Response

We thank Ms. Castner for her reply to our article “Evaluation and Management of Hereditary Hemophilia in the Emergency Department”1 in the September 2009 edition of the Journal of Emergency Nursing. Our primary interest in publishing this article in a nursing journal was to discuss the pathophysiology and treatment of hereditary hemophilia. Our focus was on overall patient care and decision making, and these decisions are made as a team between the nurses and physicians in our institutions of practice. Although Ms. Castner feels that we did not discuss certain nursing aspects, our article was intended to be a case report and review article for hemophilia and not geared specifically towards one class of health care provider only. The reason why we chose JEN as our journal of publication is due to its wide audience base of emergency health care providers. In addition, we felt that JEN would allow us the ability to review certain fundamentals of hemophilia for this broad audience as it can be an extremely complex illness. Our article also was approved by JEN's rigorous editorial board which includes numerous well respected nurses and other health care providers.

Interdisciplinary publication between physicians and nurses is truly welcomed by us. We purposefully wanted to show our appreciation and collaboration between nurses and physicians alike, and therefore we chose JEN as our journal of choice. We will continue to attempt to provide high quality publications in the growing field of emergency nursing and medicine. Our goal is aligned with all health care providers which is to provide teamwork-based exceptional patient care in the emergency department.