Background/Objectives: Malignant hyperthermia (MH) is an uncommon but potentially fatal pharmacogenetic syndrome triggered by specific anesthetic agents, including certain muscle relaxants and volatile anesthetics. The clinical presentation of MH varies widely, making timely recognition challenging but essential to patient survival. Perioperative nurses have a critical role in MH prevention, crisis recognition, and effective management. This review aimed to identify and summarize current evidence on the perioperative nursing management of MH, emphasizing preventive measures, staff education, and the adoption of innovative strategies to enhance patient outcomes. Methods: A narrative literature review was conducted by searching the PubMed–Medline, Scopus, and Web of Science databases. The methodological quality was ensured using the Scale for the Assessment of Narrative Review Articles (SANRA), and the review process adhered to the PICOS framework. For transparency, the protocol has been reported to the Open Science Framework (OSF). Results: Nineteen studies met the inclusion criteria and were analyzed. The key findings underscored the vital role of perioperative nurses in conducting thorough preoperative risk assessments to identify susceptible individuals. Simulation-based training emerged as highly beneficial, improving staff preparedness, crisis recognition, teamwork, and communication skills. The integration of cognitive aids, such as emergency checklists, and the use of activated charcoal filters to rapidly reduce anesthetic gas concentrations were also highlighted as effective management strategies. Nonetheless, significant gaps in MH knowledge among nursing staff persist, indicating the need for ongoing education and training. Conclusions: Effective management of MH critically depends on comprehensive nurse-led assessments, regular simulation drills, and continuous staff education. The adoption of cognitive aids and activated charcoal filters further enhances crisis response capabilities. Future research should continue to explore innovative training methods and strategies to mitigate knowledge deficits among perioperative nursing teams.

Background: The frequency of alarms from monitors and other electro-medical devices is of great utility but can increase the professional’s workload and expose nurses in the intensive care unit to Alarm Fatigue. A recent study suggested that students in training can also experience the problem during their first clinical experiences in intensive care. Unfortunately, no data are available about the Italian panorama. To explore Alarm Fatigue among Bachelor of Science in Nursing students at the end of their internship experience in intensive care settings. Methods: Multicenter cross-sectional design. A convenience sample of nurses from 3 Italian university hospitals was recruited. The students completed the revised version of the “Alarm Fatigue questionnaire-ita” at the end of the clinical internship in intensive care settings. Results: 130 nursing students were enrolled (response rate 59.36%). The overall level of Alarm Fatigue was Me= 24.5 IQR [17.5, 30.5]. In addition, 9.23% of the sample reported errors or near misses related to Alarm Fatigue during the internship experience. The alarm fatigue level was higher in students who committed “errors/almost errors” (p=0.038) and in “student workers” (p=0.005). Discussion: The extent of alarm fatigue experienced by nursing students requires developing a preventive strategy.

Emergency teams are made up of professionals of different specialities, including emergency physicians, surgeons, anesthesiologists, and nurses. Such units are characterized by the need to face unexpected situations with little time to make clinical decisions. In trauma and emergency settings, clinicians must act in a coordinated way, ensuring, at the same time, proper knowledge transfer and sharing to reach the best possible result for the patient. While such dynamics must be explicit and clear within the team, involving the patient in the decision-making process may require additional tools and procedures. Indeed, the time to engage with the patient and the family to understand the patient’s wishes and treatment preferences may be limited or absent at all. While the so-called shared decision-making (SDM) stands as one of the pillars of the modern patient-centric healthcare scenario, knowledge translation and transfer dynamics may appear particularly challenging in emergency settings. Starting from an investigation of the recent literature on SDM, the paper presents a literature review of the barriers, facilitators, and knowledge translation dynamics of SDM in trauma and emergency surgery. Results assess the importance, tools, and dynamics of SDM processes.