fuzzy or blurry vision

    Irritability Sleeping more than usual
    Feeling slowed down Nausea or vomiting
    (early on)


    Sadness Sleep less than usual
    Difficulty concentrating Sensitivity to noise or light

    Balance problems

    More emotional Trouble falling asleep
    Difficulty remembering new information Feeling tired, having no energy Nervousness or anxiety
  15. When to Seek Immediate Medical Attention

    Danger Signs in Adults

    In rare cases, a person with a concussion may form a dangerous blood clot that crowds the brain against the skull. Contact your health care professional or emergency department right away if you experience these danger signs after a bump, blow, or jolt to your head or body:

    • Headache that gets worse and does not go away.
    • Weakness, numbness or decreased coordination.
    • Repeated vomiting or nausea.
    • Slurred speech.

    The people checking on you should take you to an emergency department right away if you:

    • Look very drowsy or cannot wake up.
    • Have one pupil (the black part in the middle of the eye) larger than the other.
    • Have convulsions or seizures.
    • Cannot recognize people or places.
    • Are getting more and more confused, restless, or agitated.
    • Have unusual behavior.
    • Lose consciousness.

    Danger Signs in Children

    Take your child to the emergency department right away if they received a bump, blow, or jolt to the head or body, and:

    • Have any of the danger signs for adults listed above.
    • Will not stop crying and are inconsolable.
    • Will not nurse or eat.


CDC.  (2017).  What are the signs and symptoms of a concussion?  Center for Disease Control and Prevention.  March 22.  Retrieved from