Emergency Medicine Cardiac Research and Education Group




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.


OPTIMAL THERAPY FOR HYPERTENSIVE EMERGENCIES, HEART FAILURE, STROKE, AND UNDERSTANDING THE IMPACT OF THE OBESITY EPIDEMIC
 
FORMAT: Slides with audio via web
EVENT DATE: Tuesday November 9, 2010
Available Now On-Demand: Click Here

Obesity: The Highly Visible Killer - Andra L. Blomkalns, MD; Treating Acute and Hemorrhagic Stroke – What is the "State of the Art"? - Arthur M. Pancioli, MD; Hypertensive Emergencies: Optimal Therapy in the ED - Phillip D. Levy, MD, MPH; Management of Acute Heart Failure in the Emergency Department - Alan B. Storrow, MD
OPTIMIZING CARE FOR PATIENTS WITH ACS IN THE EMERGENCY DEPARTMENT
 
FORMAT: Slides with audio via web
EVENT DATE: Tuesday November 9, 2010
Available Now On-Demand: Click Here

Risk Stratification of Acute Coronary Syndrome in the Emergency Department - W. Brian Gibler, MD; Anti-Coagulant Therapy for ACS: Optimal Care in the ED - Charles V. Pollack, MD; Optimal Use of Thienopyridine Anti-platelet Therapy for ACS - James W. Hoekstra, MD; Controversies in the ED Use Anti-platelet Therapy for ACS - Deborah B. Diercks, MD
ACEP 2010 AUDIO CAST: OPTIMIZING CARE FOR PATIENTS WITH ACS IN THE EMERGENCY DEPARTMENT
 

MEDIA TYPE: Audio
EVENT DATE: September 29, 2010
Available Now On-Demand: Click Here

This event was held during ACEP 2010. Assess and formulate practical strategies for improving the management of ACS in the emergency department. In this audio recording of the live, emergency medicine symposium sponsored by Med-IQ in collaboration with EMCREG-International, expert faculty discuss the evolving landscape of antiplatelet agents and the complexities of thienopyridines and review the most up-to-date recommendations and strategies for triage and transfer to meet reperfusion goals. Presentations include: W. Brian Gibler, MD, Charles V. Pollack, MD, JamesW. Hoekstra, MD, and Deborah B. Diercks, MD.

NEW! 2010 ADVANCING THE STANDARD OF CARE: CARDIOVASCULAR AND NEUROVASCULAR EMERGENCIES
2010 ADVANCING THE STANDARD OF CARE: CARDIOVASCULAR AND NEUROVASCULAR EMERGENCIES
Monograph based on the 2010 Web Symposia held October 19 and November 9, 2010. The events covered important current and emerging acute care topics including risk stratification of ACS, ACS anticoagulation, thienopyridine therapy, novel antiplatelet agents prasugrel and ticagrelor, hypertensive emergencies, the obesity epidemic, acute heart failure treatment, and acute stroke.

View the work in PDF Format.


HEART FAILURE: BIOMARKERS OF DIAGNOSIS AND PROGNOSIS
HEART FAILURE: BIOMARKERS OF DIAGNOSIS AND PROGNOSIS
Heart Failure remains a common presentation in the emergency department. For the emergency physician clarifying the course of the universal complaint, shortness of breath, requires excellent clinical acumen combined with a clear understanding of the laboratory tests available to distinguish Heart Failure from other causes of dyspnea. Dr. Frank Peacock of the Cleveland Clinic authors an excellent discussion of the scientific basis for the use of the natriuretic peptide biomarkers in heart failure including future markers currently being investigated.

View the work in PDF Format.


ACEP 2009 MONOGRAPH: ADVANCING THE STANDARD OF CARE - CARDIOVASCULAR AND NEUROVASCULAR EMERGENCIES
ACEP 2009 MONOGRAPH
EMCREG–International is pleased to present this complimentary CME monograph covering the proceedings of our 2009 satellite symposium at the ACEP Scientific Assembly in Boston, MA. The monograph covers a number of important topics including acute coronary syndromes (ACS) including non-ST-segment elevation ACS (NSTE ACS) and ST-segment elevation myocardial infarction (STEMI), acute heart failure syndromes, STEMI Regional Systems of Care, and medical-legal issues of acute stroke.

View the work in Multiple Formats including by webcast.


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.


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.


View the monograph archive . . .


“Copeptin Helps “Copeptin Helps in the Early Detection Of Patients with Acute Myocardial Infarction”: the primary results of the CHOPIN Trial
Maisel A, Mueller C, Neath SX, Christenson RH, Morgenthaler NG, Nowak RM, Vilke G, Daniels LB, Hollander JE, Apple FS, Cannon C, Nagurney JT, Schreiber D, deFilippi C, Hogan C, Diercks DB, Stein JC, Headden G, Limkakeng AT, Anand I, Phil D, Wu AHB, Papassotiriou J, Hartmann O, Ebmeyer S, Clopton P, Jaffe AS, Peacock WF
J Am Coll Cardiol. 2013 Apr [Epub ahead of print]

2012 ACCF/AHA Focused Update Incorporated Into the ACCF/AHA 2007 Guidelines for the Management of Patients With Unstable Angina/Non–ST-Elevation Myocardial Infarction : A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines
Jneid H, Anderson JL, Wright RS, Adams CD, Bridges CR, Casey DE Jr, Ettinger SM, Fesmire FM, Ganiats TG, Lincoff AM, Peterson ED, Philippides GJ, Theroux P, Wenger NK
J Am Coll Cardiol. 2013 Apr 26. pii: S0735-1097(13)00344-6. doi: 10.1016/j.jacc.2013.01.014. [Epub ahead of print

Research or mom: listen to your mother
Hollander JE
Ann Emerg Med. 2013 Feb;61(2):196-7

Guidelines for the Early Management of Patients With Acute Ischemic Stroke - A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association
Jauch EC, Saver JL, Adams HP Jr, Bruno A, Connors JJ, Demaerschalk BM, Khatri P, McMullan PW Jr, Qureshi AI, Rosenfield K, Scott PA, Summers DR, Wang DZ, Wintermark M, Yonas H; American Heart Association Stroke Council; Council on Cardiovascular Nursing; Council on Peripheral Vascular Disease; Council on Clinical Cardiology
Stroke. 2013 Mar;44(3):870-947

2013 ACCF/AHA Key Data Elements and Definitions for Measuring the Clinical Management and Outcomes of Patients With Acute Coronary Syndromes and Coronary Artery Disease: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Clinical Data Standards
Cannon CP, Brindis RG, Chaitman BR, Cohen DJ, Cross JT Jr, Drozda JP Jr, Fesmire FM, Fintel DJ, Fonarow GC, Fox KA, Gray DT, Harrington RA, Hicks KA, Hollander JE, Krumholz H, Labarthe DR, Long JB, Mascette AM, Meyer C, Peterson ED, Radford MJ, Roe MT, Richmann JB, Selker HP, Shahian DM, Shaw RE, Sprenger S, Swor R, Underberg JA, Van de Werf F, Weiner BH, Weintraub WS; American College of Cardiology Foundation/American Heart Association Task Force on Clinical Data Standards
Circulation. 2013 Mar 5;127(9):1052-89

Validation of high-sensitivity troponin I in a 2-h diagnostic strategy to assess 30-day: outcomes in emergency-department patients with possible acute coronary syndrome
Cullen L, Müller C, Parsonage WA, Wildi K, Greenslade JH, Twerenbold R, Aldous S, Meller B, Tate JR, Reichlin T, Hammett CJ, Zellweger C, Ungerer Mmed JP, Gimenez MR, Troughton R, Murray K, Brown AF, Mueller M, George P, Mosimann T, Flaws DF, Reiter M, Lamanna A, Haaf P, Pemberton CJ, Richards AM, Chu K, Reid CM, Peacock WF, Jaffe AS, Florkowski C, Deely JM, Than M.
J Am Coll Cardiol. 2013 Apr 10. [Epub ahead of print]

Growing pains with the use of high-sensitivity cardiac troponin assays
Wu AH, Bolger AF, Hollander JE.
J Am Coll Cardiol. 2013 Apr [Epub ahead of print]

How Low Can We Go? The High-Sensitivity Cardiac Troponin Debate
Storrow AB, Lardaro TA, Alexander PT, Apple FS.
Ann Emerg Med. 2013 Apr 5. pii: S0196-0644(13)00256-4. doi: 10.1016/j.annemergmed.2013.03.021. [Epub ahead of print]


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