Emergency Medicine Cardiac Research and Education Group

Two Complimentary Dinner Symposia: Dinner with craft beer and wine.

This is an interactive dinner symposium which will provide 3.0 hours of Category 1 Continuing Medical Education credit from the University of Cincinnati College of Medicine. Expert Emergency Medicine and Cardiology faculty from across the United States will be exploring multiple Acute Coronary Syndrome (ACS) topics which are extremely important to emergency physicians as they care for these often critically-ill patients. First, a presentation regarding the identification of patients presenting to the ED at high risk for adverse outcomes will provide a strong foundation for two American College of Cardiology Foundation/American Heart Association guideline-based discussions on ST Elevation Myocardial Infarction and Non-ST Elevation ACS. A presentation regarding the optimization of antiplatelet therapy for STEMI and NSTE ACS will help to solidify the previous guideline discussions. It will be followed by a lecture concerning the use of thromboelastography (TEG) to evaluate the clotting status of normal patients and those with coagulation disorders. Strategies to improve collaboration between emergency physicians, cardiologists and hospitalists will be provided to help you improve the care of ACS patients presenting to the ED of your hospital. Finally, the symposium faculty will gather together to provide a case-based Panel Discussion and Q & A session which will be highly interactive and allow you to ask specific questions of these experts.
  1. Identification of Patients with ACS in the ED at High Risk of Adverse Outcomes
  2. 2013 ACCF/AHA Guidelines for STEMI Patients
  3. 2014 ACCF/AHA Guideline for Treating Non-ST-Elevation ACS (NSTE ACS)
  4. Challenges in Optimizing Antiplatelet Therapy for STEMI and NSTE ACS
  5. Thromboelastography (TEG) – Understanding the Patient’s Ability to Clot Blood
  6. Optimizing Collaboration Between Emergency Physicians, Hospitalists, and Cardiologists for Treatment of ACS
  7. Moderated Faculty Panel Discussion, Q & A, and Case Presentations for Comment and Analysis

This is an interactive dinner symposium which will provide 3.0 hours of Category 1 Continuing Medical Education credit from the University of Cincinnati College of Medicine. Join EMCREG-International critical care experts as they discuss important acute care topics for emergency physicians which will improve your care of patients with critical illness and injury in the ED. These presentations will include the treatment of critical respiratory illness as well as the management of significant deep venous thrombosis and pulmonary embolism. The treatment of patients post-cardiac arrest hypothermia will be presented. In addition, the management of atrial fibrillation with stroke and the treatment of major bleeding associated with novel oral anticoagulant use will be emphasized. The use of thromboelastography to evaluate the critically ill and injured patient’s ability to clot blood and the advanced resuscitation of septic shock will be described. Finally, a Panel Discussion by the expert critical care faculty of difficult cases along with audience Q & A will provide a highly interactive environment for symposium attendees to optimize learning. This 1st EMCREG-International Critical Care Symposium is being presented in repsonse to many requests from attendees of past EMCREG-International Symposia to focus on multiple aspects of care for the critically ill and injured patient presenting to the ED.
  1. Treatment of Critical Respiratory Illness in the ED and ICU
  2. Deep Venous Thrombosis and Pulmonary Embolism: Optimal Therapy for the Critically-Ill Patient and Prevention
  3. Post-Cardiac Arrest in the Emergency Department: Beyond Hypothermia
  4. Atrial Fibrillation: Advanced Management of the Critically-Ill Patient in the ED and ICU
  5. Management of Major Bleeding for Patients Treated with Novel Oral Anticoagulants
  6. Does the Patient’s Blood Clot? – Impact of Thromboelastography (TEG) in the Critically-Ill and Injured Patient in the ED and ICU Setting
  7. Advanced Resuscitation of Septic Shock in the ED and ICU
  8. Expert Critical Care Faculty Panel for Case Discussions and Audience Q & A
Join faculty experts, W. Brian Gibler, MD; James W. Hoekstra, MD; Charles Pollack, MD; E. Magnus Ohman, MD; Phillip Levy, MD; Jordon Bonomo, MD and Opeolu Adeoyeo, MD, as they review recent advances in cardiac biomarker diagnostics including high-sensitivity troponin assays and CT coronary angiography, novel anticoagulant therapy, advances in antiplatelet therapy which have been incorporated into the latest ACCF/AHA guidelines, the interventional cardiologists perspective, and novel diagnostics for determining a patient’s clotting status by thromboelastography.

View the monograph.
Transcript monograph from the 2013 EMCREG-International Symposium held in Seattle, Washington on October 13, 2013. This is presented as an interactive piece which features discussion of the new 2012 ACCF/AHA Guideline for the Treatment of Non-ST-segment Elevation Myocardial Infarction and Unstable Angina and the 2013 ACCF/AHA Guideline for the treatment of ST-segment Elevation Myocardial Infarction. Emphasis will be placed on the antiplatelet and anticoagulant portion of the guidelines.

View the work in PDF Format.

View the monograph archive . . .

Minimizing Transfer Time to an ST Segment Elevation Myocardial Infarction-Receiving Center: A Modified Delphi Consensus
Mumma, Bryn E.; Williamson, Conrad; Khare, Rahul K.; Mackey, Kevin E.; Diercks, Deborah B.
Crit Pathw Cardiol. 2014;13(1):20-24

A Pilot Study of Implantable Cardiac Device Interrogation by Emergency Department Personnel
Neuenschwander, James F.; Hiestand, Brian C.; Peacock, W. Frank; Billings, John M.; Sondrup, Cole; Hummel, John D.; Abraham, William T.
Crit Pathw Cardiol. 2014;13(1):6-8

Lessons in Flying: Crew Resource Management as a Quality Improvement Method for Acute Coronary Syndromes Care
Levy, Phillip D.; Dancy, JaNeen N.; Stowell, Stephanie A.; Hoekstra, James W.; Arthur, Crystal L.; Wilson, Charles H.; Bednar, John M.; Dorman, Todd; Hiestand, Brian
Crit Pathw Cardiol. 2014;13(1):36-42

Variable Impact of State Legislative Advocacy on Registry Participation and Regional Systems of Care Implementation: A Policy Statement From the American Heart Association
Rokos IC, Schwamm LH, Konig M, Malcarney MB, Horton KB, Ranous J, Ellrodt AG, Farmer SA, Frankel MR, Ferguson TB, Goff DC Jr, Hiratzka L, Jacobs AK; American Heart Association Advocacy Coordinating Committee
Circulation. 2013 Oct 15;128(16):1799-809. doi: 10.1161/CIR.0b013e3182a8fc62. Epub 2013 Sep 16.

Identifying patients for early discharge: Performance of decision rules among patients with acute chest pain
Mahler SA, Miller CD, Hollander JE, Nagurney JT, Birkhahn R, Singer AJ, Shapiro NI, Glynn T, Nowak R, Safdar B, Peberdy M, Counselman FL, Chandra A, Kosowsky J, Neuenschwander J, Schrock JW, Plantholt S, Diercks DB, Peacock WF
Int J Cardiol. 2013 Sep 30;168(2):795-802. doi: 10.1016/j.ijcard.2012.10.010. Epub 2012 Oct 30.

Nitrates for acute heart failure syndromes
Wakai A, McCabe A, Kidney R, Brooks SC, Seupaul RA, Diercks DB, Salter N, Fermann GJ, Pospisil C.
Cochrane Database Syst Rev. 2013 Aug 6;8:CD005151. doi: 10.1002/14651858.CD005151.pub2

How Low Can We Go? The High-Sensitivity Cardiac Troponin Debate
Storrow AB, Lardaro TA, Alexander PT, Apple FS
Ann Emerg Med. 2013 Dec;62(6):580-3. doi: 10.1016/j.annemergmed.2013.03.021. Epub 2013 Apr 6

Emergency Department Bypass for ST-Segment–Elevation Myocardial Infarction Patients Identified With a Prehospital Electrocardiogram: A Report From the American Heart Association Mission: Lifeline Program
Bagai A, Jollis JG, Dauerman HL, Peng SA, Rokos IC, Bates ER, French WJ, Granger CB, Roe MT
Circulation. 2013 Jul 23;128(4):352-9. doi: 10.1161/CIRCULATIONAHA.113.002339. Epub 2013 Jun 20

Nitrates for acute heart failure syndromes
Wakai A, McCabe A, Kidney R, Brooks SC, Seupaul RA, Diercks DB, Salter N, Fermann GJ, Pospisil C
Cochrane Database Syst Rev. 2013; 8: CD005151

Impact of Society of Cardiovascular Patient Care Accreditation on Quality: An Action Registry(R)-Get With the Guidelines Analysis
Peacock WF, Kontos MC, Amsterdam E, Cannon CP, Diercks D, Garvey L, Graff L 4th, Holmes D, Holmes KS, McCord J, Newby K, Roe M, Dadkhah S, Siler-Fisher A, Ross M
Crit Pathw Cardiol. 2013 Sep;12(3):116-120

Bypassing the Emergency Department and Time to Reperfusion in Patients With Prehospital ST-Segment Elevation: Findings From the Reperfusion in Acute Myocardial Infarction in Carolina Emergency Departments Project
Bagai A, Al-Khalidi HR, Muñoz D, Monk L, Roettig ML, Corbett CC, Garvey JL, Wilson BH, Granger CB, Jollis JG
Circ Cardiovasc Interv. 2013 Jul 16. [Epub ahead of print]

ED administration of thienopyridines in non–ST-segment elevation myocardial infarction: results from the NCDR
Diercks DB, Kontos MC, Hollander JE, Mumma BE, Holmes DN, Wiviott S, Saucedo JF, de Lemos JA.
Am J Emerg Med. 2013 Jul;31(7):1005-11. doi: 10.1016/j.ajem.2013.03.001. Epub 2013 May 20

Operational data integrity during electronic health record implementation in the ED
Ward MJ, Froehle CM, Hart KW, Lindsell CJ.
Am J Emerg Med. 2013 Jul;31(7):1029-33. doi: 10.1016/j.ajem.2013.03.027. Epub 2013 May 23

Initial Management of Patients with Acute Heart Failure
Fermann GJ, Collins SP
Heart Fail Clin. 2013 Jul;9(3):291-301. doi: 10.1016/j.hfc.2013.04.004. Epub 2013 Jun 4.

Evaluation and Management of the Atrial Fibrillation Patient: A Report From the Society of Cardiovascular Patient Care
Steinberg BA, Beckley PD, Deering TF, Clark CL, Amin AN, Bauer KA, Cryer B, Mansour M, Scheiman JM, Zenati MA, Newby LK, Peacock WF, Bhatt DL; for the Society of Cardiovascular Patient Care
Crit Pathw Cardiol. 2013 Sep;12(3):107-115

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