Emergency Medicine Cardiac Research and Education Group
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ACTION Registry
ACTION Registry®–GWTG™ is a national, risk-adjusted, outcomes-based quality improvement program that helps participating facilities measure and improve care for high-risk ACS patients with STEMI and NSTEMI. The result of the collaboration between the two leading national coronary artery disease registries, the NCDR® ACTION Registry® and the American Heart Association (AHA) Get With The GuidelinesSM-CAD Registry, ACTION Registry–GWTG will be the largest, most comprehensive national cardiovascular patient database ever developed by the medical profession.

Combining the strengths of the two programs, ACTION Registry–GWTG will collect a comprehensive set of data elements that provide healthcare professionals and their facilities with the information they need to monitor and improve adherence to the most current, science-based ACC/AHA treatment guidelines. Participation will greatly facilitate quality improvement efforts, optimize clinical care, and improve clinical outcomes for acute coronary syndrome patients.

Visit How To Join to request additional information or to download an enrollment package. Or, visit the ACTION website for more information.



Join EMCREG at ACEP in October.
Join EMCREG for our 12th annual symposium at ACEP. The symposium represents a unique opportunity to hear and interact with experts in emergency cardiovascular and neurovascular emergency care and to gain up-to-date knowledge on the full spectrum of decision making and care these patients populations.

Sheraton Copley Place: October 6, 2009: 6:00am - 7:30 am

View Agenda | Pre-register

EMCREG's ACEP 2008 Webcasts!

Miss EMCREG at ACEP 2008? The events were webcast and will be on-line soon. Please check back soon or subscribe to our e-mail announcements to be notified. These webcasts will be complimentary and includes CME for those who register before viewing.

Complete hardcopy Monograph also available: Click here to get started  


EMCREG PDA Tools!
ClinACS and ClinStroke are Palm OS handheld applications with an additional internet version compatible on any handheld and desktop, designed to help clinicians with the acute management of Stroke and Acute Coronary Syndrome. Both tools offer interactive features and are based on the recent 2007 guidelines from the American Heart Association. Download them today.




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NEW! ACEP 2008 MONOGRAPH: ADVANCING THE STANDARD OF CARE - CARDIOVASCULAR AND NEUROVASCULAR EMERGENCIES
ACEP 2008 MONOGRAPH
EMCREG–International is pleased to present this complimentary CME monograph covering the proceedings of our 2008 satellite symposium at the ACEP Scientific Assembly in Chicago, IL. The monograph covers the presented topics and provides up-to-date knowledge on the full spectrum of decision making and care for patients with acute coronary syndromes (ACS) including non-ST-segment elevation ACS (NSTE ACS) and ST-segment elevation myocardial infarction (STEMI), acute heart failure syndromes, pulmonary embolism, and acute ischemic stroke.

View the work in Multiple Formats including by webcast.


NEW! HYPERTENSIVE EMERGENCIES: ACUTE CARE EVALUATION AND MANAGEMENT
HYPERTENSIVE EMERGENCIES: ACUTE CARE EVALUATION AND MANAGEMENT
Hypertension remains one of the most common disease processes in patients presenting to the Emergency Department (ED). While sometimes symptomatic and associated with end organ damage such as hypertensive encephalopathy, hemorrhagic stroke, acute coronary syndrome, heart failure, and renal insufficiency, many patients present without symptoms. Emergency physicians and hospitalists should understand the appropriate classification of patients with hypertension, the pathophysiology of this disease process, and appropriate treatment strategies. In this EMCREG-International Newsletter, Charles V. Pollack, Jr. MD and Christopher J. Rees, MD of Pennsylvania Hospital and the University of Pennsylvania discuss hypertension and parenteral medications used for treatment of these patients in the ED.

View the work in PDF Format.


THE EMCREG-INTERNATIONAL HYPERTENSION CONSENSUS PANEL: MANAGEMENT OF HYPERTENSIVE EMERGENCIES
THE EMCREG-INTERNATIONAL HYPERTENSION CONSENSUS PANEL: MANAGEMENT OF HYPERTENSIVE EMERGENCIES
The EMCREG-International Hypertension Consensus Panel gathered experts from diverse fields, including Emergency Medicine, Cardiology, Neurology, Neurosurgery, Neuro-Critical Care, Obstetrics/Gynecology, Nephrology, Pediatrics, and Hospital Medicine to discuss, analyze, and provide recommendations for treating hypertension. Through this collaboration, virtually any patient presenting with hypertension to an outpatient or emergency department setting will have clear guidelines for treatment and physician follow-up.

View the work in PDF Format.


ACEP 2007 MONOGRAPH: ADVANCING THE STANDARD OF CARE - CARDIOVASCULAR, NEUROVASCULAR AND INFECTIOUS EMERGENCIES
ACEP 2007 MONOGRAPH: ADVANCING THE STANDARD OF CARE - CARDIOVASCULAR, NEUROVASCULAR AND INFECTIOUS EMERGENCIES
EMCREG–International is pleased to present this complimentary 99-page CME monograph covering the proceedings of our 2007 satellite symposium at the ACEP Scientific Assembly in Seattle, Washington, Louisiana. A number of important topics are covered in this monograph including acute coronary syndrome, the diagnosis of transient ischemic attack and stroke, the treatment of ischemic and hemorrhagic stroke, the management of hypertension in acute neurovascular emergencies, the management of hypertensive urgencies and emergencies, markers for severe bacterial infections, the treatment of sepsis, risk stratification of possible acute coronary syndrome, the optimal management of NSTEMI and STEMI, treatment of acute heart failure syndrome, and the diagnosis and treatment of deep venous thrombosis and pulmonary embolism.

View the work in PDF Format.


MANAGEMENT OF HYPERTENSION AND HYPERTENSIVE EMERGENCIES IN THE EMERGENCY DEPARTMENT: THE EMCREG-INTERNATIONAL CONSENSUS PANEL RECOMMENDATIONS
Management of Hypertension and Hypertensive Emergencies in the Emergency Department: The EMCREG-International Consensus Panel Recommendation
This supplement [Ann Emerg Med 2008;51(3 Suppl 1):S1-S38] represents the first supplement to Annals of Emergency Medicine in nearly 16 years! These consensus documents on the evaluation and management of hypertension and hypertensive emergencies in the ED was systematically developed between December 2006 and April 2007 in an evidence-based and consensus-based process and culminated in the March 2008 supplement of Annals. The panel members were selected from a multidisciplinary group of specialists, which included physicians from emergency medicine, neurology, neurological surgery, internal medicine, hospital medicine, nephrology, cardiology, pediatrics, anesthesiology, vascular surgery, and gynecology and obstetrics. Each specific hypertension section or topic was assigned at least 2 experts, one of whom was usually an emergency physician.

The Supplement can be obtained on the Annals of Emergency Medicine website.


View the monograph archive . . .


Interrater Reliability and Accuracy of Clinicians and Trained Research Assistants Performing Prospective Data Collection in Emergency Department Patients With Potential Acute Coronary Syndrome
Cruz CO, Meshberg EB, Shofer FS, McCusker CM, Chang AM, Hollander JE
Ann Emerg Med. 2009;54:1-7

An Analysis of the Association of Society of Chest Pain Centers Accreditation to American College of Cardiology/American Heart Association Non–ST-Segment Elevation Myocardial Infarction Guideline Adherence
Chandra A, Glickman SW, Ou FS, Peacock WF, McCord JK, Cairns CB, Peterson ED, Ohman EM, Gibler WB, Roe MT
Ann Emerg Med. 2009;54:17-25

Natriuretic peptides and echocardiography in acute dyspnoea: implication of elevated levels with normal systolic function
Shah KB, Kop WJ, Christenson RH, Diercks DB, Kuo D, Henderson S, Hanson K, Li SY, deFilippi CR
Eur J Heart Fail (2009) 11, 659–667

Hospitals with and without percutaneous coronary intervention capability: considerations for treating acute coronary syndromes
Hollander JE, Gibson CM, Pollack, CV
Am J Emerg Med 2009;27:595–606


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1 July 2009
Researhers report in JAMA that multiple biomarkers improved the accuracy of risk prediction very little and did not reclassify a substantial proportion of individuals to higher or lower risk categories.
26 June 2009
Recent data suggests PCI patients with STEMI have a higher short-term risk but lower long-term risk for mortality than patients with NSTEMI.
25 June 2009
TRANSFER-AMI results support routine early PCI compared with an ischemia-driven strategy after initial fibrinolysis in STEMI patients.
18 June 2009
The oral factor Xa inhibitor rivaroxaban may reduce the risk for ischemic events after ACS.
17 June 2009
Patients with reductions in BNP levels over the first days of treatment for ADHF have better survival compared with those with little or no change.
17 June 2009
Researchers report that multidetector computed tomography may be a useful alternative in the assessment of acute chest pain for some patients.
15 June 2009
Australian researchers report that shear micro-gradients play a major role in initiating the formation of stabilized platelet aggregates during the early phases of thrombus development.
5 June 2009
GRACE data suggests that elderly NSTE ACS patients don't receive cardiac catheterization because they are mistakenly considered to "low risk".
22 May 2009
Researchers report that any delay in PCI door-to-balloon time for ST-elevation myocardial infarction is associated with increased mortality
21 May 2009
TIMACS study reports that early invasive revascularization in patients with NSTE ACS provides little advantage over a delayed approach
20 May 2009
Researchers develop a novel risk score for non-ST elevation acute coronary syndromes patients who are at low risk for adverse in-hospital events
18 May 2009
Researchers report that Admission NT-proBNP peptide levels retain their prognostic value in elderly people with AMI, despite being generally higher in older age groups.
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